Nurses' perception toward hallmarks of the professional nursing practice environment

Are characteristics of the practice setting that best support professional nursing practice and allow baccalaureate and higher degree nurses to practice to their full potential, and assist nursing students educated at the baccalaureate level and above to make the best decision regarding where to practice following graduation. This study aimed to assess Hallmarks of the Professional Nursing Practice Environment as perceived by Bachelor Undergraduate Nursing students, Nurse Interns and nursing staff working/training at Main University hospital, Alexandria University, and conducted at Alexandria Main University hospital, on 336 nurse students, interns and staff nurses from those meeting the inclusion criteria and were available during data collection period. "Hallmarks of the professional nursing practice envtronment questionnaire developed by American Association of Colleges of Nursing [AACN 2001] was used to collect data. The study main findings were that the subjects' perception for Hallmarks of the professional nursing practice environment was below the acceptable level, however, above the average. Nurse Interns tended to have significantly higher perception for all hallmarks; while staff nurses as well as nurse students tended to have the lowest one. Age and years of experience of the staff nurses were found to be not affecting nurses' perception. Diploma nurses were found to perceive hallmarks more significantly as compared to bachelor nurses, Finally, the overall perception of staff nurses working in special care units was high in comparison to those working in the general wards

Appropriateness of length of hospital stay for patients undergoing one-day urology surgery

One day surgery has developed over the past 3 decades for a number of reasons including advanced managing care and health maintenance organizations, improved surgical instruments, less invasive surgical techniques, availability of a team approach in preparing a person for surgery and home recovery and the desire to reduce health care costs. The present study aimed at assessing the Pre-decided one day surgeries among patients admitted in urology surgery department at the Main University Hospital, determining proportion of inappropriate days of hospitalization, and uncovering reasons associated with inappropriate utilization of hospital stay. Among 1607 reviewed records, 800 [49.78%] cases were decided to be conducted as one-day surgeries. Concerning the total Length of Stay [LOS], findings revealed that only 10.6% of these days were appropriated 89.4% of the reviewed hospital days were inappropriate and can be managed for more efficient and effective care provision. Premature admission, weekends and problems in scheduling surgery were the reasons of inappropriate preoperative stay, while doing diagnostic procedures and/or treatment that can be done on an outpatient basis and lack of family for home care, were found to be reasons for postoperative stay

Workplace violence against nurses and its effect on their job satisfaction

Workplace violence is a serious phenomenon involving the health care settings, and presents challenges to management. Literatures indicate that the majority of nurses experience some form of violence during their working lives. Managing workplace violence presents a problem stem from lack of consistency among those perceiving and defining it. The consequences can be devastating, since it affects nurses' morale, decreases job satisfaction and altered job performance. The present multidisciplinary study aims at investigating the phenomenon of workplace violence among nurses and its association to their job satisfaction. The main results are that about three quarters of the involved subjects experienced violence in the workplace. Verbal abuse and psychological/emotional stressing act are highly perceived by the subjects to define violence, and that the last one is the most frequent type experienced by nurses. Clients and their relatives, as well as the administrative staff are the most significant perpetrators, and that the most precipitating factors are violating privacy, inadequacy of available nurses, equipment supplies, and treatments, as well as visits from outside the hospital. Nurses who experienced workplace violence reported their dissatisfaction, about half of them not preferring their work, and have tendency to leave due to violence, and as a result, more than quarter are searching for a career rather than nursing

Violence on hospital nurses and job satisfaction

Workplace violence is a serious phenomenon involving the health care settings, and presents challenges to management. Literature indicates that the majority of nurses experience some form of violence during their work. Managing workplace violence presents a problem which stems from lack of consistency among those perceiving and defining it. The consequences can be devastating, since they affect nurse morale, decrease job satisfaction and alter job performance. The present multidisciplinary study aims at investigating the phenomenon of workplace violence among nurses and its association to their job satisfaction. The main results are that about three quarters of the subjects experienced violence in the workplace. Verbal abuse and psychological/ emotional stressing acts were highly reported by the subjects to define violence, and that the latter one is the most frequent type experienced by nurses. Clients and their relatives, as well as the administrative staff are the most significant perpetrators. The most precipitating factors are violating privacy, inadequacy of available nurses, equipment supplies, and treatments, as well as visits from outside the hospital. Nurses who experienced workplace violence reported their dissatisfaction. About half of them did not like their work, and had the tendency to leave due to violence. Presently, more than a quarter of the sample is searching for a career other than nursing