Communication climate influences quality of work environment as it contributes to the effectiveness and success of an organization. Organizations with positive communication climate have good employee relationships that in turn improve staff empowerment and career growth. Aim: The current study aims to determine the impact of communication climate on nurses’ organizational career growth and empowerment. Research design: Quasi-experimental research design has been carried out. Setting: The study conducted in (General medical and surgical departments) at Qena and Sohag University Hospitals. Sample: All available nurses working in the designated sites 98. Tools: three tools were used, communication climate questionnaire, organizational career growth scale, and conditions of work effectiveness questionnaire II. Results: The present study findings that there were highly statistical significance differences of communication climate, organizational career growth, and structural empowerment between the two hospitals X2 = 16.843, 18.18 and 30.247 respectively & P<0.01. Regarding means and standard deviations it was 54.20±9.35 & 41.39±13.47 for communication climate, 47.02±8.60 & 37.69±10.05 for organizational career growth, and 55.20±9.39 & 41.04±11.60 for structural empowerment at Qena and Sohag University Hospitals respectively. Conclusion: The improvement in the communication climate results in higher levels of organizational career growth and structural empowerment. Recommendations: Management should develop and maintain communication climate that enables free expression of ideas and exchange of opinions among staff. Managers should encourage nurses’ empowerment for effective organizational performance. Nurses’ organizational career growth and continuing education are important for improving staff performance and skills.

Nurses’ awareness of professional rights and values and how those values affect their behavior is an integral part of nursing care. This study aimed to assess the perception of married nurses regarding women’s rights and obligations and also to assess the family support towards nursing services and professional development in selected tertiary hospital of West Bengal. This descriptive survey was conducted with 103 married nurses employed in North Bengal Medical College and Hospital who were selected by non probability, total enumerative sampling technique. Data were collected using investigator prepared rating scale and the responses were self reported by the participants. The data were analyzed by descriptive statistics, associations between socio demographic variables and mean scores were analyzed by inferential statistics like chi square test. The results revealed that 46% of the nurses had average perception about their professional rights but 73% of them had good perception about their personal rights, 62% of the nurses had good perception about their professional obligations related to patient care and only 16% of the nurses had good family support towards nursing services and professional development. It was also evident that age, duration of service and type of family (χ 2 values = 4.133, 7.433, 7.336 respectively) at 0.05 level of significance were associated with perception of women’s rights and obligations. Family support was associated with professional qualification of nurses, monthly family income, type of family and working hours (χ 2 values = 4.307, 6.26, 7.01, 6.448 respectively) at 0.05 level of significance. Further studies using standardized tools and other reliable and culture specific instruments are recommended.

Background: Worldwide health systems are facing an increasing number of challenges, while governments remain dedicated to searching for cost-effective options to enhance the capacity of national health systems to perform well. Although the relationship between devolution and disparities in access to health care is mixed, most studies do not attribute observed disparities in healthcare use to Devolution. This review was performed to synthesize evidence around this issue. Specifically, the objective was to answer the question: “What are the contribution of devolution in health financing, health leadership, and health information systems?”. Methods: CrossRef, Google Scholar, Academic keys, Open Academic journals index, MEDLINE, Embase, CINAHL, and PsycINFO were searched with terms related to devolution and health. The search included terms related to health financing, health information systems, and health leadership. Findings were presented within a narrative synthesis. Quality of the evidence was evaluated using the Cochrane risk of bias tool and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Findings: A few studies, all cross-sectional studies, met the selection criteria for this review. Most studies noted the Healthcare is a major element of national budgets worldwide in as much as all levels vary across countries, systems have come under increased pressure to ensure that resources are spent efficiently.

Aim: This article assesses the student’s insight about simulation base skills learning. Back Ground: Simulation is a teaching style which is appropriate for professional skills learning because it is parallel to real situation. In nursing education it is being used in many ways to train learner in professional skills. In 1960 first health-care simulation manikins were presented (Jeffries et al., 2015). A study reveals that students expressed that simulation is helpfulness, comfort and a Clinical simulation is important approach for professional skill learning programed (Padilha, Machado, Ribeiro, & Ramos, 2018). Method: A cross-sectional descriptive study design was used. This study evaluates the student’s insight about simulation base skills learning in nursing education. 133 participants filled the Simulation Evaluation Survey (SES) form. A study setting was a private sector university. In this study random sampling technique was used. Results: Study results revealed that this approach enhances learner knowledge and skill performance. Quantitative Survey data facts regarding simulation experience revealed the students feedback that simulated body approach can Amplified knowledge about relevant content for practice, which have been utilized (96.9%). During the debriefing session of practice, participant felt that the faculty involve in this approach was Knowledgeable (98.5 %). After simulation session students’ knowledge Increased about content discussed, (97%). Survey data facts explore that students feel better prepared for real patient care after simulation practice (94%). Conclusions: This study concluded that through simulation base learning, students get improvement in different aspects, like enhancement in knowledge, confidence, and performance. This study reveals that students feel confident, skillful and can give better performance in real clinical setting.