Perspectives of the MOH Hospitals' Nurses about the Impact of Training Programs on their Performance

Nayef Ibrahim Ouda
نايف ابراهيم عودة
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Al-Quds University
Universally, the area of health care delivery is highly affected by training. The need for training programs for hospitals' nurses is greater today than ever before in order to keep them exposed for the state-of-the art techniques in this field. The overall objective of this study is exploring the impact of nursing training programs on nurse's performance in Gaza hospitals in order to assess the effectiveness of these programs. This study is a descriptive, analytical cross-sectional one, conducted on a sample of 258 nurses selected from the three major general MOH hospitals in the Gaza Strip. The participants were selected through a systematic stratified sampling method in proportional to the total number of nurses in each of these three hospitals. The study covered nurses who had participated and those who did not participate in training programs to assess the impacts of the provided training programs. Also, the performance appraisal forms were reviewed and total scores were obtained. Data was collected through a self-administered questionnaire which was developed by the researcher. The research was conducted during the period from June through September 2010. Response rate was 81.5%. Data was entered and analyzed using the SPSS program. The study revealed that males constituted 58.6 % while females constituted 41.4 % of the sample. More than half of the respondents were less than 35 years old, 26.7% of them aged between 40-50 years. Half of the respondents were holding bachelor degree in nursing; 5.2% of the respondents were holding Master degree. The study findings revealed that respondents who participated in training course/s represented 39.0% of the total respondents. The general reactions of the trainees who participated in the provided training programs were positive (p-value less than 0.05). Around 70 % of the respondents reported having training programs at their hospitals while the remaining did not have. The Performance of those who participated in training programs did not improve at significant level (Mean in 2008 was 81.4, Mean in 2009 was 82.2), while the performance of those who did not participate in training programs has improved at significant level training (Mean in 2008 was 81.1, Mean in 2009 82.3). This implies that the provided training didn t improve trainees performance. There were no statistically significant variations in perceptions about the impact of training in reference to a particular hospital. Results showed statistically significant differences in gender as males showed more willingness to participate in training programs than their females counterparts (P value 0.01). Similarly, nurses aged less than 30 years were more motivated to take training than their older colleagues with statistically significant differences among the two groups (P value 0.01). Findings also showed inverse relationship between level of education and the desire to undertake further training courses. The majority of participants were uncertain about the appropriateness of the selection process for the training program (54%). The study recommended that policy makers at MOH should design more effective training programs and to pay more attention to follow up and monitoring the impact of training programs. Evaluation of the impact of the training programs should be given a priority and training should be assessed in reference to performance.