Experiences, barriers and expectations regarding current patient monitoring systems among ICU nurses in a University Hospital in Lebanon: a qualitative study.

Purpose: The aim of the study is to assess the experiences, barriers, and expectations regarding current patient monitoring systems among intensive care unit nurses at one university hospital. Methods: A qualitative exploratory study approach was adopted to test the research questions. Results: Intensive care unit personnel placed a high value on practical criteria such as user friendliness and visualization while assessing the present monitoring system. Poor alarm handling was recognized as possible patient safety hazards. The necessity of high accessibility was highlighted once again for a prospective system; wireless, noninvasive, and interoperability of monitoring devices were requested; and smart phones for distant patient monitoring and alert management improvement were required. Conclusion: Core comments from ICU personnel are included in this qualitative research on patient monitoring. All national healthcare involved parties must focus more on user-derived insights to ensure a speedy and effective introduction of digital health technologies in the ICU. The findings from the alarm control or mobile device studies might be utilized to train ICU personnel to use new technology, minimize alarm fatigue, increase medical device accessibility, and develop interoperability standards in critical care practice.

The Relationship Between Patients' Overall ICU Experiences, Psychological Distress, and Sleep Quality Among Jordanian Burn Patients: A Cross-Sectional Study.

Objectives This study aimed to assess patients' experiences, psychological distress, and sleep quality among Jordanian burn patients. Method A cross-sectional, correlational design was used. A sample of 150 patients admitted to the burn-specific intensive care unit completed the study. Demographical data, Intensive Care Experience Questionnaire, and sleep ICU questionnaire were used for data collection. Descriptive and inferential statistics were used for analysis. Results Participants were found to have poor sleep quality and severe psychological distress. Sleep quality was negatively associated with awareness of ICU experience (r = -.190, P = .020) and psychological distress (r = -.190, P = .020) and positively associated with the recall of experience in ICU. Female participants had significantly greater ICU experience frightening and recall. Participants who experienced burn complications had significantly higher psychological distress. Discussion There is a need to offer an encouraging environment to burn patients to improve the psychological health and sleep quality in critical care units.

How Does Perceived Social Support, Mindfulness, and Coping Strategies Influencing Death Anxiety Among Patients With Tuberculosis.

Objective: This study aimed to assess the relationship between coping strategies, social support, mindfulness, and death anxiety among TB survivors. Methods: A descriptive, cross-sectional design was used. A convenience sample of 120 adult patients diagnosed with TB were enrolled from public hospital. Results: The patients had moderate death anxiety (M = 45.3, SD = 6.88). However, TB patients reported high perceived coping strategies, great social support, and dispositional mindfulness. The death anxiety was negatively associated with mindfulness (r = -0.211; p < .05) and with perceived social support (r = -0.368, p < .05). Attention awareness to living activity, perceived social support, type of TB, and duration of treatment were predicted the participants' death anxiety. Conclusions: The presence of death anxiety among TB patients is a significant and tangible issue that can significantly impact their overall well-being. Addressing this concern is pivotal for their mental resilience, treatment adherence, and overall recovery.

Knowledge, Attitude, Practice, and Perceived Barriers Regarding Colorectal Cancer Screening Practices Among Healthcare Practitioners: A Systematic Review.

The recommendations of medical professionals play a significant role in colorectal cancer (CRC) screening. This study aims to systematically review knowledge, attitude, practice, and perceived barriers regarding CRC screening practices among healthcare practitioners (HCPs). From January 2023 to December 2023, a comprehensive literature search was conducted using online databases, including Web of Science, PubMed, Scopus, and Research Gate, by using the following keywords in combination: "knowledge," "attitude," "practice," "perceived barriers," "colorectal cancer," and "health practitioners." The researchers screened and examined the retrieved literature. A total of 21 studies were considered relevant for the current review. Among these studies, eight assessed the level of knowledge, attitude, practices, and perceived barriers toward CRC screening among various health practitioners. Three studies assessed knowledge and attitudes toward CRC screening among health practitioners. The remaining ten studies assessed awareness, perceived barriers, or only knowledge of CRC screening among HCPs. In addition, all the included studies employed a cross-sectional design. The review shows that many healthcare providers need more fundamental knowledge of CRC screening. Healthcare procedures must be improved to enhance the knowledge, attitudes, and practices of healthcare professionals regarding CRC screening and their understanding of the associated barriers.

Mindfulness, Social Support, and Psychological Distress Among Jordanian Burn Patients.

Burn is associated with psychological distress, anxiety, and depression. Social support and mindfulness are considered a strength source for postburn survivors to resume their daily living activities. There is a lack of literature that supported the direct impact of mindfulness on social support and psychological distress among burn survivors. The aim of this study is to examine the impact of mindfulness and social support in enhancing the psychological well-being of burn survivors in Jordan. A cross-sectional descriptive design and convenience sampling technique were utilized to meet the study goal. A self-reported questionnaire was completed by a sample of 212 burn survivors. The questionnaire consists of 3 tools to measure psychological distress, social support, and mindfulness. A significant correlation was found between social support and psychological distress among the Jordanian burn survivors. Mindfulness revealed a distinctive variance in psychological distress among the study participants. In addition, some sociodemographic and clinical data have a relationship with psychological distress. Several factors among burn survivors have influenced their psychological and social support status. Also, mindfulness is important for enhancing psychological well-being and affecting the social support among burn patients.

The impact of utilizing inclusive leadership among nurses during crises: A multisite comparative study.

Nurses' psychological wellness and satisfaction are threatened by exposure to many stressors. Adopting a promising leadership style has beneficial impacts at different levels, especially during crises. This study aimed to examine the impact of inclusive leadership on nurses' satisfaction and psychological distress during crises, focusing on three Arabic countries. A cross-sectional descriptive design was utilized to meet the study goal. Data were collected electronically in the three countries using the Kessler Psychological Distress Scale (K-10), Minnesota Satisfaction Questionnaire, and Carmel's Inclusive Leadership Scale. Two hundred seventy-four participants fully responded: 90 from Egypt, 82 from Saudi Arabia, and 102 from Jordan. Descriptive statistics, Pearson R, Spearman Rho, Point biserial, and ANOVA tests were used to answer the research questions. There were statistically significant differences between countries in the mean scores of inclusive leadership and psychological distress. In addition, statistically significant relationships between inclusive leadership, psychological distress, and job satisfaction were found. The study focused on the importance of approaching inclusive leadership to increase employee satisfaction, reduce psychological distress, and achieve organizational goals.

Qualitative study of challenges facing emergency departments nurses in Jordan.

Worldwide, nurses employed in the Emergency Department (ED) face many challenges that negatively influence their well-being and ability to provide high-quality patient care. Previous researchers have investigated these challenges regarding their causes, consequences, and how to deal with them. However, most of the previous research addressed these challenges using quantitative research. The current study is the first qualitative study that examined these challenges in the Jordanian context. A descriptive naturalistic qualitative design was used to explore the most critical challenges facing nurses employed in the ED and described the suggested solutions for these challenges from nurses' perspectives. Ten registered nurses employed in the most prominent ED in Jordan were selected through purposive sampling. Semi-structured interviews were used to collect data. Thematic analysis technique was used to analyze data. Six main themes emerged: the definition of challenge, challenges facing registered nurses in the emergency department (five sub-themes), preventive measurements, possible solutions (five sub-themes), effects of the challenges (two sub-themes), and future challenges. The outcomes of this study could be integrated into the educational curricula to prepare new nurses to deal with these challenges in the future after graduation and contribute to finding solutions and solving some significant problems facing registered nurses in the ED. The hospital administrators and the policymakers should develop effective interventions to overcome the challenges facing nurses in the ED to ensure a better work environment and high-quality patient care.

Perceived Occupational Stressors and the General Health of Critical Care Nurses During COVID-19 Pandemic.

Introduction: The COVID-19 situation is placing nurses under great stress which may negatively influence their health. Objective: The purpose of this study was to examine the association between occupational stress and general health of critical care nurses during COVID-19 pandemic. Methods: A descriptive, cross-sectional design was used. A convenience sample of 150 Jordanian critical care nurses completed the study. Results: Occupational stress was a significant predictor of nurses' general health. Female gender, young, living with elderly or persons having chronic diseases, and little nursing experience were associated with worse general health, while living with elderly or persons having chronic diseases were associated with more occupational stress. Conclusion: Providing psychological support services for critical care nurses is required to reduce the impact of occupational stress on nurses' poor general health.

Critical Care Nurses' Attitudes, Roles, and Barriers Regarding Breaking Bad News.

This study examines critical care nurses' attitudes, roles, experience, education, and barriers regarding breaking the bad news. A descriptive, cross-sectional design was used in this study. A convenience sample of 210 critical care nurses completed the study. Most of the critical care nurses contributed to breaking bad news and they were involved in different roles in this process and they had a positive attitude regarding breaking bad news. In this study, (75.2%) of the participants reported that they did not receive any specific training regarding breaking bad news. In addition, nurses face various barriers when breaking bad news. Critical care nurses' involvement in breaking bad news should be encouraged. Most barriers to BBN were negatively associated with nurses' roles, attitudes, and experiences during BBN. Administrators should promote the involvement of critical care nurses in breaking bad news and strengthen them through addressing the challenges they face in the process of BBN.

Coping strategies, social support, and mindfulness improve the psychological well-being of Jordanian burn survivors: A descriptive correlational study.

BACKGROUND: Burn injury survivors usually experience multiple psychosocial problems, which occur commonly in low and middle-income countries. However, the previous literature provides limited information about the unique roles of coping strategies, social support, and mindfulness in improving the psychological well-being of burn survivors. Therefore, this study identified the role of coping strategies, social support, and mindfulness in improving the psychological well-being of burn survivors. METHODS: A descriptive correlational study on 224 burn survivors at a large government hospital in Amman, Jordan, was conducted. Participants completed questionnaires about socio-demographic and clinical data, anxiety and depression, social support, mindfulness, and coping. Standard multiple regression was performed to identify the unique role of the main study variables in improving the psychological well-being of burn survivors. RESULTS: Participants were found to have a severe level of psychological distress. Escape avoidance coping had the highest mean score among all other coping strategies, while acceptance of responsibility had the lowest mean score. Regression analysis showed that confrontive coping (ß = -0.224, p=p<0.01), social support (ß = -.212, p=p<0.01), and mindfulness (ß = -.403, p=p<0.01) were significantly associated with less psychological distress. CONCLUSIONS: Therefore, confrontive coping, social support, and mindfulness-based supportive interventions could be helpful in providing enhanced support to burn survivors.

Mindfulness and its Positive Effect on Quality of Life among Chronic Burn Survivors: A descriptive Correlational Study.

BACKGROUND: Burns are a global public health phenomenon accounting for 180,000 deaths yearly. Burn wounds were considered among the most devastating injuries worldwide and is the fourth most common type of injury globally. It is also negatively associated with the quality of life of those patients. Improving the quality of life and mindfulness could be helpful in those survivors after burn injury to deal with others. Based on the findings of the study, there remains limited knowledge about the unique role of mindfulness in improving the quality of life of burn survivors. Therefore, this study aims to identify the role of mindfulness in improving the QOL of Jordanian burn survivors. METHODS: A descriptive correlational design was used to answer the research questions. A convenience sample of 212 participants took part in the study. Participants completed measures regarding the quality of life and mindfulness. RESULTS: Some demographic and clinical variables were associated with quality of life. The burn-related QOL was significantly and positively correlated with mindfulness (r = .294, p < 0.01). Mindfulness explained a distinctive variance in burn-related quality of life among the study participants. CONCLUSION: This study identified the role of various factors in the burn-related quality of life among burn survivors. Mindfulness could have an important role in improving the burn-related quality of life among burn survivors.

Mindfulness and psychological distress among hemodialysis patients.

The current study identifies the unique role of trait mindfulness in improving the psychological health of patients under hemodialysis. A correlational research design was employed with a sample of 221 patients under hemodialysis. Participants completed a survey about the basic demographics, psychological distress, and mindfulness. The mean age of the study participants was 51.87 years (SD = 14.00). Participants had a moderate level of psychological distress. Psychological distress was associated with various demographic and clinical variables. Mindfulness accounted for 2.6% additional variance above and beyond the 18% accounted by demographic and clinical variables. This study suggests that mindfulness may enhance the psychological health of patients under hemodialysis. Future research may want to develop an intervention that employs a mindfulness-based approach and assess its effectiveness in supporting patients under hemodialysis.

Health-Promoting Behaviors among Nursing Students: Palestinian Perspective.

The purpose of this study is to assess the health-promoting lifestyle behaviors of nursing students at Arab American University Palestine, Palestine. A cross-sectional design was used, 350 participants filled the Health Promoting Lifestyle Profile II. The total HPLP score was 138.57 ± 22. Spiritual growth had the highest mean and physical activity had the lowest subscale. A significant relationship between the age of students and the sub-scales of stress management as well as physical activity. However, gender and spiritual growth subscale differed significantly. Also, there was a significant difference between students' year level and physical activity. University administrators and staff should provide guidance to progress with more actual strategies to improve nursing students' health-promoting behaviors.

Social support predicted quality of life in people receiving haemodialysis treatment: A cross-sectional survey.

Aims: To examine levels of social support and quality of life (QOL) and to examine the association between social support and QOL in patients receiving haemodialysis (HD) treatment. Design: A cross-sectional study. Method: social support and QOL were measured using the Multidimensional Scale of Perceived social Support (MSPSS) and the World Health Organization QOL-BREF questionnaires, respectively. A convenience sample of 195 patients receiving HD from different dialysis units across Jordan completed the questionnaires. Results: Respondents scored highest on the social relationships domain of QOL (55.5 SD 21.4) compared with the lowest mean scores of the physical and environmental domains (48.6 SD 20.4; 46.2 SD 17.3, respectively). social support had a positive significant association with quality of life. Multiple linear regression identified age and social support as influencing factors, explaining 24.6% of the total variance in the social domain of quality of life.Understanding the relationship between social support and QOL in patients receiving HD may provide guidance to the healthcare providers, family members and social services about the importance of social support to this group of patients.

Spirituality, Anxiety and Depression Among People Receiving Hemodialysis Treatment in Jordan: A Cross-Sectional Study.

Spirituality is an important factor that may mediate the detrimental impacts of hemodialysis on mental health. Lack of research examining spirituality and mental health in the Arab world in general and Jordan in particular encouraged this research. The study examined levels of spirituality, depression and anxiety and explored the association between them among patients receiving hemodialysis treatment in Jordan. A cross-sectional design was used to recruit 202 patients receiving hemodialysis treatment. Self-administered questionnaires including spiritual well-being scale, depression and anxiety and a demographic data sheet were used. The data were analyzed using SPSS and descriptive, inferential statistics and linear multivariate regression. The majority of respondents reported moderate mean levels of spirituality well-being (62.4%), while 60.9% and 80.2% scored low-to-moderate levels of depression, respectively. Only 22.3% reported moderate-to-severe anxiety levels. Increasing anxiety and number of co-morbid conditions were predictors of depression. No significant correlations were found between spirituality neither with the sample characteristics nor with depression and anxiety. It was found that depression and anxiety are common among respondents. Spirituality was of medium importance to them, yet it was not significantly associated with depression and anxiety. The implications of this study for holistic clinical practice are explored.

Barriers to Effective Pain Management in Cancer Patients From the Perspective of Patients and Family Caregivers: A Qualitative Study.

BACKGROUND: Pain is one of the most common and undesired symptoms in cancer patients, affecting patients' physical and psychological well-being. Barriers to effective pain management in cancer patients need to be identified and addressed by clinicians. AIMS: The purpose of this study was to explore the barriers to effective cancer pain management from the perspective of cancer patients and their family members. METHODS: A qualitative research design was employed. Semistructured interviews were conducted with 10 patients and 10 family caregivers to elucidate their perspectives regarding the barriers to effective cancer pain management in Jordan. RESULTS: Regulatory factors, knowledge deficit, and the use of religious and cultural strategies to cope with pain were major barriers to effective cancer pain management. Although effective cancer pain management is highly recommended, the participants' cultural beliefs deeply appreciated pain tolerance and discouraged effective treatment of cancer pain. CONCLUSION: Tailoring culturally appropriate educational programs regarding effective cancer pain management could facilitate pain management among patients with cancer.

Relationship between sleep quality, using social media platforms, and academic performance among university students.

PURPOSE: Explore the quality of sleep and investigate the relationship between sleep quality, using social media platforms, and academic performance among university students. DESIGN AND METHODS: A cross-sectional correlation design was used, 412 students completed an electronic questionnaire. FINDINGS: The majority of university students suffer from poor quality of sleep. The most frequently used social media platforms were WhatsApp, Snapchat, and YouTube. The strongest predictor of having very poor sleep quality was addiction on twitter. PRACTICE IMPLICATIONS: An educational program about the importance of adequate sleep should be supported university students.

Workplace bullying and its preventive measures and productivity among emergency department nurses.

BACKGROUND: Workplace bullying has adverse effects on nurses' productivity and emotional well-being and increases nurses' desire to leave their jobs. Bullying is a common phenomenon that has been reported worldwide. Emergency Department (ED) nurses are particularly exposed to bullying as a result of their job stressors and demands. PURPOSES: To examine the prevalence of bullying and the impact of preventive measures on productivity among Jordanian ED nurses; and to examine bullying in relation to personal and organizational factors. METHODS: We surveyed ED nurses in five hospitals in Amman, Jordan - two government hospitals and three private hospitals. The eligibility criteria for the study, met by 134 persons, were having at least an associate degree and having worked in the ED for at least six months. We used a four-part questionnaire that included demographic data, the Negative Acts Questionnaire, questions on prevention of bullying, and a health and productivity survey. Data analysis included descriptive and inferential statistics. RESULTS: A total of 120 ED nurses joined the study, an 89.6% response rate. The majority of participants were male (65%) and their mean age was 29.4 years. Ninety percent of the participants reported being bullied. Nurses with less experience in the ED were exposed to more bullying compared to other nurses. Of nurses who reported being bullied, 61.7% reported associated decreased productivity, including the ability to respond to cognitive demands, provide support, appropriate communication, safe care, and competent care. The overall mean score for the prevention of bullying questionnaire was 94.51 out of 168 (SD = 23.43). Drilling down, the highest mean score was for the "Individual sub-scale", and the highest item mean score was for "I know the process of how to report bullying". CONCLUSION: Bullying is prevalent among ED nurses in Jordan; it has significantly influenced the nurses' perception of their productivity and the quality of care they provide. Although nurses reported adopting measures to prevent bullying, they were insufficient to address this widespread problem. IMPLICATIONS FOR NURSING AND HEALTH POLICY: Bullying is a common occurrence in nursing practice in Jordan, as in other places. It has a detrimental effect on the quality of health care. Accordingly, interventions, which we describe, should be undertaken to minimize the incidence and impact of bullying.

Retraction Note to: Workplace bullying and its preventive measures and productivity among emergency department nurses.

The Publisher has retracted this article [1] because it was published in this journal in error. This article is republished in BMC Health Services Research [2].

Psychological distress and quality of life among Jordanian women diagnosed with breast cancer: The role of trait mindfulness.

BACKGROUND: Patients diagnosed with breast cancer were reported to have high levels of psychosocial distress and poor quality of life (QOL). Mindfulness is believed to improve QOL and reduce psychological distress in various populations, but its unique association with QOL and psychological distress in women with breast cancer has yet to be established. OBJECTIVES: This study was conducted to examine the relationship of mindfulness with depression, anxiety and QOL of women diagnosed with breast cancer. METHODS: A descriptive, correlation design was used. RESULTS: A sample of 234 Jordanian women completed the study. 24% of the participants scored above the cut-off for clinical depression, 36.3% scored above the cut-off for clinical anxiety, and 35.5% scored above the cut-off for poor QOL. Mindfulness accounted for significant unique variance in depression, anxiety and QOL above and beyond the variance accounted for by the demographic variables, clinical variables and social support. CONCLUSION: The current study provided preliminary evidence for the relationship of social support and mindfulness with the psychological well-being and QOL among Jordanian women with breast cancer. Future research may want to tailor an intervention that combines social support and mindfulness-based interventions and identify their benefits to support Jordanian women with breast cancer.