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Background: The educational system has been extremely affected by COVID-19 pandemic; it forced the shutdown of the institutions of higher education, which adversely affected student, teaching and learning across the world. Aim: determine gerontological nursing students' perception and stress of online learning during COVID-19 pandemic. Design: A cross-sectional study was utilized. Setting: Faculty of Nursing, Mansoura University, Egypt. Subjects: All undergraduate fourth level students registered in gerontological nursing course in the 2 nd semester during the academic year 2020/ 2021. Tools: The researchers developed an electronic self-administered questionnaire that conducted on the Google Forms platform it composed of three tools; Nursing Students' Demographic Data and Academic Performance Structured Questionnaire, Nursing Students' perception towards online learning and, Perceived Stress Scale. Results: Regarding students experience with online learning 59.6% had previous experience, 74.7% use smart phones and 57.7% were satisfied of online learning. 78% reported that online learning should be continued during this pandemic. In addition, a strong negative correlation was found between online learning perception and academic stress among the studied students. Conclusion: More than half of gerontological nursing students had moderate level of stress and positive perception towards online learning. Level of stress and perception towards online learning may depend on several factors including, sex, GPA, father and mother's education level, and family income. Recommendations: Training programs should be conducted to nursing students about using online learning platforms to improve their self-confidence in using it.

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Background: Frailty is an important and a highly prevalent health problem in older adults that has a negative impact on health related outcomes. The importance of studying frailty comes from the fact that its merely associated with aging but not an inevitable process. Aim: To assess prevalence of frailty and its associated factors among community-dwelling older adults. Method: A community based cross sectional study was used withcluster sampling technique targeted 300 older adults in six urban and rural regions affiliated to Dakahlia governorate. Data was collected using, Mini-mental State Examination, demographic and health-related data structured interview questionnaire, Katz and Akpom scale, Lawton and Brody scale, the Mini Nutritional Asses sment questionnaire and Frailty was measured using survey of health, and aging, and retirement in Europe of the frailty indicator. Results: Prevalence of frailty was 64.7% among the studied older adults, and only 5.3% were non frail. Age, current work, comorbidity, polypharmavy, IADL, and malnutrition were significant independent predictors for frailty (β 0.136, -0.148, 0.117, 0.118, -0.209, and 0.401 respectively), p < 0.05 for all, and responsible for 72.4% of frailty (R2 = .724). Conclusion: It can be concluded that frailty was highly prevalent in community-dwellers in Egypt urban and rural regions. Risk factors of frailty include female gender, widohood, illiteracy, living arrangements, previous hospitalization, drug compliance, periodic checkup, engagement into social practices, and smoking. Moreover Older adults' age, work status, income, comorbidities, polypharmacy, functional status, and nutritional status were found as the main factors associated with frailty. Recommendations: Assessment of associated risk factors of frailty in older adults should be done through community-based healthcare programs for early diagnosis and management.