Browsing by Subject "Nursing"
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    Cultural Competence and Decision-Making of Nurse Leaders in a University Hospital in the Kingdom of Saudi Arabia
    ( 2020-05-20) Manlangit, Arsenic T.
    The migration of health workers creates a disparity in workforce distribution. In Saudi Arabia, the total nursing workforce is 185,693 with only 36.7% comprising of Saudi nurses (The Public Administration of the Ministry of Health, 2017). In the institution where the study was conducted, the Nursing Service is composed of eight different nationalities. The nurse leaders have varying experiences in leadership positions, working overseas, and working in a diverse workforce. This creates a challenge for the nurse leaders to ensure that their decision will benefit the organization, patients, and nurses. This prompted the researcher to explore the relationship between cultural competence and quality of decision-making of nurse leaders in a university hospital in the Kingdom of Saudi Arabia. A descriptive correlational design was utilized in this study. A total of 122 respondents completed a survey using the Cultural Competence Assessment (CCA) Instrument (Schim et al., 2003) and Decision Making Quality Scale (DMQS) (Hollen, 1994). Data analysis was conducted using the IBM Statistical Product and Service Solutions (SPSS) version 22.0. The cultural awareness and sensitivity (CAS) (M=5.46, SD=0.54), cultural competence behavior (CCB) (M=5.00, SD=1.03), and overall cultural competence score (CCA) (M = 5.23, SD = 0.62) of nurse leaders were on a moderately high level. Almost three-fourths of the nurse leaders adhere to quality decision-making criteria (n=91 or 74.6%), with a mean DMQS score of 16.6 (SD=3.11) indicating adherence to the seven (7) quality decision-making criteria. The cultural awareness and sensitivity (CAS) is not significantly related to the demographic profile with exception of CAS and Arab American/Middle eastern race/ethnicity (p=0.00, x2=14.37) which was found to have a significant relationship. The cultural competence behavior (CCB) is not significantly related to the demographic profile except for the years of nursing experience in Saudi Arabia and CCB (p=0.00, r=0.26) and years of experience in a leadership position and CCB (p=0.05, r=0.18) which were found to have a significant relationship. The quality of the decision-making of nurse leaders is significantly related to the years of nursing experience in Saudi Arabia (p=0.05, r=0.18) but not to other demographic profile. Quality of decision-making (DMQS) is significantly related to cultural awareness and sensitivity (CAS) (p=0.04, r=0.19) and cultural competence behavior (CCB) (p=0.00, r=0.32). Nurse leaders who share similar cultural beliefs and practices with their environment understand better how their cultural expressions affect their interactions with others. As nurse leaders are more exposed to the diverse culture where they are working, the more they put into practice culturally competent behaviors. Consequently, nurse leaders with cultural awareness and sensitivity and who demonstrate culturally competent behaviors adhere to the quality decision-making criteria, and the greater the exposure to a specific culture, the more they can apply decision-making skills as required by specific situations.
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    Effect Of Educational Program On Knwoledge And Attitudein Heart Failure Among Staff Nursesin A Tertiary Hospital In Makati City
    ( 2020-08-15) R.N Sanchez, Zharmaine C.
    Patients diagnosed with heart failure requires wide array of health needs that a nurse who exemplifies competency be able manage these patients holistically during the pursuit of care. In order to improve nursing competencies, one must initially care for oneself in order to be teachable that will reach mastery particularly in disease management and later on undergo continuous modeling through trainings and seminars, which all described in Albert Bandura’s Self-Efficacy Theory. With this, the cross-sectional, quasi-experimental study was focused on measuring the knowledge and attitude of nurses caring for patients with heart failure before and after attending an educational program. With the 30 nurses who were identified from Intensive Care Unit, Medicine Ward, Geriatric Ward in Ospital ng Makati, a tertiary hospital, invitation to attend a 60-minute educational program regarding the principles of heart failure management as stipulated in nursing process, Assessment, Diagnosis, Planning, Intervention and Evaluation was undertaken. Significant improvement on scores (μ=2-3 points) in the 40-item knowledge scale was noted post-teaching phase. With p<0.05, there was a significant relation between nurses’ level of experience in the area and level of knowledge (p=0.03), as well as no. of heart failure patients cared in 4-week duration and level of attitude (p=0.004). Meanwhile, there was no significant relationship between the level of knowledge and attitude of nurses towards heart failure management (p=0.27).