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Background: Stroke is a debilitating neurological disorder, which causes multiple physical and psychosocial challenges to people surviving a stroke. Effective discharge planning program is an active process beginning in hospitalization care and has a goal of returning to the community and aims at assisting the patients to recapture their functional independence and to return to an active and productive lifestyle. Aim: was to evaluate effect of a design discharge planning program for stroke patients on their quality of life and activity of daily living. Research design: Quasi experimental design was utilized to fulfill the aim of this study. Setting: The study was conducted at the stroke department and stroke outpatient clinics affiliated to Benha University Hospital. Sample: A convenience sample of 50 patients admitted at the above mentioned setting and diagnosed with stroke. Tools: Three tools were used: I-Patients Interviewing questionnaire sheet; II-Stroke Specific Quality of Life Scale and III-Barthel Index for Activities of Daily Living. Results: the present study revealed that (a) the mean total and subtotal knowledge scores of stroke patients were increased immediately after implementing a design discharge planning program with statistical significant difference compared to pre implementation. (b) The mean total and subtotal quality of life scores were higher after implementing discharge planning program with a high statistical significant difference compared to pre implementation. (c) The mean total and subtotal activity of daily living scores were higher after implementing discharge planning program with a high statistical significant difference compared to pre implementation. (d) There were a positive correlation between patients' knowledge, quality of life and activity of daily living with a statistical significant difference. So, all research hypotheses of the study were supported. Conclusion: Applying a design discharge planning program had statistically significant improvement on knowledge, quality of life and activity of daily living for studied patients. Recommendations: replication of this study on a larger probability sample and evaluating its impact on health outcomes among stroke patients.Keywords: design discharge planning program, quality of life, activity of daily living, stroke http://journal.julypress.com/index.php/ijsn Vol. 5, No. 1; 2020 II-Part two: which consisted of (8) questions about patients activities of daily living. It is composed of http://journal.julypress.com/index.php/ijsn Vol. 5, No. 1; 2020 -Patients were informed about the time of the next session at the end of the session.

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Context: Total knee arthroplasty (TKA) is a surgical procedure in which the damaged parts of the patient's kneecap, thighbone, and shinbone are replaced with artificial parts. Aim: This study aimed to evaluate the effect of an educational program on nurses' knowledge, practices, and patients' outcomes post total knee arthroplasty. Methods: A quasi-experimental design was utilized in the orthopedic department and outpatient orthopedic clinic affiliated to Benha University Hospital from the beginning of July 2020 to the end of June 2021. A convenience sample of all available nurses (50) working in the orthopedic department. A purposive sample of 64 adult patients from both genders was divided into (32) control and (32) study groups. Three tools were used: The nurses' knowledge assessment questionnaire, nurses' practice observational checklist, and patient’ outcomes assessment sheet. Results: The present study revealed that 58% of nurses age was from 40 to less than 60 years old, 92% were females, 66% had secondary nursing education, 28 % of studied nurses had total satisfactory knowledge pre-program implementation, which reached 80%, 58 %, respectively immediately after and in follow up of program implementation. 22% of studied nurses had a competent level of practice scores pre-program implementation, which improved to 82%, 74 %, respectively, immediately after and in follow up of program implementation. There were highly statistically significant differences between study and control group patients regarding the frequency of most of the general and local complication and lower extremity function scale after two weeks and one month post-surgery at p-value<0.00. Conclusion: Implementing the educational program had statistically significantly improved the knowledge and practices of the studied nurses that could reflect positively on patient condition. The study recommended a continuous educational program for all nurses working in the orthopedic departments. Further study to search the correlation between the nurses' performance and the patient outcomes is recommended.

Back ground: Evidence based guidelines after bone marrow transplantation provides nurses with the scientific research to make well-founded decisions and reduce expected complications. Aim of the study: Was to evaluate the effect of evidence based guidelines on nurses' performance to reduce complications for patients after bone marrow transplantation. Research design: Quasi experimental design was utilized. Sample: Convenient sample of all nurses (60) from both sexes who had working in bone marrow transplantation units in Tanta Educational Hospital, and Dar El Salam Cancer Center in Masr Al-Qadimah (Harmel Specialized Hospital previously) and a purposive sample of 30 adult patients from both sexes post-transplant phase were included in the study during nine months. Tools: Three tools were used, I: Structured questionnaire for nurses, II: Nurse's performance observational checklist for BMT patient and III: Patient's assessment sheet. Results: There was positive correlation between knowledge and practice at pre, post and follow up implementation of the guidelines and there was a positive correlation between total nurses' knowledge, practice and patients' early and late complications at post implementation of evidence based guidelines. Conclusion: Implementation of evidence based guidelines has appositive effect in improving nurses' knowledge and practice regarding care of patients undergoing bone marrow transplantation and reducing patients' complications. Recommendations: Evidence based guidelines regarding bone marrow transplantation should be revised periodically and be available in all hospitals in both Arabic and English language.