Organization justice refers to the extent to which employees perceive workplace procedure, interactions, and outcomes to be fair in nature. So, this study aimed to investigate the relationship between organizational justice and quality performance among health care workers. The study was conducted at the Public Hospital in Fayoum, Egypt. The study included a convenience sample of 100 healthcare workers (60 nurses and 40 physicians) that were recruited. Tools used for data collection included (1) questionnaire sheet which is used to measure health workers' perception of organizational justices. It includes four types: distributive, procedural, interpersonal, and informational justice. (2) Quality performance questionnaire sheet: this tool was used to examine health workers' perception regarding their quality performance. It contained three types: information, value, and skill. The results revealed that a positive correlation was found between organizational justice components and quality performance among the various categories of health workers' perception (P ≤ 0.05). It has been recommended to replicate the study on a larger probability sample from different hospital settings to achieve more generalizable results and reinforce justice during organization of ministry centers in Egypt.

Background: Pressure ulcers are common problems in healthcare system and produce a significant burden on patients and care providers. Hospital Acquired Pressure Ulcers is a leading cause of preventable harm. It is associated with a significant increase in treatment cost, length of stay, and poor patients' satisfaction. The aim of this study is to determine the effect of implementing educational program about pressure ulcer control on nurses' knowledge and safety of immobilized patients.Methods: A quasi-experimental design was used to conduct the study on 40 nurses working in the critical care units at Mansoura University Hospital, in addition to 40 patients were randomly assigned from these units previous. A structured questionnaire to collect data related to socio-demographic data for nurses, pressure ulcer nurses' knowledge questionnaires, observational checklist and patient assessment sheet that include Sciodemographic data related to patients, and Braden scale sheet.Results: The present study revealed that: (a) The mean total knowledge scores of nurses were increased immediately after implementation of a program with statistical significant difference compared to pre implementation. (b) The mean total practice scores of nurses were higher immediately after implementing program with a higher statistical significant difference compared to pre implementation. (c) There were a positive correlation between nurses' knowledge and practices with a high statistical significant difference. (d) There were a positive safety immobilized patients as evidence by less incidence of pressure ulcers among study group after received intervention than pre received intervention.Conclusion: This study revealed that nursing staffs' knowledge and practice about pressure ulcer preventive measures could be improved. Participants in the study reported that they could use the educational program effectively and easily in the prevention of pressure ulcers among their immobilized patients, which decreases the occurrence of pressure ulcers and as well as improved patient outcome.Recommendations: The present study recommended that continues education and in service training program for the nursing staff, which is necessary for the continuously advancing care for patients in this area.

Background: Simulation-based training is a new strategy in teaching that gives the students good opportunities to learn and apply what they learn in nursing care safely. Aim: This study conducted to evaluate the effects of simulation-based training on nursing students' communication skill, self-efficacy and clinical competence in practice. Subjects and Methods: Quiz-experimental design was used in this study (pre-posttest intervention), it was carried out on 100 nursing students first semester in 2019 using low and high-fidelity simulators. This study was carried out at College of Applied Medical Sciences-Bshia University. Data Collection: demographic data, communication skill, selfefficacy and clinical competence questionnaires. Analysis is done by SPSS version 20 software. Results: Participants who received the simulation-based training, showed statistical significant improvement in communication skill, self-efficacy, and clinical competence scores after participation in the simulation program (t = −32.64, p = 0.001; t = −19.9, p = 0.001; 16.4, p = 0.001). Also, there are significant relation between gender and clinical competency (t = 2.768, p < 0.05). Conclusion: Simulation-based training in medical courses is effective in enhancing communication skill, self-efficacy and clinical competence. Multiple-patient simulations as a teaching-learning strategy in the nursing curriculum are highly recommended.

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Background: Diabetes in adults is a global health problem and is considered as one of the main threats to human health and its management requires a fundamental change in patient's lifestyle. The aim of this study was assess the effect of lifestyle intervention on health behaviors, weight and blood glucose level among patients with diabetes mellitus. Methods:A quasi-experimental research design was conducted in outpatient clinics for Diabetes Mellitus at Mansoura University Hospital and Mansoura Health Insurance Hospital, Egypt. The data were collected from 50 adult patients of both sex randomized selected who corresponded to inclusion criteria. A questionnaire (pre and post test) was used to collect data on socio-demographic characteristics, knowledge. Also blood glucose level and weight was taken for physical assessment and health promoting lifestyle profile II. Results:The results revealed that the majority of study subjects were married females. There was a statistically significant increase in mean of knowledge and health promoting behaviors at immediate and follow up test. Also it was found reduction in body weight and improve of blood glucose levels of studied group. Conclusion:Health education was effective methods on the studied patients' knowledge scores, decrease weight, improve blood glucose level and health behaviors in the study group. It was recommended that, diabetes patients should be given a written instruction plan for self-management measures of diabetes is better to improve patients outcome.