A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor) A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor) Abyad Medical Center & Middle East Longevity Institute Azmi Street, Abdo Center, 2nd Floor PO BOX 618, Tripoli LEBANON Tel & Fax: 961 6 443684/5/6 Email: aabyad@cyberia.net.lb Web: www.amc-lb.com

This is the fourth issue this year. There is an increased interest in nursing education and research on nursing issues in the region. Hence there is marked improvement in the quality and number of papers being received. A paper from Qatar looked at Educating Nurses for Person-Centered Care. Workshops were held weekly for 4 weeks. Participants were 23 nurse managers and supervisors from 3 long term residential facilities in Doha, Qatar. Participants reported increased person-centered care practices on their units. There is a need for more research into the implementation of care models that support Arab religious and family values and it is essential to meet the growing need for high quality long term residential care in the Arab Gulf region.

A cross sectional descriptive study was designed to evaluate the knowledge and perception of nursing educators regarding OSCE in Oman. The participants were given reading material and participated in interactive hands-on exercises. Pretests and posttests were conducted to assess change in knowledge. The authors concluded that adopting an interactive hands-on workshop to train the nursing educators is feasible and appears to be effective. The feedback from participants in the workshop was overwhelmingly positive. This workshop has changed some of the perceptions of nurse educators regarding the uniformity of OSCE scenarios, teaching audit demonstration of emergency skills and whether they are time consuming to construct and administer.

A paper from Saudi Arabia evaluated the effect of language barriers on quality of nursing care to suggest possible interventions to mitigate the effect of language barriers. Two different questionnaires were applied (one for nurses in English and the other for admitted patients in Arabic). The total number of responding nurses was 343 nurses. Forty-nine percent of the nurses reported they have difficulty in dealing with patients because of the language barrier. The authors concluded that future research is required to determine the effectiveness of suggested interventions and their impact on improving communication, change behaviors, and ultimately reduce diseases.

A review paper from Jordan looked at the the Relationship between Cancer Chemotherapy and Fatigue. The author stressed that fatigue is a subjective experience that affects cancer patients who are treated with chemotherapy. Fatigue often represents one of the most significant problems. This review, based on published studies, has been conducted between 2005 and 2012 with the aim of presenting a critical analysis of the available information on the characteristics, causes and potential treatments of fatigue in cancer patients receiving chemotherapy. Furthermore, in the absence of a clear demonstration of the efficacy of some therapies, the management of cancer-related fatigue remains poorly defined (except for the treatment of anemia-related fatigue). New randomized clinical trials are necessary to indicate the best strategies for overcoming this problem among cancer patients.

A paper from Jordan reviews current literature of stress and coping among psychiatric nurses to insight more information about psychiatric nursing job stress, coping strategies, and the relationship between job stress and coping strategies. Published research was systemically retrieved, interrogated, and analyzed. The present review of nursing literature has highlighted a dearth of studies addressing stress and coping in psychiatric nurses. However, the published studies paint a picture of psychiatric nurses' experiences related to workplace stress and interpersonal relationships, particularly with patients and colleagues. These stressors can lead to poor health and daily functioning. Nurses also experience job dissatisfaction and report their intention to change profession as a result of work-related stress. There is no study that has been conducted about it in Jordan. Therefore, the research about this topic is a national and international priority. We hope, however, that the next few years will witness conducting some research about this topic in Jordan in the light of the current development in our national competencies that are qualified to conduct such research.

A paper looked at Admission Policy for Princess Basma Hospital. The paper used a systematic method and analytical approach to analyze the admission policy in Princess Basma Hospital and to develop best solutions for the problems that are identified in the policy based on a pre established criteria. The policy analysis will include six steps of policy analysis criteria, such as the following steps: Verifying, defining and detailing the problem, establishing evaluation criteria, identifying alternative policies, assessing alternative policies, displaying and distinguishing among alternatives, and implementing, monitoring, and evaluating the policy.