Background: It is believed that, the greater nurses uncertainty is likely to negative attitude toward their organization and the quality of patient care. Staff nurses can be empowered at all levels of the organization, if management allows them the support, encouragement and rewards them. Empowerment is the process by which a leader shares power with others or enable them to act. Autonomy plays an important part in nurses' job satisfaction and retention. Autonomy is defined as authority and accountability for one's decision and activities.Aim: To study the relationship between psychological empowerment and perceived autonomy of nurses in University and Teaching Hospitals at Menofia Governorate. Design: a descriptive correlational design. Setting: This study was conducted in two selected hospitals namely Menofia University Hospital and Shebine EL-Kom Teaching Hospital. Sample: A convenint sample of 550 nurses was included in the study. Tool: Two tools wereused to collect the data: 1-Psychological Empowerment Instrument. 2-Nurses' autonomy questionnaire.Results: There was a highly statistical significant correlation between total psychological empowerment and perceived autonomy of nurses. A significant relation was founded between the levels of autonomy and nurses' work place. While, there was insignificant relation between both of nurses' psychological empowerment and autonomy according to their age, level of education and years of experiences. Recommendations: Staff development program for nurse managers to integrate staff nurses in decision-making and to deal effectively with new ideas to promote organizational climate and empowerment of nurses.

Studying the effect of functional groups on the porosity structure and adsorption efficiency of polymer materials is becoming increasingly interesting. In this work, a novel porous polyaminal-linked polymer, based on naphthalene and melamine (PAN-NA) building blocks, was successfully synthesized by a one-pot polycondensation method, and used as an adsorbent for both CO2 and heavy metals. Fourier transform infrared spectroscopy, solid-state 13 C NMR, powder X-ray diffraction, and thermogravimetry were used to characterize the prepared polymer. The porous material structure was established by field-emission scanning electron microscope and N2 adsorption–desorption methods at 77 K. The polymer exhibited excellent uptake of CO2, 133 mg/g at 273 K and 1 bar. In addition, the adsorption behavior of PAN-NA for different metal cations, including Pb(II), Cr(III), Cu(II), Cd(II), Ni(II), and Ba(II), was investigated; a significant adsorption selectivity toward the Pb(II) cation was detected. The influence of pH, adsorbent dose, initial concentrations, and contact time was also assessed. Our results prove that the introduction of naphthalene in the polymer network improves the porosity and, thus, CO2 adsorption, as well as the adsorption of heavy metals.

Work environment is the totality of all factors that influence satisfaction, performance, encompasses, intrinsic and extrinsic factors that make a work setting. Conceptual clarity about work environment factors gives empirical direction for future research and a theoretical underpinning for the myriad studies about nurses. Purpose: The present study was conducted for the purpose of clarifying and defining the concept of work environment, its factors, and negative and positive work environment. Methods: in this study, the steps of concept analysis were as follows: Select a concept, determine the aims of the concept analysis, identify various definitions of the concept, determine the concept of Work Environment Factors and identify negative and positive work environment. All studies between the years 2016 and 2021 were reviewed for the purposes of this concept analysis, PubMed, Google search engines, Ovid, and Pro Quest, were scanned and searched using the keywords. Conclusion: The positive work environment could significantly improve organizational outcomes. Identifying factors, which influence the positive environment, may reduce turnover intention and increase work engagement among nurses. These factors include autonomy, environmental control, the relationship between doctors and nurses and organizational support. Nurse Manager need to build a supportive work environment as effective way to increase nurses' psychological bonding and enhancing positive work outcomes that may in turn enhance organizational performance and their work engagement.

Background: Competent, good and safe intensive and critical care nursing is based on the knowledge, attitudes and values, experiences and skills of the ICU nurses. So, employing interested and competent nurses and considering the standards required in the ICU can increase the quality of care. The purpose of the study: Investigate the relationship between nurses" competencies and quality of patient care provided at intensive care units. Study design: A descriptive co-relational design was used to carry out this study. Study setting: The study was conducted in the intensive and intermediate care units at Menoufia University Hospitals. Study sample: A convenient sample of 145 staff nurses and 145 critically ill patients, taken care of by the studied nurses. Data collection instruments: The first instrument was a modified version of the Intensive and Critical Care Nursing Competence Scale. The second instrument was the patient"s care quality observation checklist. Results: The present study showed that more than half of the studied nurses (54.5%) had good level of competency and it was associated with good total knowledge level (88.2%), positive attitudes (97.2%) and satisfactory level of practice (95.9%). The study results illustrated that the majority of the studied patients (61.4%) had moderate level of quality of patient care. There was no statistical correlation between socio-demographic characteristics of the studied nurses and total competency level and also those of the studied patients and total quality of care level (p>0.01). Conclusion: There was a highly statistical significant positive correlation between the competency of nurses and the quality of patient care at Intensive Care Units. Recommendations: Competence should be assessed regularly in clinical practice to explore individual learning needs for continuing education to improve the quality of health care.

Background: Nursing documentation is defined as the record of nursing care that is planned and given to individual patients and clients by qualified nurses or other caregivers under the control of a qualified nurse. Purpose of the study: Assess the relation between quality of nursing documentation system and the continuity of patient care at Tanta university hospitals. Study design: Descriptive correlational design was utilized to conduct this study. Study setting: The study was conducted at Tanta University Hospitals affiliated to Ministry of Health. Study sample: A convenient sample of 80 nurse supervisors and simple random sample of 80 staff nurses in intensive care units. Data collection instruments: Data was collected using two instruments adapted by the investigator. The first instrument was a quality of nursing documentation questionnaires. The second instrument was Auditing continuity of patient care checklist. Results: The present study showed that the most of studied samples resulted in accepted level of nursing documentation quality and the majority of total studied samples resulted in average level of continuity of patient care. Conclusion: There was a highly statistically significant positive correlation between quality of nursing documentation and continuity of patient care. Recommendations: Encourage nurses to comply with standard of nursing documentation at intensive care units.