Assessment of Nurse Manager Performance of Staffing In Middle Euphrates Governorates Hospitals. طسولاا تارفلا تاظفاحم تايفشتسمل فيظوتلا يف ضيرمتلا ءاردم ءادا مييقت

Objective(s): The objective of the study to assess the nurse manager performance of planning in hospitals. Methodology: A descriptive study was carried out to determine the quality of nurse manager role performance of staffing in middle Euphrates governorates hospitals. Non-probability sampling was performed. Convenient sampling of (62) nurse manager was selected from the middle Euphrates governorates hospitals. The study was conducted for the period of 2nd June, 2013 through 30th June, 2013. Through extensive review of relevant literature, a questionnaire was constructed for the purpose of the study. A pilot study is conducted in order to determine the reliability of the study instrument which was used for measuring the determination of quality of nurse manager administrative role performance in middle Euphrates governorates hospitals. Data were analyzed through the application of the descriptive statistical data analysis approach (frequency, percentage, mean) and inferential statistical data analysis approach (t-test, person correlation coefficient, stepwise logistic multiple regression, Spearman-Brown, chi-square). Results The findings of the study indicated that through the course of data analysis more than one half of the study sample are from Babylon governorate, the most hospitals are distributed in the city center rather than in the city side or in rural areas, the males nurses are more attend to working as an administrative nurse than the female nurses, the study sample responses to overall evaluation for the majority of the administrative nurse managers' role and duties is highly significant, study subject's responses to the basic components to determine the quality of management performance staffing are at all items a non-significant correlation between the basic components to determine quality of management performance staffing and the different demographic data at p-value more than 0.05. Conclusion: The study concludes that the nurse managers have a good opportunity to continue their education, because they are to the top working side by management, The nurse managers have a good level of performance relative to their managerial roles and duties, and Working as managers in teaching hospital increases their knowledge about the staffing function determine the quality of nurse manager performance. Recommendations: The study recommended that the Further studies should be conducted to involve a larger geographical area in Iraq, apply a continuing education courses for the nurse managers to increase their knowledge and performance about the managerial roles and duties especially in the non-teaching hospitals, and Management courses should be developed and improved to increase students' managerial knowledge and performance. Keyword: Staffing, Nurse Manager, Assessment, Performance.


INTRODUCTION
Nursing management is interrelated to execution the utility of planning, organizing, staffing, directing, and evaluating.The nurse manager performs this management function to carry health care to patient the nurse manager administrative role work at all levels to put into practice the concept and theories of nursing management (1).
Staffing as a largely part of management function establish the framework within which the work done while scheduling is essentially a refined component of planning.The concept of good staffing determined and provides the acceptable number of personal to produce a desire level of care to meet the patient demand (2).
Staffing is a selection, training, motivating and retaining of a personnel in the organization.Nurse staffing is a constant challenge for health care facilities.Before the selection of the employees, one has to make analysis of the particular job, which is required in the organization, then comes the selection of personnel (3).
Management in all business and organizational activities is the act of coordinating the efforts of people to accomplish desired goals and objectives using available resources efficiently and effectively.Management comprises planning, organizing, staffing, leading or directing, and evaluation (4).

Objectives of the study:
To assess the nurse manager performance of staffing in middle Euphrates governorates hospitals.

METHODOLOGY
A descriptive study was carried out to determine the quality of nurse manager performance of staffing in middle Euphrates governorates hospitals.Non-probability sampling was performed.Convenient sampling of (62) nurse manager was selected from the middle Euphrates governorates hospitals.Instruments: Through extensive review of relevant literature, a questionnaire was constructed for the purpose of the study.It is composed of (3) major parts included personal information sheet.The functions and duties of the director of nursing at the hospital, and the planning function in hospitals.Data collection: The data collection process was initiated for the period of July 1th, 2013 through August23th, 2013.Data were collected through the use of the constructed questionnaire as self-report method.
Data Analysis: In order to determine whether the objectives of the study were met or not, (frequency, percentage, mean) and inferential statistical data analysis approach (t-test, person correlation coefficient, stepwise logistic multiple regression, Spearman-Brown, chisquare).Table 3 shows that there is a non-significant correlation between the basic components for quality of management performance staffing and the different demographic data at p-value more than 0.05.

DISCUSSION
Through the course of data analysis more than one half of the study sample are from Babylon governorate, urban area, non-teaching hospitals, age (33-41) years old, males, nursing college graduates, and having (12-21) years of employment in nursing.This result has emerged because Babylon governorate is considered the large as being compared with other governorates as being involved in the study.Also the most hospitals are distributed in the city center rather than in the city side or in rural areas.Furthermore, the males nurses are more attend to working as an administrative nurse than the female nurses.While for the study results concerning the administrative nurse managers' age, this result comes because that the hospitals policies focused to involve those nurses with a high years of experience to work as an administrative nurse managers.In addition, the administrative nurses should have minimum of five years of employment.So, they can be capable to have adequate orientation to role performance, specific leadership style and managerial tasks.Also another study recommends in their work that graduate nurses should have management positions.They also stated that the nurse manager's role requires multiple skills and strong educational background.They said that without the advanced educational background, the nurse managers were stressed beyond their capabilities (5) .According to the Ministry of Health official letters, nurse manager must meet the standards of having at least college education and no less than five years of continuing employment (6) .In regarding to the administrative nurses gender, the study results come because of the more nurses in Iraq generally are males than females.Result of a study approved that the nurse manager was usually prepared at the BSN or higher level (7) .Also in previous study stated that the mean of the years of experience of nurses managers were 13 years (8) .While in regarding to the years of experience in management the study results indicate that the majority of the study sample has (2 months to 7 years).Result of a study show that most of the nurse's ages were approximately from 20 to 30 years old (9) .In regarding to the administrative nurse managers' qualification, the majority of them (92.3%)having a bachelor degree in nursing, while the remaining has a diploma degree in nursing.The study result is supported by another study who indicate that majority of the study sample has a bachelor degree in nursing, most of their ages was from (26-35)year old, and their years of experience was from (11-15) (10) .As regard the years of experience, nearly half of the studied nurses had a working experience more than ten years.The result of study supported by a study the majority of study sample was bachelor degree in nursing (11) .

Table 1 : distribution of the study sample by socio-demographic Characteristic
Table1shows that the (46.4%) from the study sample are from the Babylon governorate.In addition, (41.1%) from the study sample are from city center.In regarding to the types of hospitals, the study results indicate that the (66.1%) from the hospitals are non-teaching hospitals.Relative to the study sample age groups the study results indicate that the (44.6%) from the study sample are within the third age group (33-41 years).Regarding to the study sample gender the study results show that the majority of the study subjects (89.3%) are male.Concerning with the study sample level of education the study results indicate that the (44.6%) are nursing college graduates.Also the study results indicate that (37.5%) from the study sample have (12-21 years).In regarding to the years of experience in management the study results indicate that (80.4%) of the study sample have (2 months to 7 years).In addition the study results indicate that (64.3%) from the study sample are have a training sessions, (41.1%) from them having (1-3) training sessions, and (60.7%) from the take the training sessions in side of Iraq.While period of training sessions, the study results indicate that (46.4%) from the study sample take a training sessions for (1-8) days.

Table 2
reveals that all items show adequate responses to the basic components to determine the quality of management performance staffing.