Background: Cooperative learning plays a vital role to equip the nursing students with overall needed qualities and skills that suggest clear adoption and effective implementation from clinical nurse educators. Aim: To determine efficacy of instructional program on clinical nurse educators' implementation of cooperative learning at Faculty of Nursing. Subjects and method: A quasi experimental study design was used. Setting: Study was conducted at Faculty of Nursing, Tanta University including all seven academic nursing departments. Subjects: All available (n=80) clinical nurse educators included nursing demonstrators and assistant lecturers enrolled at Faculty of Nursing, Tanta University. Three tools were used; Tool I: Clinical nurse educators' perception regarding cooperative learning implementation Questionnaire. Tool II: Knowledge questionnaire about cooperative learning implementation. Tool III: Cooperative learning implementation observational checklist. Results: Pre-instructional program, majority (83.7%) of clinical nurse educators had low perception level regarding cooperative learning implementation. Majority (88.7%) of clinical nurse educators had poor knowledge level preinstructional program, while post-instructional program high percent (77.5%) of them had good knowledge level and 96.0% of them showed good practice level. Conclusion: Postinstructional program most of clinical nurse educators had good knowledge level with significant improvement compared to pre-instructional program. Also, majority of them showed good practice level regarding implementation of cooperative learning in clinical sessions. Recommendations: Conduct in-service training programs and workshops for qualifying and encouraging clinical nurse educators for using cooperative learning in their clinical sessions.
Background: Changes in healthcare organizations are ongoing, but their implementation is extremely difficult, so healthcare worker should work together. Supportive professional practice environment is significantly associated with quality of care, stimulating and managing organizational change. Aim: to assess the relation between intensive care units nurses' readiness for change and work environment characteristics at El -Menshawy General Hospital. Subjects and Method: Study design: A descriptive correlational study design was used. Setting: The study was conducted in all Intensive Care Units (ICUs) of El Menshawy General Hospital. Subjects: It consisted of all (n=164) nurses working in ICUs. Tools: Two tools were used, Readiness for Change Questionnaire and Nursing Work Environment Characteristics Questionnaire. Results: The results showed that 66.6% of the ICU nurses' had weak levels of overall readiness for change. 58.5% of the ICU nurses' perceived fair level of nursing work environment. Conclusion: There was a statistically significant positive correlation between overall ICU nurses' readiness for change and their work environment. Recommendations: Informing nurses about policies and practices that decrease the potential negative impact of the proposed change. Conducting training program that support nurses to be adapted with change.Creating an environment which encourages nurses to participate in decision making.
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