Background: Educational guidelines after bone marrow transplantation provide patients with sufficient knowledge and practices to reduce expected complications. Aim: This study aimed to determine the effect of educational guidelines on patients' knowledge and practices regarding complications post-bone marrow transplantation. Research design: A quasi-experimental design was utilized to achieve the aim of this study. Setting: The study was conducted at Oncology Center affiliated with Mansoura University, Egypt. Subject: A convenient sample that included (50)patients post bone marrow transplantation. Tools: (I) Patient's assessment sheet, (II) Patient's knowledge, and III: Patient's reported practices (pre and post). Results: This study revealed that there was a statistically significant improvement in patients' knowledge and reported practices respectively pre and post-educational guidelines. There was a positive correlation between knowledge and practice at pre, post, and follow-up implementation of the educational guidelines regarding complications post bone marrow transplantation. Conclusion: The current study concluded that educational guidelines regarding complications post-bone marrow transplantation have a positive effect on improving patients' knowledge and reported practices. Recommendation: Provide continuous educational guidelines regarding complications post-bone marrow transplantation.

Background:Patient safety measures are directed to prevent or minimize complications and adverse event incident that needs the collaboration of all health staff. Nurses have a significant role in improving patient safety as major personnel dealing continuously over 24 hours with the patients. Aim of the study: Assess nurses' awareness, commitment, and attitudes regarding patient safety measures. Subjects and Method: Research design: A cross-sectional, descriptive design was utilized. . Setting:The study was conducted at Medical-Surgical Units of Zagazig university hospitals . Subject: A convenient sampling of 100 nurses selected from theses units in the period of March to January 2021. Tools of data collection : Two tools were used for data collection. Tool (I): A structured interviewing questionnaire that included four parts: demographic characteristics of participants, nurses' awearness, commitment, and attitude's regarding patient safety measures. Tool (II): was perceived implicit rationing of nursing care. Results: the majority of participants were females, about two third had technical nursing institute, with professional experience ranging from six to ten years, nearly two-thirds worked for more than 36 hours weekly, less than half didn't receive training courses regarding patient safety, more than three quarters reported that safety measures were excellent and had total satisfactory awareness regarding patients safety, nearly to half had high commitment level score, less than two-thirds had total positive attitudes, only half had a satisfactory total safety practices knowledge level score, more than quarter were rating missed nursing care as high and or moderate. A statistically significant difference and positive correlation were found between the demographic characteristics of participants and their awareness' level scores as well as with safety commitment, attitudes, and missed nursing care.Conclusion : Gaining confirmation regarding the level of nurses' awearness, commitment, and attitudes, toward patient safety measures are significant to undertake the essential strategies required to minimize the burden of health care, and its related effects. Recommendations:Continuously training on patient safety measures must be provided to nurses to be proficient, devoted, updating regarding patients' safety measures.

Anticoagulant medications help prevent thromboembolisms, and improve health. The most common negative consequences of anticoagulant injection are pain, bruising that affect negatively on patient satisfaction. Non pharmacological methods to decrease such consequences had a great attention. Aim of the study: Explore the effectiveness of thumb manual pressure application on anticoagulant subcutaneous injection pain, bruising, and satisfaction experienced compared to routine SCI. Study design: A quasi-experimental nonequivalent one-group selfcontrolled design was used. Setting: the study applied in the orthopedic Surgery department at New-surgery hospital of Zagazig University hospitals. Subjects: a convenience sample of a single group from both males and females. It included 88 participants. Tools: Four tools were used in this study. The same participants were both in control and intervention. The same nurse applied a subcutaneous injection into the upper outer Lt arm followed by thumb pressure for 10 seconds as an intervention group. Whereas, the routine SCI in the upper outer Rt arm was injected in the same patient by the same nurse and considered as a control group. Pain level, bruising and patient satisfaction were assessed. Results: there was a statistical significance difference in the pain level, bruising and satisfaction, explored via less pain intensity, minor bruising and high satisfaction level where thumb manual pressure applied over the left arm SC anticoagulant injection. Conclusion: manual pressure application is a more effective method in reducing pain, bruising and increasing satisfaction level due to subcutaneous injection. Thus using such non-pharmacological methods was effective.

Background: Arteriovenous fistula (AVF) has been known as the gold standard for hemodialysis. It provides good blood flow for dialysis lasts longer than other types of access and is less likely to get infected or cause blood clots than other types of access. Educational program are important for nurses working in hemodialysis units to improve patient outcomes and reduce healthcare costs. The aim was to evaluate the effect of educational program on nurses' performance regarding arteriovenous fistula among hemodialysis patients. Design: a quasi-experimental design was used. Setting: The study was conducted at the hemodialysis unit at Zagazig University Hospital. Subjects: A convenient sample of all available nurses (40 nurses) who are working in the previously mentioned setting. Tools of data collection: Two tools were used: Tool I Structured interviewing questionnaire and II: Observational checklists. Results:The study result revealed that most of the studied nurses had a satisfactory level of knowledge and most of them had competent levels of practice after the educational program implementation. There were highly significant improvements in the studied nurses' knowledge and practice post-educational program (P<0.001). There was a positive significant correlation (P=<0.005) between nurses' knowledge and practice post-educational program at (p< 0.001). Conclusion: The educational program had a positive effect on improving nurses' knowledge and practices level regarding arteriovenous fistula among hemodialysis patients. Recommendations: Provide continuous in-service training and regular educational programs regarding arteriovenous fistula care for the nurses in hemodialysis units.