Nursing students, as future healthcare professionals, hold a crucial role in delivering high-quality care to older adults. Their ability to provide effective geriatric care depends significantly on comprehensive knowledge and the cultivation of positive attitudes, and behaviors. Recognizing this critical responsibility, this study aimed to assess nursing students’ attitudes, behaviors, and knowledge regarding aging and ageism. A cross sectional study was conducted with a convenience sample from 334 nursing students during Spring 2024. Data were collected using a self-administered questionnaire, including the Facts on Aging Quiz (knowledge assessment), the Relating to Older People Evaluation (ageist behaviors), and Kogan’s Attitudes toward Older People Scale. Results revealed significant knowledge gaps, with only a small percentage achieving an acceptable knowledge level. Ageist attitudes were prevalent, though positive attitudes outweighed negative ones. Students generally held somewhat positive views of aging, but negative behaviors persisted, particularly among female students. Work experience with older adults and a family history of caregiving were positively associated with higher knowledge scores. Additionally, satisfaction with nursing education and Confidence in caring for older adults were strongly associated with positive behaviors, attitudes, and knowledge regarding older adults. Correlation analysis showed positive relationships between knowledge, attitudes, and behaviors, with attitudes significantly predicting behaviors in regression analysis. Nursing students demonstrated insufficient knowledge about older adults, with positive attitudes and behaviors prevailing despite persistent negative behaviors. Female students exhibited higher negative behaviors, while work experience and caregiving history correlated with better knowledge but did not influence attitudes or behaviors. Satisfaction with nursing education and confidence in geriatric caring were strongly linked to positive outcomes. Enhancing nursing curricula with practical, relevant content and opportunities for meaningful interaction with older adults is essential to improve students’ preparedness and foster quality care.

Exercise is a promising approach for symptom management in hemodialysis patients who are typically very sedentary. This study evaluated the effects of gamified versus pedometer-based walking interventions on these patients' physical activity, physical function, fatigue, sleep quality, and hemodynamics. A quasi-experimental single-blind study was conducted in three groups (two intervention and one control groups). It was carried out at the hemodialysis department in Mansoura University Hospital, Egypt, from October 2022 to 2023. A total of 94 patients were divided randomly into gamified (n = 31), pedometer (n = 31), and control (n = 32) groups. Randomization was done by dialysis scheduled time (first shift: pedometer group, second shift: gamified group, and third shift control group) rather than at the individual level, and the allocation ratio was approximately 1:1:1. The gamified group received a twelve-week smartphone-based gamified walking intervention, while the pedometer group received a twelve-week pedometer-based walking intervention. The control group did not receive any intervention. Step count, fatigue, sleep quality, physical function, and hemodynamic parameters were evaluated at baseline and after 12 weeks of intervention. Post-intervention results indicated that patients in the gamified group significantly improved their step count, fatigue, and sleep levels compared to both the pedometer and control groups (P < 0.001). However, the groups had no statistically significant differences in physical function or hemodynamics. Hemodialysis patients who participated in a short-term, smartphone-based gamified walking intervention experienced increased step counts, reduced fatigue, and improved sleep quality. Prospectively registered with ClinicalTrials.gov on 28/10/2022; registration number NCT05599646.

Background/Objectives: Endometriosis, a chronic and debilitating gynecological disorder, exacts a heavy clinical and socioeconomic toll on women’s lives. Despite its prevalence, its timely diagnosis and effective management are hindered by pervasive knowledge gaps among frontline nursing professionals, and these are especially pronounced in under-researched regions such as Al-Jouf, Saudi Arabia. Aim: Guided by the Knowledge–Attitude–Practice model, this study aimed to assess the level of endometriosis-related knowledge among nurses in the Al-Jouf region of Saudi Arabia and to identify the sociodemographic and professional determinants of knowledge levels. Methods: A cross-sectional, descriptive-analytical design was employed between January and July 2024, enrolling 215 nurses from a principal maternity and children’s hospital and two primary healthcare centers in Sakaka. A rigorously validated, bilingual 20-item questionnaire assessing four domains (definition, risk factors, clinical manifestations, and treatment goals) was administered. Data were analyzed using descriptive statistics, multiple linear regression, and binary logistic regression to elucidate predictors of knowledge. Results: A concerning picture emerged: 61% of participants scored below 60% (indicative of low knowledge), with only 6% achieving high scores. Higher educational attainment proved the strongest predictor (β = 0.415, p < 0.001), followed by age (β = 0.232, p < 0.001), years of experience (β = 0.149, p = 0.041), and direct patient care exposure (β = 0.168, p = 0.021). Collectively, these factors explained 37.6% of the variance in knowledge scores, underscoring a critical deficit in endometriosis management preparedness. Conclusions: The stark deficiencies in endometriosis knowledge among nurses in Al-Jouf call for immediate, tailored educational and policy interventions. Strengthening clinical competencies is essential for fostering early diagnosis and improving care outcomes for women burdened by this complex condition.