Medication administration errors (MAEs) are a common cause of harm and death in the healthcare sector. These errors not only compromise patient safety but also cost a lot of money around the world. Nurses must report MAEs so that healthcare systems can identify the causes and take preventative measures. This study aims to explore the causes of medication administration errors and barriers to reporting from a critical care nurses' point of view. Method: In the current study, a descriptive research design was employed. A convenience sample of 60 critical care nurses from Mansoura Emergency Hospital with a range of educational backgrounds and at least six months of ICU experience participated in the current study. Data were collected using one tool consisting of three parts, part I: Nurses' socio-demographic characteristics, Part II: Causes of medication errors, and Part III: Barriers to MAEs reporting. Results: heavy workload was the highest possible cause of MAEs (93.33%) among the studied nurses. Additionally, fear factors were perceived as the highest barriers to reporting MAEs with a total score of 44.2±4.9. Conclusion and Recommendations: From critical care nurses' point of view, fear of consequences was the strongest perceived barrier to reporting MAEs. Continuous and effective education programs should be provided for all nurses about MAEs and open feedback systems are required for motivating nurses to report medication errors.

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Critically ill patients frequently experience sleep deprivation, which has detrimental effects such as increased pain perception, impaired cognitive function, and delirium. Aim: Evaluate the effect of implementing nursing interventions bundle on sleep quality and associated delirium among patients at intensive care unit (ICU). Design: A quasi-experimental research design was utilized in this study. Setting: General Intensive Care Unit of Beni-Suief University Hospital and Anesthesia Intensive Care Unit of Emergency hospital affiliated to Tanta University hospital. Subjects: A convenience sampling of 60 adult critically ill patients who admitted to the selected setting and divided into two equal groups; 30 patients in each (control and study groups). Tools; Tool (I) Patient interview schedule, tool (II) Richard Campbell Sleeping Questionnaire (RCSQ) and tool (III) Intensive Care Delirium Screening Checklist (ICDSC) Results: A highly significant difference among study and control groups regarding their total sleep quality after applying the nursing intervention bundle in which P=0.000. The incidence of delirium was reported among control group with a percentage of (30%) compared with only (13.33%) in study group after the seventh day of intervention with significant differences in which P=0.024. Conclusion: Marked improvement in sleep quality with decreasing severity of pain and incidence of associated delirium after applying nursing intervention bundle among study group compared with control group throughout period of the study. Recommendation: Sleep interventions bundle should be integrated into routine care for patients in ICU to promote patient sleep and reduce incidence of delirium.

Background: Medical Device-Related Pressure injury (MDRPI) are skin breakdowns related to certain medical devices. Aim: Evaluate the effect of educational program about preventive nursing measures of medical devices related pressure injuries on nurses' performance and patients' clinical outcome. Design: Quasi-experimental research design. Setting: General Intensive Care

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