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Background: autonomous decision making (DM) is a positive concept for novice graduate nurses (NGNs) influencing job satisfaction, retention and quality of care. They have to exercise judgments and DM skills through learning DM process to act independently and autonomously. Aim: to assess, design, implement, and evaluate an enforcement educational management program on autonomous clinical and managerial decision making for novice graduate nurses. Setting: study was conducted at Tanta University and El Menshawy Hospital. Subjects: all (90) novice graduate nurses working in above mentioned setting. Tools: Three tools were used including decision making autonomy assessment scale, decision making and principles of autonomy knowledge test and educational enforcement program on decision making and autonomy principles. Results: Pre programs, all NGNs have low level of DM autonomy in clinical and managerial decisions and had poor level of knowledge about DM autonomy principles. Post program, (95.5%) of NGNs had good level of knowledge. NGNs (12.3% and 24.4%) had moderate level of managerial and clinical DM autonomy respectively. Conclusion: NGNs at two hospitals not having the authority and autonomy for making clinical and managerial decisions. Additionally, had lacking knowledge about decision making autonomy principles and facing organizational obstacles that limit their autonomy in DM. Post program, NGNs' knowledge and skills about autonomous DM improved. Recommendations: updating the structure of NGNs' job description including their involvement in decision making. Stress active managerial support to NGNs to improve their decision-making skills and become independent in clinical and managerial decisions.

Background: Nurses intern need to possess professional behavior, critical thinking, illness and injury prevention, relationship and caring, and clinical skills competencies. Self-evaluation of their actual competency needs at the beginning of their professional practice is very important. Aim: to assess nurses intern selfevaluation of their practice competency level. Setting: The study was conducted at Tanta main University Hospital. Subjects: Sample was included 286 nursing interns during their internship year training in (7) intensive Care Units. Tool: The collection of data was achieved by using practice competency self-evaluation tool which is based on nursing practice standard. Results: The majority of nurses intern were evaluated themselves with a high competency level in dimensions of clinical skills, relationship and caring, and professional behavior competency. Conclusion: A highly significant correlation exist between each competency and others. Recommendations: It is important to promote self-evaluation for nurses intern during their internship year, periodical evaluation of the interns' competency, making feedback and enforcement of knowledge and skills is necessary.

Background: Situational leadership demonstrated when the leader chooses behavior style suitable with maturity level of followers. Through emotional intelligence nursing leaders can focus on followers emotions as part of the leadership process.