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Ibrahim AM, Abdel-Aziz HR, Mohamed HAH, Zaghamir DEF, Wahba NMI, Hassan GA, Shaban M, El-Nablaway M, Aldughmi ON, Aboelola TH. Balancing confidentiality and care coordination: challenges in patient privacy. BMC Nurs 2024; 23:564. [PMID: 39148055 DOI: 10.1186/s12912-024-02231-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2024] [Accepted: 08/06/2024] [Indexed: 08/17/2024] Open
Abstract
BACKGROUND In the digital age, maintaining patient confidentiality while ensuring effective care coordination poses significant challenges for healthcare providers, particularly nurses. AIM To investigate the challenges and strategies associated with balancing patient confidentiality and effective care coordination in the digital age. METHODS A cross-sectional study was conducted in a general hospital in Egypt to collect data from 150 nurses across various departments with at least six months of experience in patient care. Data were collected using six tools: Demographic Form, HIPAA Compliance Checklist, Privacy Impact Assessment (PIA) Tool, Data Sharing Agreement (DSA) Framework, EHR Privacy and Security Assessment Tool, and NIST Cybersecurity Framework. Validity and Reliability were ensured through pilot testing and factor analysis. RESULTS Participants were primarily aged 31-40 years (45%), with 75% female and 60% staff nurses. High compliance was observed in the HIPAA Compliance Checklist, especially in Administrative Safeguards (3.8 ± 0.5), indicating strong management and training processes, with an overall score of 85 ± 10. The PIA Tool showed robust privacy management, with Project Descriptions scoring 4.5 ± 0.3 and a total score of 30 ± 3. The DSA Framework had a mean total score of 20 ± 2, with Data Protection Measures scoring highest at 4.0 ± 0.4. The EHR assessments revealed high scores in Access Controls (4.4 ± 0.3) and Data Integrity Measures (4.3 ± 0.3), with an overall score of 22 ± 1.5. The NIST Cybersecurity Framework had a total score of 18 ± 2, with the highest scores in Protect (3.8) and lower in Detect (3.6). Strong positive correlations were found between HIPAA Compliance and EHR Privacy (r = 0.70, p < 0.05) and NIST Cybersecurity (r = 0.55, p < 0.05), reflecting effective data protection practices. CONCLUSION The study suggests that continuous improvement in privacy practices among healthcare providers, through ongoing training and comprehensive privacy frameworks, is vital for enhancing patient confidentiality and supporting effective care coordination.
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Affiliation(s)
- Ateya Megahed Ibrahim
- College of Nursing, Prince Sattam Bin Abdulaziz University, Alkarj, Saudi Arabia.
- Family and Community Health Nursing Department, Faculty of Nursing, Port Said University, Port Said City, Port Said, 42526, Egypt.
| | - Hassanat Ramadan Abdel-Aziz
- College of Nursing, Prince Sattam Bin Abdulaziz University, Alkarj, Saudi Arabia
- Gerontological Nursing Department, Faculty of Nursing, Zagazig University, Zagazig, Egypt
| | - Heba Ali Hamed Mohamed
- Community Health Nursing Department, Faculty of Nursing, Mansoura University, Mansoura City, Dakahlia, Egypt
| | - Donia Elsaid Fathi Zaghamir
- College of Nursing, Prince Sattam Bin Abdulaziz University, Alkarj, Saudi Arabia
- Pediatric Nursing Department, Faculty of Nursing, Port Said University, Port Said City, 42526, Egypt
| | - Nadia Mohamed Ibrahim Wahba
- College of Nursing, Prince Sattam Bin Abdulaziz University, Alkarj, Saudi Arabia
- Psychiatric Nursing and Mental Health Department, Faculty of Nursing, Port Said University, Port Said, 42526, Egypt
| | - Ghada A Hassan
- Pediatric Nursing Department, Faculty of Nursing, Menoufia University, Shibin el Kom, Egypt
| | - Mostafa Shaban
- Community Health Nursing Department, College of Nursing, Jouf University, Sakaka, Al Jouf, 72388, Saudi Arabia
| | - Mohammad El-Nablaway
- Department of Basic Medical Sciences, College of Medicine, AlMaarefa University, P.O.Box 71666, 11597, Riyadh, Saudi Arabia
| | - Ohoud Naif Aldughmi
- Department of Medical and Surgical Nursing, Northern Border University, Arar, Saudi Arabia
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Abuhammad S, Khabour OF, Alzoubi KH, Hamaideh S, Khassawneh BY, Mehrass AAKO, Alsmadi BF, Ababneh AM. Health-Related Quality of Life for Jordanian-Recovered Individuals During Post-COVID-19 Era: A Cross-Sectional Study. Patient Prefer Adherence 2023; 17:1303-1310. [PMID: 37250297 PMCID: PMC10216861 DOI: 10.2147/ppa.s415336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 05/13/2023] [Indexed: 05/31/2023] Open
Abstract
Aim This study aims to determine health-related quality of life (HRQoL) that includes the physical and mental health of recovered patients of COVID-19 and examines the significant impact of variables such as period of infection, sample demographics characteristics, hospitalization past, and chronic disease past and the other variables on HRQoL of COVID-19-recovered patients. Methods An exploratory, community-based, cross-sectional research layout was adopted, using an electronic self-reporting survey disseminated online to recovered COVID-19 patients in Jordan. Targeted COVID-19 patients were individuals who were 18 years old or above. They had a documented background of COVID-19 illness, as stated in the following inclusion requirements: Those who had not been formally proven to have been afflicted by COVID-19 were excluded. Results The mean of the physical well-being of study participants during COVID-19 was M=68.00 (SD=6.95), representing medium physical well-being status. The mean of psychological well-being of study participants during COVID-19 was M=60.20 (SD=8.85), representing medium physical health. Multiple regression showed that female recovered patients who are not working, with a low level of income, married women, and who getting COVID-19 more than once are having lower health-related quality of life compared to other recovered patients. Conclusion The HRQoL of COVID-19 patients was significantly impacted, independent of the period since hospitalization or rehabilitation. Policymakers and health workers should research strong ways to enhance the HRQoL of COVID-19 patients as soon as possible. Elderly patients and those who have been infected more than one time and being hospitalized have a greater probability of decreased HRQoL after infection.
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Affiliation(s)
- Sawsan Abuhammad
- Department of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology, Irbid, 22110, Jordan
| | - Omar F Khabour
- Department of Medical Laboratory Sciences, Jordan University of Science and Technology, Irbid, 22110, Jordan
| | - Karem H Alzoubi
- Department of Pharmacy Practice and Pharmacotherapeutics, College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates
- Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
| | - Shaher Hamaideh
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, 13133, Jordan
| | | | | | - Baha F Alsmadi
- Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
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Abuhammad S, Elayyan M, El-Bashir M. The efficacy of educational interventions on neonatal intensive care unit nurses knowledge and attitude toward neonatal palliative care. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2023. [DOI: 10.29333/ejgm/12902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
<b>Aim:</b> The objective of this study is examining the impact of an educational interventions in improving knowledge and attitudes towards neonatal palliative care (NPC)among nurses in Jordan.<br />
<b>Method: </b>A pre-post-test design was used to examine the efficacy of an educational program nurses’ knowledge and attitude toward NPC. Almost 164 nurses participated in the study, 82 intervention groups and 82 control groups.<br />
<b>Results: </b>The overall NPC mean knowledge score for the control group was 30.60 (SD=4.01) and for the intervention group was 73.85 (SD=5.78). The control group’s mean attitude for the NPC score is 88.94 (SD=14.45), whereas the intervention group’s is 82.13 (SD=10.59). There was also a substantial favorable effect of education program on nurses’ knowledge and attitude regarding NPC. Furthermore, there was no influence of characteristics on nurses’ knowledge and attitude regarding NPC.<br />
<b>Conclusion:</b> Depending on the findings of this study, the NPC educational program is beneficial in improving nurse knowledge and attitudes for NPC services, as well as providing an effective educational program for nurses. With the rising demand for NPC services with chronic critical illnesses and the documented good impact of NPC services on neonates in need and their families, it became imperative to improve the nurse’s knowledge and attitude toward NPC.
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Affiliation(s)
- Sawsan Abuhammad
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
| | - Marah Elayyan
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
| | - Mohanad El-Bashir
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
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Abuhammad S, Khabour OF, Alzoubi KH, Hamaideh S, Khassawneh BY, Alsmadi BF, Ababneh AM, Alqudah S. Mental health of COVID-19 recovered individuals: A national study from Jordan. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2023. [DOI: 10.29333/ejgm/12833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
<b>Aim:</b> To investigate the relationship between COVID-19 infection and subsequent long-term mental consequences among patients recovering from the disease.<br />
<b>Methods:</b> A cross-sectional and survey-based study was conducted in Jordan using Google Forms during the period from March to July of 2022. The requirement to participate was that individuals be at least 18 years old and have at least one symptomatic COVID-19 infection. A total of 2,055 subjects recruited in the study. Mental health was assessed using mental health inventory-38 (MHI-38).<br />
<b>Results: </b>Females represent 64.8% (n=1,182) of the sample. The mean age of the participants was 39.9±14.4 years. Subjects who recovered from COVID-19 scored slightly higher than moderate on different scales of MHI-38. These include anxiety, depression, loss of behavioral and emotional control, general positive affect, emotional ties, and life-satisfactions. The prevalence of depression among participants was 46.3% (n=952). The prevalence of anxiety among participants was 45.8% (n=942). The prevalence of loss of physical and emotional control was 47.2% (n=970). Multiple regression showed that employment status, tobacco use, and severe COVID-19 infection were associated with mental illness. Not working, using tobacco, and having severe COVID-19 infection were more likely to develop mental illness (p<0.01).<br />
<b>Conclusion:</b> Individuals who recover from COVID-19 are susceptible to developing mental illnesses. Factors associated with such susceptibility include employment status, tobacco use and severity of infection. The current findings can be used in mental health interventions targeting individuals who recovered from COVID-19.
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Affiliation(s)
- Sawsan Abuhammad
- Department of Maternal and Child Health, Jordan University of Science and Technology, Irbid, JORDAN
| | - Omar F Khabour
- Department of Medical Laboratory Sciences, Jordan University of Science and Technology, Irbid, JORDAN
| | - Karem H Alzoubi
- Department of Pharmacy Practice and Pharmacotherapeutics, University of Sharjah, Sharjah, UAE
- Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, JORDAN
| | - Shaher Hamaideh
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, JORDAN
| | | | - Baha F Alsmadi
- Faculty of Medicine, Jordan University of Science and Technology, Irbid, JORDAN
| | | | - Safa Alqudah
- Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, JORDAN
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Tegegne MD, Melaku MS, Shimie AW, Hunegnaw DD, Legese MG, Ejigu TA, Mengestie ND, Zemene W, Zeleke T, Chanie AF. Health professionals' knowledge and attitude towards patient confidentiality and associated factors in a resource-limited setting: a cross-sectional study. BMC Med Ethics 2022; 23:26. [PMID: 35287659 PMCID: PMC8922732 DOI: 10.1186/s12910-022-00765-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 03/07/2022] [Indexed: 11/14/2022] Open
Abstract
Background Respecting patients’ confidentiality is an ethical and legal responsibility for health professionals and the cornerstone of care excellence. This study aims to assess health professionals’ knowledge, attitudes, and associated factors towards patients’ confidentiality in a resource-limited setting. Methods Institutional based cross-sectional study was conducted among 423 health professionals. Stratified sampling methods were used to select the participants, and a structured self-administer questionnaire was used for data collection. The data was entered using Epi-data version 4.6 and analyzed using SPSS, version 25. Bi-variable and multivariable binary logistic regression analyses were used to measure the association between the dependent and independent variables. Odds ratio with 95% confidence intervals and P value was calculated to determine the strength of association and to evaluate statistical significance. Result Out of 410 participants, about 59.8% with [95% CI (54.8–68.8%)] and 49.5% with [95% CI (44.5–54.5%)] had good knowledge and favorable attitude towards patents confidentiality respectively. Being male (AOR = 1.63, 95% CI [1.03–2.59]), taking training on medical ethics (AOR = 1.73, 95% CI = [1.11–2.70]), facing ethical dilemmas (AOR = 3.07, 95% CI [1.07–8.79]) were significantly associated factors for health professional knowledge towards patients’ confidentiality. Likewise, taking training on medical ethics (AOR = 2.30, 95% CI [1.42–3.72]), having direct contact with the patients (AOR = 3.06, 95% CI [1.12–8.34]), visiting more patient (AOR = 4.38, 95% CI [2.46–7.80]), and facing ethical dilemma (AOR = 3.56, 95% CI [1.23–10.26]) were significant factors associated with attitude of health professionals towards patient confidentiality. Conclusion The findings of this study revealed that health professionals have a limited attitude towards patient confidentiality but have relatively good knowledge. Providing a continuing medical ethics training package for health workers before joining the hospital and in between the working time could be recommended to enhance health professionals’ knowledge and attitude towards patient confidentiality. Supplementary Information The online version contains supplementary material available at 10.1186/s12910-022-00765-0.
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Affiliation(s)
- Masresha Derese Tegegne
- Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
| | - Mequannent Sharew Melaku
- Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Aynadis Worku Shimie
- Department of Health Informatics, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Degefaw Denekew Hunegnaw
- Department of Health Information Technology, Debre Berhan Health Science College, Debre Berhan, Ethiopia
| | - Meseret Gashaw Legese
- Health Management Information System Unit, Mekaneselam Hospital, Mekaneselam, Ethiopia
| | - Tewabe Ambaye Ejigu
- Department of Health Information Technology, Teda Health Science College, Teda, Ethiopia
| | - Nebyu Demeke Mengestie
- Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Wondewossen Zemene
- Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Tirualem Zeleke
- Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Ashenafi Fentahun Chanie
- Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
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Allande-Cussó R, Fernández-García E, Porcel-Gálvez AM. Defining and characterising the nurse-patient relationship: A concept analysis. Nurs Ethics 2021; 29:462-484. [PMID: 34879785 DOI: 10.1177/09697330211046651] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
The nurse-patient relationship involves complex attitudes and behaviours with ethical and deontological implications. It has been linked to improvements in patient health outcomes, although there is still no consensus in the scientific literature as to the definition and characterisation of the concept. This article aim to define the concept of the nurse-patient relationship. A concept analysis was conducted using the Walker and Avant method to identify the attributes defining the nurse-patient relationship. An integrative review of the literature was conducted using the PubMed, Web of Science, Scopus, and Cumulative Index to Nursing & Allied Health Literature databases. A review of the grey literature and other minor non-indexed publications on the topic was also conducted. A total of 36 articles were included in the review. A model case, a contrary case, a related case, and empirical references were produced to clarify the concept and identify its essential attributes. The concept is defined as a helping relationship involving interaction between different players. It is the basis of nursing care and is intended to meet the healthcare needs of the individual receiving this care. It is also viewed as an intervention in itself, requiring a specific training process just like any other nursing skill. The essential attributes of the relationship are empathy, presence, contact, authenticity, trust, and reciprocity. In conclusion, the nurse-patient relationship is a helping relationship established with the patient and/or their family based on interaction, communication, respect for ethical values, acceptance, and empathy in order to encourage introspection and behavioural change. Key components include communication, active listening, and respect. Bioethical values and confidentiality must also be present to ensure that the relationship is built on equality and intimacy.
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AbuYahya O, Abuhammad S, Hamoudi B, Reuben R, Yaqub M. The do not resuscitate order (DNR) from the perspective of oncology nurses: A study in Saudi Arabia. Int J Clin Pract 2021; 75:e14331. [PMID: 33960067 DOI: 10.1111/ijcp.14331] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 04/13/2021] [Accepted: 05/03/2021] [Indexed: 12/21/2022] Open
Abstract
PURPOSE Issues related to life and death are largely influenced by the culture and religious beliefs of a society. This research aimed to survey a sample of oncology nurses in Saudi Arabia about their attitude towards the do not resuscitate order (DNR). METHOD A cross-sectional design was employed. A survey was sent to 190 nurses in the Comprehensive Cancer Center (CCC) in King Fahad Medical City (KFMC). A total of 157 nurses with a diploma or higher degree agreed to participate in the study. RESULTS Many nurses showed a neutral attitude regarding DNR to cancer patients and/or their families 2.4 ± 0.4. Moreover, the results of the multiple logistic regression tests revealed that all the listed factors are not associated with the attitude towards DNR orders (P > .05). CONCLUSION It is generally believed that nurses the faith and background of nurses from Muslim countries has a profound influence on their attitude towards DNR. However, this was not the picture that was revealed by the results of this study. In this study, all the nurses made it clear that they wanted to know about the autonomy of patients in respect of DNR orders. IMPLICATION TO CLINICAL PRACTICE It is necessary to develop programmes that address the DNR order and respect patient autonomy and rights. Moreover, hospital policies that address the issues of DNR order are required for all end-of-life care.
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Affiliation(s)
- Omar AbuYahya
- Comprehensive Cancer Center (CCC), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia
| | - Sawsan Abuhammad
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Bara Hamoudi
- Comprehensive Cancer Center (CCC), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia
| | - Ranjni Reuben
- Comprehensive Cancer Center (CCC), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia
| | - Muawiyah Yaqub
- Comprehensive Cancer Center (CCC), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia
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Karasneh R, Al-Mistarehi AH, Al-Azzam S, Abuhammad S, Muflih SM, Hawamdeh S, Alzoubi KH. Physicians' Knowledge, Perceptions, and Attitudes Related to Patient Confidentiality and Data Sharing. Int J Gen Med 2021; 14:721-731. [PMID: 33688243 PMCID: PMC7936708 DOI: 10.2147/ijgm.s301800] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Accepted: 02/18/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND The protection of patient confidentiality is an essential practice for the successful provision of healthcare. This study examines physicians' knowledge and attitudes related to data sharing and patient confidentiality. METHODS This is a descriptive, questionnaire-based study. Physicians were invited via e-mail to complete the study survey. The survey comprised three sections related to knowledge, attitudes, and demographic characteristics. RESULTS A total of 221 physicians, with varying levels of experience and from a range of specialty areas, completed the study survey. Ethical dilemmas were encountered annually by physicians specialized in family medicine and daily by physicians in internal medicine wards more often than those in other departments. The mean score for knowledge was 7.34 (out of 14; SD=2.92) and had a positive correlation with attitudes towards the protection of data confidentiality (r2=0.282, p<0.001). Undergraduate courses were the main source of knowledge related to ethical issues (167; 74.9%). Sex (B=-1.47, p=0.001), marriage (B=-1.198, p=0.021), and source of consultation (B=-.248, p=0.02) were all found to predict knowledge scores. Likewise, attitudes were predicted by experience (B= 0.279, p<0.001), sex (B= -2.797, p=0.002), marriage (B=1.91, p=0.02), and number of ethical dilemmas faced (B=1.695, p <0.001). CONCLUSION Physicians from different departments were found to lack sufficient knowledge about many aspects of patient confidentiality. While some of the physicians' practices complied with the law, other practices were identified as patient confidentiality breaches.
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Affiliation(s)
- Reema Karasneh
- Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, Jordan
| | - Abdel-Hameed Al-Mistarehi
- Department of Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Sayer Al-Azzam
- Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
| | - Sawsan Abuhammad
- Department of Maternal and Child Health, Jordan University of Science and Technology, Irbid, 22110, Jordan
| | - Suhaib M Muflih
- Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
| | - Sahar Hawamdeh
- Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
| | - Karem H Alzoubi
- Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
- Department of Pharmacy Practice and Pharmacotherapeutics, College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates
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