Measurement of physical activity levels and self-efficacy during early recovery after acute myocardial infarction in Jordan

Background: Cardiovascular disease is responsible for over 17.1 million deaths annually worldwide. Secondary prevention plays a key role in reducing the burden of cardiovascular disease. The cardiac rehabilitation programme is an effective intervention that supports lifestyle behaviour change after acute myocardial infarction. Self-efficacy and regular physical activity are particularly important for improving of patients’ health outcomes. No studies have measured both cardiac self-efficacy and physical activity levels after acute myocardial infarction during the early recovery phase. Aims: To translate and cross-cultural adapt of a cardiac self-efficacy questionnaire into Arabic. To use this questionnaire to assess the changes in self-reported self-efficacy levels at baseline, after two weeks (T1) and after six weeks (T2), to assess changes in physical activity levels and patterns at T1 and T2, and to determine whether there is a relationship between self-efficacy and physical activity among patients with acute myocardial infarction in the early recovery phase. Study design: A descriptive study with a repeated measures design. Methods: Phase one: the study used a process recommended by the World Health Organisation, to produce an Arabic version of the cardiac self-efficacy questionnaire. Phase two: the study measured self-efficacy by an Arabic version of the self-reported cardiac self-efficacy questionnaire and administered at baseline, T1 and T2. Physical activity was objectively measured by body-worn activity monitor (activPAL3™) for 24 hours a day for a full seven consecutive days at T1 and T2. Sample and Setting: The study recruited a convenience sample of 100 patients from a single cardiac centre in Amman, Jordan, between February and December 2015. Participants did not have access to cardiac rehabilitation. Results: The study showed successful translation and cross-cultural adaptation of the cardiac self-efficacy questionnaire into Arabic. In addition, the findings showed that the Arabic version of the cardiac self-efficacy questionnaire is a valid and reliable version with Cronbach’s alpha of 84.6% and Intraclass Correlation Coefficient of 92.9%. Self-reported cardiac self-efficacy scores improved significantly between baseline and T1, and between T1 and T2 across all subscales (p<.05) and specifically for global cardiac self-efficacy (p<.05). There was no statistically significant difference in physical activity levels and patterns between T1 and T2. There was no statistically significant relationship between cardiac self-efficacy and physical activity level at T1 and T2. Conclusion: The cardiac self-efficacy questionnaire is suitable for administration to patients with coronary heart disease. Study participants had greater amounts of sedentary time than levels reported in healthy populations in the UK or the USA. The step count was below that recommended in guidelines. The health care system in Jordan needs to develop cardiac rehabilitation programmes for patients recovering from myocardial infarction to promote physical activity levels and thereby reduce sedentary time. In addition, this study showed that the increase in self-efficacy levels did not influence physical activity levels. There is a need to further investigation to understand the mechanisms that influence physical activity levels among patients with acute myocardial infarction in the early recovery phase such as socio-cultural context

Impact of laptop dealer firm’s service quality on customers’ loyalty in Jordan

This study aims to investigate how various aspects of service quality in laptop dealer companies affect customers’ loyalty in Jordan. Data were collected from 341 Jordanian clients of dealer firms selling laptops in Jordan (HP, LG, Toshiba, Apple, Samsung, Sony, and Dell). Collected data were then analyzed; the hypotheses were assessed with the help of SPSS and structural equation modeling. The findings showed that customers’ loyalty is significantly impacted by reliability, accessibility to service, and safety. Furthermore, the value of beta represents relative importance. The dimension of safety showed the highest level in size of the impact on customers’ loyalty, and its value was 0.446 of the total impact. Next, the access to service dimension was the second factor in the impact size (0.239), and the reliability dimension demonstrated the smallest impact size with 0.146. Additionally, the findings revealed that reliability, access to service, and safety explain 52% of the variance in customers’ loyalty to purchase a laptop in Jordan. As a result, the study recommends that Jordanian laptop dealer firms consider all three service quality characteristics, particularly safety, to maintain the loyalty of their customers

Medication errors occurrence and reporting: A qualitative study of the Jordanian nurses' experiences

Background & Aim: Medication errors are a significant concern in healthcare, with effective management largely dependent on understanding its causes and reporting practices. This study aims to explore the experiences of Jordanian nurses in relation to medication error occurrence and reporting within the Jordanian context and the factors that may influence their decisions to report or not. Methods & Materials: A qualitative descriptive approach was used. 24 nurses from three different hospitals were interviewed. The hospitals included a major governmental institution, a private facility, and a university hospital, ensuring diverse healthcare settings. Data were analyzed using Braun and Clarke’s thematic analysis, and the study was reported guided by the COREQ checklist. Results: Three major themes were identified: Obsolete policies and guidelines, Adapting to an Unhealthy Environment, and Trying to adjust: creating own definition for medication errors. In our study, medication errors emerged as a pervasive issue across Jordanian hospitals, attributed to both systemic failures and individual practices. Despite existing policies, participants reported frequent medication errors due to obsolete guidelines, lack of adherence, and an environment that hinders effective medication administration. Conclusion: The study reveals the critical issues of medication errors in Jordanian hospitals due to outdated policies and challenging environments. It emphasizes the need for updated protocols and a culture supportive of error reporting. Addressing these factors is essential for improving patient safety and healthcare quality

A cross‐cultural translation and adaptation of the Arabic Cardiac Self‐Efficacy Questionnaire for patients with coronary heart disease

Aim: This study aimed to cross-culturally translate and adapt the Cardiac Self-Efficacy Questionnaire into Arabic and subsequently evaluate the psychometric properties of that translation in a population of Arabic patients. Method: The original English version of the Cardiac Self-Efficacy Questionnaire was translated into Arabic following a process recommended by the World Health Organization. A convenience sample consisting of 268 Jordanian patients with coronary heart disease were recruited from a university-affiliated hospital in Amman, Jordan. Data were collected from August, 2018 until January, 2019. The factor structure, face and content validities, and internal consistency of the Arabic Cardiac Self-Efficacy Questionnaire were evaluated. Results: The factor structure analysis supported a three-factor high-order structure of the Arabic Cardiac Self-Efficacy Questionnaire. Face validity showed that the language used, style and format were clear. The content validity demonstrated a very good content validity index. The reliability was good with ranging from 0.89 to 0.93 for all questionnaire subscales. Conclusion: The Arabic Cardiac Self-Efficacy Questionnaire is a valid and reliable instrument to assess the Cardiac Self-Efficacy of Arabic patients diagnosed with coronary heart disease. Further assessment of the psychometric properties of the Arabic version of the questionnaire with different cardiac problems is now recommended

The effect of using of Hail University students of Electronic media on the notion of values according to their point views

The aim of study was to identify the effect of using of Hail University students ‘of t Electronic media on the Notion of values according to their point view. The researcher used the descriptive approach. In order to achieve the objective of the study, a questionnaire was done by the researcher. It was accredited valid and stable. It included four fields (the first field: ethical values, the second field: social values, the third field: economic values, the fourth field: political values. It consisted of 61paragraphs. The study was conducted on a random sample of 297 students from Hail University. The results of the study showed that the total score of the values obtained a high score, where the arithmetic average of the values between (4.18 - 4.25), and obtained the field of political values at a high and higher mean of the calculation of (4.25) followed by the field of economic values and obtained a high score with an average arithmetic (4.20), followed by the field of moral values and obtained a high score with an arithmetic mean (4.19), followed by the field of social values and obtained a high score with an arithmetic average of 4.18. The results of the study also showed that there were statistically significant differences at the level of significance of (≤0.05) due to the gender variable in favor of females. The results of the study also showed that there were no statistically significant differences at the level of α (0.05) except at Economic values

Physical Activity and Cardiac Self-Efficacy Levels during Early Recovery Following Acute Myocardial Infarction: A Jordanian Study

Background: Regular physical activity is important for patients with established coronary heart disease as it favourably influences their coronary risk profile. General self-efficacy is a powerful predictor of health behaviour change that increases in physical activity levels. Few studies have simultaneously measured physical activity and self-efficacy during early recovery after the first Acute Myocardial Infarction (AMI). Purpose: To assess changes in objectively measured physical activity levels at 2 weeks (T2) and 6 weeks (T3) and self-reported cardiac self-efficacy at hospital discharge (T1) and at T2 and T3 in patients recovering from AMI. Methods: Using a repeated measures design a purposive sample of patients diagnosed with first AMI, who did not have access to cardiac rehabilitation was recruited from a single centre in Jordan. A body-worn activity monitor (activPAL) was used to objectively measure free-living physical activity levels for seven consecutive days, at two time points (T2 and T3). An Arabic version of the cardiac self-efficacy scale was administered at T1, T2 and T3. Paired t-tests and ANOVA were used to examine differences in physical activity levels and cardiac self-efficacy scores respectively. Results: A sample of 100 participants was recruited, 62% were male with a mean age of 54.5 years ± 9.9 years. There was no statistically significant difference in physical activity levels measured at (T2) two weeks and (T3) six weeks. Cardiac self-efficacy scores improved significantly between T1, T2 and T3 across subscales and global cardiac self-efficacy. Conclusions/ Implications for Practice: Participants recovering from AMI in Jordan did not increase their physical activity levels during the early recovery phase although cardiac self-efficacy scores improved. This may be because the increase in cardiac self-efficacy was not matched by the practical skills and knowledge required to translate this positive psychological construct into behaviour change. This study provides a first step in understanding the complex relationship between cardiac self-efficacy and physical activity in this population. These findings could support the design of culturally appropriate interventions to increase physical activity levels in this populatio