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.
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    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.
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    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
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    job satistifaction of nurse at makassed & augusta victoria hospital
    (Al-Quds University, 1993-07-07) Taleb Hashish; طالب حشيش
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    Attitudes of Staff Nurses At Al- Makassed , Rafedia and Mount David Hospitals
    (Al-Quds University, 1994-02-02) Fathieh Taha; فتحية طه