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.

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Today, lumbar herniation discs, are a prevalent problem with a sign of lumbar and foot pain in society. Previous studies show that patient education and follow-ups are important, therefore, this study aimed to evaluate the effect of applying an educational program for Patients Undergoing Lumbar Discectomy on Knowledge and Self-Care Activities.

Abstract:One of the most important routes for medication administration to treat chronic obstructive pulmonary disease patients is the inhaled one. If this method is not proper, medications will not be effective. The aim of this study was to determine the effect of implementing an educational module about inhaler use on severity of dyspnea and adherence to inhalation therapy among patients with chronic obstructive pulmonary disease. A purposive sample of 140 patients with COPD was selected and divided randomly and alternatively into two equal groups, 70 in each. The study was conducted at Chest department and Medical outpatient clinics of Menoufia University and Shebin El-Kom Teaching Hospitals. Five tools were utilized for data collection: Structural interview questionnaire, Bristol COPD knowledge questionnaire, Pressurized metered dose inhaler performance observational checklist, Shortness of breath questionnaire and Morisky Medication adherence scale. Results: 62.9% of study group and 54.3% of control group complained of severe dyspnea pre education, while 44.3% of study group and 54.3% of control group still complained of severe dyspnea one month post education. The improvement of dyspnea among study group than control group was not significant. However medication adherence was significantly improved among study group compared to control group post education. Conclusion: educational module about inhaler use significantly led to improve medication adherence and decrease dyspnea severity however the difference in dyspnea severity among both groups is not significant. Recommendations: Patient's education about correct inhaler use should be ongoing process for all COPD patients and the correct use of inhaler should be observed throughout patient's life.

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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.

Background: Osteoarthritis (OA) is the most prevalent and far common debilitating form of arthritis which can be defined as a degenerative condition affecting synovial joint. Physical agents can fight the painful process such as cold or contrast hydrotherapy Aim. Evaluate the effect of cold application versus contrast hydrotherapy on pain control, functional abilities and quality of life. Setting: The study was conducted at Assuit University Hospital in out patients' clinics. Subjects: 180 adult patients with knee osteoarthritis. Tools: were selected four tools Tool I: Bio-socio demographic characteristics Tool II: 0-10 Numeric pain rating scale. Tool II1: health assessment questionnaire. Tool IV: WHOQOL-BREF Results: decreased mean of pain score between contrast group than cold group (3.5 ± 2.1 vs 7.0 ± 1.9 respectively, improve mean HAQ disability index score intervention was 17.9 ± 6.3 &12.7 ± 5.9 between cold and contrast hydrotherapy respectively and increasing mean between contrast group than cold group regarding all domain of quality of life. Conclusion: greater pain relief and functional improvements found when subjects used contrast therapy. Recommendation: Superficial contrast therapy should be included in the early effort to manage patients with osteoarthritis.