Background: education program plays a major role in teaching, enhancing, and improving nurses' knowledge and practice regarding bowel stoma care. Aim: To study the effectiveness of education program on nurses' performance regarding bowel stoma care at the governmental hospitals in Khartoum state. Methods: A quasi-experimental hospital base study was conducted in three governmental hospitals; fifty nurses were chosen by using Probability Proportional to Size (PPS) sampling technique. Data were collected using checklist for practice assessment in three phases. Data were analyzed using Statistical Packages for Social Sciences (Version 23) presented in tables and figures using descriptive percentages, means and stander deviation, chi sure test used for relation significance and T-test used to show the difference between pre and post means. Results: shows that mean of total practice score changed from poor to good .and there was a highly significant difference at p ˂ .001 between pre- and post-implementing education program. Conclusion: On light of the study results it can be concluded that there was a highly significant improvement in practice items between pre and post education program, and the study recommended that there should be an in-service training and periodic educational programs targeting nurses to improve nurse’s knowledge and practices.

Everyone is stressed to some extent. The way you respond to stress, on the other hand, has a significant impact on your overall well-being. Stress is defined as any type of change that causes physical, emotional, or psychological strain. Stress is your body's reaction to anything that requires your attention or action. Students are exposed to a wide range of potentially stressful situations in their daily academic lives, which can have a negative impact on both their academic achievement and their health. Among the factors that may be weakened by academic stress are self-efficacy expectations, which are regarded as one of the most important determinants of student engagement, persistence, and academic success. Sometimes the best way to deal with stress is to change your situation. Other times, changing your response to a situation is the best strategy. Short-term and long-term stress are both possible. Both can cause a variety of symptoms, but chronic stress can take a serious toll on the body and have long-term health consequences. As a result, they must be educated on healthy coping strategies. Counselling sessions and other student support systems must be better organized to address issues such as career guidance, healthy coping behaviors, time management, and improving self-esteem among those affected. It is also important to pay attention to making the study environment in the classroom less stressful and free of excessive academic load (Joseph, 2021). This would accomplish the aim of reducing academic stress, improving academic performance, and minimizing anxiety. This review article aims to discuss the causes and coping strategies for adolescents dealing with academic stress.