Search

What explains why reductive explanations of social phenomena in the global South persist? This paper addresses this question by considering how researchers' assumptions of their positionality premised upon global North-South explanations of power shape "how" they collect and determine the scope of their data. Building upon standpoint theory's emphasis of knowledge production as material sites of inquiry, we first consider how researchers' positionality assumptions informed how they constructed 'the entirety' of their research sites in one global South context, Jordan. Second, we explore 'moments of mismatch': when researchers' assumptions of their positionality do not align with interlocutors' perceptions. We highlight these moments because they reveal critical relational hierarchies beyond global North-South dichotomies that literally shaped "how" the researchers subsequently expanded and changed the scope of their sites of inquiry in turn. We argue that these moments of mismatch provide fruitful opportunities to engage in more thorough forms of reflexivity that reflect the dynamism of social relations of power in the global South.

Introduction: Although Jordan has made significant progress toward expanding the utilization of facility‐based intrapartum care, prior research highlights that poor service quality is still persistent. This study aimed to identify quality gaps between women's expectations and perceptions of the actual intrapartum care received, while exploring the contributing factors. Methods: Utilizing a pre–post design, quality gaps in intrapartum care were assessed among 959 women pre‐ and postchildbirth at a prominent tertiary hospital in northern Jordan. Data were gathered using the SERVQUAL scale, measuring service quality across reliability, responsiveness, tangibles, assurance, and empathy dimensions. Results: The overall mean gap score between women's expectations and perceptions of the quality of intrapartum care was −0.60 (±0.56). The lowest and highest mean gap scores were found to be related to tangibles and assurance dimensions, −0.24 (±0.39) and −0.88 (±0.35), respectively. Significant negative quality gaps were identified in the dimensions of assurance, empathy, and responsiveness, as well as overall service quality (p < 0.001). The MLR analyses highlighted education (β = 0.61), mode of birth (β = −0.60), admission timing (β = −0.41), continuity of midwifery care (β = −0.43), physician's gender (β = −0.62), active labour duration (β = 0.37), and pain management (β = −0.33) to be the key determinants of the overall quality gap in intrapartum care. Conclusion: Our findings underscore the importance of fostering a labour environment that prioritizes enhancing caregivers' empathetic, reassuring, and responsive skills to minimize service quality gaps and enhance the overall childbirth experience for women in Jordan. Patient or Public Contribution: This paper is a collaborative effort involving women with lived experiences of childbirth, midwives, and obstetrics and gynaecologist physicians. The original idea, conceptualization, data generation, and coproduction, including manuscript editing, were shaped by the valuable contributions of stakeholders with unique perspectives on intrapartum care in Jordan. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this paper is to assess the level of nurses' competencies while providing care to COVID-19 patients. Design/methodology/approach: A descriptive, correlational design was used to collect data from nurses who were providing care to COVID-19 patients at four public hospitals. Findings: A total of 377 nurses (64.5% females) aged 23–50 consented to participate and completed the survey. The mean score of nurses' competencies in providing care to COVID-19 patients was 2.5 (SD = 0.81). The results of correlation coefficient tests disclosed a significant positive correlation between reported competence level and sex rpb (377) = 0.18, p < 0.01; working area rpb (377) = 0.2, p < 0.01; disaster experience rpb (377) = 0.16, p < 0.01; disaster education rpb (377) = 0.25, p < 0.01; and disaster training rpb (377) = 0.31, p < 0.01. Research limitations/implications: The COVID-19 pandemic response heavily relied on nurses. However, they had a gap in clinical competencies that indicates an urgent need to incorporate disaster management courses in basic nursing education and to update training in hospitals based on nurses' needs to improve their capabilities in dealing with COVID-19 pandemic. Originality/value: To the best of the authors' knowledge, this is the first study that investigated the perceived level of Jordanian nurses' competencies in providing care to COVID-19. [ABSTRACT FROM AUTHOR]

Background: Midwives can play a pivotal role in promoting natural-birth experiences. However, limited information is available about Jordanian laboring women’s experiences of natural childbirth guided by midwives. Understanding women’s experiences of natural birth can inform healthcare providers and policymakers to improve the care provided for laboring women. Purpose: This study aims to explore women's experiences of natural childbirth in a midwife-led care unit. Methods: A qualitative descriptive approach guided the study protocol. Data was collected through in-depth, semi-structured telephone interviews with 10 Jordanian women who experienced natural childbirth in a midwife-led care unit. Results: Two main themes emerged: “The journey of empowerment “and “being prepared for natural childbirth". The first theme consisted of two sub-themes: Making an informed decision, and being supported. The second theme consisted of three sub-themes: The power of the place, being satisfied with natural-childbirth practices, and feeling relieved. Conclusion: Women had positive childbirth experiences shaped by having autonomy in decision-making, perceived support, and being satisfied with the midwife-led care unit. Women’s positive experiences emphasize the need for social and political change to promote natural childbirth. Implications for Nursing: This paper provides evidence that supports the incorporation of midwife-led units to promote natural childbirth. New data will play a critical role in strengthening the responsibilities of nurses and midwives by raising public awareness and calling for policy changes to promote natural childbirth. [ABSTRACT FROM AUTHOR]

Purpose: Access to health-care services for refugees are always impacted by many factors and strongly associated with population profile, nature of crisis and capacities of hosing countries. Throughout refugee's crisis, the Jordanian Government has adopted several healthcare access policies to meet the health needs of Syrian refugees while maintaining the stability of the health-care system. The adopted health-care provision policies ranged from enabling to restricting and from affordable to unaffordable. The purpose of this paper is to identify the influence of restricted level of access to essential health services among Syrian refugees in Jordan. Design/methodology/approach: This paper used findings of a cross-sectional surveys conducted over urban Syrian refugees in Jordan in 2017 and 2018 over two different health-care access policies. The first were inclusive and affordable, whereas the other considered very restricting policy owing to high inflation in health-care cost. Access indicators from four main thematic areas were selected including maternal health, family planning, child health and monthly access of household. A comparison between both years' access indicators was conducted to understand access barriers and its impact. Findings: The comparison between findings of both surveys shows a sudden shift in health-care access and utilization behaviors with increased barriers level thus increased health vulnerabilities. Additionally, the finding during implementation of restricted access policy proves the tendency among some refugees groups to adopt negative adaptation strategies to reduce health-care cost. The participants shifted to use a fragmented health-care, reduced or delayed care seeking and use drugs irrationally weather by self-medication or reduce drug intake. Originality/value: Understanding access barriers to health services and its negative short-term and long-term impact on refugees' health status as well as the extended risks to the host communities will help states that hosting refugees building rational access policy to protect whole community and save public health gains during and post crisis. Additionally, it will support donors to better mobilize resources according to the needs while the humanitarian actors and service providers will better contribute to the public health stability during refugee's crisis. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this paper is to assess nurse's knowledge and practice regarding basic life support (BLS) skills while working with SARS-CoV-2 patients in Jordanian hospitals. Design/methodology/approach: A cross-sectional survey was conducted among 386 nurses with direct contact with SARS-CoV-2 patients at Jordanian hospitals. A self-administered structured questionnaire was used based on the American Heart Association (AHA) guidelines. Findings: A total of 386 participants were recruited. The mean years of experience were 7.89 (SD = 5.97). About three quarters of participants revealed they deal with SARS-CoV-2 patients directly (n = 284, 73.6%). The total mean score of nurse's knowledge was 4.44 (SD = 1.22), while the total mean score of practice was 8.44 (SD = 2.05). Independent t-test was used, which revealed a statistically significant difference between educational level and total score of nurse's knowledge [t(386) = 0.215 and p = 0.001] and between training to deal with SARS-CoV-2 during BLS and total score of practice [t(386) = 2.66 and p = 0.008]. Pearson correlation discloses a positive correlation between the total score of knowledge and practice (r = 0.343 and p = 0.001). Research limitations/implications: In general, nurses revealed a moderate level of knowledge and practice of BLS skills. However, assessing nurse's knowledge and practice during the outbreak of SARS-CoV-2 plays a key role in identifying the gap in nurse's knowledge and practice, and therefore, it will have an impact on providing high-quality BLS to save infected patients while providing maximum safety according to AHA guidelines. Originality/value: This study is the first study that examined the level of knowledge and practice of BLS skills during SARS-CoV-2 pandemic in Jordan. [ABSTRACT FROM AUTHOR]

Aim: To explore the validity and reliability of the Missed Nursing Care Survey after translating it into the Arabic language. Methods: We employed a cross‐sectional design. We recruited 260 Jordanian nurses, and data were collected between May and July 2020. Translation, acceptability, construct, convergent, discriminant validity and reliability were investigated. Results: The factor analysis showed an adequate fit (three subscales) between the proposed missing care survey model and the observed data. This model reflected the survey's construct, convergent and discriminant validity, explaining 58.88% of the variance collectively. Confirmatory factor analyses showed adequate goodness‐of‐fit results (goodness of fit index = 0.91, comparative fit index = 0.94, increment fit index = 0.94, Tucker Lewis index = 0.92 and root mean square error of approximation = 0.06). The total Cronbach alpha and composite reliability achieved the criterion for all constructs in this survey. Conclusion: This Arabic version of the Missed Nursing Care Survey achieved the required level of validity and reliability. Measuring missed care and its reasons may help to improve quality of health services and assist nurse managers in designing appropriate interventions to reduce it. Adoption of culturally acceptable instruments by health‐care policymakers may support patient safety. Summary statement: What is already known about this topic? The Missed Nursing Care Survey was designed to identify reasons for missed nursing care.The Missed Nursing Care Survey has been shown to be a reliable and valid measure among various populations and different languages. What this paper adds? The Arabic version of the Missed Nursing Care Survey was shown to be a valid and reliable tool.Measuring the quality and procedures of nursing care in the Arabic region will aid in understanding the differences between countries. The implications of this paper: Adoption of culturally acceptable instruments by health‐care policymakers may support patient safety.Measuring missed care and its reasons may help to improve the quality of health services and assist nurse managers in designing appropriate interventions to reduce it. [ABSTRACT FROM AUTHOR]

Purpose: Many refugees around the world are forced to leave their counties seeking safety and security. Millions of Syrian refugees fled their country since the conflict started in Syria. Jordan is one of the host countries for refugees from different countries including Syria. Health-related quality of life of individuals influences both the individual and the community, and how these two interact with one another. This study aims to explore the four domains – physical health, psychological health, social relationships and environment domains – of health-related quality of life of adults residing in Za'atari camp in the North of Jordan. Design/methodology/approach: A constructivist grounded theory approach was used. Data were collected using semi-structured, face-to-face, audio-recorded interviews. Data were analysed using different levels of coding, constant comparative analysis and writing reflective memos. Findings: Pursuing safety and security emerged as a core theme in this study. Participants were pursuing safety and security since the conflict started in Syria. Lack of safety and security led them to flee Syria. For participants, safety and security were among the most important aspects of their lives. The meaning of safety and security for Syrian refugees is presented in this paper. Originality/value: To the best of the authors' knowledge, this is the first study exploring the health-related quality of life of Syrian refugees residing in Za'atari camp using a qualitative approach. [ABSTRACT FROM AUTHOR]

Background: Although many studies have discussed nurses' caring performance, few have focussed on critical care nurses. Also, none have studied this among newly graduated nurses despite their very different circumstances. Aim: The purpose of this study was to examine factors affecting the caring performance of newly graduated nurses in critical care units. Method: A descriptive cross‐sectional design, using self‐reported questionnaires, was used among a sample of 209 nurses interviewed in Jordanian hospitals. The Mental Health Professionals Stress Scale was used for measuring work‐related stress and the Caring Behaviours Assessment tool to assess caring performance. Data collection was conducted from March to May 2018. Results: The participants had moderate levels of caring performance (M = 182.6/315, SD = 15.46). The highest score was reported for 'Supportive/Protective/Corrective Environment' subscale, while the lowest for 'Teaching/Learning' subscale. Many significant differences were noticed in caring performance based on participants' demographics. Only working in private hospitals was a significant predictor for caring performance (P <.05) predicting 14% of variance. Conclusion: Caring performance of newly graduated nurses in critical care units was affected by many factors including workload, self‐doubt, income and area of working. The significance was flagged of developing nursing policies concerned with stress relief and improvement of caring performance. Summary statement: What is already known about this topic? Newly graduated nurses are known to have more work‐related stress compared to experienced nurses, which may lead to lower commitment toward work requirements and lower quality of nursing care.Nurses' caring performance is known to be affected by several factors which lead to impaired nursing performance and overall organizational productivity and quality of care. What this paper adds? This study explored the predictors of caring performance of newly graduated nurses' working in critical care units, which provides baseline data for future research.Lower levels of caring performance by newly graduated nurses was found to be associated with higher levels of work‐related stress.Working conditions seem to affect the caring performance of newly graduated nurses. The implications of this paper: More attention is needed regarding newly graduated nurses' caring performance by nursing management, which might influence their ability to provide higher quality nursing care.Policy makers and nursing managers should consider establishing specific interventional programmes directed toward reducing factors that affect newly graduated nurses' caring performance in critical care units. [ABSTRACT FROM AUTHOR]

The incidence of stroke in younger adults is rising, particularly among women living with stroke who face multiple physical, psychological, and social challenges that negatively affect their quality of life. Consequently, women's roles in life would be negatively affected at home, work, and in society. This study aimed to explore the lived experience of women suffering from a stroke in Jordan. This paper uses semi-structured interviews to present a descriptive phenomenological study of eight young women suffering from a stroke. The Colaizzi (1978) method was used to analyze interview transcripts. Three main emerging themes that describe the lived experiences of women with a stroke: 1) Experiencing stroke as a woman; 2) Stroke and the intimate relationship with the spouse; 3) Challenges of women's journey while receiving health care. After their stroke, Jordanian women have experienced profound, interrelated, and multifaceted difficulties in all aspects of their life and relationships inside and outside the family. Whilst healthcare providers recognize these stressful symptoms; however, there is a lack of attention and care to meet these needs. [ABSTRACT FROM AUTHOR]

Background: Secondary prevention is a priority after coronary revascularization for effective long‐term cardiovascular care. Coronary Heart Disease is a major health problem in Jordan, but little is known about the current provision of secondary prevention. Aim: The aim of this study was to evaluate risk factors and explore the current provision of secondary Coronary Heart Disease prevention among patients presenting with first‐time Coronary Heart Disease at two time points: during hospitalization (Time 1) and 6 months later (Time 2), in multicentre settings in Jordan. Methods: A descriptive, repeated measures research study design was applied to a consecutive sample of 180 patients with first‐time Coronary Heart Disease. Demographic and clinical details were recorded from medical files. Self‐administered questionnaires developed by the researchers were used to measure secondary prevention information related to Coronary Heart Disease, including secondary prevention services, lifestyle advice received and medical advice topics. A short form of the International Physical Activity Questionnaire was used to measure physical activity. Participants were assessed at Times 1 and 2. Results: Unstructured lifestyle advice given to the patients at Times 1 and 2 most frequently related to medications, smoking, diet and blood lipids control advice topics, with no statistically significant improvement in cardiovascular risk factors among patients between Times 1 and 2. Conclusion: Despite an extremely high prevalence of risk factors in this population, the provision of secondary prevention is poor in Jordan, which requires urgent improvement, and the contribution of nurses' to secondary prevention should be enhanced. Summary statement: What is already known about this topic? Cardiovascular diseases have relatively earlier onset and higher prevalence in the Middle East and North Africa. However, there is a limited knowledge about the prevalence of risk factors of cardiovascular diseases in the region.There is strong evidence that behavioural modification should be given high priority to help patients with Coronary Heart Disease to be compliant with healthy lifestyle behaviours.The prevalence of Coronary Heart Disease and premature mortality in the Middle Eastern countries is progressively increasing, indicating a lack of effective strategy. What this paper adds The prevalence of Coronary Heart Disease risk factors is still egregiously high in the Jordanian population.The secondary prevention strategy and lifestyle changes are insufficient among patients with Coronary Heart Disease in Jordan.Health policy makers are strongly recommended to establish cardiac rehabilitation programmes to reduce cardiac events and mortality in Jordan. The implications of the study Nursing administrations need to focus on secondary prevention strategies to minimize the risk factors of cardiovascular disease in developing countries.Nursing leaders in Jordan should develop health intervention programmes to help patients with Coronary Heart Disease change their lifestyles.Greater efforts are needed to stop progression of risk factors and improve secondary prevention in Jordan, and further studies are warranted, such as interventional studies to enhance secondary prevention for patients with Coronary Heart Disease. [ABSTRACT FROM AUTHOR]

Purpose: The emergence of COVID-19 pandemic in the late 2019 was accompanied by various consequences that included almost the entire life aspects worldwide. To cope with the pandemic, imposing restricted measures was required, such as quarantine, lockdown and social distancing. The purpose of this paper is to identify the houses' interior designs responses in Jordan under Covid-19 Pandemic. Design/methodology/approach: Under such conditions, people have to spend long periods inside their houses. This issue highlighted the importance and the vital role of houses interior design in meeting the various needs of residents under emergent and changing conditions. Findings: This study revealed current and future responses that may be implemented to cope with the pandemic consequences in terms of houses' interior design. Moreover, a conceptual model was proposed. Number of suggestions and further research were introduced considering the revealed findings. Originality/value: This study aimed at identifying the houses' interior design responses in Jordan under COVID-19 pandemic. The study methodology adopted both inductive and qualitative approaches to achieve its goals. Under the qualitative approach, semi-structured interviews were undertaken by interviewing ten interior designers and academics. [ABSTRACT FROM AUTHOR]

Background: The ability of a nurse to make effective clinical decisions is the most important factor that can affect the treatment quality. However, several factors can affect the ability of nursing and midwifery students to make effective clinical decisions. Objectives: This study aims to identify the confounding factors that may affect the clinical decision making of nurses and thus patient outcomes after the COVID-19 pandemic in Jordan. Methods: A descriptive cross-sectional design was employed in this study. An online self-administered questionnaire was distributed to 269 nursing and midwifery students selected through purposive sampling, 224 of whom completed the questionnaire. The valid and reliable nursing decision-making instrument, which consisted of 24 items, was employed to gather the data, and descriptive statistics and simple linear regression were employed for the data analysis. Data was collected from November to the end of December 2022. Results: Among the respondents, 72.8% were female, and the average age was 20.79 years (SD = 1.44). The vast majority of the respondents (94.6%) was unmarried, and 74.1% were pursuing a nursing degree. The simple linear regression analysis showed that clinical decision making had a negative and significant relationship with social media usage of an average of 6 h a day (β=−0.085). Moreover, the male nursing students obtained lower clinical decision-making scores (β= −0.408) compared with the female nursing students. Conclusion: Social media usage and gender have a considerable effect on the clinical decision making of the nursing and midwifery students. Therefore, the confounding factors that can affect the clinical decision making of nurses should be discussed further, and strategies to address such factors should be implemented. [ABSTRACT FROM AUTHOR]

Electronic health record (EHR) implementation is expanding worldwide to achieve the benefits of that technology, but it is reported in the literature as a "disruptive" change to the work environment in which all health-care workers need to be ready for the change, to enhance adoption and harvest the benefits. Jordan has rolled out a national EHR system. This study explored EHR implementation readiness, levels of realizing the benefits of EHR, and adoption among Jordanian nurses, using a self-report questionnaire at nine governmental hospitals in Jordan. A total of 462 registered nurses participated in the study. Results showed that nurses have moderate levels of readiness for EHR implementation, but higher levels of EHR benefits realization and adoption. All health-care workers' readiness for EHR implementation must be assessed regularly before, during, and after EHR implementation. Readiness-based roll-out can be used as a strategy in implementing EHR systems. Introducing a large-scale change management program is recommended to assess readiness, guide roll-out plans, enhance EHR implementation readiness, improve benefits realization, and increase EHR adoption levels, to help move health-care systems into the digital era. [ABSTRACT FROM AUTHOR]

Background: Climate change poses a worldwide challenge with anticipated exacerbation in the future, resulting in irreversible consequences. Nursing students may be vulnerable to experiencing psychological effects associated with climate change. Aim: The current study aimed to investigate the relationship between nursing students' knowledge and attitudes toward climate change and their psychological distress. Method: This descriptive cross-sectional study recruited 377 nursing students from three universities located in Saudi Arabia, Jordan, and Egypt in the Middle East. Data collection was conducted using scales for assessing nursing students' knowledge and attitudes towards climate change and their psychological distress. Correlations were assessed and multiple regression analysis was conducted to explore the predictors of students' psychological distress. Results: The current study showed that knowledge regarding climate change significantly and positively correlated to the attitude toward climate change (r = 0.213), then again, the score of psychological distress significantly and negatively correlated to the score of students' knowledge and attitude regarding climate change (r = − 0.182 and − 0.110 respectively). Regression analyses showed that academic achievement had the strongest positive impact on students' psychological distress, while knowledge regarding climate change and attitude toward climate change had negative impacts (β = 0.381, β=-0.205, and β=-0.045 respectively). Moreover, knowledge and attitude regarding climate change were found to be significant predictors of students' psychological distress, collectively accounting for 18.2% of the observed variance. Conclusions/Implication for future practice: The findings highlight the importance of incorporating climate change into nursing education programs. By enhancing nursing students' knowledge and attitudes towards climate change, there is potential to reduce their psychological distress. This study underscores the need for curriculum reforms that integrate climate change topics, aiming to foster a well-informed and resilient future nursing workforce. [ABSTRACT FROM AUTHOR]

Introduction: The effects of COVID-19 lockdowns and the discontinued face-to-face clinical practicum had negative consequences on nursing and midwifery students at many levels. The clinical learning environment includes all the training and learning experiences that nursing students undergo during their clinical practicum. Objectives: This study aimed to assess the effects of the COVID-19 lockdowns on the nursing and midwifery students' practicum training in governmental and private universities and academic faculties of nursing in Jordan. Methods: A descriptive cross-sectional study of 1025 nursing and midwifery students from academic faculties of nursing of both governmental and private Jordanian universities was conducted in September 2021. The research group from two Jordanian universities designed and validated a 13-item survey to determine and evaluate the impact of mass lockdowns on nursing and midwifery students' practicum training. The responses were assessed using descriptive and inferential analyses. Results: The findings revealed that the lockdown had a negative impact on nursing and midwifery students' self-confidence and competency in performing nursing procedures. The academic year of the students was a significant independent predictor of their self-confidence and competency levels in performing nursing procedures. Conclusion: The study concluded that nursing and midwifery students were dissatisfied with their clinical education during the COVID-19 pandemic, which led to poor self-confidence in performing nursing procedures. The study group recommended repeating the clinical practicum, incorporating extensive laboratory and hospital courses, and implementing a one-year internship for newly graduated nurses and midwives to address the training gap and enhance self-confidence in clinical procedures. [ABSTRACT FROM AUTHOR]

(1) Background: Amidst the global rise in type 2 diabetes mellitus (T2DM), effective management of the disease has become increasingly important. Health literacy, particularly in non-English speaking populations, plays a crucial role in this management. To address the lack of suitable tools for Arabic-speaking diabetic patients, this study developed and validated the Jordanian Diabetic Health Literacy Questionnaire (JDHLQ). (2) Methods: A sample of 400 diabetic patients from Jordan, with a balance in gender, age, and educational background, was recruited from an endocrinology outpatient clinic. The JDHLQ, consisting of informative and communicative sections, underwent rigorous validation. Utilizing principal component analysis and Rasch analysis, the JDHL's reliability and validity were evaluated. (3) Results: The results showed moderate proficiency in understanding and communicating diabetes-related information and confirmed the reliability and validity of the JDHLQ. (4) Conclusions: These findings emphasize the importance of culturally appropriate health literacy tools in enhancing patient understanding, engagement, and overall management of T2DM in Arabic-speaking communities. [ABSTRACT FROM AUTHOR]

This study aims to explore the skills of Jordanian Arabic-speaking fourth graders with learning difficulties in terms of auditory analysis and dictation tests. It mainly aims to investigate the relationship between students' abilities to perform auditory analyses and dictation tests. The sample in the study consists of 110 Jordanian fourth graders, who are then divided into 54 students with learning difficulties who are diagnosed as having a satisfactory level of reading and writing and 56 typically developing students. The students are asked to respond to two tests, the auditory analysis and the phonological awareness test, which are prepared by the researcher himself. The results demonstrate a statistically significant positive correlation between the auditory analysis and dictation skills of fourth-grade students with learning difficulties. This means that improving the auditory analysis skills corresponds to an increase in the dictation skills of these students. The results also reveal a statistically significant correlation between auditory analysis and dictation skills in typically developing students. [ABSTRACT FROM AUTHOR]

Background: Nursing performance is a key indicator of patients' care quality and safety. Most healthcare research tools are available in the English language; however, nurses around the world can employ these tools if rigorously adapted and cross-culturally validated. Aims and objectives: This study aims to provide a cross-cultural adaptation and validation of the six-dimension scale of nursing performance to be used among Arabic-speaking nurses. Design: The study employed a descriptive, correlational design with a cross-sectional approach. Methods: A five-step cross-cultural adaptation process was adopted. The scale was administered to 216 Jordanian nurses between January 2022 to April 2022. SPSS and AMOS were used for descriptive and correlation analyses and testing the six-dimension model through structural equation modeling (SEM). Results: The current study produced a valid, reliable, culturally adapted Arabic language version of the six-dimension scale of nursing performance. The internal consistency of the tool was supported by a Cronbach Alpha's value of 0.99. The model's goodness of fit indices were: CFI = 0.96, RMSEA = 0.048, and CMIN/df = 1.49. The exploratory factor analysis (EFA) of the scale identified three factors with eigenvalues greater than 1.00., explaining 75.22% of the variance. A subsequent EFA, specifying six factors, yielded 79.79% explained variance. All item factor loadings exceeded 0.30, confirming the scale's robust factor structure. Conclusions: This study proved that following a robust cross-cultural adaptation process results in a reliable and valid measure of nursing performance to be used among Arabic-speaking nurses. The study supports the dimensionality of nursing performance as evidenced by the SEM results. Therefore, the findings have the potential to considerably enhance studying nursing performance in healthcare fields in Arabic-speaking nurses. Relevance to clinical practice: The validation and cross-cultural adaptation of the Arabic version of the Six-Dimension Scale of Nursing Performance have direct implications for improving the quality of nursing services, enhancing patient safety, promoting cultural competence, and supporting the professional growth of Arabic-speaking nurses. [ABSTRACT FROM AUTHOR]

Within scholarly literature as well as reports from humanitarian actors, including international nongovernmental organizations (NGOs), United Nations agencies and local NGOs, Syrian marriages are often described in static, essentialist ways that reinforce Orientalist assumptions. Based on feminist ethnographic research with Syrian women and men in Jordan, this article explores marriages in historical and intersectional context, before and during displacement. The article challenges common representations of Syrian marriages and advances how Syrian women's power and agency are understood. It emphasizes women's role in deciding to marry (or not) and discusses violence and love in marriage and resistance to proposed love marriages. [ABSTRACT FROM AUTHOR]

Background: This study investigated the online information-seeking behaviours of breast cancer patients at Jordan University Hospital, focusing on their dissatisfaction with available online health resources and its impact on their well-being and anxiety levels. Methods: Employing descriptive phenomenology and convenience sampling, we conducted five Skype-based focus groups with 4-6 breast cancer survivors each, from March to July 2020. Data analysis was performed using NVivo, following Braun and Clark's inductive thematic analysis framework. Results: The thematic analysis revealed critical insights into survivors' interactions with online cancer resources, identifying key subthemes such as the quality of online information, cyberchondriasis, health literacy and search strategies, the distress caused by counterproductive searches, and the tendency to avoid internet searches. Conclusion: The study underscores the challenges breast cancer survivors face in accessing online health information, especially in Arabic. It highlights the need to improve the quality and accessibility of these resources. Enhancing the cultural relevance of online materials and educating patients on effective information evaluation are crucial. These measures can significantly boost health literacy, mitigate anxiety, and provide better support for breast cancer survivors. [ABSTRACT FROM AUTHOR]

Introduction: The COVID-19-related restrictions imposed to reduce viral transmission have highlighted the need to support the importance of maternal breastfeeding. Clear guidelines for consistent practices across settings have been drawn up on the basis of the best available data. Emerging recommendations call to increase nurses' and midwives' awareness of these guidelines. Objective: This study aimed to explore nurses' and midwives' awareness of the recommended breastfeeding practices and associated factors in Jordan during the COVID-19 pandemic. Methods: An online descriptive cross-sectional design was adopted. This study was conducted in clinical settings representing Jordan's North, Middle, and Southern regions. One hundred seventy nurses and midwives were selected through a convenient sampling technique. Results: The mean total score of the awareness was 7.78 (SD = 1.60); 62.9% of participants were highly aware of the recommended breastfeeding practices. Nurses and midwives who were aware of the recommended breastfeeding practices during the pandemic of COVID-19 (90.7%) were more likely to perceive COVID-19 preventive measures as effective than those who were not aware of breastfeeding practices (74.6%) (χ2 = 7.886, p =.005), while work experience in years (χ2 = 8.966, p <.01) was significantly associated with awareness of the breastfeeding recommended practices. Conclusion: Most Jordanain nurses and midwives were highly aware of the recommended breastfeeding practices during COVID-19 pandemic. This awareness was positively associated with working experience and perceiving that the preventive measures of COVID-19 are effective. Educational programs for nurses and midwives about breastfeeding practice recommendations are necessary to help mothers obtain appropriate care and education. [ABSTRACT FROM AUTHOR]

Why you should read this article: • To appreciate the importance of patient safety incident reporting practices • To understand that optimal patient safety incident reporting practices require effective leadership behaviours • To be aware of the need for a positive organisational culture to improve incident reporting practices Background: Patient safety is a priority for all healthcare organisations. Enhancing patient safety incident reporting practices requires effective leadership behaviours at all levels in healthcare organisations. Aim: To explore nurses' perceptions of the influence of nurse managers' leadership behaviours and organisational culture on patient safety incident reporting practices. Method: A descriptive, cross-sectional, correlational design was adopted with a convenience sample of 325 nurses from 15 Jordanian hospitals. Results: Respondents had positive perceptions of their nurse managers' leadership behaviours and organisational culture. There was a significant positive relationship between leadership behaviours and organisational culture (r=0.423, P<0.001) and between leadership behaviours and actual incident-reporting practices (r=0.131, P<0.001). Additionally, there was a significant positive relationship between organisational culture and incident-reporting practices (r=0.250, P<0.001). Conclusion: Healthcare organisations must develop leaders who will foster a supportive and just culture that will enhance nurses' practice with regards to reporting patient safety incidents. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to gain a deeper understanding of triggers of psychological distress among Jordanian patients with heart failure (HF). Design/methodology/approach: A phenomenological study was adopted. In-depth, semi-structured, audio-taped interviews were conducted for 25 patients with HF. The analysis was done using interpretative phenomenological analysis. Findings: The main theme of the findings can be expressed as "faced with stressors that are unable to cope with", which encompasses circumstances and contexts associated with the psychological distress they faced. The following four sub-themes emerged from the data: being endorsed in significant life changes, feeling guilty about being a burden, financial burden aggravating stress and feeling overwhelmed by the fear of death. Originality/value: The findings revealed that psychological distress is affected directly by many triggers. The findings indicate the need for informing health-care providers to support these patients and address the challenges and develop clinical guidelines to assess psychological distress among these patients. [ABSTRACT FROM AUTHOR]

Aim: To assess the social cognitive elements of the stigma of mental illness (knowledge, attitudes and behaviours) among healthcare professionals (HCPs) in Jordan. Design: A cross‐sectional descriptive design. Methods: A total of 206 HCPs were conveniently recruited from general hospitals in Jordan. The mental attitude, knowledge and intended behaviours scales were used to measure stigma elements. Results: Participants reported a moderate level of knowledge, a moderate negative attitude and a moderate or not greater interest to deal with people with mental health illnesses. The bivariate correlation revealed a negative significant correlation between HCPs' knowledge and attitude, indicating that HCPs with more knowledge significantly have more positive attitude (lower average score) towards those suffering from the illness. A more significant correlation was found between HCPs' knowledge and behaviour. The HCPs who had more knowledge were holding more interest and willingness towards dealing with persons with mental illness. Patient or Public Contribution: Negative attitudes among HCPs demand awareness programmes pertaining to the stigma of mental illness to afford higher standards of practice for patients with mental problems. [ABSTRACT FROM AUTHOR]

Purpose: To explore the self-perceived occupational performance in daily life activities in individuals with vertigo in Jordan. Existing evidence is limited on how vertigo affects performing daily life activities like self-care. Materials and methods: This study utilized a cross-sectional design, and convenient sampling. Thirty individuals with vertigo (M = 47.6 years, SD = 15.93) agreed to participate in this study, filled-out the study demographic and condition-related questionnaire, and completed the Canadian Occupational Performance Measure via a semi-structured interview with study research personnel. Data analyses consisted of descriptive statistics, analysis of frequencies, and Analysis of Variance. Results and conclusions: Individuals with vertigo reported low to average self-perceived occupational performance (M = 4.13, SD = 1.64) and satisfaction (M = 3.46, SD = 1.98). The most challenging area of occupation was self-care (66% of the reported challenging activities), followed by productivity (18%) and leisure (16%). Personal care activities were the most challenging from the self-care area (31%), household management activities from the productivity area (13%), and active recreation activities from the leisure area (7%). In conclusion, individuals with vertigo experience low to average occupational performance and satisfaction in daily life activities. Targeted interventions for individuals with vertigo should increase occupational performance in daily life activities, especially self-care. [ABSTRACT FROM AUTHOR]

Introduction: Limited research exists on the knowledge and attitudes of Jordanian community residents toward people with dementia (PwD). As the prevalence of dementia is anticipated to increase, there is a critical need for informed knowledge and positive attitudes toward dementia in the Jordanian community. Objectives: This study aimed to evaluate people's knowledge of and attitudes toward PwD and identify the predictors of dementia knowledge and attitudes. Methods: The study employed a cross-sectional research design and utilized a self-administered questionnaire as the primary data collection method. The study employed the Alzheimer's Disease Knowledge Scale (ADKS) to evaluate the knowledge of the participants, and the Dementia Attitudes Scale (DAS) was utilized to assess their attitudes in the Jordanian community. Multiple regression analysis was performed to find relevant factors influencing knowledge of and attitude toward dementia. Results: The study's 346 participants revealed limited knowledge about dementia, with an average ADKS score of 17.21 out of 30. However, participants showed a positive attitude toward dementia, as evidenced by a mean DAS score of 88 out of 140. Statistical analysis demonstrated significantly higher knowledge scores among employed individuals (P <.05), while females exhibited significantly higher attitude scores (P <.05). Participants with experience in geriatric clinical practice, dementia education or training, informal caregiving experience, and a desire to learn more about dementia also exhibited significantly higher knowledge and attitude scores (P <.05). Conclusion: The study offers preliminary insights into the knowledge and attitudes toward dementia in the Jordanian population. The findings underscore the importance of continuing education and training to increase knowledge and understanding of dementia. Improving dementia care and support in Jordan requires enhancing knowledge and attitudes toward dementia. The study findings were presented to policymakers, with recommendations for strategic planning and the development of awareness programs. Future research can build upon these findings and promote evidence-based practices in dementia care and community awareness programs. [ABSTRACT FROM AUTHOR]

Although extensive research has been conducted worldwide to investigate the diagnostic process of Autism Spectrum Disorder (ASD), Jordanian parents' experiences have been overlooked. This study explored parents' journeys toward receiving diagnoses for their children with ASD. In particular, it aimed to provide a clear picture of the process for obtaining these diagnoses for children in Jordan. Methods: Eighteen semi-structured interviews were carried out with 12 mothers and six fathers of children with ASD aged 5 to 11 years old. Results: The coding process was based on a thematic analysis method and resulted in the identification of three overlapping themes: dissatisfaction with professionals' abilities to approach parents, an unstructured diagnostic process, and perspectives on diagnosis tools. Conclusions: Our data upheld the idea that parental satisfaction with the diagnostic process is influenced by the duration of the process, the information provided, the support offered, and the communication approach used by professionals. Within the local cultural context, parents were significantly impacted by the societal stigma associated with disability when they sought diagnoses for their children with ASD. [ABSTRACT FROM AUTHOR]

Introduction: Psychological aspects are common in patients with heart failure (HF). Psychological aspects have negative consequences in patients with HF. Objective: This study was conducted to gain a deeper understanding of the consequences of psychological aspects in Jordanian patients with HF. Methods: This study is a qualitative study conducted with the participation of 24 patients with HF. Data were collected using semi-structured interviews. Results: The main theme of the findings can be expressed as "Consequences of psychological aspects of HF." The following four sub-themes emerged from the data: social isolation, disturbance of feelings, being non-compliant, and growing burden on the health care system. Conclusion: The findings revealed the need for informing healthcare providers about the negative consequences of psychological aspects and develop clinical guidelines to evaluate psychological aspects to support these patients. [ABSTRACT FROM AUTHOR]

Aims: To describe the level of knowledge of undergraduate students in Jordan toward COVID‐19 in children in respect of the clinical signs of the disease, modes of transmission, protection measures against the disease and satisfaction with governmental measures. Design: A cross‐section was utilized in this study. Methods: An online survey questionnaire was utilized in this research study. All undergraduate students in Jordan were able to take part. The size of the sample was 799. Knowledge toward COVID‐19 among children was used to assess the participants' knowledge about COVID‐19. Results: The findings indicate that the students had a good understanding of the clinical signs, mode of transmission and protection measures and were satisfied with governmental measures. According to the students' responses, the resource they used the most was social media followed by news channels. Our study also found that medical specialty students had more knowledge toward COVID‐19 than non‐medical. [ABSTRACT FROM AUTHOR]

The dramatic growth of the older population worldwide has resulted in a renewed need for mobile health applications (mHealth apps). The use of mHealth UI-designed-based culture can be useful in improving the quality of healthcare for elderly users. Therefore, there is a need for a comprehensive examination of the impact of mHealth UI design-based culture on older adult people's satisfaction. This study was conducted to promote older adults' satisfaction with mHealth UI design-based culture in a culturally specific context. We examined the influence of learning, screen, application capabilities, and terminology and application information on older adults' overall satisfaction with mHealth UI. Eighty-five older adults' users from general population in Jordan participated in this study. The results showed different correlation coefficients between these factors. This study paves the way for future research to consider culture in the design of mHealth UI. [ABSTRACT FROM AUTHOR]

Introduction: Using technology in the clinical setting where clinical alarms frequently occur, resulting in many false alarms, which is called alarm fatigue, alarm fatigue may increase nurses' distraction, and that might negatively affect patient safety. Objective: This study aimed to assess alarm fatigue among oncology nurses in Jordan. Methods: A descriptive cross-sectional design was used in a non-profit specialized cancer center. A self-reported questionnaire was answered by nurses who participated in the study. Results: A total of 222 questionnaires were analyzed with a more than 95% response rate. More than half of the sample (60.4%) were females. The participants were young nurses with a mean age of 25.18 ± 3.33 years. The total mean score of alarm fatigue was 31.62 ± 7.14 on a scale ranging from zero to 52. Post-hoc analysis showed that the palliative unit (25.73 ± 7.22) and emergency room (28.73 ± 6.62) had low scores of total mean alarm fatigue than remaining area of practice, such as the ICU (33.92 ± 6.99); p -value:.004. Conclusion: Alarm fatigue is a global issue affecting many practice areas. An educational program is recommended for nurses to learn how to deal with alarm fatigue. In order to effectively manage alarms, nurses' education and individual training are crucial. [ABSTRACT FROM AUTHOR]

Background: Reliable and rigorously collected sexual, reproductive, maternal, newborn, child, and adolescent health (SRMNCAH) data in humanitarian settings is often sparse and variable in quality across different humanitarian settings. To address this gap in data quality, the World Health Organization (WHO) developed a core set of indicators for monitoring and evaluating SRMNCAH services and outcomes in humanitarian settings, and assessed their feasibility in the field in Jordan, in addition to three other countries; with the goal of aggregating information from global consultations and field-level assessments to reach consensus on a set of core SRMNCAH indicators for services and outcome evaluation in humanitarian settings among WHO global partners. Methods: The feasibility assessment in Jordan focused on the following constructs: relevance/usefulness, feasibility of measurement, systems and resources, and ethical issues. The multi-methods assessment included five components; a desk review, key informant interviews, focus group discussions, facility assessments, and observational sessions. Results: Findings suggest that there is widespread support among regional, national, as well as global stakeholders for developing a core list of SRMNCAH indicators for monitoring and evaluation of services and outcomes in humanitarian settings in Jordan. There are numerous resources and data collection systems that could be leveraged, built upon, and improved to ensure the feasibility of collecting this proposed set of indicators. However, the data collection load requested from donors, the national government, international and UN agencies, coordination/cluster systems must be better harmonized, standardized, and less burdensome. Conclusions: Despite stakeholder support in developing a core set of indicators, this would only be useful if it has the buy-in from the international community. Greater harmonization and coordination, alongside increased resource allocation, would improve data collection efforts and allow stakeholders to meet indicators' reporting requirements. Plain English summary: In humanitarian settings, data collection is often unreliable and not standardized – especially with regards to sexual, reproductive, maternal, newborn, child, and adolescent health (SRMNCAH). In order to address this gap in data quality, the World Health Organization proposed a list of core indicators to four countries, including Jordan. The goal was to use the findings from the Jordanian context to contribute to the determination of a core set of indicators, and accumulate a list of necessary policy, funding, infrastructure, capacity and training that will be required. This study had two components: a feasibility assessment and a multi-methods assessment. The feasibility assessment in Jordan focused on the relevance of the proposed indicators, the feasibility of measurement, the resources in place, and ethical issues. The multi-methods assessment included a desk review, interviews with key informants and focus groups, and facility assessments (including observational sessions). The findings showed that partners in Jordan supported developing a standard set of SRMCAH indicators that can be used among all humanitarian partners in the country. There are a number of systems in place that could be used or strengthened to improve data collection. However, the findings also showed that there must be better collaboration and coordination between the different partners in Jordan, as well as increased resources, to alleviate burden on front-line staff, starting with standardizing and strengthening Jordan's health information system (HIS). In conclusion, though there is a desire to harmonize indicators, more input and resources are needed from the international community to aid in the standardization of data collection in order to meet local reporting requirements and ease burden on local staff. [ABSTRACT FROM AUTHOR]

Aim: To investigate the knowledge, attitudes and practices regarding obstetric danger signs among pregnant women attending antenatal clinics in Jordan. Design: A descriptive cross-sectional. Methods: A convenience sample of 352 pregnant women who attended five antenatal clinics at Al-Karak Governorate in southeast Jordan was recruited. Data were collected using self-reported questionnaire and analyzed using descriptive statistics and inferential statistics. Results: The study findings revealed that (59.1%) of the participants had an inadequate knowledge of obstetric danger signs during pregnancy. In addition, the findings showed that the participants had a positive attitude towards obstetric danger signs. Furthermore, the findings showed that (45.7%) of the participants sought medical care when they experienced obstetric danger signs during pregnancy. The most significant factors affecting the level of knowledge were: age, participant's occupation and the history of stillbirth. Conclusion: The study findings demonstrated that the participants had inadequate knowledge and positive attitudes toward obstetric danger signs during pregnancy. Effective educational programs and other awareness interventions are needed to enhance awareness of obstetric danger signs during pregnancy. [ABSTRACT FROM AUTHOR]

According to the national development plans, the Jordanian tourism sector needs to be updated in order to meet international qualitative standards. To achieve this goal, one of the expected actions to be undertaken is the definition and the implementation of innovative professional profiles that should be integrated within the whole supply chain, and the updating of the related study plans. In order to address this demand, the research aimed to produce a skills gap analysis of the Jordanian tourism, hospitality, and heritage education system, which should highlight sets of innovative and underdeveloped skills for the tackled sectors, and the relative academic paths. The research also aimed to understand the actual offering of the Jordanian education system and to compare it with the requirements of the labor market. Although different plans have been developed, their implementation is still not fully exploited to achieve the desired transformation of the reference sector. By exploiting mixed research techniques, both quantitative and qualitative, it has been possible to understand the actual offering of the Jordanian education system and to compare it with the requirements of the labor market: these activities represent the needed basis to produce the demanded skills gap analysis, which is also part of this contribution. [ABSTRACT FROM AUTHOR]

Aim: The purpose of this study is to examine the relationship between leadership styles of nurse managers, nurses' motivation, and turnover intentions among Jordanian nurses. Design: A descriptive correlational cross-sectional study using a self-administered questionnaire was conducted. Methods: A convenience sampling technique was utilized to select the required.sample A sample of 170 registered nurses working at private hospitals in Jordan was surveyed. Moreover, a questionnaire of Path–Goal Leadership, Multidimensional Work Motivation Scale, and Turnover Intention Scale was used to assess leadership styles of nurse managers, nurses' motivation and turnover intention among the participants. Descriptive and inferential tests were used to ask the research questions. Results: The participants perceived the supportive leadership style as the highest (M = 24.4, SD = 4.66). The mean work motivation among participants was 87.12, and the mean turnover intention was 22.01. Nurses' motivation has a positive correlation with all leadership styles. Years of experience predict the nurses' work motivation. Among the leadership styles; two of them significantly predict nurses' work motivation (supportive style) p < 0.001, and (achievement-oriented style) p < 0.001. Finally, the highest correlation coefficient was noticed between work motivation and achievement-oriented style (r = 0.46, p < 0.001) by moderate positive correlation, and the lowest correlation coefficient was between work motivation and directive style (r = 0.29, p < 0.001), whereas the results revealed that turnover intention was not significantly correlated with any of the leadership styles. Conclusion: The results present a unique theoretical underpinning that highlights the factors that affect nurses' turnover intention. So, these findings could be used as guide for policy makers to establish organizational policies toward satisfying nurses' motivation and quality of life to enhance their retention. Besides, enriching the factors that may enhance nurses' motivation and reduce their turnover intention. [ABSTRACT FROM AUTHOR]

Background: Workplace violence has become an alarming phenomenon facing healthcare systems worldwide. Emergency nurses were the most victimized from workplace violence incidents. There is a crucial need for conducting qualitative research addressing the unique contextual factors associated with workplace violence against emergency nurses in Jordan. Purpose: This study aimed to explore circumstances that Jordanian emergency nurses, who were victims of workplace violence from clients and/or their relatives, perceive as provocative for workplace violence events. Methods: A qualitative phenomenological method was used. Purposive sampling was utilized to recruit participants (n=15), who were victims of workplace violence, and working in eight emergency departments distributed over all regions of Jordan. Semi-structured face-to-face interviews were conducted. All interviews were recorded and transcribed into Arabic. The Interpretive Phenomenological Analysis (IPA) was used to manually analyse the gathered data. Member checking, prolonged engagement with data, stepwise replication, and personal journaling were used to enhance the rigor of the study. Results: Findings of this study resulted in four superordinate themes that represents the main individual, social, and organisational factors contributing to workplace violence in Jordanian emergency departments. These themes include aggressors' misconceptions and misbehaviours with four subordinate themes, inappropriate Jordanian social customs with two subordinate themes, organisational circumstances of emergency department with two subordinate themes, and escalator nurses with three subordinate themes. Conclusion: This study highlighted how specific social, cultural, legal, and administrative aspects of Jordanian society were inappropriately employed so as to lead to spread of the workplace violence. This study has provided insight into the need for change at personal level of emergency nurses, social level of Jordanian public, and organizational level of hospital administration and environment in order to mitigate workplace violence incidence in emergency departments. [ABSTRACT FROM AUTHOR]

Background: An essential element for offering high‐quality care in the intensive care units (ICUs) is the intraprofessional collaboration among nurses, which facilitates the exchange of knowledge and information and hence improves performance. More research is needed to understand the relationship between the nurse–nurse collaboration and job performance in the ICUs due to the multidimensionality of both concepts, the complexity of the ICU environment, and the lack of studies. Aim: To examine the relationship between nurse–nurse collaboration and self‐perceived nurse performance among Jordanian nurses in ICUs. Design: Descriptive, correlational cross‐sectional design was used. Methods: Data were collected through an online survey including the demographic questionnaire, the nurse–nurse collaboration scale, and six‐dimensions scale for nursing performance. Results: In total, 155 critical care nurses participated (response rate = 46.97%). Self‐perceived job performance was significantly associated with gender (t = −3.189, P =.002), age (r = −0.301, P <.01), workplace (F = 28.20, P =.001), the type of ICU (F = 17.70, P =.001), and the number of assigned patients (r = 0.407, P <.01). Among all nurse–nurse collaboration subscales, only the conflict management subscale was an independent significant predictor of self‐perceived nursing performance (t = 3.06, B = 3.066, P =.003). Conclusions: Effective conflict management is associated with better nurse performance, which could ultimately improve patient care in ICUs. Relevance to Clinical Practice: Conflict resolution is an important dimension of optimal nurse–nurse collaboration and has an important effect on nursing performance. Nurses and nurse managers in ICUs need to attend workshops and training programs in conflict management. [ABSTRACT FROM AUTHOR]

Aim: The aim of the current study was to examine the relationship between work engagement and perceived organisational support and self‐efficacy among registered nurses in Jordanian hospitals. Background: Nurses constitute the backbone of the health care system. Work engagement among nurses is critical due to its various positive outcomes: it enhances job satisfaction, job performance, organisation commitment and emotional health. According to the job demand–resource model, perceived organisational support and self‐efficacy increase work engagement. Method: A cross‐sectional, descriptive and correlational design and multistage cluster sampling were implemented. A total of 186 registered nurses were recruited. Self‐administered questionnaires were used to collect data from the participants. Results: Nurses showed an average level of work engagement. The dedication subscale showed the highest score among the three subscales representing work engagement. The results showed that perceived organisational support and self‐efficacy were positively correlated with work engagement (p <.01). Conclusion: Perceived organisational support and self‐efficacy correlated positively with work engagement. Implications for nursing management: An effort should be made to provide a supportive work environment by offering training programmes, sufficient job resources and positive feedback, which, in turn, improve nurses' work attitudes, self‐efficacy, perception of the work environment and intention to stay in a health organisation. This study is a descriptive study and has an IRB number 766‐2019. [ABSTRACT FROM AUTHOR]

In Jordan, almost any medication can be bought from pharmacies. This ready availability is linked with abuse. Previous literature describes medicine abuse from pharmacists' and general public perspectives. Here we investigate experiences of 17 men in addiction treatment in Amman (21-39 years) of obtaining psychoactive medicines. Alprazolam, clonazepam, bromazepam and tramadol were most commonly abused. Psychoactive medicines were obtained from street dealers, but pharmacies were preferred. Regulations appears ineffective; lack of understanding of pharmacists of the abuse potential of some medicines was perceived; 'softening rules' on supply was attributed to cultural and social norms around familiarity. [ABSTRACT FROM AUTHOR]

Background: According to the literature, self‐care in persons with heart failure is inadequate. Such inadequate levels of self‐care necessitate a thorough investigation of the potential predictors. Purpose: To: (a) determine the level of self‐care among persons with heart failure in Jordan; (b) determine the relationship between mindfulness, impulsivity, and self‐care among persons with heart failure; (c) investigate the potential moderation effect of impulsivity on the relationship between mindfulness and self‐care. Methods: A cross‐sectional study was conducted. A convenience sample of 100 persons with heart failure in an outpatient clinic at King Abdullah University Hospital was recruited. The following tools were used to collect the data via phone survey: Self‐Care of Heart Failure Index, Barratt Impulsiveness Scale, and the Mindful Attention Awareness Scale. Results: The sample consisted of 78 male and 22 female persons with heart failure. The effect of mindfulness was statistically significant only on self‐care symptom perception, and not significant on other aspects of self‐care. Impulsivity moderated only the effect of mindfulness on self‐care symptom perception. Correlation analysis showed a significant relationship between mindfulness and impulsivity (r = −.532, p <.01). Conclusion: Mindfulness is likely to improve at least one aspect of self‐care (self‐care symptom perception) and reduce impulsivity among heart failure persons. [ABSTRACT FROM AUTHOR]

Background: Catheter‐related blood stream infection (CRBSI) is considered a major challenge for health care providers working in intensive care units. Aim: This study aimed to evaluate and compare the knowledge of evidence‐based guidelines for preventing catheter‐related blood Stream infections among physicians and nurses working in critical care units in Jordan. Design: A cross‐sectional survey design was utilized. Methods: The study was conducted in five intensive care units; 181 nurses and 68 physicians were recruited from four governmental hospitals and one university‐affiliated hospital. Results: The mean total knowledge score for physicians' knowledge was low at 2.6, SD 1.5 (out of 10). While the mean total score for nurses' knowledge was low at 3.3, SD 1.8 (out of 10). The independent t test shows that nurses had a significantly higher mean total knowledge score than physicians (P <.05). Conclusions: The current study demonstrates that Jordanian nurses and physicians working in intensive care units have a low level of knowledge of the guidelines for preventing CRBSI. This problem should be addressed through routine assessment and evaluation and adoption and policies that make nurses and physicians comply with the evidence‐based guidelines. Finally, conducting regular educational programmes on CRBSI prevention, and evaluation of compliance with the guidelines in daily clinical practice, are strongly recommended. Relevance to clinical practice: The results of the current study suggest the need for regular assessment of physicians' and nurses' knowledge and skills with regard to central venous catheter insertion and maintenance care. Based on this assessment and using the best available evidence, training programmes on the prevention of CRBSI should be developed. Courses might be online, face to face, or using high fidelity simulation. Finally, regular observation and evaluation of compliance with the CRBSI guidelines in daily clinical practice is needed. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to explore if the application of the customer results criteria contained within the King Abdullah II Award for Excellence (KAIIAE) is correlated with high levels of patient satisfaction within a large hospital based in Jordan. Design/methodology/approach: Using a mixed methodology, supported by a pragmatist theoretical approach, a satisfaction survey was conducted with patients accessing the hospital as an in-patient across a range of specialities gathering feedback about different aspects of their care. The results were compared with a self-assessment completed by different speciality teams about the existence and maturity of customer result arrangements implemented as a result of the (KAIIAE). Findings: The findings confirmed that quality awards such as the KAIIAE can effectively be applied in a health-care setting and can help provide a framework for improving patient experience and satisfaction. A correlation was found with those specialties that self-assessed themselves more highly in terms of these arrangements and the overall levels of patient satisfaction with that specialty, suggesting that the products of working towards the KAIIAE such as establishing effective patient experience monitoring arrangements and improved learning from complaints, has a positive impact on patient satisfaction. Originality/value: There are limited studies which focus specifically on customer results and on the use of the KAIIAE more generally. This study therefore makes a valuable contribution in adding to the debate about the strategic value of working towards formal quality improvement models and awards in health-care settings. [ABSTRACT FROM AUTHOR]

Aims: The purpose of this study was to describe the experiences of Jordanian patients during their stay in intensive care unit (ICU) and to explore associated factors. Background: Various factors can negatively affect patients' experiences and lead to negative consequences that can affect their outcomes. Materials & Methods: A descriptive, correlational design was used to collect data from 150 patients using the Intensive Care Experience Questionnaire through structured interviews after being transferred from medical and surgical ICUs to general wards. Results: The results showed that the longer the length of ICU stay (LOS) (>7 days) the higher frightening experience (r = 0.2, p < 0.05), the lower awareness of surrounding (r = −0.28, p < 0.01), and the lower satisfaction with care (r = −0.22, p < 0.01). The results showed a negative correlation between receiving sedation and awareness of surroundings (r = −0.33, p < 0.01), and recall of ICU experiences (r = −0.23, p < 0.01), and a positive correlation with frightening experiences (r = 0.2, p < 0.05). Conclusion: Health care activities, clinical and socio‐demographic factors can affect the psychological experiences of patients in the ICU. Longer ICU stay is associated with more negative experiences. Relevance to clinical practice: Negative ICU experience leads to poor outcomes and longer ICU stays contribute to such negative experiences. Improving nurses' awareness of patients' experiences during ICU stay would improve nurses' care behaviors, reduce unintended negative experiences. [ABSTRACT FROM AUTHOR]

Background: Critically ill patients in intensive care units frequently experience high levels of anxiety and depression. These symptoms affect the patient's treatment plan and response to treatment. Aims and objectives: To identify the prevalence of anxiety and depression among patients admitted to intensive care units in Jordan and their correlation with quality of life. Design: A descriptive cross‐sectional survey design was used. Methods: The sample for this study consisted of 108 patients admitted to intensive care units in seven governmental hospitals in Jordan. Three instruments were used to collect the data: the demographic data sheet, Hospital Anxiety and Depression Scale, and the World Health Organization Quality of Life tool. Results: More than half of the participants were female (56.5%), and the mean age was 44.6 years (SD 18.2); 84.3% had anxiety with a mean total score of 12.1 (SD 4.3), and 79.6% of the patients had depression with a mean total score of 11.5 (SD 4.5). A significant negative correlation was found between the mean total anxiety score (r = −0.541, P <.001), depression (r = −0.616, P <.001), and the mean total quality of life score. Conclusions: Management programmes for anxiety and depression are highly recommended for intensive care units patients. Such programmes should focus on teaching health care providers correct assessment and management techniques. In addition, developing and implementing a psychiatric consultation support system for these patients might contribute to better management of anxiety and depression. Relevance to Clinical Practice: This study reveals high prevalence of anxiety and depression among critically ill patient in ICUs. So, regular assessment of anxiety and depression should be conducted by healthcare provider. This requires using a valid and reliable assessment tool. Early correct assessment would result in optimal management for anxiety and depression through patient referral to psychiatric care and the use of pharmacological and non‐pharmacological interventions. Guidelines to assess and manage anxiety and depression should be adapted and implemented into clinical practice within the intensive care units. Regular psychiatric consultation for patients admitted to ICU might be helpful in detecting and managing anxiety and depression symptoms. [ABSTRACT FROM AUTHOR]

Introduction: Worldwide, breast cancer is one of the most common types of cancer. It is the leading cause of cancer-related deaths among females in Jordan. Objective(s): The current study aimed to evaluate breast cancer knowledge levels and practice and assess health beliefs regarding the model supporting self-breast examination (BSE) in a group of females aged between 20 and 60 in Jordan. Methods: Descriptive, cross-sectional, correlational design was used; Two hundred females participated in the study, employing convenient sampling. The adjusted version of the Champion's Health Belief Model Scale (CHBMS) was utilized to collect the data. Results: Most participants were married (F=128, 64%), and the mean of the participants' age was (36.18, SD =10.87). About 73 participants (36.5%) don't practice BSE; however, 53 participants (26.5%) plan to practice BSE in the future monthly. The logistic regression model showed that the impact of confidence as positive predictive value on practicing BSE in the last year (B=0.141, p < .001) and this year (B=0.130, p < .001) was statistically significant. Conclusion: Implications for practice include identifying culturally specific barriers and improving health education programs to trigger breast self-examination utilization. [ABSTRACT FROM AUTHOR]

Aims: To describe the development of the Arabic-Parent Nutritional Assessment Scale (A-PNAS), and to examine construct and known-group discriminant validity, internal consistency, and test-retest reliability of the A-PNAS. Methods: A cross-sectional design was used. Participants were 130-children with CP (mean age = 4.26 ± 3.29 years) who were registered in the national CP registry of Jordan with a matching group of 130-children with typical development (mean age = 4.65 ± 3.54 years). Parents completed the developed A-PNAS through a structured phone interview. Parents of children with CP confirmed their child's level of gross motor function classification system. Results: Exploratory factor analysis identified three subscales in the A-PNAS: Food Intake Problems, Health Problems, and Behavioral Problems which explained 31.6% of the variance in nutritional problems of children with CP. Cronbach's alpha indicated acceptable internal consistency for Food Intake (α = 0.61) and Health Problems (α = 0.67)subscales. Parents of children with CP reported that their children had more food intake, health, and behavioral problems compared to children with typical development (p<.001). Test-retest reliability was excellent for the subscales of the A-PNAS (ICCs = 0.96, 0.98, 0.96). Conclusions: The findings provide support for the face validity, construct validity, internal consistency, Known-Groups discriminant validity, and test-retest reliability of the A-PNAS. [ABSTRACT FROM AUTHOR]

Employment is a key issue for refugees, host states, and local communities, whose interests in this area often diverge. Based on an ethnographic qualitative study among Syrian refugees and Jordanian citizens, this research sheds much-needed light on the dynamics of employment of refugees in Jordan. Research findings demonstrate how Syrian refugees work in both the formal and informal sectors of the labor market with an emphasis on legal precarity, job insecurity, poor working conditions, and workplace discrimination. Refugee women face additional challenges due to gender roles and cultural sensitivities. Employment also brings opportunities to refugees with regards to access to sustainable livelihoods, self-sufficiency, socialization, and regaining of the sense of dignity. Growing Syrian refugee employment in Jordan makes an urgent need for social workers to focus their efforts on addressing work-related problems and making advancements benefiting refugees, host communities, and policymakers. [ABSTRACT FROM AUTHOR]

Depression and anxiety are major mental health concerns among adolescent females within the school community and inflect many implications for psychological service providers in schools. The aims of this descriptive correlational study are to estimate the prevalence of anxiety and depression among high school adolescent females in Jordan, and to determine the contributing factors associated with depression and anxiety. Data were collected using self-report questionnaires from a clustered stratified sample of 405 high school females attending public schools in Jordan. Severe levels of depression and anxiety were reported by 25.7% and 21% of high school adolescent females, respectively. Education challenges and having a history of health problems contributed to having higher levels of depression and anxiety among the high school adolescent females. School mental health services regarding adolescent females mental health should be activated and supported through policies and legislation in Jordan. [ABSTRACT FROM AUTHOR]

Background: As Arab countries seek to implement the 'Guideline on Good Pharmacovigilance Practice (GVP) for Arab countries', understanding policy implementation mechanisms and the factors impacting it can inform best implementation practice. This study aimed to explore the mechanisms of and factors influencing pharmacovigilance policy implementation in Arab countries with more established pharmacovigilance systems (Jordan, Oman), to inform policy implementation in a country with a nascent pharmacovigilance system (Kuwait).Results: Matland's ambiguity-conflict model served to frame data analysis from 56 face-to-face interviews, which showed that policy ambiguity and conflict were low in Jordan and Oman, suggesting an "administrative implementation" pathway. In Kuwait, policy ambiguity was high while sentiments about policy conflict were varied, suggesting a mixture between "experimental implementation" and "symbolic implementation". Factors reducing policy ambiguity in Jordan and Oman included: decision-makers' guidance to implementors, stakeholder involvement in the policy's development and implementation, training of policy implementors throughout the implementation process, clearly outlined policy goals and means, and presence of a strategic implementation plan with appropriate timelines as well as a monitoring mechanism. In contrast, policy ambiguity in Kuwait stemmed from the absence or lack of attention to these factors. Factors reducing policy conflict included: the policy's compliance with internationally recognised standards and the policy's fit with local capabilities (all three countries), decision-makers' cooperation with and support of the national centre as well as stakeholders' agreement on policy goals and means (Jordan and Oman) and adopting a stepwise approach to implementation (Jordan).Conclusions: Using Matland's model, both the mechanism of and factors impacting successful pharmacovigilance policy implementation were identified. This informed recommendations for best implementation practice in Arab as well as other countries with nascent pharmacovigilance systems, including increased managerial engagement and support, greater stakeholder involvement in policy development and implementation, and undertaking more detailed implementation planning. [ABSTRACT FROM AUTHOR]