Suchergebnisse

The informed consent/assent process during enrollment in pediatric research is integral to protecting children from possible harm. Here we explored parents' perceptions about the informed consent/assent process in Jordan. Therefore, focus group interviews were conducted that focused on the importance of consent/assent, the quality of the information provided during consent process, and the parents' perceptions toward written/verbal informed consent. Content thematic analysis approach was adopted in the transcription and translation processes of the interviews. The majority of parents have an ethically acceptable understanding of many of the aspects related to consent/assent; however, some views were not consistent with the proper conduct of research. For example, some parents believed that informed consent is not required for questionnaire studies. Discrepancies were also noted regarding the appropriate age of a child's assent. Some parents would force their child to participate. Thus, the development of Jordanian, culturally sensitive pediatric research guidelines is required.

Background: The COVID-19 pandemic has had a significant negative impact on the mental health of students. Students have reported feelings of boredom, relaxation, and complications during remote learning, as well as missing social interactions and experiencing fear, sadness, and anxiety when hearing news about COVID-19. Purpose: The objective of this study is to investigate the level of anxiety and depression among the students who practiced online learning through COVID-19. Methods: A quantitative study was used. The study used a convenience sampling method to collect data. The total number of the sample reached 390 students. The students were selected from the University of Jordan and Applied Science University in Amman. The other part of the sample was collected from the governmental and private schools in Amman governorate. The questionnaire was used as a tool for data collection. Results: The results showed a wide variation of the conditions inside households that left a deep impact on the students in Tawjihi. The previous conditions and the difficulties that the families faced to save the internet with high criteria left high pressure on Tawjihi students. The results showed that the complete lockdown due to COVID-19 caused different levels of depression and anxiety. The results showed that the students were depressed from online learning due to the difficulties that they faced in reaching the online sessions and the difficulty in managing the online platforms. Conclusion: Online learning left different levels of depression and anxiety among the Tawjihi students as a result of the low experience of online learning. Implications for Nursing: By addressing anxiety and depression among students, nursing science can contribute to the development of effective interventions and support systems that enhance students' mental well-being and overall educational experience. Keywords: Online learning, High-school students, Depression, Anxiety.

Background: The first step towards creating safe circumstances for patient care is to conduct thorough and ongoing assessments of the safety culture in the healthcare sector. Purpose: The purpose of this study was to assess healthcare professionals' perceived culture of patient safety during the 2019 corona virus disease (COVID-19) outbreak in southern Jordanian hospitals. Methods: A descriptive, cross-sectional research of healthcare professionals (physicians, nurses and their administrators) was carried out. An Arabic translation of the Hospital Survey of Patient Safety Culture (HSPSC) questionnaire was used to collect information from 531 healthcare providers between July and November 2021 in four hospitals in Southern Jordan. Results: Nurses perceived 'staffing' as the highest dimension of the twelve dimensions of safety culture. However, they perceived 'reporting patient safety events' as the lowest dimension. The results show that healthcare providers perceived the twelve dimensions of patient safety culture as weakness areas that need improvement. The number of patient safety events reported by respondents in public hospitals was significantly (p<0.05) higher than the number of those reported by respondents in private ones (2.4±0.71 vs. 2.8±0.98, respectively). Conclusions: Hospitals in southern Jordan need to improve their patient safety culture procedures as well as patient safety aspects, such as personnel, handoffs and reporting-related components. Implications for Nursing: Hospital policies need to be adopted in a way that enhances a blame-free culture and an organized safety education program for all healthcare providers, especially new staff. Healthcare providers should be motivated to work as a team through a more reasonable allocation of authority and commission of work. Keywords: Patient safety, Safety culture, Southern Jordan, COVID-19 pandemic

BACKGROUND: Examining cognitive medical errors (MEs) and their contributing factors is vital in health systems research, as it provides baseline data that can be used to develop appropriate interventions to prevent and/or minimize errors. The primary aim of this study was to investigate the association between cognitive MEs and hospitals' organizational factors and the individual psychological and functional factors. METHODS: This cross-sectional study was conducted in three main hospitals in Northern Jordan. A proportional sampling technique was employed to decide the number of participants from each hospital. Data from physicians and nurses (n=400) were collected using a self-administered questionnaire, which was developed based on pertinent literature review. Exploratory and confirmatory factor analyses were conducted to validate the study instrument. The relationships between the variables were analyzed through structural equation modeling (SEM) using AMOS. Multi-group analysis was also performed to examine the differences in the participants' perceptions towards the respective variables between the three selected hospitals. RESULTS: Our results showed a non-significant negative association between MEs and hospital organizational factors. Also, the SEM analysis showed a positive significant correlation between MEs and psychological and functional factors, whereby excessive workload, complexity of tasks, stress, sleep deprivation, and fatigue were found to be predictors of MEs occurrence. In comparison to the results from the university hospital, the multi-group analysis results from the governmental public hospital and the private hospital showed a significant impact of psychological and functional factors on MEs. CONCLUSION: To reduce the occurrence of MEs in hospitals, there is a need to enhance organizational safety culture. Efforts should be directed at both organizational and individual levels. Also, it is essential that health decision makers develop strategies to reduce work-related stress and improve ...

Mohammad S Alyahya,1 Heba H Hijazi,1 Main Naser Alolayyan,1 Farah Jehad Ajayneh,1 Yousef S Khader,2 Nihaya A Al-Sheyab3 1Department of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 22110, Jordan; 2Department of Public Health and Community Medicine, Faculty of Medicine, Jordan University of Science & Technology, Irbid, 22110, Jordan; 3Allied Medical Sciences Department, Faculty of Applied Medical Sciences, Department of Maternal and Child Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, 22110, JordanCorrespondence: Mohammad S AlyahyaDepartment of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, JordanTel +962 2-7201000 Ext: 23690Email Msalyahya@just.edu.joBackground: Examining cognitive medical errors (MEs) and their contributing factors is vital in health systems research, as it provides baseline data that can be used to develop appropriate interventions to prevent and/or minimize errors. The primary aim of this study was to investigate the association between cognitive MEs and hospitals' organizational factors and the individual psychological and functional factors.Methods: This cross-sectional study was conducted in three main hospitals in Northern Jordan. A proportional sampling technique was employed to decide the number of participants from each hospital. Data from physicians and nurses (n=400) were collected using a self-administered questionnaire, which was developed based on pertinent literature review. Exploratory and confirmatory factor analyses were conducted to validate the study instrument. The relationships between the variables were analyzed through structural equation modeling (SEM) using AMOS. Multi-group analysis was also performed to examine the differences in the participants' perceptions towards the respective variables between the three selected hospitals.Results: Our results showed a non-significant negative association between MEs and hospital organizational factors. Also, the SEM analysis showed a positive significant correlation between MEs and psychological and functional factors, whereby excessive workload, complexity of tasks, stress, sleep deprivation, and fatigue were found to be predictors of MEs occurrence. In comparison to the results from the university hospital, the multi-group analysis results from the governmental public hospital and the private hospital showed a significant impact of psychological and functional factors on MEs.Conclusion: To reduce the occurrence of MEs in hospitals, there is a need to enhance organizational safety culture. Efforts should be directed at both organizational and individual levels. Also, it is essential that health decision makers develop strategies to reduce work-related stress and improve healthcare staff well-being, as work stress may cause cognitive impairments among healthcare workers and hence threaten patients' safety.Keywords: organizational culture, policies and procedures, mistakes, slips and lapses, workload, stress, fatigue

Background: The Acceptance and Commitment Therapy Model has gained empirical support, with limited evidence on the role of psychological flexibility in persons with heart failure. Objective: To examine the role of psychological flexibility in persons with heart failure. Methods: A total of 172 persons with heart failure from three major referral hospitals participated in the study. A proposed model based on the acceptance and commitment therapy was tested. Results: The results showed that the path between psychological flexibility and emotional outcomes is statistically significant. Psychological flexibility explained 52% of the variance. On the other hand, the path between psychological flexibility and behavioral outcomes was not significant. Conclusions: This study suggests that psychological flexibility plays a significant role in determining emotional outcomes in persons with heart failure. Implications to Nursing: Nurses need to assess persons with compromised psychological flexibility as a predictor of adverse emotional outcomes. Targeting psychological flexibility may improve stress and depression in persons with heart failure. Keywords: Psychological flexibility, Heart failure, Acceptance and commitment therapy, Depression, Stress.