Suchergebnisse

Purpose
This paper aims to explore examine the therapeutic potential of head-mounted display (HMD)-based Virtual Reality Relaxation Therapy (VRRT) sessions for people individuals with dementia in Jordan.


Design/methodology/approach
This cross-sectional survey recruited 75 dementia-diagnosed elderly individuals from three Jordanian care homes. A VRRT intervention comprising 10 tailored RT sessions held over the course of five weeks was administered to the participants. Apathy, cognitive performance, anxiety and depression were evaluated before and after the intervention to determine any changes. The Person-Environment Apathy Rating Scale's (PEARS) Arabic translation's validity and reliability were also evaluated.


Findings
The VRRT intervention yielded noteworthy results in reducing apathy, as indicated by a substantial decrease in PEARS scores from 17.20 to 11.15. The findings of the study revealed that the participants demonstrated enhanced cognitive abilities, as evidenced by a significant rise in their Saint Louis University Mental Status ratings, which increased from 15.11 to 19.70. The levels of anxiety and depression exhibited a significant decrease subsequent to the implementation of VRRT, with anxiety levels decreasing from 13.66 to 8.23 and depression levels decreasing from 13.62 to 9.33. Furthermore, a notable 70% of participants demonstrated statistically significant decreases in indifference.


Practical implications
This study makes a significant contribution to the advancement of innovative treatment approaches aimed at addressing the needs of the aging population, hence enhancing health outcomes and raising the quality of care in Jordan.


Originality/value
The effectiveness of VRRT in reducing apathy among Jordanian senior citizens residing in nursing homes has not yet been fully investigated. Therefore, this paper seeks to assess the effectiveness of HMD-based VRRT by conducting pre- and post-intervention evaluations. This research aims to provide valuable insights into the applicability and significance of VRRT in the Jordanian context, contributing to the development of culturally appropriate and cutting-edge therapeutic interventions for older individuals in Jordan. Through this study, the authors aim to promote improved health and elevated standards of care for this population.

Quality service provision depends on the performance of the service providers; therefore, enhancing an empowering work environment is crucial to achieving excellence. This study examined the intercorrelation between structural empowerment, nurses perceived formal and informal power, and their job performance. Nurses perceived only a moderate level of power in their work environment with the highest performance quality in the area of critical care. The model "the three-component feedback system of power, empowerment, and job performance" was tested using the structural equation model. The data from 200 nurses strongly fit with the proposed model. This study proposed that job performance, power, and empowerment are involved in a loop of feedback system in which each variable in the loop affects other variables either directly or through other variables in the loop. Applying staff improvement plans can begin in one component of the system, and the progress will eventually enhance the other components.

Background: Depression is a frequently reported phenomenon that negatively affects selfcare and healthcare provided to older adults with heart failure. However, the literature is contradicting about predictors of depression in older adults with heart failure. Purpose: To examine newly introduced variables derived from the acceptance and commitment therapy model (psychological flexibility, impulsivity, perceived stress and perceived control) and selected demographics as predictors of depression in older adults with heart failure. Methods: This study was conducted using a cross-sectional design. Participants with heartfailure (N = 272) were recruited from major regional hospitals during their regular visits to the heart-failure clinics. The following tools were used to collect the data: The Patient Health Questionnaire–9, the Acceptance and Action Questionnaire, the Perceived Stress Scale-10, the Barratt Impulsiveness Scale, the Atlanta Heart Failure Knowledge Test, the New York Heart Association and the Control Attitudes Scale-Revised. Results: Bivariate analysis shows that all bivariate correlations were significant (r = 0.16 to 0.63, p <0.05), except for the correlation between "age with time since diagnosis" and "time since diagnosis with psychological flexibility". The results showed that time since diagnosis, impulsivity, stress, psychological flexibility and heart-failure knowledge significantly predicted depression in elder adults with heart failure. The model explained 49.5% of the variance in depression. Conclusion: An array of psychological and socio-demographic variables explained approximately a half of the variation in depression in elder adults with heart failure. The acceptance and commitment therapy model has been shown to be beneficial in incorporating new variables contributing to depression in older adults with heart failure. Implications for Nursing: The current study offers preliminary evidence of the potential benefit of the acceptance and commitment therapy model-based interventions. Further research should be conducted to minimize the impact of depression in older adults with heart failure. Keywords: Depression, Stress, Perceived control, Impulsivity, Heart failure, Psychological flexibility.

Background: A healthy diet plays a significant role in preventing and treating various diseases, including colon and breast cancer. Purpose: This study aims to evaluate knowledge, attitudes, and practices related to nutrition in breast cancer prevention and to explore the relationship between demographic characteristics and nutrition practices for breast cancer prevention. Methods: A cross-sectional web-based survey was conducted to assess the level of knowledge, attitudes, and practices concerning breast cancer among 1511 women in Jordan. The survey underwent content validation and received IRB approval from King Abdullah University Hospital. Results: A total of 1511 participants completed the survey. Knowledge levels, with a mean score of 12, significantly varied based on education level (ρ-value = 0.04), field of education (ρ-value ≤ 0.001), and physical activity (ρ-value ≤ 0.001). The mean scores for attitudes and practices toward nutrition-related breast cancer prevention factors were 21.5 and 37, respectively. Conclusion: The study found that education level, family history, physical activity patterns, and sleep habits were factors associated with nutrition knowledge and positive practices, potentially reducing the risk of breast cancer. However, increasing nutrition knowledge alone was not sufficient to change dietary behavior. Implications for Nursing: Risk reduction strategies can be enhanced by incorporating evidence-based practices, such as those identified in this study. Additionally, current prevention and treatment options, including education, counseling, and psychosocial support, should be further developed to increase nutrition-related knowledge, attitudes, and practices for breast cancer prevention. Keywords: Breast cancer, Nutrition, Knowledge, Attitude, Practice, Awareness, Lifestyle.

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.