الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
SUMMARY
Nurses of the profession who have a strong professional identity provide
effective service and high quality patient care in the healthcare team, develop
competency in clinical expertise, and contribute to patient satisfaction. The
development of professional identity help nursing to attain professional status
by increasing professional commitment, improving nursing practices,
enhancing job satisfaction and reducing burnout levels of nurses.
Aim of the study:
This study aim to examine the relationship between nurses’ professional
identity and their occupational commitment at Governorate Hospital (Dar
Ismail)- Alexandria.
Research Question
What is the relationship between nurses’ professional identity and their
occupational commitment at Governorate Hospital (Dar Ismail)- Alexandria.?
Materials and methods:
Study design:
A descriptive, correlational research design was used to conduct this study.
Setting of the study:
This study will be conducted in all intensive care units and in-patient
care units at Governorate Hospital(Dar Ismail) in Alexandria Governorate (N=
9). The hospital is affiliated to the Ministry of Health and Population with bed
capacity
(N=
102).It
is
classified
as
fallow:
(1)
intensive
care
Summary
68
units(n=2),namely: (a)neonatal intensive care unit (n=1)and obstetric intensive
care units(n=1);
(2)in-patient care units(n=7),namely: (a)postnatal units (n= 3), prenatal
units (n= 3 ),observation unit (n= 1).
Subject:
The subjects of the study were composed of groups of subjects will be
included in this study, as follows (n=130):
first-line nurses managers and all staff nurses who are working at the
previously mentioned settings and who will be available at the time of data
collection ,will be included in the study (N=130).
Tools of the study:
Two tools were used in this study:
:)
Nurses’ Professional Identity Scale (NPIS
:
Tool (I)
This tool was developed by Sharbaugh et al. (10) to measure nurses’
professional identity. It is composed of 24 items, divided into three
dimensions, namely :( 1) personal dimension (15-item); (2) interpersonal
dimension (7-item); and (3) social and historical aspect dimensions (2-item).
Responses were measured using 5- point Likert scale ranging from (1) strongly
disagree to (5) strongly agree. Reverse coded items was applied. The Scoring
system was as follows: low professional identity less than50%, moderate from
50%- to75% and finally, excellent professional identity more than75% .Total
scores range from 24- 120.
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69
Tool (II): Occupational Commitment Scale (OCS):
This tool was developed by Blau (33) to measure nurses’ occupational
commitment. It is composed of 24 items, , classified into three dimensions , as
follows: (1) affective occupational commitment (6- items) ; (2) normative
occupational commitment (6 - item) ; and (3) continuance occupational
commitment (12- item) ; which is divided subsequently into: (a) accumulated
costs subscale (8-item) ; and (b) limited alternative subscale (4-
item).Responses was measured in 6-point Likert scale ranging from (1)
strongly disagree to (6) strongly agree. Total scores range from (24-144).
Higher scores indicated higher occupational commitment.
In addition to that, a demographic characteristics data sheet was
developed by the researcher. It included demographic characteristics of study
participants, namely: age, working unit, gender, educational qualifications,
years of nursing experience, years of unit experience and marital status.
Methods
1. An official permission was obtained from the Dean of Faculty of
Nursing, Damanhour University and the responsible authorities of the
study settings at Governorate Hospital (Dar Ismail), after explanation of
the purpose of the study.
2. The two tools were translated into Arabic language, and were tested for its
face validity and translation by five experts in the field of the study.
Accordingly, some modifications were done.
3. The two tools were tested for its reliability, using Cronbach’s Alpha
coefficient test, where tool I: Nursing professional identity Questionnaire
(NPIQ): (α=0.801), and Occupational commitment Scale (OCS),
(α=0.799); which indicating good reliability.
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4. A pilot study was carried out on (10%) of total sample size; of total
sample size (n=13), who were not included in the study sample, to
ascertain the relevance of the tool, to test the wording of the questions,
clarity and applicability of the tools; to estimate the average time needed
to collect the necessary data and to identify the different obstacles and
problems that might be encountered during data collection. Based on the
findings of the pilot study, no modifications were done.
5. Data collection was conducted by the researcher through hand- delivered
questionnaire to study subjects, after individualized interview with each
one for about (5) minutes to explain the aim of the study and the needed
instructions were given before the distribution of the questionnaire in
their settings. Every subject took from (30) to (35) minutes to fill out the
two tools. Data collection took a period of three months from the
beginning of January 2021 to the end of March 2021.
Ethical Considerations:
The research approval was obtained from the ethical committee at the
Faculty of Nursing- Damanhour University, prior to the start of the study.
An informed written consent was obtained from the study subjects after
explanation of the aim of the study.
Privacy and right to refuse to participate or withdraw from the study were
assured during the study.
Confidentiality and anonymity regarding data collected were maintained.
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71
The following were the core results of the present study:
-The result indicate that highly statistically significant between nurses’
professional identity and occupational commitment total nurses’ professional
identity had mean± SD mean percent 72.5% compared to mean± SD mean
percent 71.6% for nurses’ occupational commitment.
-There was moderate statistically significant between total nurses’ professional
identity perception toward personal dimensions, interpersonal dimensions and
social -historical aspect and total nurses’ occupational commitment perception
toward affective occupational commitment, normative occupational
commitment and continuance occupational commitment.
-There was a highly statistically significant relation between total nurses
professional identity demographic characteristics (years of nursing experience
and educational level). Also, there was statistically significant with their
(years of experience in the unit). While, there was no statistically
significant relation with demographic characteristics (age, gender, working units
and marital status). - There was a highly statistically significant relation
Conclusion and Recommendations
There was highly significant positive correlation between nurses’ professional
identity and occupational commitment at Governorate Hospital (Dar Ismail) –
Alexandria. The recommendation conduct workshop and training programs for
nurses, first line nurse manger activities to increase their professional identity in
health care setting. Promote nurses skills their professional identity through the
evidence based practice. Provide the opportunity for nurses to participate in
nursing conference or training programs to improve their professional image.
Participate in decision making and problem solving regarding unit work.