Abstract Background: Using mobile games during the rehabilitation phase of patients with acute stroke will have a progressive influence on cognitive and memory impairment, which will reduce costs and enrich their prognosis. The aim of the study to evaluate the effect of using mobile games on patients with acute stroke during cognitive rehabilitation at the intensive care unit. Design: A quasi-experimental research design (pretest and posttest research designs). Setting: The study was conducted at the neurological intensive care unit at Assuit University Hospital, Egypt. Methods: Fifty patients with acute stroke were chosen randomly; they ranged in age from 18 to 60 years old, were able to write and read, and had recently been diagnosed with an ischemic or hemorrhagic stroke. Tools: Two tools were used, the general patient’s assessment questionnaire and the Montreal Cognitive Assessment (MOCA), to assess the acute stroke patients’ cognitive abilities before and after the application of mobile games. Results: More than half of patients with acute stroke had mild cognitive impairment (58%) before application of mobile games, and the majority of them had normal cognitive ability after application of mobile games (100%). There were statistical significance differences in cognitive assessment between patients before and after the mobile game application (P value = 0.001**). Conclusion: Patients with acute stroke had better cognitive and memory functions after playing mobile games. Recommendations: Incorporating brain games into the rehabilitation protocol to improve cognitive function in patients with acute stroke at the ICU will produce significant results and shorten the length of stay.

Background: Critical responsibilities for emergency nurses require a diverse set of skills, which is called competence. Competence includes the desire to show prospective personality traits that can be advantageous in specific situations. Aim: Assess emergency nurses’ core competencies in the management of critically ill patients in the emergency department. Subjects and Method: Design: A descriptive research design was conducted in the Emergency Department of General Qena Hospital and Emergency University Hospital, Egypt. Subjects: A convenience sampling of 70 emergency nurses was recruited to provide direct care for critically ill patients. Tools: three tools used in the study: 1. Core competences of clinical skills and knowledge for emergency nurses. 2. Core competences of communication and teamwork skills for emergency nurses. 3. Core competences of professional development, organization awareness, research, and quality improvement for emergency nurses. Results: The emergency nurses’ core competencies during respiratory care were 75.14% from General Qena Hospital and 80.36% from the emergency University Hospital. The emergency nurses' core competencies in cardiovascular care were 71.45% from General Qena Hospital and 88.36% from Emergency University Hospital. There were statistically significant differences among the studied nurses from both hospitals in the majority of items. The levels of core competence criteria for emergency nurses were 45.7% in the general Qena hospital but 17.1% in the emergency university hospital. However, the level of core competencies for emergency nurses was good at 45.7% in the general Qena hospital and 80% in the Emergency University Hospital. Conclusion: Competency can be used as the cornerstone for evaluating critical nurses’ performance. Core competence should be used as a vital tool to evaluate nurses’ levels of performance and patient satisfaction.

 Abstract:
Background: Nurse caring interventions have been recognized as effective in improving nurse-patient interactions and alleviating environmental stressors in the ICU, which is crucial for enhancing the well-being of patients with diabetic crisis. Aim: To evaluate the effect of nurse caring intervention on nurse-patient interaction and minimizing ICU stressors among patients with diabetic crisis. Design: Quasi-experimental research design was used. Sample and setting: A convenient sample of 60 patients who fit the criteria and were admitted to Aswan University Hospital's ICUs and emergency units. Tools: Three main tools were used to collect data include Tool I: Patient assessment sheet, Tool II: Caring Nurse-Patient Interaction Scale and Tool III: Intensive Care Unit Environmental Stressor Scale (ICUESS). Results: The findings showed no significant differences between the control and study groups regarding their personal characteristic data. Patients in the study group demonstrated higher interaction scores, (p = 0.034). (ICUESS) scores were significantly lower in the study group, indicating reduced stress levels (p ≤ 0.001). Additionally, age and marital status were significantly associated with patient satisfaction. Conclusion: The study found that nurse caring interventions significantly improved nurse-patient interaction and reduced ICU stress levels. Recommendation: Enhancing emotional support, communication, and humanistic care, while tailoring approaches to the specific needs of adults and married patients to improve overall patient satisfaction and reduce ICU stress.