ABSTRACT:  Background: Integrating nurse-caring behavior protocols in acute diabetic crisis management enhances patient satisfaction and outcomes by addressing both clinical and emotional care needs. Aim: evaluate the effect of implementing nurse-caring behavior protocols on enhancing patients’ satisfaction and their outcomes in acute diabetic crisis management.  Design:  Quasi-experimental research design was used in the present study. Setting: ICU and emergency care unit at Aswan university hospital. Sample: This study was performed on 60 patients who were not randomly selected and assigned in to control and study group. Tools: Tree tools were used to collect data include Tool (I): Patient assessment tool contained personal characteristic. Tool (II): Patients satisfaction with NCBs evaluation scale. Tool (III) Patients Outcomes assessment tool. Results: the majority being aged 50-60 years in study and control group (70.1% and 66.7% respectively), Gender distribution was nearly equal, with slightly more females in (56.0 % and 50%) respectively, a higher percentage of participants with higher education (33.3% and 50%) respectively. A higher percentage of patients in the study group reported satisfactory levels of satisfaction (73.3%) compared to the control group (33.3%) Conversely. The study group had a significantly higher percentage of patients staying less than 5 days (63.3%). The study group had significantly more patients discharged to home (76.7%). A significantly lower rates of complications, including hypoglycemia, hypokalemia, cerebral edema, arrhythmia and acidosis among study group. Conclusion: The nurse-caring behaviors have a positive impact on patient satisfaction, outcomes, and a reduction in complications associated with acute diabetic crises.  Recommendation: Implementing and evaluating nurse-caring behavior protocols, to enhance early discharge and complication management in acute diabetic crisis management.

Background: critical care nurses have an important role in applying High-Frequency Chest Wall Oscillation (HFCWO) devices which offers a great practical advantage in improvement of airway clearance in patient with various respiratory conditions. Objectives of study: to evaluate the effect of using high frequency chest wall oscillation device on respiratory outcomes among critically ill patients. Method: This study was carried out at the respiratory intensive care units at Assiut University Hospital, Egypt by using Quazi experimental research design. A Purposive sample of 60 adult critically ill patients from August 2024 to March 2025. Patients were randomly assigned into intervention group and control group. Tools: Three tools were utilized in this study; I: Patient assessment tool. II: Respiratory system assessment. III: Patients Outcomes. Results: regarding arterial blood gases; study results revealed that intervention group showed an improvement than control group in mean PaO2 from 72.53 ±21.03 pre intervention to 85.90 ± 14.92 at 7th day and mean SaO2 from 90.13 ±6.66 pre intervention to 93.23 ±5.67 at 7th day with statistically significant differences (P = 0.033, 0.022) respectively. Also, intervention group had lower length of ICU stay than control group with statistically significant difference (P = 0.032). Conclusion: HFCWO device was an effective way to enhance patients' respiratory status and decrease length of ICU stay than manual chest physiotherapy. Recommendations: study results encourage using HFCWO device in all ICUs at Assiut university hospitals.