Competency self-efficacy (CSE) in clinical nursing practice is necessitated to be attained by the undergraduate nursing students. It is a significant indicator of the work's acceptance and commitment to nursing roles. Self-efficacy in nursing experience enhances nursing student's abilities to achieve the clinical tasks independently, mainly in wide range field of care like Medical-Surgical Nursing. Some factors are affecting competency self-efficacy in the clinical nursing practice; the most evident factor is the nursing student’s impressions with their clinical learning environment (CLE). In the light of educational preparation for nursing undergraduates, the Faculties of Nursing emphasize to preserve a high quality of clinical learning environment for clinical nursing essentials. The clinical learning environment has an apparent function in building up students' confidence, and competency self-efficacy, particularly, during clinical skills achievement. The current paper aimed to determine undergraduate nursing student's satisfaction about the clinical learning environment and their competency self-efficacy, and then investigate the relationship between both variables. Thus, the study conducted through a descriptive, correlative research design with all nursing students who enrolled in third and fourth academic semesters (second year) during their clinical training in Medical-Surgical Nursing course, Faculty of Nursing, Alexandria University, Egypt. A triple-section questionnaire was used for data collection: First; nursing student’s sociodemographic profile, Second: Clinical Learning Environment Inventory (CLEI) which was constructed by Chan in 2002. Third: Nursing Competency Self Efficacy Scale (CSES) which was developed by Kennedy in 2013. The results showed that the undergraduate nursing students at Medical-Surgical training, Faculty of Nursing, Alexandria University, have a high satisfaction level about the clinical learning environment concerning all components of the clinical placement. As well, they have a high competency self-efficacy level in all nursing activities and tasks in the clinical training. Further, there is an obvious parallel correlation between nursing student's satisfaction about clinical learning environment and their competency self-efficacy which is significant. Conclusion & Recommendations: Adequate and planned arrangements should be settled in the nursing curricula for the nursing clinical training setting. Too, the clinical instructors should encourage students' trials to do difficult nursing tasks in a successful manner which tends to increase the student's competency self-efficacy. Further researches are required to investigate the factors affecting clinical learning environment satisfaction and competency self-efficacy among nursing students in their clinical placement. Additionally, another research is necessary about; developing an educational program about student's competency self-efficacy to guide nursing instructors in clinical training.

Undergraduate nursing education plays a vital role in acquiring the necessary competency for patient safety. Infection prevention and control is a very critical topic for providing patient safety so, undergraduate and graduate nursing students should be competent in infection prevention and control. The aim of this study was to measure the undergraduate nursing program effectiveness in improving knowledge and practice of infection prevention and control of internship nursing students and to identify their learning needs. A descriptive research design was used. Students were selected using convenience sampling which included 400 internship nurses. Data was collected using a self-reported questionnaire. The results of the current study displayed that more than half (59.5%) of the intern nurses had poor knowledge and also 43.2% of them had poor practice. In addition, it was found that more than half of them reported that infection control program is neither irrelevant nor meaningful, and 48.5% of the students suggested that participation in infection prevention and control training is most important for the improvement of nursing program. This study concluded that infection prevention and control topics in undergraduate nursing education may be insufficient and need to be updated, as well as the need for reviewing the intended learning outcomes of nursing program to ensure the addition and implementation of infection control guidelines in all undergraduate in the last academic year of nursing program as well as internship. The students also are in need for continued training and education regarding guidelines of infection prevention and control practice.

Introduction:Psoriasis is a chronic multisystem inflammatory disease linked with psychological stress, discomfort and physical disability which also affects sleep quality and disease severity. The holistic psoriatic patient's management accelerates the health care provider's urge for self-management nursing intervention implementation. Aim: Evaluate the effect of self-management nursing intervention on quality of sleep and daily living activities among patients with psoriasis. Research design: A quasi-experimental (one group pre-post intervention) design was employed. Setting: The study was conducted at the Dermatology,

Background: therapeutic exercises post DRFs surgeries are shown to be very important in preventing complications and deformities. The orthopedic nurses' role post DRFs surgeries includes physical assessment, pain management, and patients' education on the safe compensatory strategies for enhancing hand functional abilities. Aim: Compare the effect of activation of shoulder girdle muscles exercises versus hand on wrist joint mechanics of patients post intraarticular distal radius fracture surgeries. Design: A comparative quasi experimental research design.

Background: Type I diabetes mellitus (TIDM) is an emerging public health issue; in which the relation between quality of sleep (QoS) and glycemic control is inconsistent; where inadequate or poor QoS is associated with higher glycosylated hemoglobin (HbA1c) levels and greater glycemic variability. Conversely, altered glucose metabolism may affect sleep quality, suggesting a bidirectional relationship between QoS and DM control. Aim of the study: Assess the quality of sleep habits among TIDM patients and to assess the relation between quality of sleep habits and glycemic control among type I insulin dependent diabetes mellitus patients.