Administrative and ethical considerations
PRS
RECRUITMENT
The researchers got the required official permissions to carry out study through a letter addressed from the Dean of the Faculty of Nursing, Beni-Suef University to the hospital directors explaining the study aim and procedures, with a copy of the self-administered questionnaire. The study protocol was approved by the Ethical Committee in faculty of medicine, Beni- Suef university, Egypt; approval number (0006240). All Helsinki Declaration research ethics principles were complied with. An informed written consent was obtained from each patient at recruitment. The clinical trial was registered in the “Clinical Trials.gov Protocol Registration and Results System (PRS);” registration number is (NCT05632185/2022) and the full date of first registration is 30/11/2022. Available at:The researchers clearly explained the aim of the study and its maneuvers to every patient, along with information about their rights before inviting them to participate. They were clearly informed that participation is totally voluntary, and that they may withdraw any time with no reason required. They were also reassured about the confidentiality of any obtained information. An informed written consent was obtained from each patient at recruitment.