The ability to provide safe and high-quality care to patients is the primary goal and the focus for many health care providers. Guidelines can be used to reduce adverse event in practice and to promote the delivery of high quality and evidence-based health care. The aim of the study to investigate nurses' compliance to patient and environmental safety guidelines in critical care units. Descriptive research design was utilized to achieve the aim of this study. The study was carried out at three of Minia University Hospitals in Minia city. All available nurses (n= 88) who were working in critical care units at time of data collection in the selected hospitals. An environmental and patient safety guidelines questionnaire was used to achieve the aim of this study. Results: less than two third of studied subject were not compliance to patient safety nurses', while nurses complied to environmental safety with 62.5% in critical care units; also, there is highly statistical significance between departments and nurses' compliance to patient safety. Thus, it was concluded that less than two third of studied subject were not compliance to patient safety. As well as environmental safety in critical care units was appropriate with 62.5% in critical care units. Recommendations: Staff development programs for nurses working in critical care units related to patient and environmental safety as well as ensuring that the organization’s annual budget includes adequate resources to implement and evaluate health and safety activities.

Background: Head nurses with high emotional stability are more competent and report more self-control and fewer career decision-making difficulties. Aim of study: Was to assess the effect of emotional stability educational program for head nurses on their decision making. Design: A quasi-experimental design was utilized. Setting: The study was conducted in all inpatient units at Minia University Hospital. Sample: Consisted of all head nurses 50 who are working at the previously mentioned setting during data collection. Tools of data collection: Four tools were used for data collection; I: Emotional stability knowledge questionnaire, II: Self-report regarding emotional stability skills, III: Attitude toward emotional stability questionnaire, and IV: Decision making ability questionnaire. Results: Most of the studied head nurses (96.0%) and (88.0%) had satisfactory knowledge levels at immediate post and follow-up phases respectively compared with pre-program phase (10.0%). The most of studied head nurses (80%) and (66.0%) had competent emotional stability skill level at immediate post and follow-up phases respectively compared with pre-program phase. Nearly three-quarters (72.0%) and three-fifth (60.0%) of studied head nurses had a positive attitude regarding emotional stability at immediate post-program and follow-up phases, respectively, compared with the pre-program phase (18.0%). Also the most of the studied head nurses (94.0%) and about three quarters (74.0%) had high decision-making ability level at immediate post-program and follow up phases respectively compared with pre-program phase. Conclusion:There was a positive highly statistically significant correlation between total head nurse's knowledge, skills, and attitude regarding emotional stability and their decision-making ability during immediate post and follow up program phases while there was no statistically significant correlation at pre-program phase. Recommendation: Conduct training programs and workshops periodically to refresh and increase knowledge and skills of head nurses' emotional stability and decision-making skills. Also conduct annual assessment for head nurses regarding their emotional stability and decision making ability and considered a key issue for their assessment to achieve organization goals.

Background: Safety during patient hospitalization is the patients' right, and the priority of health professionals. Also, a healthcare free from risks and failures is a goal that should be reached by health professionals and a commitment of professional education. Therefore, changes to the nurses' work environment need to focus on enabling and supporting nurses to provide high-quality and safe care Aim: of the study is to develop environmental and patient safety guidelines for nurses in critical care units. Design: the methodological design was conduct to achieve the aim of the current study. Setting: The study was carried out at critical care units of three university hospitals. Subject: the proposed guidelines was distributed to convenient sample of 31 jury members to test its validity and distributed to convenient sample of 162 participant divided to 88 bedside nurses and 74 resident physicians to test the reliability of the proposed guidelines. Results. The proposed guidelines' items were increased to 144 items, and sub-categorized to 17 dimensions. Conclusions: the validity and the reliability of the proposed guidelines were satisfactory, where it can be used in critical care units. Recommendations: use the developed environmental and patient safety guidelines in different critical care units in the selected hospitals and establish a safety committee to facilitate the application of environmental and patient safety committee.

Background: Total Quality Management represents a modern management philosophy, established due to the development in all aspects of life in today's world. Aim: To assess nursing staff awareness regarding challenges for applying Total Quality Management at Assuit University Hospital. Research design: A descriptive study convenience sample design with a sample contains all nurses working in General Surgical, Special Surgical, General Medical, and Special Medical departments at Assiut University Hospital with a total number of n= 219. Tools: Total Quality Management Challenges questionnaire is used. Results: Show that above one-third of them agree about all items of challenges for applying total quality management. Conclusion: No statistically significant differences between quality management challenges with personal and occupational characteristics of the studied nurses at Assuit University Hospital. Recommendations: Conduct an awareness sessions about total quality management between nurses at Assuit University Hospital; Conduct a total quality management training or program to all nurses at Assuit University Hospital, And the availability of quality assurance coordinator nurse in each department who works to implement quality policies in the departments and act as a link between the department and the Quality Committee.

Background: Recently, the world has been exposed to many disasters that threatened the country's security and economy; as well directed the world to consider how to confront those disasters by making proposed plans to confront future disasters; in which this will increase the world's awareness of how to deal with disasters and avoid the complications of their occurrence.