الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Quality has been a primary concern in the health care field ,it determines how successfully prevent and treat physical and mental illness which affect well being of patient and family,(Rewer 2003 ) . So, quality is important to nurses, managers, physicians and other groups involved in health care, (All India Institue Of Medicine Sciences , 2011& wachter , 2006)
This study aims to assess the effect of applying quality management system on the quality of nurses performance at Benha Teaching Hospital and Aga Central Hospital .
All the staff nurses working in inpatient units , who had not less than one-year experience in their working place are included in the study .The total sample size was 250 staff nurses, 126 of them were working at Benha Teaching Hospital, and the other 104 staff nurses working at Aga Central Hospital , and 20 nurses were excluded in the pilot study .
The study was conducted at two hospitals, Benha Teaching Hospital and Aga Central Hospital at inpatient units : general medicine , pediatric, general surgical , orthopedic, obstetric , chest , emergency , economy, incubators , reception , besides the intensive care unit .
Three tools were used for data collection in the study : first tool, Evaluation of Nurses Performance Checklist ,It consisted of two parts. Part one include questions about demographic data ( age, years of experience, educational qualifications and department) . Part two, the Job Description : it was developed by Egyptian Ministry of Health and population ( September - 2007 ) to evaluate Nurses performance by team of ministry of health every month and evaluate hospital every 4 months. this tool consist of 61 items , 36 items for nursing activities , 14 items for infection, 11 items for safety .second tool, Nurses Opinionnaire About Quality Standard, This tool used to assess nurse’s agreement about standards of quality system it was developed by the researcher based on standards of quality system that developed by Ministry Of Health and population (September - 2007), this tool consist of 37 items: 4 items for general qualities, 5 items for human resources, 15 items for policies, 9 items for training and 4 items for information card and dressing . And, third tool, Observational checklist for Nurses Performance according to standards of quality system, it was developed by Ministry Of Health and population (September - 2007) to evaluate Nurses’ performance by team of ministry of health every month and evaluate hospital every 4months and, this tool consist of 37 items : 4 items for general qualities, 5 items for human resources, 15 items for policies, 9 items for training and 4 items for information card and dressing .
The study has generated the following findings:
The majority of nurses showed high level of performance according to job description before applying quality system at Aga Central Hospital and Benha Teaching Hospital .
Majority of nurses at Aga Central Hospital and the most at Benha Teaching Hospital showed high level of performance according standards of Quality System after applying Quality System .
There was a negative significance correlation between age, experience and performance according to job description before applying Quality System .
There was statistical significant correlation between nurses’ performance according to job description before applying quality system and performance according to standards of quality system after applying quality system .
In the light of the findings obtained from the present study, these points are recommended:
1. Nurses job description should be developed and updated to be consented with standards of quality system .
2. In-service training and education programs must be a continuous process about quality system to staff nurses .
3. In-service training programs about infection control measurement should be periodically conducted to staff nurses .
4. Develop and maintain open channels of communication among infection control unit and staff nurses to encourage them for expressing their problems especially associated with infection control .
5. Enhancing career growth and development of staff nurses through participation on special task forces and committees which allow staff nurses to form new relationships and learn new skills by having the opportunity to demonstrate their abilities.