الفهرس 
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Abstract
Pregnancy is one of the most important periods in the life of a woman, her family
and the society. Therefore extraordinary attention is given to antenatal care by the health
care systems of most developed and developing countries. In recent years, emphasis on
improving the quality of care provided by the nation’s health settings has increased signifi-
cantly and continues to gain momentum. Nurses are integral to patients’ care, nurses also
are pivotal in nation’s efforts to improve quality. As health settings face increasing
demands to participate in a wide range of quality improvement activities, they are reliant
on nurses to help address these demands.
Hence, the present study aimed at identifying the effect of applying performance
improvement model on antenatal care nurses’ performance in family health centers.
A quasi experimental design was used to conduct this study. It has been carried out
in 5 family health centers in Qena city which affiliated to Ministry of Health and
population. The subjects were consists of all nurses providing antenatal care in the
previously selected settings (37 nurses) and a random sample of 332 registered women
attending for antenatal care (166) before program and another matching sample (166) after
prorgram.
Four tools were developed by the researcher as a structured questionnaire sheet
.which assessed: personal and socio demographic data about nurses, nurses’ knowledge
regarding antenatal care and the most common problems facing nurses at their work. Tool
II: An observation checklist to observe the actual nursing performance in antenatal clinic.
in addition to, Tool Ill: structured interview schedule was developed to assess client’s
satisfaction regarding services provided in the centers and Tool IV: observation checklist
to observe the family health center environment. Approvals were obtained for conducting
the study at the specified settings. A pilot study was carried on 5 nurses and 10 registered
women to test the developed tools. The field work of the study was conducted in a period
of 6 months (from October to March 2014).Data were collected by the researcher then
appropriate descriptive and analytical statistics were carried out.