Effect of a structured Maintenance of Certification-based training program on perceived stress among nursing students preparing for Egypt's new pre-licensure examination: A quasi-experimental study.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Effect of a structured Maintenance of Certification-based training program on perceived stress among nursing students preparing for Egypt's new pre-licensure examination: A quasi-experimental study.
Συγγραφείς:	Basyouny HAA; Nursing Administration, Faculty of Nursing, Helwan University, Cairo, Egypt.; Department of Nursing, College of Applied Medical Sciences, King Faisal University, Al Ahsa, Saudi Arabia., Kotp MH; Nursing Administration, Faculty of Nursing, Helwan University, Cairo, Egypt.; Nursing Administration, Department of Nursing, Fakeeh College for Medical Sciences, Jeddah, Saudi Arabia., Hendy A; Pediatric Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt., Ibrahim RK; Nursing Department, Fatima College of Health Sciences, Madinat Zayed, Al Dhafra Region, UAE., Ismail HA; Nursing Administration, Faculty of Nursing, Helwan University, Cairo, Egypt., Attia AS; Department of Nursing, College of Applied Medical Sciences, King Faisal University, Al Ahsa, Saudi Arabia.; Critical Care Nursing, Faculty of Nursing, Helwan University, Cairo, Egypt.; Specialized Health Unit, Applied College, King Faisal University, Al Ahsa, Saudi Arabia., Mekdad AK; Critical Care Nursing, Faculty of Nursing, Helwan University, Cairo, Egypt.; Clinical Nursing Sciences Department, Al Rayan National College of Nursing, Al Rayan National Colleges, Al-Madinah Al-Munawarah, Saudi Arabia., Hafez AA; Critical Care Nursing, Faculty of Nursing, Helwan University, Cairo, Egypt.; College of Nursing, Northern Border University, Arar, Saudi Arabia., Ali EA; Obstetrics and Gynecology Nursing Department, Faculty of Nursing, Helwan University, Cairo, Egypt., Hussien RM; Department of Community, Psychiatric and Mental Health Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia., Ahmed SR; Department of Nursing, College of Applied Medical Sciences, King Faisal University, Al Ahsa, Saudi Arabia.; Critical Care and Emergency Nursing Department, Faculty of Nursing, Beni-Suef University, Beni-Suef, Egypt., Almegewly WH; Department of Community and Psychiatric Mental Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia., Alkubati SA; Department of Medical Surgical Nursing, College of Nursing, University of Ha'il, Ha'il City, Saudi Arabia., Ahmed Aly M; Nursing Administration, Faculty of Nursing, Helwan University, Cairo, Egypt.; Nursing Administration, Prince Sattam Bin Abdulaziz University, Wadi ad-Dawasir, Saudi Arabia.
Πηγή:	Medicine [Medicine (Baltimore)] 2026 Jul 31; Vol. 105 (31), pp. e50037.
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
Imprint Name(s):	Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
Ιατρικοί όροι (MeSH):	Students, Nursing/psychology , Certification , Stress, Psychological* , Licensure, Nursing*, Humans ; Egypt ; Female ; Educational Measurement ; Subjective Stress ; Male ; Curriculum ; Young Adult ; Adult
Περίληψη:	The introduction of Egypt's national nursing pre-licensure examination has created new academic and psychological challenges for final-year nursing students, particularly because of limited familiarity with the examination format and insufficient structured preparation resources. Although combined examination-preparation and stress-management programs may improve students' readiness, evidence regarding their effectiveness in reducing perceived stress among Egyptian nursing students remains limited. To evaluate the effect of a structured Maintenance of Certification-based training program on perceived stress among final-year nursing students preparing for the Egyptian national pre-licensure examination. A quasi-experimental comparative study was conducted among 1000 final-year nursing students recruited from 8 nursing faculties across Egypt. Participants were allocated to an intervention group that received a four-week structured training program comprising theoretical review, mock examinations, individualized feedback, and stress-management strategies, or a control group that continued with the standard curriculum. Perceived stress was assessed before and after the intervention using the 10-item Perceived Stress Scale. Data were analyzed using independent-samples and paired-samples t-tests, analysis of variance, and multiple linear regression. Baseline perceived stress scores were comparable between the intervention and control groups (28.8 ± 5.7 vs 29.2 ± 6.0, P > .05). Following the intervention, the intervention group had a significantly lower mean stress score than the control group (12.1 ± 3.2 vs 31.1 ± 7.1, P < .001). Perceived stress decreased significantly within the intervention group, whereas it increased significantly within the control group (both P < .001). Higher academic GPA, good computer skills, and prior knowledge of the pre-licensure examination were significant predictors of lower post-intervention stress, while smoking was associated with higher stress. The regression model explained 54% of the variance in post-intervention perceived stress. The structured training program was associated with a substantial reduction in perceived stress among nursing students preparing for Egypt's national pre-licensure examination. Integrating structured examination preparation and psychological support into final-year nursing curricula may improve students' readiness for the transition from education to professional practice. (Copyright © 2026 the Author(s). Published by Wolters Kluwer Health, LLC.)
Competing Interests:	The authors have no conflicts of interest to disclose.
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Contributed Indexing:	Keywords: Maintenance of Certification; licensure examination; nursing education; professional competence; quasi-experimental study; stress
Entry Date(s):	Date Created: 20260731 Date Completed: 20260731 Latest Revision: 20260813
Update Code:	20260814
PubMed Central ID:	PMC13433058
DOI:	10.1097/MD.0000000000050037
PMID:	42536592
Βάση Δεδομένων:	MEDLINE

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ISSN:	1536-5964
DOI:	10.1097/MD.0000000000050037