Background/Objective: Congenital Heart Defects (CHD) remain a major health concern all over the world particularly Egypt where the prevalence of CHD is 1.0 per 1,000. Nurses are instrumental in supplying information. The teach-back method is a technique used for improving patient understanding and outcomes. This study aimed to evaluate the effect of teach-back method on self-efficacy and satisfaction among mothers of children with congenital heart defects. Methods: The design of this study was randomized control trial. A sample of 60 children with congenital heart defects and their mothers participated in this study. It conducted at Menofia University hospital. Tools of this study included Self Efficacy Scale; Teach back Discharge Education Audit and Satisfaction Assessment. Results: The current study revealed that the majority of nurses were unfamiliar with teach-back method and there was a significant difference between mothers in the experimental and control groups regarding their self-efficacy. Conclusions: This study concluded that mothers who received discharge instructions through teach-back method had increased self-efficacy and high level of satisfaction. Therefore, pediatric nurses should integrate teach back method as a routine nursing intervention in the discharge plan for children with congenital heart defects.

Pediatric heart failure (HF) is a complicated clinical illness that has several causes as well as common disease development pathways. The developing evidence clinical pathway will most certainly enhance the outcomes of children with HF in the future. Purpose: effects of application of a nurse driven clinical pathway guidelines on selected health outcomes in children with congestive heart failure. Design: Quasi-experimental research design. Setting: pediatric intensive care unit

Background: Endotracheal tubes (ETTs) and mechanical ventilation (MV) are commonly used in the pediatric intensive care units. Despite being life-saving, they can make patients feel uncomfortable. Purpose: To evaluate the effect of developing nursing practice guidelines on comfort behavior in intubated pediatric patients. Research design: A quasi experimental design. It was carried out at pediatric intensive care unit (PICU) in Menoufia University Hospital. Sample: A convenient sample of 33 nurses and 60 intubated pediatric patients. Instruments: Three data collection instruments were used; structured interview questionnaire, comfort behavior Likert scale and observational checklist for nurses' practice. Results: There were highly statistical significant differences between nurses' knowledge and practices on post intervention compared to pre intervention. As well, intubated pediatric patients who received nursing care based on nursing practice guidelines showed a highly statistical significant improvement in the different levels of comfort behavior (73.3% VS 3.3%). Conclusion: Implementation of nursing practice guidelines improved nurses' knowledge and practices regarding promoting comfort behavior in intubated pediatric patients on post and follow-up tests than on pretest. Also, it contributed to lower levels of discomfort behavior in intubated pediatric patients on posttest than on pretest. Recommendations:The study recommended that ongoing in-service education programs about promoting comfort behavior in intubated pediatric patients should be designed and implemented in all pediatric intensive care units to improve nurses' knowledge and practices on the basis of nurse's actual needs.

Background: Wilson's disease, which most frequently affects children or young adults and has a significant impact on children's quality of life, is the most frequent cause of improper excretion of copper from the body. The aim of the study was to evaluate the effect of comprehensive health promotion intervention on the quality of life among children with Wilson's disease. Methods: A quasi-experimental design was used. Setting: The research was carried out at the outpatient clinic of pediatrics at the National Liver Institute at Shebin Elkoom city. Sample: A purposive sample of 44 children with Wilson's disease was selected from the previously mentioned setting. Tools: three instruments were used for data Collection: a structured interview questionnaire, Precede-proceed model questionnaire, and the Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scale. Results: the mean scores of all quality of life aspects (physical, emotional, social, and school functioning) of studied children had improved on the post and follow-up tests than on the pretest. As well, children with Wilson's disease who received comprehensive health promotion intervention based on the PRECEDE-PROCEED model had stronger predisposing factors, reinforcing and enabling factors on post and follow-up tests than on pretest. Conclusion: Comprehensive health promotion intervention was successful in improving the quality of life among children with Wilson's disease. Recommendation: This study recommended the integration of a model-based comprehensive health promotion intervention program, PRECEDE-PROCEED, into the outpatient clinic of pediatrics for children with WD and their families.

Background: Preterm infants are frequently subjected to many painful procedures. One of the valuable strategy of non-pharmacological methods that helps the preterm infant to manage procedural pain is the facilitated tucking position. The aim of this study was to examine the effect of facilitated tucking position on preterm infants' pain and suction duration during endotracheal suctioning. The design of this study was randomized controlled crossover design. It was carried out at neonatal intensive care unit in El Gamea El Sharea Center and Shebin El-Koom Teaching Hospital at Shebin El-Koom City. Sample: A purposive random sample of 30 premature infants was selected from the settings mentioned previously. Instruments: Three data collection instruments were used; preterm infant's assessment sheet, preterm infant pain profile and Suction Duration assessment sheet. Results: preterm infants with intervention had shorter suction duration (14.60 ± 3.32 VS 18.93 ± 4.37), lower pain score (9.20 ± 3.03 VS 13.03 ±3.10), more physiological stability, mean maximum heart rate (9.96 VS 16.80) and mean minimum oxygen saturation (3.73 VS 5.93). It was concluded that, infants who were in facilitated tucking position during endotracheal suctioning experienced more physiological stability, lower pain score and shorter suction duration compared to preterm infants who was received routine endotracheal suctioning. So, it was recommended that facilitated tucking position could be included in standard daily care during painful procedures for preterm infants.