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Presented by
Bhawana Regmi
Angira Chaudhary
MAGDA E. NASSAR, HALA AHMED ABDOU*, NAGLAA
A. MOHMOUD
Faculty of Nursing, Nursing Administration,
Alexandria, Egypt
 Dramatic

changes in the healthcare
environment over the last decade.

 Nursing

shortages, staff retention, and
turnover the prime concern of the health
care organization.

 Healthcare

organizations need to redesign
their traditional management models
 Management

styles play a vital role in
promoting workplace empowerment,
organizational commitment and job
satisfaction

 Retention

of nurses is a recognized issue for
the health organization
 To

determine the relationship between
management styles and nurses’ retention at
private hospitals.
 Study

design: a correlational descriptive
research design.

 Study




area:

Three private hospitals affiliated to
nongovernmental for profit sector at Alexandria
governorate.
Each hospital has a bed capacity more than 50
beds namely:




El Salama New hospital (8 units),
Alexandria New Medical Center (four units), and
El Shefaa hospital (four units)
•

Study population:


All nurses affiliated to work in the selected hospitals
and available at the time of data collection

 Sample


size:

n=228




Alexandria New Medical Center n = 79 nurses,
El Salama New hospital n = 113 nurses and
El Shefaa hospital n = 36 nurses.
Tool:


Profile of Organizational Characteristics (POC) a
modified version developed by Likert et al., to
measure nurses’ perception of management
styles in their work unit .



Consists of 16 items classified into four parts
called systems; each system represented
different management patterns which are





exploitative/authoritative management style
Benevolent management style,
consultative management style, and
participative management style.
 The

four management systems have been
compared with one another on the basis of:







leadership processes (three items),
motivation forces (three items),
communication process (four items),
decision making process (two items),
goals setting (two items), and
control process (two items).


A pilot study on 10% of nurses from inpatients
units at the International Cardiac Center (ICC)
not included in the study were selected.



Submitted to a panel of eight experts in the field
of study to be tested for its statement
relevance.



The reliability coefficient of POC has been
previously established with alpha coefficient
0.92 < 0.05.



For the current questionnaire POC, alpha
coefficient was 0.89 < 0.05.
 Permission




for study was obtained from:

The ethical committee of the Faculty of Nursing
Directors of the studied hospitals to collect
necessary data.
Included three phases as follow: Phase I


Obtained a list about numbers and names of all
nurses employed at least 3 months having
diploma or baccalaureate degree from the head
nurses in studied hospitals (units).



Individualized structured interview was
conducted which lasted for interview lasted 30–
45.
 Phase







II

Returned to the previous studied hospitals after 9
months to collect data from director of nursing
and head nurses about the numbers and names of
nurses who had quit and reasons for leaving their
units.
The reasons for quitting hospitals : obligatory
and non-obligatory reasons.
A record form designed including the number and
the names of nurses who had quit from hospitals,
hospital name, reasons for quitting, and work
duration until quitting.
Nurses’ retention was calculated.


Data :


Data were analyzed using SPSS (with version (v =
11.5 for windows) for tabulation and statistical
analysis



Descriptive and inferential statistics were used.



Level of significance selected for this study was
5% (p < 0.05).
 Result

is congruent with Chappell and Prince
who found that non-family obligation is an
important obligatory reasons.
 Force MV showed that work-related factors
are instrumental in nurses’ employment
decisions, and must be addressed if retention
is to be improved.
 The

present study:



Gives strong support towards understanding of
nurses’ perception of management styles and
their retention at Private Hospitals.



Has shown significant difference between
management styles and nurse’ retention.



Highest mean percentage was apparent for
exploitive/authoritative management style.
 Hospital

leaders should plan and implement
effective strategies to promote nurses’
retention by:


Creating a more supportive professional nursing
practice that allows nurses to practice to their
full opportunities for professional interactions.



Motivating nurses through providing job
enrichment and developing reward systems for
nurses based on their workloads.
 Can

assess retention strategies between
governmental and private nurses, by further
comparative studies.
 Title







Brief, clear and interesting
Total words 10.
Setting not stated.
Dependent and independent variables could not
be identified.
Not in title case
 Abstract




Structured,
Beginning of the article
the key information:








Introduction
Methods
Results
Keywords
Conclusion not stated.

Words:
 Introduction



According to the title of the study
Related relevant literature included

 Objectives


of the study

Clearly stated

 Variables

not listed.
 Population clearly identified.
 Research Hypothesis:


Not mentioned

 Conceptual

framework not given.
 Research


Correlation descriptive research design

 Sampling


Design

Sampling design not mentioned.

 Sample


design:

Size calculation

Only the desired sample size mentioned but
hadn’t talked about how it was calculated!!!!
 Data




Standardized instrument was used.
Validity and reliability of the tool was done.
Given that data were collected in 3 phases but
only 2 phases were mentioned.

 Data


Collection Tools

processing and analysis:

Clearly mentioned and appropriate computer
software was used.

 Inclusion

criteria was mentioned.
 Ethical consideration was obtained from
concerned committee.
 Important

results discussed
 Tables are well understandable and selfexplanatory.
 Descriptive as well as appropriate inferential
statistics were used.
 Discussion

: Discussion well mentioned and
properly referenced.
 Conclusion: Clearly stated
 Recommendation and implication clearly
stated.
 Limitation of the study not mentioned.
 Referencing:




Vancouver referencing style is maintained.
References adequate (35).
Only few of the references were older than 10
years.
 Well

written and documented.
 Abstract adequately summarized.
 Well organized, no use of jargons
 No irrelevant details.
 Study

would have been better if it would

have:



Clearly stated the dependent and independent
variable.
Description about the sampling technique and
calculation of sample size.
DISCUSSION
Research critique example rmt 3

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Research critique example rmt 3

  • 1.
  • 3. MAGDA E. NASSAR, HALA AHMED ABDOU*, NAGLAA A. MOHMOUD Faculty of Nursing, Nursing Administration, Alexandria, Egypt
  • 4.  Dramatic changes in the healthcare environment over the last decade.  Nursing shortages, staff retention, and turnover the prime concern of the health care organization.  Healthcare organizations need to redesign their traditional management models
  • 5.  Management styles play a vital role in promoting workplace empowerment, organizational commitment and job satisfaction  Retention of nurses is a recognized issue for the health organization
  • 6.  To determine the relationship between management styles and nurses’ retention at private hospitals.
  • 7.  Study design: a correlational descriptive research design.  Study   area: Three private hospitals affiliated to nongovernmental for profit sector at Alexandria governorate. Each hospital has a bed capacity more than 50 beds namely:    El Salama New hospital (8 units), Alexandria New Medical Center (four units), and El Shefaa hospital (four units)
  • 8. • Study population:  All nurses affiliated to work in the selected hospitals and available at the time of data collection  Sample  size: n=228    Alexandria New Medical Center n = 79 nurses, El Salama New hospital n = 113 nurses and El Shefaa hospital n = 36 nurses.
  • 9. Tool:  Profile of Organizational Characteristics (POC) a modified version developed by Likert et al., to measure nurses’ perception of management styles in their work unit .  Consists of 16 items classified into four parts called systems; each system represented different management patterns which are     exploitative/authoritative management style Benevolent management style, consultative management style, and participative management style.
  • 10.  The four management systems have been compared with one another on the basis of:       leadership processes (three items), motivation forces (three items), communication process (four items), decision making process (two items), goals setting (two items), and control process (two items).
  • 11.  A pilot study on 10% of nurses from inpatients units at the International Cardiac Center (ICC) not included in the study were selected.  Submitted to a panel of eight experts in the field of study to be tested for its statement relevance.  The reliability coefficient of POC has been previously established with alpha coefficient 0.92 < 0.05.  For the current questionnaire POC, alpha coefficient was 0.89 < 0.05.
  • 12.  Permission   for study was obtained from: The ethical committee of the Faculty of Nursing Directors of the studied hospitals to collect necessary data.
  • 13. Included three phases as follow: Phase I  Obtained a list about numbers and names of all nurses employed at least 3 months having diploma or baccalaureate degree from the head nurses in studied hospitals (units).  Individualized structured interview was conducted which lasted for interview lasted 30– 45.
  • 14.  Phase     II Returned to the previous studied hospitals after 9 months to collect data from director of nursing and head nurses about the numbers and names of nurses who had quit and reasons for leaving their units. The reasons for quitting hospitals : obligatory and non-obligatory reasons. A record form designed including the number and the names of nurses who had quit from hospitals, hospital name, reasons for quitting, and work duration until quitting. Nurses’ retention was calculated.
  • 15.  Data :  Data were analyzed using SPSS (with version (v = 11.5 for windows) for tabulation and statistical analysis  Descriptive and inferential statistics were used.  Level of significance selected for this study was 5% (p < 0.05).
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.  Result is congruent with Chappell and Prince who found that non-family obligation is an important obligatory reasons.  Force MV showed that work-related factors are instrumental in nurses’ employment decisions, and must be addressed if retention is to be improved.
  • 23.  The present study:  Gives strong support towards understanding of nurses’ perception of management styles and their retention at Private Hospitals.  Has shown significant difference between management styles and nurse’ retention.  Highest mean percentage was apparent for exploitive/authoritative management style.
  • 24.  Hospital leaders should plan and implement effective strategies to promote nurses’ retention by:  Creating a more supportive professional nursing practice that allows nurses to practice to their full opportunities for professional interactions.  Motivating nurses through providing job enrichment and developing reward systems for nurses based on their workloads.
  • 25.  Can assess retention strategies between governmental and private nurses, by further comparative studies.
  • 26.
  • 27.  Title      Brief, clear and interesting Total words 10. Setting not stated. Dependent and independent variables could not be identified. Not in title case
  • 28.  Abstract    Structured, Beginning of the article the key information:       Introduction Methods Results Keywords Conclusion not stated. Words:
  • 29.  Introduction   According to the title of the study Related relevant literature included  Objectives  of the study Clearly stated  Variables not listed.  Population clearly identified.  Research Hypothesis:  Not mentioned  Conceptual framework not given.
  • 30.  Research  Correlation descriptive research design  Sampling  Design Sampling design not mentioned.  Sample  design: Size calculation Only the desired sample size mentioned but hadn’t talked about how it was calculated!!!!
  • 31.  Data    Standardized instrument was used. Validity and reliability of the tool was done. Given that data were collected in 3 phases but only 2 phases were mentioned.  Data  Collection Tools processing and analysis: Clearly mentioned and appropriate computer software was used.  Inclusion criteria was mentioned.  Ethical consideration was obtained from concerned committee.
  • 32.  Important results discussed  Tables are well understandable and selfexplanatory.  Descriptive as well as appropriate inferential statistics were used.
  • 33.  Discussion : Discussion well mentioned and properly referenced.  Conclusion: Clearly stated  Recommendation and implication clearly stated.  Limitation of the study not mentioned.  Referencing:    Vancouver referencing style is maintained. References adequate (35). Only few of the references were older than 10 years.
  • 34.  Well written and documented.  Abstract adequately summarized.  Well organized, no use of jargons  No irrelevant details.
  • 35.  Study would have been better if it would have:   Clearly stated the dependent and independent variable. Description about the sampling technique and calculation of sample size.