Nurses require greater autonomy and participation in decision making, nurse participation in decision making in an organization varies depending on many factors, including the influence of nurse manager leadership and collaboration with physicians. Aim. The aim of the current study was to assess dominant leadership styles , level of decision making autonomy among critical care nurses and relationship between leadership style and decision making autonomy. Design. A descriptive cross-sectional correlation research design was utilized in this research. Setting .The current study was carried out at two hospitals' namely; King
Aim: Compliance with standard precautions (SPs) is a critical workplace safety issue for nurse interns (NIs) as they are clinically incompetent, and obligated to cover nursing shortage in intensive care units (ICUs). Thus current study aimed to assess factors affecting NIs' compliance with SPs. Methods: Descriptive study design was used. The sample included 110 NIs trained in ICUs at University Hospitals. Tools: Tool (I) Factors affecting NIs' compliance with SPs included items on compliance with SPs, environmental risk factors, stick injuries, and vaccination, influence of role-modeling and refreshment program on compliance with SPs. Tool (II) Knowledge test covered SPs and transmission of blood-borne pathogens. Results: About 40% of NIs noncompliance with SPs due to lack in supplies and equipments, Majority of them had low and moderate knowledge level regarding SPs. 71.8% had 4-6 times needle stick injuries and 88.2% didn't report it. 39.1% never use protective equipment in emergency and 29.1% always recap contaminated needles. Conclusions: NIs are at risk of stick injury as they lacking knowledge and skills regarding SPs. Moreover, lacking of supplies and training programs regarding SPs, and absence of reporting system of these incidents contribute to NIs noncompliance with SPs thus they are more at risk of blood transmitted diseases.
Context: Professionalism is an essential ingredient in the nursing profession that begins during the foundational educational program when the student nurses learn the knowledge, skills, and attitudes and continue during their practices in the real world. Aim: This research aimed to assess the main attributes of professionalism among undergraduates nursing students and nurses. Methods: This study utilized a descriptive comparative correlational design. The current study was conducted in the faculty of nursing, as well as in Intensive Care Units, Neonatal Intensive Care Units, Cardiac Care Units, and Neurology Intensive Care Units at Tanta University Hospital. Subjects. The sample consisted of (897) nursing students and (149) nurses. The data collection’s tool was the nursing professionalism attributes' questionnaire that was developed by the authors. It contains three dimensions, including; professional identity (12 statements), professional ethics (12 statements), and professional behaviors (16 statements). Results: This study suggested that the undergraduate nursing students perceived the high mean score in all professionalism attributes more than the practicing nurses did. Conclusion: This study concluded that the development of professionalism in nursing is an essential feature of the nursing profession and practice. The nurse students were high in areas of patients and colleagues’ rights, obeying orders, commitment and collaboration, physical appearance, continuing education, and caring of the patient. While the nurses had very low scores in membership in the nursing association, autonomy, and research areas, this study recommended the encouragement of nurses and students' participation in scientific research activities, including; membership in professional organizations or associations, attending nursing conferences/workshops/symposium as a producer or consumer, and fellowship.
Background: Job stress and presenteeism are perplexing issues in the nursing profession during the crisis of COVID-19 pandemic that must receive increasing attention. Aim: It aimed to assess the job stress and presenteeism prevalence, as well as verify the association between two concepts among nursing staff during the outbreak of coronavirus disease 2019. Design: It utilized a descriptive, correlational design. Setting: It was conducted in the Main Tanta University and Emergency Hospitals. Subjects: All nursing staff ( 503), who had a Diploma, Bachelor of Sciences, or Master of Sciences in nursing. Tools: The questionnaire involved nursing staff's demographic data, the adapted Extended Nursing Stress Scale, the Presenteeism Prevalence Questionnaire, and the Stanford Presenteeism Scale. Results: The organizational factors were the dominant reasons for presenteeism among nursing staff rather than the personal factors. Workload, inadequate emotional preparation, death and dying, and conflict with supervisors were the most prominent factors for causing stress. Furthermore, there was a positive correlation between job stress factors and nursing staff's perception of presenteeism. Conclusion: Presenteeism behavior is evidence for organizational risk-taking behavior with diverse implications in the nursing profession, in which the nursing staff perceived a high level of job stress associated with a high prevalence of presenteeism behavior during the coronavirus pandemic. Recommendations: Develop a policy and practices with more guidelines to avoid the vagueness regarding what nursing staff should do while sick. Moreover, promoting the coping strategies and conflict resolution for managing job stress among nursing staff to reduce presenteeism behavior.
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