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Abstract Poisoning is one of the most common causes of admission to pediatric emergency and intensive care units. Pediatric poisonings are a common and preventable cause of morbidity and mortality throughout the world. Therefore, there is an intense need to educate mothers on how to provide first-aid management when their children are exposed to poisons. This can be done through an instructional module that might enhance mothers’ Knowledge and their reported practice regarding first aid management of household poisoning among their children (Abu El-Naga et al., 2022).Purpose of the study was to: -Assess the effect of instructional module on mothers’ knowledge and practice regarding management of household poisoning among their children.Research design: -A quasi-experimental design (one group pre and posttest) was utilized for this study.Research Setting: The study was conducted in El- Qebly Maternal and Child Health Center (MCH) at Shebin El-Kom city.Sample:-A purposive sample of 70 mothers was selected with their children’s at the previously mentioned setting.Instruments of the study: -In order to achieve the purpose of the study, two instruments were utilized for data collection: Instrument one: A structured Interviewing Questionnaire: to assess studied children and studied mothers’ data it consisted of two parts:Part one: characteristics of studied sample:A. characteristics of studied mothers, e.g. age, marital status, number of children, residence, educational level, occupation and income.B. characteristics of studied children, e.g. age, gender, child’s ranking order among siblings, the person caring for the child, the child previously poisoned experience and type of poisoning if found. Part two: Mother’s Knowledge about household poisoning such as the definition of poisoning, types of toxic substances, method of exposure to poisoning, common household toxic substances, signs and symptoms of poisoning Instrument two: Mother’s Reported Practice Checklist: to assess mother’s reported practice. It consisted of two parts Part 1: Mothers ׳ reported practices regarding preventive practices for household poisoning. It included 3 items; making home safe, preventive practices for medication risks, preventive practices for poisoning from cleaning supplies and chemicals.Part 2: First aid management for household poisoning. It included 4 items; first aid for poisoning by swallowing, poisoning through the skin, poisoning through the eyes and poisoning by inhalation.The main results of the study showed that:1- More than one-third (37.1%) of mothers’ aged from 30 to less than 35 and the majority were married (97.1).2- More than half (55.7%) of the studied children were male and 58.6% were aged from 1 < to 3 years. The majority of caregivers (94.3%) were mothers while 5.7% of them were fathers.3- There were highly statistical significant differences between pre and post intervention (p<0.001). Also, 94.3% of mothers had good knowledge about household poisoning on post intervention compared to pre intervention.4- There were an improvement on mother’s knowledge about household poisoning on post intervention than pre intervention (1.86 ± 0.18 VS 0.71 ± 0.26).5- There were highly statistically significant differences between pre, and post-test in mothers ׳ reported practices regarding preventive measures for making home safe, medication risks and preventive measures of poisoning from cleaning supplies and chemicals.6- There were highly statistically significant differences between pre, and post-test reported practices regarding first aid management for poisoning by swallowing, through the skin, through the eyes and by inhalation.7- All mothers ׳ had a satisfactory level of their reported practices regarding the preventive measures on posttest compared to 67.1% unsatisfactory on pretest.8- There was highly statistically positive correlation between overall knowledge and overall mother’s reported practices (r = 0.560, p < 0.001) on post intervention.The study concluded that:Mother’s Knowledge score about management of household poisoning was higher on posttest than pretest after implementation of the instructional module. Also, mothers had a satisfactory level of reported practices after the instructional module.Based on the findings of the present study, the following recommendations are suggested:Recommendation for caregivers:1. Educate mothers in the primary health care units and outpatient clinics about household poisoning avoidance, its first aid management, labeling everything inside their medical cabinet and how to get access to Poison Control Center to get the information needed about different poison agents and their proper management.2. Establish educational classes at poisoning center outpatient clinics focusing on improving mothers’ awareness regarding household poisoning, causes, risk factors and methods of prevention and first-aid management.3. Panner with adequate knowledge and illustrated pictures about first aid tips for household poisoning should be available in the M.C.H centers. Recommendation for nurses: 1. Prepare education program about household poisoning prevention, home accidents and first aid management and involve it in the pediatric nursing curriculum Recommendation for publics:1. Increase public awareness about poisoning prevention and how to provide first aid management for children in emergency situations through the mass media specially television and hotlines.2. Raise public awareness about proper disposal of unused and expired medicine correctly to prevent household poisoning through the mass media3. Broad – based preventive strategies including enforcement of safe manufacturing practices like locked cap on a product.Recommendation for further research:1. Replicate this study on larger sample size to enhance the generalization of results. |