Background: Any woman who wants to breastfeed her child may benefit from Hand Expression and breastmilk storage, until recently, hand expressions with breastfeeding assistance were only indicated for women, who were at high risk for breastfeeding issues. Aim: to evaluate the effect of hand expression and lactation support on self-efficacy of primiparous mothers and quality of breastfeeding. Design: A quasi-experimental one-group (pre-posttest) research design was utilized. Setting: The study was conducted at the General Health Insurance-affiliated to specialist Hospital for Obstetrics and Gynecology in Port Said governorate. Sample: A total of 100 women who underwent immediate vaginal or cesarean deliveries at the specialized obstetrics and gynecology facility during the study period were included in the study population. Tools: Three tools were used for data collection namely, A structured interviewing questionnaire, Breastfeeding Self-Efficacy Scale-Short Form, and LATCH (latching, audible swallowing sounds, nipple type, comfort, and holding) score instrument. Results: Before and during the testing period, the study sample's overall self-efficacy& lactation scale had significantly increased. Conclusion. The intervention had successfully achieved its goal of improving overall self-efficacy and overall lactation scales among the examined sample. Recommendations: To enhance or sustain self-efficacy and subsequently enhance breastfeeding, healthcare providers and lactation consultants should offer lactation support to the new mothers.

Background: Any woman who wants to breastfeed her child may benefit from Hand Expression and breastmilk storage, until recently, hand expressions with breastfeeding assistance were only indicated for women, who were at high risk for breastfeeding issues. Aim: to evaluate the effect of hand expression and lactation support on self-efficacy of primiparous mothers and quality of breastfeeding. Design: A quasi-experimental one-group (pre-posttest) research design was utilized. Setting: The study was conducted at the General Health Insurance-affiliated to specialist Hospital for Obstetrics and Gynecology in Port Said governorate. Sample: A total of 100 women who underwent immediate vaginal or cesarean deliveries at the specialized obstetrics and gynecology facility during the study period were included in the study population. Tools: Three tools were used for data collection namely, A structured interviewing questionnaire, Breastfeeding Self-Efficacy Scale-Short Form, and LATCH (latching, audible swallowing sounds, nipple type, comfort, and holding) score instrument. Results: Before and during the testing period, the study sample's overall self-efficacy lactation scale significantly increased. Conclusion. The intervention had successfully achieved its goal of improving overall self-efficacy and overall lactation scales among the examined sample. Recommendations: To enhance or sustain self-efficacy and subsequently enhance breastfeeding, healthcare providers and lactation consultants should offer lactation support to the new mothers.

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Introduction:Lower respiratory tract infection is considered one of the major public health problems in many developing countries among under five children. The correct positioning will help to reduce the breathing difficulty to some extent. Aim: The study aims to evaluate the effect of prone versus lateral position on respiratory status among children with lower respiratory tract infections. Subjects and method: Design: A quasi-experimental research design was utilized in this study. Setting: the study was conducted in Pediatric Intensive Care Unit at Sohag University Hospital. Subjects: A non-probability purposive sampling technique was adopted to select 100 children with lower respiratory tract infections from the previous setting who were assigned into two groups, with 50 children in each group. Prone position was given to group 1 and lateral position was given to group 2. Tools: Tool (1) Children assessment sheet and Tool (2) Children respiratory status assessment sheet. Results: The result of the study revealed that in group-1 and group-2, the significance of the difference between the mean pre-observation and post-observation respiratory status score was statistically and was found to be highly significant at 0.05 level. The result shows that the respiratory status had no significant association with their variables. The values of heart rate, respiratory rate, and oxygen saturation improved significantly among children in the prone position than in the lateral positions after the intervention. Conclusion: The current study results concluded that prone and lateral positions were effective in improving the respiratory status of children under five years old with lower respiratory tract infections. The study findings also depicted that the prone position was more effective than the lateral position. Recommendations: Prone position is recommended and could be used in the routine care of children with lower respiratory tract infections as a simple and applicable strategy to improve the respiratory status.

Background: While many studies have been conducted on the relationship between work environment and patient safety in healthcare organizations, very few have focused specifically on pediatric care providers. Aim: to assess the pediatric nurses' perception regarding the relation between patient safety culture and work environment. Design: A descriptive study was utilized. Sample: A sixty-five pediatric nurses working in pediatric units at Zagazig University hospitals were included in the study. Tool: A structured questionnaire that included demographic data and the Safety Attitudes Questionnaire (SAQ) 2014 -2017. Results: Revealed a significant correlation between emotional exhaustion and all safety dimensions, while perceptions of management were found to be correlated with working conditions, job satisfaction, safety climate, and teamwork climate. Conclusion: Work environment variables such as teamwork climate, job satisfaction, stress recognition, perceptions of management, working conditions, and emotional exhaustion affecting patient safety culture in pediatric units and require prioritizing interventions and hospital management procedures. Recommendation: Extending the study to other hospitals and different geographic locations could enhance the generalizability of the study results.