| Abstract: |
The primary purpose of MARYSUMany health care facility is to provide the best possible care. Nurses play an important role in determining both the quality and cost of health care services. The basic quality of care given and the efficiency with which the facility operates are ultimateThe aim of the present study was to analyze the job of staff nurses working at coronary care unit, design a job description based on the analyzed data, and test validity of the designed format from the experts’ point of view.The study was conducted in the coronary care units (CCU) at Zagazig University Hospitals. The subjects of the study consists of four groups, namely staff nurses or jobholders, direct supervisors, physicians, and nursing experts. The physicians group incluData were collected using three tools, namely a self-administered questionnaire form, and observation checklist, and an opinionnaire sheet.The questionnaire form was developed by the researcher with the aim of eliciting opinions of the three groups of subjects, namely staff nurses, direct supervisors, and physicians, regarding the intended job description. Elements of the questionnaire were An observation checklist was developed on the basis of information obtained from the statistical analysis of the results of the questionnaire. It was used to determine the responsibilities of the jobholder as observed during performance in their work settThe opinionaire sheet was designed to ascertain face and content validity of the developed job description format as elicited by three different groups of experts in nursing field from different universities, namely Zagazig, Cairo and Ain Shams.The results of the study have revealed that the job title agreed upon was coronary care nurse. The job summary was “assessment, planning, implementation and evaluation of nursing care for the assigned patient during the day shift” as selected by the higheRegarding accountability, student nurses, nurse aides, and housekeepers were chosen as the accountable to staff nurse working in coronary care unit, while the head nurse was chosen as a direct supervisor for the staff nurse. A specialty diploma with more Regarding assessment activities, the findings revealed a statistically significant difference among the opinions of staff nurses, supervisors and physicians in one duty related to examining patient physical condition. Additionally, history taking was disaConcerning planning activities, staff nurses not formulate nursing care plan for any patient. Their role in planning activities was concerned only with preparing and completing emergency cart, and preparing needed equipment for sterilization, which were dIn relation to implementation activities, the nursing care was administered to patients but without nursing care plan, which was neglected. All staff nurses were administering medications by all routes. As for eating, nearly all staff nurses were observedAs for hygienic care, all staff nurses were observed to keep patient skin clean and dry, 63.0% observed the color and amount of urine, and the majority were avoiding air draft for patient, put patient in a comfortable position, provided calm atmosphere foRegarding respiratory care, 91.3% of staff nurses administered oxygen via mask, and all of them were maintaining patent IV line, and withdrew arterial blood samples. As for environment, the majority of staff nurses were supervising housekeeping activitiesAs for nursing documentation, only medication, intake and output, and vital signs were recorded by the majority of staff nurses, while other procedure were not recorded by them. The majority of staff nurses gave instructions to patients for discharge careRegarding face validity, also high agreement was noticed among academic nursing service administration staff. This concluded that the proposed job description was validated and agreed upon by both groups of juries. It is recommended that the designed job aff nurses of the coronary care unit in Zagazig University Hospital.
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