Background: From the feedback of clinical preceptors and staff nurses, one of the reasons why students are not given the opportunity to practice hands-on with their patients in hospitals is because of the lack of practice in performing nursing procedures during their clinical placements. This study was conducted to improve students' clinical performance and readiness to practice. Methods: An experimental research design was used, and a randomized controlled trial was conducted. The clinical performance of nursing interns was evaluated by dividing them into group A (simultaneous high-fidelity simulation exposure along with hands-on clinical training) and group B (pure hands-on clinical training). Results: The mean grade obtained by group A was significantly higher by an average of 13.89 points than that obtained by group B. HFS exposure and clinical performance are significantly correlated. Conclusions: Incorporating HFS as a supplemental component of hands-on training can enhance nurses' performance. Repeated exposure to HFS facilitates proficiency and practice readiness.

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Background: Maternity nurses had an important role in caring of post bariatric surgery pregnant women in order to reduce different maternal and neonatal risks including nutritional deficiency, anxiety and intrauterine growth retardation. Aim of the current study was to evaluate the effect of self-care instructional guideline on maternal and neonatal outcomes among pregnant women after bariatric surgery. Design: Pre-test post-test nonequivalent groups quasi-experimental design. Setting: The study was conducted in outpatient clinic affiliated at Obstetrics and Gynecological Department at Alnamas General Hospital affiliated at Alnamas city at Aseer Region in Kingdom of Saudi Arabia during the period from the beginning of December 2018 till the end of August 2019. Subjects: A purposive sample of total 120 of Primigravida women after bariatric surgery "were recruited in the current study, they were allocated into two groups: control group included (60) Primigravida women they had ordinary nursing care. Study group included (60) Primigravida women they had self-care instructional guideline." Tools: four tools were used for data collection, "General Characteristic Interviewing Questionnaire& Knowledge Tool, Pregnant Women Self-Care Practice Assessment Tool, Maternal Outcomes Measurements Tool and Neonatal Outcomes Measurements Tool" Results of the study showed a highly statistically significant differences regarding knowledge and self-care practice between study and control groups regarding self-care of pregnancy after bariatric surgery (p<0.000) and there was a statistically difference between two groups regarding maternal and neonatal outcomes including anemia, antepartum hemorrhage, gestational diabetes, and postpartum hemorrhage among mother and between intrauterine growth retardation, low birth weight and the Apgar score at the 5 th minute among neonates. Conclusion: self-care instructional guideline had a positive effect on maternal and neonatal outcomes measurements. Recommendation: self-care instructional guideline should be provided for all post bariatric pregnant women.

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Background: A vaginal pessary is one type of nonsurgical treatment for pelvic organ prolapse, which preferred by a wide of women with pelvic organ prolapse. The aim of the current study was to evaluate the effect of empowering selfmanagement among women using vaginal pessaries on vaginal symptoms and quality of life. A Quasi-experimental design was utilized in the current study. Setting: The study was conducted in outpatient clinic affiliated at Obstetrics & Gynecological Department at Banha University Hospital during the period from January 2017 and completed at the end of December 2017. Subjects: A purposive sample of total 80 women using vaginal support pessaries. Tools: Three tools were used for data collection, general characteristic interviewing questionnaire, pessaries related knowledge and reported self-care practice assessment tool, The International Consultation on Incontinence Modular Questionnaire & the prolapse quality of life tool. Results of the study showed a highly statistically significant differences regarding knowledge and self-care practice vaginal support pessaries and quality of life at different times of assessment (p<0.000). Conclusion: empowerment of self-management among women using vaginal pessaries was highly effective on reducing severity of vaginal symptoms and improving quality of life. Recommendation: Based on the findings of this study the following should be recommended: The nurses should be familiar with self-care measures for vaginal pessaries in addition to more researches should be conducted considering the demographic and obstetric factors that have a crucial role in precipitating selfmanagement for vaginal pessary.