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Aim: This study aimed to understand the influence of clinical instructors' caring behavior on the psychological well-being of student nurses. Design: This study survey used the quantitative cross-sectional research design. Method: The sample comprised 405 Saudi nursing students studying at Shaqra University. The study used two instruments: the "Nursing Students' Perceptions of Instructor Caring" and the "Student Well-being Process Questionnaire." Convenience sampling was used to collect data from November 2021 to February 2022 Result: The students' perceived Instructor caring was high. The psychological well-being of students was high. There were significant variations in the students' perceived Instructor's caring in terms of year level. A very weak positive correlation existed between the student nurses' rank in their families and their perceived Instructor's caring. Furthermore, gender, year level, family structure, and the Instructor's caring subscales "supportive learning climate," "appreciation of life's meaning," and "control versus flexibility" were significant predictors of the student's psychological well-being. Conclusion: The study's results support studies that nursing students' psychological well-being is influenced by their gender, family structure, year level, and perceived Instructor's caring behavior [ABSTRACT FROM AUTHOR]

Background: Students' academic self-efficacy is greatly associated with their academic performance. An effective instrument is needed to assess academic self-efficacy in the Saudi context. This study assessed the psychometric properties of the Academic Nurse Self-Efficacy Scale-Arabic version (ANSE-A) given to student nurses and the associations between the students' demographics and overall ANSE-A scores. Methods: Quantitative and descriptive methods were applied. The study was conducted from January to July 2022 at Shaqra University with 200 nursing students as the convenience sample. For content validity, the item-level content and scale-level content validity indices were utilized following the averaging method. We used Cronbach's alpha (a) to measure the reliability. Meanwhile, for construct validity, we performed an analysis of the principal component with varimax rotation and applied a t-test and ANOVA for the tests of the association of variables. Results: Four distinct factors were revealed in the factor analysis, and they explained 64.86% of the variance. The 14-item ANSEA's overall Cronbach's alpha was 0.87, with four factors ranging from 0.74 to 0.76. The academic self-efficacy of the students was found to be associated with their gender and GPA. A weak positive correlation existed between the students' GPA and academic self-efficacy (r = 0.17, p = 0.017). Conclusions: The ANSE-A is a valid and reliable instrument that can be utilized to assess the academic self-efficacy of student nurses in Saudi Arabia. The results of the assessment may be used to help boost nursing students' achievement and emotional health and serve as a valid predictor of motivation and learning. [ABSTRACT FROM AUTHOR]

Aim and Objectives: This article examined the association between workplace incivility experiences of nurses and patient safety (PS) culture in hospitals. Background: Workplace incivility, which is characterised by low‐intensity behaviours with unclear intention to harm and disruption of workplace ambiance of mutual respect, may threaten the work environment, resulting in an unhealthy and unsafe workplace. Design: Cross‐sectional study. Method: This study surveyed 261 nurses in Saudi Arabia from June 2019 to August 2019 using the 'Hospital Survey of Patients' Safety Culture' and the 'Nurse Incivility Scale'. A multiple linear regression was performed with unit‐ and hospital‐level PS culture as the dependent variables. Results: 'Organizational learning–continuous improvement' and 'Teamwork within units' were recognised as PS culture strengths. The nurses reported workplace incivility from patient/visitor as the most frequently experienced (mean = 2.27, standard deviation = 0.88). Working in Hospital B (ß = 0.24, p <.001, 95%CI = 0.15, 0.33) and having a baccalaureate degree in nursing (ß = 0.13, p =.014, 95%CI = 0.03, 0.23) were associated with better perceptions of unit‐level PS, whereas working in medical‐surgical wards (ß = −0.16, p =.002, 95%CI = −0.26, −0.06) and in intensive care units (ß = −0.19, p =.002, 95%CI = −0.32, −0.07) and experiencing patient/visitor incivility (ß = −0.09, p =.004, 95%CI = −0.15, −0.03) were associated with poor unit‐level PS culture perceptions. Experiences of general incivility (ß = −0.24, p <.001, 95%CI = −0.35, −0.13) and supervisor incivility (ß = −0.26, p =.011, 95%CI = −0.46, −0.06) were associated with poor hospital‐level PS culture perceptions. Conclusions: Workplace incivility from patients/visitors had a negative association with unit‐level PS culture perceptions, whereas experiences on general and supervisor incivilities had an adverse relationship with hospital‐level PS culture perceptions. Relevance to Clinical Practice: The study emphasises the call to eradicate any form of incivility in healthcare settings to guarantee a PS culture. Hospital and nursing managers should prioritise the creation and implementation of policies aimed at eliminating uncivil behaviours in clinical settings to ensure that unit‐ and hospital‐level PS culture are above standards. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the predictors of self-assessed and actual knowledge of diabetes among undergraduate nursing students. Nursing education plays an important role in preparing future nurses and ensuring that they are knowledgeable and competent in diabetes care. A descriptive, cross-sectional study was conducted with a convenience sample of 330 undergraduate Saudi student nurses. We collected data from October to December 2019 using the Diabetes Self-report Tool (DSRT) and Diabetes Basic Knowledge Tool (DBKT). We performed a multiple regression analysis to identify the predictors of self-reported and actual knowledge of diabetes. The students' overall mean (SD) scores in the DSRT and DBKT were 48.31 (5.71), which is equivalent to 80.52% of the total score and 22.54 (8.57), respectively. The students' university, gender, year level and experience in providing direct care to diabetic patients were the significant predictors of self-reported knowledge, whereas their university, age and perceived diabetes knowledge were the significant predictors of actual diabetes knowledge. The findings underscore the necessity to improve student nurses' actual knowledge of diabetes and its management. Our findings provide a solid basis for planning and implementing educational interventions with diabetes-related information to ensure adequate diabetes knowledge among nursing students. [ABSTRACT FROM AUTHOR]

Aims: To explore the employment, work productivity, activity impairment, and sustainability of work of Saudi patients with chronic kidney disease (CKD) on haemodialysis (HD). Background: Failure to address CKD‐related challenges may cause HD patients to lose their job, create a lack of compassion from co‐workers and receive discrimination hindering progress in their profession. Design This is a cross‐sectional explanatory sequential mixed‐methods study. Methods: A convenience sample of 130 CKD patients was surveyed in the quantitative phase using the 'Short‐Form Health Survey' and 'Work Productivity and Activity Impairment Questionnaire.' For the qualitative phase, face‐to‐face, semi‐structured interviews took place with 16 CKD patients. Data were collected in 2017. Results: The respondents reported poor physical and mental health. Both employed and unemployed respondents reported moderate levels of work productivity. Better physical health was related to an increased likelihood of being employed. Physical health was negatively correlated with presenteeism, whereas mental health was negatively associated with activity impairment. Five key themes emerged from the qualitative data: work retention, sustaining employment, suitability of work, losing the work and unemployment. Conclusions: Physical condition, personal distinctiveness, cultural and traditional aspects, and employment policies and approaches affect the employment status of CKD patients on HD. Summary statement: What is already known about this topic? Long‐term disease, such as chronic kidney disease (CKD), and haemodialysis (HD) treatment harm the patients' work‐related activity and conception of self.The physical and mental effects of having a chronic disease on work ability and work sustainability are often overlooked as there is little comprehension of the situation and experiences of these patients in their workplace.The evidence of sustained working experiences for CKD patients internationally is limited, but how the disease impacts the employment and workability of HD patients within the context and culture of Saudi Arabia has not been explored. What this paper adds? Both employed and unemployed respondents reported moderate levels of work productivity. For employed respondents, absenteeism was quite higher than presenteeism; however, work productivity was reportedly high.Better physical health was related to an increased likelihood of being employed. Physical health was negatively correlated with presenteeism, while mental health was negatively associated with activity impairment.Five key themes emerged from the data: work to maintain a healthy life, sustaining employment, suitability of workplace, fake employment, and unemployment. The implications of this paper The study provides direction to policy makers in planning and implementing policies geared towards improving the working conditions, employability and ability to work among HD patients.The study provides evidence on the factors affecting the sustainability of work and retention of job among patient with CKD under HD treatment, such as increasing motivation and inspiration and having an HD‐friendly workplace must be put into policy by the government to provide a conducive opportunity for these patients to sustain their jobs.The study shed light on reforming or instituting guidelines and policies to regulate better and implement policies geared towards increasing patients' employment with CKD to avoid being abused by companies. [ABSTRACT FROM AUTHOR]

Aims: This study examined the predictors of student nurses' intention to vaccinate against COVID‐19. We measured the nursing students' risk perceptions, anxiety, fears and beliefs on COVID‐19 vaccine; attitudes towards it and vaccine literacy (VL). Design: This study is a multi‐university study utilizing the quantitative, cross‐sectional and predictive approach. Methods: Using convenience sampling (n = 1170), we surveyed 10 Saudi universities from November 26, 2020, to December 31, 2020. Forward stepwise multinomial logistic regression was performed in identifying the factors predicting student nurses' intention to vaccinate against COVID‐19. Results: The overall mean in the risk perception, anxiety and fear was 9.59 (SD = 2.82, possible range = 1–15), 3.95 (SD = 4.77, possible range = 0–20) and 18.17 (SD = 6.65, possible range = 7–35) respectively. They also reported a mean of 29.90 (SD = 6.56, possible range = 8–40) on COVID‐19 belief. COVID‐19 positive and negative attitudes mean score was 3.64 (SD = 0.92) and 2.72 (SD = 0.90) in a 1–4 range of scores respectively. The functional and interactive‐critical COVID‐19 VL of the students were at moderate levels. More than half of the respondents (55.9%) intended to be vaccinated against COVID‐19, 17.6% did not intend to do so and 26.5% were unsure. High‐risk perceptions, low levels of COVID‐19 anxiety, positive beliefs and attitudes towards COVID‐19 vaccine, and high levels of interactive‐critical COVID‐19 VL were significant predictors of student nurses' intentions to vaccinate against COVID‐19. Conclusion: Policymakers could consider the factors identified in this study and why the students did not intend to receive the vaccine in planning a nationwide vaccination program. The colleges of nursing could also utilize the findings in developing educational programs that aim to improve VL and beliefs and attitudes towards COVID‐19 vaccine. [ABSTRACT FROM AUTHOR]

Aim: This investigation was endeavoured to study the influence of the hospital's spiritual climate on nurse's work engagement in Saudi Arabia. Background: Creating a safe clinical environment for nurses to express their spirituality despite preferences or religiosity is essential to increase work productivity, satisfaction and commitment. Method: This quantitative and cross‐sectional research surveyed a convenience sample of 302 nurses employing the 'Utrecht Work Engagement Scale' and 'Spiritual Climate Scale'. Results: The overall average of the respondents in work engagement was 4.33 (SD = 1.10), with more nurses reporting high or very high work engagement (53.7%). The hospital, age and spiritual climate were recognized as significant predictors of 'vigour'. The hospital's spiritual climate was the only significant factor influencing nurses' 'dedication'. The hospital and spiritual climate significantly influenced the variable 'absorption'. Conclusion: Having a positive hospital spiritual climate was associated with better work engagement among nurses. Implications for Nursing Management: The findings underscore the significance of ensuring that hospitals have positive spiritual climate and a clinical area that respects, accepts and welcomes various spirituality of nurses. Therefore, nurse managers should ensure that the spirituality of nurses has a safe home in the hospital. [ABSTRACT FROM AUTHOR]