Evaluation of Nurse Manager Performance of Planning in Middle Euphrates Governorates Hospitals.

Objective(s): The objective of the study to evaluate the nurse manager performance of planning in hospitals. Methodology : A descriptive "Evolutional" design was carried out to determine the quality of nurse manager role performance of planning in middle Euphrates governorates hospitals. Non-probability sampling was performed. Convenient sampling of (62) nurse manager was selected from the middle Euphrates governorates hospitals. 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. The study was conducted for the period of June 2nd, 2013 through June 30th, 2013. 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 subjects overall responses to the planning function performance are highly significant . 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


INTRODUCTION
The nurse manager is accountable for planning, chief and managing the clinical and operational development of the director of nursing management in harmony with hospital policy the role of the nurse manager in planning is effective in promoting patient's safety, satisfaction and quality outcomes.The nurse manager has also an important role in positive direction and reassurance to ancillary staff, other departments, and presenting educational program to provide direction of the staff for growth and development management services and monitors for quality outcomes in hospital management (1).The primary role for nurse managers and hospital administrators is the planning and implementing effective health policies that will meet the unique needs of their staffs and organizations (2).Planning, the first of four functions in the management process, involves setting goals and deciding how to achieve them.Planning helps you check your progress, coordinate activities, think ahead, and cope with uncertainty.Uncertainty is of three types' state, effect, and response.Organizations respond to uncertainty in various ways (3).Planning is the core area of all the functions of management.The other three areas should be built upon the foundation.Planning requires management to evaluate where the company is currently, and where it would like to be in the future.From there an appropriate course of action to attain the company's goals and objectives is determined and implemented.Creating a plan of action for the future, determining the stages of the plan and the technology necessary to implement it (4).

AIM OF THE STUDY:
To evaluate the nurse manager performance of planning in middle Euphrates governorates hospitals.

METHODOLOGY
A descriptive "Evalutional" design was carried out to determine the quality of nurse manager performance of planning in middle Euphrates governorates hospitals.Nonprobability 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 August 23rd, 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, two statistical approaches were used for analyzing the data of the study.Results were considered highly significant.This table shows that the study subjects' responses to the basic components to determine the quality of management performance (planning) are adequate at all items.This table shows that there is a non-significant correlation between the basic components to determine quality of management performance (planning) 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 the (5).)Recommended in her work that graduate nurses should have management positions.She also stated that the nurse manager's role requires multiple skills and strong educational background.She said that without the advanced educational background, the nurse managers were stressed beyond their capabilities.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 (7).Approved that the nurse manager was usually prepared at the BSN or higher level.Also the (8).Stated that the mean of the years of experience of nurses managers were 13 years.While in regarding to the years of experience in management the study results indicate that, the majority of the study sample have (2 months to 7 years).Result of (9).Showthat most of the nurses ages were approximately from 20 to 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 (10).)whoindicate 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)(12)(13)(14)(15).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 (11).The majority of study sample was bachelor degree in nursing.

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 planning function determine the quality of nurse manager performance.

RECOMMENDATIONS:
The study recommended that: 1.The Further studies should be conducted to involve a larger geographical area in Iraq. 2. The Ministry of Health should 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 3. Management courses should be developed and improved to increase students' managerial knowledge and performance.

Table ( 4-1): Descriptive Statistics for the Basic Information variables for the Studied Sample with Comparison Significant
This table shows 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).While 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 about the period of training sessions, the study results indicate that (46.4%) from the study sample take a training sessions for (1-8) days.