I Like People to Treat Me Normally”: Barriers to Type 1 Diabetes Self-Management Among Adolescents
Authors : Aaliyah M. Moman Peter Callery;, Yin-Ling Lin;, Raghad H. Abdelkader;,
Heba Khalil
Abstract : Adolescents with type 1 diabetes face barriers that can have a negative influence on self-management behaviors. This study was an analysis of semi-structured interviews with adolescents, parents, and health care providers to better understand these barriers among adolescents in Jordan. Adolescents with type 1 diabetes reported individual-level barriers including feeling labeled, pitied, and stigmatized for having type 1 diabetes. They also discussed the system-level barrier of an education system that does not adapt to meet their needs. Individual- and system-level barriers are interrelated and could influence adolescents’ decisions regarding whether to disclose their condition to others.
Keywords : Adolescents , type 1 diabetes, barriers
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Exercise Self-Efficacy, Perceived Benefits and Barriers to Exercise Among Post-Acute Myocardial Infarction Patients
Authors : Abedalmajeed Shajrawi, Heba Khalil, Manal Al Sutry ,Raghad Abdel Qader, Moha abu ruz
Abstract : Background: Increasing patient adherence to regular exercise post-acute myocardial infarction (AMI) is a major goal after hospitalization. It is therefore essential to identify perceived benefits and barriers to exercise and its association with exercise self-efficacy among patients post AMI. Aims: The purpose of this study was to identify the perceived benefits and barriers to exercise and the predictors of exercise self-efficacy among patients after AMI.
Methods: A cross-sectional study design was used with a convenience sample of 254 patients, recruited from the 3 main hospitals in Jordan. Instruments included the Exercise Benefits and Barriers Scale and the Exercise Self-Efficacy Scale. Mean scores were computed to determine the perceived benefits and barriers responses. Multiple linear regression was conducted to explore the predictors of exercise self-efficacy. Data were collected over 5 months.
Results: The greatest perceived benefits were related to personal factors, for example, "I enjoy exercise" (2.45 [0.98]), and physical performance, for example, "My muscle tone is improved with exercise" (2.44 [0.86]) and "Exercise increases my stamina" (2.43 [0.86]). The greatest perceived barriers were related to environmental barriers, for example, "Lack of exercise places" (2.67 [0.82]), and internal factors related to physical exertion itself, for example, "Concerned about getting tired during exercise participation" (2.65 [0.72]). The Exercise Self-Efficacy Scale showed that patients post ST-elevation AMI had higher exercise self-efficacy than those with other treatment modalities (AMI, 44.71 [19.07] vs 36.59 [17.34]; P = .001). Patients treated by primary percutaneous coronary intervention had higher exercise self-efficacy, 49.2 (18.61), than patients treated by thrombolysis and percutaneous coronary intervention, 39.28 (18.3), and patients treated by medications other than thrombolytic therapy, 36.59 (17.4) (F2,251 = 11.612, P = .001). The multiple linear regression model explained approximately 29% of the variance in exercise self-efficacy (F11,242 = 7.914, P < .001). Five variables contributed significantly to the prediction of self-efficacy: type of AMI (standardized β = -0.173, t = -3.311, P = .01), perceived exercise benefits (standardized β = 0.322, t = 4.912, P = .01), perceived exercise barriers (standardized β = -0.291, t = -4.521, P = .01), being Argela smokers (water pipe smoking) (standardized β = -0.132, t = -2.617, P = .029), and cholesterol level (standardized β = -0.158, t = -2.174, P = .003).
Conclusions: Primary perceived benefits of exercise reported were in the areas of personal factors and improved physical performance. The main perceived barriers to exercise were in the areas of environmental factors and physical exertion. Identification of benefits and barriers to exercise, type of AMI, and treatment modalities of AMI as predictors of exercise self-efficacy is a significant step for developing appropriate interventions that effectively improve exercise self-efficacy and exercise among post-AMI patients
Keywords :
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Effect of Epidural versus Parenteral Opioid Analgesia on Labor Pain and Maternal and Neonatal Outcomes among Jordanian Women A Retrospective Study
Authors : Heba Khalil1, Abedalmajeed Shajrawi1, Aaliyah Momani1, Dalia Khalil3, Raghad Abdelkader
Abstract : Introduction: Pain is a major concern during labor. Opioids commonly used to reduce pain during childbirth. However , the most effective route for opioid administration remains controversial. Thus, this study aimed to compare the effect of epidural and parenteral opioid analgesia on pain relief, opioid consumption, opioid-related side effects, and maternal and neonatal outcomes during labor.
Methods: This was a retrospective chart review of Jordanian Arab pregnant women admitted for an uncomplicated normal vaginal birth. Data extracted from patients' medical records and analyzed with t-test for parametric variables and chi-square and fisher's exact tests for non-parametric variables.
Results: Women with epidural analgesia had less pain (t =-32.96, p ≤ .001), consumed less opioids (t =-5.23, p ≤ .001) and complained of fewer opioid side effects (t =-10.35, p ≤ .001) compared to those with parenteral analgesia. However, they had a longer duration of labor (t = 2.05, p ≤ .05) and hospital stay (t = 6.13, p ≤ .001). Induced labor (χ 2 = 10.93, p ≤ .001) and cesarean section (χ 2 = 19.09, p ≤ .001) were higher in women with epidural analgesia and their neonates had lower Apgar scores at 1 minute (t =-2.75, p ≤ .05) and 5 minutes (t =-2.47, p ≤ .05) after birth and higher incidence of fetal heart rate abnormalities (χ 2 = 5.95, ≤ .05).
Conclusion: The use of epidural analgesia is more effective in relieving labor pain compared with parenteral analgesia. However, it is associated with negative maternal and neonatal outcomes.
Keywords : Epidural analgesia, Labor, Opioids, Pain, Parenteral analgesia
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Predictors of Compassion Satisfaction among Nurses and Midwives
Authors : Raghad Abedelkader, Lina Badran ,
Abstract : Compassion satisfaction (CS)is considered one of the positive effects on quality of life. While Burnout (BO) and Compassion fatigue (CF) are considered from the negative effects of working in the medical field. This study predicted the CS from Burnout (BO) and Compassion fatigue and demographic characteristic among nurses and midwives in gynecological and obstetric units in Jordan. Descriptive, correlational, crosssectional study using a convenience sample for 105 nurses and midwives from gynecological and obstetric units from three hospitals in Jordan. By answering the professional quality of life scale, version 5 (ProQOLV scale) and demographical characteristic sheet. 12.8 % of the Compassion satisfaction levels might be predicted by the Burnout level. Burnout, Compassion fatigue, and Compassion satisfaction were at an average level (47.6%), (42.9%) and (46.7%) of the participants respectively. There was a positive relationship between levels of Burnout and Compassion fatigue, and the negative relationship between levels of Burnout and Compassion satisfaction. Marital status, educational level, health sector, and work shift-type had had a significant correlation with Burnout, Compassion fatigue and Compassion satisfaction. The average levels of Burnout, Compassion fatigue and Compassion satisfaction for nurses and midwives in gynecological and obstetric units are considered similar to other hospital units. Predictors of compassion satisfaction are highlighted for the nursing administrators to give more attention to these factors.
Keywords : Burnout; Compassion Fatigue; Compassion Satisfaction; Nurses and Midwives
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Cognitive Status Is Correlated to Hemodialysis in Patients with End-Stage Renal Disease
Authors : Raghad Abedelkader, Nour. H.Ababneh1
Abstract : Jordanian Royal medical services, Emergency Department1 Faculty of Nursing, Applied Science Private University, Amman, Jordan2 Abstract— The aim of this study is to assess the cognitive status level for patients with End-Stage Renal Disease (ESRD) undergoing hemodialysis and its relationship with sociodemographic and clinical characteristics. A descriptive, correlation, cross-sectional design was used in this study by a convenience sample of 188 ESRD patients chosen from dialysis units from different health system sectors in Jordan. The Mini-Mental State Examination scale (MMSE) was used to assess cognitive status level. The mean and SD of MMSE scores was {23.4± 4.23}, about 55.7% of the participants had cognitive impairment in three different levels; mild, moderate and sever, and a negative relationship between cognitive status level and age, gender and smoking. The results of this study could help to shed light on cognitive impairment related hemodialysis and demographic and/ or clinical characteristic. This could lead to a better understanding of cognitive impairments among medical teams who may initiate advanced interventions that improve treatment and quality of life for hemodialysis patients in Jordan.
Keywords : Cognitive status; Cognitive impairment; Hemodialysis; ESRD; Drug adherence.
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Knowledge of Pressure Ulcer Management among Nurses in Arab Country
Authors : Raghad Abdelkader ,Hamzeh abu Shama'a
Abstract : Pressure ulcer (PU) is one of the most common health problems worldwide. Pressure ulcer is a painful but generally preventable complication, and its management is a nursing practice.
Purposes: this study was aimed to assess the nurses’ level of knowledge about PU management, and to measure the effects of demographic characteristics and hospital departments. This study was aimed to assess the nurses’ level of knowledge about PU management, and to measure the effects of demographic characteristics and hospital departments. A descriptive cross-sectional used Pieper PU Knowledge (2010) survey has been accomplished by 347 nurses were selected from critical units. Above half of the nurses in Jordan (53.6%) had low level of knowledge management. Training courses, hospital policy, using assessment scale have significant different effect on knowledge level. Nurses’ knowledge of PU management needs to be improved. Cultivating the knowledge will be contributing with decrease the patient burden.
Keywords : knowledge management, pressure ulcer, nurses
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Job Satisfaction, Anxiety and Depressive Symptoms among Nurses Working at Critical Care Settings
Authors : Hekmat Yousef Al-Akash1, Mohannad Eid AbuRuz , Ghadeer Al-Dweik1 , Raghad Abdelkader , Rami Masa'Deh
Abstract : The relationship between nurses' job satisfaction and stress is well documented. However, there is a lack of studies about the relationship between job satisfaction, anxiety, and depression among nurses.
The general purpose of this study was to identify the effect of job satisfaction on anxiety and depressive symptoms among critical care nurses. This was a cross-sectional study with a convenience sample of 220 critical care nurses from one hospital from three sectors, governmental, private, and teaching in Amman, Jordan. Job satisfaction, anxiety, and depressive symptoms were measured by self-reported questionnaires. The whole sample was ambivalently satisfied, and having mild anxiety symptoms, and moderate-severe depressive symptoms. Nurses who were working in the intensive care units were the least in their level of anxiety and depressive symptoms and highly satisfied compared to other groups. Nurses who were working in the governmental hospital had higher levels of depressive symptoms than nurses who were working in a private hospital, and they were less satisfied. Working in the intensive care units decreased anxiety symptoms by 0.18 score, and every score increased in job satisfaction, decreased anxiety symptoms by 0.19 score. Being married increased depressive symptoms by 0.26 score and working in governmental hospitals increased depressive symptoms by 0.19 score. Every score increased in job satisfaction, decreased depressive symptoms by 0.27 score. Job dissatisfaction increased levels of anxiety and depressive symptoms among nurses. This might increase rates of burn out and intention to leave workplace areas ending with shortage and impairment of quality of care. The implementation of different strategies to improve job satisfaction among critical care nurses is necessary.
Keywords : Job satisfaction, anxiety symptoms, depressive symptoms, critical care, nurses, Jordan
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Self-Care Behavior Assessment of Fragile School- age Children: An Application of Orem's Self-Care Framework
Authors : Raghad Abdelkader
Abstract : Introduction: Fragile children who were once called; “terminal cases” nowadays are able to live, due to technical advances; although they are requiring permanent assistance. This study aimed to identify the levels of self-care behavior of school-age medically fragile Jordanian children.
Methods and Material: A cross-sectional design using Orem self-care behavior questionnaire to measure the level of self-care behavior of 96 medically fragile children in capital city (Amman), who hospitalized at least once at the affiliated hospitals.
Result: 63. 3%, n=61 children had high level of self-care behavior with overall mean = 62.3 SD=20. ANOVA and Tukey’s post hoc comparisons of the three groups indicate that the level of self care behavior at the late school age 12-14 years old (mean = 71.56, SD = 4.71) and the early school age 6-9 years (mean = 67.05, SD = 4.73) reported significantly higher than the middle school age 10-12 years old (mean 66.95, SD = 4.37), p = .001. A round half of the children complaining of respiratory disease 42.7%, n=41.
Conclusion: Performing nursing interventions and providing proper discharge plans for school age children and home care for medically fragile children will be based according to the self-care behavior level.
Keywords : Fragile medical children, pediatric nursing, school-age population, self-care
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Quality of Life Is Correlated to Anemia in Children and Adolescent Undergoing Hemodialysis
Authors : Raghad Hussein Abdelkader
Abstract : Introduction: Anemia is a common symptom of end stage renal disease in children and adolescents. Anemia is one factor for patients with end stage renal disease that have an effect on quality of life. Therefore, the purpose of this study was to examine the correlation between the hemoglobin level and quality of life and fatigue level for children and adolescent in Jordan.
Materials and Methods: A cross-sectional correlational design was used. A total of 121 children and adolescences were recruited from hemodialysis units at seven hospitals of three cities in Jordan. Data collected through the 34-item Pediatric Quality of Life Inventory 3.0 End-Stage Renal Disease (PedsQL 3.0 ESRD questionnaire.
Results: The results of this study demonstrated that 38 (31.4%) school-age children their age ranged from 6 to 12 years old, while adolescents (13-20) years old 83 (68.6%), and 67 (55.4) of them were female. Children and adolescents with ESRD reported low mean hemoglobin level over 7 months below 11.1g/dlSD (1.9).A negative correlation between the PedsQL total scores with mean hemoglobin levels p <.05 was reported, and positive correlation with fatigue sub-score p<0.05.
Conclusions: It is essential for nurses and patients to recognize the relationship between anemia and low quality of life and high fatigue level for end stage renal disease children and adolescent patients. Finding of current study are facilitating to design especial program for improve the nutritional and health status for those ESRD patients.
Keywords : anemia, children and adolescents, ESRD, fatigue, Jordan, quality of life
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The perspective of Palestinian physicians and nurses about the do-not-resuscitate order for terminally ill patients
Authors : Ahmad Rajeh Saifan1*, Intima Alrimawi2 , Mohannad Eid AbuAlruz1 and Raghad Abdelkader
Abstract : Background: Different methods have evolved to improve health outcomes over the decades, one of the most critical of which is cardiopulmonary resuscitation. Recently, the utility of this method has been debated for terminally ill patients, leading to the patient classification of do-not-resuscitate (DNR) for some terminally ill patients. Research about this ethically sensitive topic is lacking worldwide, particularly in the Middle East due to cultural and religious concerns.
Objectives: To explore whether Palestinian physicians and nurses agree with legalizing DNR order in Palestine, and if their religion, culture or both affect their decision regarding the DNR order.
Methods: A cross-sectional study was conducted with 123 participants (48 physicians and 75 nurses). Data were collected from five major hospitals in Palestine using a 24- item self-reported Likert scale questionnaire.
Results: The majority of the participants were nurses (61.0%), and males (66.7%). More than two-thirds of the sample were in favour of legalizing the DNR order in Palestine. More than two-thirds of nurses and approximately two-thirds of physicians felt that religious beliefs greatly influence their view of DNR, and made it difficult for them to deal with the DNR issues.
Conclusion: Palestinian professionals expressed that their attitudes toward DNR were greatly influenced by their religious and cultural background. Moreover, they want this order to be legalized in Palestine.
Keywords : DNR order; Nurses; Physicians; Terminally ill patients , Palestine
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Palestinian community perceptions of do-not-resuscitation order for terminally Ill patients: A qualitative study
Authors : Intima Alrimawi ,| Ahmad Rajeh Saifan , Raghad Abdelkader, Abdul-Monim Batiha
Abstract : Aim and objectives
To illustrate the Palestinian community's views, opinions and stances about the concept of do-not-resuscitate for terminally ill patients.
Background
Do-not-resuscitate orders are practiced in many countries worldwide, but there is no consensus on their practice in the Middle East. Do-not-resuscitate orders may be applied for terminally ill pediatric patients. Some studies have been conducted describing people's experiences with these do-not-resuscitate orders. However, few studies have considered community perspectives on do-not-resuscitate orders for terminally ill patients in Palestine.
Methods: Design: A descriptive-qualitative design was adopted.A purposive sample of 24 participants was interviewed, with consideration of demographical characteristics such as age, gender, education and place of residency. The participants were recruited over a period of 6 months. Individual semi structured interviews were utilized. These interviews were transcribed and analyzed using thematic analysis.
Findings
Significantly, the majority of the participants did not know the meaning of do-not-resuscitate and thought that removal of life-sustaining devices and do-not-resuscitate were the same concept. Most of the interviewees adopted stances against do-not-resuscitate orders. Several factors were suggested to influence the decision of accepting or rejecting the do-not-resuscitate order. The majority of the participants mentioned religion as a major factor in forming their viewpoints. The participants expressed different views regarding issuing a law regarding do-not-resuscitate orders.
Conclusion
Our findings provide a unique understanding that there is a general misunderstanding among our participants regarding the do-not-resuscitate order. Further research with policymakers and stakeholders is still required.
Keywords : accepting DNR, cardiopulmonary resuscitation, do-not-resuscitate, ethical issues, Palestine, qualitative, refusing DNR
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Exploring the Quality of Life of Jordanian Children and Adolescents with End Stage Renal Disease Receiving Hemodialysis
Authors : Raghad Abdelkader, Amani Anwar khalil , Rami Masa’adi , Manal Ibrahim Al-Kloub, Intima Alrimawi
Abstract : Background: Depression is a common psychosocial problem that negatively affects the lives and relationships of school-age children, adolescents, and adults both in private and public.
Purpose: To explore the psychosocial well-being among Jordanian schoolage children and adolescents who are complaining of end stage renal disease (ESRD) undergoing hemodialysis.
Method and Design: The study was carried out using a descriptive crosssectional correlation design. A convenient sample of 121 school-age children and adolescent were recruited from seven major dialysis units in Jordan . The children's psychosocial well-being was measured by using a self-report questionnaire. This, however, includes demographic data, adherence to treatment, Dialysis Patient-Perceived Exercise Benefits, and Barriers Scale. Also, Pediatrics Quality of Life PedsQL 3.0 ESRD and Depression Scale for Children were used for data collection.
Result: 89.2% (n = 108) of school-age children and adolescents had depression symptoms. There was impaired level of their QoL, a large negative correlation between their QoL, and a depression symptoms (r = - 0.56, p negative correlation between their QoL, and a depression symptoms (r = - 0.56, p
Conclusion: This study provides preliminary evidence to develop perceptive nursing procedure to assess and manage depression, enhance QoL, and promote adherence of the treatment of school-age children and adolescents on haemodialysis
Keywords : Children and adolescent, hemodialysis, ESRD, QoL, depression symptoms, adherence to treatment
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Jordanian mothers’ knowledge of infants’ childrearing and developmental milestones
Authors : RR Safadi1, M. Ahmad , O.S. Nassar, , S.A. Alashhab, R. AbdelKader H.M. Amre
Abstract : Aim: This study explored Jordanian mothers’ knowledge of infants’ childrearing practices and developmental milestones, the socio-demographic variables of relevance to knowledge, and sources of information that guide childrearing practices.
Background: Parents’ knowledge is considered the frame of reference for parents’ interpretations of their children’s behaviors and provides the basis for having the appropriate expectation of the child’s developmental stage. Parents’ knowledge of childrearing is essential for children’s physical, cognitive and emotional development.
Methods: A cross-sectional design using a modified version of MacPhee’s ‘Knowledge of Infant Development Inventory’ was used to assess 400 mothers’ knowledge of infants’ childrearing and developmental milestones, in Amman, Jordan.
Results: Mothers were found to be more knowledgeable in physical and safety skills and less in cognitive, emotional, and parent-infant interaction skills. Parental age, education, parity and planned pregnancy had limited influence on developmental milestones knowledge. Formal and informal sources of information were used conforming to traditional societies.
Discussion and conclusion: Results were congruent with findings from other studies in the region and similar traditional societies. Results allude to conclusion that mothers resort to informal sources and traditional practices to replace formally structured programmer when absent. Implications for nursing and health policy: Healthcare professionals, nursing schools and healthcare policy makers are encouraged to develop and institute a holistic approach encompassing physical, cognitive, emotional and parent-infant interaction domains in childrearing educational programme. Structured parenting programme for mothers and culturally accepted sources of information for fathers are essential to enhance parenting skills among Jordanian couples
Keywords : Childrearing Practices, Infant Development, Jordan, Mothers’ Knowledge, Developmental Milestones, Childrearing
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Socio-demographic correlates of parents’ participation in care of a hospitalized child: A perspective from a developing country
Authors : Raghad Abdelkader , Diana H Arabiat, Sandra L Holmes and Ayman Hamdan-Mansour
Abstract : Studies on parents’ participation in care of a hospitalized child are rare and have not sufficiently addressed the factors prompting parents’ participation in their child’s care. This study investigated the relative contributions and predictive value of parents’ and children’s demographics on parents’ participation in care. A convenience sample of 294 parents participated from four major hospitals in a metropolitan area in Amman. Parents completed two sets of measures, a socio-demographic form and the Arabic version of the Index of Parent Participation/Hospitalized Child. A series of bivariate analyses were completed to investigate associations between socio-demographic variables and parents’ participation in care. The multiple regression analysis identified four variables as the optimal set of predictors for parent participation in the care of a hospitalized child: hospital experience, type of illness, child’s age and type of hospital. The importance of interpreting these findings in a cultural context is discussed.
Keywords : Family-centered care, health services research, nurse–family relationships, parenting support, patient participation
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The Effect of Parental Presence in Decreasing Pain Level for Children during Venipuncture
Authors : Tariq Mustafa Al–Abbass , Raghad Hussein Abdelkader , Noordeen Shoqirat and Hala Obeidat
Abstract : Purpose: To examine the effect of parental presence in decreasing pain level in children during venipuncture.
Methods: The quasi experimental study was designed to determine the effectiveness of parental presence on the pain level of children undergoing venipuncture. The study sample consisted of children aged 4 to 9 years at the emergency department of pediatric hospital in Amman, Jordan. A total of 102 children were conveniently sampled and evenly randomized into two groups: experimental group (n=53 children) with parental presence and control group (n= 49 children) parental absence during venipuncture. The primary instrument used to test pain level was the Wong-Backer faces.
Results: The mean pain level in all children pre venipuncture was (0.8); the mean pain level in the control group during venipuncture was (3.3) and post venipuncture it was (1.97), higher than the mean of pain level in the experimental group, which was (2.4) during and (1) post venipuncture (p <.05)
Conclusion: Parental presence has a significant impact on decreasing pain levels in children during venipuncture.
Recommendation is for administrators that should develop policy regarding allowing parental presence during invasive procedures.
Keywords : Parental present, venipuncture, Jordan, Pain scale
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Parents' Participation in Providing Care for Hospitalized Children: The Congruence Between Nurses'and Parents' Desire Paperback – December 12, 2013
Authors : Raghad Abdelkader (Author), Inaam Khalaf (Author), Suha Kridli (Author)
Abstract : Parents' participation in the care of their hospitalized children is recognized as a key component of effective child health care. The current study aimed to investigating the congruence between nurses' desired for parent' participation in the care of their hospitalized children, and the parents' actual participation in the care. A descriptive correlation cross-sectional design was used by utilizing a self-administered questionnaire. 227 nurses working at pediatric wards and 294 parents of hospitalized children aged 12 years and under were a convenience sample of this study. Two categories were derived from the study: activities related to physical care and psycho-social support. There were positive correlations between parents’ participation in care and parents' experience to hospitalization to experts' females' nurses holding BSc. degree, children with chronic disease, less than six years aged, with prolonged staying at hospital. Recognizing the value of parents' participation, as an important issue and one that must not be ignored, health care managers and policy makers need to play a more visible and instrumental role in developing policies related to parents' participation.
Keywords : Parents' participation , hospitalized child, nurses care
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Jordanian Mothers’ Beliefs About the Causes of Cancer in Their Children and Their Impact on the Maternal Role
Authors : Diana H. Arabiat, , Mohammad Al Jabery, , Raghad H. Abdelkader, and Alia Mahadeen
Abstract : Background: Arab culture and Islamic beliefs contribute to values and practices regarding cancer. Mothers in Jordanian society are expected to be the primary caregivers to children
Purpose: The purpose of this study was to explore Jordanian mothers’ beliefs regarding the causes of cancer in their children and their impact on their role as mothers.
Design: A descriptive, qualitative design was used. Individual interviews were conducted with Jordanian mothers (n = 51) of hospitalized children with cancer.
Results: Causes of cancer were attributed to supernatural explanations and biomedical explanations. The impact of cancer on these mothers’ lives varied. For some, their child’s illness resulted in stronger family bonds, whereas for others, the families suffered a state of disequilibrium.
Conclusions: Cultural beliefs helped assign meaning to their children‘s illness. The maternal role of Jordanian women was partially fulfilled or inadequately performed, which in turn affected the functioning and coping abilities of the entire household.
Keywords : cultural beliefs, culture, Jordan, maternal role, pediatric oncology, transcultural health, Middle Eastern culture
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Parents Involvement in Child’s Care in an Arab
Authors : Raghad Abdelkader1, Inaam Khalaf2 , Suha Kridli3 , Diana Arabiat2 , Intima Alrimaw
Abstract : Background: Parents' participation in their child’s care has been recognized as a key component to develop a satisfaction experience for parents of a hospitalized child. However, studies suggested that parents’ participation in care is under searched for nonwestern societies .
Objectives: The purpose of this study was to measure activities performed by parents in caring for their hospitalized child, as well as to evaluate parents’ actual participation level at the pediatric setting in Jordan.
Method: A descriptive study with a convenient sample of 294 parents, most of whom were mothers, completed the Arabic version of the Index of Parent participation /hospitalized Child and a socio-demographic form at four major hospitals in Amman.
Results: Results revealed that parents have moderate mean score of actual participation n in their child’s care. Domains of participation were limited to activities of daily living and providing comfort, and less for activities related with advocated and providing technical care. While parents were willing to participate in care, some parents felt they had to perform some aspects of care. These activities are described and discussed within the context of Jordan’s health care system.
Conclusion and implementation for nursing and health policy: New approaches to promote a partnership between parents and other health care professionals are needed. Nurses need to better understand parents’ experience or desired level of participation and support them at the level they are most comfortable with.
Keywords : Parent’s participation, Child’s care; Jordan; Arab; Pediatric setting
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Academic challenges and positive aspects: perceptions of male nursing students
Authors : L. Abushaikha1, A. Mahadeen , R. AbdelKader & M. Nabolsi4
Abstract : Background: Nursing shortage remains a global issue that emphasizes the need for both male and female nurses. Understanding the educational experiences of male nursing students may help in recruiting and retaining male nurses in the nursing profession. Aim: The aim of this study was to explore the challenges and positive aspects that undergraduate male nursing students encounter during the course of their study.
Methods: A qualitative research design using inductive content analysis approach was used to explore perceptions of 20 undergraduate male nursing students in a baccalaureate nursing programme at a major public university in Jordan.
Results: Content analysis revealed two major themes: challenges (academic difficulties, biased policies, no social life, negative views of nursing and negative self-view) and positive aspects (personal benefits of studying nursing, every home need a nurse and nursing is a science).
Discussion: The findings added new insights and knowledge regarding the educational experiences of undergraduate male nursing students in a developing country, which is an understudied population. Understanding the challenges and positive aspects of nursing education from the perspectives of undergraduate male nursing students may help nursing educators better understand their students’ educational experiences and help clarify their roles and responsibilities in dealing with these issues.
Conclusion: Nursing as a career should continue to be a viable choice for both male and female students to address global nursing shortages. This can be ensured by decreasing challenges and supporting positive aspects that nursing students face during their nursing education. Implications for Nursing and Health Policy: Higher education policy makers can use the findings of this study to appreciate the challenges that university students face. They can also reconsider existing policies that may hinder the acceptance of male student into nursing programmes and contribute to educational challenges.
Keywords : Challenges, Content Analysis, Jordan, Male, Nursing Education, Nursing Students, Positive Aspects, Qualitative
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Mothers’ Experience of Caring For Their Hospitalized Child in Jordan's Hospitals
Authors : Raghad H. AbdelKader ; Diana H. Arabiat , Lubna A. Abushaihka and Inshirah qadri
Abstract : Background: Parents' presence near their hospitalized child has been recognized to be important for both child and parents.
Aim: The aim of this study was to describe mothers’ experiences when their child was admitted to the hospital and to capture the mothers’ perspective of their participation.
Material and Method: A phenomenological hermeneutic design was adapted to capture mothers' experiences of her child's hospitalization and her participation. Conversational style interviews were conducted with mothers of 8 children at the pediatric ward of a tertiary metropolitan hospital in Amman.
Results: The major categories that illustrated the mothers' experiences of participation in their childcare included reasons for staying with the child, impact on family’s routine, expectations of nurses, and comments on facility provisions.
Discussion: Our findings highlight high needs among mothers for participation in caring of their hospitalized children, in addition to their needs for communication. Mothers in this study believed that accompanying their hospitalized child is an unconditional aspect of being a parent and hold a strong desire for participation.
Overall, these findings showed diminishing levels of emotional and practical support to the mothers at a time when the need for support and communication was likely greater; therefore, nurses should take the initiative in assessing these needs and in supporting them accordingly..
Keywords : hospitalized children, parents' participation, parents' experience.
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Jordanians Parents' Needs While their child is Hospitalized. Jordan Medical Journal
Authors : Raghad abdelkader, Mahmoud Al-Hussami, , Mohammed Saleh, Alia Mahade, Insherah kadere
Abstract : Objective: To explore the needs of Jordanian parents in relation to their participation in the care during the hospitalization of their child.
Method: A descriptive cross-sectional study where a questionnaire was administered to parents of hospitalized child, aged one month to thirteen year olds. Pearson correlation coefficient was performed to examine the relationships of parents' needs and their participation.
Results: The superior needs among 192 parents (90%) were that mothers were concerned about trusting in staff, trusting of staff and acquiring information. The high significant correlation (r = 0.80) emphasizes the relationship between parents' participation in the care of their hospitalized child and parents' need especially for support and guidance (P< ,01)
Conclusions: The findings confirmed that parents have a desire to participate in the care of their hospitalized child after fulfillment of their needs, similar to studies in Western and Eastern countries. Jordanian parents had no choice in child care participation; their basic needs were not met such as trust of staff, and support and guidance to parents and other family members.
Keywords : Hospitalized child, Jordanian parents, Parents' needs, Parents' participation.
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Perception of academic nursing staff toward shared governance
Authors : Raghad Abdelkader, Mahmoud Al-Hussami, Marwa Al barmawi, Ali Saleh, Thana A. Shath
Abstract : Shared governance is the set of practices under which faculty members and other staff participates in the decision-making process concerning the operation of their institution and may interfere with the everyday work and activities. The perception of academic nursing staff toward “shared governance” was assessed in a nonexperimental survey research design. Using a nonprobability sampling method, all academic nursing staff had the opportunity to respond to the Collaborative Behavior Scale (CBS) at the pre-implementation of shared governance model. Four universities, including public and private universities were included in the study. Both surveys contained a short demographic section and the Collaborative Behavior Scale CBS adapted from Stickler 1991. Results showed a low level of perception which presented by the collaborative behaviors toward shared governance. Interestingly, commitment to shared governance was neither sufficient nor satisfied during this time. Long experiences with advanced ages for MSc and PhD holders' had significantly higher scores on perception than other groups. The results of the survey indicated that academic staff members recognized shared governance as a process, not a project, and that it takes time to share responsibility, accountability, and authority for faculty members. Overall, Jordanian academic nursing staff have not enough willingness nor commitment to shared governance principles.
Keywords : Academic staff, Empowerment, Shared governance
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The effects of undergraduate nursing students faculty interaction outside the classroom on college grade point average
Authors : Mahmoud Al-Hussamia, Mohammad Y.N. Saleh,, Ferial Hayajneh , Raghed Hussein Abdalkader , Alia I. Mahadeen
Abstract : Background:
The effects of studentefaculty interactions in higher education have received considerable empirical attention. However, there has been no empirical study that has examined the relation between studentefaculty interaction and college grade point average.
Purpose: This is aimed at identifying the effect of nursing studentefaculty interaction outside the classroom on students’ semester college grade point average at a public university in Jordan.
Methods: The research was cross-sectional study of the effect of studentefaculty interaction outside the classroom on the students’ semester college grade point average of participating juniors and seniors.
Results: Total interaction of the students was crucial as it is extremely significant (t ¼ 16.2, df ¼ 271, P 0.001) in relation to students’ academic scores between those students who had
70 and those who had academic scores. However, gender differences between students, and other variables were not significant either to affect students’ academic scores or students’ interaction
Conclusion: This study provides some evidence that studentefaculty interactions outside classrooms are significantly associated with student’s academically achievements.
Keywords : Undergraduate students faculty interaction Outside classroom Grade point average
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Predictors of nursing faculty members organizational commitment in governmental universities
Authors : Mahmoud Al-Hussami, , Mohammad Y.N. Saleh Phd, , Raghed Hussein Abdalkader And Alia I. Mahadeen
Abstract : Background It is essential for all university leaders to develop and maintain an effective programme of total quality management in a climate that promotes work satisfaction and employee support.
Purpose The purpose of the study was to investigate the relationship of faculty members organizational commitment to their job satisfaction, perceived organizational support, job autonomy, workload, and pay.
Methods A quantitative study, implementing a correlational research design to determine whether relationships existed between organizational commitment and job satisfaction, perceived organizational support, job autonomy, workload and pay.
Results Stepwise linear regression analysis was used to estimate the probability of recorded variables included significant sample characteristics namely, age, experience and other work related attributes. The outcome showed a predictive model of three predictors which were significantly related to faculty members commitment: job satisfaction, perceived support and age.
Conclusion Although the findings were positive toward organizational commitment, continued consideration should be given to the fact that faculty members remain committed as the cost associated with leaving is high.
Implication for nursing management A study of this nature increases the compartment in which faculty administrators monitor the work climate, observe and identify factors that may increase or decrease job satisfaction and the work commitment.
Keywords : faculty members, job autonomy, organizational commitment, organizational support, pay, workload
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Maternal Distress Among Jordanian Mothers Caring For Children With Cancer In Jordan
Authors : Alia I. Mahadeen, Diana H. Arabiat, Raghad H. Abdelkader, Ayman M. Hamdan-Mansour
Abstract : Objectives: The purpose of this study was to investigate the psychological and mental health among the Jordanian mothers caring for children with cancer.
Material and Methods: A descriptive correlational design utilized to collect data from 37 women caring for their children who are diagnosed with cancer.
Results: The analysis revealed that mothers of children with cancer had a moderate level of depression and stress, and a severe level of anxiety. There was significant correlation among the three variables (r>.80, p < .001). Anxiety level was significantly different in relation to marital status (F 1, 4= 4.37, p = 0.007). Only 38% of the children know their illness. The results also showed that there is a negative and significant correlation between the level of child’s knowledge about his illness and stress (BTAU=- .29, p= .03) and anxiety (BTAU= - .34, p= .01).
Conclusion: The study infers that mothers of children with cancer are suffering multiple psychological and mental health problems. Informing children with cancer about their illness appeared to be a significant contributor in lowering the children's anxiety level. Thus, health care professional should collaborate to enhance information exchange and target mothers of children with cancer in their psychosocial programs that will reflect positively on the psychological status of the mothers and children diagnosed with cancer. The study also concludes that mental health counseling for mothers and children diagnosed with cancer is an essential component of the quality of health care that requires more attention in research and practice.
Keywords : Anxiety, Cancer, Children, Depression, Maternal Stress
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Effect of Night Shift on Nurses Working in Intensive Care Units at Jordan University Hospital
Authors : Raghad Hussein Abdalkader , Ferial Ahmed Hayajneh
Abstract : This descriptive exploratory study was conducted to describe the effect of night shift on Jordanian nurses at critical care units.
A convenience sample of Jordanian nurses working at six critical care units in a teaching hospital (N=100) were studied using a structured questionnaire developed by Sizeni Madide(2003) that describe the effect of night shift among nurses working in critical care units.
The findings showed that female nurses had a significant difference on sufficient sleep, and interpersonal conflicts. In addition, the results indicated that nurses experience health problem and their work performance affected by the night shift. The study findings indicated that night shift affect critical care nurses wellbeing.
Consequently, this study emphasizes and urges the need to design proper nursing manager interventions that help nurses to improve nursing care quality.
Keywords : Night shift, critical care units, Jordanian nurses, circadian rhythms.
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