Background The high levels of unmet needs in relation to provision of self-care information reported by women living with breast cancer suggests that pre-chemotherapy education is suboptimal. Chatbots are emerging as a promising platform to provide education to patients helping them self-manage their symptoms at home. However, evidence from empirical studies on the effect of chatbots education on women living with breast cancer self-care behaviors and symptoms management are scarce. Methods This three-arm randomized controlled trial was performed in a chemotherapy day care center within an oncology center in Egypt. A total of 150 women living with breast cancer were randomly selected and randomized into three groups: the ChemoFreeBot group (n = 50), the nurse-led education group (n = 50), and the routine care group (n = 50). In the ChemoFreeBot group, women were given a link to interact with ChemoFreeBot and ask questions about their symptoms and self-care interventions by typing questions or keywords at any time. On the same day as their first day of chemotherapy, the nurse-led education group received face to face teaching sessions from the researcher (nurse) about side effects and self-care interventions. The routine care group received general knowledge during their chemotherapy session about self-care interventions. The self-care behaviors effectiveness and the frequency, severity and distress of chemotherapy side effects were measured at baseline and postintervention for the three groups. The ChemoFreeBot’s usability was assessed. Results The mixed design repeated measures ANOVA analyses revealed a statistically significant both group effect and interaction effect of group*time, indicating a significant difference between the three groups in terms of the physical symptoms frequency (F = 76.075, p < .001, F = 147, p < .001, respectively), severity (F = 96.440, p < .001, F = 220.462, p < .001), and distress (F = 77.171, p < .001, F = 189.680, p < .001); the psychological symptoms frequency (F = 63.198, p < .001, F = 137.908, p < .001), severity (F = 62.137, p < .001), (F = 136.740, p < .001), and distress (F = 43.003, p < .001, F = 168.057, p < .001), and the effectiveness of self-care behaviors (F = 20.134, p < .001, F = 24.252, p < .001, respectively). The Post hoc analysis with Bonferroni adjustment in showed that women in the ChemoFreeBot group experienced a statistically significant less frequent, less severe and less distressing physical and psychological symptoms and higher effective self-care behaviors than those in the nurse-led education and routine care groups (p > .001). Conclusion ChemoFreeBot was a useful and cost-effective tool to improve increase self-care behavior and reduce chemotherapy side effects in women living with breast cancer through the provision of personalized education and the improvement of the accessibility to real-time and high-quality information compared to “one size fits all” approach used by nurses to provide the information. ChemoFreeBot can be an empowering tool to assist nurses to educate women with breast cancer and allow women to take an active role in managing their symptom. Trial registration This study was retrospectively registered in the University hospital Medical Information Network (UMIN) Center, Clinical Trials Registry on 26/09/2022; Registration No:R000055389,Trial ID:UMIN000048955.

COVID-19 was and still one of the most serious global health care burden on patients, families, communities as well as health care workers (HCWs). All HCWs including nurses' interns has more vital role in prevention and caring of this infection. Thus, ongoing training for nurses' interns under the scope of mentoring is a corner stone in continuing effective and efficient nursing care with high quality. Aim of the Study: to evaluate the effect of mentoring program on nurse interns' knowledge, attitudes, safety practices, and psychological readiness toward COVID-19 pandemic. Research Design: Quasi experimental one group pre/post test research design was adopted. Setting: The present study was conducted at different training governmental and private hospitals for nurses' interns. Subjects: A convenient sample of 179 out of 335 nurses interns were enrolled in the study. Tools: Online web-based electronic self-administrated questionnaires were used for data collection; I) Nurses interns' knowledge regarding COVID-19 structured questionnaire, II) Nurses interns' attitudes regarding COVID-19 structured questionnaire, III) Nurses interns' safety practices towards COVID-19 observational checklist, and IV) Depression Anxiety Stress Scale (DASS-21)". Results: statistically significant improvement in nurses' interns' knowledge, attitudes, safety practices levels and psychological readiness toward COVID-19 after conducting mentorship program. Conclusion: Mentorship program positively affects nurses' interns' levels of knowledge, attitudes, and safety practices as well as psychological readiness Recommendation: Incorporates the mentoring program within nurses' internship training program as a basic tool of training, to provide continuous support and ongoing evaluation of nurses' interns' knowledge, attitudes, safety practices and psychological readiness.

Background: Older adults are at higher risk for fire-related injuries and deaths than younger people due to their impaired physical and sensory functions. A fire safety programs should be developed for older adults and their family caregivers to prevent fire-related accidents. Aim of this study is to evaluate the effect of a home fire safety program on fire safety knowledge and behavior of community-dwelling older adults and their family caregivers. Design: A quasi-experimental research design was used (one-group pretest-posttest). Setting: The study was conducted in five community clubs for community-dwelling older adults in Alexandria namely; El-Saada, El-Hanan, El-Wafaa, El-Hayia Wl-Amal, and El-Wedad clubs. Subjects Purposive sample was composed of two subjects; older adults and their family caregivers were selected based on specific criteria. Results: There was a statistically significant effect of home fire safety program on the level of knowledge of both older adults and their family (P = 0.001). Also, there were a significant effect of the program on the reported home fire safety behavior for older adults and their family caregivers (P = 0.0001). Conclusion: There were improvements in home fire safety knowledge and behavior of the community-dwelling older adults and their family caregivers after the application of a home fire safety program. Recommendations: Home fire safety programs should be disseminated to the older adults and their family caregivers in various settings. Encouraging the involvement of home fire safety programs in the mandatory fire safety curriculum in the educational system.

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