Background: Organizations involve individuals with diverse backgrounds, skills and experience; they work together as a supportive entity to attain definite goals and objectives. The major responsibility of healthcare owners is to generate and sustain a positive organizational culture and organizational trust that is free of lack of respect and workplace bullying. Aim: the present study aimed to assess the relationship of organizational culture, organizational trust and workplace bullying among staff nurses at public and private hospitals. Research design: A descriptive correlation comparative design was utilized. Sample: All staff nurses (n=176) who agreed to participate in the study at time of data collection and had at least one year of experience were included, public hospital (n= 87) and private hospital (n= 89). Setting: The present study was conducted at two public and two private hospitals in Cairo. Tools: Three questionnaires were developed guided by literature 1-The Organizational Culture Assessment Instrument, 2-Organizational trust questionnaire3-Negative Acts Questionnaire-Revised (NAQ-R). Results: showed that more than half (57.4%) of staff nurses bullied by patients, there was a statistical significant difference between total staff nurses perception of organizational culture (t=-8.83-, p = 0.00) at public and private hospitals and their perception of organizational trust (t= -3.93-, p = 0.00) at public and private hospitals. Highest mean score in total perception of organizational culture and organizational trust (54.9 ± 12.37 and (65.56 ± 12.85) respectively in private hospitals compared to public hospitals. There was no statistical difference between all dimensions and total nurses' perception regarding bullying in public and private hospitals. Moreover, there was a statistical significant positive correlation (r=.529 ** ) between organizational culture and organizational trust. While, there was a statistical significant negative correlation among organizational culture, organizational trust and bullying (r= -.157 * and r= -.300 ** ) respectively. Conclusion: The present study concluded that there were significant difference between staff nurses perception of organizational culture and organizational trust in public and private setting. While, there was no significant difference between bullying in private and public setting. Recommendations: Develop polices by administrators to prevent patients and relative workplace bullying. Develop strategic plan to enhance organizational culture and organizational trust in public healthcare settings. Increase awareness about workplace bullying.
in ethical and legal frameworks as a philosophical foundation for practice. Advocacy also explained in terms of specific actions such as supporting the patient to obtain needed healthcare services, assuring quality of care, protecting the patient's rights, and serving as a coordinator between the Patient and the health care settings.The role of patient advocacy is not new for nurses, but an advocate is a "supporter, believer, sponsor, promoter, backer, or talk person. Advocate is someone you trust who is apple to action on your behalf as well as someone who can work well with other members of your health team as your medical staff and nurses.[5] [6][3] [7] emphasized that advocacy is very important nursing role specifically when nurses involved in actions. Lack of patients and nurses supports leads to improper consequences for both. Also, student nurses need an appropriate chance to experience, express their thoughts, emotions and their moral values.Healthcare climate contain many factors that appear the need for advocacy, therefore, there is a need for advocate from health care staff members especially for patients with impaired self advocacy role. Advocacy main objective is to encourage a change in one's self or environment, an organization, program or service, and in rules and regulations. However, healthcare institutions activities focus on health conditions promotion, healthcare resources, the actual and potential needs of the clients and community in general [8] [9][10] .Advocating patient rights is not easily job for nurses in practice settings, the majority of nurses confront obstacles within their work environment that hinder advocacy of patient rights. Therefore, there are a high expectations that advocating patients can't be met when there is a need to protecting their rights, choices and welfare [11] [12] [7][13].[14] [15][16] Illustrated that patient's rights submitted under the umbrella of human rights to which patients are entitled while they are undergoing care at healthcare services. Generally, rights are supported and enforced by interactional agreements, laws, and other legislations, which consider abase foundation of the humanity of individuals who require healthcare services. Nursing Abstract Background: In recent years, advocacy of patients rights gain greater attention in both international and regional level. Healthcare organizations seeking quality developed laws, rules and standards that protect patient rights. Nurse's interns during internship year play an important role in providing patient care during world wide problem of nurses' shortage, although they are considered a novice trainer.
nursing informatics is a new specialty in Egypt. It is becoming an important and integral part of healthcare organizations, it affects nursing outcome and quality of health care. Therefore, involving informatics basic knowledge and skills within a nursing education program is recommended to meet the future challenging trends that globally affect nursing workforce. Aim of the study: To assess nursing students' perception and educational needs regarding nursing informatics . Research Design: Descriptive Cross-sectional design was used in this study. Setting: The study was conducted at the Faculty of Nursing, Beni Suef University. Sample: Convenient sample (n= 390) of nursing students from different academic levels, encountering in baccalaureate science of nursing program during academic year 2015-2016. Tools of data collection: 1-Self administered nursing informatics perception questionnaire, 2-Nursing informatics educational needs. Results: revealed that nursing students highly perceived importance of informatics application in education and health care mean % (90.73% and 86.86% respectively). Main educational needs of nursing informatics include: application of informatics in education, tele-medicine, ethics of informatics and hospital information system (98.2%, 97.4%, 96.9%, and 96.4% respectively). Conclusion: nursing students highly perceived importance of informatics application in healthcare and education. There was statistical significant difference between nursing students perception regarding nursing informatics by their academic year, students educational needs include application of informatics in education, tele-medicine, ethics of informatics and hospital information system. Recommendations: develop and integrate nursing informatics course specification design based on nursing students' educational needs, support the faculty of nursing with resources and fund to build appropriate infrastructure necessary to apply nursing informatics, provide faculty teachers with an opportunity to learn and develop skills about nursing informatics in order to prepare them to integrate this course within the curriculum and courses they teach.
Background: Faculty members must be prepared to teach online as a strategy during the current COVID-19 epidemic. There is a rising demand and necessity for online teaching at higher education institutions. A crucial success factor for online education is the government's proactive efforts in analyzing educator readiness, problems, and satisfaction. Aim: the present study aimed to assess online teaching readiness, challenges and satisfaction as perceived by nursing faculty members during COVID -19 pandemics. Research Design: Descriptive correlational design was used in this study. Setting: different universities included in the study ( Cairo, Beni Suef , Ain Shams, Port Said, South valley and Zagazig).Sample: Convenient sample (n= 203) of faculty members from different universities who agreed to participate in the study and experience online teaching were involved in the study. Tools of data collection: data collected using three questionnaires Include: 1-: Online teaching readiness questionnaire, 2-Challenges of online teaching questionnaire and 3-Online satisfaction questionnaire. Results: Data revealed that nursing faculty members had high level readiness regarding online teaching. They all agreed that there is inadequate technology support and frequent technology failures. The highest percentage of them was satisfied with on-line education to a moderate degree. There was a statistically significant positive correlation between study subject perception of readiness and satisfaction with online teaching. Recommendation: Universities should provide educators with ongoing training on how to teach online courses. To facilitate online education, educators should be provided with appropriate infrastructure (laptops, technical support, etc.). University leaders should develop a strategy to address the problems of online teaching and create strategies to boost instructors' satisfaction with online teaching.
Background: Hospitals face increasing pressure to control costs, reduce staff and redesign clinical settings. With these escalating pressures, it is important for hospitals and nursing administrators to understand the concept of nursing profession and career commitment. Aim: The present study aimed to assess nursing profession as perceived by staff nurses and its relation to their career commitment at different hospitals. Setting: This study was conducted at university, health insurance, and private hospitals, Egypt. Research Design: A descriptive correlation design was utilized to achieve the objective of the present study. Sample: All nurses who agreed to participate in the study at time of data collection were included. Tool: The following tools were used I: Nursing profession questionnaire II: Career commitment questionnaire. Results: study revealed that regarding perception of profession, practice domain had the highest mean percent score (268.5%). While the least mean score as perceived by nurses was public image (200%). There was positive correlation between total nurses perception of profession and their total perception of career commitment (r = 0.26, p = 0.00). Conclusion: There was positive significant correlation between total nurses' perception toward profession and total commitment to nursing career. Furthermore, research declared that there was no statistical significant difference between nurses' perception toward profession, commitment to nursing career and hospital by sectors. Recommendations: It's recommended that public awareness program should be started through portraying a positive image of nursing career through mass media to enhance and improve the nursing status in the country and increased support for transition to practice in the workplace to enhance nurses' career commitment.
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