Determinants of Healthcare Workers’ Willingness to Receive COVID-19 Vaccination

@#Introduction: The expedited COVID-19 vaccine has challenged people’s belief and perception of its effectiveness. The purpose of this study was to identify whether knowledge related to Covid-19 and perception of effectiveness of Covid-19 vaccine would predict health-care workers’ willingness to take the vaccine. Methods: A cross-sectional design using a convenience sampling technique was used to collect data from 302 HCWs. HCWs targeted included all those working at healthcare settings in Jordan. Data collected regarding knowledge related Covid-19 and perception of effectiveness of Covid-19 vaccine. Data collected using a self-administered questionnaire. Results: HCWs have moderate to high level of knowledge related to vaccines of Covid-19 and its effectiveness. High level of willingness to take the vaccine was also observed among HCWs. Those with higher level of knowledge and positive perception of effectiveness of Covid-19 vaccine are more likely to take the vaccine (p < .05); however, not highly influential (R2 = 27%). Demographic characteristics have not been found to influence HCWs’ decision to take the vaccine. Conclusion: There is a need to enhance positive perception of effectiveness of Covid-19 vaccine among health professionals through appropriate education and procedures.

Suicidality and its Relationship to Psychological and Sociodemographic Factors among Individuals with Obsessive Compulsive Disorders in Jordan

@#Introduction: Obsessive Compulsive Disorder (OCD) is a chronic mental disorder causing severe social and occupational dysfunction leading to high risk of suicidal ideas and behaviours. The purpose of the study was to investigate the prevalence of suicidality and its relationship to psychological (depressive and anxiety symptoms) and sociodemographic factors among individuals with Obsessive Compulsive Disorder in Jordan. Methods: this is a descriptive correlational study. Data was collected using self-reported questionnaire from 90 individuals diagnosed with OCD from outpatient departments receiving care at public and private health institutions in Jordan. Data were collected regarding suicidality, anxiety, and depressive symptoms. Results: Suicidal risk was detected in 34.4% % (N= 31) of the individuals with OCD, 90% had mild to severe depressive symptoms, 70% had mild to severe anxiety symptoms. Significant positive correlation found between suicidality, anxiety and depressive symptoms (p<.05). Individuals with OCD and suicidality had significantly lower educational level, contamination, trichotillomania, and sexual obsessions. Depressive symptoms and type of OCD were significant predictors for suicidality among individuals known to have OCD. Conclusion: Individuals with OCD have high risk for suicidality and should be carefully monitored. Health care professionals in the outpatients’ clinics are recommended to actively investigate suicidality risk as part of OCD comprehensive assessment per visit.

Community versus Hospital Acquired Pressure Injuries: An Assessment of Predisposing Risk Factors

@#Introduction: Pressure injuries are a common problem in acute and chronic healthcare settings with critical morbidity and mortality consequences on patients and healthcare systems. The objective of this study was to assess the predisposing risk factors associated with patients with community acquired pressure injuries and hospital acquired pressure injuries. Methods: Data were drawn from patients' electronic medical records from two hospitals with a total of 784 beds in the North Texas area and 94 records of HAPI and 206 records of CAPI patients were assessed. The measures examined included patients' socio-demographic variables, admission diagnosis, and Braden scale measures. Results: Scores for Albumin, weight, body mass index, length of stay and Braden measures were significantly higher for HAPI than CAPI patients at α < 0.05. Higher total Braden scores (OR=1.25, 95%CI: 1.15, 1.41), friction (OR=2.44, 95%CI: 1.39, 4.27), and longer length of stay (OR=1.13, 95%CI: 1.09, 1.18) were associated with a higher likelihood of HAPI. Conclusions: Interventions aimed at prevention of pressure injuries should target reducing friction and length of stay at care facilities.

Testing The Effectiveness Of Integrated Elderly Care Model On Quality Of Care And Health Outcomes Among Hospitalized Elderlies In West Bank

@#The rapid increase in the ageing population and health conditions are imposing a higher challenge to the health care system that requires multidisciplinary teamwork utilizing coordinated care approach. This study examined the effects of integrated care model on quality of care received by older hospitalized patients in West Bank. A quantitative interrupted time series design (pretest and posttest multiple time series, quasi-experiment design) was used. The study examined the effects of integrated care model on admitted older patients (n=32) in the West Bank measuring ten dimensions of quality of care and four health indicators. There was a significant improvement in the dimensions of quality of care: dimensions: nurses’ communications with patients, physicians’ communications with patients, staff response to patients’ needs, pain management, explanations on medications, amount of information given on discharge plan, patients' area cleanliness, patients' area quietness, rating of the hospital, and willingness to recommend the hospital. Incidence of falls and incidence of pressure ulcer improved after implementing the model, while readmission rate and average length of stay did not improve. This study contributed to the limited body of knowledge related to the effect of integrated care model on hospitalized older patients’ quality of care in Palestine/ West Bank. Integrated care has the potential to improve care outcomes among hospitalized older patients.

Differences in perception between nurses and patients in Jordanian nurses' effectiveness in practicing communication skills

Communication skills are considered a significant component in a nurse-patient relationship and can influence the quality care outcome. The purpose of this study is to examine the difference in perception between nurses and patients related to the perception of nurses' effectiveness in practicing communication skills. This is a descriptive - correlational study that utilized a sample of 180 nurses and 178 patients from three major hospitals representing three health care sectors in Jordan. Data were collected in regards to the perception of nurses' effectiveness in practicing communication skills. Nurses had higher levels of perception of effectiveness in practicing communication skills [M=4.03, SD=.22] than their patients [M= .63, SD=.21] and this difference was statistically different [t=- 10.84, p< .001]. No statistical differences were found between patients and nurses in regards to personal and demographic characteristics [P> .05]. Recommendations: It is recommended that there should be programs to improve nurses' communication skills, with further research to evaluate its effectiveness. More work is needed to improve nurses' ability to evaluate their communication skills and their impact on patients' quality of care

Maternal distress among Jordanian mothers caring for children with cancer in Jordan

The purpose of this study was to investigate the psychological and mental health among the Jordanian mothers caring for children with cancer. Descriptive correlational design utilized to collect data from 37 women caring for their children who are diagnosed with cancer. The analysis revealed that mothers of children with cancer had a moderate level of depression and stress, and a severe level of anxiety. There was significant correlation among the three variables [r>.80, p < .001]. Anxiety level was significantly different in relation to marital status [F 1, 4= 4.37, p = 0.007]. Only 38% of the children know their illness. The results also showed that there is a negative and significant correlation between the level of child's knowledge about his illness and stress [BTAU=- .29, p= .03] and anxiety [BTAU= - .34, p= .01]. The study infers that mothers of children with cancer are suffering multiple psychological and mental health problems. Informing children with cancer about their illness appeared to be a significant contributor in lowering the children's anxiety level. Thus, health care professional should collaborate to enhance information exchange and target mothers of children with cancer in their psychosocial programs that will reflect positively on the psychological status of the mothers and children diagnosed with cancer. The study also concludes that mental health counseling for mothers and children diagnosed with cancer is an essential component of the quality of health care that requires more attention in research and practice

Jordanian nurses' perception of leadership characteristics: descriptive phenomenological study

The purpose of this phenomenological descriptive study was to describe the Jordanian nurses' perception of the leadership characteristics and situational factors that affect nursing care as perceived by Jordanian nurses. A total sample of 19 registered nurses were selected conveniently from a major governmental hospital at the capital of Amman, and interviewed individually using critical incidents method at the work site. The study revealed up to 15 minor personal themes, collapsed into four major themes characterizing the leadership behavior, and eight situational factors. Most of the personal themes, and the situational factors were perceived as negative, while three personal themes and one situational factor were perceived as positive. Dishonesty, partiality and creating problems, were the most repeated personal themes respectively, while support was the most reported positive theme. Injustice was the most repeated situation factor. The results imply that there is an overwhelming situation that nurses suffer from at the personal and institutional levels. Institutions should emphasize on the role of nurse leaders through in-service education programs and recruitment procedures. Nursing curricula should also focus on teaching nursing students clinical leadership skills, emphasize leadership theory and practice, and support leadership qualities among nursing students

Health concerns and risk behaviors among university students in Jordan

Recently, more attention has been given to the youth risk behaviors and factors associated with their physical and mental wellbeing. University students in Jordan are under-researched and little is known about their health status. The aim of this study was to describe the health concerns and risk behaviors of the Jordanian university students. A survey of 800 university students from six universities in Jordan was conducted. The Adolescent Health Inventory was used to describe the risk behaviors and health concerns. The following were reported as always concerns: 10% of students concerned about their general health, 18.8% have vision problems, 13.5% have headache and teeth problems, 21% feeling lonely, 20% are confused about future, 7.7% feeling depressed, 13.5% smoke tobacco, and 11% have sexual abuse. Substance abuse problems have been strongly correlated with parents' use of tobacco, and suicidal ideation, troubles with laws and university, troubles with sexual potency and parents' use of drug/alcohol. Mental health nurses and counselors have to screen students in their periodic assessment for risk behaviors and to make a connection between physical complains and psychosocial complains