Background:There is an emerging awareness that acutely ill and immobilized neonates are at risk for iatrogenic pressure injury. Therefore, it is crucial for nurses to understand the physiologic indices of pressure injury development and their interventions should be based on evidence-based information to reduce neonatal morbidity and mortality while increasing quality of care in the neonatal care setting.The aim of this study was to evaluate the effectiveness of preventivebundle guidelineson reducing iatrogenic pressure injuries among critically ill neonates.Research design: A quasi-experimental design was used. Settings:This study was conducted at the neonatalintensive care units in Benha Specialized Pediatric Hospital.Sample:A Convenient sample of nurses' (n=50) and critically ill neonates(n=60) were included from the above thementioned setting.Those neonateswere divided equally into two groups(study and control).Tools of data collection:Four tools were used namely; structured interviewing questionnaire format,pressure injury preventive bundle compliance checklist,Braden Q Risk Assessment Scales, andnurses opinion likert scale. Results:High percentage of the neonates (76.7%& 83.3%), in the study group were not at risk of pressure injury in the first and second week of admission respectively;this increased to 90.0%before discharge. While around (40%) of neonates in the control group were at high risk of pressure injury from the first week of admission till before discharge. Moreover. The result revealed that there was a significant improvement in nurses knowledge regarding pressure injuries as well as their compliance with preventive bundle guidelines after bundle implementation.Conclusion:The implementation of preventive bundle guidelines proved to be effective in improving nurses' knowledge and their compliance, with a positive impactontheincidence of pressure injury among critically ill neonates. Recommendation: Preventive bundle guidelines should be implemented in all hospitals caring for children to reduce the harm associated with hospital-acquired pressure injuries.

Heart surgery in children is done to repair heart defects for a child born with congenital heart defects and heart diseases. The aim of the study was to evaluate the effect of pre-hospital discharge care program on mothers' knowledge and reported practice regarding discharge care of children after congenital heart surgery. The study was conducted in the Heart Surgery Department at Abo-EL Riesh University Children Hospital. The sample included 30 mothers and their children that were available during the period of data collection. Three tools were used to collect data including: Tool I: Interviewing questioner sheet of the participants categorized into two parts. Part I and part II: Personal characteristics of the children and their mothers. Tool II: Assessment of mothers' knowledge regarding care of children after congenital heart surgery. Tool III: Mother's reported care practice checklist. Results: The results of the present study revealed that there was a highly significant difference in all items of care knowledge (activity, food, medication and follow-up) before, after immediately and after one month from discharge program with highly significant statistically (p < .001). Discharge program improve mothers' knowledge and practice regarding care of their children after congenital heart surgery. Recommendations: Comprehensive, multidisciplinary discharge planning should deign early and should include the mothers and children contain education regarding congenital heart surgery care.

Background: Simulation linked Problem-based Learning (S-PBL) is a strategy, through which the students learn effectively while introducing students to real-world scenarios and professional nursing procedures. Aim of the study: to evaluate the effect of simulation linked problem based learning strategy on nursing students' performance regarding care of children undergoing open heart surgery. Setting: clinical pediatric laboratory skills, laboratory simulation-based training and teaching hall of Faculty of Nursing/ Benha University. Subjects: A simple random sample was used for the purpose of sample selection. A quasi-experimental research design was utilized Tools of data collection: three tools were utilized; Pediatric Student-Nurses' Knowledge Assessment Sheet, Observation Checklists And Barriers of Using Problem-Based Learning Strategy Questionnaire. Results: Minority (1%) versus most (95%) of the studied students had good total knowledge level pre\post the S-PBL strategy application respectively. Minority (3%) versus most (92%) of the studied students had competent level of practice pre\post the S-PBL strategy application respectively. Minority (4%) versus most (98%) of studied student had positive perspective toward barriers of using PBL strategy pre\post S-PBL strategy application. Conclusion: Students had higher levels of knowledge and practices post strategy application than pre application. Also, the barriers faced by the studied students regarding PBL reduced. Recommendation: the S-PBL strategy application is encouraged to be on larger sample size and on most faculties of nursing in Egypt. Application of PBL strategy needs to be done on a larger sample number.

Cerebral palsy is one of a number of neurological disorders that affect body movement and muscle coordination. Nursing intervention of these children is crucial to maintaining their life and improving their quality of life. Therefore, the aim of this study was to enhance the quality of life for children with cerebral palsy through assess mothers' knowledge and practice regarding care of children with CP, design, implement and evaluate the constructed training program according to mothers' deficit. The research hypothesis was enhancing quality of life for children with cerebral palsy. A sample of 80 mothers of children with CP included in this study. The study was conducted at physiotherapy unit at Benha Hospitals. The tools of data collection were 1) mothers and child assessment sheet was constructed by the researcher, 2) Cerebral palsy quality of life questionnaire, developed by (Waters et al., 2006). The results showed significant improvement in mothers' knowledge and practice regarding caring for their children with CP, and also showed slightly improvement in children quality of life after program implementation. The study concluded that the program succeeds in improving the mothers' knowledge and practice regarding CP. After three months of implementation the program, the mothers' knowledge and practice was decline but still Tanta Scientific Nursing Journal Vol. 4 No. 1 May, 2013 48 higher than before the program regarding all items about knowledge and practice. The study recommended that teaching mothers different aspects of caring of their children having cerebral palsy to improve their quality of life updated pamphlets, posters and Arabic booklets about CP to facilitate the improvement of their knowledge.