Personal hygiene practices and safety measures among governmental hospitals' staff in Beni-Swief governorate

Personal hygiene is one of the most effective ways to protect ourselves and others from illness. Safety measures also include application of standard precautions, education and training for protection of health care workers. The aim of this study was to assess personal hygiene practices and safety measures of health care workers [HCWs] in all governmental, teaching, and non-teaching, Hospitals in Beni-Sweif Governorate. The study was conducted in Beni-Sweif University Hospital, Insurance I hospital, and Ministry of Health and Population Hospital in Beni Sweif Governorate using a descriptive design. It included all nurses [n=421], physicians [n=132], and housekeeping personnel [n=73]. Data collection tools were a structured interview questionnaire form and an observation checklist. The results revealed that, most nurses were females [91.0%], compared to 22.7% of the doctors. More than half of the doctors [53.0%] received the three full doses of HBV, compared 10 41.8% of the nurses [p-0.024]. Overall, 63.2% of the nurses had adequate practice in personal safety compared to 81.1% of the doctors [p<0.001]. The University Hospital nurses had the highest performance in personal safety [79.5%], while the Insurance Hospital had the lowest [42.5%], [p=0.001]. The workers had highest performance with gloving and personal hygiene, and lowest in personal protection measures. The study recommended implementation of a healthcare workers' vaccination program which must be mandatory with provision of all needed equipment and supplies for infection control. Continuing and in-service training programs are needed to improve skills of personal hygiene and safety measures especially for nurses. Workers need training in the use of personal protective equipment, which should be made available to them

Perception of head nurses regarding the importance of team building elements among nurses at main Assuit university hospitals

The care and service teams are the new imperative in health care, as a matter of survival. High performance teams are essential to an organization efficiency and effectiveness. This study was conducted at the Main Assiut University Hospital; in the following departments: Medical, surgical, I.C.U, obstetric, pediatric, orthopedic, psychiatric departments. To assess the head nurses perceptions regarding the importance and willingness for application of team building elements among head nurses at Main Assuit University Hospitals. The study sample included all the available head nurses [65] currently assigned to work in the selected units. The tool of the study was a questionnaire sheet consisted of two parts: The first part was related to socio-demographic characteristics of the study sample including department, years of experience, qualifications, social status and number of children. The second part consisted of 39 items which were categorized into 5 domains: goals and objectives [4 items], job roles [3 items], communications [15 items], teams activities [2 items] and finally, environments [15 items]. The present study concluded that defining goals and objectives, clarifying the rules and responsibilities, the role model of assertive communication and, encouraging the team work to develop and experiment new approaches in their work were important elements of team building. The study revealed that there were strongest positive relations between importance of team building elements and willingness of head nurses to apply in team activities, communication and finally environments. It is recommended that the more emphasis is needed for encouragement of every head nurse to share in developing objectives of team work to achieve their goals and create positive work environment to satisfy nurses needs, maintain an enthusiastic team, and allocate rewards based on quality of the work team, and reinforce competitive attitude among team work

Assessment of factors affecting clinical teaching as perceived by nurse-teachers and nursing students in secondary technical nursing schools in Assiut City

Clinical training provides the nurse-students with knowledge skills and attitudes to provide patient's care with high quality in different settings. Clinical practice provides the opportunit for students to become skillful in the use of theories of action and provides a fertile experience in learning how to learn. The objectives of this study were to assess the factors affecting clinical teaching experience as perceived by nurse-teachers and nurse students. The study was done in three females' secondary nursing schools in Ass jut City. The subjects included in the study were 28 nurse teachers and 212 nurse-students. The data collection tool, which used consisted of questionnaire sheet for nurse-teachers and students, nurse. This questionnaire was aimed at identifying teachers and students perception about the factors that influence student's acquisition of clinical experience; the questionnaire was composed of three parts: 1-Structure factors: This part included hospital and external units [10 factors], school laboratory [6 factors], nursing team [13 factors], physician's team [8 factors] patients and their families [8 factors], and administration [7 factors]. The qualification needed for the clinical teaching [4 factors] and interpersonal traits of the clinical teacher [5 factors].2-Process factors: this part included interpersonal relationship of clinical teacher [6 factors], nursing competence of the clinical teacher [14 factors] and teaching competence of the clinical teacher [10 factors]. 3-Out come factors: this part included [12 factors]. In the light of the findings of this study, it can be concluded that the students and teachers gave priority to the importance of the process factors. There were statistically significant differences between students and teachers opinions regarding structure, process and outcome factor

Students' portfolio: a new trend to assess the fourth year nurse students' mastery of the administrative skills

This study was conducted at the Faculty of Nursing in Assiut University to apply students' portfolio as a new trend to assess the fourth year student's mastery of the administrative skills. The study sample consisted of 60 students classified as thirty experimental group and thirty control group. Data collected through students' assessment by applying students' portfolio as assessment tool. Data collection took about two months. The results revealed that using of students' portfolios leads to enhancement of student's personal and professional level. At the area of administrative skills they become able to achieve assignment sheet accurately, they become excellent in performing daily shift report, gain ability to completion of patient cards effectively, identify patient needs, and describe the proper nursing care according to priorities. They are able to use proper documentations at different types of hospital departments, while the control group improved at the assignment sheet, daily shift report and patient cards to some extent and did not have new skills as the experimental groups

Relationship between assertiveness and leadership styles among nureses' managers at Assiut university hospitals

Of the study was to assess the relationship between the assertiveness and leadership styles among nurses managers at Assiut University Hospitals. The study sample including all the available nurses' managers [82] currently assigned to work in different units at Assiut University Hospitals; [1] director of nursing, [3] assistant director, [12] supervisors and [66] head nurses. The questionnaire sheet consisted of three parts: The first part related to sociodemographic characteristics of the study sample [age, qualifications, position and years of experience]. The second part of the tool consisted of 34 questions that measure the assertiveness of the nurse managers. The possible responses of this part were strongly agree scored [1], agree scored [2], sometimes scored [3], disagree scored [4] and strongly disagree scored [5]. The third part of the tool consisted of 16 questions that measure the leadership style of the nurses' managers. The possible responses of this part were yes scored [1] and no scored [0]. The questionnaire is divided into three parts [each part involves six questions] the first six questions detected the directive leadership style, the second six questions detected the participative leadership style and the last six questions detected the permissiveness leadership style. The result denoted that there were no statistically significant differences between leadership styles and assertiveness among the nurses' managers. On the light of the present findings the researchers recommended the necessity of sharing of the nurses in decision -making, policy making, informing the nurse managers with description of each position, the nurses' managers must have authority commensurate with their responsibilities and must have adequate opportunity for promotion, professional growth and in-service training opportunity about communication and leadership in nursing

role of organizational climate in conflict management among nursing personnel working at Assiut university hospital

Building a positive work climate, where trust and participation are hallmarks and where conflict and changes are seen as productive, can produce a dynamic and flexible organization. Of this study was identifying the factual organizational climate as perceived by nurses, determining the causes and effects of conflict, management strategies, positive and negative effects of conflict and assessing the employees for the chosen strategy for conflict management. It was conducted in Assiut University Hospital usuig a cross-sectional design. Included 195 staff nurses, 107 head nurses and 2 assistant nursing directors and the director of nursing services administration. Data were collected using the organizational climate questionnaire and the organizational conflict questionnaire. Revealed [hat 73.4% of nurses considered organizational climate as positive. Inter-group conflict was the highest [72.8%]. Almost all nurses were for confrontational resolution strategy [97.0%], while avoiding was the lowest [80.7%]. Most nurses considered conflict resolution strategies effective [83.3%]. Statistically significant relations were shown between inter-group conflict and nurses' age [p=0.002], qualification [p=0.04], experience years [p=0.006] and job position [p=0.03]. Positive organizational climate was associated with higher percentage of effective resolution, p<0.001. Positive statistically significant correlations were found between organizational climate and effective resolution [r=0.64] and positive effect of conflict [r=0.47 and between positive effect of conflict and effectiveness of resolution [r=0.46]. It is concluded that most studied nurses considered organizational climate as positive. Positive organizational climate was associated with higher percentage of effective resolution and more positive effect of conflict. To improve the organizational climate through increasing the effectiveness of the communication system, reconsidering the reward system, with emphasis on recognition and support