Background: Blended learning is an advanced model that encompasses the advantages of both traditional teaching in the classroom, Information and Communication Technology supported learning. Blended learning requires rigorous efforts, right attitude, handsome budget and highly motivated teachers and students for its successful implementation. Aim: To assess the nursing students' achievements and satisfaction toward blended learning. Design: A descriptive study design. Setting: Faculty of nursing, Fayoum University. Sample: Convenience sample of 170 nursing student at third level maternity department. Tools: three tools were used to collect study data, structured interviewing questionnaire, Academic achievement form and Student Satisfaction questionnaire. Results: More than half of studied students were female, more than three quarter of them uses smart phones, more than half of students have high achievement score is excellent, majority of students were satisfied with blended learning. There were highly statistically significant between total satisfaction, total achievement and statistically significant between demographic characteristics, achievement and satisfaction. Conclusion: more than half of students with high total achievement score are excellent, about sixty percent were satisfied toward blended learning, and also, there is highly statistically significant between total satisfaction and total achievement. Recommendation: Involve blended learning as alternative plan at the time of crisis.

Background: Ileus commonly happens post abdominal surgery and is associated with complication and may delay recovery. The study is hypothesized that chewing gum decreases postoperative ileus by improving early recovery of gastrointestinal function. Aim: The study aims to investigate the effect of chewing gum on the postoperative recovery of gastrointestinal function after gynecological and abdominal surgery. Methods; Design: A quasi-experimental research design. Setting: the study was conducted at the general surgery department, and gynecological department at the university hospital in El Fayoum city. Subjects: a purposive sample of 60 postoperative women. Tools: Data collection tool consists of structured interviewing schedule, post-operative assessment sheet, and patient satisfaction of using gum. Results there was significant difference between two groups according to patient's performance after surgery, also there was significant difference between two groups as regarding vomiting time, abdominal distention and amount of oral fluid intake. Conclusion: the study conclude that chewing gum is an accessible, effortless, safe, harmless, cheap, and effective method in declining ileus and accelerating gastrointestinal recovery after gynecological and abdominal surgery. Recommendations: Chewing sugar-free gum should be added in the protocol of nursing care after gynecological and abdominal surgery in the surgery units.