Background: The quality of care provided to children undergoing orthopedic surgery is
directly impacted by nurses' competency; therefore, competency-based training programs could be
modified to help with transitions and ensure better outcomes. The study aim was to evaluate the
effect of training program on nurses' competency level regarding care of children undergoing
orthopedic surgery. Study design A quasi- experimental with pre and post intervention. Sample: A
convenient sample of all available nurses (n=40) and purposive sample of children (n=40)
undergoing orthopedic surgery in Pediatric Surgical Department at Benha Specialized Pediatric
Hospital. Tool (I): A structured interviewing questionnaire sheet: It included Part1: Personal
characteristics of studied nurses, Part2: Personal characteristics of children, Part3: Nurses’ knowledge
regarding care of children undergoing orthopedic surgery. Tool (II): Observational checklist regarding
nursing care of children undergoing orthopedic surgery. Tool (III): Nurses' Competence Scale. Tool (IV):
Nurses' attitude regarding competency-based training. Results: regarding nurses' care of children
undergoing orthopedic surgery at post training program phase the study result showed that, most of the
studied nurses had satisfactory knowledge, (87.5%) of them had competent practice and a positive attitude.
In addition to, (92.5%) of them had competent level of total competency. Conclusion: The majority of
the studied nurses had satisfactory knowledge, competent practice, positive attitude, and competent
level of competency about care of children undergoing orthopedic surgery at post training program
application. Recommendations: Implementing competency-based training program in various
settings to enhancing the nursing staff's level of expertise in providing care for children undergoing
orthopedic surgery.