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FEAR OF FALLING AND ITS IMPACT ON QUALITY OF LIFE AMONG PREGNANT WOMEN: A CROSS-SECTIONAL STUDY IN THE WEST BANK – PALESTINE
(An-Najah National University, 2026-05-14) Eman Jamal Saeed Shawahna
IMPACT OF BLEEDING-CONTROL TRAINING PROGRAM ON KNOWLEDGE AND ATTITUDES AMONG EMERGENCY NURSING STUDENTS A PRE AND POST INTERVENTION STUDY
(An-Najah National University, 2026-09-06) Mahmood Naje
Background: consciousness assessment accurately is one of the most critical nursing roles in the intensive care unit. The Glasgow Coma Scale is the standard tool, even though it cannot evaluate verbal responses for intubated patients. The Full Outline of Unresponsiveness scale resolves this by scoring eye, motor, brainstem and respiratory functions, yet it’s uniquely used in Palestine and up to my knowledge no local published study compare the two scales interrater reliability and outcome predication among neurological critical ill intensive care unit patients in Palestine. Objectives: this study compared the predication accuracy and interrater reliability of Glasgow Coma Scale and FOUR for intensive care unit Outcomes, specifically mortality prediction among neurological critically ill adult patients at An Najah National University Hospital. Methods: a prospective cohort observational double blinded design; a convenience sample of 90 adult neurological intensive care unit patients was enrolled from the intensive care units of An-Najah National University Hospital between February 2026 and May 2026. The assigned nurse and the researcher independently scored each patient with both scales upon admission, at 48 hours post admission, and at discharge. Agreement was measured using weighted kappa and Cronbach’s alpha, and predictive performance with receiver operating characteristic curves. Results: the convenience sample were mostly male (71.1%), mean age 45.7 years, predominantly with Subarachnoid Hemorrhage (73.3%). mortality was 8.9%. Glasgow Coma Scale showed substantial interrater agreement (Kappa= 0.784. α=0.992), while FOUR express moderate agreement (Kappa= 0.600. α=0.991). both scales perfectly predicted discharge outcomes 100% sensitivity and specificity with areas under the curve of 0.887 at baseline and 1.00 at 48hr and discharge. None of the scale correlated with length of stay. Conclusion: both scales predicted mortality with comparable accuracy, with predictive performance improving from baseline to discharge. The Glasgow Coma Scale showed slightly higher interrater reliability, while the Full Outline of Unresponsiveness scale may serve as an adjunct for mechanically ventilated or nonverbal patients. Given the single-center design and modest sample size (n=90), larger multicenter studies are required before its adoption can be recommended.
ASSOCIATION BETWEEN DYSLIPIDEMIA AND GLYCATED HEMOGLOBIN AMONG PATIENTS WITH DIABETES MELLITUS: A CROSS- SECTIONAL STUDY FROM PALESTINE
(An-Najah National University, 2026-10-08) Rasha Bashar Maqboul
Background: Type 2 diabetes mellitus is commonly accompanied by dyslipidemia, which increases cardiovascular risk. Evidence describing the relationship between glycemic control and lipid abnormalities in Palestinian primary care remains limited. Aim: This study assessed the prevalence and pattern of dyslipidemia and its relationship with the control of glycated hemoglobin (HbA1c) among adults with type 2 diabetes mellitus who were admitted to two primary healthcare centers in Nablus. Methods: A cross-sectional study was conducted among 400 adults who were recruited between February and June 2026. Data were collected using a structured questionnaire and medical records. The most recent HbA1c results were recorded in categories and classified as controlled (<7%) or uncontrolled (≥7%). Chi-square tests, Spearman correlation, and binary logistic regression were used. Results: Among 399 participants with known HbA1c status, 323 (81.0%) had uncontrolled HbA1c. At least one lipid abnormality was present in 357 (89.5%) participants. High LDL-C was the most common abnormality (77.2%), followed by high triglycerides (50.6%), low HDL-C (49.6%), and high total cholesterol (40.4%). Mixed dyslipidemia (46.7% versus 34.2%, p = 0.048) and atherogenic dyslipidemia (32.5% versus 18.4%, p = 0.016) were more frequent among participants with uncontrolled HbA1c. The correlations between the HbA1c category and lipid parameters were statistically significant but weak. After adjustment, none of the lipid variables were independently associated with uncontrolled HbA1c. Conclusion: Poor glycemic control and lipid abnormalities were common in this study. These findings support the regular assessment of both the HbA1c level and the lipid profile because the HbA1c level cannot replace direct lipid measurement. The observed associations were weak and should be interpreted cautiously.
CHATGPT-BASED PSYCHOLOGICAL SUPPORT AND MENTAL HEALTH OUTCOMES AMONG ARAB ADULTS: THE MEDIATING ROLES OF EMOTIONAL SELF-DISCLOSURE, PERCEIVED USEFULNESS, AND SELF-EFFICACY
(An-Najah National University, 2026-10-15) Areen Badarne
This study examines the association between ChatGPT-based psychological support and depression, anxiety, and stress among Arab adults, and investigates the potential mediating roles of emotional self-disclosure, perceived usefulness, and general self-efficacy. It adopts a mixed-methods, cross-sectional design. The quantitative component includes 512 Palestinian Arab adults living in the study area described in this thesis as Palestine 1948, all of whom report prior use of ChatGPT for emotional or psychological support. The study measures perceived ChatGPT-based psychological support, distress disclosure, perceived usefulness, general self-efficacy, and symptoms of depression, anxiety, and stress. Quantitative analyses test direct associations and parallel and sequential indirect pathways. The qualitative component comprises semi-structured interviews with 16 additional adults from the same target population. These interviewees are distinct from the 512 survey respondents; therefore, 528 individuals participate across the two study components. Thematic analysis explores interviewees’ experiences and helps contextualize the quantitative findings. Results indicate that stronger perceived ChatGPT-based psychological support is associated with lower depression, anxiety, and stress symptoms, with the strongest association observed for stress. The full sequential mediation pathway is not supported. In the parallel model, general self-efficacy is the only significant mediator across all three outcomes; emotional self-disclosure and perceived usefulness do not show significant independent mediation. The qualitative findings highlight immediate access, non-judgmental interaction, emotional validation, and practical guidance, alongside concerns about privacy, trust, cultural relevance, and the absence of human warmth. These findings suggest that perceived psychological support through ChatGPT may be associated with mental health outcomes partly through users’ beliefs in their ability to manage difficulties. Because the design is cross-sectional, the findings do not establish causality or demonstrate that ChatGPT is a safe or clinically effective treatment. The study supports cautious exploration of AI as an informal adjunct, not a substitute for professional mental health care.
ACADEMIC LEVEL AS A COGNITIVE ORGANIZER: SHAPING PALESTINIAN PUBLIC RESPONSE TO DIGITAL INFLUENCERS THROUGH THE ELABORATION LIKELIHOOD MODEL
(جامعة النجاح الوطنية, 2026-10-06) Tala Masri
From digital communication tools to significant persuasion platforms. Social media became a powerful digital word due to the rapid increasing growth of influencers, users, and digital landscape. Various prior research has focused on user engagement, persuasive communication methods and influencers credibility. However, the role of academic level as a cognitive organizer that impacts information processing has received less to almost no attention in the Palestinian or even international context. Thus, through the lens of The Elaboration Likelihood Model (ELM) this study examines how academic level impacts the Palestinians public responses and engagement to digital influencers. It suggests that individuals with higher academic levels are more likely to follow the central route of ELM in processing persuasive messages, whereas those with lower academic levels tend to follow the peripheral route. Built on the Cognitive Processing Theory of Persuasion and mainly using the Elaboration Likelihood Model (Petty & Cacioppo, 1986), this research used a mixed-method approach relying on a standardized questionnaire that gathered quantitative data from 373 Palestinian participants from six different academic levels which measured their behavior and engagement with digital messages. Quantitative data was examined using SPSS statistics. Among with five in depth structured interviews with Palestinian social media influencers mainly active on Instagram to gather qualitative data using Braun and Clarke's (2006) theme analysis. Findings indicate that public response to digital content is strongly influenced by the academic level of individuals. Particularly the third hypothesis of the study which proposed that Academic level is a significant influencer on the attitude toward digital influencers. Qualitative data further revealed how influencers believed that their followers' academic level impact their response, engagement, potential purchasing behavior and also the language and behavior while engaging. Findings of the interviews supported hypotheses 1 and 2 of the study which indicates how academic level influences processing of individuals to digital content. The study concludes that Palestinian digital users' processing to online content is affected by their level of education which serves as a cognitive organizer in this study. The findings expand the application of the Elaboration Likelihood Model within the Palestinian context offering useful implications for influencers, communication practitioners and researchers. This study found that high academic levels were associated with central route processing among Palestinian users on social media.