French Medical Institute for Children (FMIC), Kabul, Afghanistan.
School of Nursing and Midwifery, Aga Khan University School of Nursing and Midwifery (AKU-SoNaM), Karachi, Pakistan.
J Nurs Manag. 2018 May;26(4):420-424. doi: 10.1111/jonm.12558. Epub 2017 Oct 25.
The purpose of this study was to determine the challenges faced by the nursing administration at public hospitals in Kabul, Afghanistan.
A cross-sectional study design was used to recruit 86 nursing managers and head nurses from 17 public hospitals in Kabul. The participants rated the frequency of 13 challenges that hinder their performance.
There were 14 nursing managers and 72 head nurses in the study. Almost 80% of the participants were male with the majority falling in the 35-44 year age bracket. Both nursing managers and head nurses were equally affected by all 13 challenges, except the lack of recognition where head nurses were affected more than the nursing managers (p = .003). The most frequent challenges for both were staff absenteeism and then too many responsibilities.
There are multiple challenges that hinder the performance of nursing administration that need to be addressed through appropriate national policy and strategies.
The findings of this study can inform policy makers and draw their attention to overcome the challenges faced by nursing management. This will ultimately improve satisfaction leading to improved patient and organisational outcome. The national policy and strategy should address areas that could enable nurses to maintain a balance between household and professional responsibilities; and also encourage the enrolment of female nurses in the profession.
本研究旨在确定阿富汗喀布尔公立医院护理管理面临的挑战。
采用横断面研究设计，从喀布尔 17 家公立医院招募了 86 名护理经理和护士长。参与者评估了 13 项阻碍其绩效的挑战的频率。
研究中有 14 名护理经理和 72 名护士长。近 80%的参与者为男性，大多数人年龄在 35-44 岁之间。护理经理和护士长都同样受到所有 13 项挑战的影响，但缺乏认可方面，护士长比护理经理受到的影响更大（p=0.003）。对两者来说最常见的挑战是员工缺勤，其次是责任过多。
有多种挑战阻碍了护理管理的绩效，需要通过适当的国家政策和战略来解决。
本研究的结果可以为决策者提供信息，并引起他们对克服护理管理面临的挑战的关注。这最终将提高满意度，从而改善患者和组织的结果。国家政策和战略应解决使护士能够在家庭和职业责任之间保持平衡的问题；并鼓励女性护士加入该行业。
