RESUMO
This study was carried out on 25 head nurses to assess baseline quality care and the head nurses' knowledge and practice related to their managerial role before and after conducting a management/in- service education program based on needs assessment. A questioner and a performance observation check-list were used for data collection. Similarly, both patients and nurses records were assessed. The tools were applied three times before implementation of the program, 15 days after implementation, then after one month from post-test. The results denoted that head nurses' knowledge for management items and responsibilities was rather low before the training program and improved significantly at the post-test and this continued in the follow up period. Similarly, both patients and nursing records were improved significantly following the training program