This the last issue this year for the journal. We would like to send a special thanks for the authors that submitted papers to the journal, our readers, reviewers and production staff headed by our publishing manager and the editorial office.

Hammad & Khalaf looked at how Dose Case-Based Leaning Strategy Influence nursing students' clinical decision-making ability in critical care nursing education? An integrative review. The authors stressed that nursing literature consistently indicated that new graduate nurses lack effective clinical decision-making skills when they transition to clinical practice. The integrative review method was used to investigate the published nursing literature regarding the effectiveness of case-based learning strategy on the development of nursing students' clinical decision-making skills in critical care nursing education. Database searches identified 104 studies. Abstracts were screened for relevance, a total of 17 articles were screened for this review. This comprehensive screening process yielded a total of 2 quantitative, 1 qualitative studies about the effectiveness of case-based learning strategy on the development of nursing students' clinical decision-making skills. The authors concluded that the CBL strategy is considered to be an effective learning strategy that facilitate the development of clinical decision making skills. More rigorous study is warranted to con?rm or disprove the ?ndings of this integrative review.

Younus et al, looked at mumps control and prevention knowledge in the primary school in Balad city. They stressed that Mumps (Parotitis) is an acute salivary glands viral infection due to a paramyxovirus family species. Paramyxovirus mainly mumps has an important effect in the etiology and pathogenesis of multiple sclerosis (MS) [1-3]. Characteristics clinical features are; parotid salivary glands swelling with a characteristics "hamster-like" face. Mumps disease's symptoms include: high temperature, headache, muscle aches, tiredness, and loss of appetite. Frequently appear 2 weeks after infection, and may continue 2-3 weeks after infection. Clinically symptoms are ranging from sever to asymptomatic in some mumps patients. This study aims to identify mumps control and prevention measures and knowledge in the primary school in Balad city. The authors followed a descriptive, cross-sectional study done in the primary school in Balad city from 1st December 2018-3rd April 2019. A convenient sample composed of (60) teachers (30 males and 30 females) who are working in schools in Balad City. A constructed questionnaire designed by the researchers to collect information about socio-demographic information and the mumps control and prevention knowledge of teachers. The sample consists of 30 male and 30 females, 35 (58.3%) of the sample consists of 30 male and 30 females, 35 (58.3%) from institute and the remaining graduated from education colleges. Teachers age groups were as the following; 20-29.9 years were 8 (13.3%), 30-39.9 years 17 (28.3%), 40-49.9 years 19 (31.7%), above 50 years 16 (26.7%). Teachers were classified according to years of experience as follows, less than 9.9 years 11 (18.3%) 10-29.9 years 32 (53.3%), 30-39 6 (10%). Teachers were classified according to source of teacher's knowledge were as follows; from books 7 (11.7%), newspapers and magazine 4 (6.7%), interne 27 (45%), previous study 14 (23.3%), and others (group discussion, workshops) 8 (13.3%).

Fatemi et al., looked at barriers to the implementation of the advanced practice nursing role in primary health care settings: an integrative review. They stressed that advanced practice nurses are nurses prepared with advanced clinical education, skills, and competencies required to assess, diagnose, treat and deliver continuous care for acute or chronic conditions. The move toward using advanced practice nurses in primary healthcare settings in Qatar is inevitable to advance the nurse's role, improve the level of services provided, raise patient satisfaction, and improve the organizational outcomes. The aim of this review was to explore the barriers in implementing advanced practice nursing in primary health care settings in order to facilitate its implementation in Qatar. Whittemore and Knalf's framework guided this integrative review. Fourteen studies published between 2009 and 2019 were included in the review. The mixed-methods appraisal tool was used to assess the quality of the studies. The socio-ecological model was used to categorize and present barriers at the individual; organizational, social, cultural, and policies; and environmental level. hree main barriers noted were a lack of clarity and support of the role, lack of organizational and policy support for the role, and a lack of designated space for APN practice. The authors concluded that identifying and addressing barriers is necessary to achieve successful implementation of the APN role within primary healthcare in Qatar. Key recommendations for Qatar include integrating key stakeholders in the implementation process, use of a clear job description and policies, and providing designated workspaces for APN practice.

Abdulrazak Abyad
Chief Editor