Background: The return to work from maternity leave is a time when the professional demands overlap with the new responsibilities of caring for children, which may result in psychological stress for nurses. Perceived social support can be a protective resource to buffer stress and promote adaptation.

Objective: To determine if perceived social support would moderate the relationship between occupational stress and psychological well-being for nurses who returned to work after childbirth.

Method: A cross-sectional descriptive study was carried out in ten health care facilities in Dakahlia Governorate, Egypt. Four validated Arabic questionnaires were completed by a convenience sample of 200 nurses who had returned to work within 12 months after giving birth: a demographic questionnaire, a Brief Nursing Stress Scale, a 18-item Swedish adaptation of Ryff's Psychological Well-Being Scale, and a Perceived Social Support Scale for postpartum nurses. Descriptive statistics, correlation tests, multiple regression, and Hayes' PROCESS macro were used for analyses.

Results: Occupational stress had significant negative correlation with perceived social support (r = −0.332, p < .01) and psychological well-being (r = −0.506, p < .01). Psychological well-being was positively related to perceived social support (r = 0.410, p < .01). Occupational stress was a significant negative predictor of well-being (β = −0.506, p < .001) for regression results. Moderation analysis confirmed that the negative relationship between stress and well-being was significantly mitigated by perceived social support (β = 2.500, p < .001), accounting for 52% of the variance in well-being.

Conclusion: The importance of perceived social support in decreasing stress and enhancing wellbeing of postpartum nurses suggests that multi-level supportive interventions are necessary.

Background: Social frailty represents a critical dimension of aging, yet its specific associations with mental health and social capital remain underexplored, particularly in non-Western contexts. This study investigated the influence of psychological distress and social capital on social frailty among older adults in Egypt.

Methods: In a cross-sectional study conducted at a university hospital outpatient clinic, 316 adults aged ≥60 years were assessed using the Depression Anxiety Stress Scale-21 (DASS-21), the Personal Social Capital Scale-16 (PSCS-16), and the Social Frailty Scale (SFS-8). Data were analyzed using descriptive statistics, correlation analyses, and multiple linear regression.

Results: Participants demonstrated moderate to high levels of social frailty (Mean = 5.55 ± 1.44). A significant positive correlation was found between psychological distress and social frailty (β = 0.333, p < 0.001), while a significant negative correlation was observed between social capital and social frailty (r = −0.349, p < 0.001). Multiple regression analysis confirmed that both higher psychological distress (β = 0.369, p < 0.001) and lower social capital (β = −0.327, p < 0.001) were significant independent predictors of social frailty, after controlling for key sociodemographic and health-related covariates. The final model explained 13.5% of the variance in social frailty scores (F = 24.510, p < 0.001).

Conclusion: Psychological distress and low social capital are significant, independent contributors to social frailty in Egyptian older adults. These findings advocate for integrated geriatric care interventions that concurrently address mental well-being and strengthen social networks to effectively prevent and mitigate the adverse outcomes associated with social frailty.

Cancer survivorship often includes reproductive health concerns (e.g., fertility potential and treatment‐related health problems) that elevate psychological distress. Partner support is a key, modifiable resource linked to better adjustment, yet its pathway of influence is not fully understood. To test whether partner support mediates and/or moderates the association between reproductive health concerns and psychological distress among female cancer survivors. A cross-sectional study was conducted with 202 married female cancer survivors (ages 20–49) attending the oncology departments of Tanta University Hospital, Egypt. Validated measures included the Reproductive Concerns after Cancer Scale, Partner Support Scale, and Kessler Psychological Distress Scale. Higher reproductive concerns related to greater distress (r = 0.517, p < 0.01). Partner support correlated negatively with reproductive concerns (r =  − 0.446, p < 0.01) and distress (r =  − 0.471, p < 0.01). Adding partner support improved prediction of distress (Model 2, R² = 0.345); partner support was a significant negative predictor (B =  − 0.364, p < 0.001). Mediation was supported: Reproductive Concerns after Cancer Scale → distress total effect B = 0.4212 (p < 0.001); direct effect B = 0.3124 (p < 0.001); indirect effect via partner support B = 0.1088, 95% CI [0.0617, 0.1613]. Moderation was not supported (interaction B≈0.000, p = 0.998). Conclusions: Reproductive concerns are associated with elevated psychological distress. Partner support partially mediates yet does not moderate this relationship, indicating a protective, indirect effect on distress. Implications for Practice: Integrate structured partner‐involved education and counselling into survivorship care to reduce distress linked to reproductive concerns (confirmed need). Screen routinely for reproductive concerns and perceived partner support and refer dyads to targeted psychosocial interventions. Training for nurses should prioritize communication about fertility/health concerns and techniques to engage partners effectively.

Aim: To examine the effectiveness of Simulation-based education (SBE) compared with traditional lecture-based instruction across knowledge, clinical skills, clinical reasoning, affective outcomes and retention.

Background: SBE has been widely adopted in nursing curricula to facilitate the integration of theoretical knowledge with clinical practice. However, evidence regarding its effectiveness across different learning domains and simulation modalities remains variable and has not been comprehensively synthesized.

Design: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines.

Methods: PubMed/MEDLINE, Embase, CINAHL and Scopus (2015–2025) were searched for interventional studies evaluating SBE as a primary teaching strategy. Twenty-six studies met the inclusion criteria. Risk of bias was assessed using RoB 2, ROBINS-I and the NIH Before–After tool.

Results: Across studies, SBE was associated with improvements in multiple learning outcomes compared with lecture-based or standard instruction, although findings varied across simulation modalities and outcome domains. Some high-fidelity, virtual and structured-debriefing approaches showed favorable effects on clinical reasoning and skill performance. Affective responses were mixed, with confidence often improving while some virtual modalities were associated with higher anxiety. Limited follow-up data suggested partial retention of knowledge and clinical reasoning over time.

Conclusion: SBE enhances multiple learning outcomes; however, heterogeneity in study designs and simulation approaches, together with methodological limitations and limited longitudinal evidence, indicate that findings should be interpreted cautiously and that further rigorous research is needed to clarify how simulation approaches support sustained competency development.