Workplace silence behavior and its consequences on nurses: A new Egyptian validation scale of nursing motives

2021 ◽  
pp. 147775092199428
Author(s):  
Nagah Abd El-Fattah Mohamed Aly ◽  
Safaa M El-Shanawany ◽  
Maha Ghanem
Keyword(s):  
Nurse Managers ◽  
High Reliability ◽  
Positive Association ◽  
Organizational Outcomes ◽  
University Hospital ◽  
Citizenship Behavior ◽  
Cross Sectional ◽  
Critical Issues ◽  
Collective Phenomenon ◽  
High Level

Background Workplace silence behavior is a social collective phenomenon. It refers to nurses choosing to withhold their ideas, opinions and concerns about critical issues in their workplace. Workplace silence behavior poses a threat to organizational ethics and success. It also has adverse effects on the performance of nurses in health organizations. Underlying nursing causes of silence behaviors could be related to individual, social and organizational attributes in health care settings. Objectives The study aimed to develop a new Egyptian validation scale for measuring nursing motives of workplace silence behavior and identify consequences of workplace silence behavior on nurses. Methods A cross-sectional correlational study was implemented using questionnaires on workplace silence behavior, nursing motives and nurses' consequences, collected from 332 nurses working in critical and toxicology care settings of Alexandria Main University Hospital. Results Egyptian scale was shown to be a good fit model of exploratory (36 nursing motives emerged in six dimensions with total variance of 73.3%) and confirmatory factor analysis tests (X2 = 1381.47, NNFI =0. 90, CFI = 0.91, RMSEA = 0.057). It also had high reliability tests with coefficient of alpha (0.85), Pearson (0.75) and Kendall coefficient of 0.72. High level of workplace silence behaviors showed a negative association with organizational dis-identification, fair citizenship behavior, and fair nurses' performance and declined reporting of patient adverse events. It also appeared to be in a positive association with higher levels of cynicism. Conclusion The Egyptian scale was proved to be reliable and valid for measuring the underlying nursing causes of silence behaviors in the hospital workplace. Measuring nursing motives of workplace silence behaviors will help nurse managers to reduce negative outcomes of workplace silence behaviors and improve organizational outcomes.

scholarly journals Burnout level and associated factors in a Sub-Saharan African medical setting: prospective cross-sectional survey.

2020 ◽  
Author(s):  
Jean-Rodolphe MACKANGA ◽  
Emeline Gracia MOUENDOU MOULOUNGUI ◽  
Josaphat IBA-BA ◽  
Pierre POTTIER ◽  
Jean-Baptiste MOUSSAVOU KOMBILA ◽  
...  
Keyword(s):  
Associated Factors ◽  
University Hospital ◽  
Hospital Environment ◽  
Easy Access ◽  
Cross Sectional ◽  
Middle Income ◽  
Medical Context ◽  
Sub Saharan ◽  
High Level ◽  
Hospital Center

Abstract Background: burnout in the hospital environment is a problem that affects care and training. Often explored in the high-income medical context, burnout is poorly studied in low and middle-income countries characterized by a precarious hospital situation and a high stake linked to the Millennium Development Goals. The aim of our study was to determine in medical practitioners, in a sub-Saharan African country’s medical context, the burnout level and associated factors. Methods: a prospective cross-sectional study by using a self-administered Likert-scale questionnaire addressed to doctors and doctoral medical students in Gabon. Maslach Burnout Inventory scale has been used. Burnout symptoms were defined by high level in at least one of the 3 dimensions. Severe burnout defined by high level in all dimensions. Explored factors: socio-demographic and psychometric. Multiple logistic regression has been performed. Results: among 104 participants, severe burnout prevailed at 1.9% (95% CI: 0.2% -6.8%) and burnout symptoms at 34.6% (95% CI: 25, 6% -44.6%). The associated factors with burnout symptoms: age (OR = 0.86, p = 0.004), clinical activity in a university hospital center (OR = 5.19, p = 0.006), the easy access to the hospital (OR = 0.59, p = 0.012), number of elderly dependents living with the practitioner (OR = 0.54, p = 0.012), to live in the borough where the hospital is located (OR = 0.24, p = 0.039) and to be favorable to traditional medicine (OR = 1.82, p = 0.087). Nagelkerke’s R-squared:53.1%. Conclusion: in Gabon, middle-income country, almost one practitioner in two has burnout symptoms. The young age, the university hospital center, the difficulty to access to hospital and to live in the borough where the hospital is located increase the probability of burnout symptoms. These results must put question to relevant authorities regarding health and medical education, to set up: a public transport for practitioners, an optimal primary health care system, a regulation of medical tasks in hospitals, a training in clinical supervision.

scholarly journals Impact of Organizational Justice and Organizational Citizenship Behavior on Employees Performance

2018 ◽  
Vol 8 (2) ◽  
pp. 187 ◽  
Author(s):  
Samreen Ismail ◽  
Zafar Iqbal ◽  
Muhammad Adeel
Keyword(s):  
Organizational Justice ◽  
Organizational Citizenship ◽  
Organizational Citizenship Behavior ◽  
Research Question ◽  
Positive Association ◽  
Citizenship Behavior ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Theoretical Concepts ◽  
Azad Kashmir

Organizational Justice has been considered a significant subject in the operative organizations functioning. Whereas Organizational Citizenship Behavior is important to achieve the organizational success therefore organizations encourage and facilitate the OCB in order to produce effectiveness and efficiency in organization functions. The primary aim of this research is to investigate the role of organizational justice and organizational citizenship behavior in enhancing employees’ performance in academic setting. Organizational justice plays a pivotal role in shaping individual behavior and particularly extra role behavior such organizational citizenship behavior. To answer the research question, the cross sectional data were collected through a questionnaire from 190 employees working in different universities of Azad Kashmir Pakistan. Our findings reveal that there is a significant positive association among organizational justice (OJ), organizational citizenship behavior (OCB) and Employees performance (EP). The results indicated that Organizational Justice and Organization Citizenship Behaviors was significant predictor of Employees performance. This research contributes to the managerial literature by identifying and applying theoretical concepts into a different sample and organizational settings.

Cleft and Craniofacial Team Orthodontic Care in the United States: A Survey of the ACPA

2019 ◽  
Vol 56 (7) ◽  
pp. 860-866 ◽  
Author(s):  
Nima Khavanin ◽  
Hillary Jenny ◽  
Diana S. Jodeh ◽  
Michelle A. Scott ◽  
S. Alex Rottgers ◽  
...  
Keyword(s):  
Private Practice ◽  
Skeletal Maturity ◽  
Care Service ◽  
The United States ◽  
University Hospital ◽  
Full Time ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Highly Correlated ◽  
High Level

Objective: To better understand the capacity for orthodontic care, service features, and finances among members of the American Cleft Palate-Craniofacial Association (ACPA). Design: Cross-sectional survey. Setting: ACPA-approved multidisciplinary cleft teams. Participants: Cleft team coordinators. Interventions: Coordinators were asked to complete the survey working together with their orthodontists. Main Outcome Measure: Model for orthodontic care. Results: Coordinators from 82 out of 167 teams certified by ACPA completed the survey (response rate = 49.1%). Most orthodontists were private practice volunteers (48%) followed by university/hospital employed (22.8%). Care was often delivered in community private practice facilities (44.2%) or combination of university and private practice facilities (39.0%). Half of teams reported offering presurgical infant orthopedics (PSIO), with nasoalveolar molding being the most common. Cleft/craniofacial patients typically comprise 25% or less of the orthodontists’ practices. The presence of a university/hospital-based orthodontist was associated with higher rates of offering PSIO ( P < .001) and an increased percentage dedication of their practice to cleft/craniofacial care ( P < .001). Conclusion: Orthodontic models across ACPA-certified teams are highly varied. The employment of full-time craniofacial orthodontists is less common but is highly correlated with a practice with a high percentage of cleft care and the offering of advanced services such as PSIO. Future work should focus on how to effectively promote such roles for orthodontists to ensure high-level care for cleft/craniofacial patients requiring treatment from infancy through skeletal maturity.

scholarly journals Supportive Infusions in Integrative Breast and Gynecological Oncology – Report on Patientsʼ Satisfaction and Self-reported Effects and Side Effects

2018 ◽  
Vol 78 (11) ◽  
pp. 1129-1137 ◽  
Author(s):  
Carolin Hack ◽  
Sophia Antoniadis ◽  
Matthias Beckmann ◽  
Anna Brandl ◽  
Peter Fasching ◽  
...  
Keyword(s):  
Side Effects ◽  
Gynecological Cancer ◽  
Nutritional Therapy ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Infusion Therapy ◽  
Cross Sectional ◽  
Level Of Satisfaction ◽  
High Level

Abstract Background During cancer therapy, many patients suffer from malnutrition or vitamin deficiency. Treatment for nutrition-related deficiencies should therefore include nutritional therapy and possibly oral or intravenous substitution of micronutrients. Little information exists on multinutrient infusion therapies. The aim of this study was to develop standardized infusion protocols for integrative medicine infusions with micronutrients (IMed infusions) and to report on side effects of the treatment and patientsʼ satisfaction with it. Methods For the IMed consultancy service, four special formulas for intravenous use were developed in cooperation with the pharmacy at Erlangen University Hospital. A retrospective cross-sectional study was conducted between October 2015 and January 2018 in which 45 patients with gynecological or breast cancer (BC) and IMed infusion therapy were included. Follow-up data were obtained from 20 patients using a standardized questionnaire on IMed infusions. Results A total of 280 IMed infusions were administered in the study period. The majority of the patients received an IMed regeneration infusion (78%). The majority of the patients had BC and were receiving chemotherapy. Most patients reported a high or very high level of satisfaction with the organization (60%), general treatment (65%) and counseling (85%). Subjective improvement in their disease-related and therapy-induced symptoms, such as fatigue, polyneuropathy and physical efficiency, was reported by 70% of the patients, while 75% reported a subjective increase in quality of life. Side effects were rare and minor. Conclusions Therapy with IMed infusions in women with BC or gynecological cancer requires the same standards set for drug therapy. Although vitamins represent dietary supplements, appropriate assessment of the patientʼs medical history is needed and patients must receive appropriate information. For this purpose, standardized processes, as in the context of an IMed consultancy service, are helpful.

Factors Influencing a University Hospital Nurses’ Intentions to Leave the Unit, Organisation and Profession: A Cross-Sectional Study

2021 ◽  
Vol 23 (2) ◽  
pp. 240-250
Author(s):  
Hatice Çamveren ◽  
Gülseren Kocaman
Keyword(s):  
Job Satisfaction ◽  
Affective Commitment ◽  
Intent To Leave ◽  
Nurse Managers ◽  
Cross Sectional Study ◽  
Study Data ◽  
University Hospital ◽  
Powerful Predictor ◽  
Cross Sectional ◽  
Work Related

Nurses’ organisational and professional attitudes play an important role in their intent to leave nursing, a serious problem worldwide. The present study aimed to investigate the demographic and work-related characteristics, organisational-professional commitment, and job satisfaction, which are the predictors of nurses’ intent to leave their unit, organisation and profession. This cross-sectional descriptive study was conducted with 335 nurses working at a university hospital in Turkey. The multiple regression analysis was used to analyse the study data. While job satisfaction was the more powerful predictor of intent to leave the unit than were the commitment variables, affective commitment to the organisation was the more powerful predictor of intent to leave the organisation, and affective commitment to the profession was the more powerful predictor of intent to leave the profession. Different dimensions of commitment and job satisfaction are the predictors of intent to leave the unit, organisation and profession. The present study provided useful evidence for nurse managers and policy makers.

scholarly journals Associations between handgrip strength and hypertension in relation to circulating CD34-positive cell levels among Japanese older men: a cross-sectional study

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Yuji Shimizu ◽  
Shin-Ya Kawashiri ◽  
Kenichi Nobusue ◽  
Hirotomo Yamanashi ◽  
Yasuhiro Nagata ◽  
...  
Keyword(s):  
Handgrip Strength ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Japanese Men ◽  
Vascular Homeostasis ◽  
Endothelial Repair ◽  
High Level

Abstract Background A positive association between handgrip strength and blood pressure has been reported. Since these factors are linked to the condition of the endothelium, the activity of endothelial repair might influence the association between handgrip strength and hypertension. Methods A cross-sectional study was conducted with 257 Japanese men aged 60–69 years who underwent an annual health checkup. As individuals with high level of circulating CD34-positive cells might show active endothelial repair, which plays an important role in vascular homeostasis, participants were stratified by circulating CD34-positive cell levels, using the median value of this population (0.96 cells/μL) as the cutoff. Results Independent of known cardiovascular risk factors, for participants with a high CD34-positive cell, handgrip strength is significantly positively associated with hypertension (odds ratio and 95% confidence interval of hypertension for 1 standard deviation increment of handgrip strength were 1.85 (1.19, 2.88) but not for participants with a low CD34-positive cell (0.91 (0.61, 1.37)). Conclusion The positive association between handgrip strength and hypertension is limited to high CD34-positive cells. This result may help clarify the role of vascular homeostasis in maintaining muscle strength.

scholarly journals Relationships between core self-evaluation, leader empowering behavior, and job security among Jordan University Hospital nurses

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260064
Author(s):  
Ali M. Sulaiman ◽  
Othman A. Alfuqaha ◽  
Thana A. Shaath ◽  
Rawan I. Alkurdi ◽  
Rahmah B. Almomani
Keyword(s):  
Educational Level ◽  
Pearson Correlation ◽  
Job Security ◽  
University Hospital ◽  
Hospital Nurses ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Self Evaluation ◽  
High Level ◽  
Core Self

Nurses are facing real stressors due to patients’ needs and leaders’ demands. The aim of this study is to explore the perceived level of core self-evaluation (CSE), leader empowering behavior (LEB), and job security among Jordan University Hospital nurses in Amman, the capital of Jordan. Furthermore, it investigates the relationship between the selected variables. Differences of gender, educational level, experience, and site of work are also examined with job security. Moreover, it evaluates the contribution of CSE, LEB, gender, educational level, experience, and site of work in predicting job security among Jordan University Hospital nurses. A descriptive cross-sectional design was adopted for this study. A convenience sample of 214 nurses from Jordan University Hospital was completed the CSE scale, LEB scale, and job security scale. Descriptive statistics, Pearson correlation coefficient, t-test, one-way analysis of variance, and stepwise regression were used to analyze the results. The results indicate that job security is found to be at high level, whereas LEB and CSE are found to be at moderate levels among nurses. Significant positive relationships are found between CSE, LEB, and job security. Male nurses and medical/surgical floors reported higher levels of job security than female nurses and intensive care units. Finally, the results show that LEB and gender are significant predictors of job security among nurses. We suggest that managers of nurses should apply leadership behaviors in order to increase their job security and career empowerment.

scholarly journals RELATIONSHIP BETWEEN PARENTING STYLES AND AGGRESSION IN PAKISTANI ADOLESCENTS

2019 ◽  
Keyword(s):  
High School ◽  
Parenting Style ◽  
Parenting Styles ◽  
Pearson Correlation ◽  
Positive Association ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Authoritarian Parenting ◽  
High Level ◽  
Authoritarian Parenting Style

OBJECTIVE: To assess the relationship between parenting styles and aggression in adolescents studying in various schools of Lahore, Pakistan. METHODS: This cross-sectional study was conducted on 200 adolescents (100 male & 100 females). Parenting Style Questionnaire and Aggression scale were used to collect the data. Sample was selected from 3 schools of Lahore (King Way High School, Shaheen High School and Lahore Garrison School) using purposive sampling strategy. The age range of sample was 14 to 18 years. In the present study we hypothesized; adolescents with authoritarian parents will have high level of aggression as compared to the adolescents of authoritative parents. We used Pearson Correlation and Multiple Regression techniques to find out the results from collected data. RESULTS: Mean age of participants was 13.09±0.86 years. Significant positive association was found between authoritarian parenting style and aggression (P<0.01) and significant inverse relationship between authoritative style of parenting and aggression (P<0.05) in adolescents. So, parents with authoritarian parenting style had higher level of aggression. Authoritarian parenting significantly predicted (19%) aggression in adolescents, while authoritative parenting style was not a significant predictor of aggression in adolescents. CONCLUSION: In our study, there is significant effect of authoritative and authoritarian parenting style on aggression and most of the children from authoritarian parents have high level of aggression as compared to authoritative parents.

scholarly journals Burnout level and associated factors in a sub-Saharan African medical setting: prospective cross-sectional survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jean-Rodolphe Mackanga ◽  
Emeline Gracia Mouendou Mouloungui ◽  
Josaphat Iba-ba ◽  
Pierre Pottier ◽  
Jean-Baptiste Moussavou Kombila ◽  
...  
Keyword(s):  
Associated Factors ◽  
University Hospital ◽  
Hospital Environment ◽  
Easy Access ◽  
Cross Sectional ◽  
Middle Income ◽  
Medical Context ◽  
Sub Saharan ◽  
High Level ◽  
Hospital Center

Abstract Background Burnout in the hospital environment is a problem that affects care and training. Often explored in the high-income medical context, burnout is poorly studied in low and middle-income countries characterized by a precarious hospital situation and a high stake linked to the Millennium Development Goals. The aim of our study was to determine in medical practitioners, in a sub-Saharan African country’s medical context, the burnout level and associated factors. Methods A prospective cross-sectional study by using a self-administered Likert-scale questionnaire addressed to doctors and doctoral medical students in Gabon. Maslach Burnout Inventory scale has been used. Burnout symptoms were defined by high level in at least one of the 3 dimensions. Severe burnout defined by high level in all dimensions. Explored factors: socio-demographic and psychometric. Multiple logistic regression has been performed. Results Among 104 participants, severe burnout prevailed at 1.9% (95% CI: 0.2–6.8%) and burnout symptoms at 34.6% (95% CI: 25, 6–44.6%). The associated factors with burnout symptoms: age (OR = 0.86, p = 0.004), clinical activity in a university hospital center (OR = 5.19, p = 0.006), the easy access to the hospital (OR = 0.59, p = 0.012), number of elderly dependents living with the practitioner (OR = 0.54, p = 0.012), place of residence (same borough where the hospital is located: OR = 4.09, p = 0.039) and to be favorable to traditional medicine (OR = 1.82, p = 0.087). Nagelkerke’s R-squared:53.1%. Conclusion In Gabon, middle-income country, almost one practitioner in two has burnout symptoms. The young age, the university hospital center, the difficulty to access to hospital and to live in the borough where the hospital is located increase the probability of burnout symptoms. These results must put question to relevant authorities regarding health and medical education, to set up: a public transport for practitioners, an optimal primary health care system, a regulation of medical tasks in hospitals, a training in clinical supervision.

scholarly journals Relationship between Hand Eczema Severity and Occupational Stress: A Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Meriam Hafsia ◽  
Imene Kacem ◽  
Olfa El Maalel ◽  
Maher Maoua ◽  
Aicha Brahem ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Protective Factor ◽  
Leisure Activity ◽  
Cross Sectional Study ◽  
Hand Eczema ◽  
University Hospital ◽  
Published Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
High Level

Background. Stress has been recently implicated as a contributing factor of hand eczema (HE) severity. However, published data are both rare and contradictory justifying the need of further research. The purpose of this study was to evaluate the relation between stress and HE severity. Methods. This is a cross-sectional study enrolling all patients who have been attending the Dermato-allergology unit of Farhat Hached University Hospital of Sousse over a period of one year. The HE severity was assessed by the Osnabrück Hand Eczema Severity Index (OHSI). The stress level was assessed by the Perceived Stress Scale-10 (PSS-10) in its validated Arabic version. Results. During the study period, 109 participants meeting the inclusion criteria were identified. The mean age was 40 ± 9.9 years with a sex-ratio of 0.8. Severe eczema was found in 76 participants (69.7%). A high level of perceived stress was found in 18.3% of cases. A statistically significant association was noted between HE severity and the high level of perceived stress (p=0.039, OR = 4.46, 95% CI [0.96–20.59]) and the number of dependent children ≥3 (p=0.0039, OR = 1.92, 95% CI [0.51–7.22]). Leisure activity was found to be a protective factor against HE severity (p=0.031, OR = 0.27, 95% CI [0.09–0.80]). Conclusion. Although the link between the severity of eczema and atopy, wet work, and contact with irritants and allergens is well known, the relation remains questionable for other factors including stress.

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