Aim: to assess nurses' knowledge and practice for patients undergoing bronchoscopy procedures and design suggested nursing care guidelines for those nurses. Design: descriptive research design was utilized in this study. Setting: The study was conducted on 40 nurses at bronchoscopy unit of the chest department, at Assiut University hospital. Tools: A structured interview questionnaire sheet for nurses. Including: Demographic data, an observation checklist for nurses and develop suggested nursing care guidelines. Results: Fifty two of studied nurses had poor knowledge score, and regarding the total score of nurses' practice, (87.5%) of them was satisfactory. In addition, there was no correlation between nurses' knowledge and practice total scores and their demographic data except between good knowledge level score and their ages and marital status. Conclusion: the studied nurse practice levelwas satisfactory while their knowledge scores were not in the same line.

Epilepsy is a brain disorder in which clusters of nerve cells, or neurons, in the brain sometimes signal abnormally. Neurons normally generate electrochemical impulses that act on other neurons, glands, and muscles to produce human thoughts, feelings, and actions. In epilepsy, the normal pattern of neuronal activity becomes disturbed, causing strange sensations, emotions, and behavior, or sometimes convulsions, muscle spasms, and loss of consciousness: More than 2 million people in the United States about 1 in 100 have experienced an unprovoked seizure or been diagnosed with epilepsy. For about 80 percent of those diagnosed with epilepsy, seizures can be controlled with modern medicines and surgical techniques. However, about 25 to 30 percent of people with epilepsy will continue to experience seizures even with the best available treatment. The nurse plays a critical role in reducing complications of this method .The aim of the present study is 3 folds: first is to assess nurse's knowledge and practice regarding epileptic patients, design nursing protocol for nurses working with epileptic patient , and evaluate the effect of implementing the designed nursing protocol on nurse's knowledge and practice regarding epileptic patients. Four hypotheses were formulated: (1) the post mean knowledge scores of nurses who will be exposed to designed nursing protocol will be higher than their pre mean knowledge scores. (2) The post mean practice score of nurses who will be exposed to designed nursing protocol will be higher than their pre mean practice scores. (3) The incidence of complications during seizure for epileptic patient cared by nurses after protocol implementation will be lesser than that developed pre protocol implementation. (4) A positive relationship will exist between knowledge and practice score obtained by nurses receiving the designed nursing protocol. Research design: aquasi-experimental research design was utilized in this study on a convenient sample of 35 nurses and 30 Adult conscious patients with epilepsy, who are aged from 18 to 65 years from both sexes, agree to participate in the study. This study was conducted in the in neurological department at Assiut University Hospital. Tools utilize for data collection were a) Questionnaire sheet. .b) Observation checklist sheet. c) Patient assessment sheet. d) Construction of designed nursing protocol. Results: The first and the second hypotheses were supported as a good improvement in the mean knowledge & practice scores were found after the implementing of designed nursing protocol. The third hypothesis was supported, as epilepsy complications were improved after protocol implementation. The fourth hypothesis were not able to extract the statistical significance of the relationship between knowledge and nursing practices before and after the study due to the result is one and zero. Conclusion: patient with epilepsy exposed for several complications. Improving nurses' knowledge and practice can favorable affect the incidence of these complications. Recomm...

Background: Venous thromboembolism (VTE) a common complication and important cause of death. VTE consists of two forms: deep vein thrombosis (DVT) and pulmonary embolism (PE) venous thrombo embolism (VTE). Aim assess nurses' knowledge and practice about venous thrombo embolism for cancer surgery patients. Study design: A descriptive research design used in the study. Setting: The study was conducted in the surgical unit, at Aswan oncology center. Subjects: The study included on a convenience sample (30) nurses working in surgical unit, at Aswan oncology center. Tools: two tools were used for data collection, a structured Interview questionnaire sheet for nurses and an observation check list for nurses practice Result: The total score of Nurses' knowledge about VTE were unsatisfactory level (96.7%), also the total score of observed nurses' practice level regarding prevention was unsatisfactory (93.3%). Conclusion: Nurses` knowledge and practice levels regarding the care of Venous Thrombo Embolism for Cancer Surgery Patients and venous thromboembolism prevention were unsatisfactory which needed an improvement. Recommendation: Nurses needed for in-service training programs and increase awareness to update their knowledge and practice regarding the care of Venous Thrombo Embolism for Cancer Surgery Patients.

Limb amputation usually refers to the removal of part of or the entire upper or lower limb with a defined surgical approach. In the united states there is an estimated 1,7 million people living with an amputation in 2008 and approximately 135,000 new amputations occurring each year. The aim of this study was to develop standards of post-operative nursing interventions for lower limb amputated patient. Subjects and method: research design descriptive exploratory study was utilized. Setting the study was carried out at trauma unit and vascular surgery department at Assiut University Hospital. The study sample divided into two groups: GroupI: It includes all baccalaureate nurses (4) who working in vascular surgery department and trauma unit. Group II: It includes all diploma nurses (60) who working in vascular surgery department and trauma unit. Tools It utilized for data collection were Tool I post operative cognitive assessment sheet, Tool II post operative competencies opinionnaire sheet, Tool III standards of post operative practice sheet. Results showed that; more than half of nurses had fair knowledge regarding standards of post operative interventions for lower limb amputated patients. The majority of nurses had agreed as regarding prepare the trauma unit and vascular surgery with the necessary equipment, prepare the car/ table with basic instruments according to patient's condition, ensure that continuous monitoring and recording are followed for post operative patients, ensure that all infection control measures are properly followed in all procedures, ensure that all health team are properly attired for patient care, ensure that safety for each patient during transportation from operating room to unit, ensure that all staff members follow ethics and patient rights in the trauma unit and vascular surgery department.. Nurses showed inadequacy in their practice about standards of post operative interventions for lower limb amputated patients. Conclusion: Formulation of standards is the first step toward evaluating nursing care delivery. Recommendation: Implementation of standards of post operative nursing interventions for lower limb amputated patient is necessary for trauma unit and vascular surgery.

Background: Heart failure (HF) is a chronic disease that requires special lifelong self-care behaviors. These patients need having self-care behaviors to confront their disease problems. Aim of the study: To assess patient knowledge about heart failure and determine the self-care behavior of heart failure patients. Subject and methods: To conduct this study, a descriptive research design was utilized. Sample: a convenient sample of 60 patients with heart failure. The study was conducted in coronary care unit at Abou-tig central hospital. Tools: One tool was utilized to collect data for this study: Patient interviewing questionnaire sheet including three parts: Part (1) demographic characteristics of the patients, part (2): Dutch heart failure knowledge scale, part (3) Heart failure self-care behavior scale, Results: The majority of the studied patients (75%) had unsatisfactory knowledge levels, while the minority (26.7%) of them had good self-care behavior. Conclusion: The majority of the studied patients had unsatisfied level of knowledge about heart failure and had poor self-care behavior. Recommendation: patients with heart Failure are in pressing need for health education about their illness which will reflect on their self-care behavior and results in better quality of life