Abstract:Background: Patients` satisfaction with nursing care provided is a good indicator for improving quality of care.Aims: Assess nurses` knowledge and practice regarding lumbar puncture and investigate patients' satisfaction with nursing care pre and post application of nursing instructions brochure. Research design: Quasi-experimental. Subjects and methods: All available nurses (22) in neurosurgery department at Assiut Neurological, Psychiatric and Neurosurgery University Hospital. Also, a sample of 60 adult patients undergoing lumbar puncture was included and divided into two groups (A and B). Group A (30 patients before application of nursing instructions brochure) and group B (30 patients after application of nursing instructions brochure). Nurses' knowledge and practice were assessed before and after application of the nursing instructions brochure. Tools: Structured questionnaire to assess nurses` demographic data and knowledge, observation checklist for nurses` practice, patients' satisfaction with nursing care scale and nursing instructions brochure for nurses. Results: Highly significant differences were found as regarding nurses` knowledge and nurses` practice pre and post application of the nursing instructions brochure. Significant difference was found between groups (A and B) regarding patients' satisfaction with nursing care. Conclusion: Nursing instructions brochure had a significant effect on improving patients` satisfaction with nursing care. Recommendation: Patients` satisfaction with nursing care should assess periodically in every care settings.

Background: Neurogenic dysphagia is one of the most common dangerous disorders for patients with neurological diseases. Aim: The aim of the study was to evaluate the effect of swallowing exercises on swallowing function for patients with neurogenic dysphagia. Patients and Methods: Research design: Quasi experimental (pre/post test) research design was used. Sample and Setting: A selected sample of 60 patients diagnosed with neurogenic dysphagia was recruited and also followed up for 2 months at neurology department and neurology outpatients clinic at neurology, psychiatry and neurosurgery Assiut University Hospital. Each patient was oriented and trained by the researchers to know the effect of practicing swallowing exercises and received brochure to be oriented about its effect on swallowing function. Tools: Patients assessment questionnaire, functional oral intake scale, Bazaz dysphagia score, eating assessment tool-10 and the 8-point penetration-aspiration scale. Results: The study finding revealed a highly statistical significant improvement (p < 0.0001) post application of the swallowing exercises as regard all outcome measures; functional oral intake scale, Bazaz dysphagia scale, aspiration and complications. Conclusion: Swallowing exercises significantly improve swallowing function and decrease severity of neurogenic dysphagia, aspiration and complications. Recommendation: The swallowing exercises (brochure) should be utilized in neurology hospitals as a teaching guide for patients with neurogenic dysphagia.

Background:The quality of hemodialysis patient nursing care should be consistent with national standards of care, which are used as a starting point for better, more exceptional practice, and adherence ensures efficacy. Aim: To assess nurses' knowledge, practice, and compliance with aseptic technique for hemodialysis patients. Design: Descriptive research design was used. Setting: The research was carried out in a hemodialysis unit at Assiut University Hospital in Egypt. A convenience sample of 40 nurses was taken. Tools: (1) Nurses' questionnaire, (2) Observation Checklist Sheet, (3) Assessment of Nurses' Aseptic Technique Compliance Sheet. Results: The majority of them had a diploma education with ≥10 years of experience and 75% attained infection control training programs. 55% of the studied nurses had a poor knowledge level about infection control regarding hemodialysis and not compliance to standard precaution for patients undergoing hemodialysis. Conclusion: Majority of the nurses had a poor level of knowledge regarding infection control in hemodialysis unit, aseptic techniques were noncompliance to the standard of nursing care for hemodialysis patient. Recommendations: Continuous education and refreshment for nurses' knowledge and practice regarding infection control education in hemodialysis units.

Background: Plantar fasciitis is one of the most common disorders of foot associated with pain and limitations to activities. Aim: To investigate outcomes of patients with plantar fasciitis after 12-week exercises rehabilitation program. Patients and methods: Research design: A randomized controlled trial. Sample and setting: Sixty-four patients with plantar fasciitis attended to orthopedic department and orthopedic outpatients clinic at Assiut University Hospitals. Patients were assigned randomly into 2 equal groups as odd number (intervention group) and double number (control group). This study introduced exercises rehabilitation program to intervention group. Outcomes were measured at the time of assessment in orthopedic department and orthopedic outpatients clinic and then each 4 weeks for 12-week in orthopedic outpatients clinic. Tools: assessment sheet for patient with plantar fasciitis, numeric pain rating scale, foot functional index, American orthopedic foot and ankle society scale and exercises adherence logbook. Results: Statistical significant difference (p.value <0.05) was found between intervention and control groups at the second and third month of follow up as regard numeric pain rating scale (p.value <0.05), foot functional index (p.value <0.001) and American orthopedic foot and ankle society scale (p.value <0.05). Conclusion: The 12-week exercises rehabilitation program; plantar fascia stretching, Achilles tendon stretching and roll plantar fascia with frozen water bottle reducing pain and improving functional recovery and foot function for patients with plantar fasciitis. Recommendations: The 12-week exercises rehabilitation program should be advocated as one of the significant modalities to manage pain and improve functional recovery and foot function for patients with plantar fasciitis.

Background: Double J ureteric stent commonly inserted for stone management. However, stent-related side effects still a major issue. Aim: The study aimed to evaluate the effect of developing and implementing nursing educational program on outcomes of patients with double J ureteric stent. Patients and methods: Research design: Quasi experimental research design. Sample and setting: A sample of "60" adult patients undergoing double J ureteric stent insertion, their ages from "18 -65" years. Patients assigned into 2 groups, each group "30" patients. Odd number = control group while even number = study group. Nursing educational program (brochure) introduced to patients of study group by researchers while patients of control group was received routine hospital instructions. Tools: Assessment sheet and King's health questionnaire. Results: Urinary tract infection demonstrated statistically significant difference between the two groups. It occurred in 93.3% of control group patients versus 46.7% of study group (p < 0.001). Patients' responses to King's health questionnaire conveyed significant difference in quality of life between the two groups (p < 0.001). Conclusion: Patients education reduce double J ureteric stent relatedsymptoms and significantly reduce complications and improve quality of life. Recommendation: Nursing educational program (brochure) should utilized in urology hospitals as teaching guide for patients with double J ureteric stent.