Nursing students can improve their ability to think critically and reflect on their own learning processes by developing metacognitive abilities. Aim: The purpose of this study is to evaluate how nursing students’ academic performance is impacted by metacognitive programs. Methodology: The current study was carried out at North Private College of Nursing using an experimental design. Seventy fourth-year nursing students were included in the sample, split into two equal groups: the experimental group and the control group. Data was gathered using two instruments: (1) Metacognitive Awareness Inventory (2) Students’ transcripts. Results: The experimental group showed notably higher levels of metacognition than the control group (80% against 11.42%, respectively). Before the program started, most of the nursing students in the experimental and control groups, 91.7% and 90.4% respectively, had poor critical thinking ability. Relative to the control group, the nursing students in the experimental group who received metacognitive training showed a considerably higher degree of academic success. Conclusion: The experimental group exhibited a notable improvement in nursing students’ metacognition and academic performance relative to the control group following the program’s introduction. Recommendations: Offering training programs for faculty on cultivating students’ metacognitive abilities and serving as models and coaches for these talents. Implementing active learning strategies (reflections, case studies, group projects, simulations, and problem-solving exercises) that need the use of metacognitive skills by students.

Background: The performance of nursing staff is a critical factor in quality healthcare services delivery, and a number of variables such as leadership styles, work stress, staffing levels, and empowerment have been considered to contribute to it. Objective: to critically apprise the influence of nurse leadership behaviors, work stress, staffing levels, and empowerment on nursing staff performance. Method: A systematic literature review was performed of studies published from 2021 to 2023. A total of ten articles were reviewed from different healthcare settings, surveys, questionnaires and observational data were used in the studies. Results: The results indicate that nursing staff performance is enhanced by transformational leadership through job satisfaction, trust and organizational commitment. On the other hand, toxic leadership results in employees who disengage and become silent and under-perform. A sufficient nurse staffing and empowerment are essential for enhancing both satisfaction and nurse commitment. There is a negative relationship between work stress, compassion fatigue, burnout and the performance, while person–job fit could be a potential moderator. Conclusion Efficient leadership, sufficient staffing and a supportive working environment are needed to improve the performance of nurses.