Volume 6, Issue 4

Organizational Justice and Workplace Bullying: The Experience of Nurses
Original Research
Background: Maintaining highly motivated nurses - who are committed to health care organizations - is one of the greatest challenges today. Organizational justice is a crucial indicator of successful organizations. Nurses of health care organizations that are fair in their procedures, policies, and distribution systems provide better reactions to their organizations in terms of positive behaviors and better quality of patients' outcomes. Aim: The aim of this study was to examine the relationship between organizational justice and workplace bullying among nurses. Methods: A quantitative descriptive correlational research design was used to examine the relationship between organizational justice and workplace bullying among nurses. A sample of 163 nurses was recruited from different departments at one of the university hospitals in Demiatte Governorate, Egypt. Colquitt's Organizational Justice Scale was used to measure perception of organizational justice, and Negative Acts Questionnaire-Revised (NAQ-R) to measure workplace bullying among nurses. Results: Nurses had moderate level of perceived organizational justice and mild level of bullying at workplace during the last six months (61.98, 39.88) respectively. A significant relationship between organizational justice and: gender (.008), marital status (.045), educational level (.002), and years of experience (.008) were found. Only educational level (0.54) was significantly correlated to workplace bullying. A statistically significant negative correlation between workplace bullying and organizational justice (-.119) was identified too. Conclusion: Nurse managers should create a healthy and cooperative work environment that is characterized by shared decision making and justice in all daily activities.
American Journal of Nursing Research. 2018, 6(4), 208-213. DOI: 10.12691/ajnr-6-4-9
Pub. Date: June 09, 2018
4897 Views1776 Downloads
Effect of Educational Training Intervention on Overcoming Nurses' Barriers to Screening Intimate Partner Violence against Women in Outpatient Clinics
Original Research
Intimate partner violence (IPV) against women is an important public health problem facing women globally. Many barriers facing nurses and other healthcare providers to screen abused women were reported in many studies. Aim: The aim of the current study had twofold; First, to examine barriers to intimate partner violence screening among nurses in outpatient clinics. Second, to evaluate the effect of an educational training intervention on nurses for barriers to intimate partner violence screening. Studydesign: A Quasi-experimental study was used. Setting: The study was conducted in outpatient clinics at two hospitals (University Hospital and Education Hospital in Shebin El-Kom City. Menoufia Governorate, Egypt). Subjects: Seventy-five nurses who completed the educational training intervention were included according to power analysis estimation.Tools: Self-administered questionnaire to examine the barriers for IPV screening among nurses which consisted of two parts: part 1: demographic data of studied nurses and part 2: The Domestic Violence Health Care Provider Survey instrument to investigate the barriers to IPV screening among nurses. Results: Nurses reported several sources of barriers based on the DVHCPS instrument items including self-efficacy, system support, victim blaming, professional role resistance, and victim provider safety. There was a highly statistically significant difference regarding barriers to IPV screening (P<0.001) and screening examination rate was increased by nurses (P<0.001) after the implementation of the educational training intervention. Conclusion: This study highlights the beneficial effect of the educational training intervention as an effective method in reducing the barriers for IPV screening among nurses for women attending the outpatient clinics; improving the rate of screening and periodical examination of nurses regarding IPV.Recommendation: In-service training courses for nurses on current updates regarding intimate partner violence screening examination technique, regular training for nurses about intimate partner violence screening tool in-addition, IPV protocol management for abused women attending outpatient clinics.
American Journal of Nursing Research. 2018, 6(4), 198-207. DOI: 10.12691/ajnr-6-4-8
Pub. Date: May 25, 2018
6526 Views2978 Downloads2 Likes
Study of the Relationship between Organizational Climate and Nurses' Performance: A University Hospital Case
Original Research
Background: Competent nurses' performance and typical work climate are targets that challenge hospital administrators to achieve likely results for success. A positive work climate leads to and sustains nurses' motivation and high performance.Aim: This study aimed to explore the relationship betweenorganizational climate and nurses' performance.Material and methods: A quantitative descriptive correlational research design was utilized. A sample of 110 nurses was recruited from all inpatients'department of the Main Mansoura University Hospital. Tools of data collection:Personal and job characteristics of the participants, organizational climate questionnaire and nurses’ performance evaluation.Results: The study findings highlighted that 51% of the nurses had positive work climate with a higher mean score (12.15±2.39) for customer service while the lowest mean score (5.65±3.1) for compensation. And 30.9 % of nurses had competent performance level with a higher mean score for hospital behavioral expectations domain (75.51±10.41), while the lowest mean score was for education domain (6.91±1.42). A significant relationship was found only between nurses’ performance and age (8.44) and educational level (8.42). Conclusion: The study concluded that a statistically significant positive association was also identified between nurses’ perception of work climate and job performance (.049). So, hospital administrators must push nurses’ performance forward to a high level of competency through creating an exemplary work climatewhich values nurses, and allows them to share ideas, team spirit and creativity.
American Journal of Nursing Research. 2018, 6(4), 191-197. DOI: 10.12691/ajnr-6-4-7
Pub. Date: May 21, 2018
6802 Views2657 Downloads
Effect of Work Stressors Coping Strategies Program on Nurse Physician Collaboration
Original Research
Background:Collaboration between nurses and physicians is linked to positive outcomes for patients, especially in psychiatric units. However, effective collaboration poses challenges as work stressors. So, effective work stressors coping strategies have the highly concern from organization management as a method for maintaining high level of collaboration. Aim:This study aimed to explore the effect of working stressors coping strategies program on nurse physician collaboration. Design: Quasi experimental design was used. Setting: This study was carried out at Benha psychiatric hospital. Sample:All convenient nurses and physicians worked at in-patient care units. Tools: Two tools were used, questionnaire to assess work stressors and collaborative practice scale (CPS) questionnaire. Result: There is a negative correlation between work stressors and nurse-physician collaboration (P<0.001) with a positive effect of coping strategies program on them. Conclusion: Work stressors coping strategies are essential for promoting nurse-physician collaboration which in turn promote organizational success. Recommendation:Maximizing nurse-physician collaboration holds promise for improving quality patient care and creating satisfying work environment for nurses and physicians.
American Journal of Nursing Research. 2018, 6(4), 183-190. DOI: 10.12691/ajnr-6-4-6
Pub. Date: May 18, 2018
7681 Views3008 Downloads
Effect of Newborn-care Practices for Postnatal Mothers on Occurrence of Selected Health Problems among Their Newborn Infants
Original Research
Newborn care practices by mothers immediately after birth are important determinants of neonatal mortality. To reduce neonatal mortality and morbidity, WHO recommends essential newborn care practices including promotion and support for early initiation of exclusive breastfeeding, thermal protection including promoting skin-to-skin contact, hygienic, umbilical cord, eye care and skin care among others [1]. The aim of this quasi-experimental study was to evaluate the effect of newborn-care practices for postnatal mothers on occurrence of selected health problems among their newborn infants. A total of 50 postnatal primigravida mothers with their newborn infants who attended the postnatal units at El-Manial maternity hospital in Cairo, Egypt, were recruited for this study. The required data was collected through A structured interview questionnaire; newborn follow-up sheet; (were developed by the researchers) and an observation checklist. Results indicated that the mean age of the study sample was 22.54± 3.62 years old, 64% of the postnatal mothers was living in rural areas, 60% of the postnatal mothers can read and write, 64% of the postnatal mothers’ delivered male newborn, the birth weight of the newborn range was 2-3.75 Kg with a mean of 3.2±0.48 Kg, 76% of the newborn their GA ranged between 37-39 weeks. The results also revealed that a highly statistical significant difference has been found between means of mothers practice as regards eye care, cord care and diaper care pre and post intervention as (p<0.0001).In addition, there were highly statistically significant difference has been found between levels of practice between pre and post - practice as (p<0.0001). Regarding newborn follow-up, the results revealed that the minority of newborns (6%) developed diaper redness, 2% developed eye problem (discharge) and 96% their cord sloughed off before the end of the two weeks while 4% had delayed cord slough off. This study concluded that, mothers who received the newborn-care practices had higher total mean score of practice than before and the majority of them had satisfactory level of practice regarding the care of the newborn infants. The results also concluded that most of newborn infants of the mothers who received the intervention not exposed to the occurrence of diaper rash, eye problems and their cord slough off within expected time.
American Journal of Nursing Research. 2018, 6(4), 174-182. DOI: 10.12691/ajnr-6-4-5
Pub. Date: May 16, 2018
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Mothers’ Health Education based on Health Belief Model to Promote Health of Preterm Infant Related to Sudden Infant Death Syndrome
Original Research
Background: Preterm infant is truly a global problem, is a major determinant of infant mortality and morbidity and has long-term adverse consequences for health. The aim: was to evaluate the effect of mothers’ health education based on health belief model to promote health of preterm infant related to sudden infant death syndrome. Design: A quasi-experimental design was utilized. Sample: convenience mothers and their preterm infants consisted of 70. Setting: The study was conducted in the Neonatal Intensive Care Units at Benha Specialized Pediatric Hospital and University Hospitals. The required data was collected used the following tools, structured interview sheet; baseline characteristics of mothers and infant; knowledge about sudden infant death syndrome sheet , questionnaire developed based on the health belief model and reported safety sleep practice according to American Academy of Pediatrics. Results: The study results revealed that mothers who received the health education demonstrated significant higher mean score of knowledge, health belief model and reported sleep practice toward their preterm infants after 1 month from hospital discharge; these results support the proposed study hypotheses. Conclusion: There was positive effect of health education in improving the mother’s knowledge, sleep practice as well as health belief regarding sudden infant death syndrome. Recommendation: Guidelines for creating hospital policy should be available, including the American Academy of Pediatrics risk-reduction recommendations, which lists step-by-step instructions for implementing a policy within the hospital setting.
American Journal of Nursing Research. 2018, 6(4), 164-173. DOI: 10.12691/ajnr-6-4-4
Pub. Date: May 07, 2018
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The Influence of Training Program on Knowledge and Practices of Preparatory Schools’ Children Related to the Selected First Aid
Original Research
The study was aimed to determine knowledge and practices of preparatory schools’ children related to the selected first aid. Otherwise to evaluate influence of training program on knowledge and practices of preparatory school children related to the selected first aid. Design: One study group as served pre/ post–test used a quasi-experimental design. Settings: The study was carried out at preparatory schools at Banha City were selected four schools named May 15, Modern Pioneers, Atyrab New, National Guard, which were selected by systematic random way. Subjects: Multistage random sample was utilized to select four preparatory schools and the recruited children which composed of 160 children. Tools: Two tools for data collection were used; first tool an interview questionnaire sheet which included socio-demographic characteristics for children's knowledge related to the selected first aid. Second tool was consisted of observation checklist to observe practices for children's pre and immediately post training program. Results: The study implied that the training program was having a positive effect; on improving preparatory schools' children knowledge level and practices level related to the selected first aid post the training program was implemented. Recommendations: Periodically training programs for preparatory schools’ children as a whole related to the selected first aid for initial treatment of injuries and emergence situations must be done and the educational curriculum the knowledge and practices regarding to first aid could be inserted.
American Journal of Nursing Research. 2018, 6(4), 158-163. DOI: 10.12691/ajnr-6-4-3
Pub. Date: May 03, 2018
4836 Views1864 Downloads
Clinical Decision-making Experience of the Critical Care Nurses’ and Its Effect on Their Job Satisfaction: Opportunities of Good Performance
Original Research
Background: Decision making is esteemed as single of the core traits of human being for a critical care nurse and vital aspect of the performance of critical care nursing. Critical care nurses are continually faced by way of situations where they have to create well clinical decisions. Aim:This study was conducted to investigate clinical decision-making Experience of the critical care nurses’ and its effect on their Job satisfaction. Subjects and method:A descriptive exploratory research design was used. Purposive sample of all nurses were included in this study. It included 60 nurse worked in Damanhur teaching governmental hospitals from ICU and CCU units. Data were collected through using two modificated tools from; Michael, 2007 and Alzahrany (2010) which the first Tool includes nurse's job satisfaction sheet and the second tool contains nurse's clinical decision making experience quesionnaire. Results:The study discovered that the majority of the nurses were satisfied for work environment and rules, Money and reinforcement and facilities of work and autonomy and safety (75%), (68.3%), (70%) respectively with statistically significance difference. Also, it reflects unsatisfactory level regard programs and workshops and relation with work supervisors, colleagues and patients (55%), (91.7) respectively. In addition to, (53.3%) of the nurses were knowledgeable regarding clinical decision making process and satisfactory level in their job with statistically significance differences. In addition to, the nurses had more than 6 years work experience in critical care settings had satisfactory knowledge regarding clinical decision making process Conclusion & recommendations:The present study concluded that the steps of clinical decision making becomes easier and controllable when the critical care nurses become more knowledgeable and qualified. The critical care nurses had more than 6 years’ experience making better clinical decision and had job satisfaction. So, the present study recommended that there are obvious needs for strength clinical competence in nurses, the development and enhancement of critical thinking should be emphasized at the nursing college's level and nurses should be empowered to make appropriate clinical decisions and corrective actions in critical situations of care which reflected indirectly on nurse's satisfaction.
American Journal of Nursing Research. 2018, 6(4), 147-157. DOI: 10.12691/ajnr-6-4-2
Pub. Date: May 02, 2018
7368 Views2157 Downloads
Herpes Zoster Epidemiological Model's Program: Its Effects on Elderly patients and Their Family Caregivers
Original Research
Herpes zoster strikes millions of older adults annually worldwide and disables a substantial number of them via postherpetic neuralgia. Aim: This study aimed to evaluate herpes zoster epidemiological model's program: Its effects on elderly patients and their family caregivers. Research design: A quasi-experimental design was used in this study. Setting: The study was conducted at the Out-patient Clinic of the Health Insurance Hospital in Helwan Distract. Subjects: A purposive sample was used to select 50 elderly patients and 50 of their family caregivers, who were included in this study. Tools:Used for data collection included an interviewing questioner, which consists of four parts: I. Socio-demographic characteristics of elderly patient and their family caregiver as age, gender, educational level, and occupation. II. Elderly patients and family caregiver's knowledge regarding herpes zoster as: meaning of the disease, causes, signs and symptoms, complications, and mode of transmission. III. An epidemiological model's information questionnaire that includes three aspects as; person, agent and environment. IV. Elderly patient's and family caregiver's practices regarding herpes zoster toward control and prevention as reported by them such as; patient isolation, using special equipment, using mask and gloves. Results: This study showed, statistically significant improvement of elderly patients' and family caregivers' knowledge, practices, and epidemiological model´s information regarding herpes zoster (3.66±2.401 to 7.70±4.0082, and 2.700±1.675 to 8.260±3.541) (4.140±4.646 to 8.600±2.777and 4.200± 4.458 to 9.240±1.559) (7.62±7.999 to 16.00±4.449 and 7.360±7.745 to 16.460±3.339) respectively post program implementation. Conclusion: Highly statistically significant effect on knowledge and practices of the elderly patients and family caregivers post epidemiological model's program. Recommendations:Dissemination of the epidemiological model for patients and family caregivers of herpes zoster during follow-up visits. An illustrated booklet should be provided with a description of disease control and prevention. Further researches are needed in other areas especially rural areas to estimate the effect of epidemiological model in disease prevention and control.
American Journal of Nursing Research. 2018, 6(4), 137-146. DOI: 10.12691/ajnr-6-4-1
Pub. Date: April 28, 2018
5250 Views1777 Downloads3 Likes