Epilepsy is a chronic neurological disorder, which restricts the patient in a range of activities, it has a profound effect on the health and quality of life. Epilepsy may limit the development of independence, social functioning and peer relationships, especially for adolescents it considered a powerful trigger of many psychological and social problems. The pediatric nurse has an important role in helping adolescents to overcome these problems through developing a strategy ensuring the adherence to self-management skills which consequently improve their quality of life. This study aimed to evaluate the effect of an educational program for adolescents with epilepsy on their quality of life and selfmanagement skills. Design: Quasi-experimental design for one group was utilized in carrying out the study at the Pediatric Neurological Unit and Epilepsy Clinic of Mansoura University Children's Hospital, on a sample of 55 adolescents diagnosed with epilepsy for at least 6 months. Data collection Tools: Data were collected by using three tools: Structured Interview Questionnaire Sheet, Quality of Life in Epilepsy for Adolescents Questionnaire and Epilepsy Self-Management Scale. Results: There was statistically significant positive correlation between the studied adolescents' total QOL scores and their total self-management skills scores before implementing the educational program, and after 3 & 6 months of the program implementation. Conclusion: Adolescents with epilepsy had better quality of life and self-management skills after implementation of the educational program. Recommendations: Regular and continuous health educational programs are essential for improving the adolescents' QOL and self-management skills.

Epilepsy is a chronic neurological disorder, characterized by recurrent unprovoked seizures. Epilepsy starts in childhood in 60% of cases and most of the clinically significant aspects of the disease occur during childhood. Parents, especially the mothers, play the most significant role in helping their epileptic children adapt to their condition. This study aimed to assess mothers' management of their epileptic children. The study was conducted at the Epileptic Clinic of Mansoura University Children Hospital. A convenient sample of 100 mothers of children with epilepsy who are diagnosed as epilepsy since at least 6 months and free from other chronic disorders comprised the study sample. Mothers' management of their epileptic children was collected through a structured interview schedule developed by the researcher. Results Half of mothers have total management scores in managing their epileptic children were either "good: or "satisfactory". There were statistical significant differences found between mothers' management scores and their characteristics in area related to education and their level of education, where the older the age and the higher education the better management scores the mothers have. Therefore, educational programs are essential for mothers of epileptic children about care of their children and their community resources. Also, establishing a support group for epileptic children and their mothers is mandatory to support mothers' management.

Background: Enteroscopy is an important diagnostic and therapeutic procedure. In children, adequate bowel preparation is mandatory for imaging and surgery, but tolerability as well as efficacy must be considered. As a result, good bowel preparation before to such procedures is a critical element in the diagnosis, monitoring, and lowering the risk of probable contamination. Aim: The purpose of this study was to assess the importance, efficacy, and safety of care bundles (CBs) in bowel preparation for pediatric enteroscopy. Methods: Between July 2019 and December 2019, Mansoura University Children Hospital enrolled children who underwent electronic enteroscopic surgery in a randomized controlled trial (RCT) under conventional nursing (CN), and between January 2020 and June 2020, children who had the surgery were enrolled under the care bundle trial (CG). All children in both previously mentioned groups were lavaged with a polyethylene glycol electrolyte solution to prepare their bowels (PEG-ELS). The CBs included education for nurses, risk assessment for inadequate bowel preparation, education for children and families, and observation and assessment during preparation. We compared the two groups' satisfaction with hospitalization, comfort and safety, family anxiety levels, and quality of bowel preparation. Results: This study enrolled a total of 83 children, 44 in the CB group and 39 in the CN group. The CB group outperformed the CN group in terms of bowel preparation quality [(8.35±6.86) vs. (4.34±02.75) at P<0.001]. Furthermore, the CB group's anxiety score was substantially lower than the CN group's (3.28±0.85 vs. 5.45±1.78 respectively at P>0.001. Conclusions: The use of care bundles in the bowel preparation of children undergoing enteroscopy had a favorable impact on the quality of preparation and satisfaction with hospitalization, as well as reducing the anxiety of patients and their families. Recommendation: Intensive training and educational programs about the evidence bowel preparation protocols should be considered for surgical nurses and all children and their parents undergoing such procedure as a standard of practice.

Background: Enteroscopy is an important diagnostic and therapeutic procedure. In children, adequate bowel preparation is mandatory for imaging and surgery, but tolerability as well as efficacy must be considered. As a result, good bowel preparation before to such procedures is a critical element in the diagnosis, monitoring, and lowering the risk of probable contamination. Aim:The purposes of this study were to assess the efficacy, and safety of care bundles (CBs) in bowel preparation for pediatric enteroscopy, also evaluate the patients' tolerance and safety regarding it, in addition to assess families' anxiety level, and their satisfaction with hospitalization. Methods: Between July 2019 and December 2019, Mansoura University Children Hospital enrolled children who underwent electronic enteroscopic surgery in a randomized controlled trial (RCT) under conventional nursing (CN), and between January 2020 and June 2020, children who had the surgery were enrolled under the care bundle trial (CG). This study enrolled a total of 83 children, 44 in the CB group and 39 in the CN group as well as included 80 nurses with 40 nurse in each group e. All children in both previously mentioned groups were lavaged with a polyethylene glycol electrolyte solution to prepare their bowels (PEG-ELS). The CBs included education for nurses, risk assessment for inadequate bowel preparation, education for children and families, and observation and assessment during preparation. We compared the two groups' satisfaction with hospitalization, comfort and safety, family anxiety levels, and quality of bowel preparation. Results: The CB group outperformed the CN group in terms of bowel preparation quality [(8.35±6.86) vs. (4.34±02.75) at P<0.001]. Furthermore, the CB group's anxiety score was substantially lower than the CN group's (3.28±0.85 vs. 5.45±1.78 respectively at P>0.001. Conclusions: The use of care bundles in the bowel preparation of children undergoing enteroscopy had a highly statistical significance on the quality of preparation and satisfaction with hospitalization, as well as reducing the anxiety of patients and their families. Recommendation: Intensive training and educational programs about the evidence bowel preparation protocols should be considered for surgical nurses and all children and their parents undergoing such procedure as a standard of practice.

Background: Trauma-informed care includes a range of practices that build a culture of safety, healing, and empowerment. Burns' practices in pediatrics don't fully incorporate traumainformed care (TIC), as the nature, extent, and impacts of trauma are not understood. Nurses are uniquely positioned to provide trauma-informed care, as they care for children in a serious and complex healthcare setting. The study aimed to evaluate the effect of trauma-informed care educational program on nurses' knowledge and practices at the pediatric burn unit. Study design: A quasi-experimental research design using one group (before, immediately after, and 2 months follow-up) was used. Setting: The study carried out at the Pediatric Burn Unit at the Plastic, Reconstructive, and Burn Surgery Center at Mansoura University Hospitals, Egypt. Subjects: A convenience sample of (65) pediatric burn nurses were recruited in the study. Tools: Data were collected using nurses' knowledge structured questionnaire and Nurses' Self-rated competence scale. Results: The study revealed that there was a significant improvement in nurses' knowledge. All nurses showed incompetent score levels of practice before intervention. While the majority of them had a competent level of practice immediately and after two months of intervention. There were highly statistically significant differences in relation to most items of nurses' opinions regarding trauma-informed care before and after the educational intervention. Conclusion: Implementing an educational program about trauma-informed care effectively improved nurses' knowledge and practices about the importance of incorporating both medical and psychological care at the pediatric burn unit. Recommendation: Periodic trauma-informed care training for nurses is needed and should aim to build nurses competence in providing trauma-informed care in different health care sitting.