Background: Sickle Cell Anemia (SCA) is a chronic hematologic disease associated with many physical, psychological, and social problems that can affect on quality of life. Self-learning guidelines has a great effect in improving quality of life and health status of adolescent with Sickle Cell Anemia. Aim of the study was to evaluate the effect of self-learning guidelines on quality of life and self-reported practice of adolescents with sickle cell anemia. Design: A quasi-experimental study. Settings: Inpatient and outpatient of pediatric hematology departments at Benha University and Benha Specialized Pediatric Hospitals. Study subjects: A purposive sample of 50 adolescents diagnosed with sickle cell anemia in the previously mentioned settings was included in the study throughout a period of six months. Data collection tools: A Structured interviewing questionnaire sheet, self-care reported practices and pediatric quality of life scale. Results: There was a statistical significant difference between total knowledge and total self-reported practices of the studied adolescents regarding to sickle cell anemia post and follow up self-learning guidelines as compared to pre self-learning guidelines implementation. There was a statistical significant difference between the total score of quality of life for the studied adolescents regarding to sickle cell anemia at post and follow up compared to pre selflearning guidelines implementation. Conclusion: Self-learning guidelines implementation was effective in improving the quality of life of adolescents with sickle cell anemia through improving their knowledge and self-care reported practices. Recommendations: In service training program for adolescents with the sickle cell anemia to enhance their quality of life.Conducting premarital screening programs for raising awareness of children and adolescents regarding the nature hereditary of SCA& associated complication.

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Context: Successful resuscitation from cardiac arrest results in effective post-cardiac arrest care, which can evolve in the days to weeks after return of sustained circulation. So, electronic learning has grown tremendously and integrated into nursing education and training. Aim: Evaluate the effect of electronic learning package application on nurses' knowledge and practice regarding post cardio pulmonary resuscitation for critically ill neonates. Methods: A quasi-experimental research design was used to conduct the study. Setting: The study was conducted at Neonatal Intensive Care Units of Benha University Hospital at Benha city. Sampling: A convenient sample of ( 70) nurses working at the above-mentioned settings were included in this study regardless of their personal characteristics. Tools of data collection: Two tools used, Tool 1: A structured interviewing questionnaire designed to assess nurses' personal characteristics, personal data of the studied neonates, and nurses' knowledge regarding post cardio pulmonary resuscitation for critically ill neonates. Tool 2: An observation checklist to assess nurses' practice regarding post cardio pulmonary resuscitation for critically ill neonates. Results: There was a statistical significant positive correlation between total knowledge scores and total practice scores of the studied nurses post electronic learning package application. Conclusion:It can be concluded that, electronic learning package application had a positive effect on improvement of nurses' knowledge and practice level, which indicates that, the electronic learning package application is greatly effective. Recommendation: The study recommended that, An update electronic learning and training programs should be periodically conducted with numerous teaching methods for staff nurses in NICUs to improve their performance regarding post Cardio Pulmonary resuscitation.

Context: Genitourinary anomalies account for the most common urogenital disorders in children. Therefore, pediatric nursing excellence model will continue to be central to excellence in nursing practice and optimal childcare. Aim: To evaluate the effect pediatric nursing excellence model on nurses' knowledge and practice regarding care of children undergoing surgical repair of genitourinary anomalies. Research design: Researchers utilize a quasi-experimental research. Setting: The present study was conducted at the inpatient pediatric surgical department, at Benha Specialized Pediatric Hospital in Benha city. Study sample: All available nurses, they composed of 60 nurses working at the previously mentioned settings were included in the current study regardless of their personal characteristics. Study tools: Three tools were used for data collection, Tool I: A structured interviewing questionnaire developed to assess nurses' personal characteristics and level of knοwledge regarding care of children undergoing surgical repair of genitourinary anomalies. Tool II: An observational checklist to assess nurses' practice regarding care of children undergoing surgical repair of genitourinary anomalies Tool III: A structured questionnaire based on Pediatric Nursing Excellence (PNE) model regarding care of children undergoing surgical repair of genitourinary anomalies. Results: The majority of the studied nurses had satisfactory level of knowledge and competent level regarding their total practice post PNE model application. Also, the majority of them had high excellence level post PNE model application, while less than three-quarters had low excellence level pre PNE model application. Conclusion: It could be concluded that nurses' level of knowledge and practice improved regarding the care of children undergoing surgical repair of genitourinary anomalies, which emphasize that PNE model application was effective. Recommendation: Developing strategies to improve nursing care for children undergoing surgical repair of genitourinary anomalies is needed to achieve high competent nurses' performance

Context: Venous blood sampling withdrawal is a common invasive procedure performed for neonates at neonatal intensive care unit. So, neonatal nurses should be trained effectively to prevent unnecessary risk and adverse events for neonates. Aim: To evaluate the effect of video-assisted teaching on nurses' performance regarding venous blood sampling withdrawal from neonates. Methods: The study was conducted using a quasi-experimental research design. Settings: The study was carried out at the Benha Specialized Pediatric Hospital's NICUs and SNICU (Surgical Neonatal Intensive Care Unit) in Benha city. Sampling: A convenient sample of nurses (70) working in NICUs and SNICU as well as a convenient sample of neonates (70) from the setting mentioned above, regardless of their personal characteristics. Tools of data collection: The following three tools were utilized for data collection; Tool 1: A structured interviewing questionnaire designed to assess nurses' personal characteristics, and nurses' knowledge regarding venous blood sampling withdrawal. Tool 2: An observation checklist to assess nurses' practice regarding venous blood sampling withdrawal. Tool 3: Nurses' attitude rating scale regarding venous blood sampling withdrawal. Results: There were highly statistically significant differences between the studied nurses' total knowledge and total practice pre and post implementation of the video-assisted teaching intervention. Also, the majority of the studied nurses had a positive attitude regarding the venous blood sampling withdrawal procedure post implementation of the video assisted teaching intervention Conclusion: A video-assisted teaching intervention improved nurses' knowledge, practice, and attitude level towards venous blood sampling withdrawal from neonates. Recommendation: The study recommended that applying different types of electronic teaching in nursing education is an efficient method to improve nurses' knowledge and performance, which reflected competence and safe neonatal care