COVID-19 pandemic caused enormous damage to the economy and financial status of many countries as well as influenced the peoples’ health and wellbeing, also its impact nurses' job satisfaction and their intention to leave their profession as the nurses form the vast majority of health care workers who have been in the frontline in the pandemic fight. This review aims to assess the factors associated with nurses intention to leave during the covid-19 pandemic. This research paper was made by analyzing the findings of previous studies related to nurses' job satisfaction and intention to leave the job during the (COVID-19) pandemic. The review used Whittemore and Knalfl to conduct the review and locate the related paper. This method considers a broad review method because it allowed the researcher to include varied research types. The findings showed three factors that had a significant impact on nurses' intention to leave, which include: a) fear of COVID 19,b) leak of social support, and c) work-related factors. Analyzing the studies on factors associated with nurses' Intention to Leave during the COVID-19 pandemic revealed various interrelated factors on nurses' intention to leave, including fear of COVID 19, leak support, and several work-related factors.

Background: Cardiac surgeries have contributed greatly to resolve the problems relating to Coronary Artery Diseases (CAD) and valvular heart diseases. There are numerous physical and psychosocial problems that cardiac surgery patients experience once they were discharged from the hospital. Purpose: The aim of this study is to determine post-discharge problems and their frequencies in cardiac surgery patients at tertiary care hospital. Methods: Descriptive cross sectional study design was used to determine problems and their frequencies in CABG and valvular surgery in post discharge period. Data was collected from 96 patients through consecutive sampling technique at Cardiac Center of public tertiary care hospital during July to September 2018 on patient’s first follow-up after discharge. The questionnaire content validity index was checked by cardiac surgery experts and calculated 0.88. The data was analyzed on SPSS (23 version).descriptive statistical tests frequency, percentage used for categorical variables, and mean and standard deviation for continuous variables and Likert scale for post-discharge problems in cardiac surgery patients. Results: Male patients were high in percentage (71.9%) with mean age of 52 year had CAD due to stress and sedentary life. CABG was done for (80.3) and valvular surgeries done for (19.8%). Pain in the surgical wound site and different body parts, chest wound problems like discharge and swelling. Other problems were difficulty in breathing and pain with cough. Psychosocial problems were found in more than half of the patients like difficulty in sleeping, phobia of body movement and losing job, palpitation and apprehension, sadness and avoided social interaction with others. Conclusion: The study found different problems such as pain, difficulty in breathing, sleepiness, tiredness, difficulty in preforming Activities of daily livings and wound related issues. Significant number of participants reported about social isolation, anxiety, restlessness and fear. The findings of current study can be utilized to develop a discharge package for patients.

Background: The complex role of today’s nurses warranties higher levels of critical thinking and clinical judgment abilities. Critical thinking is familiar as an essential factor of nursing exercise by The National League for Nursing (NLN). Objective: The aim of this study were: To find out impact of teaching strategies to promote critical thinking in general nursing students. To analysis the teaching strategies to promote critical thinking in General nursing students. Methods: The descriptive research technique was used in this research which based on questionnaires. All the nursing students of the university was the population of study. The researcher used simple cross sectional sampling in the selection of students. The student of general nursing School DHQ Hospital Jhang were selected as a population 15o students were given questionnaire and all questionnaire were responded. Results: Results indicates that students and instructors each share the responsibility for the quality of learning Yes were 83.5% and the No were 16.5% with the statement. The mean is 1.1652 with .373oo standard deviation. Results also describes about CT is an essential component of nursing education and a necessary competency for modern nursing practice. Results indicate that 98.3% respondents were yes, no were .9% and don’t know was .9% with the statement. The mean is 1.o261 with .2o778 standard deviation. Conclusion: The results of this study indicate that the vast majority of nursing students who participated had low levels of promote critical thinking. The results also reinforce the need for students’ continued development in these areas. Nurse educators must renew their commitment to CT as an educational ideal and this ideal must be continually pursued because it is integral to true autonomy in our complex society. The importance of CT to education and practice is indisputable. Nurse educators are an untapped resource in educational organizations.

Background: The hospital setting itself can be a cause of both hope and distress to the ill children and their families. Prolonged hospitalization and advance medical procedures and care can lead to anxiety or depression. Aim of the Study: To assess reactive anxiety and depression level among hospitalized children before and after application of art therapy intervention at pediatric ward. Material & Method: A quantitative quasi-experimental, cross sectional design. The study conducted in the medical/surgical inpatient wards at in Tabuk City- King Salman Military Hospital. It was consecutive sample, the sample size was 30 child. The researcher used a tool to assess level of reactive anxiety and depression of hospitalized children. Results: The study results showed levels of HADS Anxiety for children before test and after, its reported that (23.33%) of children tested in the hospitals their anxiety level is border line pretest and (0%) on the same level after posttest. levels of HADS depression for children before test and after, its reported that (63.33%) of children tested in the hospitals their depression level is border line pretest and deceased to (13.33%) on the posttest. DAP test showed decrease in the anxiety and depression indexes in the posttest compared to the pretest. ANOVA indicated a significant time effect pre and posttest. Thus, there is a significant evidence that there was a change is art therapy.