5 research outputs found

    Closing the Gap between Research Evidence and Clinical Practice: Jordanian Nurses’ Perceived Barriers to Research Utilisation

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    Background: The nursing profession is a combination of theory and practical skill, and nurses are required to generate and develop knowledge through implementing research into clinical practice. Considerable number of barriers could hind implementing research findings into practice. Barriers to research utilisation are not identified in the Jordanian context. Aims and Objectives: To explore Jordanian nurses’ perception of the barriers to research utilisation in clinical practice. Design: A quantitative descriptive survey design was used. Methods: The sample consisted of 239 Jordanian nurses from one university hospital and three governmental hospitals. Nurses were conveniently recruited. Data was collection using the Barriers to Research utilisation questionnaire. Results: The majority of the participants were males (54%) and 53% of the participants were under the age of 30. The mean total score of barriers to research utilisation (BRU) was high at 2.97 (SD) out of 4 (the highest possible barriers score). The top three barriers were: “research results are not generalizable to their settings”, “lack of authority to change patient care procedures”, and “research articles are not published fast enough”. Conclusions: Barriers to research utilisation are high and were related to all aspects of research utilisation. These barriers need to be eliminated to improve the provided nursing care. To enhance research utilisation, a national-level guidance development system is needed. This will has the sole responsibility is to develop clinical guidelines, which are informed by the research, which practitioners and health services are then responsible for implementing into practice. Hence, hospital policies need to be reformed to address the procedure and activities of keeping the patients care up to date with current advances in healthcare disciplines. Keywords: Research utilisation, barriers, Jordan, Nurses, clinical practic

    Spiritual Well-Being, Depression, and Stress Among Hemodialysis Patients in Jordan

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    Purpose: The spiritual dimension of a patient’s life is an important factor that may mediate detrimental impacts on mental health. The lack of research investigating spiritual well-being, religiosity, and mental health among Jordanian hemodialysis patients encouraged this research. This study explored levels of spiritual well-being and its associations with depression, anxiety, and stress. Design: A quantitative, cross-sectional correlational study. Method: A sample of 218 Jordanian Muslim hemodialysis patients completed a structured, self-administered questionnaire. The data were analyzed using descriptive statistics and linear multivariate regression models. Findings: The hemodialysis patients had, on average, relatively low levels of spiritual well-being, moderate depression, severe anxiety, and mild to moderate stress. The results of the regression models indicated that aspects of spiritual well-being were negatively associated with depression, anxiety, and stress, but only existential well-being consistently retained significant associations after controlling for religious well-being, religiosity, and sociodemographic variables. Conclusions: Greater spiritual and existential well-being of Jordanian hemodialysis patients were significantly associated with less depression, anxiety, and stress. It appears that these patients use religious and spiritual beliefs and practices as coping mechanisms to overcome their depression, anxiety, and stress. The implications for holistic clinical practice are explored

    Evaluating Palliative Care Needs in Middle Eastern Countries

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    WOS: 000347152600006PubMed ID: 25302525Background: Cancer incidence in Middle Eastern countries, most categorized as low- and middle-income, is predicted to double in the next 10 years, greater than in any other part of the world. While progress has been made in cancer diagnosis/treatment, much remains to be done to improve palliative care for the majority of patients with cancer who present with advanced disease. Objective: To determine knowledge, beliefs, barriers, and resources regarding palliative care services in Middle Eastern countries and use findings to inform future educational and training activities. Design: Descriptive survey. Setting/Subjects: Fifteen Middle Eastern countries; convenience sample of 776 nurses (44.3%), physicians (38.3%) and psychosocial, academic, and other health care professionals (17.4%) employed in varied settings. Measurements: Palliative care needs assessment. Results: Improved pain management services are key facilitators. Top barriers include lack of designated palliative care beds/services, community awareness, staff training, access to hospice services, and personnel/time. The nonexistence of functioning home-based and hospice services leaves families/providers unable to honor patient wishes. Respondents were least satisfied with discussions around advance directives and wish to learn more about palliative care focusing on communication techniques. Populations requiring special consideration comprise: patients with ethnic diversity, language barriers, and low literacy; pediatric and young adults; and the elderly. Conclusions: The majority of Middle Eastern patients with cancer are treated in outlying regions; the community is pivotal and must be incorporated into future plans for developing palliative care services. Promoting palliative care education and certification for physicians and nurses is crucial; home-based and hospice services must be sustained.MECCFunding was provided by MECC. Ronit Esther, MECC coordinator, is acknowledged for assistance with data collection and manuscript formatting. ONS leaders Barbara Lubejko, RN, MS, Project Manager/Education Team and Nurse Peer Review Leader/Approver Unit and Kate Shaughnessy Hankle, MBA, CVA, Management of International and Leadership Development are acknowledged for their assistance with survey revision and qualitative data analysis
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