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Hayajneh AA, Al-Younis MO, Rababa M. The effect of a mindfulness intervention (MI) on sleep disturbance (SD) among nurses. Sci Rep 2024; 14:5084. [PMID: 38429355 PMCID: PMC10907617 DOI: 10.1038/s41598-024-55748-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 02/27/2024] [Indexed: 03/03/2024] Open
Abstract
Sleep disturbance (SD) makes it difficult for nurses in intensive care units (ICUs) to perform activities that require focused and continual concentration, which raises the risk of medical errors, health issues, loss of sleep, and patient care mistakes. The mindfulness intervention (MI) was created to give participants the capacity to approach their own emotions with non-judgmental awareness and to become more conscious of their thoughts and feelings, and it reduced psychological symptoms. This study examined the effect of MI on SD among nurses. A randomized control trail (RCT) was conducted and recruited 100 nurses from intensive care and medical-surgical units from three hospitals located at the northern and middle regions of Jordan. Bivariate analysis including independent T-test and multiple linear regressions were used to study the differences between the interventional group (MI) and the comparison group (watching mindfulness videos) in terms of the impact on the SD. Nurses reported significant and high levels of SD. MI significantly reduced the level of SD and improved sleep quality among nurses. MI should be integrated into nursing competences to combat the negative impacts of poor sleep quality on nurses and organizational-sensitive outcomes.
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Affiliation(s)
- Audai A Hayajneh
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan.
| | - Malak O Al-Younis
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan
| | - Mohammad Rababa
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan
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Hayajneh AA, Alhusban IM, Rababa M, Al-sabbah S, Bani-Hamad D, Al-Mugheed K, Al-Nusour EA, Alsatari ES. The association of traditional obesity parameters with the length of stay among patients with coronary artery disease: A cross-sectional study. Medicine (Baltimore) 2023; 102:e36731. [PMID: 38134084 PMCID: PMC10735059 DOI: 10.1097/md.0000000000036731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Accepted: 11/29/2023] [Indexed: 12/24/2023] Open
Abstract
There is a strong association between obesity and coronary artery disease (CAD). Obesity is measured using traditional obesity parameters, such as body mass index, body adiposity index, waist circumference (WC), and hip circumference. The aim of this study is to explore the association between traditional obesity parameters and the length of stay (LOS) among hospitalized CAD patients. An original correlative descriptive study was carried out using secondary data analysis, in which 220 hospitalized Jordanian CAD patients were recruited from Jordan northern and middle regions. Age, WC, triglycerides, and high- sensitivity C-reactive protein were all positive predictors of the total hospital LOS among hospitalized patients with CAD. The WC, age, triglycerides, and high-sensitivity C-reactive protein levels were significantly positively associated with total LOS. Healthcare providers, including nurses, should take into account these significant positive predictors of LOS to achieve better health outcomes and improve patient satisfaction.
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Affiliation(s)
- Audai A. Hayajneh
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Islam M. Alhusban
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad Rababa
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Shatha Al-sabbah
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Dania Bani-Hamad
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Khalid Al-Mugheed
- Adult Health Nursing Department, College of Nursing, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Esraa A. Al-Nusour
- Prince Al Hussein Bin Abdullah II Academy for Civil Protection, AlBalqa Applied University, King Saud University Medical City, Amman, Jordan
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Alsatari ES, AlSheyab N, D'Sa JL, Gharaibeh H, Eid S, Al-Nusour EA, Hayajneh AA. Effects of argan spinosa oil in the treatment of diaper dermatitis in infants and toddlers: A quasi-experimental study. J Taibah Univ Med Sci 2023; 18:1288-1298. [PMID: 37275956 PMCID: PMC10239066 DOI: 10.1016/j.jtumed.2023.05.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 04/20/2023] [Accepted: 05/10/2023] [Indexed: 06/07/2023] Open
Abstract
Objectives Diaper dermatitis (DD) is one of the most common dermatological disorders in children. Commonly used drugs for treatment have several adverse effects; therefore, assessment of safe therapeutic strategies is necessary. We, therefore, aimed at comparing the efficacy of argan spinosa oil and 1% hydrocortisone ointment on DD healing. Methods A quasi-experimental study was conducted in Jordan on children 2 years old or younger with mild to severe DD. Initially, 73 participants were enrolled in the argan spinosa oil group, and 74 participants were enrolled in the 1% hydrocortisone ointment group. Participants were assigned to groups randomly after the baseline measurement of DD. Healing was measured on a 5-point scale on days 1, 3, and 7, through home visits. Data were analyzed with Fisher's exact test, the Mann-Whitney U test, and generalized estimating equation (GEE) models in SPSS version 25 software, with a significance level of p < 0.05. Results Of the 147 enrolled children, 140 completed the study. A significant decrease in the DD grades was observed in both groups. After the exclusion of confounding factors, the GEE models revealed that children treated with argan spinosa oil were approximately 0.25 times less likely to have severe DD grades and to show faster improvement than children treated with 1% hydrocortisone (p < 0.025). Multiple logistic regression on the baseline data revealed that the use of barrier cream (OR: 0.35; 95% CI: 0.18, 0.72; p = 0.004) and a frequency of bathing one or fewer times per week (OR: 1.15; 95% CI: 0.65, 2.10; p = 0.002) predicted DD occurrence. Conclusion Argan spinosa oil is more effective than 1% hydrocortisone in healing DD and might be used as a complementary treatment. However, further clinical trials on larger samples will be essential for confirming the results and making a reliable judgment. Trial registration NCT04210674.
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Affiliation(s)
- Eman S. Alsatari
- Department of Nursing Education and Development, King Saud University Medical City, Riyadh, KSA
| | - Nihaya AlSheyab
- Department of Maternal and Child Health Nursing, Faculty of Nursing/Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Juliana L. D'Sa
- Department of Maternal and Child Health Nursing, College of Nursing, King Saud University, Riyadh, KSA
| | - Huda Gharaibeh
- Department of Maternal and Child Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Sami Eid
- Department of Nursing Education and Development, King Saud University Medical City, Riyadh, KSA
| | - Esra'a A. Al-Nusour
- Department of Paramedics, Prince Al Hussein Bin Abdullah II Academy for Civil Protection, AlBalqa Applied University, Salt, Jordan
| | - Audai A. Hayajneh
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Rababa M, Aldrawsheh A, Hayajneh AA, Eyadat AM, Tawalbeh R. The Predictors of Negative and Positive Affect among People with Dementia: A Cross-Sectional Study. Medicina (Kaunas) 2023; 59:1724. [PMID: 37893441 PMCID: PMC10607976 DOI: 10.3390/medicina59101724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 09/19/2023] [Accepted: 09/20/2023] [Indexed: 10/29/2023]
Abstract
Background and Objectives: This cross-sectional study examined the predictors of negative and positive affect among individuals with dementia. Materials and Methods: A sample of 102 Jordanian participants diagnosed with dementia was recruited from residential care facilities, and data were collected using different measures. Results: The results revealed that higher levels of negative affect were significantly associated with increased physical and verbal agitation among individuals with dementia. Conversely, lower levels of positive affect were associated with residing in a nursing home. Conclusions: These findings highlight the importance of recognizing the impact of both negative and positive affect on the well-being of individuals with dementia. Interventions targeting the reduction of negative affect and promoting positive affect could alleviate agitation and enhance emotional closeness in this population.
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Affiliation(s)
- Mohammad Rababa
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan; (A.A.H.)
| | - Ayham Aldrawsheh
- Community and Mental Health Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan (A.M.E.)
| | - Audai A. Hayajneh
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan; (A.A.H.)
| | - Anwar M. Eyadat
- Community and Mental Health Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan (A.M.E.)
| | - Raghad Tawalbeh
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan; (A.A.H.)
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Rababa M, Al-Sabbah S, Hayajneh AA, Al-Rawashdeh S. Critical care nurses' perceived barriers and enablers of pain assessment and management. Pain Manag 2023; 13:105-114. [PMID: 36515086 DOI: 10.2217/pmt-2022-0075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Aim: To examine critical care nurses' perceived barriers and enablers of pain assessment and management. Materials/methods: This descriptive correlational study recruited a convenience sample of 200 Jordanian nurses. Pain Assessment and Management for the Critically Ill questionnaire was used to measure the study variables. Results: The most common barriers to pain assessment and management were patient inability to communicate (57.5%), patient instability (56.5%), and the lack of protocols/guidelines for pain assessment (55.0%). Whereas the most common enablers for effective pain management practices were the ongoing education on pain for nurses (60.5%) and physicians who prescribe adequate doses of analgesia (60.0%). Conclusion: Addressing nurses' perceived barriers and the enablers of pain assessment and management is crucial for optimal pain practice.
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Affiliation(s)
- Mohammad Rababa
- Department of Adult Health Nursing, Jordan University of Science & Technology, Irbid, Jordan
| | - Shatha Al-Sabbah
- Department of Adult Health Nursing, Jordan University of Science & Technology, Irbid, Jordan
| | - Audai A Hayajneh
- Department of Adult Health Nursing, Jordan University of Science & Technology, Irbid, Jordan
| | - Sami Al-Rawashdeh
- Department of Community & Mental Health- Faculty of Nursing, The Hashemite University, P.O. Box 330127, Zarqa, 13133, Jordan
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Al-Rawashdeh S, Mrayyan MT, Hayajneh AA. Smoking Status Association with Intention to Vaccination against Coronavirus Disease-2019. Open Nurs J 2022. [DOI: 10.2174/18744346-v16-e2211040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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Rababa M, Bani-Hamad D, Hayajneh AA, Al Mugheed K. Nurses’ knowledge, attitudes, practice, and decision-making skills related to sepsis assessment and management. ELECTRON J GEN MED 2022. [DOI: 10.29333/ejgm/12556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
<b>Objectives</b>: The present study examines the critical care nurse’s knowledge, attitudes, practice (KAP), and decision-making related to early assessment and management of sepsis.<br />
<b>Methods</b>: This cross-sectional descriptive study utilized a convenience sample of 70 nurses working in a college hospital in the northern region of Jordan. Data were gathered employing a sepsis vignette and valid questionnaires via Google document. The nursing decision-making instrument and the knowledge, attitudes, and practice survey were utilized to assess nurses’ decision-making skills, knowledge, attitudes, and practice, respectively. Nurses’ sociodemographic/professional data, including gender, marital status, experience, education, and work environment, were also measured.<br />
<b>Result</b>: The participating nurses reported poor KAP, and analytical decision-making skills related to sepsis management. Experienced nurses and those with a master’s degree reported significantly better KAP, and intuitive decision-making skills than naïve and those with a bachelor’s degree. Nurses with analytical decision-making modes reported higher levels of knowledge, attitudes, and practice than nurses with intuitive or flexible analytical-intuitive decision-making modes.<br />
<b>Conclusion</b>: Poor decision-making skills, as well as knowledge, attitudes, and practice related to sepsis assessment and management, is a substantial problem that demands a productive re-evaluation of the current sepsis management practices. Boosting the knowledge and improving the practices on sepsis assessment and management through comprehensive educational programs and campaigns are necessary to improve nurses’ decision-making skills.
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Affiliation(s)
- Mohammad Rababa
- Department of Adult Health Nursing Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
| | - Dania Bani-Hamad
- Department of Adult Health Nursing Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
| | - Audai A Hayajneh
- Department of Adult Health Nursing Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
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Abstract
Objectives:
This paper aimed to examine the association between smoking status and the intention to get the COVID-19 vaccine in a convenience sample of 226 Jordanian adults.
Methods:
Cross-sectional data on smoking status, the intention of vaccination, attitudes toward- and fear of COVID-19, and perceived susceptibility and severity of COVID-19 were collected. Descriptive comparative and correlational bivariate and multivariable statistical analyses were used.
Results:
Most subjects were female and single, with a mean age of 26.8 years. About 27.9% were smokers. Smokers had significantly higher mean scores on the intention of vaccination than non-smokers (p=.049). On regression analysis, smoking status was not a significant predictor, but higher scores on attitude toward and fear of COVID-19 were the only significant predictors of the intention for vaccination.
Conclusion:
Although smokers appear to have a higher intention to get the COVID-19 vaccine, variables other than smoking status, such as attitudes towards and fears of COVID-19 may influence people's decisions and should be appropriately addressed. Smoking's effect on the intention of vaccination with COVID-19 warrants further study.
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AL-Mugheed K, Bani-Issa W, Rababa M, Hayajneh AA, Syouf AA, Al-Bsheish M, Jarrar M. Knowledge, Practice, Compliance, and Barriers toward Ventilator-Associated Pneumonia among Critical Care Nurses in Eastern Mediterranean Region: A Systematic Review. Healthcare (Basel) 2022; 10:1852. [PMID: 36292297 PMCID: PMC9602381 DOI: 10.3390/healthcare10101852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 09/16/2022] [Accepted: 09/19/2022] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Ventilator-associated pneumonia (VAP) has been identified as a serious complication among hospitalized patients and is associated with prolonged hospitalizations and increased costs. The purpose of this study was to examine the knowledge, practices, compliance, and barriers related to ventilator-associated pneumonia among critical care nurses in the eastern Mediterranean region. METHODS The PRISMA guidelines guided this systematic review. Four electronic databases (EMBASE, MEDLINE (via PubMed), SCOPUS, and Web of Science) were used to find studies that were published from 2000 to October 2021. RESULTS Knowledge of ventilator-associated pneumonia was the highest outcome measure used in 14 of the 23 studies. The review results confirmed that nurses demonstrated low levels of knowledge of ventilator-associated pneumonia, with 11 studies assessing critical care nurses' compliance with and practice with respect to ventilator-associated pneumonia. Overall, the results showed that most sampled nurses had insufficient levels of compliance with and practices related to ventilator-associated pneumonia. The main barriers reported across the reviewed studies were a lack of education (N = 6), shortage of nursing staff (N = 5), lack of policies and protocols (N = 4), and lack of time (N = 4). CONCLUSIONS The review confirmed the need for comprehensive interventions to improve critical care nurses' knowledge, compliance, and practice toward ventilator-associated pneumonia. Nurse managers must address barriers that impact nurses' levels of knowledge, compliance with, and practices related to ventilator-associated pneumonia.
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Affiliation(s)
- Khaild AL-Mugheed
- Faculty of Nursing, Surgical Nursing Department, Near East University, Nicosia 99138, Cyprus
| | - Wegdan Bani-Issa
- College of Health Science\Nursing Department, University of Sharjah, Sharjah 26666, United Arab Emirates
| | - Mohammad Rababa
- Department of Adult Health-Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid 22110, Jordan
| | - Audai A. Hayajneh
- Department of Adult Health-Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid 22110, Jordan
| | - Adi Al Syouf
- Department of Managing Health Services and Hospitals, Faculty of Business Rabigh, College of Business (COB), King Abdulaziz University, Jeddah 21991, Saudi Arabia
| | - Mohammad Al-Bsheish
- Health Management Department, Batterjee Medical College, Jeddah 21442, Saudi Arabia
- Al-Nadeem Governmental Hospital, Ministry of Health, Amman 11118, Jordan
| | - Mu’taman Jarrar
- Medical Education Department, King Fahd Hospital of the University, Al-Khobar 34445, Saudi Arabia
- Vice Deanship for Quality and Development, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia
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Hayajneh AA, Alhusban IM, Rababa M, Al-Rawashdeh S, Al-Sabbah S, Bani-Hamad D. Differences in the number of stented coronary arteries based on the seven traditional obesity parameters among patients with coronary artery diseases undergoing cardiac catheterization. ELECTRON J GEN MED 2022. [DOI: 10.29333/ejgm/12215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Abstract
Background
Early assessment and management of patients with sepsis can significantly reduce its high mortality rates and improve patient outcomes and quality of life.
Objectives
The purposes of this review are to: (1) explore nurses’ knowledge, attitude, practice, and perceived barriers and facilitators related to early recognition and management of sepsis, (2) explore different interventions directed at nurses to improve sepsis management.
Methods
A systematic review method according to the PRISMA guidelines was used. An electronic search was conducted in March 2021 on several databases using combinations of keywords. Two researchers independently selected and screened the articles according to the eligibility criteria.
Results
Nurses reported an adequate of knowledge in certain areas of sepsis assessment and management in critically ill adult patients. Also, nurses’ attitudes toward sepsis assessment and management were positive in general, but they reported some misconceptions regarding antibiotic use for patients with sepsis, and that sepsis was inevitable for critically ill adult patients. Furthermore, nurses reported they either were not well-prepared or confident enough to effectively recognize and promptly manage sepsis. Also, there are different kinds of nurses’ perceived barriers and facilitators related to sepsis assessment and management: nurse, patient, physician, and system-related. There are different interventions directed at nurses to help in improving nurses’ knowledge, attitudes, and practice of sepsis assessment and management. These interventions include education sessions, simulation, decision support or screening tools for sepsis, and evidence-based treatment protocols/guidelines.
Discussion
Our findings could help hospital managers in developing continuous education and staff development training programs on assessing and managing sepsis in critical care patients.
Conclusion
Nurses have poor to good knowledge, practices, and attitudes toward sepsis as well as report many barriers related to sepsis management in adult critically ill patients. Despite all education interventions, no study has collectively targeted critical care nurses’ knowledge, attitudes, and practice of sepsis management.
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Affiliation(s)
- Mohammad Rababa
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
- * E-mail:
| | - Dania Bani Hamad
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Audai A. Hayajneh
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Al-Zaru IM, Shahrour G, Masha'al D, Hayajneh AA. Depression and adherence to healthy lifestyle behaviors among patients with coronary artery diseases in Jordan. Heliyon 2022; 8:e09752. [PMID: 35800254 PMCID: PMC9253920 DOI: 10.1016/j.heliyon.2022.e09752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Revised: 02/22/2022] [Accepted: 06/15/2022] [Indexed: 11/29/2022] Open
Affiliation(s)
- Ibtisam M. Al-Zaru
- Adult Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan
- Corresponding author.
| | - Ghada Shahrour
- Community and Mental Health Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, Irbid, 22110, Jordan
| | - Dina Masha'al
- Adult Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan
| | - Audai A. Hayajneh
- Adult Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan
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Hayajneh AA, Alhusban IM, Rababa M, Bani-Hamad D, Al-sabbah S. The Role of Traditional Obesity Parameters In the Prediction of the Coronary Arteries Disease Among Patients Undergoing Cardiac Catheterization: A Systematic Review. International Journal of Africa Nursing Sciences 2022. [DOI: 10.1016/j.ijans.2022.100437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Hayajneh AA, Rababa M. The Association of Frailty with Poverty in Older Adults: A Systematic Review. Dement Geriatr Cogn Disord 2022; 50:407-413. [PMID: 34929708 DOI: 10.1159/000520486] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 10/27/2021] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Suffering from both frailty and poverty may have significant negative consequences on older adults' lives. This study aimed to conduct a systematic review to investigate the relationship between frailty and low income among older adults. METHODS This systematic review was guided by the PRISMA guidelines and was aimed at exploring the frailty in older adults with low income and evaluating the robustness of the synthesis. Cross-sectional and longitudinal studies published in English between 2008 and 2020 were identified using search terms entered into the following databases: CINAHL, Medline, Google Scholar, and PubMed. RESULTS Nine articles met the inclusion criteria. This review revealed a positive relationship between frailty and poverty. Such a relationship could be explained through 3 dimensions of the relationship between frailty and poverty among older adults identified based on the findings of the reviewed studies. DISCUSSION/CONCLUSION The social life, environmental conditions, and financial issues were positively correlated and coexisted with both frailty and poverty. Frailty should be treated on a holistic basis, considering financial issues. Among these financial issues is poverty, which disrupts older adults' social activities, hinders them from building successful social relationships, and reduces their quality of life.
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Affiliation(s)
- Audai A Hayajneh
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad Rababa
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Rababa M, Bani-Hamad D, Hayajneh AA. The effectiveness of branching simulations in improving nurses' knowledge, attitudes, practice, and decision-making related to sepsis assessment and management. Nurse Educ Today 2022; 110:105270. [PMID: 35051870 DOI: 10.1016/j.nedt.2022.105270] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 12/15/2021] [Accepted: 01/09/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Nurses have a key role in the early assessment and management of sepsis, which is crucial for optimal quality of care and better patient outcomes. However, sepsis in critical care patients is underrecognized and untreated due to nurses' poor knowledge, attitudes, practice, and decision-making skills related to sepsis assessment and management. OBJECTIVES This study aimed to test the effectiveness of branching simulations in improving nurses' knowledge, attitudes, practices, and decision-making related to sepsis assessment and management. METHODS This experimental study was conducted on a convenience sample of 70 nurses (35 nurses in each of the intervention and control groups) with at least one year of experience working in an emergency room at a university hospital. The nurses' knowledge, attitudes, and practices were measured using a knowledge, attitudes, and practices survey, whilst their decision-making modes were assessed using the Nursing Decision-Making Instrument. RESULTS Compared to the control group, a significant improvement in practices (F (1, 68) = 10.77, p = 0.002, η2 = 0.137) and decision-making (F (1, 68) = 10.68, p = 0.002, η2 = 0.136) was observed among the nurses in the intervention group both immediately and two weeks post the branching simulations intervention. Compared to the baseline data, a significant improvement in knowledge (F (2, 136) = 27.93, p < 0.001, η2 = 0.291), practices (F (2, 136) = 41.00, p < 0.001, η2 = 0.376), and decision-making modes (F (2, 136) = 29.15, p < 0.001, η2 = 0.300) was observed both immediately and two weeks post branching simulations only among the nurses in the intervention group. CONCLUSIONS Education programs integrated with an interactive strategy of learning (branching simulations) can improve nurses' knowledge, attitude, practice, and decision-making related to sepsis assessment and management. Therefore, continuous education and professional training programs following an evidence-based intervention protocol/guideline are recommended for better nurse and patient outcomes.
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Affiliation(s)
- Mohammad Rababa
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid 22110, Jordan.
| | - Dania Bani-Hamad
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid 22110, Jordan
| | - Audai A Hayajneh
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid 22110, Jordan
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Rababa M, Hayajneh AA, Al-Rawashdeh S, Alawneh N. The use of analgesics and associated factors among nursing home residents. Pain Manag 2022; 12:461-469. [PMID: 35001650 DOI: 10.2217/pmt-2021-0062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim: This study examined the use of analgesics and associated factors among nursing home residents (NHRs). Materials & methods: A descriptive correlational design and a convenience sample of 209 NHRs receiving analgesics was used in this study. Results: Higher use of analgesics was noted among NHRs without cognitive impairment (p < 0.001), those with higher anticholinergic burden scores (p = 0.002) and those with a higher average number of oral pills taken daily (p = 0.045). Conclusion: These findings contribute to a better understanding of the prevalence and associated factors of analgesic use, which will inform the development and application of evidence-based pain practice and guidelines in nursing homes in Jordan and beyond.
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Affiliation(s)
- Mohammad Rababa
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science & Technology, Irbid, 22110, Jordan
| | - Audai A Hayajneh
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science & Technology, Irbid, 22110, Jordan
| | - Sami Al-Rawashdeh
- Department of Community & Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, 13133, Jordan
| | - Nahedh Alawneh
- College of Nursing, Irbid National University, Irbid, Jordan
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Hayajneh AA, Alhusban IM, Rababa M. The Role of Traditional Obesity Parameters in Predicting Frailty among Coronary Artery Disease Patients Undergoing Cardiac Catheterization. Int J Clin Pract 2022; 2022:8676274. [PMID: 36160288 PMCID: PMC9484977 DOI: 10.1155/2022/8676274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Revised: 06/20/2022] [Accepted: 08/12/2022] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Obesity has been reported to be associated with frailty and coronary artery disease (CAD). OBJECTIVE The present study aimed to investigate the role of the seven traditional obesity parameters body mass index (BMI), waist-height ratio (WHtR), waist-hip ratio (WHR), body adiposity index (BAI), body shape index (BSI), waist circumference (WC), and hip circumference (HC) in the prediction of frailty among CAD patients undergoing cardiac catheterization. DESIGN A secondary data analysis was conducted. Setting. Three main hospitals were located at the northern and middle regions of Jordan. Participants. 220 hospitalized patients undergoing cardiac catheterization were recruited. Measurements. The traditional obesity parameters were measured using an anthropometric tape and weight scale and frailty was measured using the Tilburg Frailty Indicator (TFI). Data were analyzed using bivariate Pearson's correlation and forward linear regression analysis. RESULTS Total cholesterol, HC, triglycerides, age, random blood sugar, and WC had significant positive associations with and were predictors of frailty (p < 0.05). The model of the seven predictors explained 32.4% of the variance in frailty (p = 0.02). CONCLUSION The incidence of frailty can be predicted by the increase in total cholesterol, HC, triglycerides, age, random blood sugar, and WC. The results of this study may help healthcare providers, including nurses, to identify the factors that could lead to frailty among CAD patients undergoing cardiac catheterization.
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Affiliation(s)
- Audai A. Hayajneh
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, Jordan
| | - Islam M. Alhusban
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, Jordan
| | - Mohammad Rababa
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, Jordan
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Hayajneh AA, Hammouri H, Rababa M, Al-Rawashedeh S, Wallace DC, Alsatari ES. Frailty and Its Correlates in Cognitively Intact Community-Dwelling Older Adults. Dement Geriatr Cogn Disord 2021; 50:357-363. [PMID: 34569493 DOI: 10.1159/000519054] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 08/15/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Frailty syndrome is characterized by a decline in physiological and psychological reserve and may be associated with poor health outcomes. OBJECTIVES The current study explored frailty and its correlates among cognitively intact community-dwelling older adults. METHODS A secondary analysis of data collected from 109 community-dwelling older adults who are cognitively intact was conducted for the purpose of this study. The Arabic versions of the culturally adapted Tilburg Frailty Indicator, the Montreal Cognitive Assessment, the Geriatric Depression Scale, and the Short Form-36 Quality of Life (QOL) survey. Multiple linear regression was used to examine the relationships between frailty and depression. RESULTS The results indicated a high prevalence of frailty (78%) and depression (38%) among cognitively intact community-dwelling older adults. Frailty was found to be associated with increased age, being single or illiterate, living alone, having a high number of comorbid conditions, having high rate of depression, and having poor QOL. CONCLUSION High prevalence of frailty is associated with high depression scores, a high number of comorbid conditions, and poor QOL among cognitively intact community-dwelling older adults.
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Affiliation(s)
- Audai A Hayajneh
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Hanan Hammouri
- Department of Mathematics and Statistics, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad Rababa
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Sami Al-Rawashedeh
- Department of Community and Mental Health, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
| | - Debra C Wallace
- Department of Family and Community Nursing, University of North Carolina at Greensboro, Greensboro, North Carolina, USA
| | - Eman S Alsatari
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Abstract
OBJECTIVE Surgical site infection (SSI) is one of the most serious potential complications post cardiac surgery among patients with diabetes and has a number of adverse health outcomes. The literature shows discrepancies regarding the effect of different glycaemic control protocols on reducing adverse health outcomes including SSIs. The aim of this study was to conduct a systematic review that investigated the effect of the optimal range of tight glycaemic control protocols using a continuous insulin infusion on reducing the incidence of SSIs in adult patients with diabetes undergoing cardiac surgery. METHOD A systematic review was conducted following the PRISMA statement and guidelines. Search terms were used to identify research studies published between 2000 and 2019 across five key databases, including CINAHL, Medline, PubMed, Cochrane Database and Google Scholar. RESULTS A total of 12 studies met the review inclusion criteria. The reviewed literature tended to support the implementation of a tight glycaemic control protocol, particularly in the postoperative phase, that demonstrated fewer potential complications associated with cardiac surgery. On the other hand, the literature also supported the application of a moderate glycaemic control protocol in the intraoperative phase to obtain better glycaemic stability with fewer potential complications among those patients with diabetes undergoing cardiac surgery. CONCLUSION This analysis concludes that tight glycaemic control is more effective than moderate glycaemic control intraoperatively in terms of glycaemic stability among patients with diabetes undergoing cardiac surgery. Results also emphasised the importance of time-based protocol implementation to ensure better health outcomes and better quality of care for patients.
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Affiliation(s)
- Issa M Hweidi
- Jordan University of Science and Technology, P.O. Box 3030, Faculty of Nursing, Irbid 22110, Jordan
| | - Ala M Zytoo
- Jordan University of Science and Technology, P.O. Box 3030, Faculty of Nursing, Irbid 22110, Jordan
| | - Audai A Hayajneh
- Jordan University of Science and Technology, P.O. Box 3030, Faculty of Nursing, Irbid 22110, Jordan
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Hweidi IM, Zytoon AM, Hayajneh AA, Al Obeisat SM, Hweidi AI. The effect of intraoperative glycemic control on surgical site infections among diabetic patients undergoing coronary artery bypass graft (CABG) surgery. Heliyon 2021; 7:e08529. [PMID: 34926859 PMCID: PMC8646993 DOI: 10.1016/j.heliyon.2021.e08529] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 07/06/2021] [Accepted: 11/29/2021] [Indexed: 12/25/2022] Open
Abstract
OBJECTIVE Perioperative poor glycemic control in diabetic patients undergoing Coronary Artery Bypass Graft (CABG) surgery has been associated with infectious complications, particularly surgical site infections that are linked with adverse health surgical outcomes. The purpose of this study was to investigate the effect of two different intraoperative glycemic control protocol, tight and conventional, on thirty-day postoperative surgical site infection (SSI) rates among diabetic patients undergoing CABG surgery. DESIGN A randomized controlled trial (RCT) design was employed in the study, with a convenience sample of 144 adult patients who were scheduled to undergo coronary artery bypass grafting surgery. SETTING A main referral heart institute in Amman, Jordan. PARTICIPANTS Subjects were randomly assigned to either the tight glycemic control group (n = 72), which maintained an intraoperative blood glucose level of 110-149 mg/dl via continuous intravenous insulin infusion, or the conventional glycemic control group (n = 72), which maintained an intraoperative blood glucose level of 150-180 mg/dl via continuous intravenous insulin infusion. The postoperative SSIs among both groups were evaluated and compared by independent blinded physicians. RESULTS The primary findings of this study indicated no statistically significant difference between the two treatment groups in terms of SSI rates and their potential adverse surgical outcomes (p = 0.512). CONCLUSION Nurses should consider the glycemic stability and glycemic control approach to minimize adverse surgical outcomes post CABG surgery. Healthcare providers should also carefully consider diabetic patients who have undergone CABG surgery and are at risk of developing postoperative SSIs. CLINICALTRIALSGOV IDENTIFIER NCT04451655 was retrospectively registered in 30/06/2020.
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Affiliation(s)
- Issa M. Hweidi
- Faculty of Nursing, Adult Health Nursing Department, Jordan University of Science and Technology, P. O. Box 3030, Irbid 22110, Jordan
| | - Ala M. Zytoon
- Faculty of Nursing, Adult Health Nursing Department, Jordan University of Science and Technology, P. O. Box 3030, Irbid 22110, Jordan
| | - Audai A. Hayajneh
- Faculty of Nursing, Adult Health Nursing Department, Jordan University of Science and Technology, P. O. Box 3030, Irbid 22110, Jordan
| | - Salwa M. Al Obeisat
- Faculty of Nursing, Maternal-Child Health Nursing Department, Jordan University of Science and Technology, P. O. Box 3030, Irbid 22110, Jordan
| | - Aysam I. Hweidi
- Faculty of Medicine, Jordan University of Science and Technology, PO Box 3030, Irbid 22110, Jordan
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Rababa M, Al-Sabbah S, Hayajneh AA. Nurses' Perceived Barriers to and Facilitators of Pain Assessment and Management in Critical Care Patients: A Systematic Review. J Pain Res 2021; 14:3475-3491. [PMID: 34764688 PMCID: PMC8577531 DOI: 10.2147/jpr.s332423] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 10/27/2021] [Indexed: 12/18/2022] Open
Abstract
Aim This review aims to examine nurses’ perceived barriers to and facilitators of pain assessment and management in adult critical care patients. Background Pain is one of the worst memories among critically ill patients. However, pain among those patients is still undertreated due to several barriers that impede effective management. Therefore, addressing the perceived barriers and facilitators to pain assessment management among critical care nurses is crucial. Methods A systematic search of pain assessment and management in critical care patient-relevant literature from four databases was done, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results The barriers and facilitators were categorized into four groups: nurse-related, patient-related, physician-related, and system-related. The most frequently reported barriers in this study included nurses’ lack of knowledge regarding the use of pain assessment tools, patients’ inability to communicate, physicians’ prescription of analgesics being independent of pain scores evaluation, and absence of standardized guidelines and protocols for pain evaluation and control. For the facilitators, the most reported ones include ongoing education and professional training related to pain assessment and management, patients’ ability to self-report pain, effective collaboration between physicians and nurses, and productive discussion of patients’ pain scores during nurse-to-nurse handovers. Conclusion Various barriers and facilitators to pain assessment and management were identified and examined in this review. However, future research is still needed to further investigate these barriers and facilitators and examine any other potential associated factors among critical care nurses. Relevance to Clinical Practice The findings of our study could help hospital managers in developing continuous education and staff development training programs on assessing and managing pain for critical care patients. Also, our findings could be used to develop an evidence-based standard pain management protocol tailored to effectively assess and promptly treat pain in critical care patients.
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Affiliation(s)
- Mohammad Rababa
- Adult Health Nursing Department, Jordan University of Science and Technology, Irbid, Jordan
| | - Shatha Al-Sabbah
- Adult Health Nursing Department, Jordan University of Science and Technology, Irbid, Jordan
| | - Audai A Hayajneh
- Adult Health Nursing Department, Jordan University of Science and Technology, Irbid, Jordan
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Hayajneh AA, Jaradat ZW, Alsatari ES, Alboom MH. Predictors of growth of Escherichia coli on lab coats as part of hospital-acquired infection transmission through healthcare personnel attire. Int J Clin Pract 2021; 75:e14815. [PMID: 34486786 DOI: 10.1111/ijcp.14815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 09/03/2021] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES Previous research has documented the presence of microbes on healthcare personnel (HCP) attire. This study aimed to explore the bacterial contamination and predictors of Escherichia coli (E coli) growth, as well as, hygiene and handling practices of HCP attire that could influence growth of E coli. METHODS Descriptive, cross-sectional study was used in this study. Convenience sampling of the 188 HCP was recruited from a main comprehensive hospital in the northern part of Jordan. Three swab samples were collected from three different parts of lab coats used by each participant. The generalised mixed linear model was used for the categorical variables and to identify the predictors of E coli growth on HCP attire. RESULTS Enterococcus faecalis was the most common species of bacteria found on lab coat. The HCP attire coming from the emergency department (ED) was highlighted with slightly higher contamination of E coli compared with other departments, such as critical care units. Factors associated with significant E coli growth on HCP attire were lab coat use over scrubs and borrowing of lab coats. The predictors of positive E coli growth were working in the ED, storing HCP attire in hospital lockers, believing the transmission of pathogens by HCP attire and carrying attire wrapped around arms. IMPLICATIONS Hygiene practices and policies, including a washing facility on the hospital premises, are a must to keep the lab coats clean. CONCLUSION HCP should be cautious about the method of use and storage of lab coats they wear.
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Affiliation(s)
- Audai A Hayajneh
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Ziad W Jaradat
- Department of Biotechnology and Genetic Engineering, Jordan University of Science and Technology, Irbid, Jordan
| | - Eman S Alsatari
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad H Alboom
- Department of Biotechnology and Genetic Engineering, Jordan University of Science and Technology, Irbid, Jordan
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Hayajneh AA, Hweidi IM, Zytoon AM. Glycaemic stability and length of stay: Tight versus conventional intraoperative glycaemic control protocols among patients with diabetes mellitus undergoing coronary artery bypass graft surgery. Int J Clin Pract 2021; 75:e14551. [PMID: 34145939 DOI: 10.1111/ijcp.14551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 06/17/2021] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Intraoperative glycaemic stability and control among patients with diabetes mellitus (DM) undergoing coronary artery bypass grafting (CABG) surgery have been a major concern. The current study aimed to compare the effect of tight glycaemic control and conventional glycaemic control on glycaemic stability and length of stay (LOS) among diabetic patients undergoing CABG surgery. METHODS This study utilised a randomised control trial design among a convenience sample of 144 patients. Participants were randomly assigned to either the tight or conventional glycaemic control groups. The repeated measures analysis of variance (ANOVA) test and an independent samples t test were used to assess the variations in blood glucose (BG) level and LOS based on insulin therapy type. RESULTS Patients who received the tight glycaemic control protocol had significantly more consistent and lower mean intraoperative BG levels than did patients who received the conventional glycaemic control protocol. No statistically significant differences in hospital LOS in days were identified between the two groups. CONCLUSION Healthcare providers, including physicians and nurses, should consider using tight glycaemic control therapy among patients undergoing coronary artery bypass graft (CABG) surgery. This may lead to increased BG level consistency and stability and lower mean intraoperative BG level across time.
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Affiliation(s)
- Audai A Hayajneh
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Issa M Hweidi
- School of Nursing, Adult Health Nursing Department, Jordan University of Science and Technology, Irbid, Jordan
| | - Ala M Zytoon
- Adult Health Nursing Department, Jordan University of Science and Technology, Irbid, Jordan
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Hayajneh AA, Rababa M, Al-Rawashedeh S. Time to Seek Care and Hospital Length of Stay Among Older Adults With Acute Coronary Syndrome During the COVID-19 Pandemic. Clin Nurs Res 2021; 31:364-375. [PMID: 34412541 DOI: 10.1177/10547738211040167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The prevalence of prehospital delay is high among older adults with acute coronary syndrome (ACS). The current study aimed to examine the associated factors of prehospital delay among patients with ACS during the COVID-19 pandemic. This cross-sectional study was conducted on a convenience sample of 300 older adults with ACS admitted to the emergency department in Jordan. Data were collected from June 1 to September 1, 2020. Bivariate and multivariate analyses were used to explore the predictors of prehospital delay. Being widowed, educational level, pain intensity, the gradual onset of ACS symptoms, symptoms lasting for more than 30 minutes, patients' feeling anxious about their ACS symptoms, patients' perceiving their symptoms to be particularly dangerous, history of myocardial infarction (MI), and mode of transportation were associated with the time taken before seeking emergency care. Significant predictors of time to seek help were chief complaint of chest pain or palpitations, abrupt onset of symptoms, the associated symptom of vertigo, and a higher number of chronic illnesses; they explained about 17.9% of the variance in the time to seek care. The average time to seek care among patients with ACS during the COVID-19 pandemic was found to be longer than the average time reported by studies conducted prior the pandemic. Improved understanding of the associations between prehospital delay is crucial for optimal ACS patient outcomes under the impacts of the COVID-19 pandemic.
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Affiliation(s)
- Audai A Hayajneh
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad Rababa
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Sami Al-Rawashedeh
- Department of Community and Mental Health, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
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Hayajneh AA, Rababa M, Al-Nusour EA, Alsatari ES. Predictors of depression amongst older adults with acute coronary syndrome seeking emergency care. Int J Clin Pract 2021; 75:e14203. [PMID: 33811440 DOI: 10.1111/ijcp.14203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 03/22/2021] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVES Psychological and traumatic events may cause disruption to daily life for patients, in particular, older adult patients with acute coronary syndrome (ACS). The present study aimed to identify the prevalence of depression and explore its predictors amongst older adults with ACS seeking emergency care. METHODS Secondary data analysis of cross-sectional data, using a convenience sample of 300 older adult patients with ACS seeking emergency care, was used in this study. Bivariate and multivariate analyses, including linear regression models, were conducted. RESULTS The prevalence of depression amongst older adult patients with ACS seeking emergency care was 65.7%. The predictors of depression amongst this cohort of patients were age (t = 3.06, P = .003), frailty (t = 5.77, P < .001), troponin (t = 2.98, P = .003), and hemoglobin alpha 1C (HBA1C) (t = 3.18, P = .002). The model of these predictors explained 56.6% of the variation in the outcome (depression) (Adjusted R2 = 0.566, P = .017). Depression had a significant positive correlation with each intensive care unit (ICU) length of stay (LOS) (rho = 0.31, P < .001), hospital LOS (rho = 0.36, P < .001), and frailty (rho = 0.69). CONCLUSION Depression rate is high amongst those patients, so healthcare providers (HCPs) should assess those patients for depression and be prepared to intervene accordingly. Depression amongst older adult patients with ACS seeking emergency care necessitates emergency management protocol by HCPs to manage depression amongst this cohort of at-risk patients.
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Affiliation(s)
- Audai A Hayajneh
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad Rababa
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Esraa A Al-Nusour
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Eman S Alsatari
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Hweidi IM, Al-Omari AK, Rababa MJ, Al-Obeisat SM, Hayajneh AA. Cardiac cachexia among patients with chronic heart failure: A systematic review. Nurs Forum 2021; 56:916-924. [PMID: 34091923 DOI: 10.1111/nuf.12623] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 03/03/2021] [Accepted: 05/24/2021] [Indexed: 12/17/2022]
Abstract
INTRODUCTION Despitecardiac cachexia being a prevalent health problem among heart failure (HF) patients, it has been given little attention by nursing researchers. Therefore, this study aims to conduct a systematic review that investigates cardiac cachexia among patients with HF. METHODOLOGY A systematic review will be performed according to the PRISMA guidelines to assess the findings of twelve selected studies which meet the inclusion criteria of the systematic review research. The selected articles were published between 2000 and 2020 across three databases: PubMed, CINAHL, and MEDLINE. RESULTS In comparison to cancer cachexia, cardiac cachexia has been insufficiently studied and is poorly understood. No definitive diagnostic method for cardiac cachexia has been identified in the literature. Age, smoking, and hypertension have been reported to be risk factors for cardiac cachexia. Cardiac cachexia has been significantly associated with lethal structural changes in the heart and has been measured using anthropometric measures and laboratory biomarkers. A combination of pharmacological and nonpharmacological treatments has been effectively implemented to manage cardiac cachexia. CONCLUSION A focused multidisciplinary approachthat takes culture into consideration is required to set a variety of assessment and interventional strategies for the early detection and proper management of cardiac cachexia.
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Affiliation(s)
- Issa M Hweidi
- Adult Health Nursing Department, Adult Health Nursing Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Ahmad K Al-Omari
- Department of Nursing Development and Training, Directorate of Nursing, Jordanian Royal Medical Services, Amman, Jordan
| | - Mohammad J Rababa
- Adult Health Nursing Department, Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Salwa M Al-Obeisat
- Maternal-Child Health Nursing, Maternal-Child Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Audai A Hayajneh
- Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Hayajneh AA, Hweidi IM, Abu Dieh MW. Nurses' Knowledge, Perception, and Practice of Discharge Planning in Acute Care Settings. J Nurs Care Qual 2021; 36:E30-E35. [PMID: 32541425 DOI: 10.1097/ncq.0000000000000493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Unsuccessful discharge planning (DP) may lead to undesirable health consequences among patients after discharge from the hospital. PURPOSE The aims of this study were to assess nurses' knowledge, perception, and practice of DP in acute care settings and identify significant predictors for nurses' practice toward DP. METHODS The study had a descriptive correlational cross-sectional design. Three questionnaires about knowledge, perception, and nurses' activities toward DP were used. Nurses (n = 117) were recruited from 3 Jordanian hospitals. RESULTS The level of nurses' knowledge toward DP was very low to low. Slightly more than half (52.1%) of nurses had a negative perception toward DP and about 50% had poor practices related to DP. Nurse-to-patient ratio and perception of nurses were significant predictors for nurses' practice toward DP. CONCLUSION The reinforcement of a positive perception toward DP among nurses working in acute care settings may lead to better health outcomes among patients after discharge from hospital.
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Affiliation(s)
- Audai A Hayajneh
- School of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Masha’al D, Hayajneh AA, Tawalbeh LI. Psychometric evaluation of the Arabic version of the higher education inventory scale for nursing students. BMC Psychiatry 2021; 21:77. [PMID: 33549080 PMCID: PMC7865099 DOI: 10.1186/s12888-021-03082-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 01/31/2021] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Studies in the literature have relied on a single instrument to assess stress levels and sources among nursing students in Jordan and in other Arab countries. Thus, there is a need to develop Arabic versions of psychometrically validated instruments for evaluating a wider range of aspects related to stress and stressors. The Higher Education Stress Inventory (HESI) is an instrument used to assess various aspects of stress and stressors related to higher education in different educational settings and among different student populations. To date, no exploratory or confirmatory factor analyses have been conducted to study the factor structure of the Arabic version of the HESI. Therefore, the current study aimed to evaluate the psychometric properties of the Arabic version of the HESI (Arabic-HESI) among nursing students in Jordan. METHODS The structure of the instrument was tested using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and maximum likelihood estimation among a sample of 355 nursing students at five Jordanian universities. RESULTS The Arabic-HESI proved to have excellent content validity index (CVI = 0.92). The instrument showed good internal consistency reliability (Cronbach's α = 0.75), as well as for the two emerged factors "challenges" and "dissatisfaction" (Cronbach's α were 0.75, 0.72 respectively). The results support the two-factor model for the Arabic-HESI, as the instrument was found to have robust structure and acceptable goodness-of-fit indices. CONCLUSION The Arabic-HESI is a reliable and valid instrument for assessing stress levels and stressors among nursing students in Jordan. Using the shortened version of the HESI to assess stress among nursing students is recommended. Identifying new features of stress and stressors among nursing students in Jordan will enable universities and nursing faculties to better support their students.
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Affiliation(s)
- Dina Masha’al
- grid.37553.370000 0001 0097 5797Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110 Jordan
| | - Audai A. Hayajneh
- grid.37553.370000 0001 0097 5797Adult Health-Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110 Jordan
| | - Loai Issa Tawalbeh
- grid.411300.70000 0001 0679 2502Princess Salma Faculty of Nursing, Al-al-Bayt University, P.O. Box: 130049, Al-Mafraq, 25113 Jordan
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Rababa M, Hayajneh AA, Bani-Issa W. Correction to: Association of Death Anxiety with Spiritual Well‑Being and Religious Coping in Older Adults During the COVID‑19 Pandemic. J Relig Health 2021; 60:64. [PMID: 33475903 PMCID: PMC7818047 DOI: 10.1007/s10943-021-01181-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Affiliation(s)
- Mohammad Rababa
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, P.O. Box 3030, 22110, Jordan.
| | - Audai A Hayajneh
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, P.O. Box 3030, 22110, Jordan
| | - Wegdan Bani-Issa
- Department of Nursing, College of Health Sciences, Research Institute for Medical and Health Sciences/Health Promotion Research Group, University of Sharjah, P.O. Box 27272, Sharjah, United Arab Emirates
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Rababa M, Hayajneh AA, Bani-Iss W. Association of Death Anxiety with Spiritual Well-Being and Religious Coping in Older Adults During the COVID-19 Pandemic. J Relig Health 2021; 60:50-63. [PMID: 33284402 PMCID: PMC7719733 DOI: 10.1007/s10943-020-01129-x] [Citation(s) in RCA: 56] [Impact Index Per Article: 18.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/29/2020] [Indexed: 05/10/2023]
Abstract
This descriptive study aimed to examine the association of death anxiety with religious coping and spiritual well-being among 248 community-dwelling older adults during the COVID-19 pandemic. The brief Arab religious coping scale, the Arabic version of the spiritual well-being Scale, and the Arabic Scale of death anxiety were used to measure religious coping, spiritual well-being, and death anxiety, respectively. The majority of the participating older adults were found to have low levels of religious coping and spiritual well-being and high levels of death anxiety. Further, in comparison to male older adults, female older adults were found to have higher levels of religious coping and lower levels of death anxiety. Moreover, in comparison to widowed older adults, married older adults were found to have higher levels of death anxiety. After controlling for sociodemographic characteristics, religious coping, and spiritual well-being were found to be significant predictors of death anxiety in older adults.
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Affiliation(s)
- Mohammad Rababa
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, P.O. Box 3030, 22110, Jordan.
| | - Audai A Hayajneh
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, P.O. Box 3030, 22110, Jordan
| | - Wegdan Bani-Iss
- Department of Nursing, College of Health Sciences, Research Institute for Medical and Health Sciences/Health Promotion Research Group, University of Sharjah, P.O. Box 27272, Sharjah, United Arab Emirates
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Hayajneh AA, Rababa M, Alghwiri AA, Masha'al D. Factors influencing the deterioration from cognitive decline of normal aging to dementia among nursing home residents. BMC Geriatr 2020; 20:479. [PMID: 33208090 PMCID: PMC7672837 DOI: 10.1186/s12877-020-01875-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Accepted: 11/09/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND A dearth of differential research exists regarding the determinants of mild cognitive impairment (MCI) and moderate cognitive impairment or dementia among nursing home residents. This study aimed to identify and examine the association between medical factors (number of comorbidities, hospitalization, disability, depression, frailty and quality of life) and moderate cognitive impairment or dementia in nursing homes residents. METHODS A cross-sectional design was used in this study. Convenience sampling of 182 participants was conducted in nursing homes located in the central part of Jordan. Montreal cognitive assessment (MoCA) was used to screen both MCI and moderate cognitive impairment or dementia. Bivariate analysis, including t-test and ANOVA test, and logistic and linear regression models were used to examine and identify the medical factors associated with moderate cognitive impairment or dementia compared to mild cognitive impairment. RESULTS Most nursing home residents had MCI (87.4%) compared to a few with moderate cognitive impairment or dementia. Age (t = - 2.773), number of comorbidities (t = - 4.045), depression (t = - 4.809), frailty (t = - 4.038), and quality of life physical (t = 3.282) and mental component summaries (t = 2.469) were significantly different between the stages of cognitive impairment. Marital status (t = - 4.050, p < 0.001), higher-income (t = 3.755, p < 0.001), recent hospitalization (t = 2.622,p = 0.01), depression (t = - 2.737, p = 0.007), and frailty (t = 2.852, p = 0.005) were significantly associated with mental ability scores among nursing home residents. CONCLUSION The coexistence of comorbidities and depression among nursing home residents with MCI necessitates prompt management by healthcare providers to combat depressive symptoms in order to delay the dementia trajectory among at-risk residents. TRAIL REGISTRATION ClinicalTrials.gov NCT04589637 , October 15,2020, Retrospectively registered.
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Affiliation(s)
- Audai A Hayajneh
- Adult health-nursing department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan.
| | - Mohammad Rababa
- Adult health-nursing department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan
| | - Alia A Alghwiri
- Department of Physiotherapy, School of Rehabilitation Sciences, University of Jordan, Amman, Jordan
| | - Dina Masha'al
- Adult health-nursing department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan
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Hayajneh AA, Hweidi IM, Abu Dieh MW. Nurses' knowledge, perception and practice toward discharge planning in acute care settings: A systematic review. Nurs Open 2020; 7:1313-1320. [PMID: 32802351 PMCID: PMC7424454 DOI: 10.1002/nop2.547] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 05/16/2020] [Accepted: 06/02/2020] [Indexed: 11/08/2022] Open
Abstract
Aim Discharge planning (DP) guides patients' transition to out-hospital services. This systematic review investigates nurses' knowledge, perception and practices of discharge planning. Design We conducted a systematic review following PRISMA guidelines. Methods Search terms were used to identify research studies published between 1990-2020 across six databases: CINAHL, MEDLINE, PubMed, Complete Academic search, Science Direct and Google Scholar. A total of nine studies met the inclusion criteria. Results Nine articles revealed nurses' knowledge, perspectives and practices of discharge planning. Obstacles included low-level knowledge of patients' activities and discharge; inability to define DP; debates over the timing of beginning, implementing and preparing discharge; patients and their family members' negative attitudes towards DP; and perceiving DP as excessive, time-consuming paperwork for which the physician is responsible. Better time management during work improves DP in acute care settings.
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Affiliation(s)
- Audai A. Hayajneh
- Adult Health Nursing DepartmentFaculty of NursingJordan University of Science and TechnologyIrbidJordan
| | - Issa M. Hweidi
- Adult Health Nursing DepartmentSchool of NursingJordan University of Science and TechnologyIrbidJordan
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Hayajneh AA, Hweidi IM, Zytoon AM. Predictors of Surgical Site Infections Among Patients With Diabetes Mellitus Post Coronary Artery Bypass Graft Surgery: A Quasi-experimental Study. Wounds 2020; 32:237-243. [PMID: 33166268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Biofilm in chronic wounds impedes the wound healing process. Each biofilm has differing characteristics requiring a multifaceted approach for removal while maintaining a surrounding environment conducive to wound healing. OBJECTIVE In this study, 3 of the components in a wound cleanser are tested to determine synergy in eradicating biofilms of methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa in vitro. MATERIALS AND METHODS The 3 components assessed for synergy were ethylenediamine tetraacetic acid sodium salts (EDTA), vicinal diols (VD; ethylhexylglycerin and octane-1,2-diol), and polyhexamethylene biguanide (PHMB). Each component was assessed individually and in combination while dissolved in a base solution. The Calgary assay method was used for biofilm growth and treatment. Kull Equation analysis for synergy was conducted using viable count results. RESULTS Synergy is defined as the interaction of components to produce a combined effect greater than the sum of their separate effects. The base solution containing all 3 components (EDTA, VD, and PHMB) reduced biofilm viability by more than 5 logs, demonstrating statistically significant synergy. The 3 components tested individually in the base solution resulted in the following: EDTA did not reduce bacteria viability; VD reduced viability by about 1 log; and PHMB reduced P aeruginosa viability by about 2.5 logs and MRSA viability by about 4 logs. Of importance, the MRSA biofilm failed to regrow in the recovery plates after combined treatment, indicating complete elimination of the biofilm bacteria. CONCLUSIONS The experimental and calculated results indicate the 3 components (VD, EDTA, and PHMB) when used together act synergistically to eradicate MRSA and P aeruginosa biofilms in vitro.
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Affiliation(s)
- Audai A Hayajneh
- Adult Health Nursing Department, Jordan University of Science and Technology, Irbid, Jordan
| | - Issa M Hweidi
- Adult Health Nursing Department, Jordan University of Science and Technology, Irbid, Jordan
| | - Ala M Zytoon
- Jordan Royal Medical Services, Queen Alia Heart Institute, Amman, Jordan
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Al-Zaru IM, Hayajneh AA, Al-Dwaikat T. Psychometric properties of the Arabic version of the cardiac depression scale tested on Jordanian patients with cardiovascular diseases. BMC Psychiatry 2020; 20:246. [PMID: 32429935 PMCID: PMC7238642 DOI: 10.1186/s12888-020-02651-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Accepted: 05/04/2020] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND The Cardiac Depression Scale (CDS) is an instrument to screen for depression, specifically in patients with cardiovascular diseases (CVD). The purpose of this study was to evaluate the psychometric properties of the Arabic version of the CDS in the Jordanian population. METHOD A cross-sectional design was used for 304 participants diagnosed with CVD. An exploratory factor analysis (EFA) was performed to explore the underlying structure of the new Arabic version of the CDS tool. RESULTS Cronbach's alpha for the total scale was 0.87. An EFA suggested a two-factor solution. The first factor has 18 items, measuring "My tolerance" of CVD, and the second factor has seven items, measuring "My activities" in the context of CVD. Based on the EFA simple structure, one item was removed due to its low factor loading (< 0.3). A confirmatory factor analysis (CFA) supported a two-factor model with the root mean square error of approximation (RMSEA = 0.06), comparative fit index (CFI = 0.856), and Tucker-Lewis index (TLI = 0.83) indicating acceptable fit. The Cronbach's alpha values for the first and second factors were 0.86 and 0.84, respectively. CONCLUSION The Arabic version of the CDS is a reliable and valid instrument to screen for depression among Jordanian patients with CVD.
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Affiliation(s)
- Ibtisam M. Al-Zaru
- grid.37553.370000 0001 0097 5797Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110 Jordan
| | - Audai A. Hayajneh
- grid.37553.370000 0001 0097 5797Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110 Jordan
| | - Tariq Al-Dwaikat
- grid.37553.370000 0001 0097 5797Community and Psychiatric Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110 Jordan
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Abstract
Frailty is a loss of human function in one or more physical, psychological, or social aspects. The purpose of this study was to establish the reliability and validity of the Arabic (Jordan) version of the Tilburg Frailty Indicator (TFI) in older Jordanian adults. A total of 109 participants from Irbid, Jordan were recruited. Reliability tests were conducted by determining the KR-20 values. The total score of the Arabic (Jordan) version of the TFI had good reliability (KR 20 = 0.77) and good convergent and divergent validity with the corresponding scales: physical-TFI and the SF36-physical function (r = -0.317), psychological-TFI and GDS (r = 0.458), and social-TFI and the SF 36-social function (r = -0.304). The Arabic (Jordan) version of the TFI is reliable and valid for use in Jordanian population.
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Abstract
DESCRIPTION OF PROBLEM SITUATION: Although the elderly have many physical, mental, and psychosocial needs, nursing homes are still a new emergent concept in Jordan. Moreover, the elderly who have access to nursing homes, are often not admitted, based on specific criteria, nor have access to governmental funds. The elderly that are admitted to nursing homes are admitted for a myriad of reasons, such as families’ desires, referrals from the ministry of social welfare due to socioeconomic issues, health issues (i.e. disability), and absence of caregivers (Al-Qudah, 2011). What is lacking in Jordan, is a well-defined admission and screening tool that clearly defines eligibility for nursing home admission
POLICY ALTERNATIVE: The policy alternative is leaving Jordanian elderly with special needs in their homes without receiving appropriate care predisposing the elderly to a higher risk of health complications. North Carolina has been chosen as an example of a state that implements a screening tool for admission.
RECOMMENDATIONS: The Ministry of Social Development might tailor the NC Medicaid forms (Level I and Katz and MoCA, and Level II of the NC Medicaid screening tool) as an admission screening policy that could be successful in identifying the eligible older adults to admit to nursing homes and receive designated aids from the Jordanian governmental organizations.
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Al-Sheyab NA, Alomari MA, Hayajneh AA, Shah S. Attitudes and perceived barriers toward healthy lifestyle behaviors in Jordanian adolescents: a developing country perspective. Adolesc Health Med Ther 2019; 10:39-47. [PMID: 30992686 PMCID: PMC6445189 DOI: 10.2147/ahmt.s181001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND AND AIMS There is an urgent need to address the role of healthy diet and behaviors promoting health among school adolescents in order to tailor appropriate interventions in Jordanian schools. This study aims to evaluate the reliability and validity of the Arabic version of Students As LifeStyle Activists (SALSA) survey alongside Jordanian adolescents' attitudes and perceived barriers to healthy eating and physical activity. METHODS This study uses baseline data from a randomized controlled trial recruiting school students from 29 male and 27 female public high schools that have grades 7 and 8. Cronbach's alpha and principal components analysis/factor analysis were used to check reliability and validity. Numbers, percentages, and chi square were used to explore healthy diet and physical activities preferences among Jordanian school students and determine gender differences for all evaluated items. RESULTS The Arabic version-SALSA survey has acceptable Cronbach's alpha values (>0.78) for most of its scales. Five scales were derived from the Arabic version-SALSA survey using principal components analysis/factor analysis (factors loading above 0.3). A higher proportion of female students agreed that "healthy food makes you more comfortable" compared to male students (44% vs 36%, P<0.05). Few Jordanian high school students held positive attitudes toward healthy food. This study identified both social and personal barriers to exercise among Jordanian adolescents, including lack of skills for physical activity, easy access and low cost of fast food, scarce opportunities for physical activity, and lack of peers and friends. CONCLUSION Interventions should be tailored to health attitudes and beliefs of Jordanian school students in parallel with improving physical resources and enhancing peer and/or friend support.
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Affiliation(s)
- Nihaya A Al-Sheyab
- Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan,
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan,
| | - Mahmoud A Alomari
- Division of Physical Therapy, Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Audai A Hayajneh
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Smita Shah
- Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
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