Chest physiotherapy considered basic nursing interventions for patients undergoing cardiothoracic surgery to improve breathing efficiency, oxygenation and pulmonary functions. Aim of the study: to evaluate the pulmonary function status after implementing chest physiotherapy for extubated cardiothoracic surgery patients. Design: Quasi experimental research design (study and control) was used in this study. Setting: cardiothoracic intensive care unit and cardiothoracic department at cardiothoracic hospital that belongs to Minia University Hospitals, Egypt. Two tools: 1. Socio demographic and medical Assessment sheet. 2. Oxygenation level assessment sheet. Results: mean age of study and control groups were (38.4±5.4) & (37.2±4.8) year respectively. (40%) from the study group suffered myocardial infarction and did coronary angioplasty, (43.3%) of the control suffered coronary artery stenosis (33.3%) among them did coronary angioplasty. Regarding breathing sound, and pulmonary function test there is statistical significant difference between both groups presented by p value <0.05, also there were significant difference between both groups related to all items of the arterial blood gases test presented by P value with (.031*, .004**, .020*, .013* & .003**). Conclusion: This study concluded that chest physiotherapy had a positive effect on patient's pulmonary function status which reflected on the patients outcomes post cardiothoracic surgery. Recommendations: All cardiac surgery patients should receive an explanation about chest physiotherapy before their operations.

Inadequate nurse's knowledge and poor skills associated with negative outcome. EBP help CCNs to apply invasive procedure safely at ICU through simulated education. Aim: To evaluate the impact of simulated education on nurses' knowledge and performance about invasive procedure at Intensive Care Units : evidence based practice. Subject and method: quasi-experimental design, purposive sample of all ICUs nurses, number were 65 nurses whom assigned to work at ICUs of Minia University Hospitals in Minia City, Egypt. Results: More than half of them (61.5%) were female and (38.5 %) male. The majority of them were new graduated less than 5 years of experience (81.6%). (100 %) of CCNs had unsatisfactory knowledge about EBP and ideal performance of invasive procedures before education, after it their knowledge improved to (87.7%) and (84.6) at post and follow up program. After educational program the majority of CCNs apply invasive procedure using EBP satisfactory at the post program and follow up program phase. There were a statistically significant improvement of CCNs mean score in all dimensions related to general performance post program and follow up program. Conclusion: There were a positive correlation between EBP knowledge, procedural intervention and general performance after the simulated education program.

Background Medication administration errors are a constant occurrence on the unit, and patient safety must be a focus. The current study aimed to is to assess critical care nurses Practices' errors regarding medication administration in different critical care settings.Methods: A convenient sample consisted of 60 nurses was obtained from different critical care units at a Teaching Hospital in Upper Egypt utilizing a descriptive exploratory design. The selected critical care units were; medical Intensive care, neurosurgical care, coronary care, chest care and finally stroke unit. Demographic data of the studied nurses and medication administration checklist were utilized to assess nurses' practice concerning medication administration errors. Results: The observational checklist of nurses' practices in preparation and administration of medications were unsatisfactory. Moreover, the current findings revealed a positive correlation between total practice and age as well as nurses' years of experience. On the other hand, negative correlation was found between nurses practice and nurse- patients ratio.Conclusions: Critical care nurses' practice was unsatisfactory in preparation and during administration of medications in different critical care units regardless of their demographic qualifications. Continuing nursing education about types of errors that occur in the use of high alert medications and double check of administered medication

Background: Central venous catheter is required in multiply injured patients either in the initial resuscitation phase or during an intensive care unit stay. There are potential complications associated with central line access as infection. Nurses play a crucial role in preventing this infection. Aim of the study: To evaluate the effect of nursing guidelines on reducing central line related infection among traumatic patients. Design: A quasi-experimental research design. Sample: A purposive sample of 60 newly admitted adult patients with central venous catheter divided equally into two groups (study and control). Setting: The current study was conducted in traumatic intensive care unit of Qena university hospital, Qena governorate, Egypt. Tools: Two tools structure interview questionnaire and central line related infection assessment sheet. Results: There were highly statistically significant differences between the study and control groups regarding central line related infection with (p<0.001). Conclusion: The application of nursing guidelines was effective in reducing central line related infection among traumatic patients. Recommendations: Nursing guidelines for preventing central line-related infection should be educated for nurses of intensive care units in Qena university hospital.

Medication administration should be an error-free process as possible. Critical care nurse need to be diligent in discouraging interruptions to prevent harm to the patients who are being cared for. Medication administration errors are a constant occurrence on the unit, and patient safety must be a focus. Aim: to assess nurse's knowledge and practice regarding medication errors in critical care units. Design: Descriptive exploratory design was utilized to conduct the current study. Settings: The study was conducted in the following critical care units affiliated to Al minia University Hospital ; Intensive care, neurosurgical care, cardiac care, chest care and finally stroke unit. Sampling: A convenient sample consisted of 60 nurses was obtained from previously mentioned settings regardless of their personal characteristics. Tools: Two tools were used; First ;A structural interviewing questionnaire to collect demographic data of the studied nurses and their knowledge regarding medication administration errors. Second ; medication administration checklist to assess nurses' practice concerning medication administration errors. Results:The study findings showed that nurse's mean knowledge (Mean+SD =10.7+2.29) and practice (Mean+SD = 23.1+4.58) scores were unsatisfactory regarding medication administration errors. Moreover, no significant differences were found among them by them regarding demographic characteristics' Conclusion: the mean nurse's knowledge and practice were low. Recommendations: The study recommended implementation of comprehensive, interactive, and continuous educational programs regarding drug administration errors