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Surgical safety has been a major challenge of the nursing profession. Much progress has been made in identifying what causes errors, and understanding the relationship between safety and patients' outcomes. Aim: To evaluate the effect of nurses' implementation of surgical safety guidelines on their performance and post-operative complications. Design: A quasi-experimental research design was used. Setting: The study was conducted at the operating room and general surgery department at the university hospitals in Cairo. Sample: A convenient sample of 72 nurse and 100 patients at the general surgery department. Tools: Four tools were used: I: self-administered questionnaire it included: demographic characteristics of the nurses and nurses' knowledge assessment questionnaire, II: Nurses' safety practices observational checklist. III: Safety attitude questionnaire, IV: Post-operative Complications Questionnaire: It included demographic characteristics of the patients and post-operative complications. Results: There were high statistically significant differences between nurses' mean scores of knowledge post implementation of surgical safety guidelines. All of anasthesia nurses performed surgical safety practices, there were highly statistically significant differences between nurses' attitudes regarding reporting any safety concerns and working with physicians as a team. As well; there was highly statistically significant reduction of some post-operative complications post implementation of surgical safety guidelines. Conclusion: Nurses' implementation of surgical safety guidelines had a positive effect on their performance and on reduction of post-operative complications. Recommendations: Surgical safety guidelines should be implemented as part of daily surgical routine and encourages its use to all surgical operations.

Purpose: This article investigates caregivers' perceived experience as part of the first implementation of LENA Start for Arab American families in New York City, with particular attention to the children's bilingual status as heritage speakers raised in marginalized communities within the United States. Method: A qualitative analysis of a semistructured focus group interview conducted with five Arab American mothers who participated in the program was conducted to explore parents' perception and experience of the program using Glaserian grounded theory analysis. Results: Parents reported more talking and reading with their children after participation, but the recorded data showed the changes were not significant. Parents reported that they benefited from the program by gaining a sense of belonging and embracing bilingualism while facing systemic barriers to passing on their heritage language. Parents as a group displayed a range of feelings including fear, trust, appreciation, motivation, and internalized supremacy of Western practices. They also engaged in a range of actions and commitments (i.e., self-reflection, self-growth, and progress) in association with the program. The components reported to be most critical were outside of the scope of the manualized program, such as service delivery in Arabic, a trusting and mutually respectful relationship, and attentiveness to sociopolitical and cultural factors. Conclusion: The findings highlight the need for a holistic analysis of parent educational programs in marginalized communities to include qualitative methods that engage with the social, political, and cultural realities of families.

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Diabetes conversation map was developed as a new educational initiative tool that engages patients with type 2 diabetes in group discussions. It combines various educational theories and has proven to be an internationally effective diabetes education for self-care management. Aim: To evaluate the effect of educational guidelines using diabetes conversation map for diabetic patients Design: A quasi-experimental research design was used. Setting:The study was conducted at the diabetic outpatient clinic, affiliated to El Nasr Hospital for Health Insurance, Helwan, Egypt. Sample: A purposive sample of 160 patients was equally divided into two groups (conversation map and control). Tools: Two tools were used: (1) Structured interview questionnaire it include: Patient demographic characteristics, medical history, and Patients' level of knowledge regarding diabetes mellitus. (2) Diabetes Self-Management Questionnaire. Results: there were statistically significant improvements regarding mean knowledge scores and self-management pre to post implementation of diabetes conversation map within the conversation map group. Conclusion: The diabetes conversation map had an improvement effect on diabetic patients' level of knowledge and self-management activities among conversation map group compared to control group. Recommendations: Further researches are indicated on a wide range to counsel diabetic patients about the impact of diabetes conversation map on improving level of knowledge and self-management activities.