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Tracheoesophageal Fistula (TEF) is one of the most serious congenital anomalies in neonates with a high rate of morbidity and mortality that require a very special care pre & post operatively. The Aim of this study was to assess nurses' knowledge and practices regarding care of neonates with tracheoesophageal fistula in neonatal intensive care unit at Assuit University Children Hospital. A descriptive research Design was used to conduct this study. The subjects included a convenient Sample of 40 nurses caring for neonates with TEF who admitted to NICU at Assuit university children hospital. Two Tools were used to collect the necessary data, structured interview questionnaire and observation checklist which were developed by the researcher. Results of this study revealed that (62.5%) of the studied nurses had unsatisfactory level of knowledge regarding care of neonates with TEF while (67.5%) of them had competent level of practices regarding neonates with TEF. There were statistically significant differences between total mean scores of the studied nurses' level of knowledge and practices p=0.045. The study Concluded that nurses had unsatisfactory level of knowledge and competent level of practices regarding neonates with TEF. It was Recommended that implementation of periodical educational programs for nurses working at NICU are mandatory.

Post-operative ileus is a major focus of concern for nurses because it increases duration of hospitalization, cost of care and post-operative morbidity. Aim: this study aimed to determine the efficacy of chewing gum versus early mobilization on bowel motility for children after abdominal surgery. Design: a quasi experimental research design. Subjects and method: a convenience sample of 90 children aged from 6 to 18 years. Setting: this study was conducted at the pediatric surgery unit in Assuit University Children's Hospital. Tools: two tools were used to collect the necessary data, a structured questionnaire and bowel motility monitoring sheet. Method: A pilot study was carried out on 10% of children to test the clarity and applicability of the sheet. Results: revealed that (56.7%) of the chewing gum group and (43.3%) of the early mobilization group return their bowel sound during 12-<24 hrs, time to return of bowel sound, passage of first flatus, first feces, return of appetite, time of liquid and regular diet were statistically significant difference in the chewing gum group while only time to passage of first flatus and first feces were statistically significant difference in the early mobilization group. Conclusion: it was found that chewing gum was slightly more effective than early mobilization but the difference was not statistically significant. Recommendation: the use of chewing gum and early mobilization as routine interventions to improve bowel motility for children after abdominal surgery.

Early mobilization may exert a mechanical stimulation of intestinal function. Generally it is believed that early mobilization aids in the restoration of normal bowel function after abdominal surgery. Aim: this study aimed to determine the efficacy of early mobilization on bowel motility for children after abdominal surgery. Design: a quasi experimental research design was used to conduct this study. Subjects and method: a convenience sample of 60 children aged from 6 to 18 years. Setting: this study was conducted at the pediatric surgery unit in Assuit university children hospital. Tools: three tools were used to collect the necessary data, a structure questionnaire, child's mobilization and bowel motility monitoring sheet. Results: revealed that (100%) of the studied group walked three time per day while only (6.7%) in the control group during the post-operative day zero, time to passage of first flats and passage of first feces was statistically significant difference P=0.032* P=0.015* respectively. Conclusion: the early mobilization had beneficial effect on early passage of flatus and feces in children after abdominal surgery. Recommendations: training educational program for the nurses about early mobilization after abdominal surgery, this study should be replicated and expanded to include a larger sample.