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: 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.

More than 60% of all Canadian pediatric residents pursue subspecialty careers. There was a significant increase in the frequency of subspecialty training among later-year graduates. Few graduates are practicing in rural/remote or underserviced areas. Canadian pediatric residency programs may not be producing the right mix of graduates to meet societal needs.