Background: Nursing programmes are designed as a combination of theoretical knowledge and clinical practice; therefore, students are introduced to clinical practice step-by-step. The attitude toward the clinical practice of students decides how these students will achieve their clinical objectives and put their theoretical knowledge into practice. Methods: It is a cross-sectional descriptive with a study population of nursing students enrolled in 4-year BSN at any institute of nursing sciences in Khyber Pukhtankhwa. Among the study sample of 330 participants, 21 students with incomplete information were skipped from the study. After testing for validity and reliability, data were collected on a modified questionnaire with yes and no options. Results: Positive attitude of 1st year students was (89%), 2nd years were (84%), 3rd years were (81%), and 4th years were (83%), while the negative attitude of 1st year students was (11%), 2nd year was (16%), 3rd year was (19%), and 4th year was (17%). The overall positive behaviors of the participants were (81%), mean of (257.42) and standard deviation (48.91), while the overall negative behaviors of the participants were (19%), mean of (52) and standard deviation of (48.91). There is evidence from this study that nursing students have a positive attitude toward clinical duties. A good number of students show a negative attitude towards the idea that there should be a change in the clinical setting, while some students report less interaction with the instructor, while some students face difficulty in learning clinical skills and facing patients. Conclusion: There should be changes in clinical settings and good interaction with students in clinical areas to guide skills development and develop boldness to face the patients. Keywords: Nursing students, Clinical duties, Skills, Theoretical knowledge, Attitude

Among prevalent infectious diseases, the most frequently occurring infections are the Urinary Tract Infections (UTIs) which predominantly occur in the community as well as in the hospital settings and are one of the main cause of morbidity and mortality worldwide. Objectives: To determine the frequency of MBL E. coli species in urine samples, antibiotic susceptibility pattern and the prevalence of MDR for E. coli. Methods: There were 200 urine samples obtained from Anwar clinical laboratory Saidu Sharif, District Swat, Pakistan. Samples of urine were obtained and then cultivated in selective media i.e. Cysteine Lactose Electrolyte Deficient Agar (CLED) and MacConkey Agar Plates. In traditional morphological and biochemical studies, isolates were identified. Results: Total 58 (29.6%) positive isolates were recovered from male while 116 (70.3%) urine specimens were positive from female patients, A total isolated bacteria were MBL positive including 36 (31.3%) isolated E. coli, Furthermore, in the total isolated species were identified as MDR positive in which 80 (69.5%) were E. coli, The most potent antibiotics found against bacteria were the highest for Meropenum (78.2%), Imepenum (73.9%), and Amikacin (26.0%) Cefuroxime (21.7%), respectively and Cefaclor (19.1%) were most sensitive while antibiotic mostly resistant showed. Conclusion: This study concludes that, the most prominent bacterial isolate in the urine samples was E. coli 115 (69.6%), Carbapenem resistance is frequently observed isolates of E. coli, which indicate that MBL phenotype should be regularly determined in clinical settings to prevent emerging Carbapenem resistance.

Self-esteem is defined as self-value and the combination of skills and emotional states that describe how highly people respect themselves or think about themselves. Objective: To identify the correlation between self-esteem and academic performance.  Methods:  The study design was correlational descriptive, which was conducted from August 2022 to September 2022, with a sample size of 185 nursing students and a non-probability sampling technique. The self-esteem of the participants was assessed through a valid and reliable scale. Results: Among the study participants, the majority of the students were male (64.5%). In the collected data, the majority of students’ self-esteem was average (91.90%), while the academic performance of the participants was average (61.1%). The most frequent answers to the scale questions were "agree" and "strongly agree. The overall self-esteem of male participants was higher compared to female participants, while the 4th year students’ self-esteem was higher compared to other years' students. In the academic performance, the performance was best and average. The academic performance of males were higher than female participants. The findings show that there is no correlation between self-esteem and academic performance and also no correlation with selected demographic variables. Conclusions: The study demonstrates that students with higher self-esteem are more confident, have a lower stress level, and are energetic, good problem solvers. Senior students’ self-esteem has higher self-esteem compared to other class students

Nursing education is the combination of clinical skills and theoretical knowledge. The nursing institutes prepare students for the future as part of the workforce or leaders where they will represent their college or university in clinical practice or in teaching. Objective: To identify the factors that affect the performance of nursing students of KPK. Methods: The study was conducted in the public and private nursing institutes of KPK Pakistan from June 2022 to July 2022 having a sample size of 120 using a cross-sectional descriptive design and a non-probability sampling technique through adopted questionnaire. Results: The male participants of the study were higher (72%) than female (28%) participants. The mean and standard deviation score among all the categories the score of teacher related issues were high (3.26 ± 0.70), followed by the mean and standard deviation score of institute related issues (3.00 ± 0.82), study related issues (2.97 ± 0.76), while home related issues were (2.94 ± 0.67), and personal related issues (2.86 ± 0.96). Conclusions: The study concluded based on the finding that out of the basic 5 factors, teachers-related factors including the teacher's subject-matter expertise, the use of audiovisuals inappropriately and the number of topics covered in a single class have the greatest impact on students' performance.

A burn is an injury to the skin and tissues caused by chemical, electricity, radiation or heat. Burn injuries cause a relatively high morbidity and mortality rates worldwide. Objective: to assess first aid knowledge of nurses working in burn centers. Methods: A descriptive cross-sectional design with a sample size of 84 using an appropriate sampling technique was used in the study. The study was conducted in July 2022 and he August at the Peshawar Burn and Plastic Surgery Center. The instrument used for data collection was his 10-item self-structured questionnaire with a Chronbach alpha reliability of 0.87. SPSS version 24.0 was used to calculate frequencies and percentages for categorical variables. Results: Overall, 56% of participants reported having a good knowledge of burns, while 32% of participants reported being average, and 12% of participants reported first aid for burn patients reported low knowledge. Conclusions: This study concluded that nurses working in burn and plastic surgery departments have good knowledge of first aid administration