Smartphone addiction has emerged as a major concern among children over the past few years and incredibly increase with the outbreak of COVID-19, making a greater threat to their physical and mental health. This study aimed to assess the prevalence of smartphone addiction and its relation to bullying victimization, sleep problems, and depression among children. Sample: a total of 300 children (102 boys and 198 girls), 9-14 years old participated in the study. Setting: This study was conducted at two schools (Salka primary school, and 'Salka' preparatory school) in Salka village, Shpin Elkom city, Menoufia Governorate, Egypt. Tools: Four tools were used for data collection. Tool 1 consists of two parts. Part one was sociodemographic data questionnaire and part two was Smartphone Addiction Inventory Scale. Tool two: Children’s Sleep Habits Questionnaire (CSHQ). Tool three: School Bullying/Victimization Scale. Tool four: Center for Epidemiologic Studies Depression Scale (CES-D). Results: According to the cut-off level on the smartphone addiction, sleep quality, depression, and bullying scales, of the 300 children, 209(69.67) were addicted to smartphones and 246 (82%) have poor sleep quality, 264 (88%) were depressed and 249 (84.41%) were bullied.

Infiltration and Extravasation injury resulting from administration of intravenous therapies via peripheral intravenous catheters or central venous catheters, newborns and children are more exposed to infiltration and extravasation injuries. Aims: Evaluate the effect of evidence based guideline for prevention and management of infiltration and extravasation on neonatal nurses Adherence. Evaluate the effect of implementing evidence based guideline on the incidence rate of intravenous infiltration and extravasation among studied neonate . Setting, The study was conducted at (neonatal intensive care units) at Shebin EL Kom teaching hospital and Tala central hospital at Menoufia Governorate. Sample: Convenience sample of 30 nurses and Purposive sample of 30 neonates were obtained from the previously mentioned neonatal intensive care units. Tools , four tools were used for data collection tool one: Structured Interview Questionnaire. was utilized to identify nurses' knowledge about intravenous infiltration and extravasation, tool two was an clinical practices guideline adherence scale to assess nurses practices about prevention and management intravenous infiltration and extravasation, tool three include the intravenous infiltration assessment scale, tool four include extravasation assessment scale. The results of this study showed, the highest percentage of nurses had significantly high knowledge and practices regarding adherence to evidence base guideline of prevention and management of intravenous infiltration and extravasation on posttest than pre test ,in addition, marked decrease in the incidence rate of Infiltration and extravasation between neonates on the posttest than pretest with no statistical significant differences . Conclusions implementation of evidence-based clinical practices guideline regarding prevention and management of intravenous infiltration and extravasation significantly increases nurses' knowledge and practices regarding adherence to evidence base guideline, Also, it decreased the incidence rate of intravenous infiltration and extravasation among studied neonate. Recommendation: continuous training of evidence based clinical practices guideline should be established in each neonatal unite to enhance nurses' adherence regarding intravenous infiltration and extravasation prevention and management.

Medication safety means freedom from preventable harm associated with medication. Medication errors are considered the most common gap in safety that occurs in hospital settings, which, increase children mortality rate. For this reason. The purpose of this study was to evaluate the effect of children medication Safety strategies on medication errors among pediatric nurses. The design of this study was quasi experimental design. The setting: the study was conducted at the Pediatric Department in Menoufia University Hospital and Shebin El-kom Teaching Hospital. Sampling: A convenient samples of 50 nurses were obtained from the previous mentioned settings. Instruments: Three instruments were used; Instrument one contained structured interview questionnaire sheet was utilized to identify nurses' knowledge about medication administration safety. Instrument two was an observation checklist to observe nurses preparation for medication administration and detecting medication errors. Instrument three includes medication safety audit list for nurses. The results of this study showed that errors in the administration of medication occurred between 2% of nurses post intervention instead of 14% pre intervention, Also there were significant improvement in nurses' knowledge for medication safety on posttest and follow-up tests(13.64 ± 2.09) and (12.58 ± 1.6) respectively than on pretest(8.02 ± 3.7). Also, nurse's practices were improved after the implementation of safety strategies related to medication administration. Conclusions, implementation of safety strategies reduced medication errors and improved nurses' knowledge as well as practices regarding medication administration safety. Recommendation: applying medication Safety strategies to all pediatric units to improve nurses' knowledge and practices regarding medication safety.

Background: Chronic kidney disease is a progressive deterioration of kidney functions which associated with metabolism, fluids and electrolytes disturbances. In addition, impairment of growth and development. Purpose: it was to examine the effect of nutritional guidance on parents' awareness and nutritional status of children undergoing hemodialysis. A Quasi-experimental design was utilized. Setting: Pediatric Hemodialysis Unit, EL-Menoufia University Hospital in Shebein El-kom city. Sample: purposive sample of 30 children and their parents were included in the study. Instruments for data collection:three instruments were used, instrument one; A structured interview questionnaire developed by the investigators to collect data regarding the study consists of 2 parts: 1st part: socio demographic data of children, 2nd part: Parents' knowledge toward chronic kidney disease; instrument two was anthropometric measures and 24 hours dietary recall; instrument three was a structured interview questionnaire to assess parents awareness about nutritional requirements of their children. The results of this study showed that, more than half of children were under weight, around two thirds of children achieved normal weight on follow up test. The study concluded that implementation of nutritional guidance improved parents' awareness about adequate nutrition for their children and improved nutritional status of children undergoing hemodialysis on post and follow up tests than on pretest. Therefore, it was recommended that regular nutritional assessment of children should be maintained throughout their hemodialysis period and nurses should provide nutritional education for their mothers.

Background: Chronic kidney disease is a progressive deterioration of kidney functions which associated with metabolism, fluids and electrolytes disturbances. In addition, impairment of growth and development. Purpose: it was to examine the effect of nutritional guidance on parents' awareness and nutritional status of children undergoing hemodialysis. A Quasi-experimental design was utilized. Setting: Pediatric Hemodialysis Unit, EL-Menoufia University Hospital in Shebein El-kom city. Sample: purposive sample of 30 children and their parents were included in the study. Instruments for data collection:three instruments were used, instrument one; A structured interview questionnaire developed by the investigators to collect data regarding the study consists of 2 parts: 1st part: socio demographic data of children, 2nd part: Parents' knowledge toward chronic kidney disease; instrument two was anthropometric measures and 24 hours dietary recall; instrument three was a structured interview questionnaire to assess parents awareness about nutritional requirements of their children. The results of this study showed that, more than half of children were under weight, around two thirds of children achieved normal weight on follow up test. The study concluded that implementation of nutritional guidance improved parents' awareness about adequate nutrition for their children and improved nutritional status of children undergoing hemodialysis on post and follow up tests than on pretest. Therefore, it was recommended that regular nutritional assessment of children should be maintained throughout their hemodialysis period and nurses should provide nutritional education for their mothers.