Nursing care standards of colostomy are significant action to ensure quality of care. The examination of nurses’ knowledge and practices regarding the nursing care standards of colostomy has not been conducted before at Assiut University Hospital. This descriptive study aimed at establishing the level of nurses’ knowledge and practice and to examine the relationship between nurses’ knowledge and practice for developing the nursing care standards of colostomy. The subjects were nurses working in the surgical wards of hospital. The Nurses’ Knowledge Questionnaire and Practice checklist were administered. Data were analyzed by descriptive statistics and Pearson product-moment correlation. The findings revealed that all of nurses (100%) had knowledge about the standards regarding colostomy at an unsatisfactory level (M ± SD = 29.8654 ± 8.34085) with the maximum mean scores (M = 0.8269)and minimum mean scores (M =2.2308). All of nurses (100%) scored the actual nurses' practice of the standards at an unsatisfactory level (M ± SD = 111.51 ± 25.706) with the maximum mean scores (M = 19.42) and minimum mean scores (M = 2.4615). It was found that there was a positive weak relationship between knowledge and practice regarding nursing care standards of colostomy(r = 0.15, p = .3).It was concluded that nurses' knowledge and practice in the nursing care standard of colostomy were unsatisfactory. It was needed to be improved through implementation of proposed nursing care standards of colostomy.

Nursing care standards of colostomy are significant action to ensure quality of care. The examination of nurses’ knowledge and practices regarding the nursing care standards of colostomy has not been conducted before at Assiut University Hospital. This descriptive study aimed at establishing the level of nurses’ knowledge and practice and to examine the relationship between nurses’ knowledge and practice for developing the nursing care standards of colostomy. The subjects were nurses working in the surgical wards of hospital. The Nurses’ Knowledge Questionnaire and Practice checklist were administered. Data were analyzed by descriptive statistics and Pearson product-moment correlation. The findings revealed that all of nurses (100%) had knowledge about the standards regarding colostomy at an unsatisfactory level (M ± SD = 29.8654 ± 8.34085) with the maximum mean scores (M = 0.8269)and minimum mean scores (M =2.2308). All of nurses (100%) scored the actual nurses' practice of the standards at an unsatisfactory level (M ± SD = 111.51 ± 25.706) with the maximum mean scores (M = 19.42) and minimum mean scores (M = 2.4615). It was found that there was a positive weak relationship between knowledge and practice regarding nursing care standards of colostomy(r = 0.15, p = .3).It was concluded that nurses' knowledge and practice in the nursing care standard of colostomy were unsatisfactory. It was needed to be improved through implementation of proposed nursing care standards of colostomy.

Nursing care standards of colostomy are significant action to ensure quality of care. The examination of nurses’ knowledge and practices regarding the nursing care standards of colostomy has not been conducted before at Assiut University Hospital. This descriptive study aimed at establishing the level of nurses’ knowledge and practice and to examine the relationship between nurses’ knowledge and practice for developing the nursing care standards of colostomy. The subjects were nurses working in the surgical wards of hospital. The Nurses’ Knowledge Questionnaire and Practice checklist were administered. Data were analyzed by descriptive statistics and Pearson product-moment correlation. The findings revealed that all of nurses (100%) had knowledge about the standards regarding colostomy at an unsatisfactory level (M ± SD = 29.8654 ± 8.34085) with the maximum mean scores (M = 0.8269)and minimum mean scores (M =2.2308). All of nurses (100%) scored the actual nurses' practice of the standards at an unsatisfactory level (M ± SD = 111.51 ± 25.706) with the maximum mean scores (M = 19.42) and minimum mean scores (M = 2.4615). It was found that there was a positive weak relationship between knowledge and practice regarding nursing care standards of colostomy(r = 0.15, p = .3).It was concluded that nurses' knowledge and practice in the nursing care standard of colostomy were unsatisfactory. It was needed to be improved through implementation of proposed nursing care standards of colostomy.

Aims: to assess patient caregiver's knowledge and practice toward safe handling chemotherapy, development of suggesting guidelines for patient caregivers toward safe handling chemotherapy. Methods: a study was conducted in oncology unit at Assiut University hospitals. To accomplish the purpose of this study data were collected from all patient caregiver in oncology a convenience sample of all available patient caregivers about (60) male and female working in oncology department who were participated in this study, who are currently assigned and provide care for adult patient with chemotherapy, in period from preparation until 72 hour post administration, it consist of (20) nurses, (20) worker and (20) patient family member. Tool utilize for data collection were an Arabic structured interview questionnaire sheet for patient caregivers and observation checklist for patient caregivers. Results: the result implies that there was lack of nurse's knowledge about chemotherapy with percentage (95%).In addition workers had low knowledge about chemotherapy with percentage (50%, 85%, 65%and 45% respectively).Family member had low knowledge regarding knowledge about cancer and chemotherapy at high percentage of score with percentage (85%, 100%and 80 respectively). And there is lack of practice related to there are some equipment are not applicable (use ducted bio-safety cabinet, a long sleeved gown, safety spectacles or goggles, spill kit).Conclusions: recommendation, further research studies are needed to focus on more training and education for patient caregivers toward safe handling chemotherapy and health monitoring for health care worker to prevent or reduce risk of exposure.

Aims: to assess patient caregiver's knowledge and practice toward safe handling chemotherapy, development of suggesting guidelines for patient caregivers toward safe handling chemotherapy. Methods: a study was conducted in oncology unit at Assiut University hospitals. To accomplish the purpose of this study data were collected from all patient caregiver in oncology a convenience sample of all available patient caregivers about (60) male and female working in oncology department who were participated in this study, who are currently assigned and provide care for adult patient with chemotherapy, in period from preparation until 72 hour post administration, it consist of (20) nurses, (20) worker and (20) patient family member. Tool utilize for data collection were an Arabic structured interview questionnaire sheet for patient caregivers and observation checklist for patient caregivers. Results: the result implies that there was lack of nurse's knowledge about chemotherapy with percentage (95%).In addition workers had low knowledge about chemotherapy with percentage (50%, 85%, 65%and 45% respectively).Family member had low knowledge regarding knowledge about cancer and chemotherapy at high percentage of score with percentage (85%, 100%and 80 respectively). And there is lack of practice related to there are some equipment are not applicable (use ducted bio-safety cabinet, a long sleeved gown, safety spectacles or goggles, spill kit).Conclusions: recommendation, further research studies are needed to focus on more training and education for patient caregivers toward safe handling chemotherapy and health monitoring for health care worker to prevent or reduce risk of exposure.

Aims: to assess patient caregiver's knowledge and practice toward safe handling chemotherapy, development of suggesting guidelines for patient caregivers toward safe handling chemotherapy. Methods: a study was conducted in oncology unit at Assiut University hospitals. To accomplish the purpose of this study data were collected from all patient caregiver in oncology a convenience sample of all available patient caregivers about (60) male and female working in oncology department who were participated in this study, who are currently assigned and provide care for adult patient with chemotherapy, in period from preparation until 72 hour post administration, it consist of (20) nurses, (20) worker and (20) patient family member. Tool utilize for data collection were an Arabic structured interview questionnaire sheet for patient caregivers and observation checklist for patient caregivers. Results: the result implies that there was lack of nurse's knowledge about chemotherapy with percentage (95%).In addition workers had low knowledge about chemotherapy with percentage (50%, 85%, 65%and 45% respectively).Family member had low knowledge regarding knowledge about cancer and chemotherapy at high percentage of score with percentage (85%, 100%and 80 respectively). And there is lack of practice related to there are some equipment are not applicable (use ducted bio-safety cabinet, a long sleeved gown, safety spectacles or goggles, spill kit).Conclusions: recommendation, further research studies are needed to focus on more training and education for patient caregivers toward safe handling chemotherapy and health monitoring for health care worker to prevent or reduce risk of exposure.

Careful and regular assessment of pain improves the perception of nurses concerning the impact of pain on their patients' lives to enhance the quality of its management. Monitoring pain as the fifth vital sign is currently practiced in many developed countries. Therefore, the present study aimed to apply of a proposed graphic chart for pain as fifth vital sign in nursing practice in Assiut University Hospitals- Egypt. An exploratory descriptive research design was carried out in five units including (medical, surgical, burn, trauma & orthopedic units). The study subjects consisted of 60 nurses available at the time of the study. An interview questionnaire, nurses’ opinionnaire scale, nurses’ audit and proposed five vital signs graphic chart were used for data collection. Results revealed that nurse’s mean age ± SD was (27.85±7.82) years, years of experience mean ± SD was (7.40±3.94) years. The majority of nurses agreed upon chart feasibility (81.7%) & quality of pain care (83.3%). Overall 83.3% of the nurses agreed upon the proposed graphic chart. Auditing of patients files revealed full application of the new change by 93.3%, 63.3% of nurses for graphic part &70 % for pain assessment part. It is concluded that the majority of the nurses had full application of the proposed change & it is recommended to be implemented in nursing practice in different health settings. Nurses need to be accountable to improve their knowledge and skills in assessing pain, which necessitates implementing educational programs through in-service training and continuing nursing education. It is also necessary for hospitals to require nurses’ notes on their charts for pain assessment and management.

Careful and regular assessment of pain improves the perception of nurses concerning the impact of pain on their patients' lives to enhance the quality of its management. Monitoring pain as the fifth vital sign is currently practiced in many developed countries. Therefore, the present study aimed to apply of a proposed graphic chart for pain as fifth vital sign in nursing practice in Assiut University Hospitals- Egypt. An exploratory descriptive research design was carried out in five units including (medical, surgical, burn, trauma & orthopedic units). The study subjects consisted of 60 nurses available at the time of the study. An interview questionnaire, nurses’ opinionnaire scale, nurses’ audit and proposed five vital signs graphic chart were used for data collection. Results revealed that nurse’s mean age ± SD was (27.85±7.82) years, years of experience mean ± SD was (7.40±3.94) years. The majority of nurses agreed upon chart feasibility (81.7%) & quality of pain care (83.3%). Overall 83.3% of the nurses agreed upon the proposed graphic chart. Auditing of patients files revealed full application of the new change by 93.3%, 63.3% of nurses for graphic part &70 % for pain assessment part. It is concluded that the majority of the nurses had full application of the proposed change & it is recommended to be implemented in nursing practice in different health settings. Nurses need to be accountable to improve their knowledge and skills in assessing pain, which necessitates implementing educational programs through in-service training and continuing nursing education. It is also necessary for hospitals to require nurses’ notes on their charts for pain assessment and management.

Careful and regular assessment of pain improves the perception of nurses concerning the impact of pain on their patients' lives to enhance the quality of its management. Monitoring pain as the fifth vital sign is currently practiced in many developed countries. Therefore, the present study aimed to apply of a proposed graphic chart for pain as fifth vital sign in nursing practice in Assiut University Hospitals- Egypt. An exploratory descriptive research design was carried out in five units including (medical, surgical, burn, trauma & orthopedic units). The study subjects consisted of 60 nurses available at the time of the study. An interview questionnaire, nurses’ opinionnaire scale, nurses’ audit and proposed five vital signs graphic chart were used for data collection. Results revealed that nurse’s mean age ± SD was (27.85±7.82) years, years of experience mean ± SD was (7.40±3.94) years. The majority of nurses agreed upon chart feasibility (81.7%) & quality of pain care (83.3%). Overall 83.3% of the nurses agreed upon the proposed graphic chart. Auditing of patients files revealed full application of the new change by 93.3%, 63.3% of nurses for graphic part &70 % for pain assessment part. It is concluded that the majority of the nurses had full application of the proposed change & it is recommended to be implemented in nursing practice in different health settings. Nurses need to be accountable to improve their knowledge and skills in assessing pain, which necessitates implementing educational programs through in-service training and continuing nursing education. It is also necessary for hospitals to require nurses’ notes on their charts for pain assessment and management.

Nosocomial respiratory tract infections (NRTI) are the most common nosocomial infections in intensive care units (ICUs).. So the education and awareness among nurses as well as adherence to standard nursing guidelines for prevention of nosocomial respiratory tract infection should be used to reduce frequency of nosocomial infection in ICUs.Aim :the current study was carried out to evaluate the effect of implementing nursing guidelines in reducing (NRTI) in mechanically ventilated patients in ICUs .Methods : The study was conducted at the (ICU) of Minia university hospital. The sample of this study comprised 60 adult patients including both sex, their age ranged from 18-60 years old,. They were selected by convenience randomly assigned two equal groups control (group1) and interventional group (group2) (30 in each). Three tools were used to collect the data in this study ,tool one : Patient assessment sheet,tool two : Preventive nursing guideline ,and tool three: Evaluation sheet .Results and conclusion: The result of the current study revealed that Mean age of the both groups around forty year,and more than fifty percent of the patients in both groups were male. The finding of the current study revealed that, the mean score of body temperature in the study group nearly between normal ranges in all the sevens days of the study.While body temperature of the control group most of patients had hyperthermia in all the days of the study,and There were statistical significance differences between both groups in most of days of the study. there were an improvement of the respiratory status of the study group than control group, and a significant differences was elicited between two group on the most of the days of the study in relation to respiratory assessment .Recommendations: based on the current study finding it can be recommended that hospitals should implement protocols for the prevention of NRTI in mechanically ventilated patients that include each of the practices recommended by the CDC. Training and educational program should be developed to the nursing staff about the standardized care that should be delivered to the mechanically ventilated patients