The Effect of a Cardiac Educational Program on the Level of Knowledge and Satisfaction among Patients with Coronary Artery Disease

Background: Although patient education programs impart health-related knowledge that promotes the individual capacity to understand basic health information, there is a dearth of studies that examine the effect of cardiac educational programs on knowledge and satisfaction among patients with coronary artery disease (CAD) in Jordan. Aim: This study aimed to examine the effect of cardiac educational programs on knowledge and satisfaction among patients with CAD. Methods: An experimental design was used. Data were collected from 138 patients using the Coronary Artery Disease Education Questionnaire-Short Version and the Patient Satisfaction Scale. Participants were randomly allocated into an experimental group and a control group. Data were collected twice, before the intervention and one month after implementation.   Results: There was a significant difference t (61) = -3.12, P= 0.03 between the mean knowledge score at pre-test (M=10.3, SD= 3.80) and post-test (M=12, SD=1.49) and a significant difference t (61) =-17.3 P< 0.001) between the mean satisfaction score at pre-test (M=3.5, SD= 0.38) and post-test (M=4.41, SD=0.37). Results of paired t-test showed that there was a significant difference t (61) = -3.12, P= 0.03 between the mean knowledge score at pre-test (M=10.3, SD= 3.80) and post-test (M=12, SD=1.49) for the experimental group. On the other hand, there was no significant difference t (64) = 1.01, P= 0.31 between the mean knowledge score at pre-test (M=10.8, SD=32.6) and post-test (M=10.7, SD=2.96) for the control group. Conclusion: The findings of the current study support the significant effect of the cardiac educational program on the level of knowledge and satisfaction among patients with CAD

A case analysis of partnered research on palliative care for refugees in Jordan and Rwanda

© 2021, The Author(s). Background: This case analysis describes dilemmas and challenges of ethical partnering encountered in the process of conducting a research study that explored moral and practical dimensions of palliative care in humanitarian crisis settings. Two contexts are the focus of this case analysis: Jordan, an acute conflict-induced refugee situation, and Rwanda, a protracted conflict-induced refugee setting. The study’s main goal was to better understand ways humanitarian organizations and health care providers might best support ethically and contextually appropriate palliative care in humanitarian contexts. An unintended outcome of the research was learning lessons about ethical dimensions of transnational research partnerships, which is the focus of this case analysis. Discussion: There exist ongoing challenges for international collaborative research in humanitarian conflict-induced settings. Research partnerships were crucial for connecting with key stakeholders associated with the full study (e.g., refugees with life limiting illness, local healthcare providers, aid organization representatives). While important relationships were established, obstacles limited our abilities to fully attain the type of mutual partnership we aimed for. Unique challenges faced during the research included: (a) building, nurturing and sustaining respectful and equitable research partnerships between collaborators in contexts of cultural difference and global inequality; (b) appropriate ethics review and challenges of responding to local decision-maker’s research needs; and (c) equity and fairness towards vulnerable populations. Research strategies were adapted and applied to respond to these challenges with a specific focus on (d) research rewards and restitution. Conclusions: This case analysis sheds light on the importance of understanding cultural norms in all research roles, building relationships with decision makers, and developing teams that include researchers from within humanitarian crisis settings to ensure that mutually beneficial research outcomes are ethical as well as culturally and contextually relevant

The impact of chronotype on physical health, psychological health, and job performance among health care providers in acute care settings

BackgroundChronotype represents individual preferences to work specific shifts. Few researchers have examined the impact of chronotype on critical care (CC) nurses’ physical and psychological health as well as performance in the workplace.Aimto investigate the impact of specific chronotypes on the physiological and psychological health of CC nurses as well as their performance in the workplace.MethodsA descriptive cross-sectional design was used to conduct the study. Data were collected using three instruments: the Morningness-Eveningness Questionnaire, the Standard Shiftwork Index (SSI), and the Six Dimension Scale of Nursing Performance (Six-D Scale). A convenient sample of 101 nurses working in critical care units at two hospitals in Jordan was recruited.ResultsResults showed that the trend of nurses to the chronotypes compatibility less than those who did not show their compatibility (45.5%). Results also indicated weak negative associations between chronotype and gastrointestinal health and cardiovascular health, respectively (r = −.108; r = −.020). There was a weak positive association between chronotype and psychological health (r = .000). Regarding work performance, negative significant correlations between chronotype and the two domains of work performance (i.e. frequency [P = .01] and quality of nursing activity [P = .05]) were discovered.ConclusionChronotype is typically induced by the shiftwork system, so it may be more appropriate to plan work requirements and daily activities based on chronotype to avoid the consequences of health disruptions

Nurses\u27 Knowledge and Practices of Physical Restraints in Intensive Care Units: An Observational Study

Aim To investigate the knowledge and practice of physical restraints (PR) among Jordanian intensive care unit (ICU) nurses. Design A descriptive, observational design was used. Methods A convenience sampling was used to recruit participants. We examined the knowledge of PR in 301 nurses (knowledge check) and the real‐time practice of PR in 81 nurses (direct observation) in ICU. A knowledge questionnaire was used to collect data on knowledge about PR use, and data on their practice of PR were observed and documented using an observation checklist. Results The mean scores of nurses\u27 knowledge and practices were 61.5 (SD = 12.1) and 57.4 (SD = 9.7), respectively. More than half of nurses had poor knowledge of PR use and incorrect practice of implementing PR (51.5% and 60.5%, respectively). Results indicated a positive correlation between nurses\u27 knowledge and their use of PR

A case analysis of partnered research on palliative care for refugees in Jordan and Rwanda

Abstract Background This case analysis describes dilemmas and challenges of ethical partnering encountered in the process of conducting a research study that explored moral and practical dimensions of palliative care in humanitarian crisis settings. Two contexts are the focus of this case analysis: Jordan, an acute conflict-induced refugee situation, and Rwanda, a protracted conflict-induced refugee setting. The study’s main goal was to better understand ways humanitarian organizations and health care providers might best support ethically and contextually appropriate palliative care in humanitarian contexts. An unintended outcome of the research was learning lessons about ethical dimensions of transnational research partnerships, which is the focus of this case analysis. Discussion There exist ongoing challenges for international collaborative research in humanitarian conflict-induced settings. Research partnerships were crucial for connecting with key stakeholders associated with the full study (e.g., refugees with life limiting illness, local healthcare providers, aid organization representatives). While important relationships were established, obstacles limited our abilities to fully attain the type of mutual partnership we aimed for. Unique challenges faced during the research included: (a) building, nurturing and sustaining respectful and equitable research partnerships between collaborators in contexts of cultural difference and global inequality; (b) appropriate ethics review and challenges of responding to local decision-maker’s research needs; and (c) equity and fairness towards vulnerable populations. Research strategies were adapted and applied to respond to these challenges with a specific focus on (d) research rewards and restitution. Conclusions This case analysis sheds light on the importance of understanding cultural norms in all research roles, building relationships with decision makers, and developing teams that include researchers from within humanitarian crisis settings to ensure that mutually beneficial research outcomes are ethical as well as culturally and contextually relevant

Barriers to Implementing Palliative Care in Intensive Care Units: Perceptions of Physicians and Nurses in Jordan

Background: Palliative care (PC) aims to relieve a person\u27s suffering and provide the best possible quality of life (QoL) to people with chronic illnesses. Despite the significant impact of PC services on the QoL of patients, barriers exist that prevent healthcare providers from facilitating PC in intensive care units (ICUs). Aim: The purpose of this study was to explore the perceived barriers to implementing PC in ICUs. Methods: A qualitative approach was used to conduct 17 semi-structured interviews with clinicians across two ICUs (urban and suburban) in Jordan. Thematic analysis was used for the transcribed interviews. Results: Five main themes emerged: the ICU is a demanding and complex care environment; lack of preparation to implement PC; PC is a nicety, not a necessity; healthcare system-related barriers; and lack of cultural acceptance of PC. Lack of knowledge and training was identified as a major barrier for the effective implementation of PC by both physicians and nurses. Conclusion: Equipping healthcare providers with the knowledge and expertise to provide PC is essential to dispel myths related to PC and facilitate PC provision. Developing an interdisciplinary care team will support the effective implementation of PC services in any setting. Establishing national PC policies will foster the ethical and legal practice of PC in Jordan