Background: A number of malignant and nonmalignant medical problems, frequently in severely ill patients, demand for the advanced therapeutic technique known as a bone marrow transplant. To offer patients with high-quality care following bone marrow transplants, the nurses required knowledge and practice. Aim: This study aimed to determine the effect of social media-assisted inservices training instructional guidelines on nurses' performance regarding bone marrow transplant recipients. Research design: A quasi-experimental design was utilized to achieve the aim of this study. Setting: The study was conducted at an outpatient clinic Oncology Institute affiliated with Sohag City, Egypt. Subject: A convenient sample of (50) nurses were included. Tools: a structured interview Questionnaire tool that included four parts. Part I: Personal data, part II: Nurses' knowledge, and part III: Nurses' reported practices (pre and post). Results: This study found those nurses' reported practices, attitudes, and knowledge had all improved statistically respectively pre and post-social media-assisted in-services training instructional guidelines. Conclusion: The current study concluded that social media-assisted in-service training instructional guidelines regarding bone marrow transplant recipients have a positive effect on improving nurses' knowledge and reported practices. Recommendation: Provide continuous in-service training instructional guidelines regarding bone marrow transplant recipients to nurses in different healthcare settings.

Background: Foot-drop in stroke patients usually occurs because the muscles that lift the foot are weakened by the neural system impairment. Foot drop splints and physical exercise are important to manage foot drop patients after stroke for safe and efficient walking. Aim: This study was aimed to evaluate the effect of foot splint and exercises session on foot drop and muscle strengthening among patients with stroke. Design: Quasi-experimental research design was used in this study. Setting: The current study was conducted in the neurological department at Port said University Hospital. Subjects: A purposive sample of 100 ischemic stroke patients was recruited for the study, and was assigned into two groups, with 50 ischemic stroke patients in each group (the study and control groups). Tools for data collection; Tool (1): Patient's interview questionnaire; Tool (2): Foot and ankle disability index (FADI) (pre/post), and Tool (3): muscle strength assessment scale (pre/post). Results:The results revealed that (84%) of the study group and (88%) of the control group were of the same age from 40-≤ 60 groups with a mean age (55.23 ± 7.02) (56.61 ± 4.45) respectively, (68%) were males. There was a statistically significant difference in the FADI scale total score among ischemic stroke patients within the study and control group post one month and three months post-implementation. There was a statistically significant difference in muscle strength scores among the study and control groups post one month and three months of implementation with an improvement in the level of muscle strength among the study group and then control group after implementation of foot splint and exercises. Conclusion: The application of a foot splint and exercises session has a positive effect on decreasing foot drop disability and improving muscle strengthening among patients with stroke. Recommendation: We recommend foot splints and exercises should be engaged in a rehabilitation program for patients with stroke to decrease disability associated with foot drop and improve muscle strengthening.

A spinal cord injury occurs when the communication between the brain and the rest of the body is disrupted, causing loss of movement and feeling below the level of injury. The aim was to determine the effect of video-assisted teaching program on nurses' performance regarding the care of patients with spinal cord injury. Subjects and method: Design: A quasi-experimental research design was used to conduct the current study. Setting: the study was conducted at the general intensive care unit and neurological intensive care unit in Suez Canal University hospital. Subjects: A purposive sample of 50 nurses was included in the study. Three tools were used: Two tools were used for data collection were 1) Nurses self-administered questionnaire sheet. It included two parts. part one is concerned with the assessment of the demographic characteristics of the studied nurses and part two is concerned with nurses' knowledge questionnaire regarding caring for patients with spinal cord injury.2) Nurses' observational checklist about nursing performance for patients with spinal cord injury to assess nurses' performance. Results: There were highly significant improvements in nurses' knowledge and performance regarding spinal cord injury pre and postvideo-assisted teaching program (P=0.005). The results of the present study revealed that there was a positive significant correlation between nurses' knowledge and their performance level regarding caring for patients with spinal cord injury pre and post-video-assisted teaching program. Conclusion:The current study concluded that video-assisted structured teaching program had a highly significant positive effect on improving nurses' performance regarding the care of patients with spinal cord injury. Recommendations: Application of video-assisted structured teaching program for nurses working with spinal cord injury patients at intensive care unit to improve their performance.

Background: The ideal treatment for patients who suffer from sacrococcygeal pilonidal sinus disease (SPSD) should lead to a cure with a rapid recovery period allowing a return to normal daily activities, with a low level of associated morbidity. Aim: To evaluate the effect of educational guidelines on surgical nurses' knowledge and practice regarding phenolisation dressing technique for patients with sacrococcygeal pilonidal sinus disease. Design: Quasi-experimental research design was used in this study. Setting: The current study was conducted at the General Surgery Departments at Mansoura University Hospital. Subjects: A convenient sample technique of a total of 50 nursing staff working in the General Surgery Departments was recruited in the study. Three tools were used for data collection; Tool (1): Nurses' demographic characteristics; Tool (2): Nurses' knowledge about phenolisation dressing technique (pre/post), Tool (3): Nurses' practice about phenolisation dressing technique (pre/post). Results: The study result revealed that more than half of the studied nurses were between 20 to less than 30 years old and more than three fifths of the studied nurses were female. More than two-fifths of the studied nurses have a diploma from secondary nursing school. There was a highly statistically significant difference between the preeducational guidelines and post-educational guidelines regarding nurses' knowledge and practices about phenolisation dressing technique. There was a statistically significant positive correlation between the total knowledge and total practice scores of the studied nurses regarding phenolisation dressing technique for patients with sacrococcygeal pilonidal sinus disease. Conclusion: Educational guidelines had a positive effect on improving surgical nurses' knowledge and practice regarding phenolisation dressing technique for patients with sacrococcygeal pilonidal sinus disease. Recommendations: Educational programs about the importance of phenolisation dressing technique should be provided to nurses working in surgical units.

Background: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory illness that is a leading cause of morbidity and mortality globally. It has a considerable impact on the patient's capacity to work and quality of life. Dyspnea is one of the most common health issues among those suffering from chronic obstructive pulmonary disease. The study aimed to compare the effect of acupressure versus pursed-lip breathing intervention on dyspnea and pulmonary function among chronic obstructive pulmonary disease patients. Design: This study was carried out using a quasi-experimental design. Sample: A purposive sample of 100 adult patients was selected and divided into two groups, one for acupressure (n=50) and the other for pursed-lip breathing (n=50). Setting: The study was conducted in the Inpatient chest Unit at Beni-Suef University Hospital. Tools of data collection included (1) Patient's demographic questionnaire, (2) Measurement of pulmonary function tests sheet, (3) Measurement of the sensation of breathlessness (dyspnea) by Dyspnea index, (4) The 3-min step test, and (5) Assessment of health status in chronic obstructive pulmonary disease patient questionnaire. Results: It was discovered that, as compared to pre-intervention, there was a significant improvement and increase in forced vital capacity FVC, forced expiratory volume in one second FEV 1, and FEV1 /FVC. More than the acupressure group, the dyspnea index decreased after pursed-lip breathing. The CAT score questionnaire improved both before and after the intervention. Pre and post 3min step test post-intervention, the dyspnea index was much lower. Conclusion: Pursued-lip breathing was found to be beneficial in alleviating dyspnea in COPD patients, but acupressure had just a little effect. The COPD Assessment Test Questionnaire (CAT) score questionnaire, as well as the Dyspnea index in COPD patients, improved. Recommendation: Applying pursed-lip breathing intervention is recommended to control dyspnea and improve ventilatory functions among COPD patients.