الفهرس 
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Abstract
Nightingale (1969) described the goal of nursing is to assist patients to meet their needs through creation of an environment conductive to health. Nurses should not only treat the present problems, but also prevent the potential hazards. Therefore, it is the time to transform the health care structure from a disease management industry to a healing system.
Nosocomial anemia in critically ill patients may be the result of a variety of causes including RBCs losses and insufficient RBCs production. So, critical care nurses should prevent nosocomial anemia through identifying the risk factors group, minimizing the factors contributing to nosocomial anemia, using of blood conservation strategies in the ICU, and monitoring of oxygen status as well as hematological one.
Aim of the study
A descriptive design was used to identify nosocomial anemia in critically ill patients and its contributing factors.
This study was carried out in the ICUs at the Alexandria Main University Hospital, namely; Casualty care unit (unit I) and General ICU (unit III).
All newly admitted adult critically ill patients to the above mentioned settings were included in the study except those with the following exclusion criteria: Hb <11 g /dl for adult males, Hb <10.6 g /dl for adult females, Hct<36% for adult, Patients with bleeding abnormalities, Patients who are postoperative, Patients with renal insufficiency.
A convenient sample of 65 patients was enrolled in this study during the period of data collection from April to August 2012.