Relationship between the nurse managers leadership styles and decision making and their effect on the staff nurses job satisfaction

This study was aiming at identifying the relationship between the nurse managers' leadership styles and decision making and their effect on staff nurse's job satisfaction using descriptive study. It was conducted at Suez Canal University hospital in Ismailia composed, subjects are composed of 26 nurse managers and 188 staff nurses. Data were collected through using three structured questionnaires; the first one was divided in two parts, the first part of each questionnaire aimed to collect personal and job characteristic. The second part of tool one aimed to determine the leadership styles of nurse managers. The second tool was adopted to assess the decision making of nurse managers. The third tool aimed to identifying the level of job satisfaction among staff nurses. The results of the present study revealed that most of nurse managers followed mixed leadership style, more than half of nurse managers were decisive, and more than one third of staff nurses were satisfied. However, there was statistical significant difference between nurse managers' leadership styles regarding axis of decision making only for two items, factors affecting decision making, and developing of decision making process [techniques, styles]. Also these were no relationship was found between leadership styles and decision making of nurse managers and staff nurses job satisfaction. Based on these finding, the researcher recommended developing training programs for nurse managers to improve their leadership skills with emphasis on suitable leadership styles in addition to decision making. Leadership, decision making and job satisfaction programs should be included in the undergraduate and post graduate nursing curricula to increase their abilities in managerial skills. Periodical assessment of work barriers to job satisfaction and hence redesigning nursing work environment through management system, which enables nurse managers to provide satisfaction to the nurses' job

Assessment of serum magnesium level in congestive heart failure patients treated with frusemide

Electrolyte balance has been regarded as an important factor to cardiovascular stability, particularly in congestive heart failure. However, electrolyte disturbances are common in patients with congestive heart failure especially during long term treatments. Unlike potassium, little is known of how magnesium is affected in these patients. To assess the serum magnesium level in congestive heart failure [CHF] patients treated with frusemide and to describe the electrocardiographic [ECG] changes with different serum magnesium patterns. The study was carried out by means of data collection and analysis of clinical, biochemical. and ECU variables with respect to serum magnesium changes. The data were taken from patients fulfilling the inclusion criteria. This was a descriptive cross-sectional study, that was conducted in the outpatient, inpatient and cardiology care units of cardiology department in Suez Canal University Teaching Hospital, in the period from 1/4/2004 to 1/2/2005, In our study, [58] patients with CHF were included representing the designed sample size and fulfilling the inclusion and exclusion criteria mentioned in the methodology. Hypermagnesemia was more prevalent in CHF patients treated with frusemide, According to our study, we found that hypermagnesemic patients had the following characteristics: Old age, female, increasing severity of CHF [functional class III-IV], nonsmokers, high frusemide maintenance dose, hypernatremia and hyperkalemia, high dose of spironolactone and high dose of digoxin