Background: Head nurses play one of the most challenging roles in
organizational healthcare. They directly managing the nursing staff at unit level and
ensuring that they act in accordance with hospital rules and procedures. Head nurses also,
have a significant managerial impact because they have the ability to influence the
performance and quality of healthcare organizations. They are faced with many obstacles
in their daily work that might encounter their excellence performance. Aim: The study
aimed to develop an obstacles encounter head nurse' role excellence instrument.
Research design: Methodological research design was used to conduct this study
involving the use of both qualitative and quantitative methods. Setting: The study was
carried out in eight hospitals at Qalyubia Governorate as follows: Benha university
hospital, Benha educational hospital, and Benha fever hospital, Benha ophthalmology
hospital, Sheben El Qanater fever hospital, Sheben El Qanater central hospital, Toukh
central hospital, and Toukh fever hospital. Sample: Two samples were utilized to
achieve study' purpose; multistage random sample included 104 head nurse (was utilized
for gathering qualitative data that was required to define the main domains and themes
which make up the instrument), and convenience sample consisted of 160 head nurse
(was utilized to test the reliability and construct validity of the developed instrument).
Instruments: three instruments were used in this study: (a) An obstacles encounter head
nurses' role excellence open-ended questionnaire, (b) obstacles encounter head nurses'
role excellence version one, and (c) obstacles encounter head nurses' role excellence
version two. Results: the study revealed that developed instrument has high score for
content validity index (.92) deducted that sample of items for the construct being
measured was appropriate, Cronbach's alpha coefficient was calculated to be good (.93),
Kaiser-Meyer-Olkin was high (.76), Bartlett's test was highly significant, and varimex
rotation extracted four components with eigenvalue >1.0 and accounted variances ≥
40%. Conclusion: The final version of developed instrument is considered to be valid
and reliable based on statistical analysis. It contains 46 items within four domains
categorized as follows: obstacles related to working conditions, obstacles related to head
nurses, obstacles related to nurse managers at middle and top levels and obstacles related
to staff nurses. Recommendations: it recommends that: using the developed instrument
to assess obstacles encounters head nurses' role excellence in different healthcare settings,
examine obstacles encounter head nurses from senior managers and staff nurses' point of
view. Furthermore, develop strategy to overcome obstacles. |
