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Background: Nurses with valid and reliable clinical data documentation can make autonomous decisions about their patients' management or treatment options. Purpose: To examine the association of nurses' autonomy and perception toward electronic health records with decision-making. Methods: This cross-sectional study was conducted on a convenience sample size of 120 nurses with six months of clinical experience working in a medical/surgical unit in two hospitals in Amman, the capital of Jordan. Results: Nurses' perceived patient care autonomy scores correlated significantly and positively with their decision-making modes (p < 0.010). Similarly, nurses' perceived unit operation autonomy scores correlated significantly and positively with the nurses' decision-making modes (p < 0.010). Nurses with an analytical decision-making mode reported higher autonomy scores than those with an intuitive decision-making mode (p < 0.001). Conclusion: The study found significant differences in the nurses' levels of autonomy based on their decisionmaking modes. Also, there was a significant association between nurses' autonomy levels and their decision-making modes. Future research is recommended to improve nurses' levels of autonomy to empower and inform their clinical decisions, thus improving patients' clinical outcomes. Implications for Nursing: Future interventional research should be directed to improve the decision-making skills of Jordanian nurses by enhancing their autonomy and control over practice. Also, future qualitative research is recommended to examine perceived nurses' role ambiguity and conflict in Jordan. [ABSTRACT FROM AUTHOR]

Background/Aims: The reliability and validity of an Arabic version of the Cambridge worry scale have not been established among Arabic-speaking women. The aim of this study was to validate the Arabic version of the scale with a sample of pregnant women in Jordan. Methods: A descriptive cross-sectional study was conducted with pregnant women (n=369) in their third trimester. Exploratory factor analysis and confirmatory factor analysis were conducted to explore the underlying structure of the Arabic scale. Results: The exploratory factor analysis suggested a four-factors construct jointly accounting for 83.7% of variance. The factors were sociomedical, socioeconomic, health of the mother/others and baby, and relationships. The confirmatory factor analysis supported a four-factor model with a root mean square error of approximation of 0.073. The alpha coefficient for the Arabic subscales ranged from 0.86–0.97. Conclusions: The Arabic version of the scale is a valid and reliable measure of common worries during pregnancy. It can provide valuable information on common concerns experienced by Jordanian women and guide psychosocial care. Understanding women's concerns will enable healthcare professionals to provide assistance and support, as well as to better meet pregnancy-related and psychosocial needs of pregnant women. [ABSTRACT FROM AUTHOR]

According toterror management theory (TMT), older adults may often be a reminder of death for younger adults. Therefore, dealing with older adults may be associated with increased levels of death anxiety and decreased levels of self-esteem, interpersonal reactivity, and symbolic immortality, leading younger adults to develop ageist attitudes and behaviors in defense. However, to date, these associations have not been empirically examined, especially among nurses. Self-report questionnaires were used on a sample of 163 nurses to explore the issue of ageism among nurses from the TMT perspective. The results indicated that, after controlling for sociodemographic variables, high levels of death anxiety and low levels of self-esteem, interpersonal reactivity, and symbolic immortality were associated with increased levels of ageism among nurses. Thus, the current study uses TMT to explain ageism among nurses, and the study findings may contribute to the development of psychological interventions aimed at reducing nurses' ageism. [ABSTRACT FROM AUTHOR]

Ageism and death anxiety are still underrecognized and not well-examined among nursing students despite the high prevalence in nursing education and clinical practice. According to terror management theory (TMT), older adults are a potent reminder of mortality and disability, imposing a sense of death anxiety among nursing students who may exhibit ageist behaviors toward older adults in an attempt to control that sense of death anxiety. This study aims to examine the moderating effect of TMT defense mechanisms on the relationship between death anxiety and ageism among nursing students. This correlational, cross-sectional study used a convenience sample of 371 nursing students and validated tools. Self-esteem was found to be a significant moderator, with higher levels mitigating the impact of death anxiety on ageism. However, symbolic immortality and interpersonal relationships did not significantly moderate this relationship. Enhancing self-esteem among nursing students would reduce death anxiety and associated ageist behaviors. [ABSTRACT FROM AUTHOR]

Introduction: Suffering from both frailty and poverty may have significant negative consequences on older adults' lives. This study aimed to conduct a systematic review to investigate the relationship between frailty and low income among older adults. Methods: This systematic review was guided by the PRISMA guidelines and was aimed at exploring the frailty in older adults with low income and evaluating the robustness of the synthesis. Cross-sectional and longitudinal studies published in English between 2008 and 2020 were identified using search terms entered into the following databases: CINAHL, Medline, Google Scholar, and PubMed. Results: Nine articles met the inclusion criteria. This review revealed a positive relationship between frailty and poverty. Such a relationship could be explained through 3 dimensions of the relationship between frailty and poverty among older adults identified based on the findings of the reviewed studies. Discussion/Conclusion: The social life, environmental conditions, and financial issues were positively correlated and coexisted with both frailty and poverty. Frailty should be treated on a holistic basis, considering financial issues. Among these financial issues is poverty, which disrupts older adults' social activities, hinders them from building successful social relationships, and reduces their quality of life. [ABSTRACT FROM AUTHOR]

Background: Few studies have explored the associations of agitation symptoms among older adults with core network size and with frequency of contact with core network care providers. The present study aimed to investigate the associations of agitation and affect among older adult people with dementia (PWD) with core network size and frequency of contact with core network care providers. Methods: A convenience sample of 98 Omani older adult PWD residing in their homes was recruited. Most of the participants (63.3%) were female, and the mean age of the participants was 80 years (standard deviation = 9.0). A total of 77 participants suffered from severe dementia, while the remaining 21 had mild to moderate dementia levels. Valid and reliable instruments completed by either the participating PWD or their caregivers were used to measure the study variables. Results: The main hypothesis of the study was not supported, whereby core network size and frequency of contact with the core network were not found to be significantly associated with activities of daily living (ADL) and instrumental ADL (IADL) core networks or agitation and affect. Further, the findings indicated no significant associations between core network size or closeness between PWD and their IADL and ADL caregivers and the amount of ADL and IADL care provided. The level of care provided by the caregivers and the participants' frequency of contact with the core network remained consistent throughout the progress of the dementia patients' conditions. Discussion/Conclusion: The findings of this study are incongruent with the findings of studies conducted in Western countries, which have reported that older adults prefer to have meaningful interactions with small, close social networks as opposed to large networks. Our findings may be explained by the strong cultural values in Oman which place great emphasis on caring for elderly family members. It is essential to understand these relationships in order to develop effective home care interventions for older adult PWD in Oman. [ABSTRACT FROM AUTHOR]

Aims: To assess the extent of posttraumatic stress disorder (PTSD) symptoms and severity, factors motivating work continuation, and factors influencing PTSD development among frontline nurses caring for patients with COVID‐19. Background: The COVID‐19 pandemic has an emotional toll on nurses. Exposure to traumatic events associated with the pandemic places frontline nurses at risk for developing PTSD. Design: Cross‐sectional study. Methods: Frontline nurses (n = 370) who cared for COVID‐19 patients in three governmental hospitals in the United Arab Emirates were recruited from November 2020 to January 2021. The self‐reported Posttraumatic Diagnostic Scale (PDS) was used to assess PTSD. The motivational factors for work continuation explored were: work‐related factors (e.g., availability of personal protective equipment and management recognition), family support, and obligation to care. We used correlation and multiple regression analyses to investigate factors that influenced PDS score, including sociodemographic characteristics (e.g., gender, age, exercising status, and general health status), work factors (e.g., hospital type [COVID vs non‐COVID], prior work experience, and encountering deaths), and factors motivating work continuation. The reporting of this study was consistent with STROBE guidelines. Results: In total, 36.2% participants had a probable PTSD diagnosis (PDS score ≥28) with most reporting unwanted memories. Family support (95.9%) and management recognition (90.8%) were the most frequently reported motivating factors. Factors significantly associated with higher PDS score were smoking, lack of management recognition, not exercising, and encountering COVID‐19 deaths; the correlation and regression coefficients (b) were significant (p < 0.05). Conclusions and implications for nursing/health policy: Policy makers must expand healthcare policies to address frontline nurses' mental health as a priority during the pandemic. Nurse leaders must be involved in health policy development to protect nurses in anticipation of and during global health emergencies. [ABSTRACT FROM AUTHOR]