Nurses' Perception toward Shared Governance in Clinical Practice at General Hospitals in Jeddah City

Context: Shared governance is an evidence-based approach. The characteristics of the work environment of shared governance are autonomous and empowering, where nurses providing direct care have a voice in influencing areas that have been controlled previously by the managers. A shared governance structure aims to improve communication, increase personal growth and nurse satisfaction, and improve patient outcomes. Aim: To assess nurses' perception toward shared governance at general hospitals in Jeddah city.Methods: A quantitative descriptive cross-sectional study design was conducted. The study was carried out at three general ministry of health hospitals in Jeddah city. The study sample involved 321 registered nurses using stratified random sampling. The data were collected by using one tool. The index of the Professional Nursing Governance (IPNG) tool was used to measure the nurses' perceptions of governance.Results: The overall mean score of nurses' perceptions toward shared governance was 118.70±40.85, which scored within the shared governance range. The highest mean score was Resources subscale with 24.74±7.75, while the Goals subscale had the lowest mean score (12.54±5.12). Statically significant differences were found in nurses' perceptions toward shared governance according to their educational degree, current position title, and the working unit at p-value ≤ 0.05.Conclusion: This study has shown that nurses perceived the governance in the first level of shared governance, which indicates that the decision is made primarily by management with some staff input. Therefore, continuous education and training are needed for nurses to increase their knowledge about shared governance, conflict management, and decision-making skills

Effect of Preoperative Education on Patient Anxiety Level: A Scoping Review

Context: A surgical intervention generally causes physical and psychological strain, which leads to excessive anxiety. The provision of knowledge and patient education during the preoperative period help to reduce anxiety levels among surgical patients.Aim: This review was conducted to investigate the effect of preoperative education on anxiety levels among patients undergoing surgery or invasive procedure irrespective of general or local anesthesia.Methods: Searching for related articles performed in four databases (MEDLINE, CINHALE, Trip, and Pub Med) between 2014 to 2018. Out of all searched literature, nine studies were retrieved (5 randomized controlled trials, three quasi-experimental studies, and one descriptive study) to be included with a total of 1670 patients. The articles involved in the given review (verbal education, telephone, booklet, and PowerPoint presentation) used different types of educational media.Results: All the studies where included in this literature review revealed that the most planned and structured preoperative education could reduce anxiety among patients scheduled for surgery or invasive procedure irrespective of general or local anesthesia. Conclusions: Most of the articles demonstrate the positive effect of planned and structured preoperative educations on anxiety levels, regardless of the types of media in delivering education to patients

The Relationship between Empowerment and Organizational Commitment from Nurse’s Perspective in the Ministry of Health Hospitals

(1) Background: The nurse structure is the largest proportion of the healthcare team in hospitals and Primary Healthcare Centers (PHCs). Empowerment is considered a vital component in strategic planning implementation and plays an important role in enhancing job commitment, motivation and employee satisfaction. (2) Aim: The aim of this study is to examine the relationship between the empowerment and organizational commitment from a nurse’s perspective in the MOH in Makkah city in Saudi Arabia. (3) Methods: A descriptive, correlational design was utilized. The study was conducted at three hospitals affiliated with the Ministry of Health in Makkah. A random stratified sampling of 318 nurses voluntarily participated. Data were collected using two tools; Conditions for Workplace Effectiveness Questionnaire-II (CWEQ-II) to measure nurses’ empowerment, and the Organizational Commitment Questionnaire (OCQ). (4) Results: This study revealed that the nurses in Makkah city have a moderate degree of empowerment. Moreover, the level of organizational commitment among nurses was moderate. In addition, this study showed that there is a significant positive relationship between nurses’ empowerment and their organizational commitment. (5) Conclusion: By conducting this study, it seems that nurse’s empowerment is considered an important healthcare organizational strategy and nurses feel empowered by several factors, such as having access to power through informal and formal means and having access to organizational opportunity, access to support, access to information and access to resources. Access to sources of empowerment influences a nurse’s organizational commitment

The Relationship between Empowerment and Organizational Commitment from Nurse’s Perspective in the Ministry of Health Hospitals

(1) Background: The nurse structure is the largest proportion of the healthcare team in hospitals and Primary Healthcare Centers (PHCs). Empowerment is considered a vital component in strategic planning implementation and plays an important role in enhancing job commitment, motivation and employee satisfaction. (2) Aim: The aim of this study is to examine the relationship between the empowerment and organizational commitment from a nurse’s perspective in the MOH in Makkah city in Saudi Arabia. (3) Methods: A descriptive, correlational design was utilized. The study was conducted at three hospitals affiliated with the Ministry of Health in Makkah. A random stratified sampling of 318 nurses voluntarily participated. Data were collected using two tools; Conditions for Workplace Effectiveness Questionnaire-II (CWEQ-II) to measure nurses’ empowerment, and the Organizational Commitment Questionnaire (OCQ). (4) Results: This study revealed that the nurses in Makkah city have a moderate degree of empowerment. Moreover, the level of organizational commitment among nurses was moderate. In addition, this study showed that there is a significant positive relationship between nurses’ empowerment and their organizational commitment. (5) Conclusion: By conducting this study, it seems that nurse’s empowerment is considered an important healthcare organizational strategy and nurses feel empowered by several factors, such as having access to power through informal and formal means and having access to organizational opportunity, access to support, access to information and access to resources. Access to sources of empowerment influences a nurse’s organizational commitment

Do Personal Differences and Organizational Factors Influence Nurses’ Decision Making? A Qualitative Study

Decision-making processes (DMPs) can be altered by several factors that might impact patient outcomes. However, nurses’ views and experiences regarding the multitude of personal and organizational factors that may facilitate or inhibit their decision-making abilities have rarely been studied. Purpose: To explore the personal and organizational factors that influence nurse DMPs in clinical settings at Ministry of Health hospitals (MOH). Method: A qualitative research design was conducted. A purposive sample of 52 nurses was recruited from general and critical wards in two major Ministry of Health hospitals in Hail, Saudi Arabia. A total of eight focus groups (semi-structured interviews) were conducted to elicit participant responses. Results: In this study, the personal differences covered nurses’ experience, physical and psychological status, autonomy, communication skills, values, and cultural awareness. Organizational factors included the availability of resources, organizational support, workload, the availability of educational programs, the availability of monitoring programs, and the consistency and unity of policies, rules, and regulation applications. Conclusions: The major contribution of this study is the comprehensive illustration of influential factors at both the personal level and the organizational level that impact DMPs to achieve desired outcomes for patients and health organizations. This study utilizes a framework that could explain the nature of nurse DMPs

Knowledge and Attitudes Regarding Medication Errors among Nurses: A Cross-Sectional Study in Major Jeddah Hospitals

Medication error is a multifactorial problem that mainly involves missing or bypassing the administration, which may have life-threatening impacts on the patient. Nevertheless, there is a dearth of information on medication errors among nurses in Saudi Arabia. This study investigates the knowledge and attitudes toward medication errors and their associated factors among nurses in Saudi Arabia. A cross-sectional study was conducted in four major public hospitals by recruiting a total of 408 nurses using cluster random sampling and proportional stratified sampling techniques. Data were gathered using an online self-administered questionnaire from January to March 2022. Descriptive statistics, Chi-square tests, and binary logistic regression models were performed to analyze the data. The prevalence of medication error among the nurses was 72.1%, only 41.2% were reported, while wrong doses (46.9%) were the most common type of medication error. Approximately 55% and 50% of the respondents demonstrated good knowledge and a positive attitude toward medication errors, respectively. The prevalence of medication error was associated with age groups of less than 25, and 25–35 years old, King Fahad and King Abdulaziz hospitals, no history of attending an MER training course, poor knowledge, and negative attitude. These findings reflect a high prevalence of medication error among nurses in Saudi Arabia, and the factors identified could be considered in mitigating this important health problem

Parental Support, Beliefs about Mental Illness, and Mental Help-Seeking among Young Adults in Saudi Arabia

Mental illness is not uncommon among young adults, but negative attitudes towards mental disorders and lack of parental support might be associated with hesitancy in seeking professional help. This study aimed to examine the relationships of parental support, beliefs about mental illness, and mental help-seeking among young adults in Saudi Arabia. This quantitative cross-sectional study included a convenience sample of 236 young adults (ages 18–25) with the majority of the total (86.4%) being female. Data were collected via three self-administered questionnaires: The Perceived Parental Support Scale, Beliefs toward Mental Illness scale, and Mental Help Seeking Attitude Scale. Results indicated that the participants had a moderately negative attitude toward mental illness, a moderately positive attitude toward parental support, and a highly positive attitude toward mental help-seeking. No significant relationships were found among the study variables. The study highlights that despite young adults’ positive attitude toward mental help-seeking and parental support, they have negative views toward people with mental illnesses. Educational programs in schools and media are needed to improve attitudes and enhance readiness to interact with people with mental illness

The Journey of Saudi Male Nurses Studying within the Nursing Profession: A Qualitative Study

Background: Nursing is considered to be a primarily female profession, particularly in Saudi Arabia, despite the fact that male nurses have contributed to the advancement of the nursing profession in various specialties, such as military nursing, mental health, and critical care. Purpose: We explore the factors influencing Saudi male nursing interns to study within the nursing profession in Saudi Arabia. Methods: A descriptive qualitative study was conducted. A convenience sample of 12 Saudi male nursing interns from different nursing colleges were recruited, alongside four hospital internship coordinators. The data were collected by conducting two semi-structured focus group interviews and four individual interviews. All the interviews were analyzed using a comparative analytical approach. Results: Role models and the role of the internship year were identified as factors influencing Saudi male nurses’ decision to study nursing. However, hospital placements, cultural preferences, and the preferences of patients and their families for female nurses were the key challenges encountered. Importantly, this study demonstrated that social media plays a critical role in raising awareness regarding the importance of Saudi male nurses. Conclusion: Awareness needs to be raised of the nursing profession as a gender-diverse field through volunteering programs for the community. It is recommended that Saudi male nurses act as role models for students in the Academic Orientation Forum and on social media

Quantitative research on the impact of COVID‐19 on frontline nursing staff at a military hospital in Saudi Arabia

Abstract Aim The aim of the study was to examine the relationship between stress, psychological symptoms and job satisfaction among frontline nursing staff at a military hospital in Saudi Arabia during the COVID‐19 pandemic. Design Descriptive cross‐sectional study. Methods Data were collected using an online survey. All Registered Nurses (N = 1,225) working at a military hospital between February to April 2021 were contacted, 625 responded (51%). Data were analysed using descriptive and multivariate analysis, Student's t‐test for independent samples and one‐way analysis of variance followed by Tukey's multiple comparison tests. Results Stress was experienced more significantly than depression or anxiety. Approximately 29% of the change in scores for psychological symptoms was explained by age group, being a Saudi national and working in emergency departments (F[3,620] = 19.063, p < 0.0001). A 37% change in nursing stress scores was explained by nationality and work department. (F[5,618] = 19.754, p < 0.0001). A 29% change in job satisfaction scores was explained by nationality and work department (F[3,620] = 19.063, p < 0.0001)