Transforming care: a study on physicians’ awareness, attitudes, and barriers to pressure injury prevention in medical wards in Jordan

BackgroundPressure injury is a significant global concern, with rising prevalence and substantial direct and indirect costs. A multidisciplinary approach involving nurses and other healthcare team members, particularly physicians, is essential for comprehensively addressing pressure injury (PI) in medical wards. Therefore, this study aims to assess the knowledge, attitudes, and barriers among physicians working in Jordanian general medical wards toward the prevention of pressure injury.MethodA descriptive correlational cross-sectional design was employed, utilizing a convenience sample of 73 physicians from the three largest governmental hospitals in Jordan, representing the country’s most populated regions. A self-administered questionnaire measuring knowledge, attitudes, and barriers was distributed among the study population. Descriptive statistics, including mean (M) and standard deviation (SD), were used to analyze the total scores, while a linear multiple regression model was applied to identify factors influencing knowledge, attitudes, and barriers toward pressure injury prevention in Jordanian medical wards.ResultsThe study found that physicians demonstrated good knowledge but exhibited weak attitudes and recognized significant barriers toward pressure injury prevention. Higher income was associated with significant differences in knowledge and attitude scores (p < 0.00 and p < 0.05, respectively), while the universal guidelines correlated with significant differences in knowledge scores (p < 0.048). Additionally, recognized barriers showed significant differences among those using guidelines and perceived unproportioned staff (p < 0.041, p < 0.03) respectively.ConclusionPhysicians recognized significant barriers that negatively influenced their attitudes toward implementing preventive measures in medical wards. Strengthening the multidisciplinary team approach in medical wards by clarifying roles and responsibilities could enable physicians to more effectively participate in PI prevention efforts

Assessing the Impact of Educational Strategies on Reducing Needle Stick Injuries for Nurses in Jordanian Hospitals

Background: Needle stick injuries (NSIs) are frequent occupational health hazards among nurses with several consequences including blood-borne infections. Literature indicates inadequate knowledge among nurses as an important associated risk factor. Notwithstanding, little attention has been given to the intervention programs to reduce the occurrences of NSIs in Jordan. The main objective of this research was to implement and assessing the impact of educational modules and strategies to minimize NSIs for nurses in Jordanian hospitals. Methods: a randomized control trial design with four arms including three intervention groups and one control group was applied. A total of 400 nurses were selected based on stratified random sampling from the four randomly sampled private hospitals. The educational intervention was then provided through three different strategies (Social Media (SM), Audio-Visual (AV), and combined method). Data were collected in three phases, at baseline, after three months, and after six months of the intervention. Results: There were statistically significant differences in the number of NSIs between the control and combined strategy groups (P= 0.002). After 6 months, significant differences were found between control and SM groups (P=0.032), control and AV groups (P= 0.007), and control and combined groups (P<0.001). The leading risk factors of NSIs included fatigue (P<0.001), lack of assistance (P= 0.001), emotional distress (P= .021), being rushed (P= .002), and Lack of skills (P= .001). The hierarchical regression for the prediction of changes in NSIs occurrence produced a model with four predictors after three months (P< .001), and six predictors after six months (P< .001). Conclusion: The educational intervention significantly decreased the occurrences of NSIs. Hospital administrators must consider significant risk factors for NSIs

Jordanian Patients’ Family Members Need Perceptions in the Critical Care Settings: Nurses’ Perspectives versus Family Members’ Perspectives in the Context of Health Informatics

Background. An unexpected hospitalization in any of the Critical Care Units (CCUs) is a stressful condition, not only for patients but also for other family members. Research in this field in Jordan is not available. The main objective of this study was to identify the most important needs as perceived by these family members in the light of this stressful event and compare them with the nurses’ perceptions of the importance of these needs and also to determine the perception of the needs’ importance with the sociodemographic characteristics of both family members and caring nurses. Methods. This was a cross-sectional study conducted in the period between February and August 2020 among adult family members of patients admitted to the CCUs in hospitals of Jordan from all sectors (public, private, and teaching). The “Critical Care Family Needs Inventory (CCFNI)” questionnaire was administered to 82 family members and 99 CCU nurses to determine the importance of the needs on the inventory. The data were analyzed using descriptive statistics. Results. The most important need identified by the family members was relevant to the need for proximity (3.64 ± 0.45), followed by information (3.57 ± 0.58), assurance (3.44 ± 0.43), support (3.31 ± 0.62), and comfort (3.21 ± 0.56). Nurses identified the needs for assurance as the highest, followed by information, comfort, and support, whereas proximity was the least need perceived as very important. The top 10 important needs for both family members and nurses were identified. Family members and nurses were only common in 2 of the need statements on the scale. There was no significant association between the sociodemographic characteristics of the sample and the perception of the needs’ importance ( p = 0.05 ). Conclusion. This study has shown that nurses and family members of patients admitted to CCUs have different perspectives relevant to needs’ importance. This should warn nurses to set the needs viewed by family members as a priority. Implications. In the CCU settings, in the context of advancing health informatics, families of patients in the ICUs have different needs other than those viewed by nurses. Their needs must be identified and considered.</jats:p

Perceived Stress in Nurses: A Comparative Study

PURPOSE: The purpose of this study is to assess the perceived stress in nurses working in various departments including mental health and psychiatric nurses in Jordan and compare the all together.METHODS: Using a non-random convenience sample, 310 nurses working in various departments in Jordan representing five different hospitals were included. Nurses answered the Arabic Version of Perceived Stress Scale 10-Items Questionnaire (PSS10) and a Characteristic Checklist.RESULTS: This study showed that nurses working in psychiatric departments perceived the highest stress levels followed by oncology nurses (ONs), ICU/CCU, and ER nurses respectively. Medical and surgical nurses reported the lowest level of stress.CONCLUSIONS: This study showed that psychiatric nurses have the highest levels of stress among all participated nurses. This might lead to dissatisfaction with the work and high rates of burn out and turn over. All these factors can easily affect patients care and safety issue, especially psychiatric patients. It is highly recommended that nurse managers and policy makers pay a particular attention to this phenomenon and looking for causes of such high level of stress is important.</jats:p

Perceived control and length of stay post coronary artery bypass graft surgery

Background &amp; Aim: Patients undergoing CABG might have increased complications postoperatively, especially prolonging post-operative Length of Stay (LOS). Perceived Control (PC) affects LOS post CABG and complications among different cardiac populations. However, this relation is not well-studied post CABG. This study aimed to determine whether PC was an independent predictor of LOS among patients post CABG.&#x0D; Methods &amp; Materials: A prospective observational design was used. A consecutive sample consisted of 220 patients from four hospitals in Amman, Jordan, who underwent elective CABG between July 2020 and January 2021. PC was assessed using the Arabic Version of the Control Attitude Scale-Revised. LOS and other necessary information were retrieved from the patients' medical records. Data were analyzed using stepwise multiple regression.&#x0D; Results: 169 males and 51 females participated in this study. Age, female gender, as well as PC were found to be independent predictors for the hospital LOS. On the one hand, advanced age and female gender increased the hospital LOS, while higher levels of PC were protective. A one-year increase in age increased hospital LOS by 0.16 days, being female increased hospital LOS by 0.17 days, and a one-point increase in PC levels decreased LOS by 0.33 days. On the other hand, only female gender and PC were independent predictors for the ICU LOS. Similarly to hospital LOS, the female gender increased ICU LOS by 0.18 days while the one-point increase in PC decreased the ICU LOS by 0.21 days.&#x0D; Conclusion: PC was an independent predictor that affects LOS after CABG. Increasing PC among this population, especially females and the elderly, might improve outcomes of their CABG surgery decrease hospital's LOS and the resultant morbidity.</jats:p

The effect of food safety training program on food safety knowledge and practices in hotels’ and hospitals’ food services

Food Safety Knowledge (FSK) among Food Handlers (FHS) in the food services in both hotels and hospitals has a crucial role in food protection and combating against foodborne diseases. The aim is to check the food safety (FS) training program upon FSK in the Jordanian hotels’ and hospitals’ food services. A pre-test-post-test design was used. A convenience sample of 412 food handlers from randomly selected hotels and hospitals were recruited. Data were collected using 118-questions Food Safety Knowledge Questionnaire (FSKQ); 40- questions tool for FS Practices. A significant improvement in FSK mean scores in the post-test (85.48 17.07/118 points corresponded to 72.44%) compared with the pretest (78.50 13.69/118 points, corresponding to 66.66%). The overall mean FSK score was considered to be “moderate” in pre and post-tests. FS Practice level mean was 26.86 4.38/40 points (67.14%), regarded as “moderate” in the pre-test and continued to be “moderate” after the training despite a significant increase in the post-test scores (27.92 4.45/40 point, corresponded to 69.80%, P=0.000). FHS worked in organizations where HACCP principles are implemented, possessed higher FSK and better FS practices. Although continued to be “moderate”, FSK and FS Practices among FHS in the Jordanian hotels and hospitals have been significantly improved after the FS Training Program.</jats:p

Guideline Implementation for Improved Asthma Management and Treatment Adherence in Children in Jordan

Asthma imposes a significant social burden on children, their families, and society at large. As a chronic health condition, effective management could greatly benefit from consistent adherence to guidelines. Despite this, minimal effort has been exerted to examine the impact of asthma management guidelines and adherence to treatment on children with asthma and the mothers caring for them. This study was designed to evaluate the influence of asthma management guidelines on the knowledge and treatment adherence among children with asthma and their mothers. A quasi-experimental design was utilized, and the study was conducted at two large hospitals in Jordan: Princess Rahma Hospital and King Hussein Medical Center. A purposive sample of children aged 6&ndash;12 years (n = 100) who were accompanied by their mothers (n = 100) were recruited for this study. Data were collected using a structured questionnaire and an observation checklist before and after the implementation of guidelines. Statistical analyses were performed using SPSS. The results revealed a statistically significant improvement in knowledge related to asthma among children and their mothers (p &lt; 0.001). Additionally, a statistically significant difference was observed in the children&rsquo;s adherence to their treatment regimen before and after the implementation of asthma management guidelines (p &lt; 0.001). Moreover, the improvements in knowledge and practice related to asthma were sustained in the follow-up assessments. In conclusion, the guidelines had a beneficial effect on the children&rsquo;s adherence to their treatment regimen both before and after their implementation. Thus, asthma patients should adhere to conventional guidelines at various health services to manage their condition effectively