Jordanian Nurses Research Articles

Job-related stress, quality of work life, and quality of nursing care among critical care nurses

There is a lack of studies regarding job-related stress, quality of work life, and quality of nursing. This study proposed to examine job-related stress, quality of work life, and quality of nursing care among critical care nurses in Jordan. A cross-sectional study was adopted. Data were collected from 480 registered nurses working in critical care units from three health sectors, including government, private, and educational hospitals, using the Expanded Nursing Stress Scale, Quality of Nursing Work Life Survey, and Quality of Nursing Care Instrument. Findings showed that the mean scores of job-related stress, quality of work life, and quality of nursing care were 2.96 (SD = 0.65), 4.01 (SD = 0.60), and 3.70 (SD= 0.61), respectively. Results indicated that nurses had occasionally to frequent job-related stress, a moderate quality of work life, and a very good quality of nursing care. A positive relationship existed between quality of nursing care and quality of work life (β = 0.638, p < 0.001) in model 1 and quality of nursing care and quality of work life (β = 0.639, p < 0.001) and gender (β = 0.093, p < 0.05) in model 2. Thus, this study reflected the need for induction programs and strategies to control job stress and enhance the quality of work life to achieve high-quality nursing care.

The influence of horizontal violence on intention to leave among Jordanian nurses: A cross-sectional study.

To determine nurses' perception of horizontal violence and its relationship with intention to leave among Jordanian nurses. Horizontal violence is detrimental to healthcare organizations. Healthcare employees who are victims of horizontal violence may become unable to perform well, living with severe stress. Few studies in the world and no study in Jordan has examined the influence of horizontal violence on intent to stay among nurses. A descriptive, cross-sectional, correlational study design was used in this study. 520 registered nurses were recruited, and 436 surveys were returned, resulting in an 83% response rate. The findings showed that, horizontal violence is moderate among nurses in Jordan. The mean score for nurse's intent to leave work indicated a solid willingness to leave the job. The correlation analysis revealed that there was a significant relationship between horizontal violence and intent to leave. Female nurses reported significantly higher scores than males; also, there is a significant difference in responses in horizontal violence based on educational level. In this study, it was found that horizontal violence in Jordanian organizations is moderate, and it has a significant relationship with nurses' intention to leave. Nursing managers have a vital role in ensuring and enforcing the 'zero violence' policy in their department, which means that no reported incident of horizontal violence will be ignored. Each identified case of horizontal violence will be investigated and addressed appropriately.

Electrocardiogram Interpretation Competency Among Emergency Nurses in Jordan: A Cross-Sectional Study

Background: Electrocardiogram (ECG) is considered one of the most frequently carried out diagnostic tests in emergency rooms. To develop and refine the competencies of emergency nurses, it becomes imperative to assess the current level of knowledge and practice among nurses regarding ECG and other diagnostic tests. The study aimed to assess the ECG interpretation competency and its associated factors among emergency nurses in Jordan. Materials and Methods: A descriptive cross-sectional study was conducted from December 2022 to March 2023. Data were collected from 287 Jordanian emergency nurses working in six governmental, private, and teaching hospitals, and they had at least 1 year of clinical experience. Badell-Coll ECG Interpretation Competency Questionnaire was used in this study. Descriptive analyses were conducted using an independent t-test and one-way analysis of variance. A statistical significance of P &lt; 0.05 was assumed. Results: Approximately, 61.43% of emergency nurses had been involved in educational sessions on ECG interpretation. The mean of the total participants’ score on the ECG assessment tool was 4.35 out of 10. Significant differences were found in the ECG interpretation competency scores based on the highest educational level (t285= -0.64, P &lt; 0.001), job title (t285= -5.91, P &lt; 0.001), and previous engagement in ECG training sessions (t285 = 2.50, P = 0.013). Conclusions: The level of emergency nurses’ ECG interpretation competency was low. Nurses should engage in ECG refreshing courses to improve their ability to detect arrhythmias early. Efforts should be made to improve the nursing educational curricula and ECG training sessions by employing electronic systems and addressing both basic and advanced arrhythmias.

Exploring the influence of nurses’ demographics and hospital work environment on medical error reporting practices in Jordan: a cross-sectional study

ObjectiveNurses have a significant role in maintaining patient and healthcare safety. Thus, healthcare administrators should focus on nurse performance and create a friendly hospital work environment to ensure patient safety...

Relationship between emotional intelligence and quality of healthcare among nurses.

Healthcare organizations worldwide face intense competition for survival in an ever-changing environment. This study aims to examine the relationship between emotional intelligence (EI) and quality of healthcare (QHC) among Jordanian nurses working in governmental hospitals. This study was conducted using a descriptive correlational design and included a sample of 172 nurses. Participants from five governmental hospitals in Jordan completed online self-administered questionnaires, including the Nurse-Assessed Quality of Nursing Care Scale and the Genos Emotional Intelligence Concise Scale, along with sociodemographic data. The participating nurses demonstrated a high level of EI (M = 3.809, SD ± 0.484) and a very high level of QHC (M = 4.260, SD ± 0.372). A statistically significant correlation was found between the total quality of healthcare variables and the total EI variable (r = 0.739, p < 0.01). Additionally, statistically significant correlations were observed between the QHC and EI, as well as their respective dimensions (r = 0.357-0.739). EI was found to be a significant predictor of the QHC (F = 34.872, p ≤ 0.001), with a positive correlation between the two variables (r = 0.733). EI accounted for 59.8% of the variation in the QHC. EI is a key predictor of QHC. It plays an essential role in recruiting, staffing, promoting, and nurturing employees, making it a crucial criterion for achieving excellence in healthcare organizations.

Workplace resilience and compassionate care among Jordanian private sector nurses

BackgroundCompassionate care is a hallmark of the nursing profession. Yet, nursing is beset by perennial problems, not the least of which is nursing shortage and increased workload. As such, resilience becomes a critical ingredient that nurses must possess to overcome such challenges. However, there needs to be more evidence of the relationship between compassionate care and resilience within the Jordanian nursing context.AimTo explore the relationship between workplace resilience and compassionate care among Jordanian nurses working in the private sector.MethodsThe study utilized a descriptive cross-sectional correlational design. Convenience sampling with inclusion-exclusion criteria was used to select participants from three private hospitals in Jordan. The Compassionate Care Questionnaire was used to measure levels of compassionate care, and the Resilience at Work Scale was used to measure workplace resilience. Ethical approval was obtained before data collection.ResultsA total of 161 nurses participated in the study. Participants had high levels of compassionate care and workplace resilience. Male nurses and nurses with lower workloads had significantly higher levels of compassionate care. Likewise, older nurses, nurses with postgraduate degrees, and nurses with experience of less than 5 years in the current area had significantly higher levels of workplace resilience. Compassionate care had a mordantly solid and significant positive relationship with workplace resilience and all its seven dimensions (living authentically, finding one’s calling, maintaining perspective, managing stress, interacting cooperatively, staying healthy, and building networks.ConclusionDeveloping workplace resilience can support nurses in implementing compassionate care. Nurse Managers and hospital administrators must consider the effects of compassionate care and workplace resilience on nurses and patients. Future research can include a longitudinal exploration of compassionate care and workplace resilience and an investigation of the levels of these variables outside a hospital setting.

The relationship between emotional intelligence and readiness for organizational change among nurses.

Organizational change is a complex process that often faces high failure rates due to challenges in managing transition issues. The role of emotional intelligence in fostering readiness for organizational change among nurses remains understudied, especially in the context of Jordan. The study aimed to investigate the relationship between emotional intelligence and readiness for organizational change among Jordanian nurses working in governmental hospitals. A descriptive cross sectional correlational design was used. A convenient sampling method was used to enroll Jordanian nurses from different governmental hospitals, with a resulting final sample of 250 nurses. Self-reported questionnaires were used to collect data. Data analysis was run using descriptive and inferential analysis. The findings revealed that the participants had moderate levels of emotional intelligence with a mean score of (M = 87.96, SD = 26.59). The participants demonstrated strengths in understanding their own emotions, perceiving others' emotions, and setting goals. They also showed good control of their emotions and a positive self-perception. Regarding readiness for organizational change, the mean score was (M = 39.58, SD = 11.16), suggesting a moderate level of readiness. The participants exhibited commitment, motivation, and confidence in handling challenges associated with change. A strong positive relationship between emotional intelligence and readiness for change commitment (r = .942, P < .01), change efficacy (r = .935, P < .01), and total readiness for change (r = .951, P < .01) were exist. Moreover, age and years of experience were negatively correlated with readiness for change. There was a strong and significant positive relationship between emotional intelligence and readiness for change. This emphasizes the importance of developing emotional intelligence abilities among nurses to facilitate successful change processes in healthcare organizations.

Cross-Cultural Adaptation and Validation of Nursing Stress Scale in Jordanian Nurses.

Background and Purpose: Occupational stress (OS) has been widely acknowledged as a health issue among nurses. OS primarily impacts nurses to a greater extent than other healthcare professionals. The Nursing Stress Scale (NSS) is widely utilized to assess OS levels among nurses from diverse cultural backgrounds. No known study has investigated the psychometric characteristics of the Nursing Stress Scale within the Arab World. This study assessed the psychometric properties and cultural relevance of the Arabic version of the Nursing Stress Scale in a sample of Jordanian nurses. Methods: The present study employed a cross-sectional design to test the psychometrics of the Nursing Stress Scale among 170 nurses working in eight public healthcare centers in the capital of Jordan. An Arabic version of the scale was created by translating the English version. The expert panel confirmed the Arabic scale's content validity and cultural suitability. Exploratory factor analysis and internal consistency were used to evaluate the factorial structure and reliability. Results: In the study, the nurses' mean age was 30 ± 5.5. The content validity of the Arabic version was rated excellent, with a content validity index of 0.85. The results of the exploratory factor analysis yielded a four-factor, 23 items out of the 34 structures that accounted for 65.70% of the variance. The internal consistency reliability of the Arabic version of the Nursing Stress Scale ranged from 0.83 (inadequate emotional preparation) to 0.92 (death and dying). Conclusions: The Arabic version of the Nursing Stress Scale is valid, reliable, and culturally suitable for assessing OS within clinical environments among Jordanian nurses.

The impact of cognitive fusion on stress among nurses: Exploring gender as a moderator controlling for depressive symptoms.

To investigate the influence of cognitive fusion on stress among nurses, with a focus on exploring gender as a moderator among Jordanian nurses controlling for depressive symptoms. Stress is a significant concern among healthcare workers, particularly nurses, given the escalating work demands and organizational constraints. Data were collected from 206 nurses using a cross-sectional design. Participants completed surveys that included measures for cognitive fusion, stress, and depressive symptoms. Statistical analysis included bivariate correlations, independent sample t-tests, and moderation analysis using Hayes PROCESS. The results were reported using The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. The findings revealed a moderate correlation among stress, cognitive fusion, and depressive symptoms. The regression model explained 42% of the variance in stress, with significant contributions from cognitive fusion, gender, depressive symptoms, and the interaction between cognitive fusion and gender. Gender moderated the relationship between cognitive fusion and stress, indicating differential effects for males and females. This study underscores the importance of cognitive fusion in understanding and managing stress among nurses. The moderating effect of gender highlights the need for tailored interventions. Reducing stress among nurses may benefit their mental health and potentially enhance patient care and treatment outcomes. IMPLICATIONS FORNURSING PRACTICE AND POLICY: The study highlights crucial implications for nursing policy. Addressing cognitive fusion is vital to reducing nurse stress, directly impacting patient care quality and healthcare outcomes. Policymakers should prioritize gender-aware strategies within nursing policies, fostering a less stressful and more supportive work environment. By doing so, healthcare institutions can enhance the well-being of nurses and ultimately improve patient care, aligning with broader healthcare policy objectives of patient safety and quality improvement.

Perceptions of Occupational Health Hazards Among Jordanian Nurses: A cross-Sectional Study

Occupation health pertains to the health of employees in relation with their workplaces, and is aimed at the prevention of job-related injuries and illnesses. However, given the significance of occupational health and the possible adversarial effects of occupational hazards to the nursing team, there is paucity of evidence on the level of awareness, knowledge and attitudes of nurses towards occupational hazards in the workplace. The aim of this study is to measure levels of perceptions of occupational hazards, and to identify relationships and differences on perceptions of occupational hazards based on sociodemographic characteristics, the study employed cross-sectional, descriptive method. A valid and reliable 13-item questionnaire was used to measure perceptions of occupational hazards. Results showed that nurses had high levels of perceptions of occupational hazards. Nurses with longer lengths of work experiences had higher levels of perceptions of occupational hazards than nurses with shorter lengths of work experiences..the study concluded that hospitals should implement strategies that can support nurses in sustaining high levels of perceptions of occupational hazards, and should find ways to retain nurses within the hospital workforce. Future research can examine personal- and organizational-level factors that can impede or facilitate perceptions of occupational hazards, and explore how perceptions of occupational hazards translate to actual injuries sustained at work, quality of workplace environment, quality of work life, job performance, patient satisfaction, and other relevant organizational and clinical outcomes. Keywords: Nurse; Occupational hazards; Perceptions; Jordan

Evidence-based practice knowledge, attitude, practice and barriers as predictors of stay intent among Jordanian registered nurses: a cross-sectional study

AimThis study aimed to identify factors influencing stay intent among Jordanian registered nurses, with a specific focus on the role of evidence-based practice (EBP) knowledge, attitudes, practices and barriers.MethodsA descriptive...

“We do others’ Jobs”: a qualitative study of non-nursing task challenges and proposed solutions

IntroductionNon-nursing tasks (NNTs) have become a prevalent issue among healthcare professionals, affecting nurses globally. This study delves into the experiences of Jordanian nurses regarding NNTs, aiming to uncover challenges and propose solutions within the Jordanian healthcare context.ObjectiveExplore the impact of NNTs on Jordanian nurses’ roles, workload, and satisfaction. Additionally, the study aims to identify various types of NNTs performed by nurses, understand their impact, and propose solutions to mitigate challenges associated with these tasks.MethodsA qualitative-exploratory research design was employed for this study. Semi-structured interviews were conducted with Jordanian nurses using a purposeful sampling approach to ensure a diverse representation of experiences and perspectives. Thematic analysis was used to identify recurring themes and patterns related to NNTs, their challenges, and potential solutions. Ethical guidelines were strictly followed to maintain participant confidentiality and ensure the integrity of the data collected.ResultsAnalysis of the interviews revealed four major themes: challenges of NNTs, types of NNTs, impact of NNTs, and proposed solutions. Nurses faced significant difficulties due to task ambiguity, role confusion, and increased workload from NNTs, which included administrative duties, clerical work, and tasks typically performed by other healthcare professionals. These NNTs negatively impacted nurses’ effectiveness, productivity, and job satisfaction by diverting time and energy from primary nursing responsibilities, causing professional strain. To address these issues, participants suggested clearer job descriptions, stricter task assignment protocols, and systemic changes to tackle the root causes of NNTs.ConclusionThis study sheds light on the pervasive challenges posed by NNTs among Jordanian nurses and emphasizes the importance of addressing these issues to enhance nursing care quality and nurse well-being. By proposing actionable solutions tailored to the Jordanian context, this research contributes to the global discourse on NNTs and underscores the need for organizational support and advocacy to optimize nurses’ roles and improve patient care outcomes.

Jordanian nurses’ competencies in providing community care during disaster: a cross-sectional survey

Purpose The purpose of this paper is to assess the perceived level of Jordanian nurses’ competencies in offering care to the community during a disaster. Design/methodology/approach A correlational descriptive design was used to assess nurses’ competencies in offering care for the community during a disaster. Findings A total of 370 nurses (55 % males) aged 25−55 agreed to participate. The mean score of competencies of nurses who offer care to the community during the disaster was 2.11 (SD = 0.59) points. The results of correlation coefficient tests revealed a significant positive correlation between stated competencies level and nurses’ sex, receiving disaster education and training with rpb (371) = 0.13, p &lt; 0.01; rpb (598) = 0.15, p = 0.004; rpb (598) = 0.21, p &lt; 0.001, respectively. Furthermore, the “care of communities” subscale had a weak positive correlation with the. Originality/value Nurses play a critical role in disaster response. However, there was a gap in nurses’ competencies for disaster, which shows there is a crucial need to include disaster management courses in the nursing curriculum and update disaster management courses in hospitals based on nurses’ needs to improve their competencies during disasters.

The relationship between emotional intelligence, resilience, and psychological distress among nurses in Jordan

BackgroundNurses have significant levels of depression, anxiety, and stress as a result of their exposure to various stressors at work. Emotional intelligence and resilience are relatively new notions essential for nurses to naturalize high levels of psychological problems. The study aimed to investigate the relationship between emotional intelligence and resilience and their impact on depression, anxiety, and stress among nurses. MethodsA cross-sectional descriptive design was used and recruited 152 nurses from three private hospitals in Jordan. Variables were measured using the Depression Anxiety Stress Scale, Brief Resilience Scale, and Brief Emotional Intelligence Scale. ResultsThe participants' average age was 27.6 years, and they were mostly female (66.4 %). Resilience earned an average of 3.1, while emotional intelligence averaged 31.7. Depression, anxiety, and stress were all significantly higher among nurses. Also, negative relationships were found between emotional intelligence, resilience, and psychological problems (p < .001). Emotional intelligence is positively associated with resilience (r = 0.83, p < .001). In addition, emotional intelligence and resilience were both significant predictors of depression, anxiety, and stress. ConclusionEmotional intelligence is critical to nurses' well-being. Higher emotional intelligence is associated with higher resilience and lower levels of depression, anxiety, and stress among nurses. Interventions and education programs emphasizing emotional intelligence and resilience are essential to improving their mental health. Healthcare organizations and governments should promote these attributes to enhance nurses' psychological wellness in challenging healthcare settings.

Anxiety sensitivity moderates the relationship between internet addiction and cyberchondria among nurses.

Internet addiction and cyberchondria have a bidirectional relationship. However, no known studies have evaluated the moderating role of anxiety sensitivity in that relationship. The study aimed to determine whether anxiety sensitivity moderates the relationship between internet addiction and cyberchondria among Jordanian nurses. Data were collected from 303 nurses using a web-based survey and convenience snowballing sampling methods using a cross-sectional research design. The Internet Addiction Test and the short version of the Cyberchondria Severity Scale were used to assess internet addiction and cyberchondria. Nurses reported mild internet addiction, low anxiety sensitivity, and moderate cyberchondria. Also, these findings suggested that sensitivity to anxious feelings moderates the relationship between internet addiction and cyberchondria. These findings would help nurses use psychosocial interventions for people with internet addiction and cyberchondria by understanding how their anxiety sensitivity promotes their internet addiction and cyberchondria.

Medication errors occurrence and reporting: A qualitative study of the Jordanian nurses' experiences

Background &amp; Aim: Medication errors are a significant concern in healthcare, with effective management largely dependent on understanding its causes and reporting practices. This study aims to explore the experiences of Jordanian nurses in relation to medication error occurrence and reporting within the Jordanian context and the factors that may influence their decisions to report or not. Methods &amp; Materials: A qualitative descriptive approach was used. 24 nurses from three different hospitals were interviewed. The hospitals included a major governmental institution, a private facility, and a university hospital, ensuring diverse healthcare settings. Data were analyzed using Braun and Clarke’s thematic analysis, and the study was reported guided by the COREQ checklist. Results: Three major themes were identified: Obsolete policies and guidelines, Adapting to an Unhealthy Environment, and Trying to adjust: creating own definition for MEs. In our study, medication errors emerged as a pervasive issue across Jordanian hospitals, attributed to both systemic failures and individual practices. Despite existing policies, participants reported frequent MEs due to obsolete guidelines, lack of adherence, and an environment that hinders effective medication administration. Conclusion: The study reveals the critical issues of medication errors in Jordanian hospitals due to outdated policies and challenging environments. It emphasizes the need for updated protocols and a culture supportive of error reporting. Addressing these factors is essential for improving patient safety and healthcare quality.

Jordanian Nurses' Perceptions of Disaster Preparedness and Core Competencies.

This study aims to identify the Jordanian nurses' perception of their disaster preparedness and core competencies. A descriptive, cross-sectional research design was used. The data was collected via an online self-reported questionnaire using the disaster preparedness evaluation tool and the core disaster competencies tool. A total of 126 nurses participated in the study. Jordanian nurses had moderate to high levels of core disaster competencies and moderate levels of disaster preparedness. Core disaster competencies and disaster preparedness levels differed based on previous training on disaster preparedness, and the availability of an established emergency plan in their hospitals. Lastly, a previous training on disaster preparedness and core disaster competencies were statistically significant predictors of disaster preparedness among Jordanian nurses. Organizational factors and environmental contexts play a role in the development of such capabilities. Future research should focus on understanding the barriers and facilitators of developing core disaster competencies and disaster preparedness among nurses.

Exploring the causes and consequences of non-nursing tasks among nurses in Jordan: An in-depth qualitative investigation

AimTo investigate the perceptions of Jordanian nurses regarding Non-Nursing Tasks (NNTs) and their consequences, as well as the underlying factors that contribute to the occurrence of NNTs. BackgroundNurses play a crucial role in providing high-quality patient care, but they often engage in NNTs, which can hinder their ability to deliver care effectively. Western countries have primarily conducted research on NNTs, while Middle Eastern countries such as Jordan have received limited attention. Expanding our understanding of NNTs is essential for improving nursing care. MethodsA qualitative-exploratory approach was adopted. The research was conducted at three hospitals in Amman, Jordan. A purposeful sampling approach was used to select the participant and a focus group-interview method was used to gather the data. The derived data were analyzed using a thematic analysis approach. ResultsThe final sample of this study included 38 participants. The findings highlighted that nurses often perform NNTs due to staff shortages and limited resources, as well as weaknesses in nursing administration and education. The finding also highlights the consequences of NNTs on nurses' professional lives, including impaired nursing care, physical and mental health strain, and a lack of efficiency and productivity. ConclusionsThe present study's results provide valuable insights into the impact of NNTs on nurses in Jordan. These findings underscore the need for healthcare stakeholders to actively address the issue of NNTs. It also emphasized the need for more explicit job descriptions and processes, along with support for nurses to fulfilling their responsibilities and prioritizing patient care.

Knowledge and practice of infection control measures among nurses in Jordan

Background/Aims Healthcare-associated infections are a global concern, with effective infection control measures being crucial in hospital settings. Nurses' knowledge and practice of infection control measures play a crucial role in ensuring patient safety. This study aimed to assess the knowledge and practice of infection control measures among nurses in Jordan. Methods A non-experimental, descriptive cross-sectional design was used in a not-for-profit, specialised cancer centre and two private hospitals in Jordan. A self-reported questionnaire was completed by 267 nurses. The questionnaire was divided into three parts. The first part collected sociodemographic data. The second part consisted of 17 multiple-choice questions assessing knowledge of infection control measures, with a score range of 0–17. The third part comprised 16 questions on a 5-point Likert scale (1=strongly disagree; 5=strongly agree), with a higher mean score indicating better self-reported infection control practice. Responses were analysed using standard statistical methods, with a P value of 0.05 indicating statistical significance. Results The majority of the sample were women (65.2%), with a mean age of 26.7±2.1 years. The mean total knowledge score was 13.81 out of 17.00 and the mean practice score was 4.02 out of 5.00. Significant differences were found across groups depending on hospital type (private vs not for profit), area of practice, years of experience, level of education and whether respondents had received specific training. Conclusions Level of education, training and specific workplace factors may all affect nurses' knowledge and practice of infection control measures. This study highlights the need for strategic educational and training programmes for nurses to improve patient safety.

The association between workplace bullying and the mental health of Jordanian nurses and its predictors: A cross-sectional correlational study

Background Bullying at work is a major challenge that harms an employee’s overall well-being, job happiness, and mental health. Objectives To assess the relationship between workplace bullying and Jordanian nurses’ mental health. Materials and Methods A descriptive, cross-sectional correlational design was used in this study, recruiting 146 nurses from three governmental hospitals in Jordan. A convenience sample was used. The study used the Negative Acts Questionnaire-Revised (NAQ-R) tool to measure the level of bullying as a negative behavior. Also, the Depression Anxiety Stress Scale (DASS-42) was used to assess nurse’s mental status. Results Most of the participants 54.8% were victims of frequent workplace bullying, while the mean score of the total DASS-42 scale (M = 43.45). About 64.4% of participants exhibited symptoms of depression, 58.8% exhibited symptoms of anxiety, and 46.6% exhibited symptoms of stress. A significant relationship between workplace bullying and mental health among Jordanian nurses was found (r = 0.75, p < 0.001). Conclusion Bullying at work can harm a person’s mental health, causing stress, worry, and depression. Like other professions, nursing can be the target of workplace bullying, which can take many different forms. However, maintaining a safe and respectful workplace is a priority for healthcare providers including nurses.