The ability to provide safe and high-quality care to patients is the primary goal and the focus for many health care providers. Guidelines can be used to reduce adverse event in practice and to promote the delivery of high quality and evidence-based health care. The aim of the study to investigate nurses' compliance to patient and environmental safety guidelines in critical care units. Descriptive research design was utilized to achieve the aim of this study. The study was carried out at three of Minia University Hospitals in Minia city. All available nurses (n= 88) who were working in critical care units at time of data collection in the selected hospitals. An environmental and patient safety guidelines questionnaire was used to achieve the aim of this study. Results: less than two third of studied subject were not compliance to patient safety nurses', while nurses complied to environmental safety with 62.5% in critical care units; also, there is highly statistical significance between departments and nurses' compliance to patient safety. Thus, it was concluded that less than two third of studied subject were not compliance to patient safety. As well as environmental safety in critical care units was appropriate with 62.5% in critical care units. Recommendations: Staff development programs for nurses working in critical care units related to patient and environmental safety as well as ensuring that the organization’s annual budget includes adequate resources to implement and evaluate health and safety activities.

Background: Safety during patient hospitalization is the patients' right, and the priority of health professionals. Also, a healthcare free from risks and failures is a goal that should be reached by health professionals and a commitment of professional education. Therefore, changes to the nurses' work environment need to focus on enabling and supporting nurses to provide high-quality and safe care Aim: of the study is to develop environmental and patient safety guidelines for nurses in critical care units. Design: the methodological design was conduct to achieve the aim of the current study. Setting: The study was carried out at critical care units of three university hospitals. Subject: the proposed guidelines was distributed to convenient sample of 31 jury members to test its validity and distributed to convenient sample of 162 participant divided to 88 bedside nurses and 74 resident physicians to test the reliability of the proposed guidelines. Results. The proposed guidelines' items were increased to 144 items, and sub-categorized to 17 dimensions. Conclusions: the validity and the reliability of the proposed guidelines were satisfactory, where it can be used in critical care units. Recommendations: use the developed environmental and patient safety guidelines in different critical care units in the selected hospitals and establish a safety committee to facilitate the application of environmental and patient safety committee.

Background: Clinical supervision (CS) is becoming standard practice for health professionals, and has been considered to be an important component of comprehensive clinical governance. Also CS has been promoted as a key clinical governance component to ensure the provision of and accountability for the quality of care provided to patient and to minimize the risk of adverse outcome for patient. Aim: to investigate the effect of an educational program about clinical supervision for first line nurse managers on quality of their clinical supervision. Setting: The study was carried out at