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Background: Enteral feeding is the prioritized method of administrating nutrients in high-risk neonates. The current study aims to assess nurses' knowledge and practices toward enteral feeding and its effect on selected high-risk neonates' outcomes. Subjects and Method: A descriptive exploratory research design was conducted in Neonatal intensive care unit at Beni-Suef University and general Hospitals in Beni-Suef city, Egypt. A purposeful sample of neonatal pediatric nurses responsible for providing direct care for high-risk neonates (70 nurses) at Beni-Suef University and general hospitals during data collection and neonates were utilized in this study. Three data collection tools were utilized in this study: Tool I: Nurses' knowledge questionnaire, Tool II: Nurses practice checklist, and Tool III: neonatal outcomes. Results: nearly two-thirds and nearly half of the studied nurses had unsatisfactory knowledge and practice regarding enteral feeding of high-risk neonates. Also, moderate effect between acute increase of abdominal girth after 2 hours in the 3 rd day of the study with nurses' knowledge and practice toward enteral feeding of high-risk neonates and hospital duration of high-risk neonates at the 3 rd and 4 th days of the study with nurses' practice. Conclusion: nurses' knowledge and practices about enteral feeding of high-risk neonates had a moderate effect on the acute increase of abdominal girth after 2 hours in the 3 rd day. Recommendation: periodically implementing of health education training toward enteral feeding high-risk neonates to enhance their knowledge and practices and reduce effects on high-risk neonates' outcomes.

Sensory Motor Stimulation is one of the first coordinated muscular activities in the fetus. This study aimed to evaluate the effect of sensory-motor stimulation on enhancing the oral feeding readiness of preterm neonates. Subject and Method: A quasi-experimental design was utilized and conducted in the neonatal intensive care unit at Minia University Hospital for obstetrics and pediatrics. A purposeful sample of 140 preterm neonates and one tool was used in the current study which includes: Personal data of the preterm infant, such as gender, post-natal age, and premature oral feeding readiness assessment scale. Results: More than one-third of the study and control groups gestational age ranged between 34 -35 weeks. Mean scores of premature oral feeding readiness were increased in the study group than the control group, especially on the third and fourth days of the intervention with statistically significant differences. In addition, more than onequarter of the preterm neonates in the study group begins oral feeding within 4 -6 days of admission. Conclusion: Sensory motor stimulation is an effective technique for enhancing premature oral feeding readiness of stable premature neonates as evidenced by the improvement of the mean scores of premature oral feeding readiness assessment scale items and decreasing the time needed for the onset of full oral feeding. Recommendation: Provide nursing training for all nursing staff in the neonatal intensive care unit about Sensory Motor Stimulation for premature neonates.

Advocacy is explained in concrete acts such as helping the patient access needed healthcare facilities, assuring the quality of treatment, defending the patient's interests, and acting as a coordinator for the patient and the health care environments. Aim: Assess pediatric nurses' awareness regarding protective child advocacy and rights in the hospital. Method: A descriptive exploratory research design was utilized, and a convenient sample of 103 nurses at the in-patient pediatric ward, neonatal intensive care unit, and pediatric intensive care unit at Minia university hospital for obstetric and pediatric hospital, Minia health insurance hospital, and Misr-El-Hora general hospital affiliated to the Ministry of Health hospital. One tool was used, which included two parts, part Ⅰ: Demographic data for nurses. Part Ⅱ: Nurses' awareness about the protective child advocacy scale and child rights Results: Most of the studied nurses had good awareness of child advocacy and rights, and the minority had fair awareness. All the studied nurses aged between 30-< 35 years and 40-45 years had good awareness about child advocacy, and all the studied nurses who had bachelor's degrees had a good level of awareness about child advocacy and rights. Conclusion: Increasing the nurses' age and their educational level provides an opportunity for them to advocate for children and maintain their rights. Recommendation: Conducting training courses for nurses about child advocacy and their rights is the Ministry of Health's responsibility in the hospital.

Body position enhances oxygen transport by the operational effect of gravity on cardiopulmonary and cardiovascular function. This study was aimed to investigate the effect of knee-chest, semi-sitting, and right lateral position on preterm neonates with respiratory distress syndrome. Subjects and Method: A quasi-experimental research design was utilized, and it was carried out at the Neonatal Intensive Care Unit at the Obstetric and Pediatric Minia University Hospital. A purposive sample was composed of 57 preterm neonates with respiratory distress syndrome. One tool was used, which included two parts: Preterm bio-demographic data and an assessment sheet for monitoring respiratory system functions. Results: The knee-chest position significantly improved respiratory rate, decreased heart rate, and increased oxygen saturation flowed by the right lateral position. Also, improvement of respiratory rate, heart rate, and oxygen saturation when using knee-chest position in the items of newborn age, gestational age, and birth weight at P-value <0.0001 and improved oxygen saturation when using semi-sitting. Conclusion: Both knee-chest and right lateral positions effectively improve the respiratory system function among preterm neonates with respiratory distress syndrome compared to a semi-sitting position.Recommendation: Program education for neonatal nurses about applying for knee-chest position among incubated preterm infants with respiratory problems.