Epilepsy is a manifestation of brain neural hyper excitability. It is a symptom complex eNS disorder of a variety underlying etiologic causes. Seizures occun'ing across the spectrum of age, gender, race, and economic background. The aim of the study was conducted to investigate the impact of counseling program for adolescent and adult epileptic patients and their family also implement and evaluate the out come of a counseling program for the families and epileptic adolescent and adult. The study was carried out in epileptic out patient clinic of Assiut University Hospital. The design is descriptive design (pre, post, and follow up after six months). The total of epileptic adolescent and adult 100 and 50 families of epileptic patients. Two tools were used to collect data 1- Questionnaire sheet to assess family and epileptic adolescent and adult knowledge and care for epileptic. 2- Structured observations check list to assess family performance during se izures. 46% of male and female epileptic adolescent and 43% ranged from 18-40 years of male and female epileptic adult. Overall 20% ranged from 40-50 years. The occupation and education were associated significantly with epileptic adolescent and adult knowledge. This difference was statistical significant. On the other hand, there was significant decrease in the trend of total prevalence of epilepsy due to environmental, hereditary and trauma. The study recommended: Establish a counseling health team to guide the family of the epileptic adolescent and adult health education to effect significant on patients knowledge, performance related to care of epilepsy and recommended to conduct an applied training program on care of epileptic adolescent and adult to the nurses to educate them for every epileptic patients.

Epilepsy is a manifestation of brain neural hyper excitability. It is a symptom complex eNS disorder of a variety underlying etiologic causes. Seizures occun'ing across the spectrum of age, gender, race, and economic background. The aim of the study was conducted to investigate the impact of counseling program for adolescent and adult epileptic patients and their family also implement and evaluate the out come of a counseling program for the families and epileptic adolescent and adult. The study was carried out in epileptic out patient clinic of Assiut University Hospital. The design is descriptive design (pre, post, and follow up after six months). The total of epileptic adolescent and adult 100 and 50 families of epileptic patients. Two tools were used to collect data 1- Questionnaire sheet to assess family and epileptic adolescent and adult knowledge and care for epileptic. 2- Structured observations check list to assess family performance during se izures. 46% of male and female epileptic adolescent and 43% ranged from 18-40 years of male and female epileptic adult. Overall 20% ranged from 40-50 years. The occupation and education were associated significantly with epileptic adolescent and adult knowledge. This difference was statistical significant. On the other hand, there was significant decrease in the trend of total prevalence of epilepsy due to environmental, hereditary and trauma. The study recommended: Establish a counseling health team to guide the family of the epileptic adolescent and adult health education to effect significant on patients knowledge, performance related to care of epilepsy and recommended to conduct an applied training program on care of epileptic adolescent and adult to the nurses to educate them for every epileptic patients.

Epilepsy is a manifestation of brain neural hyper excitability. It is a symptom complex eNS disorder of a variety underlying etiologic causes. Seizures occun'ing across the spectrum of age, gender, race, and economic background. The aim of the study was conducted to investigate the impact of counseling program for adolescent and adult epileptic patients and their family also implement and evaluate the out come of a counseling program for the families and epileptic adolescent and adult. The study was carried out in epileptic out patient clinic of Assiut University Hospital. The design is descriptive design (pre, post, and follow up after six months). The total of epileptic adolescent and adult 100 and 50 families of epileptic patients. Two tools were used to collect data 1- Questionnaire sheet to assess family and epileptic adolescent and adult knowledge and care for epileptic. 2- Structured observations check list to assess family performance during se izures. 46% of male and female epileptic adolescent and 43% ranged from 18-40 years of male and female epileptic adult. Overall 20% ranged from 40-50 years. The occupation and education were associated significantly with epileptic adolescent and adult knowledge. This difference was statistical significant. On the other hand, there was significant decrease in the trend of total prevalence of epilepsy due to environmental, hereditary and trauma. The study recommended: Establish a counseling health team to guide the family of the epileptic adolescent and adult health education to effect significant on patients knowledge, performance related to care of epilepsy and recommended to conduct an applied training program on care of epileptic adolescent and adult to the nurses to educate them for every epileptic patients.

This research lunched to determine to what extent decentralization influences nurses autonomy, job satisfaction, and organizational commitment. There are studies which show that decentralization decision making increases productivity, improves moral, increases favorable attitudes, and decrease absenteeism. Decentralization of decision making is often facilitated by participative management strategies whereby individuals thought the organization are given more information, knowledge, and power. This research was conducted in inpatients units Assuit University Hospitals and number of head nurses participated in the study. Data were collected through a questionnaire form including three different tools. The results of the present study revealed that the mean score of head nurses organizational commitment and job satisfaction was and low as regarding to decentralization. There was a direct effect of decentralization on organizational commitment. Decentralization was the only significant predictor of autonomy. Managers should diagnose the organizational situation and select the decision making level that will best meet the organization needs. When determining the optimal degree of decentralization organization, top management needs positive attitudes toward decentralization, they need competent personnel to whom they delegate authority and access information necessary for decision making.

This research lunched to determine to what extent decentralization influences nurses autonomy, job satisfaction, and organizational commitment. There are studies which show that decentralization decision making increases productivity, improves moral, increases favorable attitudes, and decrease absenteeism. Decentralization of decision making is often facilitated by participative management strategies whereby individuals thought the organization are given more information, knowledge, and power. This research was conducted in inpatients units Assuit University Hospitals and number of head nurses participated in the study. Data were collected through a questionnaire form including three different tools. The results of the present study revealed that the mean score of head nurses organizational commitment and job satisfaction was and low as regarding to decentralization. There was a direct effect of decentralization on organizational commitment. Decentralization was the only significant predictor of autonomy. Managers should diagnose the organizational situation and select the decision making level that will best meet the organization needs. When determining the optimal degree of decentralization organization, top management needs positive attitudes toward decentralization, they need competent personnel to whom they delegate authority and access information necessary for decision making.

Workers on the frontlines of healthcare are encountering "disturbing" levels of unchecked violence from both patients and coworkers. Little systematic information has been gathered about what nurse's see as aggression. It was reported that nurses from both academic and clinical settings complained that aggression from colleagues was more problematic to deal with than aggression from patients Negative effects have been observed in terms of lowered performance, deteriorated physical, mental heath and even suicide. This study aims to identify nature and source of workplace violence as perceived by nurses. Also to explore the impact of: workplace violence on the nurses ' behavior and performance. The sample composed of all nurses working at coronary care unit, burn unit, psychiatric unit, emergency unit and a representative sample of nurses working at outpatient clinics of Assuit university Hospital Data were collected by using a structured questionnaire. It included demographic characteristics of the studied sample, items related to the nature and source of violence as well as work place violence behavior and performance checklist that was adopted from (Ferram, 1995). It was that shown that the majority of nurses exposed to verbal violence in different health care settings patients constituted the main source of violence in psychiatric unit. However, physicians and patient's relatives constituted the main source of violence in critical care units and outpatient clinics respectively. Also, it was found that violence has negative impact on nurses' behavior and performance.

Workers on the frontlines of healthcare are encountering "disturbing" levels of unchecked violence from both patients and coworkers. Little systematic information has been gathered about what nurse's see as aggression. It was reported that nurses from both academic and clinical settings complained that aggression from colleagues was more problematic to deal with than aggression from patients Negative effects have been observed in terms of lowered performance, deteriorated physical, mental heath and even suicide. This study aims to identify nature and source of workplace violence as perceived by nurses. Also to explore the impact of: workplace violence on the nurses ' behavior and performance. The sample composed of all nurses working at coronary care unit, burn unit, psychiatric unit, emergency unit and a representative sample of nurses working at outpatient clinics of Assuit university Hospital Data were collected by using a structured questionnaire. It included demographic characteristics of the studied sample, items related to the nature and source of violence as well as work place violence behavior and performance checklist that was adopted from (Ferram, 1995). It was that shown that the majority of nurses exposed to verbal violence in different health care settings patients constituted the main source of violence in psychiatric unit. However, physicians and patient's relatives constituted the main source of violence in critical care units and outpatient clinics respectively. Also, it was found that violence has negative impact on nurses' behavior and performance.

Workers on the frontlines of healthcare are encountering "disturbing" levels of unchecked violence from both patients and coworkers. Little systematic information has been gathered about what nurse's see as aggression. It was reported that nurses from both academic and clinical settings complained that aggression from colleagues was more problematic to deal with than aggression from patients Negative effects have been observed in terms of lowered performance, deteriorated physical, mental heath and even suicide. This study aims to identify nature and source of workplace violence as perceived by nurses. Also to explore the impact of: workplace violence on the nurses ' behavior and performance. The sample composed of all nurses working at coronary care unit, burn unit, psychiatric unit, emergency unit and a representative sample of nurses working at outpatient clinics of Assuit university Hospital Data were collected by using a structured questionnaire. It included demographic characteristics of the studied sample, items related to the nature and source of violence as well as work place violence behavior and performance checklist that was adopted from (Ferram, 1995). It was that shown that the majority of nurses exposed to verbal violence in different health care settings patients constituted the main source of violence in psychiatric unit. However, physicians and patient's relatives constituted the main source of violence in critical care units and outpatient clinics respectively. Also, it was found that violence has negative impact on nurses' behavior and performance.

Health care delivery systems are experiencing dramatic organizational changes. To mange these changes effectively, nursing leaders must understand the social processes that affect employees work-related attitudes, particularly leadership style, psychological empowerment and job satisfaction .This study aims to explore the relationship between the leadership style , empowerment and job satisfaction of nurses. The study subjects included all available staff nurses working at general medical and general surgical units at Assuit University Hospital. The data was collected by using demographic data sheet, T. T leadership style questionnaire, empowerment scale, and job satisfaction questionnaire. The results revealed that two thirds of the staff nurses perceived their head nurses uses transactional leadership style more than transformational leadership style, the level of empowerment was mostly weak 88.5%, and only 11.5% of nurses reported that empowerment as being strong. Also, it was noticed that high percentage of the participants were satisfied with communication and work relationship, also the highest percentage of them were unsatisfied with their salaries and incentives, safety and security. There was a statistical significant negative effect of leadership score on the score of job satisfaction. It is recommended for the head nurses to be aware of how to use the suitable leadership style that empower their staff nurses.

Health care delivery systems are experiencing dramatic organizational changes. To mange these changes effectively, nursing leaders must understand the social processes that affect employees work-related attitudes, particularly leadership style, psychological empowerment and job satisfaction .This study aims to explore the relationship between the leadership style , empowerment and job satisfaction of nurses. The study subjects included all available staff nurses working at general medical and general surgical units at Assuit University Hospital. The data was collected by using demographic data sheet, T. T leadership style questionnaire, empowerment scale, and job satisfaction questionnaire. The results revealed that two thirds of the staff nurses perceived their head nurses uses transactional leadership style more than transformational leadership style, the level of empowerment was mostly weak 88.5%, and only 11.5% of nurses reported that empowerment as being strong. Also, it was noticed that high percentage of the participants were satisfied with communication and work relationship, also the highest percentage of them were unsatisfied with their salaries and incentives, safety and security. There was a statistical significant negative effect of leadership score on the score of job satisfaction. It is recommended for the head nurses to be aware of how to use the suitable leadership style that empower their staff nurses.