الفهرس 
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Abstract
The work environment of intensive care nurses characterized by creating obstacles for nurses in performing patient care tasks, therefore threatening the quality and safety of care provided by nurses. Performance obstacles are the factors that hinder intensive care nurses’ capacity to perform their jobs. Performance obstacles have significant impact on nursing workload, perceived quality and safety of care, and Quality of work life (QWL).
Aim of the study: The present study was aimed to determine performance obstacles among intensive care nurses, to assess QWL among intensive care nurses, to explore the relation between performance obstacles and QWL among intensive care nurses.
Subjects and Methods:
The subjects of the study included 130 staff nurses (103 staff nurses working in intensive care units (ICUs) at Mansoura university children Hospital (MUCH) and 27 staff nurses working in ICUs at Mansoura General Hospital (MGH) This study was conducted at ICUs at MUCH and MGH.Two types of tools were used for collection data for this study namely: Performance obstacles questionnaire and QWL questionnaire.
Results: Results revealed that Performance obstacles were more in MGH than MUCH, especially obstacles related to physical work environment, work organization, technology and tools and nursing tasks while levels of QWL were higher in MUCH than MGH, especially in psychological work environment, job characteristics, salaries and incentives, and participation in decision making. In conclusion the study revealed that there was a negative relation between performance obstacle and QWL at MUCH. While there was not relation between performance obstacle and QWL at MGH.
Recommendation: Policy makers in both hospitals must establish strategy, protocol, or system to eliminate performance obstacles related to misplacement of equipment, supplies, and patient charts. Quality Circles program must be provided in both hospitals to develop a culture of participation and team work among the nurses. It also reflects the democratic set up where the management keeps full faith in the employees and also there is a complete understanding between the management and nurses.