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Ayyad A, Baker NA, Oweidat I, Al-Mugheed K, Alsenany SA, Abdelaliem SMF. Knowledge, attitudes, and practices toward Patient Safety among nurses in health centers. BMC Nurs 2024; 23:171. [PMID: 38481257 PMCID: PMC10938782 DOI: 10.1186/s12912-024-01831-1] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 02/29/2024] [Indexed: 03/17/2024] Open
Abstract
OBJECTIVE To assess knowledge, attitudes, and practices (KAPs) toward patient safety among nurses working at primary and comprehensive health care centers in Jordan; to identify factors that predict KAPs among nurses. METHODS A descriptive cross-sectional design was conducted using a convenience sample of 307 primary health care nurses in Jordan. A self-reported questionnaire (KAPs) toward patient safety was distributed to the nurses between August 2022 and October 2022. RESULTS The results revealed that the mean score of knowledge was 9.51 out of 11 (SD = 1.35), the mean score of attitudes was 57.66 out of 75 (SD = 9.17), and the mean score of practices was 5.64 out of 8 (SD = 1.72). Where 59% of participants reported good knowledge about patient safety. 61% of participants reported positive attitudes toward patient safety. A significant regression equation was found (R² = 0.073, F= (2.94), p = 0 0.003). Age and having information on patient safety during continuing education were significant predictors of the attitude score (p ≤ 0.05). CONCLUSION It is necessary to implement patient safety education programs and training.
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Affiliation(s)
- Ahmad Ayyad
- School of Nursing, Community and Mental Health Department, Jordan University of Science and Technology, 22110, Irbid, P. O. Box 3030, Jordan.
| | - Nesrin Abu Baker
- School of Nursing, Community and Mental Health Department, Jordan University of Science and Technology, 22110, Irbid, P. O. Box 3030, Jordan
| | - Islam Oweidat
- Community and Mental Health Nursing Department, Faculty of Nursing, Zarqa- Jordan, Zarqa, Jordan
| | | | - Samira Ahmed Alsenany
- Department of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, 11671, Riyadh, P. O. Box 84428, Saudi Arabia
| | - Sally Mohammed Farghaly Abdelaliem
- Department of Nursing Management and Education, College of Nursing, Princess Nourah bint Abdulrahman University, 11671, Riyadh, P. O. Box 84428, Saudi Arabia
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Alosta MR, Oweidat I, Alsadi M, Alsaraireh MM, Oleimat B, Othman EH. Predictors and disturbances of sleep quality between men and women: results from a cross-sectional study in Jordan. BMC Psychiatry 2024; 24:200. [PMID: 38475779 DOI: 10.1186/s12888-024-05662-x] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Accepted: 03/06/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND Sleep disturbances, a public health concern that may lead to critical physiological conditions, are associated with personal characteristics such as gender. Limited evidence is available from the Middle East population on the gender disparities in sleep quality. Therefore, the current study examined gender-specific differences in sleep quality and disturbances among Jordanian citizens. METHOD A cross-sectional design was used to recruit a convenient sample of 1,092 adults from different Jordanian cities. Data was collected using a self-reported questionnaire comprising the Pittsburgh Sleep Quality Index (PSQI), which was distributed online via social media networks. The participants were categorized according to their global PSQI scores into poor (PSQI ≥ 5) and good sleepers (PSQI < 5). The analysis focused on finding differences between women and men in terms of sleep quality and the effects of demographic, lifestyle, and socioeconomic factors on reported sleep problems. RESULTS Women were revealed to have a higher prevalence of all types of sleep disturbances than men. Women who were over 55 (compared to younger than 20 years), did not smoke, had multiple jobs or part-time employment (compared to unemployed women), and had a monthly income of more than 500 JD (compared to those with an income of < 500 JD) were less likely to experience poor sleep than other women. In contrast, men who neither smoked nor drank coffee, ate no sweets or only one to two pieces daily (compared to participants who ate more than two pieces daily), and worked fixed night shifts (compared to alternating shifts workers) were less likely to experience poor sleep than other men. CONCLUSION This study builds a more nuanced understanding of how different demographic, lifestyle, and socioeconomic factors - such as a participant's age, time of working duty, income, daily sweet consumption, daily caffeine consumption, and smoking - affect the sleep quality of men and women. Thus, promoting a healthier lifestyle for both genders by modifying risk factors - such as smoking cessation, as well as reducing their intake of caffeine and sweets - is the first step toward improving their sleep quality. Further studies are needed to examine how the social role of Arabic women affects their sleep.
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Affiliation(s)
| | | | - Mohammad Alsadi
- Nursing Administration & Education Department, Faculty of Nursing, Jouf University, Sakaka, Saudi Arabia
| | - Mahmoud Mohammad Alsaraireh
- Prince Aisha Bint Alhussein College for nursing and health sciences, Alhussein Bin Talal University, Ma'an, Jordan
| | - Bayan Oleimat
- Faculty of Nursing, Applied Science Private University, Amman, Jordan
| | - Elham H Othman
- Faculty of Nursing, Applied Science Private University, Amman, Jordan.
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Oweidat I, Omari A, ALBashtawy M, Al Omar Saleh, Alrahbeni T, Al-Mugheed K, Alsheikh ADI. Factors affecting the quality of working life among nurses caring for Syrian refugee camps in Jordan. Hum Resour Health 2024; 22:1. [PMID: 38167317 PMCID: PMC10763280 DOI: 10.1186/s12960-023-00884-8] [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] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 12/27/2023] [Indexed: 01/05/2024]
Abstract
OBJECTIVES The global refugee crisis, exacerbated by the Syrian war, has placed tremendous strain on Jordan's healthcare system and infrastructure, notably impacting nurses working in refugee camps. The aim to identify factors influencing nurses' Quality of life at work (QWL) and understand their significance in crisis healthcare environments. METHODOLOGY A cross-sectional study was conducted in multiple healthcare facilities within Syrian refugee camps. A convenient sample of 166 nurses participated, and data were collected using the Brook's Quality of Nursing Work Life Survey. Data analysis included descriptive and inferential (one-way ANOVA) statistics. Significance level was set at 0.05. RESULTS Nurses in this study generally reported a moderate QWL, with an average score of 152.85, indicating that their overall work experience falls into the moderate range. The study found that nurses perceived their work-life/home-life balance (mean score 25.79), work design (mean score 35.71), work context (mean score 71.37), and work world (mean score 19.96) at levels indicative of moderate satisfaction. There were no statistically significant differences in QWL among participating nurses, suggesting that factors other than demographic characteristics may play a more influential role in determining nurses' QWL in the unique context of refugee caregiving. CONCLUSION This study underscores that working within refugee healthcare missions and recommends targeted interventions to enhance their well-being.
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Affiliation(s)
- Islam Oweidat
- Community and Mental Health Nursing Department, Zarqa University, Zarqa, Jordan.
| | - Abeer Omari
- Community and Mental Health Nursing Department, Zarqa University, Zarqa, Jordan
| | | | - Al Omar Saleh
- Clinical Nursing Department, Zarqa University, Zarqa, Jordan
| | - Tahani Alrahbeni
- Molecular Toxicology and Genetics/College of Nursing, Riyadh Elm University, Riyadh, Saudi Arabia
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Alzoubi MM, KS H, AM R, Al-Zoubi KM, AL-Mugheed K, Alsenany SA, Oweidat I, Abdelaliem SM. Effect of total quality management intervention on nurse commitment and nurse performance: A quasi-experimental study. Medicine (Baltimore) 2023; 102:e35390. [PMID: 37800832 PMCID: PMC10552992 DOI: 10.1097/md.0000000000035390] [Citation(s) in RCA: 1] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 09/05/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND The purpose of this study is to design, implement, and evaluate the impact of a total quality management intervention on job performance and commitment among Jordanian nurses working in government hospitals. METHODS A quasi-experimental multiple time series was conducted starting in September 2017 and ending in June 2018. 140 nurses were sampled using the proportionate stratified random sampling technique; 132 were completed the study 67 the intervention group, while 65 in the control group. RESULTS There were no significant differences in nurses' job performance or commitment between the 2 groups (control and intervention). A repeated measure MANOVA test for both groups revealed that the interaction between group and time was statistically significant (F (4, 127) = 144.841; P = .001; Wilk's Λ = 0.180; η2 = .820), indicating that groups had a significantly different pattern of job performance and commitment over time. A repeated test The MANCOVA test for both groups across time revealed significant differences in nurses' job performance and nurses' commitment at a less than 0.05 significance level (F (2127) = 320.724; P = .001; Wilk's Λ = 0.165; η2 = 0.835), and the overall effect of time was significant for all dependent variables (F (4125) = 36.879; P = .001; Wilk's Λ = 0.459; η2 = 0.541). CONCLUSION The educational intervention was effective in improving nursing job performance among the study sample. The improved commitment of respondents in the intervention group was attributed to the improvement in job performance.
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Affiliation(s)
- Majdi M. Alzoubi
- Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
| | - Hayati KS
- Faculty of Medicine and Health Sciences, Community Health Department, Universiti Putra Malaysia, Malasia
| | - Rosliza AM
- Faculty of Medicine and Health Sciences, Community Health Department, Universiti Putra Malaysia, Malasia
| | - Khaled M. Al-Zoubi
- Department of Banking and Financial Sciences, Irbid National University, Irbid, Jordan
| | | | - Samira A. Alsenany
- Department of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Islam Oweidat
- Department of Nursing Management, Zarqa University, Zarqa, Jordan
| | - Sally M.F. Abdelaliem
- Department of Nursing Management and Education, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
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Alsadi M, Oweidat I, Khrais H, Tubaishat A, Nashwan AJ. Satisfaction and self-confidence among nursing students with simulation learning during COVID-19. BMC Nurs 2023; 22:327. [PMID: 37735653 PMCID: PMC10514959 DOI: 10.1186/s12912-023-01489-1] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Accepted: 09/08/2023] [Indexed: 09/23/2023] Open
Abstract
AIM This survey aimed to investigate nursing students' satisfaction and self-confidence in simulation in education during the COVID-19 pandemic. Along with comparing these levels based on selected students' characteristics. DESIGN A cross-sectional survey. METHODS The survey was conducted at the faculty of nursing of a private university in Jordan. Students' satisfaction and self-confidence levels in simulation learning were measured using the National League for Nursing (NLN) Student Satisfaction and Self-confidence in Learning Scales. RESULTS A total of 138 undergraduate nursing students participated in the survey. Students' satisfaction levels and self-confidence in simulation learning were lower (just above the scale's midpoint) than scores reported in similar surveys. The lowest student ratings were reported as "the variety of learning activities that can be done using simulation" and "the self-confidence to develop the needed skills and knowledge to be used in real clinical settings". The results also indicated that as students' progress in the bachelor's degree program, they develop higher levels of self-confidence in simulation-based learning. CONCLUSIONS Nursing students' experience of simulation learning was observed to be negatively affected by the COVID-19 pandemic. High-fidelity simulation, in particular, among other simulation modalities, can be more beneficial in similar situations. Education stakeholders are invited to invest in the resources of high-fidelity simulation to maximize its benefits and help in the recovery phase after the pandemic.
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Affiliation(s)
- Mohammad Alsadi
- Faculty of Nursing, Zarqa University, P. O. Box 132222, Zarqa, 13132, Jordan
| | - Islam Oweidat
- Faculty of Nursing, Zarqa University, P. O. Box 132222, Zarqa, 13132, Jordan
| | - Huthaifah Khrais
- Faculty of Nursing, Zarqa University, P. O. Box 132222, Zarqa, 13132, Jordan
| | - Ahmad Tubaishat
- Faculty of Nursing, Al al-Bayt University, P. O. Box 130040, Mafraq, 25113, Jordan
| | - Abdulqadir J Nashwan
- Nursing for Education & Practice Development, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), University of Calgary in Qatar (UCQ), Doha, Qatar.
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Oweidat I, Al-Mugheed K, Alsenany SA, Abdelaliem SMF, Alzoubi MM. Awareness of reporting practices and barriers to incident reporting among nurses. BMC Nurs 2023; 22:231. [PMID: 37400810 DOI: 10.1186/s12912-023-01376-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2023] [Accepted: 06/11/2023] [Indexed: 07/05/2023] Open
Abstract
BACKGROUND Adequate incident reporting practices for clinical incident among nurses and even all healthcare providers in clinical practice settings is crucial to enhance patient safety and improve the quality of care delivery. This study aimed to investigate the level of awareness of incident reporting practices and identify the barriers that impact incident reporting among Jordanian nurses. METHODS A descriptive design using a cross-sectional survey was employed among 308 nurses in 15 different hospitals in Jordan. Data collection was conducted between November 2019 and July 2020 using an Incident Reporting Scale. RESULTS The participants showed a high level of awareness of the incident reporting with a mean score of 7.3 (SD = 2.5), representing 94.8% of the highest score. Nurses perceived their reporting practices at the medium level, with a mean score of 2.23 out of 4. The main reporting barriers included worrying about disciplinary actions, fearing being blamed, and forgetting to make a report. In regard to awareness of incident reporting, there were statistically significant differences in the mean for total awareness of the incident reporting system scores according to the type of hospital (p < .005*). In regard to self-perceived reporting practices, nurses working in accredited hospitals demonstrated statistically significant differences in self-perceived reporting practices (t = 0.62, p < .005). CONCLUSIONS The current results provide empirical results about perceived incident reporting practices and perceived barriers to reporting frequently. Recommendations are made to urge nursing policymakers and legislators to provide solutions for those barriers, such as managing staffing issues, nursing shortage, nurses' empowerment, and fear of disciplinary actions by front-line nurse managers.
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Grants
- PNURSP2023R279 The research was funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2023R279), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
- PNURSP2023R279 The research was funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2023R279), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
- PNURSP2023R279 The research was funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2023R279), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
- PNURSP2023R279 The research was funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2023R279), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
- PNURSP2023R279 The research was funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2023R279), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
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Affiliation(s)
- Islam Oweidat
- Nursing Administration at Zarqa University, Zarqa, Jordan.
| | | | - Samira Ahmed Alsenany
- Department of Community Health Nursing, College of Nursing, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh, 11671, Saudi Arabia
| | - Sally Mohammed Farghaly Abdelaliem
- Department of Nursing Management and Education, College of Nursing, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh, 11671, Saudi Arabia
| | - Majdi M Alzoubi
- Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
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Oweidat I, Shosha GA, Dmaidi K, Nashwan AJ. The association of patient safety culture with intent to leave among Jordanian nurses: a cross-sectional study. BMC Nurs 2023; 22:227. [PMID: 37391761 DOI: 10.1186/s12912-023-01386-7] [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] [Received: 01/25/2023] [Accepted: 06/18/2023] [Indexed: 07/02/2023] Open
Abstract
BACKGROUND The existence of patient safety culture is crucial for healthcare providers' retention, particularly for nurses. Patient safety culture is getting more attention from healthcare organizations worldwide, and Jordan is no exception. Nurses' satisfaction and retention are paramount to providing safe, high-quality patient care. PURPOSE To investigate the relationship between patient safety culture and intent to leave among Jordanian nurses. METHODS A descriptive cross-sectional design was used. A sample of 220 nurses was selected through convenience sampling from one governmental and one private hospital in Amman. The patient safety culture survey and anticipated turnover scale were used to collect data. Descriptive statistics and Pearson r correlation were used to answer the research questions. RESULTS The findings showed that nurses had 49.2% positive scores for patient safety. Teamwork (65.3%) and handoff and exchange of information (62% each) had the highest scores, while staffing and workplace (38.1%) and response to error (26.6%) had the lowest. Moreover, nurses had strong intentions to leave their jobs (M = 3.98). A moderately significant but not highly negative relationship existed between patient safety culture and intent to leave (r = -0.32, p = 0.015). CONCLUSIONS There are opportunities to improve patient safety culture, satisfaction, and nurse retention in Jordanian hospitals by implementing several recommendations, such as ensuring better staffing patterns and increasing staff motivation by utilizing various available methods.
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Al-Mugheed K, Farghaly SM, Baghdadi NA, Oweidat I, Alzoubi MM. Incidence, knowledge, attitude and practice toward needle stick injury among nursing students in Saudi Arabia. Front Public Health 2023; 11:1160680. [PMID: 37213613 PMCID: PMC10192570 DOI: 10.3389/fpubh.2023.1160680] [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] [Received: 02/07/2023] [Accepted: 04/03/2023] [Indexed: 05/23/2023] Open
Abstract
Background Needle stick injuries constitute the greatest threat to nursing students during clinical practice because of accidental exposure to body fluids and infected blood. The purpose of this study was to (1) determine the prevalence of needle stick injuries and (2) measure the level of knowledge, attitude and practice among nursing students about needle stick injuries. Methods Three hundred participants undergraduate nursing students at a private college in Saudi Arabia were included, of whom 281 participated, for an effective response rate of 82%. Results The participants showed good knowledge scores with a mean score of 6.4 (SD = 1.4), and results showed that students had positive attitudes (Mean = 27.1, SD = 4.12). Students reported a low level of needle stick practice (Mean = 14.1, SD = 2.0). The total prevalence of needle stick injuries in the sample was 14.1%. The majority, 65.1%, reported one incidence in the last year, while (24.4%) 15 students reported two incident of needle stick injuries. Recapping was the most prevalent (74.1%), followed by during injection (22.3%). Most students did not write a report (77.4%), and being worried and afraid were the main reasons for non-reports (91.2%). The results showed that female students and seniors scored higher level in all needle stick injuries domains (knowledge, attitude and practice) than male students and juniors. Students who had needle stick injuries more than three times last year reported a lower level of all needle stick injury domains than other groups (Mean = 1.5, SD =1.1; Mean = 19.5, SD =1.1; Mean = 9.5, SD =1.1, respectively). Conclusion Although the student's showed good knowledge and positive attitudes in NSI, the students reported a low level of needle stick practice. Raising awareness among nursing students and conducting continuing education related to sharp devices and safety and how to write an incident reporting is highly recommended.
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Affiliation(s)
- Khalid Al-Mugheed
- Adult Health Nursing and Critical Care, Riyadh Elm University, Riyadh, Saudi Arabia
- *Correspondence: Khalid Al-Mugheed,
| | - Sally Mohammed Farghaly
- Department of Nursing Management and Education, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Nadiah A. Baghdadi
- Department of Nursing Management and Education, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Islam Oweidat
- Department of Nursing Management, Zarqa University, Zarqa, Jordan
| | - Majdi M. Alzoubi
- Community Health Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
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Khrais H, Alsadi M, Oweidat I, Ahmad M. Determinants of missed nursing care in Jordanian hospitals during COVID-19 pandemic. Nurs Open 2022; 10:1565-1573. [PMID: 36250917 PMCID: PMC9874651 DOI: 10.1002/nop2.1407] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 03/26/2022] [Accepted: 10/02/2022] [Indexed: 11/07/2022] Open
Abstract
AIM The aim of the study was to examine the effect of perceived organizational support, accountability and nurses' characteristics on missed nursing care under the impact of COVID-19. DESIGN A cross-sectional design was used to describe and predict nurses' characteristics. METHODS A sample of 536 Registered Nurses participated in the study from eight hospitals in different health sectors in Jordan (three public hospitals, three private hospitals and two teaching hospitals). RESULTS Communication problems had the highest impact on missed nursing care, compared with labour resources and material resources reasons. Higher patient: nurse ratio aggravated by COVID-19 pandemic, years of experience, satisfaction with the income, perception of accountability and organizational support were among the factors associated with the levels of missed nursing care.
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Affiliation(s)
| | | | | | - Muayyad Ahmad
- Clinical Nursing Department, School of NursingUniversity of JordanAmmanJordan
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Alsadi M, Saleh A, Khalil M, Oweidat I. Readiness-Based Implementation of Electronic Health Records: A Survey of Jordanian Nurses. Creat Nurs 2022; 28:42-47. [PMID: 35173061 DOI: 10.1891/cn-2021-0024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Electronic health record (EHR) implementation is expanding worldwide to achieve the benefits of that technology, but it is reported in the literature as a "disruptive" change to the work environment in which all health-care workers need to be ready for the change, to enhance adoption and harvest the benefits. Jordan has rolled out a national EHR system. This study explored EHR implementation readiness, levels of realizing the benefits of EHR, and adoption among Jordanian nurses, using a self-report questionnaire at nine governmental hospitals in Jordan. A total of 462 registered nurses participated in the study. Results showed that nurses have moderate levels of readiness for EHR implementation, but higher levels of EHR benefits realization and adoption. All health-care workers' readiness for EHR implementation must be assessed regularly before, during, and after EHR implementation. Readiness-based roll-out can be used as a strategy in implementing EHR systems. Introducing a large-scale change management program is recommended to assess readiness, guide roll-out plans, enhance EHR implementation readiness, improve benefits realization, and increase EHR adoption levels, to help move health-care systems into the digital era.
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