Background:Patients in oncology setting are struggling with the complexed disease, and long and intensive treatment options. This increase the need of patients for more coordination and effective hand-off between health providers including nurses.Aims:The main aim of this project is to improve the effectiveness of hand-off between nurses in the oncology setting using lean management principles.Methods:One group pretest-posttest quasi-experimental design was conducted at King Hussain Cancer Center during quarter two to quarter four in 2017. The project was conducted using the lean tools including root cause analysis, redesigning the hand-off process; using structured tools, and standardization of the hand-off process.Results:The finding of this project showed a significant decreasing in the hand-off duration and the incidence of events related to nursing practice deviation in post-intervention. Moreover, the results showed that the nurse satisfaction score was improved. However, there is a little difference in patient satisfaction results between two quarters for overall satisfaction and per each domain.Conclusion:The project approved that the use of structured tools, safety briefing, and standardized hand-off process play important role in improving the effectiveness of the hand-off process.
Background: Adopting shared governance in nursing is considered a strategic tool that can enhance both nurse and patient satisfaction and will, in turn, improve nurses' work life. Aim: To compare the differences in nurses' perceptions of the quality of the work environment between hospitals that had adopted to use shared governance and those that had not. Method: A cross-sectional, descriptive and comparative design was used. Two hospitals were selected, one of them had adopted a shared governance approach at both the unit and departmental level and the other was a hospital that had not adopted shared governance. Results: From November 2017 to January 2018, 470 questionnaires were completed by nurses across the two hospitals, 330 of them were working in a hospital that had adopted shared governance. There is a statistically significant difference in how nurses percieve their work-life balance between the two hospitals (t=9.62; P=>0.001). Moreover, a significant positive correlation was recognised between the Perception of Quality of Work Life score and all subdomains of nurses' perceptions. Conclusion: The adoption of a shared governance model in the nursing department has a significant impact on improving the quality of the working life of a nurse.
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