Dr. Othman Alfuqaha is an Assistant Professor in the Department of Psychology at Ajman University (AU). He holds a PhD in Psychological and Educational Counseling from the University of Jordan. Before joining AU, he served as an Assistant Professor in the Department of Counseling and Mental Health at the World Islamic Sciences and Education University in Amman, Jordan. His research expertise spans psychometric validation, psychological burnout, professional identity, psychological first aid, multicultural competence, and quality of life studies among university students and healthcare professionals. He has published more than 40 papers in international peer-reviewed journals and serves as an Academic Editor at PLOS ONE.
Introduction: Nursing is one of the most demanding undergraduate degrees because students must master rigorous theory while simultaneously developing hands-on clinical skills. In conflict zones, political violence magnifies these challenges during clinical training. Objective: To quantify perceived stress and resilience among Palestinian nursing students during political violence and examine their relationship and demographic associations. Methods: In this cross-sectional study, 310 students completed validated Arabic versions of the 29-item Perceived Stress Scale (PSS) and 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Completion time averaged 10-15 minutes total. Analyses included Pearson correlation, t-tests, ANOVA, and multiple regression. Results: Mean stress was high (81.1 ± 7.3) based on established PSS cutoffs, while resilience was moderate (28.0 ± 1.8) according to CD-RISC-10 norms. A moderate positive correlation linked stress and resilience (r = 0.314, 95% CI [0.182, 0.442], p < 0.001). Male students reported higher stress than females (t(308) = 2.20, p = 0.030, Cohen's d = 0.25). Conclusion: Findings underscore the significant stress burden of political violence on nursing students and signal the need for targeted interventions that address both stress levels and the complex bidirectional relationship with resilience, tailored to demographic risk factors.
Burnout among healthcare professionals, particularly nurses and midwives, is a significant public health concern impacting workforce sustainability, patient safety, and healthcare quality. Validating tools for assessing burnout in Arabic-speaking populations is crucial for targeted interventions. This study aimed to validate the Arabic version of the Burnout Assessment Tool (BAT) among Jordanian nurses and midwives to provide a reliable instrument for assessing burnout in Arabic-speaking healthcare settings. A cross-sectional design was used to collect data from 218 nurses and midwives in governmental and university hospitals. The BAT was translated into Arabic and validated through face validity, content validity ratio (CVR), exploratory factor analysis (EFA) with varimax rotation, and Cronbach’s alpha for reliability. The Arabic BAT demonstrated strong psychometric properties, with a KMO measure of 0.96, significant Bartlett's test (p < 0.001), and six factors explaining 67.977% of the variance. Cronbach's alpha was 0.95, indicating excellent internal consistency. High levels of core (2.92 ± 0.71) and secondary symptoms (3.11 ± 0.88) of burnout were reported. The Arabic BAT is a valid tool for assessing burnout in Arabic-speaking populations. These findings underscore the urgent need for targeted interventions and future research to address burnout and its public health implications.
Background Existential fulfilment (EF), professional quality of life (ProQol) and self-efficacy (SE) have important roles in meaning in life, mental health status and enhancing decision-making among healthcare professionals (HCPs) in healthcare settings. Aims This study examined the relationships between EF, ProQol and SE among counsellors, physicians and nurses. Furthermore, it investigated their differences based on selected variables and examined the predictors of EF, ProQol and SE based on different demographic factors. Materials and Methods A cross-sectional correlational design was conducted with 481 participants (counsellors = 147, physicians = 162 and nurses = 172). This study used a convenience sample method to recruit participants from October to December 2023. Results Results found that counsellors had the highest levels of compassion satisfaction (CS) and SE, and lower levels of burnout (BO) and secondary traumatic stress (STS) compared to nurses and physicians. Physicians had the highest BO levels, while nurses had the highest STS levels. Physicians had the highest levels of all EF dimensions, followed by nurses. There were statistically significant differences (p
(1) Background: Psychological burnout (BO) is one of the most significant challenges faced by university students. This study aimed to explore the perceived levels of BO, psychological resilience (PR), and psychological hardiness among university students in Jordan. It also investigated the factors that may contribute to psychological BO. (2) Methods: Using a cross-sectional design, a total of 1219 university students (female = 933 (76.5%), male = 286 (23.5%)) were conveniently selected from four universities (two public and two private) to represent the study sample. (3) Results: Results found that 40.39% of university students had severe psychological BO levels, although most of them had acceptable PR (92.74%) and hardiness (83.7%) levels. Unmarried students at public universities, medical schools, and fourth-year students or beyond showed higher levels of psychological BO than any other category. A negative correlation (p < 0.05) was observed among psychological BO and both perceived PR and hardiness variables. Additionally, a positive correlation was found between perceived PR and psychological hardiness. Significant contributions of hardiness, university type, and academic year to BO were detected, with a variance of 29.7%. (4) Conclusions: Academic teachers and policymakers should tackle this problem among university students to help alleviate the different sources of stressors in university life.
Background Psychological first aid (PFA) involves strategies to tackle problems that occur as a result of disasters. This study aimed to validate the Arabic version of PFA scale through validity (face, content, convergent, discriminant validity, and confirmatory factor analysis) and reliability (Cronbach’s alpha). Furthermore, it aimed to assess the perceived levels of knowledge, skills, and attitudes of PFA among healthcare providers (HCPs). Moreover, it determined the differences between HCPs based on their knowledge, skills, and attitudes of PFA. Methods A sample size of 389 HCPs (physicians = 68, nurses = 173, and counselors = 148) was conveniently selected to participate during the period of 10 December 2023 to 10 February 2024 after completing the translated PFA scale into the Arabic language. Descriptive, translation, validation process, and reliability were conducted. Results The translation process was satisfied. The content validity index was 0.91, yielding proper clarity of items. Three constructs were loaded with a total variation of 63.43%, indicating a proper model fit. The goodness-of-fit indices for the PFA model revealed that relative chi-square was 1.47, comparative fit index was 0.91, Tucker-Lewis index was 0.89, and the root mean square of error approximation was 0.046. Cronbach alpha values for knowledge, skills, and attitudes of PFA were 0.90, 0.89, 0.87, respectively. We found that counselors have more knowledge (64.4%), skills (73.4%), and attitudes (73.4%) compared to physicians and nurses. There are significant differences (p
Background Several screening models have recently been applied to study awareness and help people make informed decisions regarding cancer screening. Aims This study aimed to explore the knowledge, attitudes, and lung cancer screening health beliefs (LCSHBs) among Jordanians. Moreover, we intended to translate the LCSHBs scale into the Arabic language and test its validity and reliability. Methods An online survey (Google Forms) was completed by 916 participants in Jordan via snowball sampling technique from February 10, 2024, to March 2, 2024, assessing lung cancer screening knowledge, lung cancer preventive attitudes, screening-related health beliefs, and stages of screening adoption. Linear regression analysis, correlations, and non-parametric statistics were utilized for statistical inference. Results Participants had high mean percentage scores of 86.56% and 85.75% for knowledge and preventive attitudes towards lung cancer screening, respectively. The Arabic version of the LCSHBs model was found to be a valid and reliable tool, as indicated by principal component analysis extraction and Cronbach's alpha values. Lung cancer screening knowledge was positively associated with perceived benefits and negatively associated with perceived barriers to screening. Knowledge, perceived barriers, perceived risk of lung cancer, self-efficacy (SE) to screen, and lung cancer preventive attitudes were significantly associated with the perceived benefits of lung cancer screening (p < 0.05). We also found that the higher the SE, the higher the physical activity and the lower the perceived barriers. Conclusion The Arabic version of the LCSHBs model is valid and reliable for assessing health beliefs toward lung cancer screening. We recommend enhancing targeted interventions, educational outreach, and improving health insurance access to reduce lung cancer incidence in Jordan and promote screening behaviors.
Objectives: This study aimed to translate and validate the Attitude towards Loss of Hearing Questionnaire into the Arabic language and explore attitudes of working-age adults towards their hearing loss and hearing aids. Methods: A cross-sectional investigation was conducted of 237 middle-aged Jordanians (18-65 years old) who have hearing loss using an online questionnaire during the period of October to December 2023. Results: The specialized experts in the field had an 88 per cent acceptance rate on all items of the Attitude towards Loss of Hearing Questionnaire. Five factors were loaded and explained a total of 58.37 per cent, confirming the validity of the Attitude towards Loss of Hearing Questionnaire Arabic version. All subscales of the Attitude towards Loss of Hearing Questionnaire surpass the normal values of Cronbach alpha. Several predictors of attitude towards loss of hearing were noted, including educational level, age, family members, income and marital status. Conclusion: Addressing barriers to hearing aid use, such as psychosocial and economic, can improve hearing support and increase healthcare focus and collaboration among clinicians and stakeholders globally.
Background Spiritual counselling techniques can offer individuals a sense of new meaning and a way to cope with difficulties. However, no prior study has specifically examined the effectiveness of a spiritual intelligence counselling programme on suicidal ideation and self-concept among retired individuals. Aims This study aimed to evaluate how a new counselling programme focusing on spiritual intelligence helps retired individuals deal with suicidal ideation and self-concept. Materials and Methods A total of 40 retired individuals were split into two groups: one that received the counselling programme (experimental group = 20) and one that did not (control group = 20) based on their initial scores of suicidal ideation and self-concept scales. The experimental group went through a 10-session counselling programme, meeting for 90 min each week from April to June 2023. Results Based on means, standard deviations and analysis of variance, results found significant differences in scores between those who underwent the counselling programme and those who did not. The experimental group revealed a decrease in suicidal ideation and an improvement in self-concept after completing the counselling programme. Males seemed to benefit more from the spiritual intelligence-based counselling programme than females in reducing suicidal ideation. There was no difference between males and females regarding self-concept. Discussion The spiritual counselling programme improves self-concept and reduces suicidal ideation among retired individuals. Conclusion The results suggest that the spiritual intelligence-based counselling programme shows promise in addressing mental health issues among retired individuals.
This study aims to investigate the psychological dimensions of cognitive, emotional, and behavioral aspects that arise as a consequence of COVID-19-related quarantines. Moreover, considering demographic factors, we hypothesize that these quarantines may influence the cognitive, emotional, and behavioral aspects. We performed a descriptive cross-sectional design using an online survey (Google Forms) to gather data from a cohort of Jordanian participants during the period of quarantines spanning from March 21st to May 31st, 2020. The study sample contained (1577) individuals aged between 15 and 65 years. The survey employed a validated Arabic psychological scale. Findings revealed that the cognitive aspect experienced the most effect during the quarantine period in Jordan, followed by the behavioral aspect. Differences were observed in emotional and behavioral aspects across age group and marital status. Furthermore, age and gender appeared as predictors of psychological dimensions. Cognitive aspect was the most aspect affected by quarantine periods. We propose the implementation of psychological awareness programs by governmental organizations to address the cognitive, emotional, and behavioral concerns that may arise during pandemics.
Objectives: This study aims to explore the levels and nature of relationships between mindfulness, psychological resilience, and psychological hardiness among Jordanian university students. Furthermore, it investigates the predictors of mindfulness, using psychological resilience, psychological hardiness, and sociodemographic variables including gender, marital status, age, grade point average, type of university, type of specialty, and academic year among Jordanian university students. Methods: The study sample consisted of four universities (two public and two private), selected through a convenience procedure. A total of 1219 students from different specialties, including medical, scientific, and humanity schools, participated in this study. We used validated Arabic psychological scales namely, mindfulness scale, psychological hardiness scale, and Connor- Davidson psychological resilience scale after being checked by validity, reliability, and suitability for the local environment. Results: Results indicated that the percentage of 32.7% of students had low levels of mindfulness, 7.3% had low levels of psychological hardiness, and 16.3% had low levels of psychological resilience. Positive relationships were found between the three selected psychological variables. Moreover, there were significant differences attributed to marital status for married and divorce, and type of specialty for medical and humanistic schools in mindfulness levels. Results showed that psychological resilience, psychological hardiness, and marital status were the most significant predictors of mindfulness among Jordanian university students, with 26.1% of variance. Conclusions: Levels of mindfulness and psychological hardiness were relatively found to be low, thus the study recommends developing special counseling programs to enhance mindfulness, improve psychological resilience, and psychological hardiness among Jordanian university students.
Acute kidney injury (AKI) poses a significant challenge in critically ill patients. To determine the prevalence, risk factors, and mortality rate of AKI among nonsurgical critically ill patients in Jordan University Hospital, we conducted a retrospective study using a consecutive sampling method, including 457 nonsurgical critically ill patients admitted to the medical intensive care unit (MICU) from January to June 2021. The mean age was 63.8 ± 18 years, with 196 (42.8%) developing AKI during their stay in the MICU. Among AKI nonsurgical patients, pulmonary diseases (n = 52; 34.5%) emerged as the primary cause for admission, exhibiting the highest prevalence, followed by sepsis (n = 40; 20.4%). Furthermore, we found that older age (adjusted OR (AOR): 1.04; 95% confidence interval (CI): 1.04-1.06; p = 0.003), preadmission use of diuretics (AOR: 2.12; 95% CI: 1.06-4.25; p = 0.03), use of ventilators (2.19; 95% CI: 1.12-2.29; p = 0.02), and vasopressor use during MICU stay (AOR: 4.25; 95% CI: 2.1308.47; p = 0.001) were observed to have higher mortality rates. Prior utilization of statins before admission exhibited a significant association with reduced mortality rate (AOR: 0.42; 95% CI: 0.2-0.85; p = 0.02). Finally, AKI was associated with a higher mortality rate during MICU stay (AOR: 2.44; 95% CI: 1.07-5.56; p = 0.03). The prevalence of AKI among nonsurgical patients during MICU stay is higher than what has been reported previously in the literature, which highlights the nuanced importance of identifying more factors contributing to AKI in developing countries, and hence providing preventive measures and adhering to global strategies are recommended.
Background: The Connor-Davidson Resilience Scale (CD-RISC) stands out as a widely used measure of psychological resilience. The original CD-RISC consists of 25 items, commonly referred to as CD-RISC-25. Aim: This study aims to validate the Arabic version of the CD-RISC-25 involving a sample size of 1220 participants from three universities in Jordan. Methods: The researcher conducted a methodological investigation to examine the validation process. This included an examination of the translation process and an evaluation of content validity, which was assessed using the content validity index (CVI). Construct validity was assessed through exploratory factor analysis and confirmatory factor analysis, while convergent and discriminant validity were both evaluated using composite reliability (CR) and the square root of the average variance extracted. Results: Results showed a prominent level of psychological resilience 76.74±15.2 among the participating university students. Regarding the validity of the Arabic version of CD-RISC-25, the CVI yielded a value of 0.88, signifying a robust level of content validity. The analysis identified four constructs that accounted for 56.26% of the total variance. The goodness-of-fit indices, including goodness of fit index of 0.91, comparative fit index of 0.91, incremental fit index of 0.93, Tucker-Lewis index of 0.94, and root mean square error of approximation of 0.048, provided strong evidence supporting the alignment between the observed data and the hypothesized constructs. Discriminant and convergent validity were found to support the validity of the Arabic version of CD-RISC-25. Regarding the reliability, it demonstrated excellent reliability, with a total Cronbach's alpha of 0.934 and all CR values surpassing the threshold of 0.70, thereby further establishing its overall robustness. Conclusion: The results provide substantial evidence for the validity and reliability of the translated Arabic CD-RISC-25.
Aim: To evaluate the efficacy of hydrocolloid dressing in preventing stage two or higher facial pressure injuries associated with the use of noninvasive positive pressure ventilation (NIPPV) devices among critically ill patients. Design: A randomized control trial. Methods: The study included 56 adult patients in intensive care units. The study participants were categorized into two groups consisting of 28 patients in each group. The control group received skincare using a fine mist of water and repositioning of the device every two to four hours, while the intervention group received a hydrocolloid dressing and repositioning of the device every two to four hours. Results: A total of 33.9% of all participants in the study had facial pressure injury. None of the patients in the intervention group who received hydrocolloid dressing developed stage two or higher facial pressure injuries. A total of 32.2% of the control group developed stage two or higher facial pressure injuries. Results indicated that the use of hydrocolloid dressing can significantly prevent the formation of stage two or higher facial pressure injuries (p < 0.001). Conclusion: The study’s findings support the use of hydrocolloid dressing as a preventative measure for facial pressure injuries related to NIPPV devices.
Objective: This study was aimed at testing the psychometric properties of the posttraumatic stress disorder (PTSD) checklist for the Diagnostic Statistical Manual version 5 (DSM-5) (PCL-5) among the Lebanese population and at identifying the prevalence of PTSD. Design: A cross-sectional survey of PCL-5 among 950 Lebanese, using the online survey platform by Google Form, was conducted. Snowball recruitment was used to identify participants for the survey. Results: Face, content, construct, discriminant, and convergent validity had been accomplished through the survey. The reliability using Cronbach's alpha, composite, and average variance extracted was identified as superior. We also found that more than half of the participants (55.6%) scored 33 or above which is the cut-off score for a likely diagnosis of PTSD. Conclusion: The current study provides further support for the validity and reliability of the Arabic version of PCL-5 among non-Western populations. This supports using the checklist in the screening of probable PTSD.
Needle phobia remains a major drawback of conventional injectable medications, leading to avoidance and low adherence among a reasonable portion of patients. Despite this, there is a limited number of studies investigating needle phobia prevalence and symptoms. In this survey, we studied the knowledge and prevalence of needle phobia and its manifestations among 1182 adult Jordanians. Moreover, we assessed the feasibility of microneedles delivery systems as an alternative approach to conventional injectable methods. The results revealed that 28.5% of the participants identified themselves with needle phobia, with a notably higher prevalence among females compared to males (p-value < 0.001). The overall prevalence of needle phobia based on its measured manifestations was found to be 27.4%. The survey also found that 68% of the population were unfamiliar with the concept of microneedles despite the reasonable proportion of the population who were aware of the disadvantages of conventional injectable medications. Furthermore, the survey identified four significant predictors of needle phobia through hierarchical linear regression analysis. Gender, occupation, and negative past experiences with needle injections accounted for 3%, 1%, and 1% of the variance in needle phobia, respectively. In addition, the participants’ preference for microneedles over conventional injectables medications appeared as another significant predictor, contributing 5% of the variance. Overall, the model explained 10% of the variance in needle phobia. Collectively, this study provides an insight into needle phobia prevalence and manifestations in Jordan, while also exploring microneedles as an alternative drug delivery system for patients with needle phobia.
(1) Background: Earthquakes are natural disasters that often result in significant loss of life and property. The objective of this study is to explore the frequency of symptoms associated with posttraumatic stress disorder (PTSD), levels of meaning in life (ML), and perceived social support (SS) among university students in the aftermath of the earthquake that occurred in Turkey and Syria in 2023. (2) Methods: This study utilizes a cross-sectional correlation design to achieve its objectives among 603 university students from two public universities using an online survey (via Google Forms). The survey was launched one month after the earthquake in Turkey and Syria and concluded on 6 April 2023. (3) Results: The results indicate that a total of 158 university students, constituting 26.20% of the sample, reported extreme symptoms of PTSD. The results also indicate that 184 students (30.51), and 140 students (23.22%) reported low levels of ML and SS, respectively. Female students were significantly more vulnerable to experiencing PTSD symptoms, as well as difficulties in finding ML and SS. Finally, results revealed that students who were pursuing postgraduate studies had a greater likelihood of exhibiting symptoms indicative of PTSD. (4) Conclusions: It is recommended that universities provide support services and resources for students experiencing PTSD symptoms.
Work alienation has a negative impact on nursing profession and may affect professional nursing development and willingness to learn during the era of coronavirus disease 2019 (COVID-19). The aim of this study was to explore the perceived levels of professional development, willingness to learn, and work alienation during this pandemic among nurses in Jordan. It also assessed the influence of work alienation and sociodemographic factors on readiness for professional development and willingness to learn. We used a cross-sectional correlation study design using the Arabic readiness for professional development and willingness to learn and work alienation scales among 328 nurses working in Jordan University Hospital, Amman-Jordan. Data were collected during the period of October and November 2021. Data were analyzed using descriptive statistics (Mean ± Standard deviation), Pearson correlation coefficient (r), and regression analysis. The perceived levels of work alienation (3.12 ± 1.01) and readiness for professional development and willingness to learn (3.51 ± 0.43) among nurses were found to be at high levels during this era. Work alienation was negatively associated with readiness for professional development and willingness to learn (r = -0.54, p
Background: Depression is a frequently reported phenomenon that negatively affects selfcare and healthcare provided to older adults with heart failure. However, the literature is contradicting about predictors of depression in older adults with heart failure. Purpose: To examine newly introduced variables derived from the acceptance and commitment therapy model (psychological flexibility, impulsivity, perceived stress and perceived control) and selected demographics as predictors of depression in older adults with heart failure. Methods: This study was conducted using a cross-sectional design. Participants with heartfailure (N = 272) were recruited from major regional hospitals during their regular visits to the heart-failure clinics. The following tools were used to collect the data: The Patient Health Questionnaire–9, the Acceptance and Action Questionnaire, the Perceived Stress Scale-10, the Barratt Impulsiveness Scale, the Atlanta Heart Failure Knowledge Test, the New York Heart Association and the Control Attitudes Scale-Revised. Results: Bivariate analysis shows that all bivariate correlations were significant (r = 0.16 to 0.63, p
Aim: This study aimed to compare perception of nurses about missed care for the patients before and during the coronavirus disease 2019 (COVID-19) in Jordan. It also examined how nurses differed in terms of the type of missed care and the factors that contributed to it before and during the COVID-19 pandemic. Additionally, socio-demographic factors, including gender, educational level, length of clinical experience, work position, age, and type of shift, were examined to evaluate their association with missed nursing care. Background: Missed nursing care refers to omission of any aspect of required patient care. Missed care lowers patient satisfaction and also leads to adverse hospital outcomes. Methods: We adopted a cross-sectional design among 260 nurses working in medical/surgical wards and intensive care units. Views of 130 nurses before COVID-19 were compared with views of 130 nurses during the COVID-19 pandemic. We used the Arabic version of the MISSCARE survey. Data were collected between November 2019 and May 2020. Results: During COVID-19, nurses had significantly higher satisfaction levels and lower levels of absence and intention to leave than nurses before the COVID-19 pandemic. Differences were observed between nurses' perceptions of missed care before and during the COVID-19 pandemic. It was observed that missed nursing care increased during COVID-19. The inadequate number of staff nurses was the main reason for missed care activities among both groups. Additionally, age and shift type were significantly associated with an increased reason for missed nursing care among both groups. Conclusion and implications for nursing: Nurses reported higher satisfaction levels and fewer absences and planned departures during this period. Nurse managers should pay attention by maintaining high satisfaction levels and formulating appropriate policies to reduce missed care levels and thus improve patient care quality.
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.
In this study, a new panic buying behavior (PBB) and awareness scales were established and verified during the Coronavirus Disease 2019 (COVID-19) pandemic. The PBB scales measured the relationship between people's awareness about COVID-19 and PBB. Moreover, this study investigated the potential association of some demographic factors with PBB. The online descriptive cross-sectional survey was collected from 429 Jordanians who were selected using the snowball sampling technique. The online survey started from April 1st to April 10th, 2020. Pearson correlation coefficient, one-way analysis of variance, independent sample t-test, and linear regression were used in this study. Findings indicated that both established scales were valid and reliable for achieving the required level of validity and reliability. In the current study, participants' awareness of COVID-19 was high; but, their PBB was low. Single and young individuals were positively associated with PBB. Awareness about COVID-19 and age were found to be the main predictors of PBB. This study concluded that the higher the awareness level about COVID-19, the lower PBB. High PBB may affect the world economy, highlighting the importance of COVID-19 awareness.
Introduction: Pediatric nursing students are expected to work hard to help children realize their full potential by giving care, knowing their growth process, and being responsive to their needs. Students should be able to communicate effectively and solve problems. Nurses who care for pediatric patients experience compassion fatigue as well as moderate to severe levels of work-related stress. The purpose of this study was to investigate the effect of progressive muscle relaxation exercise on anxiety among nursing students during pediatric nursing clinical training. Methods: A quasi-experimental, pre-post study was conducted in the faculty of nursing at the Arab American University/Palestine. The sample of the study consists of 60 nursing students enrolled in the pediatric nursing course were selected through convenience sampling. This study was conducted on one group of nursing students that received Jacobson's progressive muscle relaxation exercise for five consecutive days per week for two weeks before entering the clinical environment. The S-anxiety scale (STAI Form Y-1) was applied to collect data before and after the intervention. Results: The magnitude of anxiety after the progressive muscle relaxation exercise was greater reduced than before (t (59) = 21.1, P < 0.05). There was less anxiety post the program (M = 1.34 ± 0.36) than pre- program (M = 2.83 ± 0.35). Conclusion: The study findings indicated the positive influence of progressive muscle relaxation exercise on nursing students' anxiety levels in pediatric clinical settings. As a result, it is recommended that teaching programs on this approach be conducted for nursing students at nursing schools prior to the commencement of pediatric clinical practice in order to lessen anxiety.
Total knee replacement (TKR) is a common procedure that is considered cost-effective with excellent long-term survivorship. This cross-sectional study, which includes 118 selected patients in Jordan from January 2020 to January 2021, aims to assess health-related quality of life (HQOL), functional status, and associated factors before and after 3 to 12 months of TKR. Furthermore, several demographical factors were included in this study to evaluate the potential association with the procedure’s outcome. Western Ontario and McMaster Universities Osteoarthritis Index scale (WOMAC) and Short Form-36 (SF-36) scale were used in this study. It was found that the main change occurred 6–12 months after the procedure. Gender and age were found to be the primary predictor of quality of life among TKR patients. Patients before the TKR procedure experienced severe pain, joint stiffness, physical impairment, and psychological demand issues. After the TKR procedure, all symptoms were improved significantly. The TKR procedure can improve the quality of life for patients, which can be detected for several months after the procedure. Function and pain are the most critical indicators of improvement in quality of life. Assessing the quality of life is a key indicator for identifying patients without improvement, as well as improving the health care process and comparing other alternative interventions.
Existential vacuum and psychological burnout are becoming increasingly important issues in healthcare professions, especially nursing. This study aimed to investigate the contribution of several demographic factors including gender, work position, experience, and educational level as well as existential vacuum and locus of control (external and internal) in predicting burnout among nurses. A convenience sample of 181 nurses was selected to represent the study sample. Participants were assessed using an existence scale, locus of control scale, and burnout scale. The study showed that 40.3% of nurses had severe existential vacuum. It was found that 93.9% of nurses had experienced a moderate level of burnout. External locus of control was the most common personality trait among participating nurses in this study. It also was found that existential vacuum and external locus of control were the main predictors of psychological burnout among nurses. The findings of our study highlight major problems facing nursing, such as existential vacuum and psychological burnout. It is recommended to enhance nurses' workplace, provide proper psychological prevention programs, and teach advocacy skills.
Background: The nursing profession still needs more attention from decision-makers to enhance satisfaction and commitment in the work environment. Aims and objectives: This study aims to explore the perceived level of job rotation, job satisfaction, job commitment, job turnover and job conflict among nurses who previously had job rotation experience in Jordan. The study also investigates the correlation between studied variables and job rotation approach based on the type of hospitals. Furthermore, it also evaluates the contribution of job rotation, job commitment and many demographic factors in predicting job satisfaction among nurses who had job rotation experience in Jordan. Design: The study adopted the cross-sectional survey design of the correlational type. Methods: The study was performed on a stratified convenience sample of 786 nurses from five hospitals in Jordan. The scales used to explore the perceived level of studied variables were obtained from previously published studies, translated to Arabic language and then checked for validity and reliability before being used. Results: Results show that job rotation, job satisfaction, job commitment, job turnover and job conflict are all found to be at high levels. Job rotation approach among nurses seems necessary since job satisfaction and job commitment are positively correlated with job rotation. Also, job commitment, job rotation and gender are identified as significant predictors of job satisfaction among nurses in Jordan. Conclusion: Nurses who experienced job rotation are found have high levels of job satisfaction and job commitment. However, job turnover is also found to be at high level which should be emphasised. Nurse leaders are advised to apply the job rotation approach by moving nurses between different departments in a planned manner to increase the level of job satisfaction and job commitment.
The aim of this study is to evaluate the contribution of self-evaluation, professional status and several demographic factors in predicting burnout among nurses in Jordan. This study was performed on a stratified convenience sample of 350 nurses from 6 hospitals. Modified versions of burnout inventory, self-evaluation scale, and professional status scale were developed, validated and used in this study. Burnout, self-evaluation, and professional status are all found to be at moderate levels. Furthermore, self-evaluation and professional status are found to be important predictors of burnout. On the other hand, although type of hospital and educational level are found to be associated with the level of burnout, overall none of the studied demographic factors was found to be a significant predictor of burnout among nurses in Jordan.
This study was conducted to evaluate burnout among nurses and teachers in Jordan, and to explore the differences between them. Several demographic factors were examined to evaluate their effect on burnout levels in both professions. The study adopted a descriptive cross-sectional design and was performed on 240 participants: 120 nurses and 120 teachers. A modified Maslach Burnout Inventory (MBI-modified) was used to assess the three dimensions of burnout. The results of this study showed moderate levels of burnout among both nurses and teachers; however, statistical analysis indicated that nurses had significantly higher levels of burnout than teachers. Moreover, the study showed that gender, marital status and experience significantly affected the level of burnout in teachers, but not in nurses. Educational level did not affect the level of burnout in either group. The study should help in setting proper intervention plans and psychological programs to tackle this important problem in both professions.