Motivation and Its Effect on Nursing Job Performance in Gaza strip Governmental Hospitals – Palestine

Study aimed to identify the knowledge, attitude and practice that employees had toward safety culture and determinants,also to investigate determinants of safety. The questionnaire was also used to measure the determinant of safety culture. Thepopulation are nurses and physicians working in the ICUs of all hospitals in the Gaza city. 220 questionnaires have beendistributed and 180 have been returned back with a response rate of 81%. The results indicates that employees working at theICUs have a mild positive attitude toward safety culture, unacceptable working condition, mild level of job satisfaction. Thereis a statistical relationship between (the commitment to safety by management, employee engagement, the trust that existsbetween the healthcare provider and the management, participation in decision-making, good communication).Conclusions: Safety culture plays a key role in improving employee and patient safety at ICUs on hospital, an environmentcharacterized by mutual trust among health team with effective communication channels and proper participation in decisionmaking. Recommended participate in decision-making and make comments and suggestions regarding problems concerningthem and their patients. Specialized training courses targeting employees to improve their knowledge about safety measures,communication skills and job description. Activation of management role at promoting safety culture by increasing theircommitment to safety culture. Recreational and financial incentives which have unique effect on the employee working atICUs of Gaza city.