Volume 5, Issue 1

Nurses’ Perceptions of Nurse Manager Leadership Styles
Original Research
Leaders are in best position to facilitate the changes because they are considered as change agents. Transformational leadership is defined as a leadership approach that causes changes in individuals and social systems. The purpose of this study was to determine leadership styles of nurse managers and their outcomes in government hospitals in Hail City (Saudi Arabia). The study respondents were head nurses and nurses working in 4 government hospitals. The Multifactor Leadership Questionnaire was used to measure nurse manager leadership styles as perceived by nurses and the nurse managers themselves. There were no significant differences between the perceived leadership styles of the nurse managers themselves and the perception of the nurses on the nurse managers’ leadership styles (P = 0.719). When determining whether there was a significant association between the perceived leadership styles of the nurse managers and the outcomes of that leadership, the results yielded a significant (moderate) relationship between a transformational leadership style and the outcomes of leadership in terms of extra effort (P = 0.000), effectiveness (P = 0.000), and satisfaction (P = 0.000).
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American Journal of Nursing Research. 2017, 5(1), 22-31. DOI: 10.12691/ajnr-5-1-3
Pub. Date: March 08, 2017
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Effect of an Educational Program on Improving Quality of Nursing Care of Patients with Thalassemia Major as Regards Blood Transfusion
Original Research
Quality of care is indicating that the right things are being done right, and is vital in improving the patient outcomes and safety. The aim of this study was to evaluate the effect of an educational program on improving quality of nursing care for patients with thalassemia major as regards blood transfusion. Research design: A quasi-experimental research design was utilized in this study. Research setting: The study was conducted at both in-and out-patient pediatric and adult medicine hematology departments affiliated to Ain Shams University Hospital. Sample: A purposive sample consisted of two groups: The first group included all nurses (n=30) working in the above mentioned settings; and the second group included adolescent and adult patients with thalassemia major (n=50), who were attending the above mentioned settings over a period of six months, they were chosen randomly. Tools: Data were collected through: (I) An interviewing questionnaire which include: sociodemographic data sheet for nurses and patients, nurse's knowledge sheet and routine blood transfusion knowledge questionnaire (RBTKQ) (II) An observational checklist to assess nurse's practice related to blood transfusion, assessment of the body system, measuring of vital signs and administration of intravenous iron chelation therapy. (III) Patient satisfaction scale. Based upon the actual need assessment of the study subjects an intervention program was designed and implemented. Results: The most important findings of the study revealed that, most of nurses had poor knowledge about blood transfusion and thalassemia. Besides, they don’t follow a standard of quality of nursing care related to blood transfusion and other basic procedures as measuring of vital signs and administration of intravenous iron chelation therapy. In addition, the majority of patients were unsatisfied for quality of nursing care pre program, which improved to more than two thirds of patients were satisfied regarding quality of nursing care post program. The implementation of the education program has improved nurses' knowledge, practice and patients' satisfaction with statistically significant differences (p=< 0.05, 0.01 & 0.01). Conclusion: Findings revealed that, the educational program had a positive effect on nurses' knowledge and practice related to thalassemia and blood transfusion, which improved quality of nursing care as well as increased patients' satisfaction. The study recommended that, a specialized orientation program should be developed for newly appointed nurses to prepare them before working at the hematology departments further studies should be conducted to improve nurses' knowledge and practice regarding to blood transfusion care of patients with thalassemia.
American Journal of Nursing Research. 2017, 5(1), 13-21. DOI: 10.12691/ajnr-5-1-2
Pub. Date: March 01, 2017
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Assessment of Graduate Nurses Entry Level Competencies: Expectations of Faculty Members versus Nurse Managers
Original Research
Graduate nurses entering the practice setting are faced with stressful challenges. Identifying stakeholders' and faculty members practice expectations for entry level graduate nurses will assist academic nursing educators in creating a reality based educational programs that lead to successful transition of graduate nurses. Health care systems depend on the knowledge and skills of nurses to render expert care to patients. As members of multidisciplinary teams of clinicians, nurses are expected to demonstrate competency in nursing care. When nursing students graduate and become employees of the health care industry, they are recognized as key participants because of their critical function as competent caregivers in the delivery of safe patient care. The aim of this study is to compare and describe nurse managers' and faculty members practice expectations for entry level graduate bachelor degree nurses at Qassim University. Study design and sample: Comparative exploratory study will be used. A purposive sample of all faculty members (30) will be included; nurse managers' (64) from training hospitals of students of college of Nursing Qassim University (King Saud Hospital, King Fahd Hospital, and maternal and child hospital, Prince Sultan Cardiac Care, Burdiah Center Hospital will be included. Tools of data collection: First: Demographic data of faculty members and stakeholders. Second: Entry level graduate bachelor degree nurses scale will be used. It consist of three parts Graduate Nurse Skills, Attributes, Characteristics (SACs); Perceptions of the Graduate Nurse & Expectations of the Graduate Nurse. The findings of this study revealed that the most important skills for new graduate nurses, as rated by nurse preceptors and nurse managers & faculty members. The findings also indicated that statistically significant strong positive correlation between specific skills, attributes and characteristics of Nursing Practice in Graduate Nurse among the study groups. The main conclusion from the current study pointed out stakeholders' and faculty members practice expectations for entry level graduate nurses will assist academic nursing educators in creating a reality based educational programs that lead to successful transition of graduate nurses.
American Journal of Nursing Research. 2017, 5(1), 1-12. DOI: 10.12691/ajnr-5-1-1
Pub. Date: January 21, 2017
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