Effectiveness of Nurse Navigator Intervention on Boys� Awareness and Attitudes toward School Bullying

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 pre-intervention, 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.