Nursing Management إدارة التمريض
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- ItemThe lived experiences of women With postpartum depression in the West Bank/Palestine(Al-Quds University, 2024-12-16) MARAH MOHAMMAD MOUSA SABATEEN; مرح محمد موسى سباتينPostpartum depression (PPD) is a significant problem at the childbearing age, posing a critical challenge to global maternal health. Addressing PPD aligns with global strategies to improve maternal outcomes and reduce preventable morbidity and mortality. The high prevalence of PPD, which affects 10–15% of mothers annually, requires much effort to address such a problem with emphasis on psychosocial assessments during the postpartum period. In the Palestinian context, there is a notable gap in research exploring the experiences, needs, and emotions of women during this vulnerable time. Aim:To explore the lived experiences of women with postpartum depression in the West Bank Palestine. Methodology:A qualitative descriptive phenomenological design was used to explore the experiences of women who were previously diagnosed with postpartum depression after childbirth. A total of 12 women were recruited from mental health clinics affiliated with the Palestinian Ministry of Health. A semi-structured interview was used to collect the data from the participating women after giving verbal informed consent. The thematic analysis method was used to analyze the data. The sociodemographic characteristics of the participating women were analyzed by the Statistical Package for Social Sciences (SPSS 26). The study was conducted over 14 months, from June 2023 toDecember 2024. Result:The lived experiences of women with postpartum depression were profoundly challenging and could be understood through four major themes and 12 subthemes. The first theme, Trapped in Negative Feelings, captures the emotional turmoil these women faced, including feeling trapped in negative emotions during pregnancy and childbirth, toward motherhood, their baby, and themselves. This pervasive negativity shaped their perception of their experiences and relationships. The second theme, Insecurity with the Surroundings, highlights a deep sense of vulnerability and mistrust. This insecurity manifested within the family environment and extended to interactions with the healthcare system, where support was often perceived as inadequate. The third theme, Trapped in Sociocultural Pressure, reflects the societal and cultural challenges these women endured. They faced cultural obstacles, gender-based discrimination, and socio-economic burdens, all of which compounded their struggles and reinforced feelings of isolation and helplessness. The final theme, Self-Awareness, and Recognition, reveals a gradual journey toward understanding and managing their condition. Women began to recognize postpartum depression as an illness requiring treatment, developed strategies to cope with their symptoms and shifted their focus to self-care and personal needs. Together, these themes paint a comprehensive picture of the emotional, social, and cultural complexities of postpartum depression, offering valuable insights into the experiences of affected women. Conclusion:This study provided valuable insights into the lived experiences of women with postpartum depression. It highlights the emotional, psychological, and sociocultural challenges they faced. It explores the multifaceted nature of postpartum depression in the Palestinian context and its impact on women's struggles with negative emotions, insecurity, and societal pressures These findings underscore the urgent need for early assessment of signs and symptoms of PPD by qualified healthcare providers to consider the culturally sensitive interventions, enhanced mental health awareness, and support systems to address the unique needs of women during the postpartum period. This study contributes to bridging the research gap in this area and calls for further exploration of this phenomenon to improve maternal mental health outcomes.
- ItemThe influence of emotional intelligence on interprofessional teamwork, communication, and leadership among nursing students.(Al-Quds University, 2025-01-08) Reem Raja Yacoub Hazboun; ريم رجا يعقوب حزبونThe significance of emotional intelligence (EI) in healthcare settings has garnered increasing attention, particularly regarding its impact on interprofessional teamwork, communication, and leadership among nursing students. Emotional intelligence is defined as the ability to recognize, understand, and manage emotions in oneself and others, which is essential for fostering effective collaboration and enhancing patient care outcomes. Despite the recognized importance of emotional intelligence E there remains a lack of empirical research specifically examining its influence within the context of nursing education and interprofessional dynamics. Study Aim: This research aims to investigate the relationships between emotional intelligence and key competencies in interprofessional teamwork, communication, and leadership among nursing students at Palestinian Universities, it seeks to identify how emotional intelligence contributes to improved collaborative practices and effective communication within healthcare teams. Methods: A cross-sectional study was conducted involving nursing students from 3 Palestinian Universities, Data were collected through surveys designed to measure self-awareness, self-management, relationship management, and their effects on teamwork and communication and leadership dynamics. Results: Preliminary findings reveal that higher emotional intelligence correlates with improved teamwork and communication. The Interprofessional Teamwork (IPT) mean score was 4.62 (±0.3), and Interprofessional Communication (IPC) mean score was 4.37 (±0.4). Self-Management (SM) and Social Awareness (SOA) explained 45% of the variance in Relationship Management (RM) (R² = 0.454, p < .001). Female students scored higher in SM (4.11, p < .001) and SOA (4.24, p = .003) than males. Interprofessional Leadership (IPL) scored 4.45 (±0.3), indicating areas for targeted EI training. Conclusions: The study underscores the critical role of emotional intelligence in shaping interprofessional relationships within healthcare education. It is recommended that future educational programs incorporate emotional intelligence training to foster better teamwork, enhance communication skills, and develop effective leadership capabilities among nursing students. Such initiatives are essential for cultivating a supportive healthcare environment that prioritizes patient-centered care.
- ItemPsychological Safety and Conflict Management Among Palestinian Nurses in Interprofessional Teams(Al-Quds University, 2025-01-08) Imad Ahmad Ismail Alsharawna; عماد احمد اسماعيل الشراونهBackground: The healthcare sector, characterized by its complexity and high-pressure environments, often faces interpersonal conflicts among professionals which can hinder patient care. Effective multidisciplinary teamwork and psychological safety are crucial for fostering collaboration, enhancing communication, and ultimately improving the quality of care delivered to patients. Objective: This study aimed to examine variations in nurses' perceptions of psychological safety related to their conflict management styles, and investigate the relationship between psychological safety and conflict management among nurses in interprofessional teams in Palestine. Methods: This study utilized a nonexperimental quantitative, cross-sectional, correlational survey design to investigate the relationship between psychological safety and interpersonal conflict management styles among nurses in interprofessional teams. The target population includes registered nurses with at least six months of experience working in hospitals in Ramallah and Hebron. Data was collected through a questionnaire and validated scales, with analysis conducted using SPSS to explore correlations and predictors related to the study variables. Results: The findings revealed a statistically significant difference in the scores of perceived psychological safety, depending on the interpersonal conflict management style employed. Furthermore, psychological safety emerged as a significant predictor of conflict management success. However, a secondary analysis controlling for ethnicity and gender failed to show statistically significant variations in perceived psychological safety based on interpersonal conflict management style. Conclusion: These results emphasize the crucial role of psychological safety as an environmental factor affecting conflict management styles and outcomes among nurses in health care settings. Nonetheless, the influence of psychological safety appears to be nuanced when factors such as ethnicity and gender are considered, underscoring the need for further research to elaborate on these relationships. Keywords: Psychological Safety, Interpersonal Conflict Management, Nurses, Multidisciplinary Teams, Healthcare Collaboration
- ItemMidwives’ Awareness, Attitudes, and Perceived Barriers Toward Reproductive Health of Women with Disabilities in the Northern Region of the West Bank(Al-Quds University, 2024-10-01) Ala' wasef jameel Qa'dan; الاء واصف جميل قعدانIntroduction: Women with disabilities are among the most underserved groups when it comes to accessing sexual and reproductive health services, facing numerous barriers—physical, financial, attitudinal, and communication-related. Midwives play a crucial role in addressing and understanding the specific needs of these women. Therefore, it is essential for midwives to have adequate knowledge and cultivate a proper, supportive attitude to ensure inclusive and effective care. Aim: Assessing the midwife’s knowledge, attitudes, and perceived barriers toward reproductive health care services for women with disabilities in the northern region of the West Bank/Palestine. Methodology: The study implemented a cross-sectional, quantitative design on a convenient sample of 158 midwives who were currently working at the targeted governmental and private hospitals in the Northern West Bank—Palestine.They were asked to fill in a self-administered questionnaire that was analyzed using SPSS software, with full commitment to anonymity and confidentiality as essential ethical considerations. Results: Midwives had a median age of 29 years old and experience of 6 years, and mostly had bachelor’s degrees (n = 91 ,57.6%), were married (n = 99 , 62.7%), working in the private sector (n = 126 , 79.7%), and did not receive a specific training for reproductive health care for women with disabilities (n = 141 , 89.2%). Around half of the midwives had a high level of knowledge (n = 78 ,49.4%), while (n = 103 , 65.2%) had a moderate attitude, and (n = 76 , 48.1%) perceived a high level of barriers, with physical barriers being the most common category. Higher educational level was significantly associated with higher knowledge and perceived barriers, with higher attitudes among younger and single midwives, and a better attitude and higher perceived barriers among midwives who received related training (p-value< 0.05). Higher perceived barriers were significantly correlated with higher knowledge and lower attitudes (p-value = 0.001). Conclusion: The study reviewed an important topic in the field of sexual and reproductive health care for a highly vulnerable category of patients, and showed that midwives in Palestine tend to have a high level of knowledge and an acceptable level of attitude and perceived barriers. Level of knowledge and training play a significant role in having a better attitude and perceiving more barriers. It is recommended to train more midwives and implement qualitative research in this field for both women with disabilities and midwives in Palestine.
- ItemThe 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 شنبIntroduction: 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.