Background: Patient's safety events at the operating room can be completely avoidable by adhering to surgical safety practices that aims to improve adherence to evidence-based safety practices, communication and team work during critical time points as during surgical procedure, before induction of anesthesia, before incision and before the patient leaves the room. Objective: This study aimed to assess nurses' adherence to surgical safety guidelines for patients undergoing abdominal surgery. Subjects and methods: Design: A descriptive exploratory research design was used to achieve the aim of this study. Setting: This study was conducted at the Operating Departments affiliated to El-Saff General Hospital and Atfeh Central Hospital. Study subjects: A convenient sample of all available nurses (75) from the previously mentioned departments was included in the study. Tools of data collection: Structured interview questionnaire included two parts: demographic characteristics of the studied nurses and surgical safety guidelines checklist. Result: This study presented that less than half of the studied scrub nurses and only minority of the circulating nurses and anesthesia nurses had competent practices at the operating room respectively. Conclusion:The study concluded there were statistically significant relations between competent practices of scrub nurses and their attendance of training courses related to surgical safety and between competent practices of circulating nurses, their age and years of experience, while, there were no statistically significant relations between competent practices of anesthesia nurses, their gender and attendance of training course. Recommendation: Ongoing staff development programs and continuing education are important for improving staff performance and maintaining patients' safety.

Background: COVID-19 and subsequent global crisis lockdowns have initiated a sudden need for learning to be blended. Nurses are the frontline healthcare staff, providing direct care to individuals affected with COVID-19 Aim: This study aimed to determine the blended learning via distance effects on nurses' performance, perception, and anxiety during the COVID-19 pandemic. Design: Quasi experimental design was used. Setting: The study was conducted in the inpatients department at one of the biggest university hospitals affiliated with Cairo University in Egypt. Sample: A convenient sample of total 100 nurses allocated to the previously mentioned settings. Tools: Six tools were used to collect data including I: self-administered questionnaire B-Nurse's knowledge assessment questioner, II: Nurses self-reported checklist, III: nurses' attitude response, IV: Nurses' risk perception response, V: Generalized Anxiety Disorder 7-item (GAD-7) and VI: Nurses' opinionnaire. Results: There was a highly statically significant difference between pre and post implementation of the blended learning training program with (P>0.001) which revealed an improvement in the study subject's performance. Also, there was a positive attitude, and positive risk perception among nurses regarding COVID-19, with an overall improvement in the level of anxiety regarding dealing with the current pandemic. Most studied nurses were satisfied regarding implementation of the blended learning training program. Conclusion: The finding of the study concluded that nurses' performance was improved post-implementation of the blended learning intervention with satisfaction among the nurses regarding the new method of learning. Recommendations: It is highly recommended to increase nurses' awareness through using the electronic resources.

Burn injuries are considered, worldwide, one of the leading causes of injury, morbidity and mortality. Second-degree burns may affect patients: physically, socially and psychologically. The aim of the study is to identify the physical, social, and psychological needs of patients with second degree burns to suggest are habilitation program and follow up care that will improve quality of life after acute stage recovery. To achieve the aima descriptive research was undertaken. The study was conducted at the outpatient clinic of a burn unit, affiliated to a University hospital, in Cairo, Egypt. A convenience sample of 154 patients with second degree burns from both genders and aged 18 years old or above were the subjects of the study. Five tools were adopted for data collection: 1) An interview sheet, 2) Brief burn specific health scale (BSHS-B), 3)Self-esteem scale, 4) Body image and appearance scale, and 5) Social needs assessment. The results revealed that patients with second degree burns need physical, social, and psychological support to pass through the life-threatening experience. There is a highly statistically significant relation among bio-psychosocial needs for patents with second degree burn. Second degree burns affect patients' physical, psychological, and social well-being and preparation is needed to achieve a healthy recovery. The study recommends the implementation of a health awareness program to overcome the incidence of problems due to burns that might have a serious impact on the quality of life. A targeted rehabilitation program will enhance physical, psychological, and social adaptation as well as a healthy reintegration to the society.

Background: Cardiac implanted pacemaker technique and therapies play an essential role in the treatment of some clinical heart disease. These disorders include bradyarrhythmias resulting from dysfunction of the sinus node or the atrioventricular node; implantable pacemakers consider as a life-sustaining devices that can return patients to a normal quality of life. Shoulder pain and disability in the first year after implant one of the complications can occur with implanted pacemaker. Aim: The aim of the study was to assess the effect of nursing guidelines on the severity of frozen shoulder among patient with artificial implanted pacemaker, through measuring: 1.The knowledge of patient with artificial implanted pacemaker pre and post implant. 2. The visual analog scale for pain before and after the implant. 3. The disabilities of arm shoulder and hand before and after the implant. Design: A quasi-experimental research design with two groups (control and study) was used to conduct this study. Setting: The study was conducted at outpatient of coronary care unit at EL-Hussein University Hospital. Subject: A purposive sample: The sample size calculated by using Open Ebi version 3. It indicated the sample size was 60 adults patients based on comparing 2 means-30 for control group and 30 for study group. Tools: Four tools were utilized to collect data in the current study. 1. Patient demographic characteristics 2. Interview questionnaire to assess patients' knowledge (pre-post) 3. A visual analog scale for pain assessment and 4. DASH (disabilities of the arm, shoulder and hand) tool) it was standardizes. Results: high significant positive difference between pre and post test which reveals improvement in both groups knowledge regarding pacemaker implantation, indication, complication, and follow up at p-value 0.000**. Also study indicates that, an improvement in the measurements of all visual analog scale in both groups but there is a significant improvement in study group which return to mild level of pain at 6 month measurement while the control group still in high moderate level of pain and an improvement in the measurements of all DASH scale in both groups but there is a significant improvement in study group at 6 month measurement with a maximum score 8 /30 which indicate minimum disability. Conclusion: The findings of this study concluded that, there is the frozen shoulder and arm discomfort was improved after implementing arm exercise, so practicing simple educational technique can prevent many of complications can occur to patient with implanted pacemaker. Recommendations Based on the results of the current study the following recommendations are suggested; 1. Designing educational guidelines for nurses, patient and their family about arm exercise and 2. Recommended continuous education for such patient in outpatient clinic

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