El-Kader, Rabab Gad Abd https://orcid.org/0000-0002-9454-9023
Aneesh, Ramya Shine https://orcid.org/0000-0002-7131-4379
Ragab, Basma Maher
Sheryl, Tesa Ann
Ahmed, Taif Mutaz Ibrahim
Mohamed, Aziza Ibrahim https://orcid.org/0000-0001-7737-7744
Alanazi, Mohamed https://orcid.org/0000-0002-1698-2892
Elwasefy, Shereen Ahmed https://orcid.org/0000-0003-3184-3062
Moreljwab, Mohammed Hassan https://orcid.org/0000-0002-5099-7182
Fadul Mokhtar, Amani Mahmoud https://orcid.org/0000-0002-8084-1971
Article History
Received: 11 October 2025
Accepted: 29 December 2025
First Online: 3 January 2026
Declarations
:
: Ethical approval was obtained from Ras Al Khaimah College of Nursing (RAKCON) Research and Ethics Committee (reference number: RAKCON/REC/04/2023/2024-F-M). Participants were informed about the study purpose, voluntary participation, confidentiality, and their right to withdraw at any time. Written informed consent was obtained from all first-year nursing student participants before data collection. Given the potentially sensitive nature of writing about personal stressors and emotional experiences, participants were informed that they might experience transient emotional discomfort during or after the sessions. In line with the ethical principles of the Declaration of Helsinki they were provided with information about available student counseling and support services, and contact details were included on the information sheet. A faculty member with mental health expertise was identified as a point of contact for any immediate concerns, and a protocol was in place for referral to university counseling services if significant distress or risk was identified. These safeguards were designed to ensure that students could benefit from expressive writing while having access to appropriate support if needed.
: Not applicable.
: The authors declare no competing interests.