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Background:The role of critical care nurse in arrhythmias management specializes in symptomatic relief, promotion of comfort and taking crisis activity in fatal dysrhythmias. Aim: The aim of the study was to evaluate the effect of nursing training program on nurses' knowledge and practice regarding the care of patient with cardiac arrhythmias in Cardiac Intensive Care units at Zagazig University Hospitals, Egypt. Subjects and Methods: Research design: A quazi experimental design was utilized to achieve the aim of this study. Setting: The study was conducted in Cardiac Intensive Care Units at Zagazig University Hospitals. Sample: A convenient sample of all available nurses (30 nurses) was included in this study. Tools of data collection: Self-administered questionnaire and observational checklists were used. Data were collected over a period of nine months. Results: There was statistically significant difference in total level of nurses' knowledge, and practice pre, post and post, follow-up phases of nursing training program. Conclusion: The nursing training program had a significant positive effect on improving nurses' knowledge, and practice regarding care of patients with cardiac arrhythmias. Recommendations: It was recommended periodic evaluation of nurses' knowledge and practice concerning management of patients in any emergency situation in the critical care units.

Background: Cancer is a significant concern for public health for millions of people worldwide and it claims thousands of lives. Meeting the needs of cancer survivors in the long term has become a significant concern for public health. This study aimed to assess holistic needs for patient with cancer and suggest nursing guidelines. Descriptive design was used on hundred patients with cancer admitted to viruses' outpatient unit, in Zagazig University Hospital before receiving chemotherapy. Patient Interview Questionnaire was used to assess patient condition including sociodemographic data, Patient knowledge about cancer, Needs of patient with cancer by scale based on quality of life. Results: Half of the studied patients had unsatisfactory knowledge about cancer while nearly three-quarters of the studied patients had high needs, the highest needs was for Psychological needs more than four-fifths of the studied sample followed by physical need about three quarter, near three quarter for spiritual needs, and above three fifth for socioeconomic needs. Conclusion: There was a statistical significant relation between patients' level of knowledge, total needs and their sociodemographic characteristics. In addition there was statistical significant relation between patients' total needs and their level of knowledge. Recommendation: conducting proposed protocol of patient's holistic needs management that's evidencedbased should be implemented and evaluated.

Background: Arterial blood gases analysis is major part of the diagnosis and management of the oxygenation status, acid base balance, and ventilation in critically ill patients. Aim: The study aimed to evaluate the effect of self-learning package on nurses' knowledge and practices regarding arterial blood gases analysis for critically ill patients. Subject and methods: Quasi experimental research design conducted at three intensive care units affiliated to Zagazig University Hospital; Surgical, Anesthetic, Cardio and Chest intensive care units, using pretest/posttest and follow-up test approach. Subject: A convenient sample of all available nurses with total number 60 was recruited from the selected units. Tools of data collection: Two tools were used for collecting data: Interviewing questionnaire to assess nurses' knowledge and observational checklist to assess nurses' practice regarding arterial blood gases analysis for critically ill patients. Results: There was a statistically significant positive correlation between total knowledge and total practice scores of the studied nurses. Preprogram (93.3%) of the studied nurses had unsatisfactory level of knowledge while in post program (91.7%), and in follow-up (86.7%) had satisfactory level, Regarding practice , pre-program (86.7%)of the studied nurses had unsatisfactory level , post-program (93.3) had satisfactory, and while follow up (86.7%) had satisfactory level. Conclusion: The study finding concluded that, implementation of self-learning package had highly statistical significance positive effect on improving nurses' knowledge and practice scores regarding arterial blood gases analysis. The main study recommendation: The importance of conduction the self-learning package in a wider field including all hospitals to raise the efficiency of nursing care provided, and a further study to be carried out in different settings on a larger sample for a wider utilization of the developed package, in order to achieve generalization of the results.

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