الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 168 |  |  |
| | | from | 168 | | |
Abstract
Nurse managers are considered as one of the most important assets of a hospital. They are increasingly assuming leadership functions in health care institutions. They need to possess necessary competencies to be able to perform these functions effectively. They need training in managerial competencies to be effective in their managerial jobs. This would be better achieved through training needs assessment. Hence, this study aim was to identify managerial training needs assessment for head nurses working at Ministry of Health hospitals. This was to be achieved through assessment of the points of view of head nurses.
The study was conducted in general hospitals related to the Ministry of Health in whole Egypt using a descriptive cross-sectional design. The country governorates were divided into four strata, namely metropolitan, Lower Egypt, Upper Egypt, and Deserts. Governorates were randomly selected from these sectors, and one general hospital was selected from each governorate. All the head nurses in the selected hospitals were included in the study sample; their total number was 139. Data collection was done through a self-administered questionnaire including socio-demographic data, head nurses’ opinions regarding training courses, administrative and managerial tasks of the nurse manager, and regarding training needs in administrative and managerial tasks, as well as their preferences for training. The data collection took about four months since July 2009.
The results demonstrated the following findings.
Head nurses’ age ranged between 21 and 58 years, with 51.1% of them having bachelor degree in nursing; only 39.6% attended training courses in administration.
Head nurses’ viewed training courses attended as highly effective (50.9%), but of low number (51.8%).
There was a high agreement upon all head nurse’s tasks proposed, reaching 97.1% for planning and patient care tasks; the lowest agreement was upon self-development tasks (70.5%).
According to head nurses’ opinions, the training topics mostly needed were time management (65.5%) and informatics (64.0%), whereas the least were communication skills and program evaluation.
Half or more of the head nurses preferred five courses per year, with seven days duration, five daily working hours, during work time, and outside the workplace, with pre-post testing, and nomination for courses to be based on pre-set criteria.
Regarding training methods, the lecture ranked first as the most preferred, while problem solving was the least preferred.
Head nurses in Helwan governorate had the highest mean percent score of agreement upon head nurse’s tasks (99.4%), while Sharkia governorate had the lowest (87.6%), p<0.001.
Head nurses in the New Valley governorate had the highest mean number of courses (15.5±26.9), whereas those in Helwan governorate had the lowest mean number (3.7±1.9), p=0.009.
Head nurses in South Sinai governorate had the highest preferred duration of training courses (13.6±1.7 days), while Damietta had the lowest mean (4.2±0.6 days), p<0.001.
Head nurses in Qalyoubia governorate had the highest mean of preferred daily hours of courses (6.5±1.4 hours), while those in Damietta (3.6±0.8 hours) and Menoufyia (3.6±0.7 hours) governorates had the lowest mean, p<0.001.
Head nurses in Sharkia governorate had the highest mean of preferred number of attendants (23.4±16.5), whereas those in Giza governorate had the lowest mean of preferred number (4.8±0.4), p<0.001.
Diploma nurses had a higher mean of preferred daily hours compared to bachelor ones, 4.9±1.4 and 4.4±1.3 hours, p=0.04. Conversely, bachelor nurses had a higher mean of preferred attendants (15.2±7.7) compared to diploma ones (12.6±6.7), p=0.04.
It is concluded few of the head nurses attended training courses in administration. They need training courses mostly in time management and informatics, with preferences regarding time, place, attendants, and teaching methods. These preferences differ among different governorates, and according to head nurse qualification.
Therefore, it is recommended to develop a plan for training nurse managers in administration and management, taking into account their expressed needs and preferences. Differences among various governorates should be taken into consideration. The organization of courses and the number of attendants may differ according to the qualification of the attendants. Periodic assessment of training needs should be conducted to update needs and preferences.