Background: Spinal cord compression is a common oncological emergency that requires early detection and prompt treatment as it can result in permanent neurological deficit. Nurses are often involved in supporting patients living with cancer. They may be the first healthcare professional to recognize the "red flag" symptoms of MSCC. Early recognition by the nurses will prompt timely investigation, treatment and potentially reduce the risks of patient's having a permanent disability. Aim: To determine the effect of educational program for nurses on clinical outcomes of cancer patients with Metastatic Spinal Cord Compression. Method: Design, A quasi-experimental research design was utilized in this study .Setting, the study was conducted at Clinical Oncology and Nuclear Medicine Department at Tanta University Hospital.. Subjects: convenience sample of 40 nurses and 30 cancer patients. Tools: Tool I: Structured Interview Schedule. Tool II: Nursing Care Observational Checklist. Tool III: Patient's Assessment Structured Interview Schedule. Tool (IV): Patient's Outcomes sheet. Results : a highly significant difference was noticed related to the total level of knowledge and practice of studied nurses through periods of study (pre-immediate and post one month assessment periods) with P value= 0.0001.A highly significant difference was found related to the total level of knowledge for the studied patients thought the periods of the study as P value =0.0001.Conclusion:The oncology nurse's knowledge and practice improved significantly after attendance of program sessions. Recommendation: Conduct periodical training programs, workshops and seminars for oncology nurses to refresh their knowledge, and practice about metastatic spinal cord compression and its early detection and management.

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Background: Asthma is a common health problem lead to impaired quality of life and disability Aim: Was to evaluate the effect of implementing respiratory guidelines on asthmatic patient. Subjects and Method: Design: A quasi-experimental study was conducted at Chest Intensive Care Unit at Tanta University Hospitals. Subjects: Purposive sample of 60 adult patients with asthma and divided into two equal groups 30 patients in each group. Group 1(study group) and group 2 (control group). Tools of the study: Two tools were used tool (I) Structure Interview Schedule, Tool II Respiratory functions assessment sheet. Results: There was a statistical significant improvement in the level of patients knowledge about asthma ,the majority of study group (83.3%) improved to mild persistent asthma, the majority (96.7%) of the study group changes from abnormal breathing sound to clear sound, more than two third (70%) of study group improved in dyspnea scale to first grade. Conclusions: The results concluded that implementation of respiratory guidelines associated with a significant improvement in the total mean scores of patients' knowledge, asthma severity and spirometry readings in study group rather than control group Recommendations: It was recommended to consider respiratory guidelines when planning a routine care for asthmatic patient , apply the respiratory guidelines on a larger probability sample acquired from different geographical areas in Egypt for generalization.