Background Primary caregivers are those who are concerned with the client care in the hospital and home. Most of the caregivers are not able to provide stoma care with quality to their children. Hence, caregivers need to be provided with ongoing education and support through partnership commencing from preoperative teaching to discharge from the hospital and home care .The purpose of this study was to assess the effect of partnership based program with primary caregivers of children on stoma care. The design of this study was quasi-experimental design. The study was conducted in the Pediatric surgical department and outpatient clinics at both Menoufia University Hospital and Benha Specialized Pediatric Hospital. The study sample was composed of 60 children and their caregivers were selected from previously mentioned settings (30 studies and 30 control group). Five instruments were used in the study. They were Social Characteristics Structured Questionnaire, Structured Interview Questionnaire, Stoma Care Checklist, Stoma Assessment Sheet and Quality of Partnership Likert Scale. The results of this study showed that caregivers had higher mean score of knowledge posttest in the study group compared to control group (61.30 ±5.2 Vs. 14.63 ±5.7 respectively) In addition, children had better stoma clinical condition in the study group compared to control group as well as caregivers higher levels of partnership quality on post and follow-up intervention compared to pre intervention (96.7%, 100.0 % vs. 6.7%, respectively).. Conclusion: implementation of partnership based program increased caregivers' knowledge and practices regarding care of children with stoma. Therefore, it was recommended that Partnership based program for stoma care should be urgently planned and implemented to improve caregivers' knowledge and practice as well as improve children health status.

Background, Post extubation dysphagia is a frequently experience problem in critically sick children with recent intubation. Oral care and swallowing intervention are one of the treatment modalities that can help to enhance swallowing function and reduce swallowing problems after extubation. Aim was to evaluate the effect of oral care and swallowing interventions on post extubation dysphagia among children at pediatric intensive care units. Design, A quasiexperimental design was applied. Setting: the study was performed at the Pediatric intensive care units at Menoufia University hospitals. Sample, A purposeful sampling of 60 hospitalized pediatrics patients. Instruments four instruments were used. I; Social Characteristics Structured Questionnaire, II; Oral Assessment Guide for Children. III; Bazaz dysphagia scale. IV; Functional Oral Intake Scale. Results: There was a statistically significant improvement in the total mean score of oral status in the study group after 7 th and 14 th days of intervention than on pre intervention. Also, there was significant improvement in the study group in relation to severity of dysphagia after 14 th days of intervention than on pre intervention. Moreover, oral intake level was improved in the study group after 14 th days of intervention compared to control group. Conclusion; nursing interventions that involves swallowing and oral care reduces postextubation dysphagia, improves clinical swallowing function, and increases the probability of faster oral intake. Recommendations; swallowing education and oral care intervention should be started as early as possible for children who intubated greater than 48 hours

Children with learning disorders are often apathetic, inattentive, and have low self-esteem; additionally, aggressive behavior is still a common occurrence that can impair their social, emotional, psychological, behavioral, and intellectual development. The current study aimed to investigate the effect of art therapy on aggressive behavior and self-esteem among children with learning disorders. Methods: A quasi-experimental (one group pretest -posttest design) was utilized in this study. The study was conducted at Shebin Elkom, Menoufia Governate. The selected centers (Al Basma Association center and Ebny center for children with special needs) are both centers for children with disabilities. Sample: A purposive sample of 60 children who attended previously selected centers for treatment and follow-up. Data were gathered by the following tools (1) The Modified Overt Aggression Scale (MOAS), (2) The child Rosenberg Self-Esteem Scale (CRSES), in addition to demographic characteristics as child age, gender, academic level and parent age. Results: Following art therapy, the majority of the children of learning disorder (85%) displayed little aggressiveness. In addition, 61% of children show normal self-esteem post intervention, and there was a statistically significant difference in self-esteem before and after art therapy. Conclusion: Art therapy reduces aggressive behavior and increases self-esteem in children with learning disorders. Recommendation: Rehabilitation pediatric nurses and parents of children with learning disorders should receive in-service training on the value of art therapy and how to use it to reduce violent behavior and enhance children's self-esteem.

Background: A stoma is a common procedure performed in children; mostly Colostomy in infancy and childhood is usually performed for benign disease and is of a temporary nature. Children are a high risk group for complications related to the stoma opening. The main reason for the development of such complications is a lack of knowledge and skills related to stoma care therefore requires skilled care by the patient and or his parents. Purpose: The purpose of this study was to assess caregivers' knowledge and practices regarding stoma care of their children in Menoufia University Hospital. Methods: A descriptive research design was conducted at Menoufia University hospital sampling: sixty primary caregivers and their children were included. The data was collected using knowledge and practice forms regarding stoma care. Results: The findings revealed that all of caregivers (100%) had poor level of knowledge regarding colostomy and the maximum mean scores (14.63 ±5.7). Also, all of caregivers (100%) had poor practice level (M±SD=1.67 ±1.03). Conclusion: Caregivers' knowledge and practice regarding stoma care of children having colostomy in Menoufia University Hospital are at on poor level. Recommendations: The results show that there is a need for the development of caregivers' knowledge and practice levels in relation to colostomy care.