Flipped teaching is an interactive learning strategy that actively engages students in the learning process. Students have an active role in flipped teaching as they independently prepare for the class. Class time is dedicated to discussion and learning activities. Thus, it is believed that flipped teaching promotes students’ critical thinking, communication, application of knowledge in real-life situations, and becoming lifelong learners. The aim of this study was to describe the students’ perception of flipped teaching as an innovative learning strategy. And to assess if there was a difference in students’ academic performance between those who participated in a traditional teaching strategy compared to those who participated in flipped teaching intervention. A quasi-experimental design with intervention and control groups. A purposive sampling technique of undergraduate nursing students was used. A total of 355 students participated in both groups, and 70 out of 182 students in the intervention group completed the survey. The students perceived a moderate level of effectiveness of the flipped teaching classroom as a teaching strategy. The result revealed that there is a statistically significant difference in the mean students’ scores for the intervention group (M = 83.34, SD = 9.81) and control group (M = 75.57, SD = 9.82). Flipped teaching proves its effectiveness in improving students’ learning experience and academic performance. Also, students had a positive perception about flipped teaching as it allowed them to develop essential nursing competencies. Future studies must consider measuring the influence of flipped teaching on students’ ability to acquire nursing competencies, such as critical thinking and clinical reasoning.

Objectives: The objective of this study was to evaluate the relationship between interleukin-17 (IL-17) serum levels, musculoskeletal ultrasound (MSUS) observations, and clinical disease activity in patients with rheumatoid arthritis (RA) and hand osteoarthritis (OA). Methods: This case–control study involved 120 participants, with 40 individuals assigned to each of the three groups: RA, OA, and control. IL-17 serum levels were quantified in all participants. MSUS of the hand joints was performed on all RA and OA patients. Disease activity in patients with RA was assessed using the Clinical Disease Activity Score (CDAS). Both RA and OA patients completed a Visual Analog Scale (VAS) to evaluate pain intensity. Functional status was evaluated using the Health Assessment Questionnaire (HAQ) for RA patients, while the Australian/Canadian (AUSCAN) Osteoarthritis Hand Index was utilized for OA patients. Results: Serum levels of IL-17 were significantly higher in both the RA and OA groups compared to the control group. Among RA patients, a positive correlation was identified between the CDAS and the VAS for pain. In OA patients, a significant correlation was observed between VAS scores and serum IL-17 levels. Additionally, serum IL-17 levels were associated with the presence of synovitis in both RA and OA groups; however, no significant association was found between IL-17 levels and bony changes such as erosions or osteophytes. In terms of functional evaluation, serum IL-17 levels correlated with HAQ in the RA group, but not with AUSCAN in the OA group. Conclusions: Elevated IL-17 serum levels are linked to inflammatory changes identified by MSUS but not to bony changes. These findings suggest that the rise in IL-17 levels in both OA and RA is primarily driven by underlying inflammatory processes, positioning IL-17 as a potential therapeutic target for both conditions.

Background/Objectives: Nurses’ workplaces are critical to both the levels and types of care nurses can deliver as well as to employee retention. The quality of the workplace environment is a significant predictor of employment outcomes, such as improved care and a decrease in nurses’ desire to leave their work. Moreover, a favourable work environment can significantly improve organisational performance. A healthy nursing workplace is a safe, empowering, and fulfilling place of employment in which all healthcare personnel work tirelessly for patients’ optimal health and wellness. The aim of this study is to identify the association between workplace environment and work engagement among nurses in clinical settings. Methods: A descriptive cross-sectional correlational design was used. Convenience sampling was used to recruit 349 nurses from various hospitals in the central northern region of Saudi Arabia. A four-part electronic questionnaire eliciting information on participants’ sociodemographic characteristics, job characteristics, work-related quality of life (WRQoL), and work engagement was collected. All ethical guidelines for scientific research on human beings were strictly followed. Results: The participants had average levels of WRQoL. However, they had generally moderate to high levels of work engagement, which reflects their moderate to low intention to leave work. The findings demonstrated a statistically significant positive link between the WRQoL and work engagement of the participants. Conclusions: When the nurses’ WRQoL improved, their work engagement increased significantly. Improving WRQoL will almost definitely enhance nurses’ work engagement, which will reduce nurses’ intentions to leave their employment. It is advised that nurses enhance their WRQoL in order to increase their engagement in the workplace, have fewer thoughts about leaving, and make fewer plans to leave.

The postpartum period is a critical stage where maternal confidence and self‐efficacy significantly influence breastfeeding success and overall adjustment. Cyberchondria refers to the repetitive searching for health‐related information online, which can lead mothers to doubt their caregiving abilities, lower their confidence, and negatively impact their perceived competence in breastfeeding and infant care. This study explored the relationship between cyberchondria, maternal self‐efficacy, and breastfeeding perceived competency among postpartum mothers. A cross‐sectional survey was conducted with 300 mothers within 2 months of childbirth, recruited through a two‐stage random sampling method from primary health care facilities in Zagazig district, Egypt. Participants completed validated Arabic versions of the Cyberchondria Scale (CS), the Perceived Maternal Parenting Self‐Efficacy Scale, and the breastfeeding competency scale (BCS). Findings revealed that higher cyberchondria levels were linked with lower maternal self‐efficacy and diminished breastfeeding competency. Maternal self‐efficacy demonstrated a significant positive association with breastfeeding perceived competency and partially mediated the relationship between cyberchondria and breastfeeding competency. These results suggest that online health‐seeking behaviors may undermine maternal confidence and skills, highlighting the importance of incorporating digital health literacy interventions into postpartum care. Supporting mothers in navigating online health information effectively may enhance self‐efficacy and improve breastfeeding outcomes.

Background: Nurse managers’ trust and inclusive leadership are critical factors that influence staff nurses’ motivation, engagement, and work effectiveness. Understanding how these elements interact can help improve organizational performance and patient care in hospital settings. Therefore, this study aimed to examine the relationship between nursing managers’ trust, inclusive leadership styles and staff nurses’ work effectiveness in Saudi Arabian hospitals. Purpose: This study aimed to examine the relationship between nursing managers’ trust, inclusive leadership styles and staff nurses’ work effectiveness in Saudi Arabian hospitals. Methods: A descriptive, correlational cross-sectional design was conducted. Data were collected by distributing questionnaires (workplace effectiveness questionnaire II, the inclusive leadership scale, and the trust in the leader scale) among 487 nurses using convenience sampling from 10 hospitals in Saudi Arabia. Results: The work-effectiveness factors of opportunity, access to support, and access to information (means: 3.43, 3.23, and 3.15, respectively) were moderately empowering. Most participants perceived the availability and accessibility (means: 3.43 and 3.23, respectively) of inclusive leadership. Meanwhile, in the trust in the leader scale, integrity and benevolence (means: 3.31 and 3.27, respectively) were more highly rated than predictability and competence (means: 2.79 and 2.81, respectively). Significant differences (p < 0.05) between nursing managers and their staff were observed across all three dimensions. Conclusions: Trust in nursing managers, inclusive leadership, and staff nurses’ work effectiveness were significantly associated, but the cross-sectional design does not support causal inference.

The postpartum period is a critical stage where maternal confidence and self-efficacy significantly influence breastfeeding success and overall adjustment. Cyberchondria refers to the repetitive searching for health-related information online, which can lead mothers to doubt their caregiving abilities, lower their confidence, and negatively impact their perceived competence in breastfeeding and infant care. This study explored the relationship between cyberchondria, maternal self-efficacy, and breastfeeding perceived competency among postpartum mothers. A cross-sectional survey was conducted with 300 mothers within 2 months of childbirth, recruited through a two-stage random sampling method from primary health care facilities in Zagazig district, Egypt. Participants completed validated Arabic versions of the Cyberchondria Scale (CS), the Perceived Maternal Parenting Self-Efficacy Scale, and the breastfeeding competency scale (BCS). Findings revealed that higher cyberchondria levels were linked with lower maternal self-efficacy and diminished breastfeeding competency. Maternal self-efficacy demonstrated a significant positive association with breastfeeding perceived competency and partially mediated the relationship between cyberchondria and breastfeeding competency. These results suggest that online health-seeking behaviors may undermine maternal confidence and skills, highlighting the importance of incorporating digital health literacy interventions into postpartum care. Supporting mothers in navigating online health information effectively may enhance self-efficacy and improve breastfeeding outcomes.