THE EFFECT OF OSTEOPOROSIS HEALTH EDUCATION PROGRAM BASED ON HEALTH BELIEF MODEL ON KNOWLEDGE AND HEALTH BELIEFS TOWARDS OSTEOPOROSIS AMONG JORDANIAN FEMALE TEACHERS

This study was conducted to assess the effect of osteoporosis health education program based on Health Belief Model on knowledge and health beliefs towards osteoporosis among Jordanian female teachers. This experimental study was performed on 200 female teachers (100 teachers in the intervention group and 100 in the control group) aged 25 - 49 years old in four governmental secondary schools affiliated to public educational directorate in Amman governorate. The females participated in a four-week educational program based on the Health Belief Model. The data collection instrument was a validated and reliable questionnaire in three sections: demographics, knowledge and health beliefs. The questionnaires on osteoporosis knowledge and health beliefs were given to the participants before the program (pre-intervention) and repeated three months later after the intervention on the same participants (post-intervention). The health education program prepared according to pre-intervention results. The results revealed that the mean scores of teachers’ knowledge and health beliefs subscales among the intervention group were significantly changed before and after the educational intervention program (P < 0.05). The use of an osteoporosis educational program seems to improve knowledge and health beliefs. In addition, it could support the need to raising the awareness and knowledge of osteoporosis

Knowledge of Critical Care Nurses about End-of-Life Care towards Terminal Illnesses: Levels and Correlating Factors

Introduction: The preparedness of nurses in relation to providing palliative care is not always adequate, indeed, it is sometimes unsatisfactory; this may be caused by lack of knowledge and limited experience in end-of-life care (EOLC). Thus, this study purposed to assess the levels of registered nurses’ knowledge about EOLC, examine the relationships between EOLC knowledge and some demographic variables, and explore predictors of EOLC knowledge. Methods: A cross-sectional design survey was conducted with Jordanian registered nurses in critical care units (N = 175) in different heath sectors in Jordan. The End-of Life Professional Caregiver Survey (EPCS) was used. Results: Findings showed that nurses had moderate/quite a lot of knowledge (M (SD) = 2.58 (.48)) about EOLC. The cultural and ethical values was the highest subscale of knowledge about EOLC (M (SD) = 2.74 (.52)), while effective care delivery subscale was the lowest one ((M (SD) = 2.33 (.66). Knowledge about EOLC was correlated with age (r = .145, P < .05), work experience (r = .173, P < .05), and training course in palliative or EOLC (r = .217, P < .01). The main predictor of EPCS was training courses in palliative or EOLC (B = .190, P < .05). Conclusion: The nurses need to enhance their knowledge about EOLC and correlating factors should be taken into consideration when developing any intervention program. Nurses need palliative care training courses; also more attention is required in palliative care education particularly in clinical skills in effective care deliver

Nurses experience of caring for patients with COVID-19 : a phenomenological study

Introduction: COVID-19 has impacted all dimensions of life and imposed serious threat on humankind. Background: In Jordan, understanding how nurses experienced providing care for patients with COVID-19 offers a framework of knowledge about similar situations within the context of Arabic culture. Aim: To explore nurses' experience with providing hands-on care to patients with active COVID-19 infection in an Arabic society. Methods: A descriptive phenomenological study interviewed 10 nurses through a purposive sampling approach until data saturation was reached. The research site was hospital designated to receive patients with active COVID-19 infection. Semi-structured interviews were used to collect the data. Findings: Three themes were generated from the data: the impact of the COVID-19 outbreak on nurses' health; unfamiliar work and social environments; and conforming to professional standards. Discussion: There are specific risks to the physical and mental wellbeing of nurses who provide hands-on care to patients with COVID-19 in an Arabic society. Implication for nursing and health policy: Health care institutions should consider establishing programs that promote nurses' wellbeing and support their productivity in a crisis. A danger pay allowance should be considered for nurses during extraordinary circumstances, such as pandemics

Depressive symptoms among older Jordanian patients with cancer undergoing treatment

To date, the relationship of socio-demographic, treatment, and psychological factors to depression in older patients with cancer has not been systematically studied in Arabic samples, including Jordanian despite the increasing incidence of cancer (Mosleh, Alja’afreh, Alnajar, & Subih, 2018). This study is of significance because it fills the gap in literature in terms of assessing the psychological reactions of older patients with cancer in Middle Eastern countries. Early assessment of the predictors of depressive symptoms among older patients with cancer is essential to craft individualized health-care plans. Thus, our study seeks to assess the levels of depressive symptoms, anxiety, and hope among older Jordanian patients with cancer who are currently undergoing treatment, and to identify the relationship between selected factors (socio-demographic, treatment, and psychological) and depressive symptoms

Social support as the mediator for the relationship between internet gaming disorder and psychological problems among university students

Background: There has been increasing recognition of internet gaming disorder as a psychiatric problem that is linked with serious impairment and distress and correlated with psychological reactions and social consequences. Thus, this study proposed that psychological problems (stress, anxiety, and depression) and social support could be associated with IGD and social support had a mediating role between these psychological problems and IGD among university students in Jordan. Methods: A cross-sectional, descriptive correlational design was adopted. The university students (N = 1020) were selected randomly from four universities (two public and two private) in Jordan. A self-structured questionnaire was used to collect data using the Internet Gaming Disorder Test (IGD-20 Test), Depression Anxiety Stress Scales-21 (DASS-21), Multidimensional Social Support Scale (MSPSS), and sociodemographic data. Findings: Findings of this study found that the mean age of the participants was 21.38 (S.D ± 2.12) and 55.9% of them were males The prevalence of internet gaming disorder was 12.16% among the participants, where the cut-off point for internet gaming disorder was 71 out of 100. Internet gaming disorder was significantly correlated with stress, anxiety, social support, and depression. However, stress, anxiety, and social support had a direct effect on internet gaming disorder, while social support had the strongest effect on internet gaming disorder. It was found that social support had a mediating role between anxiety and stress (β = −0.172, T-Statistics = 3.92, p \u3c 0.001; β = −0.268, T-Statistics = 5.45, p \u3c 0.001, respectively) and internet gaming disorder (p \u3c 0.001). Conclusion: This study can help policymakers and instructors develop health education programs and/or health training programs that focus on using social support as a coping method when experiencing psychological problems including stress and anxiety and adopt social support in management programs for excessive use of internet gaming

Psychosocial correlates of work-related fatigue among Jordanian emergency department nurses

Purpose: This study purposed to assess the psychosocial correlates of work-related fatigue among Jordanian emergency department nurses. Design and Methods: A cross-sectional study was conducted among Jordanian emergency nurses (n = 220). Measures included Occupational Fatigue Exhaustion/Recovery Scale (OFER15) and Copenhagen Psychosocial Questionnaire version Two (COPSOQ II). Findings: The psychosocial factors correlated with all types of work-related fatigue (acute, chronic, and inter-shift [recovery]) were quantitative demands, work-family conflict, sexual harassment, threats of violence, physical violence, and bullying. Importantly, quantitative demands and sexual harassment were the main predictors of all types of work-related fatigue. Practice Implications: The psychosocial correlated factors should be considered when developing interventions to minimize work-related fatigue phenomenon. This would lead to a more positive working environment which will promote safe nursing care

Self-esteem, stress, and depressive symptoms among Jordanian pregnant women : social support as a mediating factor

This study purposed to assess the mediating role of social support between stress, depressive symptoms, and self-esteem among Jordanian pregnant women. Across-sectional study recruited a total of 538 pregnant Jordanian women using a cluster stratified random sampling technique, during the period from September 2019 to February 2020. The study used the following measures: The Perceived Stress Scale (PSS), Beck’s Depression Inventory (BDI), Rosenberg Self-Esteem Scale, and Multidimensional Social Support Scale (MSPSS). Descriptive statistics and inferential statistics were used to test the mediating effect of social support in terms of the association between depression and self-esteem. The results were considered significant if p ≤.05. The findings showed that 75.6% of participants had moderate-to-high stress levels. High levels of stress, depressive symptoms, and low self-esteem were highly correlated with low social support (p &lt;.05). Depressive symptoms predict the self-esteem (F(2, 537) = 158.631 p &lt;.05). Social support significantly mediates the relationship between the depressive symptoms and self-esteem with p =.01. Thus, during the antenatal care, administration of screening tools to identify pregnant women with low social support levels and at risk of developing psychological difficulties would allow primary healthcare to promote for positive health outcomes for the mothers and the babies

Effect of high fidelity simulation on perceptions of self-awareness, empathy, and patient-centered care among university pediatric nursing classes

Introduction: Improvement in nurses' features such as self-awareness, empathy, and patient-centered care leads to positive patient outcomes. High fidelity simulation is one of the interventions which was used to enhance the mentioned nursing students' features. This study aimed to evaluate the effect of high-fidelity simulation on students’ perception of self-awareness, empathy, and patient-centered care at pre and post-intervention in undergraduates’ pediatric nursing students at Arab American University in Palestine. Methods: A group of pretest-posttest design was used. The accessible sample of all undergraduate pediatric nursing students (N = 83) who enrolled in the pediatric classes in the Faculty of Nursing was recruited. Results: The findings showed a significant difference between students' perceptions pre and post high-fidelity simulation intervention for self-awareness (t = -31.74, p < 0.001), empathy (t = -18.24, p < 0.001), and patient-centered care (t = -17.36, p < 0.001). There was a statistically significant improvement in self-awareness, empathy, and patient-centered care as a result of simulation. Conclusion: The findings of this study suggest infusing the nursing curriculum, particularly, pediatric course with simulation based-teaching intervention to increase self-awareness, empathy, and patient-centered care is a critical issue to fill gaps in these areas and to supplement traditional clinical learning. Please note a corrigendum for this article is available via https://www.nursingsimulation.org/article/S1876-1399(21)00124-9/fulltex

[In Press] Effect of high fidelity simulation on clinical decision-making among nursing students

It became necessary to integrate alternative teaching methods having excellent results in the nursing curriculum such as high-fidelity human patient simulation. High fidelity simulation improves nursing students’ thinking, and emotional and decision-making capabilities. The pretest–posttest control group design was conducted to examine the effect of high-fidelity simulation (HFS) intervention on clinical decision-making for pediatric nursing students at the Arab American University in Palestine. One hundred fifty participants took part in the present study, where 50% (n = 75) were in each of the intervention and control groups. The intervention group received theory-based learning and high fidelity simulation, while the control group was provided with theory based learning and usual training in the nursing laboratory. Findings showed that after implementing the intervention, a significant change was noticed in means of clinical decision-making between the control and intervention groups. Therefore, high fidelity simulation intervention was effective, thus it could benefit the nursing students by enhancing clinical decision-making. The results support nursing educators and universities especially in developing countries to adopt such an intervention strategy for nursing students

Screening of bone mineral density (BMD) among elderly population in Jordan

Introduction: The health of the skeletal system is a vital issue in elderlies, hence, screening studies that investigate elders' bone health and identify associated factors affecting bone density are of prime importance. This study purposed to evaluate bone mineral density levels and examine its relationship with socio-demographic and clinical data, and body measurements among Jordanian elderlies aged 60 years and over. Methods: A cross-sectional, descriptive correlational study was used using a systematic random sampling technique to recruit 155 participants in Amman governorate. A questionnaire consists of socio-demographic and clinical data, and a form measures bone mineral density and body mass index were used. Bone mineral density was measured using a CM200 light device, where the T-score used to assess the bone mineral density. The T -scores equal -1 < -2.5 indicate osteopenia, while < -2.5 reflect osteoporosis. Results: Of the 151 subjects with completed data, 34.5% osteopenia, and 9.2% osteoporosis. The lowest bone mineral density was observed among older participants, divorced, illiterate, experiencing arthritis disease, and had a family history of osteoporosis and fractures. Sex, marital status, number of cola glasses, and number of cigarettes had a negative correlation with T-score, conversely, arthritis and family history of fracture had a positive correlation. The number of cola glasses was the main predictor. Conclusion: Jordanian elderlies experienced low bone mineral density. Developing appropriate health promotion programs for changing unhealthy behaviors and screening purposes are needed to enhance the knowledge of bones health and reduce the risks of developing osteopenia or osteoporosis