Jordanian Healthcare Providers Research Articles

Impact of hearing impairment on the mental status of the adults and older adults in Jordanian society.

Hearing loss is a common disorder, affecting both children and adults worldwide. Individuals with hearing loss suffer from mental health problems that affect their quality of life. This study aimed to investigate the social and emotional consequences of hearing loss in a Jordanian population using Arabic versions of the Hearing Handicap Inventory for Adults (HHIA) and the Hearing Handicap Inventory for the Elderly (HHIE). This study included 300 Jordanian participants aged 18-90 years with hearing loss. Each participant underwent a complete audiological evaluation before answering the questionnaires. The median overall scores of the HHIA and HHIE groups were 39 and 65, respectively. Both HHIA (Cronbach's alpha = 0.79, p < 0.001) and HHIE (Cronbach's alpha = 0.78, p < 0.001) were significantly associated with the social, emotional, and overall scores. Compared to the adult group, the median emotional and social scores of the older adults group were significantly higher than the adults group (Z = -4.721, p = 0.001), using the Mann-Whitney test. The present research revealed that psychological disabilities associated with hearing loss in the adult Jordanian population are more frequent and severe than in other nations. This may be attributed to the lack of awareness of the mental consequences of hearing loss among Jordanian healthcare providers and the public.

COVID-19 Knowledge, Awareness and Perceived Stress among Jordanian Healthcare Providers

Background: Healthcare providers (HCPs) are frontline workers during the COVID-19 pandemic. They are prone to increased risk of infection and psychological stress.&#x0D; Aims: To measure levels of knowledge, awareness, and stress about COVID-19 among HCPs.&#x0D; Methods: This cross-sectional study of 397 HCPs utilized an internet-based validated questionnaire to evaluate knowledge about COVID-19, the availability of personal protective equipment (PPE), future perceptions, and psychological distress. Univariate and multivariate ordinal logistic regression analyses were used to evaluate factors associated with the degree of knowledge and psychological stress.&#x0D; Results: Overall, 24.4% showed excellent knowledge, while 54.4% and 21.2% demonstrated good and poor knowledge, respectively. Social media (61.7%) and medical papers (57.7%) were the most commonly used sources of information. Being a female (β=0.521, 95% CI 0.049–0.992), a physician (β=1.421, 95% CI 0.849–1.992), or using published literature to gain knowledge (β=1.161, 95% CI 0.657–1.664) were positive predictors of higher knowledge levels, whereas having higher levels of stress (β= -0.854, 95% CI -1.488 to -0.221) and using social media (β= -0.434, 95% CI -0.865 to -0.003) to gain information were negative predictors of knowledge levels. The availability of PPE was significantly associated with lower psychological stress (p=.01).&#x0D; Conclusion: Institutions have to provide free evidence-based resources for HCPs about COVID-19, and PPE should be secured to reduce the amount of psychological stress associated with treating COVID-19 patients, as well as to improve their knowledge and the subsequent care provided

Knowledge, Attitude, and Practices Concerning Covid-19 Preventive Measures Among Healthcare Providers in Jordan.

PurposeThis study aims to assess the knowledge, attitudes, and practices of healthcare workers toward COVID-19 preventive measures and related factors.MethodsDescriptive, correlational, and cross-sectional design was used. A convenience sample of 140 Jordanian healthcare providers working in COVID-19 units from governmental hospitals completed the study during February–March 2021. A self-reported measure with three domains: knowledge (e.g., COVID-19 transmissions), attitudes (e.g., COVID-19 vaccination), and practices (e.g., handwashing) were used. An independent t-test was performed to assess the difference in knowledge, attitude, and practice depending on demographic and work-related variables, while Pearson r and multiple linear regression were performed to identify the relationships between the study variables and the predictors of COVID-19 preventive practices.ResultsThe majority of the participants had good knowledge (81.4%), good attitude (87.1%), and satisfactory practice (77.9%). Knowledge was significantly associated with attitude and practice (p < .01), and attitude was significantly associated with practice (p < .01). There was a statistically significant difference in knowledge, attitude, and practice depending on the existence of infection control policy, availability of PPE, and receiving infection control training (p < .05). Predictors of COVID-19 practice included knowledge and attitude, PPE availability, and receiving training on infection control (p < .05).ConclusionThis result might suggest that there are some gaps between knowledge, attitudes, and practices of COVID-19 preventive measures. Lack of PPE and inadequate infection control training could contribute to this gap.

Understanding the factors influencing healthcare providers\u2019 burnout during the outbreak of COVID-19 in Jordanian hospitals

BackgroundCoronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus. The nature of healthcare providers’ occupation puts them at an increased risk of getting any contagious disease, including COVID-19. They are on the front line of the COVID-19 outbreak response and as such are at risk of contracting this virus. The infectious disease started from China in December 2019 and spread rapidly throughout countries, including Jordan. Especially, recent studies indicated that Jordanian healthcare providers’ work conditions and demographic are significant factors for healthcare providers’ burnout. Additionally, burnout has been increased among healthcare providers in Jordanian hospital.AimThe present investigation aims to better understand the factors affecting pharmacists’, physicians’, and nurses’ burnout during the outbreak of COVID-19 to provide basic information for lowering and preventing the level of burnout in Jordanian hospitals.MethodThis study is qualitative in nature, adopting face-to-face interviews as the key instrument of data collection in one hospital in Jordan. The sample interviewed consisted of 30 healthcare providers in total (10 nurses, 10 physicians. and 10 pharmacists).ResultThree key factors to healthcare providers’ burnout were identified in the sampled hospitals: job stress, staff and resource adequacy, fear of COVID-19 infection, and interprofessional relationships in healthcare practice. The examination also offers recommendations for lowering and preventing healthcare providers' burnout in Jordanian hospitals.ConclusionThis study explored the main factors of healthcare providers’ burnout during the outbreak of COVID-19 in Jordanian hospitals, thereby making an original contribution to existing knowledge, as it is the first empirical exploration of healthcare providers' burnout during the outbreak of COVID-19. As such, it has attempted to offer an in-depth understanding of the factors impacting this issue.

COVID-19 knowledge, awareness and perceived stress among Jordanian healthcare providers: An online Cross-sectional Study (Preprint)

COVID-19 knowledge, awareness and perceived stress among Jordanian healthcare providers: An online Cross-sectional Study (Preprint)

Assessment of Mental Health Stigma Components of Mental Health Knowledge, Attitudes and Behaviors Among Jordanian Healthcare Providers.

Health care providers (HCPs)' stigma perception can determine their behaviors and attitudes toward providing mental health services. This study aimed to assess stigma components of knowledge, attitude, and behavior among HCPs in Jordan. A cross sectional descriptive study using a convenience sample of 541 HCPs utilized. The Mental Health Knowledge Schedule (MAKS), the Mental Illness: Clinicians' Attitudes Scale (MICA) and the Reported and Intended Behavior Scale (RIBS) were used to evaluate HCPs' perceived stigma. Mean scores on RIBS were lowest and at mid-point for MAKS and MICA. Results revealed significantly that HCPs perceived stigma demonstrated in greater negative attitudes correlated with less knowledge (r = .18, .17; p = .01, .009) for both physicians and nurses. And between attitudes and reported intended behavior (r = .13, p = .025) among nurses. This make them less likely to deal with mental health problems in primary healthcare centers. The reported stigma in this context is possibly due to lack of training, inadequate experience, and cultural dynamics. Indeed, awareness programs are important to prepare those HCPs to provide mental health care in these settings shall they are asked to.

Evaluation of Jordanian Healthcare Providers’ Knowledge, Attitudes, and Practice Patterns towards Probiotics

ABSTRACT Objectives The current study aimed to evaluate knowledge, attitudes, and practice patterns of health-care providers (HCPs) toward probiotics. Methods This was a face-to-face interview in a random sample (n = 205) of physicians and clinical pharmacist in different Jordanian health-care institutions during the period of 1, June 2017–31, August 2017. A structured validated questionnaire was used to achieve study objectives. Results Half of HCPs (51.5%) had fair knowledge about probiotics, and pediatricians were the most knowledgeable group of HCPs. Around Fifty-nine percent of HCPs had positive attitudes toward probiotics. However, less than half of HCPs (41.0%) had ever recommended or prescribed probiotics to patients. Conclusion The results of this study reveal that HCPs have limited knowledge of probiotics although they have positive attitudes toward them. This is not reflected in their own clinical practice. Additional training and education about probiotics among HCPs are very imperative to enhance patient’s care.

Effect of Health Care Accreditation Council survey site visit on perceived stress level among Jordanian healthcare providers.

To assess perceived stress levels among healthcare providers in public and private hospitals before and after Health Care Accreditation Council (HCAC) survey site visits. A cross-sectional, descriptive design was used in this study. A convenience sampling technique was used to recruit study participants. A self-administered questionnaire (PSS-10) was used to collect data. Descriptive statistics, dependent sample t test, independent sample t test, and multiple linear regression analysis were used to analyze data. The results showed that stress levels were higher before a HCAC survey site visit (M = 18.39, SD = 4.3) than after ( M = 14.09, SD = 6.1) ( t(210) = 8.7, P ≤ 0.000) among healthcare providers. Between hospitals, the perceived stress level of healthcare providers was higher in the public hospital ( M = 19.03, SD = 4.3) compared with the private hospital ( M = 17.8, SD = 4.2) ( t(209) = 2.16, P = 0.031) before the HCAC survey site visit. In contrast, there were no differences in perceived stress level for the public and private hospitals ( t(209) = 0.001, P = 0.999) after the HCAC survey site visit. Finally, the type of hospital was the only sociodemographic characteristic that predicted the perceived stress level before the HCAC survey site visit ( β = -0.157, P = 0.040). In contrast, there were no sociodemographic characteristics that predicted the perceived stress level after the HCAC survey site visit. The current study indicated that hospital accreditation is a process associated with significant stress (P = 0.000) among healthcare providers in both hospitals before and after an HCAC survey site visit. Moreover, there was a significant level of stress before an HCAC survey site visit in the public hospital ( M = 19.03) compared with the private hospital ( M = 17.8, P = 0.031).

Health needs and priorities of Syrian refugees in camps and urban settings in Jordan: perspectives of refugees and health care providers.

The United Nations has declared the Syrian refugee crisis to be the biggest humanitarian emergency of our era. Neighbouring countries, such as Jordan, strain to meet the health needs of Syrian refugees in addition to their own citizens given limited resources. This study aimed to determine the perspectives of Syrian refugees in Jordan, Jordanian health care providers and other stakeholders in addressing the public health issues of the refugee crisis. Qualitative and quantitative methodologies were used to explore Syrian refugee health needs and services in camp and urban settings in Jordan. Focus group discussions and key informant interviews were used to identify needs, challenges and potential solutions to providing quality health care to refugees. By-person factor analysis divided refugee participants into 4 unique respondent types and compared priorities for interventions. Focus group discussions and key informant interviews revealed a many different problems. Cost, limited resources, changing policies, livelihoods and poor health literacy impeded delivery of public and clinical health services. Respondent Type 1 emphasized the importance of policy changes to improve Syrian refugee health. Type 2 highlighted access to fresh foods and recreational activities for children. For Type 3, poor quality drinking-water was the primary concern, and Type 4 believed the lack of good, free education for Syrian children exacerbated their mental health problems. Syrian refugees identified cost as the main barrier to health care access. Both refugees and health care providers emphasized the importance of directing more resources to chronic diseases and mental health.

Adverse drug reactions experience in a teaching hospital in Jordan.

Adverse drug reactions (ADRs) represent a major health care problem. To identify the most common ADRs, drugs implicated in ADRs, and to assess their causality, severity, preventability and risk factors predisposing to reported ADRs in Jordan. Al-Karak teaching hospital, southern of Jordan. Method A cross sectional observational study was carried out for 11 months from January to November 2013. Suspected ADRs were recorded in ADRs report forms and analyzed for causality, severity, and preventability. Most common ADRs, drugs involved in these ADRs, causality, severity, and preventability of suspected ADRs. A total of 64 reports were received. Some patients suffered more than one ADR. The total number of ADRs identified was 108. Forty one drugs were involved in causing these ADRs. About 2/3 of adverse reactions (73.4 %) did not cause admission to the hospital, whereas 26.6 % of the ADRs resulted in admission. Majority of the ADRs were type A (62.5 %). Most of ADRs (92.2 %) were assessed as probable. Nearly, 65.6 % of ADRs were categorized as mild. Majority of ADRs were assessed as "not preventable" (75 %). The most common classes of drugs involved in ADRs were antibiotics, analgesics, vaccines and antiepileptics. The most commonly identified ADRs were abdominal pain, skin rash, shortness of breath, fever, upper gastrointestinal bleeding and vomiting. Risk factors contributed to ADRs were age and polypharmacy. Jordanian healthcare providers should be aware of the importance of detecting and reporting ADRs, in order to prevent and reduce the incidence of ADRs. Awareness of risk factors predisposing to ADRs may help in identifying patients with higher risk and therefore reducing the risk of these ADRs and improving patient outcome.

Jordanian health care providers' perceptions of post‐partum health care

This qualitative descriptive study explored Jordanian health care providers' perceptions of the health care that they provide for post-partum mothers. Thirty Jordanian health care providers (physicians, nurses and midwives) participated in three focus group discussions. A content analysis approach was used to analyse the data as appropriate for descriptive qualitative inquiry. Health care providers indicated that the care they deliver includes breastfeeding, family planning, childcare and laboratory tests. Health care providers reflected confidence in the care given but indicated the need for continuing education, more resources and expressions of appreciation. Findings provide insights into Jordanian health care providers' perspectives on post-partum health care and emphasized the importance of enhancing utilization of such care in Jordan. It is suggested that the Jordanian Ministry of Health develop a comprehensive plan of educational offerings for providers, with a standardized educational programme for post-partum women. It is essential that all health care facilities provide high-quality post-partum health care that meets the needs of the maternal/infant dyad. Like all qualitative descriptive studies, generalizability of the results may be limited to similar situations and cultures.

LIFESTYLE OF HYPERTENSIVE PATIENTS AND THEIR DRUG COMPLIANCE

Hypertension is increasing at an alarming rate in Jordan. The present study was done with the help of 100 hypertensive Jordanian patients. A questionnaire designed specifically for this new study in Jordan was used. The independent variables were: patient backg round and lifestyle, clinical findings, medications used, alternative therapies and drug compliance. The results were analyzed thoroughly and the findings showed that family history, smoking, stress, obesity, age, diabetes, hyperlipidemia and sedentary lif estyle were the major concomitant risk factors among hypertensive patients. The proportion of each antihypertensive drug prescribed by physicians was mentioned. Such result serve as a reference for physicians, pharmacists, drug manufacturers, and drug distributors, in order to find the place of any studied drug either in the therapy or in the drug marketing in Jordan. Conclusions: The increase in prevalence of hypertension in Jordan was associated with aging, stress factors, obesity and a more sedentary li festyle. Recommendations on basis of the results were made and the Jordanian health care providers , particularly pharmacists, were asked to improve their roles in the health care team, by counseling patients and providing optimal information in order to reduce the development of hypertension and its complications.