Cost containment'adoption and its impact on quality of patient care 'commitment as perceived by middle - level nurse managers: a pilot exploratory study

Nowadays, the containment of health care costs and the improvement of quality of care are two essential concerns in a nation's health care system. For that, the nurse manager is accountable for quality of care and for containing costs of health care. Aim: To identify the impact of cost containment adoption on the commitment to quality of patient care as perceived by Military middle. - level nurse managers. Descriptive exploratory correctional design was used in carrying out this study. The study was conducted in a Military Institute, where'the participants were attending a continuing education program. Purposive sample consisted of thirty Military middle - level nurse managers who were in supervisory position, accepted to participate in the study and met the inclusion criteria were included in the study. Study tool: Modified questionnaire developed by Muehsam [1998] was adapted to measure cost containment and commitment to quality of patient care as perceived by middle - level nurse managers. indicated that a cost conscious behavior was found on the units' level than hospital as whole. On the whole, a strong level of commitment towards quality of patient care was found among nurse managers. No leaner relationship was found between cost containment and commitment to quality of patient care. This study can be replicated for other participants in the healthcare industry such as doctors who are contracted with organizations. Finally; middle - level nurse managers should participate in the selection of programs that influence nursing such as productivity programs, inventory management and documentation systems

First-level nurse managers' leadership behaviors and its effect on staff nurses' attitudes towards patients' safety in pediatric' critical care units

The leadership skills and abilities of nurse managers have long been recognized as making a critical contribution to the smooth operation of inpatient units and the success of acute care hospitals. Moreover, Leader behaviors and the relationships of these leaders with staff, including nursing, are widely acknowledged as positive influences on the adoption of safety behaviors. So the present study aimed at to identify the effect of first-level nurse managers' leadership behaviors on staff nurses attitudes towards patients safety at pediatric 'critical care units. The present study took place in a pediatric critical care units .It contains five critical care units with a total capacity of [61] bed. The study sample consisted of [60] staff nurses. An explanatory correlational research design was used. Data were collected through utilizing two tools; the first tool was the modified Multifactor Leadership Questionnaire [Bass and Avolio, 2000] .Second tool was the modified patient safety attitude questionnaire developed by Sexton, Helmreich, Pronovost, Thomas [2004]. The study concluded that all the first level - nurse managers display both transformational and transactional leadership behaviors in different amount ,a positive significant correlations was found between first- level nurse managers 'transformational ,transactional leadership behaviors and staff nurses attitude towards patient safety. The study recommended the implementation of patient safety leadership walk rounds to pediatric' critical care units, moreover, implementation of a reward-based a voluntary reporting and provide safety education to staff nurses

Transformational and transactional leadership behaviors adoption and its relation to nursing services quality management as perceived by first- level nurse managers in a military hospital

First-level nurse managers are important front-level administrators in the hospital. They are positioned in close proximity to .the work itself and to the nursing staff engaged in patient care. They should be able to improve service quality management to ever- changing situations. To measure transformational and transactional leadership behaviors' adoption and its relation to nursing services quality management as perceived by first- level nurse managers in a military. Descriptive Co- relational design.was used in carrying out this study. The study was conducted in a Military hospital. The study subjects were [no.50] who accepted to participate in the study and met the inclusion criteria. Tools: Data of the present study was collected through utilizing two questionnaires. First questionnaire was modified Multifactor Leadership Form 5X which contain [50 items]. Second questionnaire was modified service quality management [65 items]. The finding indicated that a first level nurse managers who adopting transformational or transactional leadership behavior was practiced in moderate level. Moreover, first level nurse managers had moderate level of activities related to nursing service quality management. Also, transformational and transactional leadership was positively related to service quality management of first-level nurse managers' .Furthermore, leadership behaviors, service quality management were related to first level nurse managers' age, years of experience, educational. leadership behaviors should be sharpened by continuous training with updated date knowledge. And this type of study should be replicated to allow for future comparisons of leadership behaviors of nurses managers levels and service quality management between hospitals in Military sector