Background: Patients who have undergone a hysterectomy should get care that meets both their physical and psychological requirements, and this care must include the patients' relatives. Aim:  To evaluate the effect of designed nursing guidelines applying on knowledge and anxiety among women undergoing hysterectomy. Design: A quasi-experimental design was used to accomplish this study (pre/post-test). Setting: The study was conducted at the obstetric outpatient clinic at Mansoura University Hospital. Subject: A convenient sampling technique of 50 women undergoing hysterectomy who were attended in the previously selected setting was used. Tools: two tools were used (I) a structured-interview questionnaire, which consisted of three parts demographic data, obstetric history and history about hysterectomy, and Women's knowledge regarding hysterectomy, and (II) a State-Trait Anxiety Inventory. Results: The current study found that there was a highly statistically significant difference between women's knowledge of pre and post-designed nursing guidelines applying. women undergoing hysterectomy who were exposed to the designed nursing guidelines experienced lower mean anxiety scores post-nursing guidelines than those pre-nursing guidelines applying (P= <0.05). Conclusion: Designed nursing guidelines applying have a positive effect on improving knowledge and reducing anxiety among women undergoing hysterectomy.

Background: A clinical pathway is an integrated care plan designed with the required and time-bound care by the multidisciplinary team to shorten the period of hospitalization, for example, enhance cost-effectiveness, patient outcome, and degree of satisfaction. Aim: To assess the effect of clinical pathway implementation on nurses' performance and maternal outcome among postnatal mothers with vaginal delivery. Design: The study was conducted using a quasi-experimental prepost-test and post-test design with one group. Settings: This study was applied in the postnatal department affiliated with Zagazig University Hospital. Sample: This study involved a purposive sample of 100 postnatal mothers and 50 maternity nurses. Data collection tools: Demographic data assessment sheet for the nurses, Assessment knowledge questionnaire of nurses regarding clinical pathway and clinical pathway checklist, complication assessment rating scale, satisfaction rating scale. Results: Maternal nurses' knowledge of all components of the postpartum clinical pathway improved after the intervention, as evidenced by higher knowledge and performance scores for nurses' improvement than pre-intervention. This difference between pre and post-implementation of the clinical pathway was statistically significant. In addition, the postnatal mothers with vaginal delivery satisfaction have improved in the clinical pathway group compared to the control group. Conclusion: it was concluded that using clinical pathways had a positive impact on maternity nurses' performance and the satisfaction of postpartum mothers who had vaginal deliveries post-implementation compared to pre-implementation. Recommendations: To enhance nurses' performance, a postpartum care training program for maternity nurses should be implemented, based on the clinical pathway.

Background:The major cause of death in both industrialized and developing nations is congenital abnormalities, which pose a public health risk. Aim: To investigate the effect of video-assisted counseling program on pregnant women's knowledge and practice towards congenital anomalies. Design: Quasi-experimental design (pre-post) was used to achieve the aim of this study. Setting: This study was applied in the antenatal clinic at Zagazig University Hospital. Sample: A purposive sample of 70 pregnant women (one group pretest and posttest) who attending the antenatal clinic and detected fetal anomalies. Four tools were used for data collection: (1) A structured interviewing questionnaire, (2) Pregnant women knowledge assessment sheet, (3) Pregnant women attitude assessment sheet and (4) Pregnant women practice assessment sheet. Results: This study found a highly significant difference between study participants' knowledge, attitudes, and practices about congenital anomalies before and after a video-assisted counseling program. Conclusion: Their knowledge, attitude, and practice have all improved as a result of the implementation of a video-assisted counselling program for pregnant women with congenital anomalies. Recommendation: ongoing counseling programs regarding congenital anomalies during pregnancy to all pregnant women, and replication of the study with a large sample size to further settings.