Background:According to the World Health Organization, every citizen of the world has the right to healthy and safe work; a right to a work environment that enables him or her to live a socially and economically productive life. The hospital infrastructure is the total of all physical, technical and organizational components or assets that are prerequisites for the delivery of health care services. Aim of the study: Assess quality of El-Menshawy General Hospital infrastructure among nursing staff. Research design: Descriptive research design was used in this study. Setting: The study was conducted at El-Menshawy General Hospital departments. Subject: All (530) available nursing staff at the time of data collection .Tools: Tool 1: Nursing staff perception regarding quality of El Menshawy General Hospital infrastructure questionnaire, Tool П:Quality of El-Menshawy General Hospital infrastructure observational checklist. Results: According to them the majority of Nursing staff showed high level of perception regarding neonatal intensive care unit. Also, above fifty percent of nursing staff showed high level of perception regarding emergency room infrastructure, intensive care unit, the facilities and its management, operative room infrastructure, dialysis infrastructure, respectively . According to researcher observation the actual level of quality is high in information technology , neonatal intensive care unit and dialysis infrastructure.Moderate level of quality in technical medical equipment, operative room and facility and its management. While low level of quality in supply facility system. Conclusion: There was significant positive correlation between facility and its management and information technology . Also there was significant positive correlation between disposal system and outreach services. Recommendations: Activation of hospital committee role ( quality committee, health and occupational safety committee, infection control committee and continuous training committee), Provide continuous training program for all nursing staff that improve their performance , increase their knowledge and skills , and motivate them to perform quality patient care.

Background: Nurse-physician relationship is particularly important, given the interdependence of the two professions and the primary role they play in safe, quality patient care. The well-entrenched hierarchical authority structure and sexism complicate nurse-physician relationship . Unfortunately, disruptive communication occurs with alarming frequency in both nurses and physicians, and both sets of professionals agree that such ways of communicating decrease patient safety. Aim of the study: To evaluate nurse physician relationship and its impact on their perception of nurse`s role. Subjects and method: A descriptive design was used to carry out this study. The study was conducted at El-Mansoura Health Insurance hospital study subjects were included all 250nurses and all 100physicians. One tool was called nurse physician relationship and its impact on their perception of nurse role questionnaire sheet. Results and Conclusion: The finding of the present study indicated that physicians scored higher mean score related to nurse physician relationship than nurses. The level of nurse physician relationship from the majority of physicians and the nurses was moderate. Recommendation: improving collaborative relationship between nurses and physicians through Understand each other's roles.

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Delegation is the assignment of authority to another person to carry out specific activities and to make decisions and complete specific tasks. Delegation is a vital skill to help head nurses spend their time in the most productive ways, save time and perform their duties better. The purpose of the study was to assess head nurses' attitude and preparedness regarding delegation and its relation to their performance at Benha University Hospital. Design: descriptive design was utilized in carrying out this study. Setting: the study was conducted in all departments at Benha University Hospital. Study Sample: all available 110 head nurses were included. Two instruments were used for data collection of this study (self-administered questionnaire for head nurses' attitudes and preparedness regarding delegation and observational checklist of head nurses' performance regarding delegation). Results: indicated that about half of head nurses (51.8%) had a positive attitude, the majority (90.9%) of head nurses had high preparedness regarding delegation, the majority (86.4%) of head nurses' performance regarding delegation was satisfactory and there was a highly statistically positive correlation between head nurses' attitude, preparedness, and performance regarding delegation. Recommendations: Workshops should be held to raise head nurses' awareness about delegation and performance regarding delegation.

The chronic metabolic disorder diabetes mellitus is a fast-growing global problem with huge social, health, and economic consequences. It is estimated that in 2010 there were globally 285 million people(approximately 6.4% of the adult population) suffering from this disease. Therefore, the aim of the study was to determine DM patient's Adherence to therapeutic regimen. Methods A descriptive-correlational design will be used in the study. Barriers of diabetic patients' adherence to therapeutic regimen was designed after the literature review. Convenient sample of this study composed of 100 adult patients of both sexes who met inclusion criteria using standard questionnaires were studied to determine the demographic characteristics, medical history and the patients' barriers of adherence. Results The results revealed that the majority of patients about (53.1%) forget their medication as a barrier to adherence to medication. About (28.1 %) cannot adhere to medication due to medication cost and only about (18.8 %) of them use medication when feeling ill.. About (66.7 %) of patients with type II diabetes mellitus cannot stop smoking due to life stresses and about (33.3 %) of them have no desire to stop it. The majority of patients cannot adhere to follow up due to transportation difficulties about (94.7 %),and about (2.6 %) of patients cannot adhere to follow up due to lack of waiting places and long waiting time. The majority of patients about (77.5 %) can not adhere to diatary regimen because they are not prepared to change their habits in diet ,and about (2.5 %) can not adhere to dietary regimen because they use it only when feeling ill and also about (2.5 %) can not adhere to dietary regimen because no one tell them about the food that they have to avoid. The majority of patients (68.8 %) can not adhere to exercise due to inability to practice exercise and about (3.1%) cannot adhere to exercise because there is no suitable place for practice .