Background: Fever is a common medical problem among children that always prompts mothers to seek medical care. Aim: To evaluate the effect of educational protocol for improving mothers’ practices on the types of fever in Zagazig City. Design: A quasi-experimental research design [pretest -posttest] was used. Setting: At Chiba MCH center, in Zagzig City. Sample: A purposive sample consisted of 96 mothers were chosen according to inclusion criteria. Tools: Three tools were used; Interview Questionnaire sheet, the mothers’ knowledge of fever, and mothers’ practice in management of their febrile child. Results: Showed that about 33.33% of the mothers aged between 35 and 40 years, about 72.91% of them were married, nearly 64.58% of them had work. Also, about 63.54% of them reported that they were from rural areas. Also, there were statistically significant totally improvements in the mothers' knowledge and practices regarding the focused problem at (p<0.001) in the post-protocol phase. There were highly statistically significant positive correlation between mothers’ total knowledge and practices pre and post-protocol (r =0.802, and 0.617) respectively. Conclusion: The applying of educational protocol among mothers was effective in enhancing their knowledge, and practices regarding types of fever and their management. Recommendation: Further educational protocols in the pediatric clinics or via mass media for mothers about fever should be implemented.

Objectives: To investigate the Quality of Life (QOL) of Family care givers and characteristics of QOL associated with caregivers who are involved in the care of individuals with Cerebro Vascular accidents patients. Research Methodology: Descriptive cross-sectional study was conducted with a sample size of 50 caregivers of stroke patients taken from four different hospitals of Lahore. Non-probability convenient sampling technique was used. Data was collected by questionnaire of assessment of Quality of Life of family caregivers translated into Urdu version. Findings and Discussion: A Significant high ratio of female caregivers was found, out of 50 caregivers only 20 (40.0%) were male. According to data, the average score of Social relationship domain score 63.7 ± 18.4 was followed by Psychological 58.8 ± 15.1 and Physical health domain score57.4 ± 17.6 as compared to the Environment domain score. The environment domain score 53.5 ± 15.4 was lowest as compared to all four domains’ score. Conclusion: Findings of this study suggested that environmental domain is a leading factor for poor Quality of Life. It is needed to improve the environment and surroundings of patient care premises to improve quality of life of caregivers in hospital. Hospital policy, resources, set up and certain interventions were required to improve the caregivers’ quality of life.

Mechanical ventilation is a lifesaving modality in critically ill patients. It is achieved through passage of Endotracheal Tube in the trachea for the assistance in breathing and removal of tracheal secretions. ETT tends to interfere in the function of mucociliary ladder putting the patient at risk for accumulation of secretions which requires an utmost need for endotracheal suctioning. This invasive procedure ensures the patency of ETT and deliverance of adequate oxygenation to the patient, but lack of knowledge and malpractices of the nurses tends to put the patient at risk for certain complications. The study was aimed to evaluate the effectiveness of structured training program in enhancing performance knowledge of ICU nurses in terms of ETT suctioning. For the evaluation of knowledge and skill, a questionnaire and observational checklist was developed along with the protocol of ETT suctioning in the context of evidence based guidelines. Quasi experimental design was chosen with purposive sampling technique. The sample size was 50 students of Post Basic Diploma in ICU/CCU from various college of nursing of Lahore and Islamabad. Findings of the study proposed that post implementation knowledge and practices of ICU nurses were immensely improved with p value of 0.00, respectively. Henceforth, the structured training program proved to be promising and had a meaningful influence to enhance the performance knowledge of ICU nurses in relation to ETT suctioning guidelines.

Background: Postnatal sepsis is one of the problems that threaten the lives of mothers, although it can be avoided by taking the necessary precautions. The nurse and midwife represent the cornerstone in preventing and treating infections during the postpartum period. Study Design: This semi-experimental study Sudan, River Nile state to evaluate the effectiveness of designed guidelines for midwives regarding postnatal sepsis management, during the period March 2017 to January 2020. Sample Size: The study included 73 midwives. Data Collection Tools: Data were collected in two stages using a standard questionnaire and a list of observations before and after the training program. Data Analysis: The data were analyzed by a computer software program (SPPS) version 23. The result showed that the level of knowledge is improved significantly after guidelines interventions, where Nursing assessment and management 20.8% had bad practice while this is improved 82.6% very good practice. only12.5% of respondents scored very good Skills full of maintaining vulval hygiene and Maternal hygiene, which change to 100% very good score after interventions. concerning counseling regarding prevention and management 29.2% considered as bad practice changed to 91.3% Very Good Practice after interventions of guidelines. Conclusion: The study concluded that the majority of nurses midwives had high knowledge score in the post-test compared with pre-test and they demonstrated good practice which indicated that the postpartum infection management training guidelines program was effective.