الفهرس 
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Abstract
Aim of the study: The aim of the study was to develop an evidence-based training of trainers program about using personal protective equipment at health care organizations. Method: The study was conducted at different health care settings of Mansoura district. The required sample size is 60 members of infection control team to participate as trainers at the present study. Tools of data collection: After reviewing the relevant literature, eight tools were used in this study for data collection about training of trainer’s program development. All the tools were developed by the researcher expect tool five was adopted from generic appraisal tool for epidemiology. Tool 1: Self-administered demographic and occupational characteristics questionnaire. Tool 2: Self-administered knowledge assessment questionnaire. Tool 3: Structured interview to assess knowledge related practice of trainers in designing and implementing a training program. Tool 4: Structured interview used to assess educational strategies issues. Tool 5: Generic Appraisal Tool for Epidemiology (GATE, 2001). Tool 6: Evaluation checklist of experts’ opinion regarding the designed ToT program. Tool 7: Evaluation checklist of trainers’ competency in designing training program. Tool 8: Observation checklist of trainers in implementing training program. Results: The main findings of this study had been summarized as follows: More ever, more than three quartiles (76.6%) of them implemented a training program about PPE more than once and developed their performance through attending training programs. In relation to steps of implementing the program 43.3% of trainers knew about it before the program. However, post program, the percentage became 90% and the same percentages related to setting objectives in a program. It was observed that 38.3% of trainers showed good score level of knowledge related to detecting target group and the percentage became 88.3% after the program. 18.3% of trainers knew about selecting appropriate teaching strategies for TOT program comparedto83.3% after the program. About one third (28.3 %) assessing trainers needs before implementing the program and became (85.0%) after it. Moreover, more than half (53.3%) of trainers evaluating the trainees performance before implementing the program and became (93.3%) after it. There was an improvement in trainers’ knowledge after implementing the training program than before implementing as regards 78.3% of the trainers updating their information about training before the program and after it became 96.7%. Regarding to detecting overall goal and specific objectives, the percentage before the program was 88.3% &81.7% and after the program was 98.3%. More than two thirds (66.7%) were setting specific objectives include knowledge, skill and attitude before implementing the program, which became 96.7% for all domains after implementing the program. According to, selecting suitable presentation materials for training the percentage was 45.0% before the program and after it the percentage became 90.0%.More than half (56.7%) knew about providing setting for practicing PPE training properly before the program and after it the percentage was 95.0%. Regarding evaluating performance about PPE training the percentage was 80.0% before the program and became 98.3% after the program. 70.0% of trainers assessing trainee feedback before the program and after it the percentage was 96.7%. Concerning experience of the studied trainers in relation to educational strategies issues generally improved after implementing the program. There great improvement in Opinion and experience of the studied trainers in relation to advantages and disadvantages of educational strategies after implementing training of trainer’s program. There was highly statistically significance in knowledge levels of infection control team about TOT after implementing of the training program. Recommendations: The following recommendations have been suggested: Infection control teams had to update their knowledge and practice concerning training of trainers program, its steps, teaching strategies, adult learning principles, learning materials and evaluation methods.