Renal failure is a life-threating condition in which there is a buildup of waste and fluid in the body due to severe deterioration of kidney function. The prevalence of both acute and chronic renal failure is high in the Arab World. The aim of this study: is to assess the nurses' knowledge and practice related to nursing care of children undergoing hemodialysis at Assiut city. Descriptive and analytic research design was adopted to meet the aim of this study. Subject and methods: This study was conducted in Pediatric Nephrology and Dialysis Unit in Assuit Children University Hospital, El–Mabarah Hospital and El–Eyman General Hospital. The study included convenience sample of 48 nurses from different Nephrology Units at Assiut City. There are two tools used for collecting data in the study, tool one is a structured interview questionnaire sheet consists of two parts: First Part concerned with personal data of the studied nurses as: nurses’ name and age. Second Part concerned with nurses knowledge regarding renal failure and hemodialysis. Tool two a structured observational checklist sheet to evaluate the nurses' practice Result: The main results of study demonstrated that there is no statistical significant difference between the nurses' knowledge and their practice regarding nursing care of children undergoing hemodialysis. There is statistical significant difference between the nurses' knowledge scores and their practice with age. Conclusion: The most of AUH nurses had higher score of knowledge related to renal failure and hemodialysis than the ministry of health hospitals. Nurse's practice regarding hemodialysis children in nephrology unit at Assiut university children hospital is higher than that of nurses working at the Ministry of Heath Hospitals. Recommendations: Continuous nursing educational and in-service training programs on Kidney dialysis to upgrade the knowledge and skills of practicing nurses, Periodic monitoring of nurses knowledge and practice to evaluate the level of nurses.

Bullying has a pervasive deleterious effect on the whole organization and ultimately the quality of patient care.This study aimed at determining workplace bullying against nursing and medical team working at emergency departments in the Assiut University hospital, Egypt. The descriptive cross-sectional research designand stratified random sampling technique were used on 517 participants, 104 of them were medical staff and 413 were nursing staff. A self-administered questionnaire was used to collect data which included the socio-demographic data, negative acts questionnaire-revised, job satisfaction scale, the hospital anxiety and depression scale and self-esteem scale.The findings of the study indicated that 93.2%, 87.5% of the nursing and medical team, respectively, were exposed to even one incident of bullying in the previous six months. Moreover, 39.0% of the nursing team mentioned that they were exposed to more than half of the Negative Acts Questionnaire. Patients' visitors were the main sources of bullying. A positive correlation was found between bullying and anxiety and depression among the medical and nursing team. On the other hand, a negative correlation was found between bullying and job satisfaction and self- esteem among the medical and nursing teams. So., we suggest an introduction of a reporting system and education activities for those high-risk groups.

Bullying has a pervasive deleterious effect on the whole organization and ultimately the quality of patient care.This study aimed at determining workplace bullying against nursing and medical team working at emergency departments in the Assiut University hospital, Egypt. The descriptive cross-sectional research designand stratified random sampling technique were used on 517 participants, 104 of them were medical staff and 413 were nursing staff. A self-administered questionnaire was used to collect data which included the socio-demographic data, negative acts questionnaire-revised, job satisfaction scale, the hospital anxiety and depression scale and self-esteem scale.The findings of the study indicated that 93.2%, 87.5% of the nursing and medical team, respectively, were exposed to even one incident of bullying in the previous six months. Moreover, 39.0% of the nursing team mentioned that they were exposed to more than half of the Negative Acts Questionnaire. Patients' visitors were the main sources of bullying. A positive correlation was found between bullying and anxiety and depression among the medical and nursing team. On the other hand, a negative correlation was found between bullying and job satisfaction and self- esteem among the medical and nursing teams. So., we suggest an introduction of a reporting system and education activities for those high-risk groups.

Bullying has a pervasive deleterious effect on the whole organization and ultimately the quality of patient care.This study aimed at determining workplace bullying against nursing and medical team working at emergency departments in the Assiut University hospital, Egypt. The descriptive cross-sectional research designand stratified random sampling technique were used on 517 participants, 104 of them were medical staff and 413 were nursing staff. A self-administered questionnaire was used to collect data which included the socio-demographic data, negative acts questionnaire-revised, job satisfaction scale, the hospital anxiety and depression scale and self-esteem scale.The findings of the study indicated that 93.2%, 87.5% of the nursing and medical team, respectively, were exposed to even one incident of bullying in the previous six months. Moreover, 39.0% of the nursing team mentioned that they were exposed to more than half of the Negative Acts Questionnaire. Patients' visitors were the main sources of bullying. A positive correlation was found between bullying and anxiety and depression among the medical and nursing team. On the other hand, a negative correlation was found between bullying and job satisfaction and self- esteem among the medical and nursing teams. So., we suggest an introduction of a reporting system and education activities for those high-risk groups.

Abstract Chronic lower limb ischemia is a prevalent systemic atherosclerotic disease that impairs a patient's quality of life and untreated disease can lead to limb loss. The aim was; to evaluate the impact of a designed nursing teaching protocol on quality of life of patients with chronic lower limb ischemia. Research hypotheses; Participants will have less disease symptoms as compared to prior application of nursing protocol, The functional capacity will improve as presented by ankle brachial index, The knowledge of studied patients after application of nursing protocol will be higher than their knowledge before protocol, and quality of life of participants will improve. A quasi – experimental research design was utilized. The study was conducted at vascular surgery department and its outpatient clinics of Assuit University Hospital. A convenience sample of sixty adult male and female patients. Tools for data collection; tool I "Patients' structured assessment sheet", tool II “Vascular quality of life questionnaire". The control group exposed to routine hospital care and assessed two times by using tool I and tool II. While study group patients received the contents of the designed nursing teaching protocol and assessed two times also by using the same tools. Data was collected & analyzed. Results concluded that; all patients in both groups were having unsatisfactory level of knowledge about disease in the time of admission. While in the time of follow up; the control group still had unsatisfactory level of knowledge and most of the study group patients became having satisfactory level of knowledge which reflected into their quality of life. As their quality of life became good. Theses study findings documented that; the more information the patient is provided the better equips to manage this chronic disorder.

Abstract Chronic lower limb ischemia is a prevalent systemic atherosclerotic disease that impairs a patient's quality of life and untreated disease can lead to limb loss. The aim was; to evaluate the impact of a designed nursing teaching protocol on quality of life of patients with chronic lower limb ischemia. Research hypotheses; Participants will have less disease symptoms as compared to prior application of nursing protocol, The functional capacity will improve as presented by ankle brachial index, The knowledge of studied patients after application of nursing protocol will be higher than their knowledge before protocol, and quality of life of participants will improve. A quasi – experimental research design was utilized. The study was conducted at vascular surgery department and its outpatient clinics of Assuit University Hospital. A convenience sample of sixty adult male and female patients. Tools for data collection; tool I "Patients' structured assessment sheet", tool II “Vascular quality of life questionnaire". The control group exposed to routine hospital care and assessed two times by using tool I and tool II. While study group patients received the contents of the designed nursing teaching protocol and assessed two times also by using the same tools. Data was collected & analyzed. Results concluded that; all patients in both groups were having unsatisfactory level of knowledge about disease in the time of admission. While in the time of follow up; the control group still had unsatisfactory level of knowledge and most of the study group patients became having satisfactory level of knowledge which reflected into their quality of life. As their quality of life became good. Theses study findings documented that; the more information the patient is provided the better equips to manage this chronic disorder.

While complications following thyroidectomy are rare, their consequences can be life-threatening. So nurses must recognized complications that may arise as a result of thyroidectomy.Aim of the study: was to assess nurses' performance for patients undergoing thyriodectomy and post thyroidectomy complications that face those patients. Research questions: What is the nurses' performance for patients undergoing thyroidectomy? and What are the postoperative complications that face patients undergoing thyroidectomy?.Subjects and methods: The study was carried out at general surgery department and out patient clinics of this department at Assiut University Hospital. The sample consisted of 36 (male and female) nurse who were currently assigned for giving care of 40 patients who had undergone thyroidectomy. The methodology is divided into four designs :Technical design,operational design, Administrative design,and Statistical design. Tools utilized for data collection were interview questionnaire sheet, observation checklist for nurses and patient assessment sheet. Results:The results showed that; less than half of nurses (41.7%) have an age less than 40 years old. Nursing diploma was the highest proportion (94.4 %), and none of them got the opportunity of attending any previous training program about nursing care for patients undergoing thyroidectomy. Also results showed that more than half of the patients (67.7%) have an age ranged from 30 to 44 years., most of them (87.5%) were female and more than half (52.5 %) of patients had simple goiter and subtotal thyroidectomy was the most surgical procedure frequently performed. Some patients developed some complications in different times. In conclusion: Nurses showed inadequacy of their performance regarding care of patients undergoing thyroidectomy, and some patients developed postoperative complications and the most prevalent during all times of researcher’s follow up were tetany and recurrent laryngeal nerve injury. Recommendation: Nurses in need for in-services training programs and refreshing courses to improve their knowledge which will reflect into their performance while working with patients.

While complications following thyroidectomy are rare, their consequences can be life-threatening. So nurses must recognized complications that may arise as a result of thyroidectomy.Aim of the study: was to assess nurses' performance for patients undergoing thyriodectomy and post thyroidectomy complications that face those patients. Research questions: What is the nurses' performance for patients undergoing thyroidectomy? and What are the postoperative complications that face patients undergoing thyroidectomy?.Subjects and methods: The study was carried out at general surgery department and out patient clinics of this department at Assiut University Hospital. The sample consisted of 36 (male and female) nurse who were currently assigned for giving care of 40 patients who had undergone thyroidectomy. The methodology is divided into four designs :Technical design,operational design, Administrative design,and Statistical design. Tools utilized for data collection were interview questionnaire sheet, observation checklist for nurses and patient assessment sheet. Results:The results showed that; less than half of nurses (41.7%) have an age less than 40 years old. Nursing diploma was the highest proportion (94.4 %), and none of them got the opportunity of attending any previous training program about nursing care for patients undergoing thyroidectomy. Also results showed that more than half of the patients (67.7%) have an age ranged from 30 to 44 years., most of them (87.5%) were female and more than half (52.5 %) of patients had simple goiter and subtotal thyroidectomy was the most surgical procedure frequently performed. Some patients developed some complications in different times. In conclusion: Nurses showed inadequacy of their performance regarding care of patients undergoing thyroidectomy, and some patients developed postoperative complications and the most prevalent during all times of researcher’s follow up were tetany and recurrent laryngeal nerve injury. Recommendation: Nurses in need for in-services training programs and refreshing courses to improve their knowledge which will reflect into their performance while working with patients.

This study aimed at determining decision making styles used by nurse managers at main Assuit University hospital, and the effect of these styles on technical nurses' job performance. Methods: the sample consisted of 96 technical nurses and 35 nurses managers from medical and surgical units, the data collected using structured questionnaire form and technical nurses performance evaluation sheet. Results: the highest percentage of nurse managers were used authoritarian, and the lowest used delegative decision making style. Performance of technical nurses working with nurse managers who used authoritarian decision –making style was significantly effective in care planning and evaluation of patient condition, while with nurse managers who used participative decision making style was significantly effective in all dimension except evaluation of patient condition. Lastly, with nurse managers used delegative decision making style the staff was significantly effective in implementation of patient care and their role in education, Recommendation: arrange for meetings on regular basis between nurse managers and employees and nurse managers and director of nursing top five feedback about employee performance.

This study aimed at determining decision making styles used by nurse managers at main Assuit University hospital, and the effect of these styles on technical nurses' job performance. Methods: the sample consisted of 96 technical nurses and 35 nurses managers from medical and surgical units, the data collected using structured questionnaire form and technical nurses performance evaluation sheet. Results: the highest percentage of nurse managers were used authoritarian, and the lowest used delegative decision making style. Performance of technical nurses working with nurse managers who used authoritarian decision –making style was significantly effective in care planning and evaluation of patient condition, while with nurse managers who used participative decision making style was significantly effective in all dimension except evaluation of patient condition. Lastly, with nurse managers used delegative decision making style the staff was significantly effective in implementation of patient care and their role in education, Recommendation: arrange for meetings on regular basis between nurse managers and employees and nurse managers and director of nursing top five feedback about employee performance.