{"title":"Effect of Implementing Evidence Based Nursing Practices on Reducing Postoperative Pain among Patients Undergoing Abdominal Surgery","authors":"Mona Mohamed Mayhob, Manal Abd Elsalam","doi":"10.12691/ajnr-11-1-1","DOIUrl":"https://doi.org/10.12691/ajnr-11-1-1","url":null,"abstract":"","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134407163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors Affecting the Nurses Work Autonomy at King Abdullah Medical City in Makkah","authors":"Areej Ahmed Bahattab, Mohamed P. Shahid","doi":"10.12691/ajnr-10-3-5","DOIUrl":"https://doi.org/10.12691/ajnr-10-3-5","url":null,"abstract":"","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124470272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Educational Nursing Guideline: It’s Effect on Preventing Central Venous Catheter Related Infection among Patients Receiving Total Parenteral Nutrition","authors":"Mona Mohamed Mayhob, Manal M. Abdelsalam","doi":"10.12691/ajnr-10-3-1","DOIUrl":"https://doi.org/10.12691/ajnr-10-3-1","url":null,"abstract":"","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133398872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identifying the Causes of Medication Error among Nurses in the Intensive Care Unit at King Abdulaziz Hospital","authors":"Rehab Bakur Aljefri","doi":"10.12691/ajnr-10-2-4","DOIUrl":"https://doi.org/10.12691/ajnr-10-2-4","url":null,"abstract":"","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126838289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hanan Mohamed Mohamed Tork, Rawia Abd El-ghany Mohamed, Hanan Nabawy Elaasar, Rasha Rady El-Said
{"title":"Effect of Designed Eye Care Protocol on Nurses’ Knowledge and Practices Regarding Prevention of Ocular Surface Disorders among Sedated and Intubated Children at Pediatric Intensive Care Unit","authors":"Hanan Mohamed Mohamed Tork, Rawia Abd El-ghany Mohamed, Hanan Nabawy Elaasar, Rasha Rady El-Said","doi":"10.12691/ajnr-10-2-2","DOIUrl":"https://doi.org/10.12691/ajnr-10-2-2","url":null,"abstract":"","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126652747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Radial arterial lines (RALs) are used to obtain precise measurement and provide continuous blood pressure monitoring of critically ill patients. Critical care nurses are the primary responsible clinician for maintaining the safety and effectiveness of radial arterial lines (RALs). Gaps exist in the practice literature about tools that help nurses stabilize the wrist joint for safe maintenance of RALs. Local Problem: The purpose of this study was to improve the quality and safety of RALs by establishing use, safety, and preferences of critical care nurses for tools that help them manage RALs. Methods/Intervention: A mix method approach provided in-depth qualitative and quantitative data in two phases: Phase I: Survey of critical care nurse management of RALs and Phase II: a Focus Group of Critical Care Nurse Experts exploring the use, safety, and perception of tools to manage RALs. Results: Nurses reported that visual inspection of the insertion site of an RAL (97.1%); adjustment of the wrist angle (98.5%) and stabilization of the wrist (88.2%) were critical areas for safe management. Nurses voiced concern about the lack of the availability of adequate tools to manage RAL. Conclusions: Too often the nurses' jury rig devices to stabilize a patient’s wrist and the nurses reported frequent adverse events such as infections, skin breakdown, and inaccurate blood pressure measurements. These outcomes are costly for hospitals and patients. Nurses reported preference for flexible/bendable armboards, but they were reported often not available. Nurses need up-to-date tools to perform best practices that keep patients safe.
{"title":"Nurse Management of Radial Arterial Lines: Quality & Safety","authors":"Nancy P. Hanrahan, L. Letourneau, Rachel Batty","doi":"10.12691/ajnr-10-1-2","DOIUrl":"https://doi.org/10.12691/ajnr-10-1-2","url":null,"abstract":"Background: Radial arterial lines (RALs) are used to obtain precise measurement and provide continuous blood pressure monitoring of critically ill patients. Critical care nurses are the primary responsible clinician for maintaining the safety and effectiveness of radial arterial lines (RALs). Gaps exist in the practice literature about tools that help nurses stabilize the wrist joint for safe maintenance of RALs. Local Problem: The purpose of this study was to improve the quality and safety of RALs by establishing use, safety, and preferences of critical care nurses for tools that help them manage RALs. Methods/Intervention: A mix method approach provided in-depth qualitative and quantitative data in two phases: Phase I: Survey of critical care nurse management of RALs and Phase II: a Focus Group of Critical Care Nurse Experts exploring the use, safety, and perception of tools to manage RALs. Results: Nurses reported that visual inspection of the insertion site of an RAL (97.1%); adjustment of the wrist angle (98.5%) and stabilization of the wrist (88.2%) were critical areas for safe management. Nurses voiced concern about the lack of the availability of adequate tools to manage RAL. Conclusions: Too often the nurses' jury rig devices to stabilize a patient’s wrist and the nurses reported frequent adverse events such as infections, skin breakdown, and inaccurate blood pressure measurements. These outcomes are costly for hospitals and patients. Nurses reported preference for flexible/bendable armboards, but they were reported often not available. Nurses need up-to-date tools to perform best practices that keep patients safe.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127930168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adel Harb, Zainab Althunian, J. Silva, Abdulrahman S Alayed, S. Aljarudi, Abrar Barshaid
The type of leadership style adopted by the manager and how it is perceived by nurses can play a critical role in influencing staff performance and healthcare outcomes. This study aims to examine nurses’ perceptions about the managers’ leadership and to determine whether the style used may play a role in determining the quality of patient care. Methodology: A cross-sectional quantitative study was conducted in Eastern Health Cluster was over a fourmonth period from April 5 to July 30th 2021. A purposive sampling technique was used whereby all nurses and midwives working in EHC facilities, 8,699 staff, were invited to participate in the research adopting multifactor leadership questionnaire (MLQX5) to rate leadership styles and outcomes in relation to transformational, transactional, and passive avoidant leadership styles. The questionnaire was evaluated by a panel of expert nurse leaders against construct validity then piloted to test reliability. Data were collected after ethical approval was granted from King Fahad Specialist Hospital. Results: 577 nurses provided a 3.98% margin of error at the 95% confidence level. Statistical analysis was conducted using SPSS version 23.0. Results show that nurses perceive that their managers are using transformational and transactional leadership styles more often than passive avoidant leadership style. There was a positive and highly significant correlation between leadership and outcome factors. The analysis shows a positive correlation between leadership outcome factors (effectiveness, extra effort and satisfaction) and transformational and transactional leadership styles and a negative correlation with passive avoidant leadership style. A comparison of sociodemographic characteristics within the nursing workforce found that there are no significant differences in perceived leadership styles relating to gender although mean scores show that females had a higher perception of transformational and transactional styles compared to men who had a higher perception of passive avoidant style. Recommendations and Implication for Nursing: Transformational leadership appears to be best suited for nursing as it has positive nursing outcomes There is a strong need to implement leadership education and training amongst all nurses and to continuously train and educate nurse leaders and those potential leaders under succession planning programs about leadership skills and competencies and how to promote a culture for transformational leadership. Conclusion: The transformation of the healthcare system in Saudi Arabia, and challenges that are inherent, emphasize the importance of ensuring that nurses are effective leaders if organizational needs are to be met in the future. It is therefore important to conduct further qualitative and quantitative nursing researches amongst this nurse population to provide evidence about how leadership style is perceived and how it may influence outcomes within the nursing workforce and wo
{"title":"Nurses Perceptions of Nursing Leadership Styles in the Eastern Healthcare Cluster in Saudi Arabia","authors":"Adel Harb, Zainab Althunian, J. Silva, Abdulrahman S Alayed, S. Aljarudi, Abrar Barshaid","doi":"10.12691/ajnr-10-1-3","DOIUrl":"https://doi.org/10.12691/ajnr-10-1-3","url":null,"abstract":"The type of leadership style adopted by the manager and how it is perceived by nurses can play a critical role in influencing staff performance and healthcare outcomes. This study aims to examine nurses’ perceptions about the managers’ leadership and to determine whether the style used may play a role in determining the quality of patient care. Methodology: A cross-sectional quantitative study was conducted in Eastern Health Cluster was over a fourmonth period from April 5 to July 30th 2021. A purposive sampling technique was used whereby all nurses and midwives working in EHC facilities, 8,699 staff, were invited to participate in the research adopting multifactor leadership questionnaire (MLQX5) to rate leadership styles and outcomes in relation to transformational, transactional, and passive avoidant leadership styles. The questionnaire was evaluated by a panel of expert nurse leaders against construct validity then piloted to test reliability. Data were collected after ethical approval was granted from King Fahad Specialist Hospital. Results: 577 nurses provided a 3.98% margin of error at the 95% confidence level. Statistical analysis was conducted using SPSS version 23.0. Results show that nurses perceive that their managers are using transformational and transactional leadership styles more often than passive avoidant leadership style. There was a positive and highly significant correlation between leadership and outcome factors. The analysis shows a positive correlation between leadership outcome factors (effectiveness, extra effort and satisfaction) and transformational and transactional leadership styles and a negative correlation with passive avoidant leadership style. A comparison of sociodemographic characteristics within the nursing workforce found that there are no significant differences in perceived leadership styles relating to gender although mean scores show that females had a higher perception of transformational and transactional styles compared to men who had a higher perception of passive avoidant style. Recommendations and Implication for Nursing: Transformational leadership appears to be best suited for nursing as it has positive nursing outcomes There is a strong need to implement leadership education and training amongst all nurses and to continuously train and educate nurse leaders and those potential leaders under succession planning programs about leadership skills and competencies and how to promote a culture for transformational leadership. Conclusion: The transformation of the healthcare system in Saudi Arabia, and challenges that are inherent, emphasize the importance of ensuring that nurses are effective leaders if organizational needs are to be met in the future. It is therefore important to conduct further qualitative and quantitative nursing researches amongst this nurse population to provide evidence about how leadership style is perceived and how it may influence outcomes within the nursing workforce and wo","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125309820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : Burnout remain significant concerns in nursing, affecting both individuals and organizations. Burnout is a challenging health problem. This problem is harmful to humans and health systems. Therefore, in recent years, particular attention has been paid to research on burnout, especially among the nursing professions. Objective: The study aim was to investigate the association of burnout syndrome among nursing staff at King Abdullah Medical City (KAMC) in the city of Makkah, based on individual nursing specialization and examining the possible existing relationships between the magnitudes of burnout syndrome with some variables. Subjects and Methods: The Study type was a Cross-Sectional design. Undertaken in a specialized hospital, Makkah, Saudi Arabia. Sample collected from 376 nurses working in different specialties. Data collection was done by using a survey questionnaire that comprises of two segments. The first part of the survey was containing sociodemographic data (gender, age, nationality...etc). On the other hand, the second part of the survey consist of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Results : The result showed that the emotional exhaustion has higher score which indicate the nurses have higher emotional exhaustion. Depersonalization shows lower score that means low burn out and personal accomplishment shows higher score that means the participants have more personal accomplishments. The finding shows that there is significance difference exist between Burn out among nursing staff with educational level and primary work area. There is no relationship exist between Burn out with years of experience and staff position. Conclusion and Recommendations: This research represents to the association of burnout syndrome among nursing staff. This finding can be used to identify contributing elements that are the primary causes of exhaustion among full-time nurses, as well as to investigate the scope and magnitude of burnout syndrome as experienced by full-time nurses. The hospital management should establish an action plan to reduce professional burnout among nurses by increasing participation and communication between professionals and management.
{"title":"The Association of Burnout Syndrome among Nursing Staff in King Abdullah Medical City - Makkah Based on Specialty","authors":"Nada Jowhar Firaq, Omar Z. Alsharqi","doi":"10.12691/ajnr-10-1-1","DOIUrl":"https://doi.org/10.12691/ajnr-10-1-1","url":null,"abstract":"Background : Burnout remain significant concerns in nursing, affecting both individuals and organizations. Burnout is a challenging health problem. This problem is harmful to humans and health systems. Therefore, in recent years, particular attention has been paid to research on burnout, especially among the nursing professions. Objective: The study aim was to investigate the association of burnout syndrome among nursing staff at King Abdullah Medical City (KAMC) in the city of Makkah, based on individual nursing specialization and examining the possible existing relationships between the magnitudes of burnout syndrome with some variables. Subjects and Methods: The Study type was a Cross-Sectional design. Undertaken in a specialized hospital, Makkah, Saudi Arabia. Sample collected from 376 nurses working in different specialties. Data collection was done by using a survey questionnaire that comprises of two segments. The first part of the survey was containing sociodemographic data (gender, age, nationality...etc). On the other hand, the second part of the survey consist of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Results : The result showed that the emotional exhaustion has higher score which indicate the nurses have higher emotional exhaustion. Depersonalization shows lower score that means low burn out and personal accomplishment shows higher score that means the participants have more personal accomplishments. The finding shows that there is significance difference exist between Burn out among nursing staff with educational level and primary work area. There is no relationship exist between Burn out with years of experience and staff position. Conclusion and Recommendations: This research represents to the association of burnout syndrome among nursing staff. This finding can be used to identify contributing elements that are the primary causes of exhaustion among full-time nurses, as well as to investigate the scope and magnitude of burnout syndrome as experienced by full-time nurses. The hospital management should establish an action plan to reduce professional burnout among nurses by increasing participation and communication between professionals and management.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128398665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Healthcare organizations are undergoing unusual changes. Implementation of changes may affect the performance of employees during and after change. Organizational changes in health care are more likely to succeed when health care professionals can influence the change, feel prepared for the change, and recognize the value of the change, including perceiving the benefit of the change for patients. Assessing the implementation of organizational changes will help to identify positive areas and shortcomings that require for the future improvement. Aim of the study: This study aims to identify the factors that influence changes in healthcare organization and evaluating the employees’ perceptions concerning to organizational changes. Subjects and Methods: A Cross-Sectional design. Undertaken at specialized hospital, Makkah, Saudi Arabia. Sample collected from 400 healthcare workers by using a survey instrument which was designed based on the initial interviews carried out from the experts in the health care organization. Results: The highest rated dimensions among implementation of organizational changes are Individual personality, Team collaboration, Team communication, openness to change, goals and objectives, organizational architecture, overall satisfaction, and effective leadership respectively. The result proved the relationship between implementation of organizational changes and staff positions, professional role, and work experience. Nurses and physician have found the highest mean score compared to allied health workers. Conclusion: This study found the strength and areas of improvement on implementation of organizational changes in the healthcare settings. Individual personality, good team collaboration and communication, employee openness to change, employee known their goals and objectives, good leadership and overall satisfaction can contribute the implementation of organizational changes in the healthcare settings. This study recommends the health care leaders to evaluate area of concerns to implement changes in the organization.
{"title":"A Cross Sectional Study to Identify the Factors Influence Implementation of Changes in Healthcare Organization","authors":"Rehab A. Bayahya, Omar Z. Alsharqi","doi":"10.12691/ajnr-9-6-3","DOIUrl":"https://doi.org/10.12691/ajnr-9-6-3","url":null,"abstract":"Background: Healthcare organizations are undergoing unusual changes. Implementation of changes may affect the performance of employees during and after change. Organizational changes in health care are more likely to succeed when health care professionals can influence the change, feel prepared for the change, and recognize the value of the change, including perceiving the benefit of the change for patients. Assessing the implementation of organizational changes will help to identify positive areas and shortcomings that require for the future improvement. Aim of the study: This study aims to identify the factors that influence changes in healthcare organization and evaluating the employees’ perceptions concerning to organizational changes. Subjects and Methods: A Cross-Sectional design. Undertaken at specialized hospital, Makkah, Saudi Arabia. Sample collected from 400 healthcare workers by using a survey instrument which was designed based on the initial interviews carried out from the experts in the health care organization. Results: The highest rated dimensions among implementation of organizational changes are Individual personality, Team collaboration, Team communication, openness to change, goals and objectives, organizational architecture, overall satisfaction, and effective leadership respectively. The result proved the relationship between implementation of organizational changes and staff positions, professional role, and work experience. Nurses and physician have found the highest mean score compared to allied health workers. Conclusion: This study found the strength and areas of improvement on implementation of organizational changes in the healthcare settings. Individual personality, good team collaboration and communication, employee openness to change, employee known their goals and objectives, good leadership and overall satisfaction can contribute the implementation of organizational changes in the healthcare settings. This study recommends the health care leaders to evaluate area of concerns to implement changes in the organization.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126566402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Application of Health Belief Model on COVID Vaccine Acceptance among Employees University in Namas City","authors":"Heba Alkotb Mohamed, Samar Mohamed Abdelkader, Abear Hussien AlShehri","doi":"10.12691/ajnr-9-6-1","DOIUrl":"https://doi.org/10.12691/ajnr-9-6-1","url":null,"abstract":"","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127876553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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