Background: Nursing is a critical factor in determining the quality of care in hospitals and the nature of patient outcomes and organizations are to be effective, they should have the required quality and quantity of human resource and be able to properly utilize them, additionally, nurses are key personnel in providing direct patient care. They are recommended to spend all the time with the patient, monitoring patients' conditions and delivering patient care. Aim of Study:The current study explore the relationship between nursing workload and quality of nursing care at a selected hospital in Menofya Governorate. Subjects and Methods:Design: A descriptive correlational design was utilized for this study to achieve the stated aim.Setting: The study was conducted in a selected hospital at Menofya Governorate.Sample: Convenient sample, this sample consist of 250 nurses who working as staff nurse in all shift.Tool: For the purpose of this study, a developed questionnaire for nurses was utilized that consist of two parts: The first part was related to the nurse work load, the second part was observational check list to assess the quality of nursing care provided.Results: Show that nursing work load factors were perceived by staff nurses as follow: (Interpersonal factors, environmental factors, administrative factors and nursing factors) (93. 84%, 93.65, 92.97, 92.80), also, the study results show that the highest mean percentage of quality of nursing care dimensions that provided by staff nurses was for patient safety (84,87%, 83%), while the lowest mean percentage of quality of nursing care dimensions that provided by staff nurses was for nursing factor (31,65%).Recommendations: Hospital should assess nursing work load factors periodically to use results for creation of positive work atmosphere for productivity and quality of nursing care should be assessed periodically to assure meting the quality standards for protection the patient safety.

Background: Decisional involvement recommends the decentralization of decision-making and the proximity of staff members who provide healthcare, in which workers have their participation ensured and are entitled to take part in discussions concerning the decision-making process. Decisional involvement is important in healthcare and initially adopted in for the nursing discipline to achieve excellence in patient care. Aim of Study: To investigate the relationship between nursing staff's decisional involvement and their decisionmaking abilities in New Kasr El-Aini Teaching Hospital. Material and Methods: A descriptive correlational research design was utilized to carry out the study. One hundred and fifteen baccalaureate nurses including one nursing director, three associate directors, thirty-nine supervisors, thirty-six head nurses, twenty-two charge nurses and fourteen staff nurses. Two tools were used to collect data. First tool divide to two parts demographic data and nurse's decision making involvement questionnaire, second tool was nursing staff's decision making abilities questionnaire. Results: Study findings revealed that there was a statistical significant correlation between study demographic characteristics and decision making abilities. While, there is no statistical significant correlation between study demographic characteristics and decision making involvement. Also, there was no statistical significant correlation between study sample's decision making abilities and their decision making involvement. Conclusion: The study concluded that decisional involvement is performed according to the management positions regardless the staff abilities to make a decision. Recommendations: It is recommended that the organization should provide training courses to improve decision making abilities of nursing staff. Also, nursing director should increase their involvement in decision making process and put an evaluative measure to be used as a standard in choosing managerial and administrative position regarding their abilities and skills regardless their ages.