Background: Organizational virtuousness fosters a self-reinforcing spiral of workplace thriving, which encompasses the joint experience of vitality and learning at work. Workplace ostracism refers to the exclusion or ignoring of individuals or groups within the workplace and may negatively affect employees’ workplace experiences. Aim: We aimed to examine the relationship between organizational virtuousness and workplace thriving and to explore the moderating role of workplace ostracism among nurses. Methods: A descriptive correlational research design was employed. A simple random sample of 464 nurses working in inpatient departments and critical care units at Shibin El-Kowm Teaching Hospital and El Helal Insurance Hospital was recruited. Data were collected using three instruments: the Organizational Virtuousness Scale, the Thriving from Work Questionnaire, and the Workplace Ostracism Scale. Results: Nearly half of the nurses reported a high level of organizational virtuousness, while more than half reported a moderate level of workplace thriving. In contrast, nearly two-thirds reported a low level of workplace ostracism. Organizational virtuousness was significantly and positively correlated with workplace thriving and significantly and negatively correlated with workplace ostracism. Furthermore, workplace ostracism significantly moderated the relationship between organizational virtuousness and workplace thriving. Conclusions: Organizational virtuousness was positively associated with workplace thriving among nurses, whereas workplace ostracism was negatively associated with organizational virtuousness. Furthermore, the significant interaction between organizational virtuousness and workplace ostracism indicated that the strength of the association between organizational virtuousness and workplace thriving varied across levels of workplace ostracism. Implications for Nursing Practice: Nurse managers should foster supportive work environments by providing tangible and emotional support to strengthen organizational virtuousness and promote workplace thriving. Nursing leaders should also implement proactive strategies to identify and address workplace ostracism and create an inclusive environment in which nurses feel valued, respected, and supported.

Background: Asthma during pregnancy is associated with adverse maternal and neonatal outcomes. Nursing education, self-management support, and mobile health (mHealth) technologies may support asthma management during pregnancy. Aim: This study evaluated the effect of a structured nursing intervention supported by an mHealth application on asthma control, treatment adherence, and self-monitoring, and maternal and neonatal outcomes among pregnant women with asthma. Design and Setting: A quasi-experimental pretest–posttest design with a control group was conducted at two Maternal and Child Health Centers in Shebin El-Kom, Menoufia Governorate, Egypt. Participants: A convenience sample of 140 pregnant women with physician-diagnosed asthma was recruited and allocated non-randomly according to the center attended to a study group (n = 70) and a control group (n = 70). The sample size was calculated a priori based on a previous study using a 5% significance level and 80% statistical power, with a 1:1 allocation ratio, resulting in a required sample of 70 participants per group. All recruited participants completed the study, with no withdrawals or loss to follow-up. Intervention: The study group received routine antenatal care plus an eight-week structured nursing intervention consisting of four individualized weekly educational sessions (60–90 min each) addressing asthma management, medication adherence, self-monitoring, trigger avoidance, warning signs, inhaler technique, lifestyle modification, and rhythmic breathing exercises. Participants were trained to use the Airlyn mHealth application for guided breathing exercises, practiced 2–3 times daily, and received telephone/WhatsApp follow-up during weeks 6–8. The control group received routine antenatal care according to usual MCH center procedures. Measures: Asthma control was assessed using the Asthma Control Test (ACT). Treatment adherence and self-monitoring were assessed using the Asthma Adherence and Self-Monitoring Questionnaire. Maternal outcomes included hypertensive disorders, gestational diabetes, infections, preterm labor/PPROM, hemorrhage, and mode of delivery. Neonatal outcomes included birth weight, Apgar scores, respiratory distress and respiratory support, NICU admission and length of stay, and condition at discharge. The researcher-developed instruments underwent expert assessment of content validity and assessment of internal consistency before use. Results: Baseline ACT scores were comparable between the study and control groups (14.5 ± 4.2 vs. 14.1 ± 4.3; mean difference = 0.4; p = 0.580). Following the intervention, ACT scores were higher in the study group than in the control group (19.7 ± 3.6 vs. 15.2 ± 4.2; mean difference = 4.5; 95% CI: 3.189–5.811; p < 0.001; Cohen’s d = 1.147). Well-controlled asthma was observed in 75.7% of the study group compared with 17.1% of the control group (p < 0.001). Treatment adherence and self-monitoring scores were also better in the study group (5.6 ± 2.7 vs. 9.1 ± 3.1; mean difference = −3.5; 95% CI: −4.476 to −2.524; p < 0.001; Cohen’s d = 1.199). The overall maternal outcome score was more favorable in the study group (3.5 ± 1.7 vs. 6.1 ± 2.6; mean difference = −2.6; 95% CI: −3.340 to −1.860; p < 0.001; Cohen’s d = 1.174), as was the overall neonatal outcome score (7.7 ± 2.2 vs. 5.5 ± 2.1; mean difference = 2.2; 95% CI: 1.480–2.920; p < 0.001; Cohen’s d = 1.022). Significant between-group differences were also observed in birth weight, Apgar scores, respiratory distress, and NICU admission. Conclusions: Participants who received the structured nursing intervention supported by the Airlyn mHealth application were associated with improved asthma control, treatment adherence, and self-monitoring, as well as more favorable maternal and neonatal outcomes, compared with those receiving routine antenatal care. However, the quasi-experimental design, convenience sampling, and non-randomized allocation limit causal interpretation and the generalizability of the findings. Therefore, the findings should be interpreted cautiously. Recommendations: Larger randomized controlled trials with standardized protocols, adequate sample sizes to evaluate maternal and neonatal outcomes, and longer follow-up periods are recommended to confirm these findings and further assess their clinical relevance.

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental disorders among children and is associated with significant behavioral, academic, and social challenges. Caregiver-focused behavioral interventions have gained increasing attention as effective non-pharmacological approaches for improving child outcomes and enhancing parental management skills. Thus, this study aimed to evaluate the potential effectiveness of behavior change wheel (BCW)-based nursing intervention in improving maternal behavioral management practices, as well as child outcomes involving ADHD symptoms among preschool children aged 3–6 years with attention-deficit/hyperactivity disorder. Methods: A one-group pretest–posttest quasi-experimental design was conducted among 55 mothers and their children diagnosed with ADHD at Thawat Center and King Abdullah Center for Disability Services in Jeddah, Saudi Arabia. The study did not include a control group. Participants were recruited using a convenience sampling technique. Data were collected using a sociodemographic questionnaire, ADHD Rating Scale IV—Preschool Version, the BCW Intervention Compliance Questionnaire, and the Parental Knowledge and Attitude Questionnaire. The intervention was implemented over eight weeks and included educational sessions, behavioral skills training, motivational enhancement, role-play activities, and follow-up reinforcement. Results: The preliminary findings from the one-group pre/posttest quasi-experimental study revealed statistically significant improvements in children’s inattentive and hyperactivity symptoms following the intervention (p < 0.001). Mothers also demonstrated significant improvements in perceived knowledge, attitudes, and compliance with BCW components after program implementation (p < 0.001). The proportion of mothers with satisfactory perceived knowledge increased from 21.8% pre-intervention to 94.5% post-intervention, while positive attitudes increased from 23.6% to 98.2%. In addition, compliance with BCW components improved from 30.9% before the intervention to 94.5% after implementation. Conclusions: The BCW-based nursing intervention was associated with pre–post improvement in maternal caregiving outcomes and reduced ADHD symptoms among preschool children. These preliminary findings from the one-group pretest–posttest quasi-experimental study suggest the potential value of theory-informed, caregiver-focused nursing interventions in pediatric and community healthcare settings. However, due to the one-group pretest–posttest design without a control group, causal inferences cannot be made. Further controlled studies are needed to confirm these associations and establish causal inferences.