Oral mucositis is a distressing complication of chemotherapy-induced toxicity in cancer patients, it effect on the well-being of patients, demonstrating its negative impact on patients’ quality of life, and may lead to dose reduction among patients. Hence, the present study was conducted to evaluate the effect of educational guidelines on reducing chemotherapy induced oral mucositis based on patients' needs assessment. A quasi-experimental research design (pretest and posttest) has been conducted to achieve the aim of this study. This study was conducted in the inpatients' department at Radiotherapy and Nuclear Medicine Department, affiliated to Ain Shams University. A purposive sample of 70 adult patients was selected based on certain inclusion criteria. A structured interview questionnaire, Oral assessment guide, and Patients' health condition assessment (Patient-related outcomes PROMs) are methods used to collect the data among the studied patients. There was statistically significant improvement in the post-test implementation of educational guidelines as regard patient's mouth care practice with p-value <0.001 and 88.6% of the patients had healthy oral cavity and didn't have any degree of oral mucositis. This study revealed the implementation of educational guidelines has a positive effect on the reducing chemotherapy induced oral mucositis for the patients undergoing chemotherapy.

Background:The COVID-19 pandemic has resulted in day-to-day significant existential stress associated with the loss of many patients, colleagues, or loved ones. Health Care Workers (HCWs) are the frontline defense in our war against COVID-19 and a high risk of infection. Aim: to assess risk factors among health care workers suffering from corona virus-19 in Beni Suief hospital in Egypt. Design: A descriptive exploratory research design was used in the current study. Setting: This study was conducted in all units in Beni Suief hospitals in Egypt. Sample: A convenient sample of 107 healthcare workers (8 physicians, 14 registered nurses, 70 technical nurses, 2 radiologists , 1 physical therapist, 1medical engineer devices 1, 2 pharmacists, 4 laboratory personnel, 2 cleaners and 3 others) who were previously affected by COVID-19. Tools: An interviewing questionnaire was used for data collection, which included seven parts. Results: Regarding factors affecting HCWs who were diagnosed with COVID-19, 97.20% were present when any aerosol-generating procedures which performed on the patient, 85.05% had direct contact with the environment where the confirmed COVID-19 patient was cared for, e.g. bed, linen, and 80.37% had face-to-face contact (within 1 meter) with a confirmed COVID-19 patient in a health care facility, while 78.50% were providing direct care to a confirmed COVID-19 patient in a health care facility, and 67.29% had interactions with multiple COVID-19 patients in health care facilities. Conclusion: Regarding factors affecting HCWs who were diagnosed with COVID-19, most of them were present when any aerosol-generating procedures were performed on the patient, had direct contact with the environment where the confirmed COVID-19 patient was cared for, e.g. bed, linen, had face-to-face contact (within 1 meter) with a confirmed COVID-19 patient in a health care facility, providing direct care to a confirmed COVID-19 patient, and had interactions with multiple COVID-19 patients in a health care facility. HCW are exposed to the hazards that put them in danger of infection. Hazards include exposure to patients with high viral load, long working hours, Psychological distress and dilemmas ,burnout from fatigue, stigma, and physical violence. Recommendations: Provide job-or task-specific education and training on preventing transmission of infectious agents. Expanding protective measures as digitalized or telemedicine services could potentially reduce patient contact and thus risks for infection.

Background: Nursing students are the future of health care providers, their quality of training and teaching will definitely affect the outcomes of their clinical services provided to patients, so their knowledge, attitude and health preventive behaviors will definitely affect the prevention of COVID19. Aim of the study: to assess the preventive health behaviors among faculty of nursing students regarding COVID19. Research design: A descriptive exploratory research design was utilized. Setting: The study was conducted in seven different scientific department of faculty of nursing affiliated to Ain Shams University. Study subjects: A stratified sample of all faculty (360) nursing students of different specialties during academic year 2020-2021. Data collection tools: Nursing Students selfadministered questionnaire which composed of (demographic characteristics and nursing Students knowledge regarding COVID19), COVID19 preventive health behaviors scale Tool &Attitude scale regarding corona virus. Results: 47.8% of the studied students had average level of total knowledge about the COVID19. 50.5% of the studied students had average performance of total preventive health behaviors regarding COVID19,55% of the studied students had positive attitude regarding COVID19. Conclusion: there was highly significant positive correlation between students' knowledge, preventive health behaviors and their attitude regarding COVID19.Recommendation: Preventive health behavior courses should be included in the curriculum of all departments at faculty, educational programs and workshops about the preventive health behavior about COVID-19 for faculty students at certain intervals, the study should be replicated on different universities in order to generalize the results.

Background: Subglottic suction in the intensive care unit (ICU) potentially improve the outcomes of patients need mechanical ventilator (MV) more than 48 hours. Aim: This study aimed to assess nurse's performance regarding subglottic suction. Design: A descriptive explorative design was utilized for the conduction of this study. Setting the study was carried out in intensive care unit (ICU) of Beni-Suef University Hospital.The sample of the study. A convenient sample of 35 nurse. Tools for Data collection. Tool (I) Nurses' Self-administered Questionnaire: Tool (II) Nurses' practice observational Checklist (Appendix II). Results: The main results revealed that: mean age of nurses under study was 28.3±7.33, while 65.7% of the studied nurses were male and 71.4% of them were Technical institute nursing graduates and revealed that,0 % of the studied nurse's had satisfactory level of knowledge about subglottic suction and 2.9of the studied nurses had satisfactory level of practice about subglottic suction. Positive correlation between nurses knowledge, practice and demographic data of nurses under study. Conclusion, based on the findings of the current study, it can be concluded that majority of the nurses were having an unsatisfactory (knowledge, and practice) regarding subglottic suction, and positive correlation between nurses knowledge, practice and demographic data of nurses under study which supported the research question. Recommendations: Develop and implement an educational program based on nurses' learning needs. Assess patients' for ventilator associated pneumonia (VAP) after implementation of the educational program.

Background: Oral mucositis is a major chemotherapy-induced problem that may cause disturbing pain, the inability to tolerate food, infection, and negative effects on the quality of life. Oral mucositis also may entail chemotherapeutic drug dose reduction among patients, in turn reducing their cancer survival rates. Therefore, needs assessment enables the prevention or at least reduction of problems through appropriate early intervention. Aim: This study aimed to assess needs for patients having chemotherapy induced oral mucositis. Design: A descriptive study design was utilized to achieve the aim of this study. Setting: The study was conducted in the inpatients'