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.

Lived Experience of Jordanian Parents Having a Child with Duchenne Muscular Dystrophy.

BACKGROUND: Duchenne muscular dystrophy (DMD) is a congenitally inherited disease characterized by progressive muscle damage and loss of function in children, which currently has no cure. Parents of children with DMD go through significant challenges when caring for a child with this condition. PURPOSE: The aim of this study was to explore the lived experience of Jordanian parents caring for a child with DMD. DESIGN AND METHODS: We utilized qualitative, descriptive, phenomenological design. Ten pairs of parents of children with DMD were interviewed at their homes from the southern region of Jordan. The Participant verbal as well as nonverbal cues were recorded during the interview. Data were analyzed using Colaizzi's 7-step method. RESULTS: Parents experienced psychosocial, emotional, and financial problems, which affected family dynamics and the quality of life. Themes emerged were face the new disease, caring for our child and handling the situation, staying in contact with the outside world, and career options and opportunities. CONCLUSIONS: Parents experienced feelings of stress and anxiety mixed with emotions of hopelessness. Parents relieved anxiety by sharing feelings with others, assuring themselves and accepting the reality of child's illness. PRACTICE IMPLICATIONS: It is necessary that parents undergo psychological counseling individually or by joining groups who had similar experiences. Follow-up by experts through the coping process. Addressing equity services in the country is necessary.

Cross-sectional survey on the diabetes knowledge, risk perceptions and practices among university students in South Jordan.

BACKGROUND: Diabetes mellitus is a major health problem in Jordan. This study measured the knowledge, risk perception and practice of diabetes in a sample of Jordanian university students. It also explored predictors to the relationship between the KAP sections and each section with the associated characteristics. METHOD: A cross-sectional study was carried out in seven university campuses in South Jordan. A total of 3000 participants received and were asked to fill in a self- administered structured questionnaire about their diabetes knowledge, risk perception and practice. RESULTS: A total of 2158 respondents (1031 male and 1127 females) with ages ranging between 18 and 50 years (97.2% < 30 years) were included in the final analysis. Participants' scoring was poor in diabetes knowledge (41.9%), moderate (52.5%) in risk perception of diabetes and slightly higher (61.9%) in practice. Prediction of diabetes knowledge included: age, studying health sciences, being in the first or fifth academic year, with a family history of diabetes, overweight and caring for a relative with diabetes. Without a family history of diabetes and caring for a relative with diabetes significantly predicted diabetes risk perception. Diabetes knowledge and caring for a relative with diabetes were the only predictors of diabetes practice. CONCLUSION: In spite of the educational status, university students' level of DM- related knowledge and the perceived risks and practices toward the disease were not adequate. Programs aiming to increase awareness about diabetes for students in all levels and for the general public should be initiated in order to help prevent or delay the occurrence of the disease.

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.

Exploring factors that influence students' attitudes toward midwifery in Jordan: Measuring psychometric properties of a newly developed tool.

Students' professional choice to proceed in midwifery is influenced by many factors. This study validated an instrument developed to assess students' attitudes toward midwifery in Jordan. It also addressed the motivating and de-motivating factors influencing students' decision concerning joining and continuing in midwifery. A descriptive, cross-section study was conducted on a convenience sample of 374 midwifery students representing private, governmental, and military midwifery colleges. The researchers developed the study questionnaire through conducting a comprehensive literature review, organizing common themes and consulting experts. Exploratory factor analysis and tests of normality and reliability, including Cronbach's Alpha and Bartlett's test, were used in the analysis. The result was three factors were explained by 23 items. They were as follows: professional knowledge, professional motivation factors, and de-motivating professional factors. The first 8 items explained nearly 61% of the variance. Cronbach's Alpha was 0.834 with a range of 0.835-0.839. The Spearman-Brown coefficient was 0.81 and Guttman Split-Half coefficient was 0.83. Issues of reliability and validity require a repetitive process of testing under a range of circumstances to ensure both stability and representation of the construct. However, addressing factors found to have impact of students' decisions is crucial to improve retention of high quality students.

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.

Validating the psychiatric nurses methods of coping questionnaire: Arabic version.

BACKGROUND: The aim of the study was to undertake a psychometric analysis of the Psychiatric Nurses Methods of Coping Questionnaire (PNMCQ) - Arabic version when used to measure coping skills in psychiatric nurses in Jordan. METHOD: A descriptive, cross-sectional design was adopted in this study. A demographic questionnaire and the 35-item PNMCQ -Arabic were the measures used to collect data. RESULT: The PNMCQ demonstrated valid and reliable values when administered to psychiatric nurses in Jordan after it had been submitted to factor analysis. CONCLUSION: The development of PNMCQ: Arabic Version adequately measures coping skills in psychiatric nurses from a culturally appropriate context. Use of the tool can determine coping skills in psychiatric nurses with the view to positive staff development. Strategies identified based on results of the PNMCQ could ultimately result in better nurse retention and patient outcomes.

Validating a tool that explores factors influencing the adoption of principles of evidence-based practice.

The adoption of principles of evidence-based practice in nursing education assists nursing graduates in improving their practice. Measuring factors that influence this adoption requires the use of a valid tool; however, few tools addressing these factors are available. This study measured the psychometric properties of a composite tool developed to assess factors influencing the adoption of the principles of evidence-based practice in nursing education. A descriptive, cross-sectional research design was used. A convenience, purposive sample of 85 nurse educators participated in this study. The Evidence-Based Nursing Education Questionnaire items were derived following a four-step approach: extensive literature review, thematic analysis of literature, expert opinion in the questionnaire items, and psychometric testing of the questionnaire. The psychometric properties indicated a valid and reliable tool. The resulting five factors include knowledge in educational principles and faculty practice. The questionnaire proved to be reliable and valid.