Pediatric nurses in the operating room are front-line heroes who save the lives of children by avoiding and preventing the infection by thoroughly washing their hands. The current study aimed to evaluate the impact of Handwashing guidelines on pediatric nurses' knowledge and practices in the operating room. Design: One group pre-posttest quasi-experimental research design was utilized to achieve the aim of the current study. Setting: The current study was conducted in the operating room at Cairo University Specialized Pediatric Hospital (CUSPH). Sample: A Convenient sample of 30 nurses who were cared for children in the operating room at CUSPH. Was participated in the study. Tools: It was developed by the researchers, it included a structured interview questionnaire to assess personal and professional data of the nurse; nurses' knowledge assessment questionnaire to assess nurses' knowledge about hand wash measures, and nurses' practices checklist sheet to assess nurses' practice when handwashing guidelines applied. Results:The study results revealed that there were statistically significant differences between the total mean score of nurses' knowledge before and after receiving the hand wash guidelines as well as, nurses who received the environmental health and safety measures guidelines had a higher mean score of practice. Conclusion:The results of the current study concluded that nurses who receive the hand wash guidelines had a higher mean score of knowledge and the higher mean score of practice than before. Recommendation: Sustainable development. It is essential to raise the awareness of operating room nurses on handwashing guidelines through education and training courses. Providing nurses with continuous training programs on infection control measures and handwashing updates is a basic requirement for providing child care safety measures.

Background: IV therapy is a commonly performed nursing procedure that involves the delivery of fluids, and occasionally medications, to a child who is unable to maintain a regular fluid balance through oral consumption. The choice of route, amount, and type of fluids administered are critical factors in effectively managing a child undergoing IV therapy. The study aimed to evaluate the effect of intravenous therapy administration guidelines on pediatric nurses' knowledge, practice, and selected child's outcomes at ICUs. One group pre-posttest quasi-experimental research design was utilized to achieve the aim of the current study. The study was conducted in Cardio-thoracic, Neurological Intensive Care Units (ICUs) and Neonatal Intensive Care Unit (NICU) at Cairo University Specialized Pediatric Hospital (CUSPH). A Convenient sample of 30 nurses who cared for children in ICUs in CUSPH. Four tools were used to collect data a structured interview questionnaire, Nurses' Knowledge Assessment Questionnaire, and Nurses' Practice Checklist and children's outcomes assessment checklist Results: the study revealed that there were statistically significant differences between total mean score of nurses' knowledge before and after receiving the IVT administration guidelines as well as, nurses who received the IVT administration guidelines had higher mean score of practice. Children who are provided with care by nurses who have received guidelines for intravenous therapy administration had better outcomes compared to children who are cared for by them after receiving the IVT administration guidelines. Conclusion: the current study concluded that nurses who receive the IVT administration guidelines had higher mean score of knowledge and higher mean score of practice than before. Better outcomes in children receiving care from nurses after IVT administration guidelines Recommendation: training programs about IVT administration guidelines recommended to improve outcomes of IVT administration.

Mothers of children with congenital anomalies (CA) have many unique challenges during the process of treatment and concern to meet the needs of their hospitalized children. Aim: the aim of the current study was to assess the needs and challenges as perceived by mothers and their hospitalized children having congenital anomalies. Design: a descriptive exploratory research design was utilized to fit the aim of the current study. Setting: the study was conducted in the pediatric surgical ward in Cairo University Specialized Pediatric Hospital (CUSPH). Sample: A purposive sample of 100 mothers and their children with congenital anomalies participated in the current study. Data collection tools: data was collected using the following tools: A structured interview questionnaire, parent needs scale, children needs questionnaire and children challenges questionnaire. Results: the results revealed that, higher mean score of needs for mothers and their children such as emotional support; communication with medical team, participation in child care, mothers closeness, nutrition, learning and guidance. Higher mean score of challenges for mothers and their children such as health team communication, family acceptance, social stigma, poor mothers bonding, parent stress and financial responsibility. There were statistically significant correlations between mothers' challenges and their ages, place of residence and educational level, such as knowledge about surgical management, poor mothers bonding, parent stress, stigma, financial challenges and family acceptance. There were statistical significant correlations between children needs such as learning, child and mother closeness, support and guidance with their ages. Conclusion: the study findings of the current study presented higher levels of mother's needs and challenges with their children having congenital anomalies. Recommendation: Empowerment programs and supportive care for mothers and their children with congenital anomalies are mandatory.