An Agreement Among Nurse Educators on Infection Prevention and Control Practices to Ensure Safe Clinical Training Post-COVID-19.

Background: Infection Prevention and Control (IPC) practices during nursing students' clinical training are based on standardized precautions. However, the spread of COVID-19 raised the need to revise these practices. We aimed in this study to assess nurse educators' agreement on items that represent precautionary guidelines, which enhance safety during clinical training of students. It aimed to reach an agreement among nurse educators on IPC practices to ensure safe clinical training. Materials and Methods: This descriptive explorative, cross-sectional study included 243 Jordanian and Omani educators. The study questionnaire was based mainly on evidence reported in the literature. The study questionnaire comprised items for trainers to practice and items to supervise students. It was developed based on available evidence and recommended training practices during COVID-19 suggested by the WHO and the literature. Both the face and content validity processes were adopted to validate the study questionnaire. The final version was composed of 26 items for trainers and 20 items for students subsumed in the following themes: protecting self, protecting others, and essential training needs. Results: All questionnaire items were rated above the midpoint indicating agreement among participants on including the new IPC practices. All suggested practices (26 items for the trainers and 20 items for the students) were supported by the study participants. Conclusions: Clinical training is an important component of nursing students' preparation. Findings suggest the importance of adding new IPC practices to improve student IPC practices, protect themselves and others, minimize cross-infections, and enhance students' training within a safe clinical environment.

Medication Administration Error Perceptions Among Critical Care Nurses: A Cross-Sectional, Descriptive Study.

Purpose: This study aimed to investigate the medication administration error perceptions among Jordanian critical care nurses. Methods: A cross-sectional, descriptive design was used among Jordanian critical care nurses. The total number of completed questionnaires submitted for analysis was 340. Data were collected between July and August 2022 in two health sectors (governmental hospitals and educational hospital) in the middle and north region in Jordan through a self-administered questionnaire on medication administration errors which includes 65 items with three parts. Results: Nurses showed negative perceptions toward medication administration errors. The majority of participants agreed that "The packaging of many medications is similar" (76.7%), followed by "different medications look alike" (76.2%), as the main reasons for medication error occurrence. Two thirds of participants agreed that "when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error" (74.1%). Similarly, 73.5% of them believed nurses were blamed if something happens to the patient as a result of the medication error was the main reason for underreporting of MAEs. The highest reported levels of medication errors were in a range between 41% and 70%, for both types intravenous (IV) medication errors and non-intravenous (non-IV) medication errors. Conclusion: Implement interventions centered on MAEs in particular among critical care nurses, owing to the proven significance of it in foretelling their crucial role in delivering safe care to patients, which will lead to quantifiable returns on both patient outcomes and nurse health, as well as the overall efficiency and image of the organization.

Measuring the prevalence of psychological symptoms and the predictors associated with seeking counseling and psychological help among university students.

Objective: To investigate the prevalence of psychological symptoms (PS) among university students and the predictors associated with seeking counseling and psychological help among students. Participants: A total of 663 students from three Jordanian universities participated in this study. Methods: A cross-sectional, correlational design was applied. Participants reported on the Attitude toward Seeking Professional Help Scale and the Hopkins Symptoms Checklist-21. Results: Students reported higher mean scores on the symptom checklist and had a poor attitude toward seeking counseling with low confidence in the counseling services. PS predicted that less than 7% of students would seek counseling with no difference among all age groups, gender, or specializations. Conclusion: High prevalence and low confidence influenced students' behavior toward seeking counseling and psychological help. There is a need to incorporate topics explaining the importance of counseling into different university courses, while emphasizing that it is neither stigmatizing nor shameful to seek professional help.

The impact of stress associated with caring for patients with COVID-19 on career decisions, resilience, and perceived self-efficacy in newly hired nurses in Jordan: A cross-sectional study.

Background and Aims: The decision to stay in nursing has been challenged by the recent coronavirus disease 2019 (COVID-19) pandemic. New nurses joined the workforce and provided care to patients with COVID-19 although they received limited training, which could have influenced their intention to stay in nursing. We aimed in this study to examine the impact of caring for patients with COVID-19 on career decisions, resilience, and perceived self-efficacy among newly hired nurses in Jordan. It also tested the predictors of intentions to stay among new nurses. Methods: This cross-sectional quantitative study was conducted using an online electronic questionnaire form. The sample included newly hired nurses (n = 300) working in public hospitals and providing care to patients with COVID-19 in different levels of acuity units. The perceived stress scale and Connor-Davidson resilience scale 25 were used to measure stress and resilience among nurses. Results: The majority chose nursing as their career, but they were not satisfied with the current work conditions or autonomy in decision-making. Many nurses reported having moderate to high work-related stress and low to moderate resilience. Among all variables in this study, financial income predicted mild intention to stay in nursing. Conclusions: Nurses expressed the presence of work-related stress and low to moderate levels of resilience. As new nurses, exposure to these stress levels might lead to burnout. Nursing managers should take necessary measures to promote better work conditions and improve resilience to avoid nurses leaving the profession at times when there is a shortage.

Reasons for delay in seeking healthcare among women with acute coronary syndrome from rural and urban areas in Jordan.

We aimed to explore reasons for delay in seeking healthcare among women with acute coronary syndrome (ACS) for the first time from urban and rural areas in Jordan. A qualitative descriptive design was used through face-to-face interviews with 33 women. Themes that explained why women delayed seeking healthcare when experiencing ACS were: Knowledge deficit about coronary artery disease; the effect of disparity in healthcare services on women decision; and life priorities of women during the ACS attack. Educational needs should be addressed based on variations in both areas.Supplemental data for this article is available online at https://doi.org/10.1080/07399332.2021.1955889 .

Factors Influencing University Students' Acceptance to Undertake the COVID-19 Vaccine in Jordan.

Vaccines are effective measures that can mitigate the high burden of diseases. However, vaccine refusal poses serious challenges for achieving coverage for population immunity. With the availability of coronavirus disease-2019 (COVID-19) vaccines, limited information is available about the university students' acceptability and attitudes toward COVID-19 vaccines. This article reports study findings regarding factors that influence university students' decision of acceptability to the COVID-19 vaccine in Jordan. Results highlight the continued need for clear and consistent information about the vaccine by health care decision-makers and university administrations.

Factors Associated with Prehospital Delay among Men and Women Newly Experiencing Acute Coronary Syndrome: A Qualitative Inquiry.

BACKGROUND: Delaying seeking health care for patients with acute coronary syndrome (ACS) causes high mortality and morbidity with variations among men and women regarding reasons for this delay. OBJECTIVES: This study explored factors associated with prehospital delay among men and women experiencing acute coronary syndrome for the first time in Jordan. METHODS: 35 men and 33 women with ACS admitted and treated at the coronary and postcoronary care units. RESULTS: Themes emerging from the data are knowledge about ACS, the resources related to health care, and concerns around family wellbeing. Owing to the traditional roles of men and women within the family, women felt responsible for maintaining the family, assisting in the financial conditions, and supporting family coherence by delaying hospitalization. Men were worried about the structural safety and maintenance of the family. Conclusion and Implications. Prehospital delay is common among first-timer ACS patients from both sexes, and thus, increasing awareness about ACS among the public from all age groups is necessary. Availability of specialized health care centers and equity in health care services are vital to improve public confidence in these health care settings and health outcomes.

Coping strategies as moderating factors to compassion fatigue among critical care nurses.

PURPOSE: This study measured levels of compassion fatigue, burnout and satisfaction among critical care and emergency nurses. It investigated coping strategies as moderating factors and as predictors to levels of compassion fatigue. METHODS: Using a cross-sectional design, this study was conducted on 228 (84.4%) out of 270 from four Jordanian hospitals. Nurses worked in different types of critical care units and emergency departments. Nurses completed a demographic questionnaire on the professional quality of life and coping strategies indicator scales. RESULTS: Nurses had low to average compassion satisfaction, burnout and secondary stress syndrome. Problem-solving and avoidance ranged between very low and average levels. Nurses reported having very low to average levels on seeking social support scale. Female nurses had better compassion satisfaction compared with their male colleagues, and the type of unit had a significant impact on the secondary stress syndrome, problem-solving, and seeking social support. Nurses from the surgical cardiovascular ICU scored the highest mean scores on the secondary stress syndrome. Better coping strategies were associated with higher compassion satisfaction and lower levels of secondary stress syndrome. Problem-solving significantly predicted compassion satisfaction, avoidance significantly predicted secondary traumatic syndrome. CONCLUSIONS: Coping strategies are moderating factors that could improve compassion satisfaction among critical care nurses. Managers could use findings to create healthier and supportive work environments. We recommend focusing on activities that promote better coping strategies, including improving the social support system. We also recommend replicating this study using a qualitative approach to identify further causes of compassion fatigue.

Measuring the Quality of Life among Head-and/or-Neck Cancer Patients with Oral Mucositis Using the Functional Assessment of Cancer Therapy-General in Jordan.

OBJECTIVE: Quality of life (QOL) in cancer patients can be influenced by the presence of medical conditions, such as oral mucositis (OM). There is still limited knowledge about this issue among patients in Jordan, and this could be related to the absence of research instruments testing QOL among cancer patients with OM. This study measured the QOL among cancer patients using the Functional Assessment of Cancer Therapy-General (FACT-G), Arabic version. METHODS: This was a cross-sectional study on 118 head-and/or-neck cancer patients with OM in Jordan. Data were submitted to measures of normality, reliability, and validity using exploratory factor analysis. The study also measured QOL among the study sample. RESULTS: FACT-G demonstrated good internal consistency reliability and validity. Factor analysis indicated the presence of four factors explained by 24 items representing a valid FACT-G, Arabic version. Scores reflected low QOL compared to reported normative values in the literature. The values used to compare findings from this study were extracted from international literature; no similar values were present in published literature. CONCLUSIONS: FACT-G, Arabic version, is valid and reliable when applied to this study population. Further testing is recommended, which would include the establishment of normative values.

Measuring the psychometric properties of the Arabic version of the spirituality questionnaire among university students in South Jordan.

Spirituality has been recently recognized in many areas around the world as a factor influencing the general health and wellbeing on individuals. There is a scarcity addressing this issue in the Middle East, like many other regions. Perhaps one reason for this is related to the absence of instruments measuring spirituality. The goal of this study was to investigate the psychometric properties of the spiritual questionnaire in university students in South Jordan. Exploratory and confirmatory factor analyses were performed on data coming from a sample of university students (n=1269). The questionnaire demonstrated validity and reliability. While the confirmatory factor analysis resulted in 29-item model, the exploratory factor analysis resulted in a 21-item model. The main factors in the model were self-awareness, importance of spiritual belief, spiritual practices, and spiritual needs. Spirituality questionnaire demonstrated good validity and reliability levels when used to measure spirituality among university students in Jordan. The 21-item model requires further testing to ensure stability over use. It is crucial in the future to test the impact of spirituality on the general health and wellbeing of adult individuals using the spirituality questionnaire and other research instruments.

Developing a tool that explores factors influencing the adoption of evidence-based principles in nursing practice in Jordan.

AIM: To measure the psychometric properties, reliability and validity of a tool that explores factors influencing the adoption of principles of evidence-based in nursing practice in Jordan. BACKGROUND: The use of principles of evidenced-based practice in nursing practice has been widely endorsed in many countries around the world; these principles have not yet been implemented in Jordan. Factors influencing the adoption of evidence-based practice in Jordanian nursing context were not identified to date. METHODS: A descriptive, cross-sectional research design approached experienced nurses from different specialties across Jordan (3 military, 3 governmental and 5 private hospitals). RESULTS: The psychometric properties indicated a valid and reliable tool. It consisted of three factors: personal characteristics; source of professional knowledge; and organizational environment. CONCLUSIONS: Findings provided evidence on the impact of the identified factors on nurses' adoption of evidence-based practice. Although tests in this report showed the validity of this new tool, it still requires further testing to ensure its stability over time.