Nursing Management إدارة التمريض

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Assessmant of job performance and quality of care Among nurses who work aDouble job in AL-makassed Hospital
(Al-Quds University, 2023-12-28) Manal Khaleel Mohammad Hasan; منال خليل محمد حسن
Nurses are an important component in the industry of healthcare, and they are the first healthcare staff to interact with patients and, at times, the sole medical practitioner a patient encounters. Nurses provide care, support, and treatment for patients and their families. Therefore, a lot of emphasis is directed towards the quality of care they provide. The present study aimed at assessing the levels of job performance and quality of care of nurses who worked double jobs, one of them at AL-Makassed Hospital, compared with nurses who had only one job in the same hospital. A cross-sectional study was conducted using self-administered questionnaires that were developed by the researcher after reading previous literature. A Consent sample of 253 nurses was recruited for the purpose of data collection. The results of the study showed that 153 out of 253 nurses (60.5%) at Al-Makassed Hospital did not work double jobs, while 100 (39.5%) worked double jobs. Of the 100 nurses who worked a double job, 39.5 percent worked as nurses, 30% as clinical instructors, 13% worked in business, and 6% worked in building fields. More than half of the nurses were male (53%), while 47% were female. More than two-thirds (69.2%) of the participants were nurses aged between 20 and 39 years old, and 66.8% held a Bachelor’s Degree. The results also showed that 84.3% of single-job nurses reported a high level of job performance, compared with 49% of those who worked double jobs. Additionally, 86.3% of single-job nurses reported a high level of quality of care delivered to patients, compared with 54% of nurses who work double jobs. Male nurses were more affected than female nurses, revealing that the majority (93%) experienced a moderate impact, with only 5% reporting a lower impact and 2% reporting a higher impact. Furthermore, nurses who held a Diploma (M = 3.43) reported lower job performance levels than those who held a Bachelor’s degree ( M = 3.43; M=3.87) respectively. Nurses who worked double shifts reported lower job performance than those who worked single shifts. In addition, female nurses reported higher quality of care scores than male nurses (M = 4.02; M=3.85, respectively). Nurses who held a Diploma reported lower quality of care than those who held a Bachelor’s (M=3.53; M=3.97) respectively. This study examined the perspectives of both nurses with duble jobs and with those single jobs toward job performance and the quality of nursing care. The current study has revealed noteworthy findings, as nurses working single jobs reported higher job iv performance and quality of care levels than those working double jobs. The prevalence of double jobs at Al-Makassed Hospital was high, with 39% of nurses reporting working double jobs. Male nurses are particularly more affected than female nurses. Nurses who held a Diploma reported lower quality of care than those who held a Bachelor's degree. Based on these results, policymakers and nurse managers should regularly monitor the working hours and conditions of nurses to minimize the negative impact of double jobs on the quality of care. Understanding these dynamics is crucial for healthcare institutions to ensure the well-being of their nursing staff and the quality of care delivered to patients. In conclusion, the researcher believes that the performance of nurses at Makassed Hospital is affected by several factors. The Israeli occupation and the lack of equipment at the hospital both impact the job performance of nurses and the quality of nursing care. The researcher also believes that Makassed nurses are dedicated and committed to protecting the hospital from collapse. They are the foundation of the institution's continued existence. Further research and interventions may be needed to address the challenges faced by nurses with double jobs and the factors that contribute to their occurrence and improve their working conditions and patient care outcomes.
Assessment of Commitment, Stress, and Intention to Stay Among New Nursing Employee, a Quantitative Study
(Al-Quds University, 2025-08-11) Jasmin Khalid Hussien Manasra; جاسمين خالد حسين مناصرة
Retention of newly qualified nurses New Nursing Employees is a critical challenge for healthcare systems, particularly in conflict-affected regions such as Palestine, where occupational stress and the effectiveness of onboarding programs remain underexplored. Understanding the interplay between professional commitment, occupational stress, and the intention to stay among NNEs is essential for sustaining a resilient nursing workforce under adverse circumstances. Aim: This study aimed to assess the levels of professional commitment, occupational stress, and intention to stay among newly qualified nurses employed in Palestinian healthcare hospitals, while examining how demographic and organizational factors, including orientation programs, influence these outcomes. Methods: A quantitative cross-sectional design was employed, surveying all newly qualified nurses (New Nursing Employees, n=180) in six governmental and private hospitals across Ramallah, Nablus, and Hebron in the West Bank, Palestine. Data were collected in (25/12/2025 – 01/02/2025) using structured questionnaires that measured commitment, stress, and retention intentions. After adjusting for an 83.3% response rate, 150 completed surveys were analyzed. Descriptive and inferential statistics explored associations between study variables and demographic characteristics. Results: NNEs reported relatively high commitment (mean=3.98 for extra effort, 3.82 for belonging). Notably, nurses who did not attend orientation programs displayed higher commitment but also increased stress. Moderate occupational stress was widespread (mean=3.58, SD=0.41), driven by administrative burdens, interprofessional conflict, and the intensification of resource scarcity amid ongoing political conflict. Intention to stay was moderate (mean=3.31), with lower confidence in long-term retention, reflecting systemic challenges and instability. Significant positive correlations emerged between commitment and intention to stay (r=0.367, p<0.01), as well as between stress and intention to stay (r=0.341, p<0.01). Demographic factors such as age, ward assignment, and income bracket also influenced experiences of stress and commitment. Conclusions: Newly qualified nurses in Palestine demonstrate notable resilience and professional commitment despite moderate occupational stress and uncertain long-term retention, highlighting both strengths and vulnerabilities in this workforce. The apparent shortcomings of current orientation programs and the paradoxical link between stress and intention to stay underscore the urgent need for evidence-based reforms in onboarding, targeted support for high-risk groups, and systemic interventions to improve work conditions. Future research should employ longitudinal and mixed-method approaches to unravel the intricate retention dynamics and inform policy in crisis-impacted healthcare settings. Keywords: Professional commitment; Occupational stress; Intention to stay; Newly qualified nurses; Orientation programs; Retention; Palestine; Cross-sectional study.
Assessment of Forensic Nursing Knowledge among Fourth Year Nursing College Students in West Bank, Palestine
(AL-Quds University, 2016-12-23) اياد محمد يوسف السويطي; Iyad Mohammad Yousef Alsweity; فريد غريب; د. سمية سياج; د. امل أبو عواد
Assessment of Nurses Working Conditions at Emergency Departments at Governmental Hospitals in Gaza Strip
(AL-Quds University, 2019-12-14) حمادة كمال موسى درغام; Hamada Kamal Musa Dorgham; معتصم صلاح; د. يوسف عوض; د. أيمن الصوص
Assessment of Nurses' Knowledge and Practices Regarding Neonatal Pain Management in Governmental and Private Hospitals in the Southern West Bank, Palestine
(Al-Quds University, 2025-08-16) Hala Khader Jeries Howari; حلا خضر جريس حواري
Neonates require effective pain treatment, especially in neonatal intensive care units, where common procedures can be quite uncomfortable. Both term and preterm newborns depend on healthcare providers for appropriate pain assessment and management because of their increased sensitivity and incapacity to verbally communicate their suffering. Neonatal pain is still not well understood and treated, despite international guidelines. When it comes to evaluating pain, nurses are essential in using validated instruments. The safety and effectiveness of pharmaceutical and non-pharmacological therapies have been demonstrated, and their integration is crucial for improving newborn outcomes. Aim of the study: To assess the nurses’ knowledge and practices in assessment and management of neonatal pain in the neonatal intensive care units at Governmental and Private Hospitals in West Bank, Palestine. Study Design: A quantitative analytic, cross-sectional study was done using a convenience sample of nurses (n=113) working in neonatal intensive care units in the governmental and private hospitals in south of Palestine. Study tool: After reviewing the previous studies, a-77 items questionnaire was developed by the researcher to assess the nurses’ knowledge and practices in assessment and management of neonatal pain in neonatal intensive care units at Governmental and Private Hospitals in West Bank, Palestine. Results: According to the study's findings, neonatal nurses' total level of knowledge (52.58%) on assessing and managing newborn pain, including information about family and doctor involvement, was extremely poor. Key physiological and therapeutic concepts, like the nature of newborn pain, the use of morphine, and the significance of parental participation, were particularly poorly understood. On the other hand, nurses' practices were generally moderate (70.92%), with greater adherence to routine evaluations and medication interventions as directed by doctors. However, there were clear shortcomings in non-pharmacological procedures, particularly when it came to working with families and applying methods like posture, massage, and environmental stimuli. Significant obstacles to efficient neonatal pain care were also found by the study, including a heavy workload, a lack of training, inadequate equipment, a restricted supply of analgesics, and physician disapproval. Conclusion: The study concludes by pointing out a significant difference between neonatal nurses' understanding and their actual methods for pain assessment and management. Despite reasonable practice levels, there was still a lack of general understanding, especially with regard to physician and family involvement. To improve pain management results in neonatal intensive care units, these shortcomings must be addressed through focused training, enhanced teamwork, and institutional support. Key words: Neonates, Neonatal pain, Pain assessment, Pain management, Nurses’ knowledge, Nurses’ practices, neonatal intensive care units (NICUs), Palestine.
Assessment of Nurses’ Knowledge, Perceptions, and Challenges Regarding the Implementation of a Triage System in Pediatric Emergency Departments in the Southern West Bank, Palestine.
(Al-Quds University, 2025-08-23) Bashar Jamal Ali Siwad; بشار جمال علي سواد
The term "triage" originates from the French word "trier," which refers to the processes of sorting and organizing. The triage nurse play a pivotal, as the initial contact for children in emergency departments, ensuring timely identification of life-threatening conditions and optimizing patient flow to reduce wait times and prevent health deterioration. This study aimed to assess nurse’s knowledge, perceptions and challenges regarding the implementation of a triage system in pediatric emergency departments in the southern west bank, Palestine. A quantitative, cross-sectional design was used among nurses who work in pediatric emergency departments in hospitals of southern west bank, Palestine. Data was collected by using self-administered questionnaires. The sample consisted of 130 nurses selected via convenience sampling. The results of this study showed that the level of the nurses' objective knowledge about the implementation of triage at pediatric emergency departments across the southern West Bank hospitals is very low (45.2%), and also low for subjective knowledge (57.3%). The mean of nurses perceptions was high (4.06 ± 0.43) and the percentage mean is (81.2%). While the challenges were low, the mean was (3.35 ± 0.55) and the percentage mean (66.9%). There was a significant positive correlation (α = 0.05) between nurses’ knowledge and perceptions. But no significant correlation was found between nurse’s knowledge and their challenges about triage. Finally, significant negative correlation at the level of (α = 0.05) between nurses' perceptions and their challenges about triage. Regarding the sociodemographic factors that affect triage, the knowledge was affected by (Marital Status, Graduation University, and Monthly Income). On other hand, nurses perception was affected by (Age, Graduation University, Workplace, Monthly Income, and Years of Experience). And many factors were founded to affect nurses challenges regarding triage including (Gender, Graduation University, Workplace, and Receiving continuous educational programs). The study highlights a critical gap in nurses' objective knowledge of triage in pediatric emergency departments, with a mean score of only 45.2%, despite a higher perceived knowledge level. Addressing this discrepancy is essential, as improving nurses' knowledge could enhance their perceptions and ultimately mitigate the challenges faced in implementing effective triage practices. Key words: knowledge, perceptions, challenges, triage system, pediatric emergency departments, Palestine.
Assessment of Patients’ Satisfaction Toward Healthcare Services at the Outpatient Oncology Department of Beit-Jala Hospital\ Palestine
(Al-Quds University, 2021-07-14) Mohammad Issa Hassan DarSarrar; محمد عيسى حسن دار صرار
Introduction: Patients’ satisfaction with medical care refers to patients’ valued judgments to what they receive in the health care facilities. Patients are able to judge the provision of health care service concerning the diagnostic measures, symptom control and treatment. Health care services that are provided at the outpatient oncology department can help in detecting and sometimes reducing the complications of the oncology disorders. These services are important in a way that improve patient’s condition and promote their health. Further, the quality of care provided at the outpatient oncology departments is likely to influence effective utilization and compliance with interventions among patients with oncology disorders. Aim: To assess patients’ level of satisfaction towards health care services provided in outpatientoncology department of Beit-Jala Governmental Hospital. Methodology: Descriptive cross sectional study design was used to assess level of satisfaction among patients with oncology disorders visiting the OPD of Beit-Jala Hospital/Palestine. The study sample was convenience and self-administered questionnaire was used to collect the data. Tool of the study was developed by Aletras (2006). The Statistical Package for Social Sciences (SPSS) Version (26) was used for data analysis. Descriptive test and non-parametric tests as Mann-Whitney-U test and Kruskal–Wallis H test were used to assess the differences demographic factors such as age, gender, marital status. Results: Results showed that 96%of patients were satisfied with healthcare services at the outpatient oncology department. Patients’ satisfaction with medical examination scored the highest rate of 99% in which item about physician’s attitude toward patients got the highest satisfaction (M=4.35, SD=0.556). The comfort domain on the other hand has the least satisfaction rate of 63% where condition of water closet (WC) got the lowest satisfaction (M=2.91, SD= 1.048). Male patients (M=112.29) have higher satisfaction rate than female patients (M=87.47), U=3750, p= 0.002). Those who were suffering from Cancer for 1-2 years have higher satisfaction rate (M= 108.43) than those suffering for < 1 year (101.71) while the least satisfied were those suffering for ≥ 3 years (M=44.71). Those living in Bethlehem got the highest satisfaction rate (M=116.31) followed by those living nearby Ramallah (M=114.81), then those living in Hebron (M=91.75). Conclusion: This is the first study conducted in Beit-Jala Hospital regarding satisfaction of patient with oncology disorder toward healthcare services which showed high satisfaction rates. This study has provided much insight into the level of patient satisfaction in the oncologic OPD at Beit-Jala Hospital especially medical examination. The results of this study will provide basis for enhancing the 5 domains of healthcare services provided for patient with oncology disorder. Results of this study also showed the patients level of dissatisfaction with comfort domains especially Water closet condition and waiting times. It is worth mentioning that patients are highly satisfied with the physician’s attitude towards them.
Assessment of standards of quality care and nurses' performance in neonatal units at governmental hospitals in the West Bank
(AL-Quds University, 2010-06-16) داليه رحمي عبدالفتاح طوقان; DALIA RAHMI ABD-ALFATTAH TOQAN; اسمى الامام; علي الشعار; سمية الصايج
Assessment of the Risk Factor for Falls among Among inpatients Children at Al-Makassed Hospital
(Al-Quds University, 2021-07-14) RanaKhaled Abed Raboh; رنا خالد عبد ربه
In the recent past, cases of fall related injuries among children have been on the rise. Environmental factors and age of the children has been pointed as some of the risk factors influencing fall related injuries in a non-hospital setting. Whether similar factors could influence pediatric falls in a hospital environment remains to be elucidated. Occurrence of inpatient falls has an impact on hospital budgets. Patients will require specialised treatment and readmission resulting in constraint on services. While the causes of fall in non-hospital environment are well documented, hospital related falls are poorly understood especially in Palestine. We hypothesized that the hospital environment factors such as presence of medication, diagnosis, health personnel as well as parental presence, time of day, age, and other patient characteristics were directly associated with inpatient pediatric fall. The purpose of the study was; a) to identify the risk level of falling down among the inpatient children in the pediatrics departments at Al Makassed Hospital, b) to identify the most common cause of falling down among the inpatient children in the pediatrics departments of the hospital and c) to investigate the effect of falling down and demographic data among the inpatient children in the pediatric departments of the hospital. To address these objectives, 116 pediatric falls that had been documented during hospitalization at Al Makassed Hospital were selected for retrospective chart review. A retrospective and descriptive study design study was done to review the prevalence of inpatient pediatric bed falling in the pediatrics department at Al Makassed Hospital. The Humpty Dumpty Falls Scale (HDFS) was used to determine the child’s risk for falling. This tool was often used for assessment by nursing staff when patients are hospitalized, as the test scores are updated daily depending on the patient's condition. Sources of Data A retrospective and descriptive study design descriptive retrospective study was used to review the prevalence and level of statistical levels differences between variables. The independent variables were age, gender, hospital environment; time of day, patient characteristics, related injuries and risk factors, while the dependent variable was inpatient fall injury. To address these objectives, 116 pediatric falls that had been documented during hospitalization at Al Makassed Hospital were selected for retrospective chart review and used the Humpty Dumpty Falls Scale (HDFS) to determine the child’s risk for falling. This tool was often used for assessment by nursing staff when patients are hospitalized, as the test scores are updated daily depending on the patient's condition. Collected data were analyzed in SPSS to obtain basic characteristics of inpatient children that fell. A Z-score was performed todiscover the potential risk factors for inpatient fall., while a chi-Square (X2) test was used to identify the relationship between thesocio-demographic variables and the location of fall and to identify the level of risk factor of falling down at an alpha of 0.05 variables in which p<.05 was considered significant.
Attitudes of health care workers torwards the use of T.Q.M At Ramallah and Rafedia hospitals on the West Bank
(AL-Quds University, 1998-09-02) جميل عبد الفتاح محمد طرايرة; Jamil Abdul Fattah Mohammad Trayrah; محمد شاهين; اسمى الامام; رفيق حسيني
Attitudes of Staff Nurses At Al- Makassed , Rafedia and Mount David Hospitals
(Al-Quds University, 1994-02-02) Fathieh Taha; فتحية طه
Clients satisfaction with nursing care provided at selected hospitals in Gaza strip
(AL-Quds University, 2004-02-17) موسى محمد عطية أبو صعيليك; Mousa Mohammad Atiya Abu Saileek; بسام ابو حمد; عبد العزيز ثابت; فارس
Compassion Fatigue in Relation to Debriefing among Intensive Care Unit Nurses: The Palestinian Case
(Al-Quds University, 2023-08-26) Walaa Salim Abdallah Jafare; ولاء سالم عبدالله جعفري
Background: Critical care nurses derive happiness from providing empathetic care to patients and their families, but they also face the risk of becoming overwhelmed. Professional quality of life involves maintaining a balance between fulfillment and fatigue , So manager or administrative must play role in preventing or intervening in cases of fatigue . Study Problem and Justifications: Healthcare professionals are under significant pressure to display compassion when patients are in crisis. Critical care nurses face challenges in dealing with life-threatening situations, poor communication, and long working hours, leading to compassion fatigue (CF). Nurses often experience moral discomfort when providing end-of-life care or when care is no longer effective. A comprehensive literature review identified ten studies on CF among critical care nurses, highlighting age and experience as risk factors. However, none of these studies were conducted in the East Mediterranean region. Aim and Objectives: This study aimed to determine the levels of compassion fatigue among Palestinian ICU nurses in relation to debriefing in their work environment. Methodology: A cross-sectional design study was employed to answer the study questions and a convenience sample of 245 nurses was selected from 8 Palestinian hospitals ,the researcher adopted a questionnaire based on the study's model, incorporating insights from previous studies, relevant scientific research, dimensions, variables, and expert opinions. The validated Arabic version of the questionnaire was used for data collection. Statistical Analysis: Data collection utilized the Statistical Package for Social Science (SPSS) Version (26), with answers converted to numeric values using a scoring manual. The data was checked for outliers or errors, followed by descriptive and inferential statistical analysis. Descriptive statistics (frequency, percentages, mean score) were employed to describe study variables, while inferential statistics included independent t-tests, One-Way ANOVA, chi-square tests, and binary logistic regression to assess differences among demographic variables in terms of compassion fatigue (CF), secondary traumatic stress (STS), and compassion satisfaction (CS). Ethical Considerations: The study received approval from Al-Quds University's research committee and the Ethical Research committee (REC). Consent forms were used to ensure participants' agreement, with a full explanation of confidentiality, privacy, and their right to withdraw. Results: The study examined demographic and professional characteristics, revealing a diverse distribution among hospitals and working hours. Most nurses resided in Hebron (54.3%), with 49.8% having 1-5 years of experience. The majority fell in the 20 to 29 years old range (57.1%), with various working hours and patient care load. Gender distribution was balanced, and 57.1% were married. Educational levels varied, with most holding a Bachelor's degree. Nurses reported workplace stress (73.5%), with employer support (55.9%) and frequent debriefing sessions (60.2%). Formal debriefing guidelines were considered "extremely important" by 43.3% . The study has determined that the impact of debriefing sessions as predictors for the categories of ProQoL domains was found to be insignificant (p-value > 0.05) . Conclusion: This study provides insights into compassion fatigue among Palestinian ICU nurses, with significant considerations for the work environment, and demographic factors. The findings underscore the need for comprehensive strategies to address nurses' emotional well-being, and healthcare institutions can utilize evidence-based interventions to promote a supportive and sustainable work environment. This study contributes to the existing knowledge, reinforcing the importance of these issues in the healthcare profession.
Conflict Management Strategies Used by Nurse Managers at European Gaza Hospital and Nasser Medical Complex
(AL-Quds University, 2019-12-10) أحمد مصطفى نصر نصر; Ahmed Mustafa Nasr Nasr; د. خليل شعيب; د. عبد الرحمن الهمص; د. أكرم أبو صلاح; د. أيمن الصوص
The conflict styles of nurse leaders and the influence of these styles on disruptive
(Al-Quds University, 2024-05-23) Sawsan Kamal Mahmoud Abu-Shanab; سوسن كمال محمود أبو شنب
Introduction: Healthcare organizations have a wide range of departments, specializations, and service lines, as well as intricate relationships between them. Numerous factors might lead to conflict, which ultimately affects behavior. Leaders in the healthcare industry need to figure out how to handle disagreement while still fostering a cooperative, fun work environment. In the healthcare sector, intimidation and disruptive behavior can compromise patient care, lead to staff discontent, and result in professional attrition. These actions have been connected to problems with patient safety, nurse satisfaction, nurse retention, and poor teamwork and communication. Study aim: The purpose of this study was to examine the perceptions of intimidation and disruptive behaviors in the health care setting and the nurse leader's conflict management style as well as explore the relationship between the perceptions of intimidation and disruptive behaviors in the health care setting and the nurse leader's conflict management style by demographic variables. Methods: A quantitative cross-sectional study design with a convenience sample of nurses employed in five hospital settings in the northern area of Palestine was used for this study. Two studies were conducted: a smaller pilot research with 20 participants and a larger convenience survey with 311 participants. This satisfied the requirement of the power analysis for at least 98 members of the sample. A Type II error will be less likely with this sample size. Results: The findings indicated that while an integrated conflict style predicted dangerous and incorrect disruptive activity by others (such as a pharmacist, nurse, or supervisor), it also revealed a hazardous and improper disruptive behavior by doctors or prescribers. This study also contributed to the corpus of research on the relationship between disruptive conduct and job title, disruptive behavior and leader years of experience, and disruptive behavior and work unit and conflict style. Conclusion: nurses have distinct perspectives on the world. Their emphasis for their patients is different, as is the way they were taught. But by accepting what each profession has to offer, nurses and doctors may learn a great deal from one another. The dynamics of the nursing profession will alter if physician-nurse cooperation becomes the norm. Instead of feeling subordinate, nurses will view themselves as change makers with important ideas to share. Collaboration between physicians and nurses to identify the most effective patient care strategy can benefit health care organizations. In the future, patient safety and successful outcomes will take precedence over intimidation and disruptive actions in the healthcare environment.
The Effect of Mother and Newborn Early Skin-to–Skin Contact on Initiation of Breastfeeding, Newborn Temperature, and Duration of the Third Stage of Labor at Holy Family Hospital, Palestine.
(Al-Quds University, 2021-05-08) Amani Salem Ahmad Khateeb; اماني سالم احمد الخطيب
Background: All healthy mothers and babies should receive early skin to skin care (SSC) immediately after birth for at least an hour, and until after the first feeding for the breastfeeding women, as mother and newborn skin-to-skin contact (SSC) after birth provide many benefits for the mother and the baby together. SSC is a natural and cost-effective method to prevent some complications for mother and baby, and it can be applied immediately after birth. Aim of the Study: The present study was conducted in order to assess the effects of SCC on initiation of breastfeeding, newborn temperature, and duration of the third stage of labor. Methods: A quasi-experimental study was conducted on 110 healthy women and their ne-onates (55 in the intervention group and 55 in the control group). Setting: This study was conducted in the labor ward at Holy family hospital of Bethlehem, Palestine from Jun to December, 2020. Data were collected via structured interviews and the LATCH scale to document breastfeeding sessions. Results: A statistical difference was found between maternal age, as the results suggested that there is no mothers aged less than 18 years old in the interventional group compared with control that had 5.5% aged less than 18 years. Also, statistical difference was found between level of education, as mothers who were had academic education were higher in the interventional group compared with control group. In adition, statistical difference was found between gravidity as mothers who have multi gravida were higher in the interventional group compared with control group. Based on the LATCH scores, as the re-sults revealed that 50.0% versus 31.8% of the newborns who experienced SSC and routine care achieved first successful breastfeeding respectively. According ot the duration of the third stage of labor, the results showed that the mothers who had SSC with their infant after birth had a shorter third stage in comparison with those who received routine care as (p < 0.00). Moreover, the prevalence of hypothermia in the newborns who received SSC and control group was 0 and 13.6% respectively. Conclusion: SSC considered best practice to provide the opportunity for each mother and infant. In order to achieve this goal, the old policies of maternity units need to be changed, and uninterrupted SSC after birth should be practiced for all mothers in the labor ward. In addition, universities and educational institutions should focus on increasing students' awareness and training students on this useful procedure. Also, hospital staff in delivery rooms should provide continuous training programs about the advantages of early SSC.
The Effect of Organizational Culture and Leadership on Nurse Safety: Nurses’ Perceptions
(Al-Quds University, 2025-08-16) Mohammed Waheed muhamad aleabyat; محمد وحيد محمد العبيات
Nursing managers and leaders must fight to retain nurses in hospitals by constructing an inviting organizational climate that is attractive to work in, not toxic. The organizational climate is primarily affected by employees’ internal work environment and behavior. Hence, nursing managers and leaders must implement effective strategies to increase nurses’ intention to stay by address the organizational climate. Aim: This study examined nurses’ perceptions, feelings, and views about their work experiences in hospital settings, focusing on leadership, unit-level organizational culture, and the significance of workplace illnesses and injuries. Secondly, it examines how nurses perceive the influence of organizational culture and leadership on their health and safety. Third, the study investigates whether certain leadership behaviors are believed to negatively impact nurse safety. Finally, it identifies perceived leadership and organizational practices that support nurses in providing safe, high-quality patient care while minimizing the risk of illness and injury. Design: A cross-sectional study design was utilized using a self-administered questionnaire of 304 nurses working governmental and private hospitals in the southern region of west Bank, Palestine. Methods: Data were gathered between May and June 2025 using a scale that measured nurses’ perceptions of structural factors associated with organizational culture, leadership, and safety culture affecting nurse safety and health. The analysis involved descriptive statistics, inferential statistics, and correlation analyses. Results: The results indicated that collaboration and a supportive work environment positively affect nurses' job satisfaction. To promote nurse safety, unit leaders should emphasize safety protocols, cultivate a culture focused on safety, and promote safe practices among staff. Regarding perceptions of Unit Organizational Culture, the overall mean score was 3.41, indicating a good rating. The specific dimension of Unit Organizational Culture scored 3.71, and the nurses’ perceptions of their current unit scored 3.15, both of which were also considered good. Correlation coefficients indicating a strong positive relationship between variables, were found in the Illness and Injury Management & Return to Work (r = .832, p < .001). A strong positive correlation means that as one variable increases, the other tends to increase as well Recommendation. These findings may also aid healthcare institutions in enhancing or maintaining their organizational culture, leadership practices, and overall safety culture through the involvement of nursing staff. Keywords Registered nurse, occupational safety and health, healthcare, nursing, hospitals, nurse safety, nurse injuries
the effect of workplace empowerment on Palestinian nurses occupational stress and work effectiveness
(AL-Quds University, 2001-11-15) بلال عادل مصطفى سعاده; Belal Adel Mustafa Saadeh; رندة ناصر; اسمى امام; اسمى الامام; محمد شاهين
Effectiveness of “WHO Multimodal Intervention” in Improving Hand Hygiene Compliance Level among Health Care Workers and Food Suppliers at Caritas Baby Hospital
(AL-Quds University, 2016-01-02) سهى نقولا متري عميه; Suha Nicola Mitri Emaya; سلام الخطيب; معتصم حمدان; حسين جبارين
Effects of Selected Organizational Climate Factors on Nursing Performance and Patient Satisfaction in Renal Dialysis Units in West Bank Hospitals
(AL-Quds University, 2014-05-27) سمر ثابت ابراهيم جلاد; samar thabet ibrahim jallad; سمية الصايج; اسمى الامام; عايدة القيسي

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