Nurses are responsible for the holistic care of substance use disorder patients, which encompasses the psychosocial, developmental, cultural, and spiritual needs of the individual, and helped to manage physical needs, prevent illness, and treat health conditions, they consider the vital caregiver for SUD patients. To do this important role, they need to have good knowledge, positive attitude and caring behavior skills toward these patients. Aim of the study: This study was aimed to determine the effect of training program on the nurses' attitude and perception of caring behavior toward substance use disorder patients. Subjects of study: Sample consisted of 50 nurses who were chosen by convenient sampling. A quasi-experimental design was utilized. Tools of the study: Two tools were used for data collection; Substance Abuse Attitudes Survey (SAAS) designed to measure nurses' attitudes towards substance use disorder and Caring Behavior Assessment Tool (CBA) aims to assess nurse' perception regarding caring behavior toward substance use disorder patients. Result of the study: The results revealed that there was statistically significant improvement in nurses' attitude and perception of caring behavior skill regarding substance use disorder patients before and after implementing of the training program. Conclusion , recommendation: The study concluded that training program about substance use disorder enhancing the nurses' attitude and perception of caring behavior skills toward substance use disorder patients .According to these results, the study recommended that hospital policies must encourage nurses to attend in-service training program about attitude and caring behavior skills toward substance use disorder patients.

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Spirituality affects mental health in a positive way and creates an environment conducive for personal well being. Spirituality is being referred to one of the forgotten dimensions of personal well being and mental health care. It is often described as a mental platform, where one can meet their true self. It is considered a sacred realm of human and self experience. Aim of the Study : to determine the impact of psycho-educational program about spirituality on the quality of life among hospitalized psychiatric patients. Study design : A quasi experimental design was utilized for this study. Setting : The study was conducted at Tanta mental health hospital. Subjects : The subjects of this study consisted of 50 hospitalized psychiatric inpatients , they were fulfilling the following inclusion criteria ; adult aged from 18 to 63 years , psychotic patient not having mystical experiences , able to communicate relevantly and willing to participate in the study. Tools: Three tools were used to collect data A structured Interview Schedule to collect data regarding socio demographic and clinical characteristics of the studied patients , Daily Spiritual Experience Scale and WHO Quality of life instrument. Results : showed that there were significant statistically positive correlation between the total score of quality of life and total score of spirituality among the studied patients pre , immediately , one month and three months post application of the program. The study concluded : The use of spiritual program have a positive effects on quality of life of hospitalized psychotic patients. Recommendations : Awareness and training programs about importance of spirituality for mentally ill patients should be develop and conducted for all psychiatric nurses to participate in the provision of spiritual care .