International Journal of Nursing June 2021, Vol. 8, No. 1, pp. 76-86 ISSN 2373-7662 (Print) 2373-7670 (Online) Copyright © The Author(s). All Rights Reserved. Published by American Research Institute for Policy Development DOI: 10.15640/ijn.v8n1a8 URL: https://doi.org/DOI: 10.15640/ijn.v8n1a8 Effect of an Upper Limb Exercise Training Program for Burned Children on Improving Nurses' Knowledge and Practice Mona Refaat Ibrahim 1 , Fawzia Elsayed Abusaad 2 & Gawhara Gad Soliman Ebrahem 3 Abstract Background: Burns are one of the most common forms of trauma in children. Hand function is one of the most important goals of burn rehabilitation and is consequently an important functional outcome, as it is strongly predictive of successful re-integration into life role. Aim: Evaluate the effect of an upper limb exercise training program on improving nurse's knowledge and practice. Method: A quasi experimental design was used. The study carried out in burn unit at Plastic, Reconstructive and Burn Surgery Center Mansoura and Mansoura New General Hospital at Mansoura city on a convenient sample of 55 nurses Used two tools were used to collect a structured interview sheet and observational checklists for nurses about upper limb exercise,. Results: More than three fourth of the studied nurses had an unsatisfactory levels of knowledge, as well as the minority of the studied nurses demonstrated competent level of practice before upper limb exercise training program implementation, which improved to a satisfactory knowledge and a competent practice after the program. Conclusion: The program had a positive effect on nurses’ knowledge & immediately after and at follow up program implementation respectively. Recommendation: Develop regular and continuous training programs for nurses in burn units according to their needs aiming at refreshing their knowledge and improving their practice for pediatric burn. Key words: Burn, Exercise, Knowledge, Nurses, Practice, Training program, Upper Limb. Introduction: Burn injuries have been described as one of the most devastating of all injuries, that have a great impact on the pediatric patients physically, physiologically and psychologically, which are accompanied by intense pain and often by longer-term illness that create suffering not only for the child but for the wider family and community, therefore burns are still one of the top causes of death and disability in the world (Jahnke, Poston, Jitnarin and Haddock 2018).Unfortunately, burns are relatively common especially within the pediatric age group, which are the fourth most common type of trauma worldwide, following traffic accidents, falls and interpersonal violence. Young children’s natural curiosity, motor immaturity and/or incapability to recognize a dangerous situation and its consequences make that children form an important risk group for burn accidents((Donna and Marlyn, 2019); Moehrlen et al., 2018). Child losses up to 54% function when he loses his hand function also, small joints of the hands are more vulnerable to form contractures which are very difficult to address during the treatment programs therefore, children with upper extremities burn need intensive medical care and life long physiotherapy rehabilitation program (Young and Burd, 2014).As mortality due to burn injury decreases, new challenges in burn rehabilitation arise. Burn injuries can cause severe muscle loss, muscle weakness, hypertrophic scars, and contractures, leading to lifelong physical impairments. Physical and occupational therapy, along with nutritional support, aid in the functional recovery of burn children. During the past years, progressive resistance exercise programs have become more common components of outpatient burn rehabilitation programs. Participation in structured exercise routines has been reported to yield multiple benefits, such as a reduced number of surgeries needed for scar release, improved muscle strength, and muscle mass accretion. The ultimate goal of burn rehabilitation is to assist in restoring functional capacity and independence in burned patients (Diego et al., 2017). 1 Assistant lecturer, Pediatric Nursing, Faculty of Nursing, Mansoura University 2 professor, Pediatric Nursing, Faculty of Nursing, Mansoura University 3 Assistant professor, Pediatric Nursing, Faculty of Nursing, Mansoura University