الفهرس 
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Abstract
Background: Pressure ulcer is recognized worldwide as one of the most common and highly relevant nursing care issues in hospitals.A significant amount of evidence has accumulated indicating that SKIN care bundle is considered as an essential component of pressure ulcer prevention practice for nurses to combat the incidence of pressure ulcers. Aim: This study aimed to evaluatethe effect of implementing a designed SKIN care bundle protocol on modifying nurses’ practices toward pediatric intensive care unit patients.Subject and method:A quasi-experimental design was used. The study was conducted at the pediatric medical intensive care units affiliated to Mansoura University Children’s Hospital (MUCH) and international Hospital of Sandoup in El - Mansoura City, Egypt. The study included a convenience sample of 84 nurses, 105 pediatric intensive care unit patients in each group of intervention, (recruited for six months’ period). Tools: Three tools were used to collect data. Tool 1: An interview questionnaire sheet for nurse’s knowledge. Tool 2: Observational checklist used to assess nurses’ performance regarding SKIN care bundle.Tool 3:Braden scale risk assessment tool for critically ill pediatric patients. Results: The majority of the studied nurses didn’t receive any training program about SKIN care bundle for pressure ulcer prevention and more than one third of the studied nurses had an insufficient knowledge, as well as more than half of the studied nurses had an unsatisfactory practice regarding SKIN care bundle preprogram, which improved to have a sufficient knowledge and a satisfactory practice after the program and at follow up respectively. Conclusion: The program had a positive effect on the critical care nurses’ knowledge & practices as well as on the pediatric intensive care unit patients as represented by a decrease in percentages of the studied pediatric patients who had a high risk for PUs development to immediately after & at follow up program implementation respectively.Recommendation: Including SKIN care bundle interventions & Braden risk assessment into nurses’ routine care and developing regular and continuous educational programs for the critical care nurses.