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Assessment of professional nursing governance and hospital magnet components at Alexandria Medical Research Institute, Egypt

机译:埃及亚历山大医学研究所对专业护理管理和医院磁铁组件的评估

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Background and objective: In the context of a rapidly evolving health care system, health care institutions strive to set a path towards an excellent professional practice environment. Since improving clinical nurse work environments is a major issue faced by nurse executives and administrators, they become challenged to establish nursing governance models, and leadership practices so that clinical nurses can engage in the work processes and relationships that are empirically linked to quality patient outcomes. The main aim of this study was to assess the current status of professional nursing governance and hospital magnet components at Alexandria Medical Research Institute, Egypt.Methods: A descriptive research design was conducted at Alexandria Medical Research Institute hospital, using a convenience sample (N = 220) that composed of two groups including; all hospital medical administrators (n = 10) and hospital nursing workforce (n = 210). Index of Professional Nursing Governance Questionnaire (IPNGQ) and Magnet Hospital Forces Interview were proved valid and reliable to measure study variables.Results: The overall mean score of professional nursing governance was (187.59 ± 63.74) reflected that staff nurses practice the first level of nursing shared governance (primarily nursing management who take the decision with some staff input). In addition, both medical administrators and nursing staff identified the hospital has a good structure, nursing leadership practices that support shared governance and magnet recognition. Structural equation model and correlation analysis revealed a positive association between overall professional nursing governance and hospital magnet components (p .05).Conclusions and recommendations: The study emphasized the hospital administrators’ important role for providing supportive organizational structures and leadership practices for increasing participation of nursing staff in work design, problem-solving, conflict resolution, committees and organizational decision-making as “key ingredients to a successful organization” in turn, lead to a healthy and magnet-like work environment. Training programs for nurses’ professional development are recommended which enhance and increases their autonomy and empowerment.
机译:背景和目标:在快速发展的卫生保健系统的背景下,卫生保健机构努力为建立良好的专业执业环境铺平道路。由于改善临床护士工作环境是护士高管和管理人员面临的主要问题,因此他们面临着建立护理治理模型和领导实践的挑战,以便临床护士可以从事与质量患者的治疗效果相关的工作流程和关系。这项研究的主要目的是评估埃及亚历山大医学研究所的专业护理治理和医院磁石组件的现状。方法:使用便利性样本在亚历山大医学研究所医院进行描述性研究设计(N = 220)由两个小组组成,包括;所有医院医疗管理员(n = 10)和医院护理人员(n = 210)。事实证明,专业护理治理调查问卷(IPNGQ)指数和磁铁医院部队面试指数能有效,可靠地衡量研究变量。结果:专业护理治理的总体平均得分为(187.59±63.74),反映了工作人员护士实施了第一级护理共享治理(主要是护理管理人员,需要一些人员投入才能做出决定)。此外,医务管理人员和护理人员均确认医院具有良好的结构,护理领导实践可支持共享治理和吸引力识别。结构方程模型和相关分析表明,总体专业护理管理与医院磁石成分之间存在正相关(p <.05)。结论和建议:研究强调了医院管理者在提供支持性组织结构和领导实践以增加参与度方面的重要作用。反过来,护理人员的工作设计,解决问题,解决冲突,委员会和组织决策等方面的问题,则成为“成功组织的关键要素”,从而形成了健康而具有吸引力的工作环境。建议为护士的专业发展制定培训计划,以增强和增强护士的自主权和赋权能力。

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