Consequences of Psychological Aspects: From Jordanian Heart Failure Patients' Beliefs.

Introduction: Psychological aspects are common in patients with heart failure (HF). Psychological aspects have negative consequences in patients with HF. Objective: This study was conducted to gain a deeper understanding of the consequences of psychological aspects in Jordanian patients with HF. Methods: This study is a qualitative study conducted with the participation of 24 patients with HF. Data were collected using semi-structured interviews. Results: The main theme of the findings can be expressed as "Consequences of psychological aspects of HF." The following four sub-themes emerged from the data: social isolation, disturbance of feelings, being non-compliant, and growing burden on the health care system. Conclusion: The findings revealed the need for informing healthcare providers about the negative consequences of psychological aspects and develop clinical guidelines to evaluate psychological aspects to support these patients.

Workplace Violence Against Emergency Nurses: A Literature Review.

Violence against health care providers is one of the most pressing problems faced by health care systems around the world. Because of unpredictability and acuity of emergency cases, emergency nurses are more vulnerable to workplace violence. Violence against emergency nurses is a complex and multidimensional problem that has a devastating impact on the physical, psychological, and social well-being of nurse victims. The purpose of this review is to integrate evidence on manifestations, contributing factors, and consequences of workplace violence perpetrated by patients and/or their relatives against emergency nurses, in addition to behavioral responses of emergency nurse victims toward workplace violence. An integrative review was conducted by searching 3 main electronic databases: Web of Sciences, MEDLINE, and ScienceDirect. Eighteen studies met the inclusion criteria and were included in the final review process. The review identified the most common forms, contributing factors, unpleasant consequences of workplace violence, and behavioral reaction of nurse victims toward violence acts. Reporting rates of workplace violence among emergency nurses were found to be low. It is recommended to develop more effective workplace violence prevention and reporting programs.

Correlates of psychiatric staff's attitude toward coercion and their sociodemographic characteristics.

BACKGROUND: A deeper understanding of the nurses' characteristics that influence their positive attitudes toward coercion is necessary if coercive measures rates are to be effectively reduced. AIM: To identify the difference in psychiatric staff attitudes toward coercive measures in relation to their sociodemographic characteristics. SETTING: The study conducted at the National Center for Mental Health, which is regulated under the authority of the Jordanian Ministry of Health. PARTICIPANTS: A total of 85 psychiatric staff recruited from the National Center for Mental Health. METHODS: A cross-sectional, descriptive, correlational design was used. Data were collected using a self-administered questionnaire, which consisted of 15 items that focused on assessing a staff's attitude toward coercion. RESULTS: The relationship between clinical unit and attitude toward coercion was significant (r = -.30; P = .006). Similarly, the correlations between gender-based units and attitudes toward coercion were significant (r = -.38; P = .002). Another significant correlation was revealed with different years of experience (r = .22; P = .04). CONCLUSION: The more years of experience in the field of psychiatric nursing the more positive attitude toward coercion. Moreover, working with male psychiatric patients and in acute psychiatric units increase the risk of coercive measures use.

Psychiatric staff attitudes toward coercive measures: An experimental design.

PURPOSE: To evaluate the effectiveness of a training program on the attitudes of psychiatric nurses toward using coercive measures. DESIGN AND METHODS: A repeated measures time-series design with two-equivalent groups was used. A convenience sample of 48 psychiatric nurses were recruited. Data collection was conducted using the Staff Attitude to Coercion Scale. FINDINGS: Results showed the effectiveness of the training program in improving nurses' attitude toward coercive measures. After 4 weeks of the training, nurses in the intervention group demonstrated significant improvements in their attitude mean scores. PRACTICE IMPLICATIONS: Equipping the psychiatric nurses with essential clinical knowledge and skills concerning the appropriate application of coercive measures policy were imperative issues that might help the nurses in dealing with these clinical complex situations effectively.

Effectiveness of using eye mask and earplugs on sleep length and quality among intensive care patients: A quasi-experimental study.

AIM: This study aims to assess the effect of using a combination of eye mask and earplugs on the perceived quality of sleep among patients admitted to intensive care units. DESIGN: Control group, pretest and posttest, quasi-experimental design was used. METHODS: Data were collected from 103 intensive care patients in two governmental hospitals in Jordan. The participants were assigned either an experimental or a control group. The experimental group participants received routine care in the first night and used the eye mask and earplug during their sleep in the second night. Control group participants, on the other hand, received routine care only in both nights. The number of hours slept was reported by nurses, and the perceived quality of sleep was self-reported by participants using the Richards-Campbell Sleep Scale. RESULTS: Experimental group participants slept more hours and reported significantly better perceived quality of sleep after the use of eye mask and earplugs, as compared both with themselves in the first night and with control group participants. CONCLUSION: Combining eye masks and earplugs is effective in prolonging the sleep of intensive care patients and improving its quality.

Use of Restraint and Seclusion in Psychiatric Settings: A Literature Review.

The purpose of the current literature review was to critically review studies related to the use of restraint and seclusion in psychiatric settings across cultures, identify ethical principles regarding restraint and seclusion, and generate a clear view about patients' perspectives and factors that influence use of these measures worldwide. Use of restraint and seclusion in daily nursing practice is controversial. Previous studies have shown variation in the types, frequency, and duration of restraint and seclusion across different countries and differences in the perception of restraint and seclusion between nurses and patients. Whereas some mental health staff members have positive attitudes toward restraint and seclusion, others have negative attitudes. The current analysis found that restraint and seclusion should be used as a last resort measure. [Journal of Psychosocial Nursing and Mental Health Services, 57(4), 32-39.].

Quality of Sleep Among Intensive Care Unit Patients: A Literature Review.

Investigating sleep disturbances among intensive care unit (ICU) patients and its serious consequences is considered a crucial issue for nurses. The need of sleep increases during hospitalization time to preserve energy for the healing process. Previous studies have demonstrated that sleep disturbance is one of the most common complaints of patients in the ICUs, with a prevalence of more than 50%. Although the total sleep time might be normal, the patients' sleep is fragmented and light in the intensive care settings. The main purpose of this review is to generate a clear view of what is known about sleep disturbances among ICU patients as well as to identify the gap in knowledge regarding this issue. This was done by describing, summarizing, clarifying, and evaluating well-selected previous studies about this topic. In addition, this concise review has focused on the prevalence of sleep disturbances in the ICU, factors contributing to poor quality of sleep among ICU patients, and the physiological effects of poor sleep on the patients' prognosis.

The impact of adopting person-centred care approach for people with Alzheimer's on professional caregivers' burden: an interventional study.

This study described the impact of adopting person-centred care approach for people with Alzheimer's disease on professional caregivers' burden. The participants were subjected to a 4-week structured training programme about person-centred care. The programme's effectiveness was proven by using the Global Behavior Scale. Then a qualitative descriptive phenomenological approach was used to explore the impact of applying this programme on professional caregivers' burden. Data were collected from a sample of 10 professional caregivers using semi-structured interviews. A total of three themes were identified: acceptance of disease-related behaviours of people with Alzheimer's, therapeutic understanding of people with Alzheimer's feelings (empathy) and enhanced caregivers' adaptation to people with Alzheimer's demands (resiliency). Findings suggested that adopting person-centred care approach for people with Alzheimer's disease reduces professional caregivers' burden.

Jordanian professional nurses' attitudes and experiences of having family members present during cardiopulmonary resuscitation of adult patients.

BACKGROUND: The presence of family members during cardiopulmonary resuscitation (CPR) of an adult patient remains a contentious area of practice that has attracted wide international debate. However, the attitude and experience of Jordanian nurses concerning this area of practice are not known yet. METHOD: This descriptive quantitative study was aimed at identifying the attitudes and experiences of Jordanian nurses toward the presence of family members during CPR of adult patients. A questionnaire that was developed by Fulbrook et al was completed by 136 nurses. RESULTS: There were 91.9% (n = 125) nurses who did not have any experience or a protocol or policy document on family presence during CPR and 97.7% (n = 133) nurses stated that they did not have any experience of inviting a family member to be present during CPR. Also, the result of this study revealed that Jordanian nurses had negative attitudes toward the presence of family members during CPR of an adult patient. CONCLUSIONS: Before initiating hospital policy regarding the option of family presence during resuscitation, attitudes and experiences of patients and relatives on witnessed resuscitation should be explored. Also, educating nurses about the importance of practicing to have the presence of family members during CPR of adult patients should be considered.