Impact of Night Shift and Training Development Factors on Performance of Professional Nurses in North West Bank Governmental Hospitals

Background: Organizational factors are considered to be the cornerstone in achieving psychological and professional security at work, which in turn are positively reflected in job performance both quantitatively and qualitatively. Aim of the Study: The study aimed to assess night shift and education / training developmental factors on performance of professional nurses in north West Bank governmental hospitals. Subjects and methods: A quantitative descriptive study utilized stratified random sampling of 185 nurses. A self administered questionnaire was developed with a response rate of 97%. The questionnaire was validated by experts, and reliability was obtained by Cronbach’s alpha coefficient was (0.86) Data were analyzed using SPSS.  Results: The overall level of  night shift factor  affecting performance of professional nurses was high (79.0 %) and ; the education / training developmental factors moderate  (68.8%)  as perceived by nurses. It was found that there are significant differences at α = 0.05 between the total score of night shift and education / training developmental factors  towards workplace  in favor  to Dr. Nazal Hospital. Conclusion and recommendation: The night shift and education/ training developmental factors affected the performance of the professional nurses.  The findings of this study provide recommendations and suggestions to improve the performance of professional nurses in governmental hospitals such as:  reduce the strain of long work hours on night shift and motivation t. Providing continuous professional development of nurses in service training program. Keywords: night shift,  education / training development, professional nurse, Performance

The relationship between in-service training nurses’ attitudes toward computer in health care and computer anxiety in Turkey

Nurses’ perception relating to using technology and computer can directly affect how they structure in-service and continous education programmes. This research was planned as a descriptive-correlational design to determine the relationship between in-service training nurses’ attitudes toward computer in health care and computer anxiety. Research was realized with 116 in-service training nurses who work at Education Department of Istanbul Local Health Authority and primary, secondary and tertiary health institution subordinate Istanbul Local Health Authority. Data were collected after getting permission from Istanbul Local Health Authority considering voluntariness with “Personal Information Form”, “Attitudes Toward Computer in Health Care Assessment Scale (P.A.T.C.H. Assesment Scale)” and “Computer Anxiety Scale (CAS)”. Research data were analyzed with SPSS package program. Mean of the P.A.T.C.H. Assesment Scale was found as 20.07±11.91, mean of the CAS was found as 39.31±9.52. There is a moderate negatively significant correlation between the attitude of the in-service training nurses toward computer in health care and their computer anxiety (r: -0.502   p≤0.01). The results of research are limited to in-service training nurses who work in İstanbul and are not generalized to all in-service training nurses. The research findings suggests that in-service training nurses have positive attitude toward computer in health care and low computer anxiety. These findings will enable in-service training nurses to consider the importance of using technology and computer. Understanding these concepts is beneficial in efforts to improve the educational activities offered to nurses, other medical staff and patients

TEAM WORK COMPETENCE IN DISASTER RESPONSE: A QUALITATIVE CONTENT ANALYSIS STUDY OF EMERGENCY NURSES EXPERIENCES

Background and aim: Statistics show high prevalence of disasters across the world and Iran. Since nurses are one of the most important members in the disaster team and they have unique role as a professional and volunteer in time of responding to disaster, they should be able to participate within a team framework and have necessary competences for teamwork in a disaster. This paper reported the results of a qualitative study on the teamwork competences needed by nurses for effective teamwork in response to crisis. Methods: This is a part of larger qualitative study, performed on nurses’ competences in 2012, in Iran. 35 interviews were conducted with nurses who had experience of presence and providing care in a disaster situation. The sampling of participants was done purposefully and continued until data saturation. The data were collected through in-depth unstructured interviews and analyzed using a conventional content analysis approach. Results: Data analysis of qualitative study revealed work qualification in crisis team that includes two main categories: 1) knowledge of duties and organizational hierarchy and 2) maintenance of unity of command. “Obedience from commander”, “avoidance of doing in parallel”, and “coordination and cooperation with leader, relief forces, and other team members” were of the extracted competences in this study, which were highly important for teamwork in crisis. Conclusions: This article presented the results on the qualifications required by nurses for successful teamwork in phase of response to crisis. The analysis of participants’ viewpoints indicated that the nurses need to be completely familiar with their and other team members’ limitations and duties, to know managerial hierarchy, and to be able to maintain unity of commanding. Therefore, nurses’ in-service training to be prepared for response to crisis should address this dimension, as well

Clinical Supervision in Nursing: a Training Strategy

Comunicação apresentada no Congresso da UI_IPS 2017 e artigo publicado na revista UI_IPS 2018A supervisão clínica em enfermagem, surge atualmente como uma necessidade dos contextos formativos e da prática. Existem preocupações na adesão aos métodos pedagógicos e processos formativos em ensino clínico. Na formação certificada que tem sido desenvolvida, com enfermeiros de três organizações de saúde da ARSLVT, procurou-se avaliar o processo de supervisão clínica em enfermagem. Como objetivo para este artigo define-se: analisar a conceção da supervisão clínica em enfermagem em 45 enfermeiros, recorrendo à ferramenta pedagógica – mapa concetual. Da estrutura cognitiva dos enfermeiros emergiram três temas: conceção de supervisão; intervenção em supervisão; avaliação do processo de supervisão. Representou-se as palavras identificadas em mapa conceptual da supervisão clínica em enfermagem. Reconheceu-se esta estratégia como facilitadora do desenvolvimento de competências pelos enfermeiros. Identificou-se a conceção da supervisão clínica dos enfermeiros, relacionada com o pensamento crítico em ensino clínico. A utilização do mapa concetual emerge como estratégia pedagógica promotora da autorreflexão dos enfermeiros/estudantes.info:eu-repo/semantics/publishedVersio

The Educational Needs of the Patients who Take Treatment in Psychiatric Clinic in Kars

AbstractThis study was done with the aim of to determine the educational needs of the patients who take treatment in psychiatric clinic in Kars. The study which is a cross-sectional was made in Kars Government Hospital's Psychiatric Clinic with 50 patients, between 02.01.2012 - 30.04.2012. In collecting data, a questionnaire and the Educational Needs Questionnaire (EDQ) were used. The participants who takes place in the survey, the patients includes who have depression diagnosis are (40%) and men (66%). When we look to the points mean average that they get from the EDQ is 29.04 ± 5.59. According to the EDQ: the 3 articles which they get the highest marks in order are: “Anger, violence, assaultive behaviour”, “Sleeping problems”, “Problems with concentration” and “Patients self-help organizations”. Educational Needs, it was seen that; the ones who has nuclear family, who has social guarantee, who applies to non-medical people, who has social supporters from their family, who lose their job because of mental illness, who has a belief that they will be get well, have a higher point of mean average. According to these results, it is supposed that the educational programs must be planned due to the fact that the patients have needs for information and when doing this the needs of the patients must be remembered

Determinants of nurses’ knowledge gap on pain management in Ghana

There are concerns about adequacy of nurses’ knowledge and skill in effective pain management since effective pain management promotes early recovery after surgery. This study explores factors that accounted for Ghanaian nurses’ inadequate knowledge of postoperative pain management using a focused ethnographic design for data collection at a tertiary teaching hospital in Ghana. Fourteen nurses designated as key informants with different backgrounds as nurse educators and leaders were purposively sampled to participate. Data were collected through in-depth individual interviews; all interviews were conducted in English, audio-taped and transcribed verbatim. The study revealed that nurses’ inadequate pain management knowledge might have resulted from curriculum gaps during training; inadequate clinical supervision, study days, and workshops for practising nurses; lack of funding for organising regular workshops; and, negative attitudes of nurses whereby new information learned at workshops was not readily applied in clinical practice. It was concluded that nursing curricula at all levels of training in Ghana should incorporate credit-bearing courses on pain management, and appropriate pain management education programmes should be instituted for practising nurses. Regular monitoring and evaluation of the impact of such education programs is required.Web of Scienc

THE IMPORTANCE OF INVOLVING NURSES IN CONTINUING EDUCATION PROGRAMS

During the last two decades, particular significance is given to employee training as part of a radical restructuring of work process, which primarily associates with rapid scientific and technological developments and their impacts. Within this context, Continuing Nurse Education is one of the basic conditions to meet nursing educational needs and consequently upgrades the quality of health services, achieves a better working environment and ensures job satisfaction of nurses. The basic aim of this study is to detect the attitudes and views on human recourses training but also to explore the possibility of transforming the educational needs of nurses in training programmes, within in-service training. The response rate of nurses in the survey questionnaire, which involved the recording of demographic, educational, scientific and employment data as well as the incentives for participating, was around 47%, an amount that deemed sufficient to draw conclusions. The analysis of survey results highlighted the need for Continuing In-Service Nurse Education that has to be updated, systematic and qualitative so as to meet the training needs and the scientific pursuits of nurses. In addition, through the assessment of results of such training the aim is to occur similar comparative studies and general conclusions in future.  Article visualizations

Exploring nurses’ experiences of in-service training at a hospital in Swaziland.

Master of Education in Education Studies. University of KwaZulu-Natal, Durban 2017.This study explores nurses’ experiences of in-service training at a hospital in Swaziland. In-service training plays a vital role in the improvement and preservation of health personnel capabilities to offer excellent services and in further realising health coverage and health results worldwide. The study was prompted by that nurses’ experience of in-service training is a topic that has not been fully explored in Swaziland and the personal rationale for the study was that researcher is a nurse by profession. The study applied a qualitative approach, the interpretivist paradigm and descriptive phenomenology. The sample comprised 13 nurses who were purposively selected from in and outpatient settings of the study hospital. Data was generated through in-depth interviews using an interview guide with open-ended questions and verified by a focus group discussion by a focus group guide. Colaizzi’s (1978) method was used as a tool for data analysis. The theory of planned behavior was applied to view participants’ data and reach a general description of nurses’ experience of the in-service training. The study has unveiled participants’ experience of in-service training, challenges of in-service training, and recommendations for improving in-service training. These themes responded to the 3 critical questions which guided the study: What are the experiences of nurses regarding in-service training in one hospital in Swaziland?; What are the current challenges in offering in-service training in one hospital in Swaziland and How can the provision of in-service programmes for nurses be improved in one hospital in Swaziland? The study has shown that participants have experienced in-service training positively and negatively. Central to the experience is in-service training planning, design, implementation and post training follow up and application. In-service planning encompassed communicating in-service training to trainees, selecting participants among others. Implementation entailed types of in-service trainings, topics covered, facilitation strategies, training providers, effectiveness of in-service training, post training support, and benefits of in-service training. The study revealed multifaceted challenges on planning, logistics, delivery, continuity and sustainability of in-service training. These were linked to numerous causes such as shortage of staff, workload, high staff turnover, high morning hospital routine, conflicting trainings, funding challenges, shortage of equipment and supplies among others. Recommendations for improvement of in-service training include the need for proper organization and design of in-service training; proper implementation of in-service training; improving post training support and implementation; improving the work setting; engaging management; donor support; upgrading the in-service infrastructure. The argument put forth is that in order to improve nurses’ experience of in-service training to produce performance change and possibly better patient outcomes, efforts must address factors that influence the outcome of the experience. These are personal, significant others, internal organisational, and health systems factors

Team work competence in disaster response: an explorative study about Emergency nurses experiences: A qualitative content analysis study

Background and aims: Since the nurses are as the most important members respondent to team crisis, they must be able to have the necessary qualification and capability in a team frame for group work when they faced with crisis. This study was done to evaluate the capability of nurses when facing with crisis. Methods: In this descriptive analytical study, 35 nurses who had the experiences of presence and providing care in a disaster situation were enrolled by purposefully sampling. The data were collected through in-depth unstructured interviews and analyzed using a conventional content analysis approach. Results: The results, introduced knowledge of duties and organizational hierarchy and maintenance of unity of command in two category of capability in work for crisis group. “Obedience from commander”, “avoidance of doing in parallel”, and “coordination and cooperation with leader, relief forces, and other team members” were of the extracted competences in this study, which were highly important for teamwork in crisis Conclusion: The analysis of participants’ viewpoints indicates that the nurses need to be completely familiar with their and other team members’ limitations and duties, to know managerial hierarchy, and to be able to maintain unity of commanding. Therefore, nurses’ inservice training to be prepared for response to crisis should address this dimension, as well

High Performance Work Systems that Promote Nurses' Job Performance at Main Mansoura University Hospital

Today, health care organizations live in a dynamic, ambiguous, and changeable environment. Due to these dynamics new challenges faces organizations to improve their performance through applying High Performance Work Systems (HPWS) and removing the obstacles in the direction of organizational effectiveness. However, on high-performance work systems define work environment as being comprised of a bundle of practices to engaged employees and positive individual, unit, and organizational outcomes. This bundle includes but extends beyond sufficient material resources and support for the work itself. It also encompasses managerial practices, such as an emphasis on worker discretion and participation in decision making; facilitation of communication and information sharing; and human resource management practices focused on developing workers’ skills and recruiting and retaining qualified workers. Hence, the present explore the relationship between nurses' perception of high-performance work systems and  their job performance in surgical units at Main Mansura University Hospital. The study subjects include 57nurses working in all inpatient surgical departments at Mansoura University Hospital. Three tools were used for data collection, namely; Observation Checklist of Nurses, Performance, High Performance Work Systems Scale, and Opinion Questionnaire Sheet. The study findings indicated there were significant relationship between high performance work systems and nurses’ job performance. Furthermore, the hypothesis that there is some variable that effect on nurses performance which perceived by study subjects as physical working condition, workload, job security, nurses' job autonomy and role clarity. It is recommended to the developed high performance work system imposed by organizations should be included employment security; selective hiring; extensive training; self-managed teams and decentralized decision making; information sharing; transformational leadership; high-quality work and reduced status distinctions to improve nurses’ job performance and organizational outcomes. Keywords: High Performance Work Systems (HPWS), High Performance Work Practices (HPWPs), Human Resource Management (HRM), High Performance Work Environment, Nurses’ job performance, Task performance and Contextual performanc