Nursing Management

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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 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 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 Staff Nurses At Al- Makassed , Rafedia and Mount David Hospitals
(Al-Quds University, 1994-02-02) Fathieh Taha; فتحية طه
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.
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.
Emotional Intelligence and Conflict Management Styles Among Nurse Managers in Jerusalem's Hospitals
(Al-Quds University, 2022-04-19) Areej reiad jubran; أريج رياض جبران
Background: Emotional intelligence is a group of capability to recognize emotions and manage them, also impact self and others’ emotions to lead individuals acts, thinking, and coping effectively with life. Daily work of nurses and the direct communication between them despite the differences in their ideas knowledge and emotions may create daily conflicts. These conflicts are considered as one of the major important issues that nurses should deal with in hospitals and other health care organizations. Nurses need to be aware of the aspect of self -knowledge and the individual characteristics that are essential for managing conflict. Emotional intelligence plays an important role among various components of nurse managers which creates good workplace atmosphere for quality and capacity of service delivery to deal with workplace conflicts. Nurse’s managers with high EI play an important role in solving the problems by using their own EI behaviors. It is evident that emotionally intelligent people are more skillful in conflict management as they have the ability to perform better in dealing with the difficulties and frustration that result from f the conflicts. Aim: To examine the emotional intelligence behaviors and conflict management style among nurse managers in Jerusalem’s hospitals. Method: Descriptive, cross sectional study design was used to answer the questions of this study. Sample of the study was selected purposefully sample of 50 nurse managers participated in the study. The participated nurses were working in the 4 major hospitals located in Jerusalem –Palestine. Data collection: The researcher used a self-administered questionnaire to collect the data. The questionnaire consists of two valid and reliable tools in addition to the sociodemographic characteristics of the participants. The first tool was the Genos emotional intelligence scale used to assess the EI behaviors, and the second tool was the ROCI-II conflict management styles scale. Data analysis was done using spss version 27. Result: In the present study, the conflict management style that was mostly used by nurse managers in this study was the integrating style, while obligating and dominating styles were less used. The highest mean score of the emotional intelligent domains was related to emotional reasoning, while the lowest was emotional self-management domain. A significant difference was found between educational level and experience of the participants in terms of conflict management style, and no significant differences were found in the other sociodemographic characteristics. There was a significant positive correlation between emotional intelligent behaviors and the scale scores of conflict management styles except for the dominating style, which showed no correlation. Conclusion: The present study concluded that there were significant positive relationships between emotional intelligence and each of integrating, avoiding, compromising and obliging styles. And was a significant negative relationship with dominating styles. Implication: Results of this study are important in the field of nursing management and could be helpful if used in education, practice, administration and future research. Keywords: Emotional Intelligence, Conflict, Conflict Management Styles, ان العمل اليومي للممرضين وللممرضات والتواصل المباشر بينهم بالرغم من اختلاف أفكارهم ومعرفتهم وانفعالاتهم قد يخلق نزاعات ومشاحنات يومية. تعتبر هذه النزاعات كواحدة من القضايا الرئيسية التي يجب على الممرضين التعامل معها في المستشفيات ومؤسسات الرعاية الصحية الأخرى. يجب أن يكون الممرضين على دراية بجوانب المعرفة الذاتية وخصائص الافراد التي تعتبر ضرورية لإدارة النزاعات والمشاحنات. يلعب الذكاء العاطفي دورًا مهمًا بين مختلف مكونات الادارة التمريضية، إنه يخلق جوًا جيدًا في مكان العمل لتقديم الخدمات ورفع جودة التعامل مع النزاعات في مكان العمل. يلعب مديرو الممرضات ذوو الذكاء العاطفي العالي دورًا مهمًا في حل المشكلات باستخدام سلوكيات الذكاء العاطفي الخاصة بهم،كما لوحظ أن الأفراد الذين يمتلكون قدرات عالية في الذكاء العاطفي يستطيعون حل وإدارة النزاعات بطرق أفضل وأسرع بدلاً من تجنبها او تجاهلها. الهدف: يهدف هذا البحث الى دراسة السلوكيات العاطفية وأسلوب إدارة النزاع بين مديري التمريض في مستشفيات القدس في فلسطين. المنهج وجمع المعلومات : تم استخدام التصميم الوصفي المقطعي للدراسة للإجابة على أسئلة الدراسة تم استخدام استبيانين لجمع المعلومات من مسؤولين التمريض في الاقسام المختلفة . ويشتمل هذان الاستبيانانعلى : قياس مستوى الذكاء العاطفي , قياس اساليب ادارة الصراع بالإضافة الى جمع المعلومات الاجتماعية والديموغرافية, تضمنت العينة 50 ممرض اداري يعملون في اربع مستشفيات رئيسية تقع في القدس – فلسطين. النتائج: في هذه الدراسة كان الأسلوب الأكثر استخدامًا بين مسؤولين التمريض في مستشفيات القدس هو أسلوب الدمج، والأسلوب الأقل استخدامًا هو الأسلوب الإجباري المهيمن، وكانت أعلى درجة مستخدمة من سلوكيات الذكاء العاطفي هي التفكير العاطفي، بينما كانت أدنى درجة من سلوكيات الذكاء العاطفي هي الإدارة الذاتية العاطفية. كان هناك فرق كبير بين مستوى التعليم وخبرة المدير وإجمالي أساليب إدارة النزاع.ولم توجد فروق ذات دلالة إحصائية بين الفئة العمرية والحالة الاجتماعية واسم المستشفى واجمالي أساليب إدارة النزاع، بينما كان هناك ارتباط إيجابي معنوي باستخدام مستوى 0.05 للدلالة بين درجة المقياس العام لسلوك إدارة النزاع والذكاء العاطفي العام، وكان للذكاء العاطفي تأثير على جميع أساليب إدارة الصراع باستثناء الأسلوب المهيمن. الملخص:لخصت الدراسةالحالية وجودعلاقاتإيجابيةذاتدلالةإحصائيةبينالذكاءالعاطفيوأنماطالدمجوالابتعادوالتسويةوالالتزام. ووجود علاقةسلبية معالنمط المهيمن. التضمين: تكون نتائج هذه الدراسة مهمة في مجال إدارة التمريض ويمكن أن تكون مفيدة إذا تم استخدامها في التعليم والممارسة والإدارة والابحاث في المستقبل. الكلمات المفتاحية: الذكاء العاطفي،النزاع، أساليب إدارة النزاع، مديرو التمريض
Evaluation of Nursing Education Programs Offered at Gaza Nursing Colleges: Graduates' Perspective
(Al-Quds University, 2006-07-21) Mysoon Abdul Aziz; ميسون ابو عزيز
In spite of the several challenges facing nursing education in Gaza Strip, very little studies were done to evaluate these programs. While the need for evaluating nursing education is considered a continuous non-skeptical issue, this study was designed to evaluate these programs from new graduates' perception. Knowing graduates' perception nursing education program is very important because it builds on successful students outcome and analysis of graduates' feedback can map the strength and issues deemed important by students or graduates rather than program staff and administration. The design for this study was descriptive, correlative, cross sectional one. For the purpose of this study, the author developed a self-administered questionnaire to assess the graduates' perception. The instrument's construct and content validity were evaluated by several experts. The reliability test, using Cronbachs' alpha coefficient, was 0.9629. The sample of the study included all the graduates of the basic nursing programs offered by nursing colleges in Gaza Strip (bachelor and associate degree in both nursing and midwifery) who were graduated in the academic years of 2003 and 2004. The sample size was 374 graduates, and the response rate was 91.26%. Using SPSS for data analysis, Factor analysis extracted seven components that identified the graduate's perception. These factors included: teachers-students relationship, curricular nature, overall satisfaction, facilities accessibility, teachers' competencies, and theory-practice gap and admission criteria. The results expressed that the highest level of perception was associated with the teachers-students relationship, while the lowest one was associated with theory-practice gap. The findings showed some statistical differences among graduates' perceptions in terms of gender, living areas, place of graduation, scientific degree and graduation year. Although males were more satisfied with most of the dimensions and the overall factor, females expressed more positive perception toward teachers-students relationship. Generally, the graduates from different colleges had similar perceptions. Even, graduates of a certain college held better perception toward the relationships among teachers and students, curriculum, general satisfaction and the overall factor. While associate degree holders expressed lower positive perception toward teachers' competence with statistical significance, they were more satisfied regarding teachers-students relationships. Besides, graduates of the year 2004 had better perception regarding curriculum, admission criteria and were more satisfied. In addition, participants who work in hospitals reflected more appreciation of teachers' competencies and awareness of such a gap than those who work in other areas. Inconsistently with previous studies, participants who work in the Military Services were the most satisfied than others, while those who work in (United Nation Relief and Work Agency (UNRWA) were slightly less satisfied. Although the results denied any significant statistical differences among graduates' perception regarding age and marital status facto, younger graduates were more satisfied than older graduates in most of the dimensions and the overall factor. Married respondents were less satisfied than singles regarding most of the components except teachers' competencies and theory-practice gap. The results also didn't reflect any effect of residency, year of graduation, work field, work area and experience period on the perception. The desire for postgraduate education was highly reported, and the graduates expressed several underlying factors. The most frequently reported factor was improving the social status followed by enhancement of financial status. Generally, the graduates' perspective was positive toward the programs. Even, great concern about clinical training inadequacy was reported and many graduates recommended the need for developing the faculty members. Finally some recommendations and comments on the programs, such as: admission criteria, availability of facilities, and reducing the fees of study, were reported by the graduates. In the light of analysis and interpretation of the data, the researcher made some recommendations for administrative bodies of nursing programs to improve the quality of these programs. One of the most important recommendations insisted the importance of continuing evaluation and modification of such programs, besides, the recommendation for teaching staff development and enhancement of clinical training.
Impact of COVID-19 Pandemic on Dietary Habits and Lifestyle Among Palestinian Pregnant Women in East Jerusalem
(Al-Quds University, 2021-08-24) Rana Samih Ghabbash; رنا سميح غباش
COVID-19 viral infection emerged in 2019 in China, and WHO reported it as a pandemic in March 2020. Public health recommendations and governmental measures during the Pandemic have resulted in several restrictions, including lockdown, social distancing, self-quarantine, and travel restrictions. These measures are essential to decrease the spread of COVID- 19, but on the other hand, there is a negative impact on health behaviors and lifestyles. The impact of these restrictions on the economic, social, psychological, and clinical levels will consequently affect dietary habits and lifestyle. High levels of apparent stress developed by the preventive measures such as lockdowns during the pandemic are associated with poorer diet, physical inactivity, and reduced sleep duration and quality. There is no adequate information available about the effect of the Pandemic on pregnant women. However, since what resulted from past epidemics (SARS and MERS) and the mental and physical changes during pregnancy, pregnant women are more likely to be affected by the virus. Aim: The study aims to assess the impact of the pandemic on dietary habits, lifestyles, and stress among pregnant women. Methodology: This study is a part of the international online survey launched in October 2020 by several Arab countries. A random sample of 302 participants was selected from the Red Crescent Society Hospital's patients' registry. The selection criteria include currently pregnant or women who gave birth on or after March 1st, 2020, at Red Crescent Society Hospital in Jerusalem. Interviews have been conducted after women agreement to participate through phone calls due to the pandemic situation, and the answers were directly filled using an anonymous online survey using Google forms. The questionnaire includes six parts: personal information, pregnant woman health, nutritional status, lifestyle, and psychological status. Findings: One hundred ninety-nine participants completed the survey, 83 were still pregnant during the data collection period, and 116 gave birth. The results showed that 74% of the participants lived in urban areas, 59% were less than 30 years old, 62% had iv secondary school level and higher, and 60% were unemployed. More than two-thirds of the participants reported that their income decreased since the lockdown start (74 %). Two-thirds of the study participants indicated a change in eating times during the Pandemic. In addition, the study results showed an around 5% deviation in participants’ dietary habits pre and post pandemic. Moreover, the results found that 67% of the participants decreased their physical activity during the pandemic. The percentages of people who use smartphones, computers, and televisions for 3 hours and more have risen from 44.8% to 58.2%, 4% to 38%, and 3% to 47%, respectively. Furthermore, sleep disturbances have been reported by about 77% of participants. Finally, the results showed that the Pandemic had imposed higher stress levels on the participants; 84% of the participants reported increased stress during the Pandemic; though, in this study, stress, and tension were associated with changes in eating patterns during the Pandemic. Conclusion: some changes in dietary habits were associated with the pandemic-related events. The Pandemic contributed to lower physical activity, sleep disturbances, and feelings of stress and tension among participants. Evaluating the changes in pregnant women's dietary habits and physical activity during the lockdown is crucial. It will help predict the pregnant women's future health and well-being after the Pandemic, consequently taking the ideal impact-reducing strategies and plans to better pregnant women's health.
Job Satisfaction among Nurse Educators of Private Universities in the West Bank, Palestine
(Al-Quds University, 2021-07-14) Rana Kamel Abu Shareeha; رنا كامل ابو شريحة
Job satisfaction is an attitudinal issue that expresses the employees' feelings and attitudes toward their work-life, and job dissatisfaction reflects the problems of the occupational or personal status of the employee. Job satisfaction is a worker’s sense of achievement and success on the job, which is generally perceived to be directly linked to productivity, as well as to personal well-being. A key ingredient that leads to recognition includes; income, promotion, and the achievement of other goals that lead to a feeling of fulfillment and satisfaction. A direct effect on the success of the organization is the satisfaction of employees with their jobs. The purpose of this study was to determine the level of job satisfaction of selected Palestinian nursing faculties in West Bank and to determine if there is a statistically significant difference among them. Faculty responses to statements about job satisfaction were collected using a survey/questionnaire within a quantitative study design. The research focused on nursing faculty members currently teaching at the BSN level-nursing program a Al-Quds University, Birzeit University, Al-Najah University, Arab American University, Hebron University, and Bethlehem University. Along with demographic data, the Nursing Faculty Satisfaction Questionnaire (NFSQ) (Martin, 1991) was employed in this study. Of the total 200 questionnaires e-mailed to nursing faculty, 45 (22.5%) were returned. The findings revealed that there was significant relationship between job satisfaction level and workload, job benefits, Job Characteristics, Years of experience as a registered nurse or as nurse educator. The results also indicated there is no relationship between job satisfaction level and age, gender, salary, marital status. Recommendations included replicating the study with a national sample to enhance generalizability; controlling for variables such as role strain, work environment, and personality factors; using a qualitative approach for studying job satisfaction; and conducting a meta-analysis of job satisfaction studies among university faculty. Further recommendations included comparing job satisfaction of nurse educators and nurses in the service sector, nurse educators employed in associate, baccalaureate, and graduate nursing programs, and part-time and full-time nurse educators. Additional recommendations were to investigate relationships between job satisfaction of nurse educators and student success to nursing and between job satisfaction of nursing education administrators and nursing faculty, job satisfaction.
job satisfaction among nurses working in the COVID-19 center in palestine
(Al-Quds University, 2022-01-05) Alia Mohammad Yousef Sweity; عليا محمد يوسف السويطي
Background: Under the COVID-19 pandemic, nurses are the mainstay in the fight against the any pandemic. nurses play critical roles in the prevention of the COVID-19 outbreak through proper care and preventive procedures. So, job satisfaction are essential factors influencing nurses' productivity. Objective: The aim of this study was to assess the level the job satisfaction and identify the factors that hinder the job satisfaction in nursing working at COVID 19 centers in governmental hospitals in Palestine. methods: This study used a cross-sectional and descriptive quantitative design conducted in spring 2021 (n = 625; census study, 565 of them are positively responded with response rate 90.4%. A 50 item of job satisfaction scale was developed through examination of internal and external validity and based on the results of item analysis. results: The study found that almost (63.2%) of nurses in COVID 19 centers in governmental hospitals in Palestine had a moderate level of job satisfaction. Co-workers represented main source of job satisfaction of nurses, with mean (3.6). While the stigma represents the main source of job dissatisfaction for nurses in COVID 19 centers with mean (3.29). While such as the supervision and communication for heads department and nursing supervisors are an important factor in raising the level of job satisfaction for nurses with mean (3.24). But work procedures represented one of the factors of job satisfaction, as (63.18 %) agreed that working conditions helped them accept to work in the COVID 19 pandemic According the relationship between job satisfaction and socio demographic variables (age, gender, experience, monthly income, educational degree and departments). have differences between the respondents, except department no differences between the respondents.. Conclusions: COVID-19 pandemic is not just a time of crisis, but an opportunity for reconstructing the professional identity for nurses. Given the importance of professional identity in determining professional commitment and the quality of care, making sense of the event, incorporating the unique COVID-19 experience into enhancement of job satisfaction. In addition, developing strategies from the policy, management and organizational levels to enhance professional fulfillment. Key words: Job satisfaction, COVID 19 pandemic, Nurses, Palestine.
job satistifaction of nurse at makassed & augusta victoria hospital
(Al-Quds University, 1993-07-07) Taleb Hashish; طالب حشيش
Knowledge and attitude of nurses toward stroke rehabilitation in two Governorates in Palestine
(Al-Quds University, 2020-01-19) Nivine George Elias Juha Shatleh; نيفين جورج الياس جحا / الشتلة
After heart disease, stroke is reported to be the second most common leading cause of death in the world. The impact of stroke on patients may range from mild to severe. Some patients may need rehabilitation, which is the process a patient goes through whereby the patient is helped to return to a healthier, more independent life. During rehabilitation, patients are taken care of by nurses. Although nurses have significant roles during this rehabilitation period, such as therapeutic practice, little is known about the knowledge and attitude of Palestinian nurses towards stroke rehabilitation. This study is aimed at investigating nurses’ knowledge and attitude regarding their roles during the care of stroke patients while in rehabilitation. The method: The study used a quantitative, cross-sectional descriptive design, with a self-administrative questionnaire as the data collection instrument. The study was conducted in Bethlehem and Ramallah governorates, including two departments for rehabilitation, which included 107 nurses. The results Study findings showed that nurses have inadequate knowledge about the basic principles of rehabilitation for stroke patients in the area of patient management. The uniqueness of cases, intensive rehabilitation, the time, and duration it takes a patient to improve are all findings to consider. In the area of attitude, the current study found that most participants had a passion for providing proper care to stroke patients. However, even though the desire to provide care was strong, various negative personal impacts were experienced by nurses, including nurses who did not desire to practice additional tasks in their settings and those who prefer to be far from the active rehabilitation process. It was noted that demographic variables and years of nursing experience did not reveal a relationship with the level of knowledge and attitude. There is a strong evidence that nurses should develop and integrate stroke-specific rehabilitation knowledge and skills in their practice, as well as additional stroke-specific training to integrate rehabilitation principles in their role and workplace.
Nurses' Perception about Impact of Nurse/Physician Collaboration on the Quality of Health Services in Medical Departments at Governmental Hospitals in Gaza Strip
(جامعة القدس , Al Quds University, 2022-07-30) عماد جمال احمد العسلي; Emad Jamal Ahmed AlAsaly
Abstract This study aims to assess the perception of nurses toward Nurse/Physician Collbortion in medical ‎departments at governmental hospitals in Gaza Strip (GS) to determine ‎their effect on quality ‎health services. The study design was ‎descriptive, analytical and cross-sectional ‎study. Study sample used census sampling which means selected all nurses who ‎are working in internal medical departments ‎at governmental hospitals in GS. The study population were 209 nurses with response rate of 92.3%; ‎‎(193 nurses). Data were collected by the self-administered questionnaire of Jefferson Scale of Attitudes toward NPC.‎ And another developed questionnaire ‎by the researcher to reflect nurses' perceptions of quality of health Services. Analysis of the data was undertaken using IBM SPSS Ver. 22 Statistics and the study finding as following: The study results indicate that most of the participants were female, representing 52.3% and ‎74.1‎% of the participant is married, according to age group 51.8% of participants were between 30 to 40 years. According to academic qualifications, ‎74.1‎% ‎of participants have a bachelor's degree. ‎Most of the participants have experience in nursing less than 10 years about ‎65.3%. but experience in the medical department 62.7% have less than 5 years. This study found high level of NPC with a RW of ‎‎(74.14%) from point of ‎view of nurses. This means a positive perception towards of ‎NPC ‎from the nurse point of view.‎ The Nurse autonomy dimension ranked first ‎with a ‎RW of (82.20%), followed by the Shared education & collaboration dimension ‎‎‎‎(80.14%), however, the responsibility and role dimension in 3ed ‎‎ranked with a RW ‎‎of (77.20%), while physician authority ranked last with a RW of (57.0%). While about the level of quality health care ‎there is a ‎high level of quality health care with a RW ‎‎of (75.20%) in ‎medical ‎‎departments at ‎‎governmental hospitals in ‎GS ‎from point of view of nurses‎. the dimension of "Timely" was ordered in the 1st rank with RW ‎‎”80.31%”; "Integrated" was ordered in the 2nd rank with RW ‎‎”79.03%”; "People-centred" was ordered in the 3ed rank with RW ‎‎”78.55%”; "Efficient" was ordered in the 4th rank with RW ‎‎”77.94%”; "Safety" was ordered in the 5th rank with RW ‎‎”70.94%” and "Effective" was ordered in the 6th rank with RW ‎‎”65.81%”. According to relationship between perception of nurses toward NPC ‎and level of quality health services study found a positive relationship, which means the increased perception of nurses toward NPC can increased quality health ‎services.‎ While the relationship between the perception of nurses toward ‎nurse/‎physician ‎‎‎‎collaboration and socio- demographic variables that no relationship ‎between perception of nurses toward ‎‎NPC and Gender, Age, ‎Experience and ‎Education level‎. The study concluded the relationship between perception of nurses toward NPC ‎‎and level of quality health care is positive correlation‏.‏‎ It is imperative for physicians, ‎nurses, healthcare executives, and organizational leaders who are responsible ‎for NPC to become actively involved in ‎creating structures that promote effective nurse-physician communication and ‎collaboration. The researcher has recommended initiating and developing mutually respectful inter-professional relationships between ‎nurses and physicians to increase the quality of health services in ‎government hospitals. ملخص الدراسة: تهدف هذه الدراسة إلى تقييم تصور الممرضين تجاه تعاون الممرضين والأطباء في أقسام الباطنة في المستشفيات الحكومية في قطاع غزة لتحديد تأثيرها على جودة الخدمات الصحية. كان تصميم هذه الدراسة وصفية، تحليلية، مستعرضة. وتألفت عينة الدراسة من جميع الممرضين العاملين في أقسام الباطنة في المستشفيات الحكومية في قطاع غزة. حيث كان مجتمع الدراسة 209 ممرضًا بمعدل استجابة 92.3٪؛ (193 ممرضة). وتم جمع البيانات من خلال الاستبيان الذي تم إدارته ذاتيًا لمقياس جيفرسون للمواقف تجاه تعاون الممرض والطبيب، واستبيان آخر تم تطويره بواسطة الباحث ليعكس تصورات الممرضات حول جودة الخدمات الصحية. تم إجراء تحليل البيانات باستخدام برنامج الرزم الإحصائية للعلوم الاجتماعية (SPSS Ver. 22) وتوصلت الدراسة إلى ما يلي: تشير نتائج الدراسة إلى أن معظم المشاركين كانوا من الإناث بنسبة 52.3٪ و74.1٪ من المشاركين متزوجين، ووفقا للفئة العمرية 51.8٪ من المشاركين بين 31 إلى 40 سنة. والدخل الشهري لـ84.5٪ من المشاركين أقل من 2000 شيكل. والمؤهلات العلمية لـ74.1٪ من المشاركين حاصلون على درجة البكالوريوس. ومعظم المشاركين لديهم خبرة في التمريض أقل من 10 سنوات حوالي 65.3٪. لكن الخبرة في قسم الباطنة 62.7٪ لديهم أقل من 5 سنوات. وجدت هذه الدراسة أن مستوى تعاون الممرضين /الأطباء مرتفع مع وزن نسبي (74.14٪) من وجهة نظر الممرضين. وهذا يعني تصورًا إيجابيًا تجاه تعاون الممرض/الطبيب من وجهة نظر الممرضين. واحتل بُعد استقلالية الممرضين المرتبة الأولى بوزن نسبي (82.20٪)، يليه بُعد التعليم المشترك والتعاون (80.14٪) وجاء بعد المسؤولية والدور في المرتبة الثالثة بوزن نسبي (77.20٪) بينما جاءت سلطة الطبيب في المرتبة الأخيرة بوزن نسبي (57.0٪). فيما كان مستوى جودة الرعاية الصحية مرتفع وبوزن نسبي (75.20٪) في أقسام الباطنة بالمستشفيات الحكومية في قطاع غزة من وجهة نظر الممرضين. وتم ترتيب البعد "في الوقت المناسب" في المرتبة الأولى بوزن نسبي "80.31٪"؛ يليه بعد "التكامل" في المرتبة الثانية بوزن نسبي "79.03٪"؛ ثم بعد "التركيز على الناس" في المرتبة الثالثة بوزن نسبي "78.55٪" ؛ وبعد "الكفاءة" في المرتبة الرابعة بوزن نسبي "77.94٪" ؛ ثم بعد "المأمونية" في المرتبة الخامسة بوزن نسبي "70.94٪" ثم بعد "الفعالية" في المرتبة السادسة بوزن نسبي "65.81٪". وفقًا للعلاقة بين تصور الممرضين تجاه التعاون بين الممرض والطبيب ومستوى جودة الخدمات الصحية وجدت الدراسة علاقة إيجابية، وهذا يعني أن زيادة إدراك الممرضين تجاه التعاون بين الممرض والطبيب يزيد من جودة الخدمات الصحية. والعلاقة بين تصور الممرضات تجاه تعاون الممرض/الطبيب والمتغيرات الاجتماعية والديموغرافية لم تجد الدراسة فروق ذات دلالة إحصائية بين تصور الممرضين تجاه تعاون الممرض/الطبيب تعزى لمتغير الجنس والعمر والخبرة ومستوى التعليم. وخلصت الدراسة إلى أن العلاقة بين تصور الممرضين تجاه التعاون بين الممرض والطبيب ومستوى الرعاية الصحية الجيدة هي علاقة ارتباط إيجابية، وهي ضرورية للأطباء والممرضين ومديري الرعاية الصحية والقادة التنظيميين الذين هم مسؤولون عن التواصل والتعاون بين الممرض والطبيب، وهم مسؤولون عن المشاركة بنشاط في إنشاء الهياكل التي تعزز التواصل والتعاون الفعال بين الممرض والطبيب. وأوصى الباحث بضرورة إقامة علاقات مهنية قائمة على الاحترام المتبادل بين الممرضين والأطباء من أجل زيادة جودة الخدمات الصحية في المستشفيات الحكومية.
Nurses’ Perception of Family Presence during Resuscitation in Pediatric Wards and Pediatric Intensive Care Unit at Southern West Bank Hospitals
(Al-Quds University, 2022-01-03) Katy Johnny Abu Sada; كيتي جوني أبو سعدة
Background: The primary focus of nursing is to promote health, alleviate ‎suffering, and advocate in the ‎care of individuals, families, and communities‏.‎ Caring interpersonal ‎relationships that ‎demonstrate respect for patient and family preferences is fundamental to ‎nursing practice, ‎Research has ‎shown patient- and family-centered care is not universally upheld by nurses ‎during times of ‎acute health crises.‎ Objective: The aim of this study was to assess the perception of nurses towards family presence during resuscitation (FPDR). It ‎will also assess the self-‎confidence of nurses in facilitatingFPDRof patients in ‎pediatric ward and PICU at Southern ‎West Bank Hospitals in Palestine.‎ Methods: The study is based on a cross-sectional, descriptive, analytical quantitative design‎‎conducted in spring 2020, from 4 hospitals in West Bank (Caritas baby; Beit-Jala; Red ‎Crescent; Al-Ahli Hospital). Data was collected by using a self-administrated questionnaire, ‎which included a ‎‏sociodemographic section and 2 scales previously validated by Twibell et al ‎‎(2008). Family Presence Risk/Benefit and Family Presence Self-Confidence scales developed by Twibell et al.(2008) was used.‎A convenience sample of 136 nurses was selected and the response rate was ‎‎92.64%‎ (n=127)‎ Results: Most of the study participants were females (71%), ‎aged between ‎‎30 and 34 years (N=53, 42%) and more than 65% of them (N=82)‎were married. ‎The highest percent of nurses had Bachelor degree (N=73, 57.9 %), followed ‎by Diploma ‎‎(N=23, 18.3%), while 30 (23.8%) of them had higher education. According nurses experience, ‎‏40‏‎ (32.3%) of the participants had an experience between one and ‎five years, ‎‏38‏‎ (30.6%) had experience between 6 and 10 years. According to job title, 92 (74.8%) were staff nurse and 23 (18.7%) were‎practical nurses. Results indicated that 70 (57.4%) of the participants were working in pediatric ward, ‎while‏ ‏‎52 (42.6%) of them were working in PICU. ‎In this study, 106 (86.2%) of participants reported that they had been involved in resuscitation of a child and‎‏17‏‎ (‎‏13.8‏‎%) had ‎not been involved in child resuscitation. In addition, of the 106 nurses who had been involved in resuscitation, 10 (9.4%) ‎had invited family members to be present during resuscitations, and 96 (90.6%) had not. ‎Also, of the 106 nurses who had been involved in resuscitation, 99 (93.4%) confirmed that ‎a family member outside the resuscitation room.‎Theparticipants’ level on the FPS-CS scale was ‎‏3.11‏‎(SD ‎‏0.92)‏‎,‎which reflects a moderate level of self-confidence in FPDR. Meanwhile, their level on the FPS-BS scalewas 2.68 (SD 0.45), indicating that nurses’ perception of risk-benefit related to FPDR is moderate. Moreover, therewas a positive statistically significant correlation at the level (∝≤0.05) between ‎nurses’ perceptions of confident scale and ‎ risk/ benefit scale of ‎FPDR‎. Conclusions:‎ FPDR remains a controversial subject amongst health ‎professionals in the pediatric setting. Nursing staff have shown reluctance to allow families ‎to be present for fear of interference from family members, and nurses have concerns over the ‎psychological well-being of families who witness resuscitation attempts. Many of these ‎concerns have not been supported by evidence.‎ Keywords: FPDR, self-‎confidence, risk-benefit, Nursing, family members
Organizational climate and nurses’ professional commitment in Jerusalem hospitals
(Al-Quds University, 2024-05-28) Mohammad Shaker Saad; محمد شاكر محمد سعد
Previous research has indicated that favorable workplace climate are associated with increased levels of organizational commitment, a crucial concept concerning employee perception. Similarly, perceived organizational performance is thought to be reflective of actual performance. These are crucial factors to take into account in healthcare settings since patients receive comprehensive treatment from healthcare professionals. Study aim: The primary goal of this study was to evaluate the correlation between Palestinian hospitals' organizational climate and nurses' professional commitment. Methods: A cross-sectional design with a convenience sample of 382 nurses were given questionnaires to complete for the study, and it was determined that the respondents were eligible for analysis. Quantitative research techniques are used in a correlational research design. The methodology employed in this study was quantitative in nature. The nurses working at Palestinian hospitals in Jerusalem were the study's target group. Out of all the Palestinian hospitals in Jerusalem, 234 nurses were chosen. Results: The study's findings show a strong positive correlation between organizational atmosphere and nurses' dedication to their jobs. Depending on their level of work experience, nurses' levels of professional dedication varied significantly. The collected data was analyzed using linear regression and correlation analysis. The study's findings show a substantial correlation (r = 0.362, N = 234, P>0.001) between organizational climate and nurses' professional commitment measures. The results of a linear regression analysis showed that all dependent and independent variables had normal distributions and that the organizational environment strongly affects nurses' degree of professional dedication. The analysis of variance (ANOVA) iv results on the variation in nurses' commitment to their profession according to years of experience revealed that there is a substantial difference in commitment throughout nursing. Conclusion: According to this study, the organizational climate is seen to be the most important element in the company since it helps nursing practitioners feel more satisfied with their jobs and ties them to a higher commitment level. The organizational climate is seen as the most significant component of the organization, as it fosters greater job satisfaction and increases nursing's level of commitment
Patient safety culture: assessment of nurses’ perceptions in Palestinian Hospitals
(Al-Quds University, 2024-05-23) Deya Faraj Mahmoud Bani Odeh; ضياء فرج محمود بني عودة
Patient safety in healthcare organizations attracted international attention following the publication of the Institute of Medicine's seminal study, "To Err Is Human: Building a Safer Health System,". Where it was estimated that medical mistakes cause 44,000–98,000 patient deaths in US hospitals each year. Comparable rates of mistake and preventable injury have been shown in several research investigations conducted in numerous contemporary health systems worldwide. "Safety Culture" has been recognized as a critical component of healthcare organizations' capacity to learn from mistakes and lessen patients' avoidable injury as a result of receiving medical care. There is increasing interest in evaluating safety culture in healthcare organizations due to the belief that it improves patient safety and has an effect on patient outcomes. One of the most often used techniques for evaluating safety culture is the use of safety climate surveys. These surveys are intended to aid in gauging the opinions of healthcare professionals about the general safety culture, or "safety climate," in their workplaces. This thesis looked on patient safety climate in Palestinian hospitals since no valid nor trustworthy survey tools nor safety climate surveys have been done at public hospitals in the state. Study aim: To assess nurses perception toward patient safety culture in Palestinian hospitals, as well as the factors of its adoption of a positive patient safety culture from the perspective of nurses. Methods: a cross-sectional study of 318 nurses from different Palestinian hospitals using a convenience sampling method was carried out to achieve the objectives of the study. In terms of usability, applicability, and reliability qualities, the Hospital Survey on Patient Safety Culture (HSOPSC) was determined to be the most suitable for this study. It underwent a little amount of adjustment throughout its pilot testing. Results: Out of 42 questions, 9 have been found to have an impact on nurses' views of safety; these items had an average of ≥70% favorable replies. Of the forty-two questions, 32 had average favorable answers of > 50%, indicating that there is an area for improvement in this area of the instruction. The remaining item scored less than 50% or below average for positive responses, and so were considered areas for improvement. In general, all Patient Safety Culture (HSOPSC) domains were identified as areas in need of improvement. Conclusions: It is recommended that future studies of patient safety culture and climate combine quantitative and qualitative methods as well as take a system-wide approach to inform safety climate theory and questionnaire development in order to strengthen the frameworks guiding safety culture research and practice.
Perceived relationship between employees satisfaction and quality of services at BASR's Specialized Hospital.
(Al-Quds University, 2023-01-09) Ibrahim Ghawali; ابراهيم غوالي
This Research aimed to determine the perceived relationship between job satisfactions on employee performance among employees at Bethlehem Arab Society for Rehabilitation in Bethlehem. Methodology: A descriptive cross-sectional design consisted of 380 employees working in the Bethlehem Arab Society for Rehabilitation by filling questionnaires. Data was collected with a questionnaire being filled out by participants, knowing that the questionnaire is consisted of 59 questions divided into three sections covering the personal and the occupational characteristics, along with employee’s satisfactions characteristics, and the perceived quality characteristics. Findings: During the research, 185 questionnaires have been distributed, 182 were collected back knowing that 4 of them were invalid, which means that participation rate for the questionnaires was 96.2%. Number of Male Participants (57.9%) were higher that Women Participants (42.1%). Age is also categorized to three categories (16-25) category, (26-35) category, and (36-45) category. The marital status categorized to single category (61.8%), and married category (38.2%). Living places were also involved in the questionnaire, where participants from cities were 47.2%, participants from villages were 42.8%, and participants from camp were 9%. Participants were also categorized based on their years of experience, (1-5) years with a percentage of 68.5%, (6-10) years with a percentage of 24.2%, and (11-above) years with a percentage of 7.3%. Finally, the salary variable less than 1500 (3.9%), from 1500 to 2000 (17.4%), from 2000 to 4000 (69.1%), and from 4000 to 5500 (9.6%). Conclusion: Employee’s Satisfaction was on moderate. Marking the factors that affect the both main variable levels (Employee Job Satisfaction and the perceived quality of services) and their effect on work productivity. We concluded that Job Satisfaction among BASR employees is moderate. Relative Salary was most important factor to take into consideration, along with fairness in rewards distribution among employees which has a direct relationship with performance
Perception of Nurses Toward In-Service Training Activities at Governmental Hospitals in Gaza Strip, Palestine
(Alquds university , 2023-01-03) كفاية جمال عبدالله المملوك; Kifaya Jamal Abdallah Elmmlook
Every hospital should provide training activities that are challenging, and lead to improving the quality of health services. The aim of the study is to assess the nurses’ perception about the effectiveness of in-service training activities at governmental hospitals in Gaza Strip. The study utilized descriptive, cross sectional, analytical design. The sample of the study consisted of 337 nurses who attended at least one in-service training activity, selected by non-probability, proportional sampling method from seven governmental hospitals in Gaza Strip: 5 general hospitals (Indonesy hospital, Al Shifa medical complex, Al Aqsa hospital, Nasser medical complex, European Gaza Hospital), Al Nassr pediatric hospital, and Al Emaraty maternity hospital. The researcher prepared a self-administered questionnaire to measure the nurses’ perception about the effectiveness of in-service training activities. The scoring of the questionnaire items was according to the 5-points Likert scale. A pilot study was conducted on 28 participants to examine the validity and reliability of the questionnaire, and alpha coefficient was 0.918. The researcher used SPSS (version 25), statistical analysis included frequencies, mean scores, percentage, independent sample (t) test and One-way ANOVA. The results showed that 52.2% of study participants were female nurses, their mean age was 33.39±7.435 years, 84% of respondents attended emergency training, 83.7% of the training done by hospital trainers, and 83.1% of the training was conducted within the hospital premises. The perception about the knowledge content of the training activities was above moderate (80.8%), the perception about the skills content was above moderate (81.8%), and the perception about the relevancy of the training activities was above moderate (80.4%). There was significant positive relationship between knowledge, skills, and relevancy of the in-service training activities. Respondents from Al Emaraty hospital expressed significant higher perception about knowledge and skills content compared to respondents from the other hospitals. Female nurses exhibited significant higher perception about knowledge content than males, but no significant differences existed in skills and relevancy of the training activities. Respondents from obstetric and maternity departments expressed significant higher perception about knowledge and skills content of in-service activities, while respondents from pediatric departments expressed significant higher perception about relevancy of the training activities. In addition, respondents who attended three and five in-service training activities showed significant higher perception about knowledge and skills content of the training activities compared to those who attended one or two training activities. There were statistically no significant differences in perception about knowledge and skills content related to age, qualification, experience in nursing, experience in current department, job title, job description, marital status, and income. The study concluded that the nurses perceived the effectiveness of in-service training activities as above moderate level. The study recommended the need to allocate adequate time for in-service training activities, and to plan training activities relevant to each department.

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