Background: Acute poisoning is a major health problem leading to emergency department admission and inducing significant patient morbidity and mortality throughout worldwide. Nurse's performance play an important role in the management of acute poisonings. Aim of the study: Determine the effect of emergent nursing educational program on nurses' performance for patients with acute poisoning. Design: A quasi-experimental design was utilized in this study. Subjects and method: Data were collected from all nurses (27) nurses from Tanta University Poisoning Control Center and (10) nurses from Elmanshawy General Hospital) affiliated to ministry of health. Tools: Two tools were used to collect data: Tool (I); Nurses' Structured Interview Scheduled Sheet part one: socio-demographic characteristics of nurses, part two: structured nurses' knowledge interview questionnaire, Tool (II); nurses' observational checklist about emergent nursing intervention of acutely poisoning patient. Results: the present study revealed that there was a significant improvement in the mean scores of the total level of knowledge and practice immediately and one-month post program implementation in both studied groups at P < 0.05 with only significant difference between the two groups in pre-program implementation regarding total practice at P < 0.05. Conclusion: The study findings revealed that nurses' performance of emergent intervention for patient with acute poisoning was improved after application of educational program. Recommendation: It is recommended to distribute guideline booklet with knowledge and practices about emergent intervention for poisoning and provide continuous in-service educational program to nurses working in poisoning centers.

Upper gastrointestinal endoscopy plays a major role in diagnosis and management of upper gastrointestinal disorders. Lack of patient's knowledge regarding endoscopy procedure is the main reason for increasing anxiety. This study aimed to: Assess knowledge and anxiety levels of patients undergoing upper gastrointestinal endoscopy. The study was carried out: In the gastrointestinal endoscopy units, Tanta University Hospital: A convenience sample of adult patients with GI disorders admitted to GI endoscopy units at Tanta University Hospital and scheduled for GI endoscopy were recruit to the study. The research questions include,-What are the levels of knowledge of patients undergoing upper GI endoscopy at Tanta University Hospital?-What are relations between levels of state and trait anxiety and different variables? Tools of the study: Two tools were used, Tool (I) Structured interview questionnaire: This tool was developed and used by the researcher for collection of baseline data and is consisted of three parts: Socio demographic data, patient's clinical information and patient's knowledge regarding upper gastrointestinal endoscopy. Tool (II) The State Trait Anxiety Inventory Scale: The original scale was developed by Spielberger in to evaluate respectively, state and trait anxiety. Results: It was observed that Less than half (.) of studied patients had poor knowledge score, while () had severe state anxiety and more than half () had severe trait anxiety. there was a high negative significant correlation (r=- ,-respectively) between knowledge and The State Trait Anxiety Inventory Scale. Conclusion: Providing information to the patient before upper gastrointestinal endoscopy, decrease their level of anxiety and improve tolerance level during endoscopy procedure. Recommendations: It was recommended that provision of institutional written policies and guidelines regarding increasing knowledge and declining anxiety for patients undergoing upper gastrointestinal endoscopy.

Background: Central line associated blood stream infections are serious but can often be prevented when evidence-based guidelines that are used by critical care nurse through utilized infection control measures during insertion and maintenance of central lines. Aim of the study was to evaluate the effect of educational guidelines on nurse's knowledge and practice regarding central line associated blood stream infection at intensive care unit.

Background and objective: Emotional intelligence in nursing practice helps students better deal with clinical pressures and communicates effectively with patients. Therefore, developing students' emotional maturity may seem more important than their physical responsibilities. The current study was carried out to evaluate the effect of emotional intelligence intervention on nursing students’ practice and their reflections on patients’ clinical outcomes at burn intensive care unit.Methods: This study was carried out in the Faculty of Nursing, Tanta University and Burn Intensive Care Unit at Tanta Emergency Hospital. A quasi experimental research design was utilized in the current study. A convenience sample of 120 undergraduate second year nursing students who studied critical care nursing course at academic year 2017-2018 were selected. They were divided into two equal groups, 60 students in each group as follows: Group I: Students were exposed to emotional intelligence intervention and clinical procedures. Group II: Students were exposed to clinical procedures only. In addition, a convenience sample of 60 adult critically patients with severe burn injury were selected and divided into two equal groups, 30 in each group as follow: Group I: Patients were exposed to intervention from nursing students who were undergoing emotional intelligence intervention during clinical procedures. Group II: Patients were exposed to intervention from nursing students who were trained on clinical procedures only. Three tools were used to collect the study data. Tool I: Emotional Intelligence Scale, Tool II: Nursing student's: observational checklist, and Tool III: Critically ill patient with severe burn injury’s clinical outcomes assessment.Results: There was a statistically significant improvement in the total practice mean score level among nursing students in group I than group II. Also, patients who received care from group I showed improvement in physical and psychological outcome compared to students in group II.Conclusions: Based on the results of the present study, it can be concluded that, merging emotional intelligence into practice is a favorable method which provides the undergraduate nursing students with a higher level of practice regarding burn intensive care unit. Students who acquired intelligence practice had a statistical significant effect on improving psychological and physical outcomes of patients with severe burn injury than nursing students who are not exposed to such emotional intelligence intervention during clinical practice. Recommendation: The emotional intelligence should be incorporated into the critical care nursing course and training the students’ about the appropriate way of implementation to improve their knowledge and practice and improve patients’ clinical outcomes.

Implementing an initial emergency care bundle for acute stroke patients bridges the gap between evidence-based and clinical practice to improve patients outcomes. Aim: To evaluate the effect of implementing the initial emergency care bundle on early outcomes among acute stroke patients. Setting: This study was conducted at the emergency department and neurocritical care unit at Mansoura University Hospital, Egypt. Method: An experimental research design was utilized in this study. A random sample of 120 adults patient with acute stroke was selected and divided into two equal groups of 60 patients in each group. Two tools were utilized to collect data: Tool (I): Tool I: Stroke patient assessment. Tool II: Stroke patients' outcomes assessment. Results: It was noticed that nearly one-third (30.0%) of patients of the control group were died compared to only 11.7% of the study group during 7 days post-admission to the intensive care unit. Also, there were highly statistically significant improvements among patients of both control and study groups regarding patient outcomes which include physiological parameters, prefeeding assessment, hydration status, and activity level on admission, 3 days, and 7 days following implementation of stroke care bundle. Conclusions: Acute stroke patients who received the initial emergency care bundle had a statistically significant reduction in mortality rate, higher independency, and normal pre-feeding assessment compared to those who receive routine care on admission, 3 days, and 7 days post-admission Recommendations: The recent evidence-based practice should be integrated into the management of acute stroke patients to improve the patients' outcomes.

Background: Coronary artery bypass graft considered one of the most common surgical procedures that are performed worldwide to treat complications for patients with ischemic heart disease. Appropriate positioning of the patient post cardiac surgery cans dramatically improved blood oxygenation, prevent atelectasis and improve the hemodynamic status. The aim of this study was to evaluate the effect of supine versus semi-setting positioning on physiological indices among patients' post-CABG. Design: A quasi-experimental research design was utilized. Setting: Surgical ICU at International Educational Hospital in Tanta University Hospitals, Egypt. Subjects: A purposive sample of (80) patients was enrolled in the current study and dividid equally into supine and semi-fowler groups. Tools: Two tools were used to collect data; Tool (I): Patient's bio-socio-demographic data and Tool (II): Cardiorespiratory parameters. Results: The study findings revealed that there was statistically significant improvement regarding total mean scores of respiratory rate, PaO2, PaCO2, and SpO2 among patients in semi-setting than the supine group in which P < 0.05. Conclusion: it was concluded that the application semi-setting positions for patient's post coronary artery bypass graft had a significant positive improvement of physiological indices especially respiratory parameters compared to supine position. It is recommended that semi-setting positioning should be integrated into routine care for critically ill patients post-CABG.

Background: Ineffective evacuation of the accumulated intra-thoracic air and/or fluid after cardiothoracic surgery may upsurge postoperative complications, morbidity, and mortality. So, chest drains are a prevalent intervention for patients admitted to acute respiratory or cardiothoracic care areas. Aim: To evaluate the effectiveness of nurses' evidence-based educational intervention regarding the chest tube on clinical patient's outcomes in intensive cardiothoracic care. Setting: The study was carried out at the cardio-thoracic care unit affiliated to Mansoura University Hospital. Method: A quasi-experimental research design was utilized to conduct this study using a pretestposttest approach. A convenience sample of 55 nurses and 60 patients were selected to achieve the aim of the present study. The results revealed that there were a highly statistically significant differences regarding total mean scores of nurses' knowledge and practice pre and post implementation of evidence-based educational intervention. Also there were an improvement in total mean scores of the patients' outcomes regarding chest tube. Conclusion: There was a statistical significant improvement in nurses' total mean knowledge and practice scores post evidence-based educational intervention. Also, there was a statistically significant positive effect of nurses' evidence-based educational intervention regarding the chest tube on clinical patient's outcomes in intensive cardiothoracic care. Recommendation: The nurses should implement nursing care for patients undergoing cardiothoracic surgery based on evidence based practice. The nurses must enroll into internal and external training programs and attain and participate in conferences to renovate their knowledge and practices regarding EBP about chest tube post cardiothoracic surgery.

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