Todays' human resource and management professionals have become interested in the concept of organizational citizenship behavior because they considered improving nursesOrganizational Citizenship Behavior(OCB) is a crucial factor for developing organizations.It improves efficiency and generally provides a healthy work environment. The field of occupational health has started to pay increased attention to the concept of job crafting specifically in nursing profession.Job crafting was defined as employeesâ€™ self-initiated, proactive behavior aimed at aligning their jobs with their own preferences, motives, and passions. Through job crafting, employees can optimize their work environment and work experience. This may affect both individual and organizational outcomes as wellbeing, performance, and job involvement. The aim of the present study is to determine relationships between job crafting and work involvement with head nurses' organizational citizenship behavior at Mansoura University Hospitals. A descriptive correlation design was used in carrying outthis study. All head nurses (n=122) who working in all general units at three Mansoura University Hospitals namely; Main University Hospital, Emergency Hospital, and Specialized Medical Hospital. were included in the study. Three tools were used for data collection, namely; Job Crafting Scale, Job Involvement Questionnaire, and Head Nurse' Organizational Citizenship Behavior Questionnaire. A major finding of the present study there was statistically significant correlation between head nurses job crafting and job involvement and their organizational citizenship. It was concluded that increasing social job resources job crafting play a significant role in the organizational citizenship behavior of head nurses Furthermore, the hypothesis that head nurses' work involvement has a mediating effect on organizational citizenship behavior. It is recommended that to promote head nurses'organizational citizenship, it is necessary to acknowledge and consider organizational-level job demands and job resources such as increasing social job resources job crafting and decreasing hindering job demands. As well as additional research should be conducted to test to what extent the study results can be generalized.
Background:Bloodstream infections (BSIs) are the most common type of healthcare-associated infections in clinical settings. Bloodstream infections are a leading known cause to increase the risk of patients' morbidity, mortality and length of hospital stay, and additionally, are typically increased in patients with severe underlying diseases.. The study of CVC bundle implementation has not been adequately explored in Saudi Arabia (SA). This study aimed to assess the effect of nurses' implementation of central vascular catheter maintenance care bundle on blood stream infection among intensive care unit patients at King Fahd General Hospital (KFGH) and King Abdul-Aziz University Hospital (KAAUH).
Objectives:Assess the effect of nurses' implementation of central vascular catheter maintenance care bundle on blood stream infection.
Methods: This study used quantitative research as a cause of defining the relationships between the variables which are the nursesâ€™ implementation of the central vascular catheter maintenance care bundle and the bloodstream infection rate. An observational study were as it enables the researcher to focus on specific behaviours. The tools used in this study were Central vascular catheter maintenance care bundle checklist was used to assess the effect of nurses' implementation of a central vascular catheter maintenance care bundle on blood stream infection. A convenience sample of 63 patients of both sexes with central vascular catheter was selected from the two institutions. Ethical approval was granted from KAUH and KFGH. Data collection was conducted for six months.
Results: A total of 63 patients and 37 nurses participated in this study. The average age of the study population was 51 years old (SD score of 51Â±20 years). The majority of gender were male (65% )of the admitted patients were male (78%) had poor knowledge scores about contraception before counseling. The study reveals that the majority had diploma level education (87%) while(13%) had a bachelor's degree. As the researcher observed the nurses implementation of central vascular catheter maintenance care bundle, the table revealed that there was statistically significant difference between nurses' performing hand washing in relation to patients' bloodstream infection (P-value=0.001). There were (53.9%) of the nurses at both hospitals didn't perform hand washing techniques which lead to exposure of patients to infection. Other influencing factors included misapplication of chlorhexidine antiseptic at KFGH which increased exposure to infection and showed significant statistical difference (P-value = 0.000). The fourth element of proper central vascular catheter site selection indicated the elevation of infection at the jugular vein site in (36.5%) of the cases followed by the femoral site (19%) it was not found at the subclavian vein site as recommended in current evidence. In addition, it was also noted that there was no significant correlation between exposure to infection and the daily review of central vascular catheter necessity
Conclusions and Recommendations: The relationship between nurses' implementation of central vascular catheter maintenance care bundle and bloodstream infection has had a positive effect on patients' bloodstream infection rates of intensive care unit As a result, this study recommends sustained efforts to educate the healthcare workers regarding the importance of bundle implementation and central vascular catheter care and provision of prompt feedback on adherence to aseptic technique. Moreover, healthcare providers should be involved in educational sessions on central line insertion, handling and maintenance.