Background: Bullying among school-aged boys remains a significant global and
national concern, particularly in Egypt, where physical bullying rates are notably
high. Nurse navigators, health professionals traditionally involved in clinical care
coordination, emerging as valuable school-based educators capable of addressing
psychosocial challenges through structured interventions. Aim: This study aimed
to evaluate the effectiveness of nurse navigator intervention on boys‘ awareness
and attitudes toward school bullying. Methods: A quasi-experimental design with
a single group was used among 83 boys aged 12–15 years from preparatory
schools. Participants received four educational sessions delivered by nurse
navigators over two weeks. Awareness and attitudes were assessed preintervention, post-intervention, and at a four-week follow-up using validated
questionnaires. Data was analyzed using repeated measures ANOVA and Pearson
correlation. Results: Significant improvements were found in bullying awareness
and attitudes post-intervention (p < .001), with high awareness increasing from
16% to 80% and positive attitudes from 30% to 85%. These effects were sustained
mainly at follow-up. However, the correlation between awareness and attitude
change was not statistically significant (r = –0.06, p = .608), suggesting distinct
cognitive and emotional response patterns. Conclusion: The nurse navigator
intervention demonstrated significant and sustained impacts on male adolescents‘
understanding and perceptions of bullying. Recommendation: This study supports
the integration of nurse-led, gender-responsive education into school health
programs to foster safer and more inclusive learning environments. |