Aim/Objective: This study aimed to examine how a buddy-supported onboarding program affected early-career nurses in medical-surgical units, focusing on their integration, perceived support, sense of belonging, confidence, competence, and turnover intention. Background: Early-career nurses often face significant obstacles when they enter clinical practice, including stress, low self-esteem, and a lack of professional support. These difficulties can increase job dissatisfaction and turnover intention, particularly in demanding settings such as medical-surgical units. Many healthcare organizations have adopted buddy-supported onboarding programs to help new nurses integrate, develop professionally, and stay in their roles. Design: The study used a qualitative phenomenological design. Method: The researcher recruited seven registered nurses with fewer than three years of clinical experience in medical-surgical units at King Abdulaziz National Guard Hospital in Al Ahsa, Saudi Arabia, using purposive sampling. Data were gathered through semi-structured, in-person interviews and analyzed thematically using Braun and Clarke’s approach. Results: The analysis produced six themes: structured onboarding supports early adjustment; buddy support acts as an emotional and practical anchor; a sense of belonging develops gradually and depends on team dynamics; psychological safety strengthens learning and confidence; inconsistent support hinders confidence development; and interpersonal and family-related factors shape turnover intention. Conclusions: Buddy-supported onboarding programs can build early-career nurses’ confidence, strengthen their professional integration, and ease their early adjustment. To support nurses’ transition and improve workforce retention, healthcare organizations should reinforce structured onboarding frameworks and ensure consistent coaching.

Background: Early mobilization (EM) is an evidence-based approach that promotes physical activity in critically ill patients in intensive care units, though its implementation remains challenging. Aims: To examine the perceived barriers to EM and assess differences according to clinical role, unit type, and years of experience among healthcare providers in critical care units. Methods and Materials: A cross-sectional, survey-based design was used. Using convenience sampling, 376 healthcare providers were recruited from critical care units across Saudi Arabia. Data were collected via the validated Patient Mobilization Attitudes and Beliefs Survey for Intensive Care Unit (PMABS-ICU). Descriptive statistics and one-way analysis of variance (ANOVA) were used for analysis. Results: Participants were 39.1% male and 60% female. Respiratory therapists reported the highest overall perceived barriers (M = 40.4, SD = 7.4), followed by nurses (M = 38.5, SD = 9.3), physicians (M = 36.1, SD = 8.1), and physical/occupational therapists (M = 33.7, SD = 8.1); (p = 0.001). Attitude-related barriers had the highest mean score (M = 39.6, SD = 11.7), followed by knowledge (M = 37.7, SD = 16.8) and behavior (M = 37.3, SD = 9.5). Significant associations were observed between barriers and clinical role (p = 0.001), unit type (p < 0.001), and years of experience (p = 0.001). Conclusions: Findings highlight that attitude-related barriers were the highest among healthcare providers. Therefore, targeted training programs are essential to strengthen healthcare providers' confidence and competence in implementing safe mobilization practices for critically ill patients.

Background: Quality of life (Qol) provides an insight on how patients perceive their well-being, daily functioning and treatment tailored to improve their overall health such as self-care. This study was designed to assess the Qol of patients with Benign prostatic hyperplasia (BPH) in selected hospitals in Akwa Ibom State, Nigeria. Materials and methods: This prospective cross-sectional study among 251 patients was conducted in selected hospitals using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire. Data on Qol across the main four domains such as physical health, psychological well-being, social relationships, and environmental context were retrieved and analyzed using descriptive statistical tools. Results: Out of 251 respondents the majority 83 (33.1%) were within the age group of 60 to 69 years and the least 36 (14.3%) were in the age bracket of 70 years and above. Large proportion 185 (73.7%) of the respondents we're married and the least 13 (5.2%) were single. The grand total mean for general quality of life is 1.97 ± 0.67. The grand mean value for physical well-being is 2.94 ± 0.84. The grand mean value for psychological well-being is 2.86 ± 0.86. The grand mean value for social relationship is 2.65 ± 0.78 and the grand mean value of quality of life of patients with BPH in the selected hospitals is 2.62 ± 0.69 indicating moderate level quality of life. However, the patients were not satisfied with their general well-being and quality of life as indicated in low means scores and standard deviation (Mean=1.97, SD=0.67) and environmental well-being (Mean=2.39, SD=0.77) and items in social relationship. Conclusion: The quality of life of patients with BPH was found to be moderate generally, indicating that patients were able to maintain satisfactory physical, emotional, and social well-being despite the chronic nature of the condition.

Catheter associated urinary tract infections (CAUTIs) are a leading cause of healthcare-associated infection, particularly in intensive care units (ICUs), where prolonged catheterisation and patient complexity increase risk. Reducing unnecessary catheter use and improving adherence to evidence-based practices are key priorities for patient safety. This case report describes a nurse-led, multidisciplinary quality improvement programme to reduce CAUTI rates in a transplant ICU through optimisation of catheter use and the introduction of non-invasive urinary management alternatives. Interventions included standardisation of catheter indication criteria, implementation of insertion, maintenance and early removal protocols, introduction of external urinary management devices and a structured staff education and audit programme. Performance was monitored using CAUTI incidence per 1,000 catheter days and compliance with catheter-related practices, supported by continuous audit and feedback. Following implementation, CAUTI rates decreased from a pre-intervention rate of 1.41 per 1,000 catheter days to sustained zero incidence between Q4 2018 and Q4 2024. Compliance with catheter care protocols improved, alongside increased documentation of indication for catheter use and earlier catheter removal. The adoption of external urinary catheter management devices contributed to reduced indwelling catheter use. In parallel, the unit reported zero device-related pressure injuries and improved patient comfort, as reflected in staff-reported patient feedback. This multifaceted approach achieved sustained elimination of CAUTI in a high-risk ICU setting, highlighting the effectiveness of nurse-led interventions, standardised practice, and non-invasive catheter alternatives in reducing device-associated harm.