Background: Arteriovenous fistula (AVF) has been known as the gold standard for hemodialysis. It provides good blood flow for dialysis lasts longer than other types of access and is less likely to get infected or cause blood clots than other types of access. Educational program are important for nurses working in hemodialysis units to improve patient outcomes and reduce healthcare costs. The aim was to evaluate the effect of educational program on nurses' performance regarding arteriovenous fistula among hemodialysis patients. Design: a quasi-experimental design was used. Setting: The study was conducted at the hemodialysis unit at Zagazig University Hospital. Subjects: A convenient sample of all available nurses (40 nurses) who are working in the previously mentioned setting. Tools of data collection: Two tools were used: Tool I Structured interviewing questionnaire and II: Observational checklists. Results:The study result revealed that most of the studied nurses had a satisfactory level of knowledge and most of them had competent levels of practice after the educational program implementation. There were highly significant improvements in the studied nurses' knowledge and practice post-educational program (P<0.001). There was a positive significant correlation (P=<0.005) between nurses' knowledge and practice post-educational program at (p< 0.001). Conclusion: The educational program had a positive effect on improving nurses' knowledge and practices level regarding arteriovenous fistula among hemodialysis patients. Recommendations: Provide continuous in-service training and regular educational programs regarding arteriovenous fistula care for the nurses in hemodialysis units.

Background: A mind map is an educational strategy for breaking down a large amount of information into manageable chunks and helping students absorb a huge amount of knowledge. An infection is the invasion of a susceptible host by potentially harmful organisms (pathogens), resulting in disease. The aim was to evaluate the effectiveness of the mind mapping strategy on nurses' knowledge and practice regarding infection control measures in the operating room.

Background: Renal stone disease is a significant public health burden around the world. Increasing nurses' awareness about the variables risk that influence disease progression in patients with urinary tract stones is an important aspect of controlling and improving the quality of life among those group of patients. Aim: The study aimed to evaluate the effect of online education on nurses' performance caring for patients with kidney stones. Design: A quasi-experimental research design was used (pre/post-test). Setting: The research was carried out in the Urology and Nephrology Unit at South-Vally University Hospital. Sample: A convenient sampling included all 50 registered nurses were worked in the previously mentioned setting. Tools: Two tools were used for data collection: Tool (I) Nurses' interview questionnaire included Part (1) demographic characteristics of the studied nurses, Part (2) Nurses' knowledge assessment questionnaire, and Tool (II) Assessment of nurses' reported practices regarding caring of patients with kidney stones. Results:The study revealed that nurses' Mean ± SD of age were (25.3 ± 2.8) and 60% of them were female. A statistically significant difference and improvement was found between nurses' knowledge and reported practices caring for patients with Kidney Stones post-online education than before. Also, a statistically significant correlation was observed between nurses' knowledge and reported practices post-online education. Conclusion: The study results concluded that online education had positive effects on improving nurses' performance caring for patients with kidney stones. Recommendations: Providing online education for nurses' performance caring for patients with kidney stones is recommended to improve their knowledge and reported practices.

Headache pain, anxiety, and Fatigue are recognized as one of the most common and distressing adverse effects among patients with brain tumors. Aim was to evaluate the effect of the nurse-led intervention on headache pain, anxiety, and fatigue level among patients with brain tumors. Subjects and method: Design: A quasi-experimental research design was used to fulfill the aim of this study. Setting: the research was conducted in the neurosurgery department at Mansoura University Hospital. Subjects: A purposive sample of 50 adult patients was included. Four tools were used: Tool (I) a structured interview questionnaire (II) a numerical pain rating scale, (III) a State-Trait Anxiety Inventory, and Tool (IV) a Fatigue assessment scale. Results: The current study revealed that there was a highly statistically significant difference and reductions in headache pain mean scores post-nurse-led intervention at (P= <0.05). Also, the study demonstrated that there was a highly statistically significant difference in anxiety scores post-nurse-led intervention with (P= <0.001). Highly statistically significant differences and reductions were detected between fatigue mean scores pre and post-nurse-led intervention with (P= <0.001). Conclusion: The nurse-led intervention had a positive effect on headache pain, anxiety, and fatigue level among patients with brain tumors. Recommendations: The nurse-led intervention regarding brain tumors should be conducted, discussed, and integrated into the rehabilitation programs.

Background: chronic pruritus is a common complaint among patients with skin diseases, which impacts on the quality of life. Aim: to evaluate the effect of implementing nursing guidelines about pruritus on patients with skin diseases. Design: A quasi-experimental research design was used. Setting: The study was conducted at the department of Dermatology and the outpatient clinic of dermatology at Beni-Suef University Hospital. Sample the study included a convenient sample of 80 patients with chronic pruritus. Tools of data collection: Three tools were used. Tool (I): A structured interview questionnaire included three parts; part 1. patients' demographic characteristics e.g., age, sex, education level, part 2:patients 'clinical data to assess health condition and part 3 patients 'level of knowledge about pruritus Tool (II): Pruritus area Severity Index (PASI) for assessing severity of pruritus & tool (III): Dermatology Life Quality Index (DLQI) to assess the health-related quality of life of adult patients suffering from a skin disease Results: nursing guidelines implementation showed a significant difference on patients level of knowledge, Pruritus area Severity Index and QOL among patients with skin diseases with p value = <0.05, Also there was highly statistically significant correlation between Knowledge score, Dermatology life quality Index (DLQI) and PASI score with p-value = <0.001 Conclusion: application of nursing guidelines are appropriate way to improving patients level of knowledge, quality of life and decreasing severity of chronic pruritus among patients with skin diseases. Recommendations: This study recommend implementing nursing guidelines about pruritus as part of the routine primary care service provided for patients with skin diseases.