Summery, conclusion and recommendationSummaryTime is money and a valuable resource , so learning to use it wisely is essential to effective management. Thus effective time management results in highest productivity, quality of health care, develop staff initiative and personal satisfaction. The nursTime management is defined as a way of scheduling time effectively, it is a way of planning one’s personal activities and self discipline that keeps the individual focused on those things that need to be accomplished.The present study was conducted to describe the use of nurse managers’ time in Zagazig University Hospitals .The present study was conducted in different inpatient and outpatient departments include a convenient sample of nurse managers in Zagazig University Hospitals, forty five nurse managers working in different department with different specialties, to assesData collected by using the following tools :1- The time management questionnaire ( T.M.Q ) to assess the time management skills perceived by the nurse managers at different levels. It developed by the researcher based on review of relevant literature related to skills of time management.2- The time management observational checklist ( T.M.O.C. ) to assess to what extent the nurse managers at different levels use the time management skills during their work hours.The study generated the following findings:All of nurse managers had a bachelor degree of nursing. The highest percentage (51.1 %)of nurse managers were in the age group ranged from ( 20 – 29) years. While the least percentage was in the age group above 36 years.The majority of nurse managers had a minimum years of experience less than 5 years. The highest percentage of nurse managers work at I.C.U. and the least percentage act as administrators. Also, the majority of nurse managers, were in unsatisfactory percepThere was no statistical significant relation between time management skills of nurse managers, and years of their experience or the type of nurse managers’ department.The nurse supervisors had in the observed planning and implementation factors the highest mean score (2.66 ? 0.5 , 3 ? 0.0 ). While the top managers had the highest mean score in the implementation factors of time management skills (11.4 ? 0.9 ) .The nurse supervisors had highest mean score ( 8.75 ? 1.5) in the perceived time management skills. The head nurse had the highest mean score in both perceived organization and delegation factors ( 5.7 ? 0.9 , 2.3 ? 0.5 ). While the top managers had the hAll perceived time management skills by all levels of nurse managers had higher score than observed one , there was highly significant difference between observed and perceived factors of time management except the comparison of implementation factors betIt was concluded that perception of time management concebt was better than its practice of time management skills among the nurse managers at Zagazig University Hospitals. There was highly significant difference between observed and perceived time manageIt is recommended to revise the undergraduate curriculum to emphasize on time management skills, to conduct orientation programs and in-service education on time management skills, with continuous supervision of nurse manager’s performance.ConclusionIt was concluded form the study that, perception of time management concept by nurse managers at Zagazig University Hospitals was better than their practice which were in unacceptable level. There was highly significant relation between what was observed There was no statistical significant relation between time management skills of nurse managers, and years of their experience or the type of nurse managers’ department. The nurse supervisors had in the observed planning and implementation factors the highAlso, the nurse supervisors had highest mean score ( 8.75 ? 1.5) in the perceived time management skills. The head nurse had the highest mean score in both perceived organization and delegation factors ( 5.7 ? 0.9 , 2.3 ? 0.5 ). While the top managers hadRecommendationsBased on the findings of the study , the following recommendation can be deduced :? Revision of undergraduate curriculum of faculty of nursing, especially nursing service administration course to emphasize the inclusion theory and practice of time management skills.? Staff development programs must be prepared to nurse managers to enhance their applied time management skills, especially the planning activities and delegation skills.? Developing the hospital policies and regulation that figure out the delegation procedures and time management strategies, it should be clear and communicated to nurse managers at all levels.? Orientation programs for the newly employed nurse managers must be planned and implemented including time management training.? Proper communication system must be initiated in Zagazid University Hospitals and maintained through different periodical conferences to discuss and facilitate the exchange of information.? Design nursing formats that facilitate using of time management skills by nurses such as time log, schedule, milestones sheet and grant chart.? Give a chance for ideal role model of nurse managers for helding conferences and meeting e.g agenda, scheduling, prioritizing and delegating.? Design a system for continuous supervision of nurse manager’s performance to ensure proper use of their time and application of delegation skills? Since years of experience of nurse managers not significant relation to time management levels. So , promotion of nurse managers should be based on level of knowledge and competence in application of managerial skills which including time management ski? Developing the nursing records to include format that help nurse managers to manage their time through time loge, schedule, milestones sheet and grant sheet.? Use of advanced technology for computerizing the records, nursing notes and other entries as scheduling which may ultimately save the nurse manager’s time , costs, and increase productivity and the quality of care provided.