Abstract Background: Patients on mechanical ventilation have a greater risk of acquiring infections; however, this problem is greatest in critical care units. Aim: Evaluate effect of educational program for nurses Performance regarding to infection control standard precautions, for patients on mechanical ventilation. Study design: Quasi-experimental research design was utilized in this study. Setting: The study was conducted in trauma ICU and emergency ICU at Assiut University hospital. Sample: A convenience sample of all available nurses. The sample size was 60 nurses. Tools: Utilizing two tools, Nurse's knowledge questionnaire and Observational checklist. Results: The majority of the studied Sample statistical significant difference between before and after educational program as regard to total nurses' knowledge and practice with P-value <0.001** .observed nurses' knowledge scores improved from 21.7% before the educational program to 75%after the educational program. In addition, the observed nurses' practice scores improved from 21.7%before the educational program to71.7%after educational program. Conclusion: Nurses` knowledge and practice regarding mechanical ventilation infection Control Standard Precautions in the trauma ICU and emergency ICU becomes to the satisfactory level after the educational program. Recommendation: Nurses need for continuous training programs to increase their performance regarding mechanical ventilation infection control standard Precautions.

Abstract Background Literature review cited that, Acute respiratory distress syndrome (ARDS) is one of the major manifestations of multiple organ failure syndromes, and is a leading cause of death in the Intensive Care Unit. Aimed this study to evaluate the effect of that an educational program on nurse’s performance about acute respiratory distress syndrome. Design a quasi-experimental (pre/post-test design). Setting critical care units at AlThawra Modern General Hospital Authority in Sana’a-Yemen. Method Sample was (57) critical care nurses that of all nurses working in a selected setting. The tool I: Pre /Post Nurses Questionnaire, tool II: Pre /Post Observation Checklist. Results: As regard age, of nurses were > 25 years (53%), the education level, the nursing diploma was the most (72%), experience year of nurses had an experience of less than 5 years was (65.3%). The implementation of the education program revealed the improvement of critical care nurse's knowledge, practice scores, and levels regarding acute respiratory distress syndrome with high statistical significance difference between pre and postimplementation programs, (p<0.001). Conclusion, it can conclude that implementing an educational program about acute respiratory distress syndrome care is highly effective in inducing improvement in nurses' related knowledge and practice.

Abstract Background: Pulmonary embolism is the most important emergency in the cardiovascular system with a high rate of mortality without appropriate treatment. Aim: To investigate the effect of an educational program on critical care nurses' performance regarding pulmonary embolism emergency care. A Quasi-experimental design was utilized in this study. This study was carried out in the medical, surgical and emergency Intensive Care Unit at Al-Thawra Modern General Hospital Authority in Sanaa – Yemen. The sample of this study consisted of 75 nurses' for implementing the program. Tools utilized for data collection were the nursing questionnaire and observation checklist. The results There were statistically significant differences (P<0.000) in the total nurses, knowledge scores regarding emergency care for a patient with pulmonary embolism, pre-implementation of the program compared with the immediately post-implementation and post three months follow up. There were statistically significant differences (P<0.000) in total nurses, practice scores regarding emergency care for patient with pulmonary embolism pre-implementation compared with the immediately post-implementation and post three months follow up. Conclusion: there was a statistically significant difference between the nurse knowledge and practice in pre/post and follow up implementing of the educational program.

Abstract Background: Acute respiratory failure is a sudden and life-threatening deterioration in pulmonary gas exchange, resulting in carbon dioxide retention and inadequate oxygenation approximately 50% to 75% of those patients require ICU hospital stays &and mechanical ventilatory support practices longer than 7 days. Aim: This study aimed to evaluate the effect of implementing nursing practices to support ventilation among patients with acute respiratory failure on their condition. Method: Design: A quasi-experimental research design was used to conduct this research. A convenient sample consisted of 120 patients, they were enrolled in the study group (n=60) and the control group (n=60) was admitted to the chest intensive care unit at Assiut University Hospital. A patient assessment sheet, acute respiratory failure Patient outcomes assessment sheet were used for the collection of data. Results: A significant statistical difference (P<0.05) between both groups concerning the improvement of oxygenation, arterial blood gas, clinical pulmonary infection score, length of chest ICU stay, mechanical ventilator parameters among study group compared to control group subjects after the intervention, thus research hypotheses cane bee supported. Conclusion: Implementing nursing practices to support ventilation among patients with acute respiratory failure effective in improving their outcomes. Recommendation: develop standardized nursing guidelines for patients with acute respiratory failure.