Background: Patients post-cardiac surgeries are developed restrictive pulmonary impairment postoperatively. Different respiratory modalities are used to reduce pulmonary complications. Aim: to compare between patients using different respiratory modalities post-cardiac surgeries regarding pulmonary complications rate. Design: Descriptive comparative research design. Subject: 150 patients post-cardiac surgeries, divided into three groups (A, B & C), 50 for each group. Group (A) practiced deep breathing and coughing exercises, Group (B) used incentive spirometer and the group (C) used all previous respiratory modalities. Setting: This study was conducted at cardiovascular hospital affiliated to Ain Shams University. Tools: Patients' demographic & clinical data form and postoperative pulmonary complications assessment sheet. Results: The studied patients post-cardiac surgeries in group (C) who practiced different respiratory modalities had lower post-operative pulmonary complications rate than the patients in other groups (A & B) with statistical significant difference < 0.01. Conclusion: Using of different respiratory modalities had significant positive effective on reducing post-operative pulmonary complication rate among patients post-cardiac surgeries. Recommendation: the importance of using different respiratory modalities for all patients' post-cardiac surgeries in other setting.

Background: Burn injuries are considered worldwide one of the leading causes of injury' morbidity and mortality. Burn affect patient's physically, psychologically and socially. Aim: This study aimed to assess biopsychosocial & educational needs of patients with burn injuries Design: A descriptive exploratory study was utilized to conduct the study. Setting: This study was conducted at inpatient burn care unit at Kafr El-Dwwar General Hospital. Sample: A convenience sample of all available adult patients (n=104) from both gender with 2 nd and 3 rd degree burns, Tools: four tools used to collect data 1: Patients interview questionnaire. II: physical needs assessment sheet. III: Psychological needs assessment sheet &.IV: Social needs assessment sheet. Results: the study results showed that, 37.5% of the studied patients their age ranged between 20-<30, 71.2% of them had unsatisfactory level of knowledge, 68.3 % of the them had high total physical need level, 69.2% of them had high total psychological need level & 72% of them had high total social need level. Also, there was highly significant correlation between the studied patients' total knowledge level and their physical, psychological and social needs levels at p value <0.01**.Conclusion: Based on findings of the current study, it can be concluded that: Less than three quarters of the studied sample had got total unsatisfactory level of knowledge regarding burn injury and its management which reflecting their high educational need level. Also, more than two thirds of them had high total physical & psychological needs levels and less than three quarters of them had high total social need level. Additionally, there were highly significant correlation between patients' total physical, psychological and social needs levels. Also, there were highly significant correlation between patients' knowledge total need level and their physical, psychological and social total needs levels. Recommendation: Based on the results of the current research, Future research study should be done to implement and investigate the effect of the suggested program based on the studied biopsychosocial needs of patients with burn injuries on decreasing the incidence of morbidity & mortality among such group of patients.

Background First step in chronic dialysis is establishing a suitable dialysis access. Arteriovenous fistula (AVF) has been known as the gold standard for hemodialysis; and many factors affect its survival time. Aim of the study: was to assess factors affecting AVF survival among the hemodialysis patients. Subjects: A convenient sample of all available nurses (30 nurses) working in hemodialysis unit at Assuit University Hospital and a convenient sample of adult patients with AVF in the previously mentioned unit were selected. Research Design: A descriptive exploratory research design was used in this study. It is a type of research that describes a population, situation, or phenomenon that is being studied. This is mainly because it is important to have a proper understanding of what a research problem is about before investigating why it exists in the first place. Tools: three tools used in the current study: self-administration questionnaire, observational checklist, and patients assessment sheet. Results: 40% of studied nurses had unsatisfactory level of knowledge about AVF care, 56.7% of them had unsatisfactory level of practice about AVF care and 48.7% of studied patients had unsatisfactory level about self -care behavior. Conclusion: The result of this study concluded that many factors affecting AVF survival time, whereas more than half of the studied nurses had unsatisfactory level of knowledge and practice regarding AVF care. Also, around half of the studied patients had satisfactory level of self care behavior Moreover, from the studied nurses' point of view, most of them reported that other ; nurses related factors had high effect, followed by environmental related factors and patients related factors Recommendation: Providing continous in-service training and regular educational programs regarding AVF care for the studied nurses in hemodialysis unit.

Background: Hip arthroplasty (HA) is the surgical replacement of all or part of the hip joint with an artificial device. Essentially, the discharge planning nurse plays crucial role to ensure that all instructions are included to enhance patients outcome. Aim: Assess the relation between discharge instructions compliance and quality of life for the patients post hip arthroplasty Design: A descriptive exploratory research design was utilized for the conduction of this study. Setting: The study was conducted in outpatient's orthopedic clinic at El Hadara hospital affiliated to Alexandria University Hospitals. Study subjects: A purposive sample of (50) adult patients post hip arthroplasty. Data Collection Tools: I -Patients interviewing questionnaire, II -Patients Compliance assessment sheet. III-Patient's quality of life short form (SF-36) questionnaire. Result: (48%) of patients were compliant, (52%) of them were non-complaint as well as (36%) of patients had low QoL, (46%) had average QoL; & (18%) had high QoL. Conclusion: Less than half of studied patients were compliant while slightly more than half of them were non-complaint. Along with slightly more than one third of the patients had low QoL, less than one quarter of them had high QoL & slightly less than half of them had average QoL; Additionally, there were highly statistically significant positive correlation between total level of compliance among the studied patients post hip arthroplasty surgery according & total quality of life level. Recommendations: The necessity of designing, implementing and evaluation of collaborative, informative, attractive discharge plan that address arthroplasty discharge needs, considering the health care providers time constraint and patient's short hospital stay.

Background: Operating theater is a very critical and complex area so, it requires close and careful team work attention. Nurses play an indispensable role in the operating theater and influence the success of an operation without complications. Ensuring patients' safety in operating theater begins before the patients enters the operative suit and includes attention to all applicable types of preventable medical errors. Aim of the study: to assess nurses' performance regarding the patients' safety measures in operating theater. Research design: A descriptive exploratory design was utilized. Setting: The study was conducted in operating rooms at Belbies Centeral Hospital. Subjects: a convenient sample of all available nurses in the operating rooms, including 40 nurses from both gender, with different ages, educational levels and years of experience were selected for this study. Data collection tools: 1) Self-administered questionnaire, 2) nurses practice observational checklist, 3) nurses' attitude rating scale. Results:The results of this study showed that, about two third of the studied nurses had satisfactory total level of knowledge and about three quartant of them had satisfactory total level of practice and about two third of them had satisfactory total level of attitude regarding the patients' safety measures in operating theater. Furthermore, there was a statistical significant correlation between total studied nurses' knowledge, total practice and total attitude. Conclusion: The current study concluded that, more than two third of the studied nurses had total satisfactory level of knowledge, positive attitude and the three quarter of them had total satisfactory level of practice regarding the patients' safety measures in operating theater. Recommendations: The study recommended the importance of implementing an in-service training programs to improve nurses' performance regarding the patients' safety measures in operating theater. Strict observation of studied nurses during the work and continuous evaluation of their performance.