Organizational agility and ambidextrous leadership foster flexibility, creativity, and collaboration, which are essential for preparing nurses to embrace change. This study aimed to examine the impact of organizational agility and ambidextrous leadership on nurses’ readiness for change. Using a descriptive correlational design, data were collected from 348 nurses at Al-Rajhi and Heart Hospitals affiliated with Assiut University through validated scales on organizational agility, ambidextrous leadership, and readiness for change. Results showed that ambidextrous leadership had the strongest positive effect on nurses’ readiness for change (β = 0.570, p < 0.001), followed by organizational agility (β = 0.205, p < 0.001). In conclusion, this study underscores the pivotal role of ambidextrous leadership and organizational agility in enhancing nurses’ readiness for change. By fostering adaptive leadership behaviors and agile organizational practices, healthcare institutions can cultivate environments that promote innovation and facilitate effective change implementation. Therefore, strengthening these dimensions among nursing leaders is essential to sustain continuous improvement and ensure the success of healthcare reform initiatives. Training programs to enhance ambidextrous leadership skills among nurse leaders are recommended to balance exploratory and exploitative behaviors and drive readiness for change.

Abstract
Background Internet addiction (IA) is a behavioral condition characterized by impaired impulse control. Although it
does not involve substances, it shares features with other behavioral addictions such as pathological gambling. This
study aimed to examine the relationships among emotional intelligence (EI), internet addiction, and psychological
well-being (PWB) among university nursing students.
Methods A descriptive correlational research design was employed with a stratified sample of 335 students from
the Faculty of Nursing at Assiut University. Ethical approval was obtained from the Faculty’s Ethics Committee (IRB
number: 1120250980). Data were collected using a demographic questionnaire, the Trait Meta-Mood Scale, the
Internet Addiction Test, and Ryff’s Psychological Well-Being Scale.
Results Students with higher EI scores demonstrated higher mean ranks of IA (mean rank = 173.24) as well as higher
mean ranks of PWB (mean rank = 183.81). Correlation analyses revealed weak but statistically significant associations
among the three variables (r ≈ 0.15–0.29). Specifically, EI was positively correlated with both PWB and IA, while IA was
negatively correlated with PWB.
Conclusion Nursing students demonstrated relatively high EI, moderate levels of IA, and moderate to high well-
being range based on the scale cutoffs. Although the associations between EI, IA, and PWB were statistically
significant, the effect sizes were small, limiting their practical significance. The negative relationship between IA
and PWB is consistent with prior literature, underscoring the potential adverse effects of excessive internet use on
students’ mental health. While integrating EI training into nursing education may be beneficial, the findings should be
interpreted cautiously due to the weak correlations observed.
Clinical trial number Not applicable.
Keywords Emotional intelligence, Internet addiction, Psychological well-being, Nursing students

Abstract
Background Opioid use is a growing concern worldwide with high relapse rates and psychiatric comorbidities.
Emotional intelligence (EI) has been associated with positive health outcomes, yet limited research exists on EI-based
interventions for opioid use disorders. The study aimed to assess EI levels among individuals with opioid addiction
and implement an EI program to reduce addiction severity and relapse rates, as well as examine potential factors that
contribute to enhancing EI.
Methods A quasi-experimental study assigned 40 males with opioid use disorder into an intervention group
receiving a 2-week EI program (n = 20) and a control group (n = 20). Healthy comparison group (without opioid use
disorder) (n = 20) was also included. Measures including the Emotional Intelligence Scale, Personality Inventory for
DSM-5, Symptom Checklist-90-Revised (SCL-90-R), Addiction Severity Index, and Advance Warning of Relapse (AWARE)
questionnaire were used to assess the groups at baseline,2 weeks and 3-month follow-up in patients with opioid use
disorder.
Results The healthy group exhibited lower scores on disinhibited personality subscales, maladaptive personality
traits, and SCL-90-R subscales than the opioid addiction groups at baseline. The EI intervention group displayed
substantial increases in EI subscale scores at the second and third follow-up assessments compared to the
control group. At AWARE scale follow-up, all control group patients had relapsed, versus only one patient in the EI
intervention group.
Conclusions Participants with opioid addiction demonstrated lower baseline EI and higher rates of psychiatric
symptoms and maladaptive personality traits than healthy group. A brief EI intervention led to significant EI increases
and lower relapse rate versus standard treatment alone.
Keywords Opioid, Emotional intelligence, Psychiatric comorbidities, Relapse, Addiction