Statement of the problem: Information, communication and technology form essential means of literacy in the 21st century. ICT has become an essential aspect of higher education recently, ICT has also become an essential aspect of medical institutions, that require graduating nurses to use it in their daily work. However, a major challenge for use of ICT in nursing education, is to find the means to encourage teachers to use it. Teachers’ ICT knowledge and beliefs paly and essential role in classroom practices, however lots of challenges and barriers prevent the structured use of ICT. Methodology and theoretical orientation: a qualitative research approach was used. Using an interview protocol, face to face interviews were conducted with eighteen nursing faculty members, from four private universities in Lebanon. Findings: ICT usage is varied among nursing faculty members, while some consider it essential for teaching and learning; some other faculty feel it is an extra burden to their busy schedules. Further to that, this study highlighted the challenges faced by nursing faculty members that prevent them from using ICT, and these range from the community/country’s level: like electricity shut down, and slow internet; to institutional level: absence of clear ICT policies and extra costs associated with ICT, to the personal level: like the lack of relevant ICT trainings and knowledge. Conclusion and significance: ICT is important for the nursing profession. Faculty members are proficient in ICT use, however there should be standardization and structure in the way ICT is used in nursing teaching and learning practices. Lots of challenges and barriers were identified and revealed by faculty members that hinder the use of ICT, working towards eliminating these challenges is essential towards improving the use of ICT.

Problem statement: Nursing professionals work in a complex scenario, even before de pandemic situation. There is a high prevalence of moderate to high levels of chronic stress among nurses. In oncology unit presents elements which favor psychological overload due to prolonged hospitalizations of patients and dealing with the constant terminality and threat to life. In addition, chronic stress can compromise the quality of care and patient safety. The aim of this study was to evaluate the effectiveness of the massage chair to reduce chronic stress in the oncology nursing team. Methodology: A randomized clinical trial divided into two groups: massage chair and control without intervention. The intervention group received two 15-minute chair massage sessions twice a week for three weeks. The research was carried out in two university cancer hospitals, one public and the other private, in the city of São Paulo, Brazil. Main outcome measure: stress reduction as measured by the Signs and Symptoms List (LSS). Blood pressure and heart rate were measured before and after each massage. Results: 60 women from the Oncology Nursing team participated. The mean age was 32 (± 5.3) years, with a mean Body Mass Index (BMI) of 26.7 Kg/m2 (SD ± 5.0) presenting an overweight proflie. The stress analysis by the LSS showed that 6.7% (n=4) had a very high stress score, 65.0% (n=39) had a high level, and 28.3% (n=17) had medium level. There was a reduction in stress measured by the LSS with a statistical difference in the group-time interaction (p <0.001), with a Cohen's d value of 1.21 between groups. In the massage group, there was a reduction in heart rate and blood pressure (p <0.001). Conclusion: Chair massage, with 15 minutes, proved adequate to relieve signs and symptoms of stress in oncology nursing professionals.

Statement of the Problem: Children with Down syndrome (DS) have Neurodevelopmental Disorders including limited social awareness and sleep disorders. The use of integrative intervention is common in families with children who have DS. Aromatherapy is the therapeutic use of essential oils with benefits for pain, anxiety, sleep disorders and other conditions. The purpose of this study was to report the experience of aromatherapy in children with SD from 1 to 6 years of age, treated at a medical institution specialized in genetic syndromes. Methodology: Case report obtained through nursing consultations with aromatherapy. The choice of essential oils was based on age, complaints, use of other medications and olfactory test. Findings: Ten parents sought aromatherapy consultation voluntarily or by medical indication, due to: sleep latency period >40 minutes, agitation, low concentration and fear of being touched by other professionals. Each child had two to three of these complaints. The use of lavender essential oil (Lavandula augustifolia) was indicated for sleep and restlessness. Lemongrass essential oil (Citrus limon) to improve concentration and lemongrass EO (Cymbopogon citratus) to relax, improve interaction and agitation. Feedbacks occurred after 1 week of starting use and after 30 days. Parents reported an improvement in their own sleep and a decrease to 15 minutes (average) for their children's sleep latency (5); improved interaction with other children and professionals (5), improved concentration in rehabilitation (2). One mother did not notice a difference and two fathers did not adhere. Conclusion & Significance: The use of aromatherapy in children with DS demonstrated acceptance by parents and children, with promising results in sleep and behavioral areas. Field research is strongly encouraged.

Background: Disturbance in self-concept clarity is suggested to be considered as one of a core feature of schizophrenia. A growing body of research reflects that the incoherence or disorganization in sense of self may mask individuals with schizophrenia from perceiving reality accurately. Patients often perceived themselves as if they lost contact to themselves and usually spent a lot of time wondering about the kind of person they are. Objective: This study aimed to assess the self- concept clarity, as well as positive and negative symptoms among patients with schizophrenia. And, to identify the relationship between self- concept clarity and both positive and negative symptoms among patients with schizophrenia. Settings: The study was conducted at EL-Maamoura Hospital for Psychiatric Medicine, in Alexandria, Egypt. Subjects: A sampling of 200 inpatients with schizophrenia were randomly selected. Tools: The socio-demographic and clinical structured interview schedule was used to elicit data about the patient's socio-demographic and clinical characteristics such as age, sex, educational level, duration of illness, and age at the beginning of illness. The Brief Psychiatric Rating Scale (BPRS-version 4.0) to examine the existence and severity of different psychiatric symptoms and the Self-Concept Clarity Scale to measure the perceived internal consistency and temporal stability of self-beliefs. Results: Findings of the present study revealed that around half of the studied sample demonstrated low self-concept clarity (50.5%). Whereas, more than one third of the studied sample (38.5%) had moderate self-concept clarity. Moreover, a statistically significant correlations were found between self-concept clarity in relation to positive and negative symptoms among the studied schizophrenic patients (rs= 0.242, P<0.001, and rs= 0.225, P=0.001, respectively). The overall brief psychiatric rating scale (BPRS) was proved to be the independent predictor of the self-concept clarity Conclusion: The present study concludes that the studied subjects demonstrated low self-concept clarity and self-concept clarity was significantly correlated with psychopathology in relation to positive and negative symptoms among the studied patients with schizophrenia. Recommendations: Conducting psycho-educational program regarding how to develop clear, consistent and stable sense of self would directly foster patients’ wellbeing and integration into the community.

Background: In 2020, Morocco recorded more than 59,370 new cases of cancer and more than 35,265 cases of death (International Agency for Research on Cancer, Annual report Morocco, 2020). Cancer is always accompanied by socially constructed, differentiated, and contingent interpretations and practices according to the socio-cultural and religious characteristics of each region. The study aims at describing the evolution of the socio-cultural and religious aspects of Moroccan cancer patients followed at the National Institute of Oncology (NIO) of Rabat between 2010 and 2020. Methods: We have prospectively studied all cancer cases diagnosed at the National Oncology Institute (NIO), Rabat in 2019. We have collected 1102 cases. The data collected was compared with the results of the study carried out in 2010 (1600 cases). Statistical analysis has been assessed by SPSS 20 software and the correlations between sociocultural characteristics were examined using a chi-square test. Results: From a socio-economic point of view, almost all patients claim that cancer is a costly disease as well as a disease that leads to a drop in income and the inevitable impoverishment of Moroccan patients. The illiteracy rate is still high; rising from 38% in 2010 to 42.80% in 2020. On the psychological level, damage to body image (alopecia, mastectomy, hysterectomy,) can lead to stigmatizing and harms the marital relationship. The number of patients experiencing divorce and marital separation that seems to occur following cancer pathology remains high, despite a decrease of nearly 50% between 2010 and 2020. Concerning the spiritual aspect, in the Arab-AmazighMuslim culture, the impact of the occurrence of cancer is very particular, and the repercussions are assessed differently depending on the degree of conviction. For practicing believers, cancer is considered a divine test and an opportunity to improve. In the Qur’an, God tests the best of his disciples to reward them The rate of practicing believers has evolved from 49% in 2010 to 85.50% in 2020.But for non-practicing believers, cancer is regarded as a divine punishment coming from outside. New behaviors reported by this research concern the use of “roquia”. This spiritual cure is considered as an anti-cancer remedy. It uses Allah’s words from the holy “qur’an”, his faires names and his attributes. 42% of patients use “roquia”. Concerning phytotherapy, there was an increase in the percentage of participants using medicinal plants and even the most harmful plants (Arestiloch, Euphorbia) from 26% in 2010 to 51.50% in 2020. Conclusion: The precarious social level of cancer patients, the lack of social and medical coverage, illiteracy, and lack of knowledge of religion, as well as dissatisfaction with conventional medicine, may lead patients to the use of traditional medicine (medicinal plants, visit of “marabouts”, “roquia”). This can have a negative impact on the quality of access to oncology care.