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Aims and objectives: To assess and compare the quality of paper-based and electronic- based health records. The comparison examined three criteria: content, documentation process and structure. Background: Nursing documentation is a significant indicator of the quality of patient care delivery. It can be either paper-based or organised within the system known as the electronic health records. Nursing documentation must be completed at the highest standards, to ensure the safety and quality of healthcare services. However, the evidence is not clear on which one of the two forms of documentation (paper-based versus electronic health records is more qualified. Methods: A retrospective, descriptive, comparative design was used to address the study’s purposes. A convenient number of patients’ records, from two public hospitals, were audited using the Cat-ch-Ing audit instrument. The sample size consisted of 434 records for both paper-based health records and electronic health records from medical and surgical wards. Results: Electronic health records were better than paper-based health records in terms of process and structure. In terms of quantity and quality content, paper-based records were better than electronic health records. The study affirmed the poor quality of nursing documentation and lack of nurses’ knowledge and skills in the nursing process and its application in both paper-based and electronic-based systems. Conclusion: Both forms of documentation revealed drawbacks in terms of content, process and structure. This study provided important information, which can guide policymakers and administrators in identifying effective strategies aimed at enhancing the quality of nursing documentation. Relevance to clinical practice: Policies and actions to ensure quality nursing documentation at the national level should focus on improving nursing knowledge, competencies, practice in nursing process, enhancing the work environment and nursing workload, as well as strengthening the capacity building of nursing practice to improve the quality of nursing care and patients’ outcomes. [ABSTRACT FROM AUTHOR]

Aim: The purpose of this study was to evaluate the compliance of Jordanian nurses with ventilator‐associated pneumonia prevention guidelines and the barriers to compliance. Method: A descriptive, cross‐sectional design was used. A convenience sample of 294 nurses from nine hospitals in Jordan completed a self‐reported questionnaire. Results: According to the study compliance categories, 45.6% of the participants reported 'insufficient compliance,' 24.8% 'weak compliance' and 29.6% 'sufficient compliance.' Nurses with more experience and previous education on ventilator‐associated pneumonia reported higher compliance scores than their counterparts with less experience and no previous education. Nurses reported several barriers that limited their own compliance, such as lack of education, lack of policies and protocols, lack of resources and the shortage of staff. Conclusion: The compliance of nursing staff with the prevention guidelines was poor. Applying tailored educational programs may help improve their level of compliance. These programs must target new graduate nurses and be conducted in those hospitals with limited resources. SUMMARY STATEMENT: What is known about this topic? Assessment of nurses' compliance with ventilator‐associated pneumonia (VAP) prevention guidelines is essential.Identifying barriers to compliance with VAP guidelines is the first step to improve the practice. What this paper adds? Compliance with VAP prevention guidelines in developing countries, such as Jordan, is still modest.Educational programs on VAP prevention improve the nurses' practice.Incidence of VAP rate should be linked to compliance rate with the prevention guidelines.Several barriers such as lack of resources and policies and shortage of staff interfere with nurses' compliance.Education and training of nurses would help to improve compliance and overcome barriers. The implications of this paper: Educating nurses in the clinical settings is imperative in order to prevent the occurrence of VAP.Providing human resources and supplies would help to prevent VAP. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to cross‐culturally translate and adapt the Cardiac Self‐Efficacy Questionnaire into Arabic and subsequently evaluate the psychometric properties of that translation in a population of Arabic patients. Method: The original English version of the Cardiac Self‐Efficacy Questionnaire was translated into Arabic following a process recommended by the World Health Organization. A convenience sample consisting of 268 Jordanian patients with coronary heart disease was recruited from a university‐affiliated hospital in Amman, Jordan. Data were collected from October 2018 to March 2019. The factor structure, face and content validities, and internal consistency of the Arabic Cardiac Self‐Efficacy Questionnaire (A‐CSEQ) were evaluated. Results: The factor structure analysis supported a three‐factor high‐order structure of the A‐CSEQ. Face validity showed that the language used, style, and format were clear. The content validity demonstrated a very good content validity index. The reliability was good with ranging from 0.89 to 0.93 for all questionnaire subscales. Conclusion: The A‐CSEQ is a valid and reliable instrument to assess the cardiac self‐efficacy of Arabic patients diagnosed with coronary heart disease. Further assessment of the psychometric properties of the A‐CSEQ with different cardiac problems is now recommended. SUMMARY STATEMENT: What is already known about this topic? Globally, cardiovascular diseases are the leading cause of death and are increasing progressively particularly in the Middle Eastern countries.High self‐efficacy level is associated with the adoption of a healthy lifestyle by patients with coronary heart disease (CHD).There is no valid and reliable Arabic tool to measure cardiac self‐efficacy among CHD patients comparable with the Cardiac Self‐Efficacy Questionnaire (CSEQ). What this paper adds? The Arabic version of the Cardiac Self‐Efficacy Questionnaire (A‐CSEQ) is a valid and reliable instrument to assess cardiac self‐efficacy level among patients with CHD.Using Modern Standard Arabic (Fusha) during the translation and cross‐cultural adaptation process makes the A‐CSEQ more broadly applicable for a range of cardiac patients in Arabic‐speaking countries. The implications of this paper: Nursing leaders can use the translated version of Cardiac Self‐Efficacy Questionnaire to evaluate cardiac self‐efficacy and to improve self‐management skills of patients with CHD in Arabic‐speaking countries.Measuring the self‐efficacy levels of Arabic speakers using the A‐CSEQ can help nurses applying secondary prevention intervention measures and developing cardiac rehabilitation programmes in Arabic‐speaking countries.The A‐CSEQ can be used in further research in the future, through implementing comparisons between study outcomes in Arabic contexts. [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]

Background: Nurses working in emergency units are in direct contact with traumatic events. Trauma effects do not solely affect patients and their caregivers and, rather, extend to secondarily influence nurses themselves. Secondary exposure to trauma may result in symptoms similar to symptoms experienced by the patient themselves. No previous study investigated the secondary traumatic stress among emergency nurses in Jordan. Purpose To identify prevalence, predictors, and consequences of secondary traumatic stress among nurses working in emergency departments. Method: A descriptive correlation design was utilized to collect data using self‐report questionnaires from 202 nurses working at eight emergency departments in Jordan. Findings The study revealed that almost half of the sample reported high to severe levels of secondary traumatic stress. The analyses showed that nurses who demonstrated lower empathy (P =.016) and greater coping capacity (P <.001) tended to develop more secondary traumatic stress. Organizational factors were not significant predictors of secondary traumatic stress. Conclusion: A significant proportion of emergency nurses suffer secondary traumatic stress that is found also to be associated with psychical factors. Emergency nurses need to consider the consequences of secondary traumatic stress on their health and quality of care provided. SUMMARY STATEMENT: What is already known about this topic? Emergency nurses are susceptible to develop secondary traumatic stress due to nature of their work and being repetitively exposed to traumatic patients.No studies have examined existence of secondary traumatic stress among nurses in Jordan and in the Arab countries.The literature has contradicting findings on factors that can enhance or attenuate development of secondary traumatic stress symptoms. What this paper adds? More than half of the participants reported high to severe levels of secondary traumatic stress indicating that secondary traumatic stress is apparent among ER nurses in Jordan.Coping and empathy are important predictors of secondary traumatic stress among emergency nurses.Nurses who reported higher level of secondary traumatic stress symptoms tended to have more work‐related absenteeism and more sick days. The implications of this paper: There is a need to raise awareness of both nurses and health care leaders to existence of secondary traumatic stress among emergency nurses and to establish screening tools and referral procedures for risky nurses.Theory of secondary traumatic stress has to be revised to provide more robust view about the process by which secondary traumatic stress develops among helping professionals.Future studies have to examine factors that may contribute to secondary traumatic stress other than factors addressed in previous studies. [ABSTRACT FROM AUTHOR]

Aim: To assess the prevalence and identify the predictors of breakfast skipping among 14‐ to 16‐year‐old adolescents in Jordan, focusing on mother‐related variables. Background: Breakfast is an essential meal across one's entire lifespan and especially important during the adolescent years. The practice of skipping breakfast has become so prevalent among adolescents that it is now a well‐documented nutritional problem. Design A descriptive cross‐sectional correlational design. Methods: A proportional cluster stratified sampling protocol was used to select 1896 adolescents and their mothers (1013) during the period of March to June 2016. A self‐reported questionnaire was used to collect data on breakfast‐skipping rates, the perceived reasons for this behavior, the perceived importance of consuming breakfast, and maternal encouragement of breakfast consumption. Results: The prevalence of breakfast skipping was 34.3% among adolescents and 21.5% among their mothers. A significant association was found between breakfast skipping among adolescents and their mothers (χ2 [1, n = 998] = 37.90, P =.001). Maternal encouragement of breakfast consumption, gender, and adolescent perception of the importance of this meal were found to be significant predictors of adolescent breakfast skipping. Conclusion: The findings highlight the importance of involving mothers in developing nutritional health plans aimed at promoting regular breakfast consumption among adolescents. SUMMARY STATEMENT: What is known about the topic? Regular breakfast intake has been linked to positive benefits for adolescent health, including lower risk for obesity and fewer biomarkers of chronic illness.The practice of skipping breakfast is highly prevalent among adolescents, both in Jordan and across the globe.Parental eating habits and attitudes influence adolescent eating behaviors and attitudes. What the paper adds? Female adolescents in Jordan skipped breakfast more often than male adolescents and to a significant degree. For both groups, lack of appetite was reported as the main reason (39%) for skipping breakfast.The interrelationships found between maternal and adolescent variables related to breakfast consumption highlight the pivotal role of mothers in promoting this practice. When mothers valued eating breakfast, so did their adolescent children, a relation that translated into lower rates of breakfast skipping among the adolescents.Maternal encouragement of breakfast consumption, the adolescents' perceived value of this practice, and their gender proved significant predictors of breakfast skipping behavior. The implications of this paper: Health interventions to promote breakfast consumption among adolescents are likely to be more effective if based on a better understanding of the role of mothers in this regard.Nurses should involve mothers in developing nutritional health plans to promote regular breakfast consumptions among adolescents.Nurses should educate mothers and adolescents about the health costs for adolescents associated with skipping breakfast. [ABSTRACT FROM AUTHOR]

Background: Evidence-based practice (EBP) has become of great interest to policymakers, health care practitioners, and researchers. Objective: This study aimed at assessing knowledge associated with, attitudes toward, and implementation of EBP among Jordanian registered nurses (RNs) in critical care units. Method: A descriptive, correlational, and cross-sectional study was conducted in 5 hospitals: 3 public and 2 private. A convenience sample of 200 RNs was invited. Data were collected using a paper-based and self-administered questionnaire, in 2 sections; the first section was the demographic and contextual characteristics and the second was the Evidence-Based Practice Questionnaire (J Adv Nurs. 2006; 53(4):454-458) to measure RNs' knowledge, attitudes, and EBP. Results: A total of 187 RNs were included in this study. Findings revealed that Jordanian RNs in critical care units perceived themselves as having a satisfactory level of knowledge and practice of evidence-based interventions. In addition, RNs strongly recognized the value of EBP. There were significant positive associations between EBP and knowledge associatedwith EBP (r = 0.708, P < .001) and attitude toward EBP (r = 0.490, P < .001). Conclusion: Knowledge associated with EBP, a positive attitude toward EBP, higher educational qualifications, and training in EBP all increased the implementation of EBP. It is recommended that continuing education programs on EBP for nurses be conducted. Nursing educators in clinical settings have to consider a number of strategies to improve EBP. A qualitative research design and/or including open-ended questions are encouraged to gain more in-depth views about EBP. [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]

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]

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]

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]

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]

Purpose: Health care professionals, particularly nurses, are considered a vulnerable group to experience acute stress disorder (ASD) and subsequent psychological distress amid COVID‐19 pandemic. This study aims to establish the prevalence of acute stress disorder and predictors of psychological distress among Jordanian nurses. Methods: A quantitative, cross‐sectional, descriptive and comparative design was used. Data were collected using a Web‐based survey. A total of 448 Jordanian nurses (73% females) completed and returned the study questionnaire. Results: The majority of nurses (64%) are experiencing ASD due to the COVID‐19 pandemic and thus are at risk for PTSD predisposition. More than one‐third of nurses (41%) are also suffering significant psychological distress. Among our sample, age, ASD and coping self‐efficacy significantly predicted psychological distress. More specifically, younger nurses are more prone to experience psychological distress than older ones. While higher scores on ASD showed more resultant psychological distress, coping self‐efficacy was a protective factor. Conclusion: Given that individuals who suffer from ASD are predisposed to PTSD, follow‐up with nurses to screen for PTSD and referral to appropriate psychological services is pivotal. Coping self‐efficacy is found to ameliorate the effect of psychological distress on nurses' traumatic experience. Such findings warrant intensive efforts from health care institutions to provide psychosocial support services for nurses and ongoing efforts to screen them for traumatic and psychological distress symptoms. Implications for Nursing Management: Nursing leaders and managers are in the forefront of responding to the unique needs of their workforces during the COVID‐19 crisis. They need to implement stress‐reduction strategies for nurses through providing consecutive rest days, rotating allocations of complex patients, arranging support services and being accessible to staff. They also need to ensure nurses' personal safety through securing and providing personal safety measures and undertake briefings to ensure their staff's physical and mental well‐being, as well as providing referrals to appropriate psychological services. [ABSTRACT FROM AUTHOR]

Occupational stress is a major problem for healthcare providers, with some professionals experiencing higher numbers of stressful situations than others. Although it is difficult to eliminate stress in professionals' daily lives, providing social support can lower psychological distress symptoms. This study aims to investigate the relationship between occupational stress and social support, and the effects of social support on psychological distress symptoms of healthcare professionals. A cross‐sectional descriptive design was utilized. Self‐administered questionnaires were completed by a convenience sample of 211 participants (physicians, nurses, and pharmacists) from a Jordanian hospital. Bivariate analyses were used to examine the relationships between the study variables. Multiple regression analyses were used to determine if occupational stress, demographic characteristics, and social support predict depression, anxiety, and stress. Results showed that healthcare professionals with more social support showed less depression than those with a lower score of social support. Females had higher scores of depression and anxiety than males. Pharmacists had significantly higher occupational stress than both nurses and physicians. Occupational stress negatively influences healthcare professionals' mental health. To improve the productivity and psychological wellbeing of healthcare professionals, occupational stress should be diminished by implementing effective management approaches to facilitate social support for healthcare professionals. [ABSTRACT FROM AUTHOR]

Excessive smartphone use has been found to be associated with dysfunctional social and family relations. While most studies of this phenomenon have focused on adolescent and adult addiction, none has yet to focus on mothers with infants. This study examined the association of excessive smartphone use with mother–infant bonding, maternal mental health, and family functioning in Jordan. The predictive value of the study variables with respect to the level of smartphone use was evaluated. A descriptive correlational cross‐sectional survey design was used. A sample of 114 mothers with infants was interviewed in person and completed a web‐based questionnaire. Approximately 16% reported using smartphones 5 to 14 hours per day; 6.7% described themselves as smartphone addicts. The results suggest that excessive smartphone use may be linked to unhealthy family functioning. No associations were found between smartphone use and mother–infant bonding or maternal mental health. Raising awareness of this linkage and limiting smartphone use are recommended as precautionary measures. Although this study failed to find any association between smartphone use and mother–infant bonding, further studies using empirical methods might have better success. [ABSTRACT FROM AUTHOR]

Aim: The aims of this study were to (a) examine the levels of nurses' political efficacy and involvement in health policy; and (b) explore the relationships between political efficacy, involvement in health policy and participants' background variables. Background: Nurses as citizens and health care providers have the right to express their opinions and beliefs in regard to issues that are concerned with the health care system or the public health domain. Methods: A descriptive, cross‐sectional design using was utilized. A self‐administered questionnaire (Political Efficacy Scale & Involvement in Health Policy Scale) was completed by a convenience sample of 302 nurses. Results: The results of this study showed low levels of involvement in health policy and political efficacy, and a positive weak correlation between political efficacy and involvement in health policy. The perceived level of political efficacy was associated positively with nurses' age and experience. Conclusions: Nurse administrators and managers may empower, support and encourage nurses to enhance their involvement in health policy. Implications for nursing management: The findings have implications for nursing leaders and administrators to design appropriate strategies to enhance nurses' involvement in health policy development. [ABSTRACT FROM AUTHOR]

Background. Nurses in critical care units were found to have severe symptoms of work-related stress, with the newly-graduated nurses in critical care units found to have higher prevalence of work-related stress symptoms compared to experienced nurses. Objectives. To explore the causes of work-related stress among newly-graduated nurses in critical care units. Method. This study used a quantitative descriptive cross-sectional design, using self-reported questionnaires. A total of 220 participants were conveniently recruited. Results. Participants reported high level of work-related stress. While the highest mean score was reported for "workload "(M= 2.6/3, SD= 0.3), the lowest mean score was reported for "relationships and conflict" (M= 1.2/3, SD= 0.7). Many significant differences were noticed in the work-related stress based on participants' demographics. Discussion. This study underlines the significance of developing nursing policies concerning stress relief aiming at improving nursing caring performance. Providing training courses for nurses on effective response to stressful work situations is highly recommended during their orientation period, which may be helpful to prevent the negative consequences of stress on the newly-graduated nurses in the critical care units. [ABSTRACT FROM AUTHOR]

Background: Workplace violence is one of the most compelling problems facing health care sectors all over the world. The detrimental impact of workplace violence extends to affect nurse students who receive their training in clinical areas. Objective: The study aimed to investigate the impact of witnessing workplace violence during clinical training on the attitudes of Jordanian nursing students toward the nursing profession. Methods: Cross-sectional design was used in this study. Data were collected through electronic survey questionnaires from 131 nursing students from three nursing schools in Jordan. Attitude Scale for Nursing Profession was used to assess the participants' attitude toward nursing profession. Results: The results showed that about 34% of student participants witnessed workplace violence during their clinical training. Nursing student participants who did not witness workplace violence showed significantly more positive attitude toward nursing profession than who did witness. Conclusion: Witnessing workplace violence had a significant negative impact on how nursing students view nursing job. [ABSTRACT FROM AUTHOR]

Medication administration is a critical task of nurses that, if not done appropriately, can lead to fatal errors. New technologies, including barcode medication administration, are intended to decrease medication errors and enhance verification of medication‐administration rights. Therefore, in this study, we examined the effect of introducing barcode medication administration on nurses' satisfaction and identified correlates of nurses' satisfaction with barcode medication administration. A descriptive, cross‐sectional design using self‐reported questionnaires was utilized to recruit 207 nurses from three public hospitals. Participants reported being moderately satisfied with barcode medication administration, especially with its efficacy and safety aspects. Their satisfaction had a significant negative correlation with their age, nursing experience, and experience using barcode medication administration, and a significant positive correlation with barcode medication‐administration training satisfaction, computer competence, comfort with using barcode medication administration, and perceived job productivity using barcode medication administration. This study provides important information about Jordanian nurses' satisfaction with barcode medication‐administration technology and provides greater understanding of different clinical correlates to barcode medication‐administration satisfaction. It is recommended that effective barcode medication‐administration training and computer skills training be provided prior to establishing barcode medication administration in hospitals and that the safety features of barcode medication administration be integrated in clinical education and training. [ABSTRACT FROM AUTHOR]

Background: The work conditions in which the nurses provide care for older adults affect the quality of care. Study aim: (a) To describe the quality of care for older adults as perceived by the nurse; (b) to examine the relationship between occupational stress, work climate, employee development and quality of care for older people; and (c) to determine the predictors of quality of care provided for older adults. Methods: A descriptive correlational design was used in this study. A multi‐strategic sampling technique was used to recruit a sample of 500 nurses providing care for older adults in hospitals and health care centres. Results: Almost 80% of the participating nurses reported that their workplace was insufficiently staffed. Quality of care was significantly associated with occupational stress, nurses' competence and employee development. Significant predictors of quality of care were occupational stress, work climate and employee development. Conclusion: Enhancing nurses' work climate, decreasing occupational stress and increasing chances for employee development would improve the quality of care provided for older adults. Implications for nursing management: Health institutions have the opportunity to implement work environment improvements that increase support for advancing staff knowledge and skills by providing additional support for continuing education regarding the care of older adults. [ABSTRACT FROM AUTHOR]

Aim: To assess perceived stress levels among healthcare providers in public and private hospitals before and after Health Care Accreditation Council (HCAC) survey site visits. Methods: A cross‐sectional, descriptive design was used in this study. A convenience sampling technique was used to recruit study participants. A self‐administered questionnaire (PSS‐10) was used to collect data. Descriptive statistics, dependent sample t test, independent sample t test, and multiple linear regression analysis were used to analyze data. Result: The results showed that stress levels were higher before a HCAC survey site visit (M = 18.39, SD = 4.3) than after (M = 14.09, SD = 6.1) (t(210) = 8.7, P ≤ 0.000) among healthcare providers. Between hospitals, the perceived stress level of healthcare providers was higher in the public hospital (M = 19.03, SD = 4.3) compared with the private hospital (M = 17.8, SD = 4.2) (t(209) = 2.16, P = 0.031) before the HCAC survey site visit. In contrast, there were no differences in perceived stress level for the public and private hospitals (t(209) = 0.001, P = 0.999) after the HCAC survey site visit. Finally, the type of hospital was the only sociodemographic characteristic that predicted the perceived stress level before the HCAC survey site visit (β = −0.157, P = 0.040). In contrast, there were no sociodemographic characteristics that predicted the perceived stress level after the HCAC survey site visit. Conclusions: The current study indicated that hospital accreditation is a process associated with significant stress (P = 0.000) among healthcare providers in both hospitals before and after an HCAC survey site visit. Moreover, there was a significant level of stress before an HCAC survey site visit in the public hospital (M = 19.03) compared with the private hospital (M = 17.8, P = 0.031). [ABSTRACT FROM AUTHOR]

Abstract: Aim: This study aimed to investigate nurses’ perceptions of the nursing work environment in Jordanian hospitals. Background: Previous research has indicated a strong relationship between nurses’ work environment and their satisfaction at work. However, little is known about the situation in Jordan. Method: A cross‐sectional and descriptive design was used. A sample of 500 nurses was recruited. The study was conducted using the Individual Workload Perception Revised scale (IWPS‐R). Results: A sum of 382 out of 500 nurses from three health care sectors in Jordan responded to the questionnaires (response rate = 76.4%). The results indicate that nurses working in the public hospitals had significantly better perceptions about their work environment than nurses working in private and university hospitals. Older nurses with lower academic qualifications are more likely to be satisfied with their work. Furthermore, nurses who have good perceptions of support from their manager and peers, and a manageable workload are more likely to stay in their jobs. Conclusion: The public hospitals are currently considered a more suitable milieu for nurses in Jordan. Other health care sectors should work to enhance nurses’ working conditions. Implication for nurse manager: Providing a supportive work environment with a manageable workload will encourage nurses to stay in their hospitals. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Physical restraint is mainly used in intensive care units ( ICUs) to prevent delirious or agitated patients from removing tubes and lines connected to them. However, inappropriate use of physical restraint could have many detrimental physical effects on the patient, such as nerve damage, asphyxiation or even death. Aim The aim of the study is to investigate nurses' knowledge, attitude and practice of physical restraint in ICUs in Jordanian hospitals, about which little is known. Design A descriptive and cross-sectional design was used. Methods A convenience sample of 400 nurses working in three public hospitals and one university-affiliated hospital from different geographical regions in Jordan was selected. An Arabic version of the Physical Restraint Questionnaire ( PRQ) was used to collect the data. Results A total of 300 completed questionnaires were returned, with a response rate of 75%. Of the total sample, 51% were males, 65.7% were from public hospitals and 80.3% held a bachelor's degree. The mean score in the knowledge section was 9.7 ( SD =1.7) out of 15; in the attitude section, it was 24.7 ( SD = 4.8) out of 33; and in the practice section, it was 30.9 ( SD = 3.5) out of 42. Nurses who reported previous related education scored higher on the knowledge section (mean = 10.7; SD = 1.4) than nurses who reported no previous related education (mean = 9.1; SD = 1.6; p < .001). However, no significant differences between these categories were found in relation to attitude and practice. Conclusions The study demonstrated some lack of knowledge and unsafe practices regarding physical restraint in ICUs in Jordan. It suggests improving nurses' knowledge, attitude and practices through in-service education on best practice for physical restraint, developing policies/guidelines and providing adequate staff and equipment to maintain patient safety and prevent complications. Relevance to clinical practice Conducting education programmes on physical restraint for ICU nurses and providing other preventive strategies are important in improving nurses' knowledge, attitude and practice. [ABSTRACT FROM AUTHOR]

Adolescence is an unpredictable stage of life with varied and rapid changes. In Jordan, health-related quality of life (HRQoL) has been examined among diabetic and obese children and adolescents. The purpose of this study was to assess the HRQoL of Jordanian healthy adolescents. Three hundred fifty-four male and female adolescents whose ages ranged from 12 to 19 participated in the study. A descriptive comparative design was employed to investigate adolescents' HRQoL. The results revealed statistically significant differences in physical well-being, psychosocial well-being, and autonomy in favor of male adolescents. In addition, statistically significant differences were observed in favor of nonsmoker adolescents in psychosocial wellbeing, self-perception, parent relations and home life, financial resources, social relations and peers and school environment. In conclusion, the creation of a school health nurse role in Jordanian schools is crucial for helping adolescents improve their health. [ABSTRACT FROM AUTHOR]

Assessment and evaluation of the health-related quality of life of industrial workers is an important research focus. This descriptive correlational study identifies the predictors of health-related quality of life using a random sampling of industrial workers ( n = 640) from construction factories in Amman Governorate in Jordan using demographic characteristics, a health and work-related factors questionnaire, and the World Health Organization Quality of Life-Brief scale. Results showed that industrial workers had good physical health but a poor working environment. There was a statistically significant relationship between educational level, conflict between work and individual life and work and social life, working hours, and workload, and all domains of health-related quality of life. Overall, educational level was the main predictor for all domains of health-related quality of life. Such results confirm the need to develop appropriate interventions and strategies to improve workers' health-related quality of life. Furthermore, developing an integrated approach among policymakers, employers, and work organizations to enhance industrial workers' occupational health programs could be effective. [ABSTRACT FROM AUTHOR]

Aim: Explore the potential of a part‐time work option for nurses as a strategy for managing domestic markets in Jordan by examining perceptions of working nurses and nursing students in the context of current social and cultural variables. Background: Unemployment among Jordanian nurses has become a reality in recent years. However, labor markets literature in nursing rarely studies what kind of policy responses should occur during a surplus of nurses. Methods: A cross‐sectional design structured the study. The perceptions of nurses and students were measured through a questionnaire developed specifically for the purpose of this exploratory study. Results: Both nurses (n = 51) and students (n = 56) supported the introduction of the new suggested part‐time option. However, students were more willing to start working or transfer into part‐time work, take payment on hourly basis, and support colleagues to transfer into part‐time work. Different solutions were also suggested by participants. Discussion: The results were useful for providing the foundational data to further study the viability of a part‐time work option for Jordanian nurses. The results show how optimistic current and future Jordanian nurses are regarding this employment option. For countries that may need to diversify their employment models due to excess supply of nurses and to address gender imbalances, this work may help inform policy development. Implications for nurses: Both employed and unemployed nurses will benefit if health care managers consider its application. The flexibility of this option may help improve the quality of life of many nurses. Implications for health policy: The results of this study provide nursing leaders and managers with foundational evidence that may be applicable in the Jordanian health sector. Although further studies are recommended, nursing leaders and policy makers should consider such a solution. [ABSTRACT FROM AUTHOR]

Aims To raise awareness of critical care nurses' cognitive bias in decision-making, its relationship with leadership styles and its impact on care delivery. Background The relationship between critical care nurses' decision-making and leadership styles in hospitals has been widely studied, but the influence of cognitive bias on decision-making and leadership styles in critical care environments remains poorly understood, particularly in Jordan. Design Two-phase mixed methods sequential explanatory design and grounded theory. Setting: critical care unit, Prince Hamza Hospital, Jordan. Participant sampling: convenience sampling Phase 1 (quantitative, n = 96), purposive sampling Phase 2 (qualitative, n = 20). Methods Pilot tested quantitative survey of 96 critical care nurses in 2012. Qualitative in-depth interviews, informed by quantitative results, with 20 critical care nurses in 2013. Descriptive and simple linear regression quantitative data analyses. Thematic (constant comparative) qualitative data analysis. Results Quantitative - correlations found between rationality and cognitive bias, rationality and task-oriented leadership styles, cognitive bias and democratic communication styles and cognitive bias and task-oriented leadership styles. Qualitative - 'being competent', 'organizational structures', 'feeling self-confident' and 'being supported' in the work environment identified as key factors influencing critical care nurses' cognitive bias in decision-making and leadership styles. Two-way impact (strengthening and weakening) of cognitive bias in decision-making and leadership styles on critical care nurses' practice performance. Conclusion There is a need to heighten critical care nurses' consciousness of cognitive bias in decision-making and leadership styles and its impact and to develop organization-level strategies to increase non-biased decision-making. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this study was to examine associations among the nursing work environment, nurse job satisfaction, and intent to stay for nurses who practice in hospitals in Jordan. Design A quantitative descriptive cross-sectional survey design was used. Methods Data were collected through survey questionnaires distributed to 650 registered nurses (RNs) who worked in three hospitals in Jordan. The self-report questionnaire consisted of three instruments and demographic questions. The instruments were the Practice Environment Scale of the Nursing Work Index (PES-NWI), the McCain Intent to Stay scale, and Quinn and Shepard's (1974) Global Job Satisfaction survey. Descriptive statistics were calculated for discrete measures of demographic characteristics of the study participants. Multivariate linear regression models were used to explore relationships among the nursing work environment, job satisfaction, and intent to stay, adjusting for unit type. Findings There was a positive association between nurses' job satisfaction and the nursing work environment ( t = 6.42, p < .001). For each one-unit increase in the total score of the PES-NWI, nurses' average job satisfaction increased by 1.3 points, controlling for other factors. Overall, nurses employed in public hospitals were more satisfied than those working in teaching hospitals. The nursing work environment was positively associated with nurses' intent to stay ( t = 4.83, p < .001). The Intent to Stay score increased by 3.6 points for every one-unit increase in the total PES-NWI score on average. The highest Intent to Stay scores were reported by nurses from public hospitals. Conclusions The work environment was positively associated with nurses' intent to stay and job satisfaction. More attention should be paid to create positive work environments to increase job satisfaction for nurses and increase their intent to stay. Clinical Relevance Hospital and nurse managers and healthcare policymakers urgently need to create satisfactory work environments supporting nursing practice in order to increase nurses' job satisfaction and intent to stay. [ABSTRACT FROM AUTHOR]

In Jordan, little is known about cancer-related symptoms prevalence, severity, and its impacts on patients’ quality of life. Therefore, this study was conducted to estimate cancer-related symptoms prevalence, severity, and predictors of quality of life of cancer patients in Jordan. A descriptive cross-sectional survey design was used. The sample consisted of 498 Jordanian cancer patients. There were slightly more males (51.6%) and a mean age of 44.3 (SD = 15.3) years. The mean of the number of symptoms reported by patients was 11 (SD = 3.3). The most prevalent symptoms were fatigue (92.5%), feeling drowsy (87.1%), lack of appetite (86.3%), being distressed (86.1%), and pain (85.5%). Furthermore, Jordanian cancer patients had low mean total scores for quality of life at a level of 18.5 (SD = 4.9). A comprehensive palliative care program is recommended, led by a representative from the Ministry of Health, to integrate palliative care within the current health care system in Jordan. [ABSTRACT FROM AUTHOR]

The purpose of the study is to evaluate the effectiveness of self-care management intervention on psychological wellbeing for Jordanian patients with type two diabetes mellitus. A quasi-experimental design was used. The study was conducted in a diabetes clinic of a specialized diabetes center in Amman. One hundred and forty-nine participants completed the three-month post-treatment assessments (76 in the intervention group and 73 in the control group). Both the control and intervention groups received a standard diabetic educational program. The intervention group received the following additional interventions: (1) Diabetes Self-care Management booklet, (2)DVD viewing, (3) counseling rehearsal session, and (4) a telephone follow-up. The main study instrument was an Arabic version 20 of the depression anxiety stress scales: To assess the group differences of dependent variable changes, repeated measure ANOVA was used. It was found that psychological wellbeing was not significant at 2-week post-intervention and significant change was observed at 3-month post-intervention. The findings from this study can guide the health providers to be trained to provide relevant diabetic interventions into their nursing interventions, education, and research. [ABSTRACT FROM PUBLISHER]

Cardiac diseases have direct and indirect effects on sexuality. Health care providers, especially nurses, have a major responsibility in addressing and discussing sexual concerns and providing sexual counseling needs for patients with cardiac diseases. Discussing sexual issues in Arabic Muslim countries is considered a taboo. Lack of information about sexual life can affect the quality of life for patients with cardiac diseases. In this study, concerns regarding counseling needs and sexual information pertaining to Jordanian patients with cardiac diseases are addressed. Non-experimental, cross-sectional, descriptive designs were employed, accompanied by a self-report questionnaire, as well as a structured interview using the Steinke Sexual Concerns and Sexual Activity questionnaires for cardiac patients. A convenient sample of Jordanian male and female patients with cardiac problems was recruited. Results revealed that only 11% of the participants with cardiac diseases reported receiving information regarding sexual life following cardiac-related events. Most patients (71%, F=81) preferred cardiologists to provide them with sexual information, and almost two-thirds of them (62%, F=75) considered nurses’ gender to be a barrier, preventing them from inquiring about their sexual life. Patients with cardiac diseases had sexual concerns, but none of incredible importance. However, most patients (76%, F=94) reported changes in sexual activities following cardiac-related events. Cardiac patients had sexual concerns and sexual counseling needs that they would not discuss. Health care professionals should arrange sexual counseling plans with the patient; as every patient has individual, specific, and unique sexual counseling needs, dependent upon their lifestyle, health conditions, and their type of cardiac disease. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Poor nursing adherence to evidence-based guidelines has negative consequences leading to higher mortality rates, delayed recovery and longer length of stay. Evidence-based practice has the potential to minimize complications and discrepancies between nurses. Aim This study aimed to assess nurses' practice and perception of their knowledge and responsibility in relation to enteral nutrition ( EN) in the critically ill. Design and methods This descriptive correlational design was applied to nurses working in intensive care units ( ICUs) from three health care sectors in Jordan (Governmental, Military and Private sectors). Nurses were recruited using a stratified sampling technique. A pre-prepared questionnaire focusing on nurses' practice and perception towards EN was used. Results A total of 253 ICU nurses completed the questionnaire. Nurses revealed a tendency to undertake nutritional care despite the recognition clinical nutrition is a secondary role. In terms of nursing processes, nurses showed greater levels of knowledge and responsibility for 'preventing complications' and 'evaluation' more than 'assessment' and 'identifying goals'. Nurses inadequately assess both gastric residuals and tube placement before feeding. Diarrhoea was the most frequent complication followed by abdominal pain, vomiting, tube dislodgment and weight loss. However, nurses realized that the incidences of complications is less likely when applying evidence-based protocol. Conclusion It is necessary to establish a preliminary assessment for patients' nutritional needs prior to using EN. Aspiration reduction measures are still deficient and need further attention. An evidence-based protocol for EN should be adopted in the critically ill. Relevance to clinical practice This article provides insight into the current practice of Jordanian intensive care nurses in different health care sectors. The study can contribute to redirect the perception of nurses towards nutrition in the critically ill in addition to enhance positive adherence to evidence base. [ABSTRACT FROM AUTHOR]

Accessible summary Jordanian women reported double the rates of antenatal depression in comparison with developed countries. Further, no studies have been conducted here in Jordan that compares sociodemographic characteristics of women who have antenatal depression symptoms and women who do not have such symptoms., The results of this study revealed that Jordanian pregnant women who were smokers, less educated and those with high-parity pregnancy had a high tendency towards antenatal depressive symptoms., Nurses and midwives need to work together to prevent and predict antenatal depression. They need to identify the women who are suffering from it and effectively help them to protect the next generation from its negative effects., Abstract The objective of this study is to investigate the differences between Jordanian depressed women and non-depressed women in terms of their sociodemographic characteristics during their pregnancy. A convenience sample of 218 Jordanian pregnant women in their third trimester was selected for this study from three major Governorates in Jordan ( Amman, Irbid and Zarqa), and the antenatal clinics of teaching hospitals ( Jordan University Hospital and King Abdullah University Hospital) were accessed to collect the data. A demographical sheet and the Edinburgh Postnatal Depression Scale ( EPDS) were used to collect data. There was a significant difference in EPDS scores between smokers and non-smokers, primiparous and multiparous women, and also between women with secondary or lower education and those with diploma or higher education. Higher EPDS scores were classified as a ≥13 and lower EPDS scores as <13. However, there were no significant differences in the age, income and sleeping hours for women with higher EPDS scores compared with those with lower EPDS scores. This study showed that there are differences between pregnant women who had depression symptoms and pregnant women who did not have depression symptoms in relation to some sociodemographic variables (smoking status, education level and parity). [ABSTRACT FROM AUTHOR]

Arab immigrants in the United States are at risk for heart disease, stroke, and diabetes. We explored health-promoting lifestyle behaviors among Arab immigrants to the United States from the Middle Eastern region of the Levant. In 218 male and female Arab adults surveyed with the revised Health-Promoting Lifestyle Profile (HPLP-II), the mean for the HPLP-II was 2.73 (range 1-4), with spiritual growth and interpersonal relations the most frequently reported practices and physical activity the least frequently practiced dimension of health-promoting behaviors. Multiple linear regression analysis highlighted four determinants of health-promoting lifestyle behaviors: health insurance, acculturation, self-efficacy, and social support. Health promotion programs serving Arab immigrants should take these determinants into consideration. [ABSTRACT FROM AUTHOR]

Rationale, aims and objectives Understanding sources of knowledge used in everyday practice is very helpful in improving the quality of health care services. There is a consensus in the literature that nurses mostly relied in their practice on experiential knowledge gained through their interactions with other members of health care professionals and patients. The general aim of this study is to explore the sources of knowledge Jordanian registered nurses use during their practice. Method A descriptive correlational design was used to collect data from 539 Jordanian registered nurses from 10 hospitals using a self-administered questionnaire. Results The mean year of experience of the sample was 7.08 years. Of the 615 questionnaires distributed, 555 were returned. This yields a response rate of 87.6%. Results revealed that the top five ranked sources used by Jordanian registered nurses include: the information that nurses learned during nursing education, personal experience in nursing over time, what was learned through providing care to patients, information gained through discussion between physicians and nurses about patients, and information from policy and procedure manuals. Conclusion Jordanian registered nurses recognize the value of research and that research utilization (RU) is an important issue and must not be ignored. The study has many implications for practice, education and research. Health care managers and decision makers need to play a more visible and instrumental role in encouraging RU to improve patients' quality of life. [ABSTRACT FROM AUTHOR]

Aims and objectives. The purpose of this study is to provide insight into the relationship between dietary and fluid non-adherence, depressive symptoms, quality of life, perceived barriers and benefits of exercise, and perceived social support among Jordanian patients with end-stage renal disease receiving haemodialysis using Pender's health promotion model. Background. Non-adherence to dietary and fluid restrictions is a leading cause of treatment failure and poor outcomes in end-stage renal disease. Yet, factors that interfere with the patients' ability to follow their dietary restrictions are unknown. Design. A descriptive, correlational, cross-sectional design was used. Methods. Jordanian patients ( n = 190) with end-stage renal disease receiving haemodialysis from three main Jordanian cities were included. The dialysis diet and fluid nonadherence questionnaire, Beck Depression Inventory-II, Quality Of Life Index, Dialysis Patient-Perceived Exercise Benefits and Barriers Scale, and the Multidimensional Perceived Social Support were employed to measure the key variables. Results. Patients were more likely men with mean age of 48·2 ± 14·9. Only 27% of the patients showed full commitment to diet guidelines and 23% to fluid guidelines during the last 14 days. Depression ( M = 18·8 ± 11·4) had significant negative association with quality of life (importance and satisfaction) ( r = −0·60, r = −0·32, p = 0·001, respectively). Multiple hierarchal regressions revealed a predictive model of only two variables: age ( B = −0·22, p = 0·05) and residual renal function ( B = −0·23, p = 0·012) for dietary non-adherence. Conclusions. Non-adherence to diet and fluid guidelines association with individual characteristics, health perception and psychosocial variables should be investigated in a longitudinal design. Relationship of non-adherence with culture-related factors should deeply be assessed among Jordanian patients with end-stage renal disease receiving haemodialysis. Relevance to clinical practice. Identification of the factors that may worsen dietary and fluid non-adherence may lead to improved therapeutic interventions within the mainstream of medical practice for Jordanian patients with end-stage renal disease receiving haemodialysis. [ABSTRACT FROM AUTHOR]