Aims and objectives
To synthesise evidence regarding vaccination intention, identify factors contributing to vaccine hesitancy among healthcare professionals and the general populations globally.
...Background
As COVID‐19 vaccine becomes available worldwide, attention is being directed to community vaccine uptake, to achieve population‐wide immunity. A number of factors have been reported to influence vaccine intention.
Methods
Following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines, a systematic search of COVID‐19 vaccination intention related literature published on or before 31 December 2020 from seven databases was undertaken.
Results
Thirty articles were included in this systematic review. Overall COVID‐19 vaccination intention during the first year of the pandemic ranged from 27.7% to 93.3%. Findings highlighted that socio‐demographic differences, perceptions of risk and susceptibility to COVID‐19 and vaccine attributes influenced vaccination intention. Healthcare professionals particularly, nurses have higher vaccine hesitancy reportedly due to concerns regarding vaccine safety and efficacy and mistrust of health authorities. Negative information about COVID‐19 vaccines in the social media and low confidence in the health system were associated with lower acceptability among the community. Interestingly, cumulative increase in COVID‐19 caseloads of countries over time was not associated with vaccination intention.
Conclusions
The significant variability in vaccine intention rates worldwide would hamper efforts to achieve immunity against COVID‐19. Nurses’ concerns about vaccine safety and efficacy need to be addressed to increase vaccine acceptance and maximise their influence on vaccination decision in the community. As misinformation through social media negatively impacts vaccination uptake, authoritative and reliable information on vaccine attributes, disease risks and vaccination benefits are needed.
Relevance to clinical practice
Concerns about vaccine safety and efficacy including misinformation are important contributors to vaccine hesitancy. Addressing these factors, particularly among nurses who are considered trusted influencers of vaccination decisions in the community is an important strategy for pandemic preparedness.
Aims
This study aimed to evaluate the effect of the stress management interventional program in reducing occupational stress and improving coping strategies among public health nurses.
Design
A ...double‐blind, cluster‐randomized approach was used as a randomization method for this study to evaluate the stress management interventional program.
Methods
A cluster‐randomized controlled trial was carried out in eight comprehensive healthcare centres in Amman city, Jordan; four centres were randomly assigned to each experimental and control group. One hundred and seventy nurses were selected randomly from March 2019 ‐ August 2019 and data were collected by using the Nursing Stress Scale & brief COPE over three data collection times. Both descriptive and inferential statistics (repeated measure ANOVA, Independent t test, and chi‐squared) were used to answer the research questions of this study.
Results
The results showed that both the levels of occupational stress and coping strategies were significantly different between the two study groups over the three data collection points (p < 0.05).
Conclusion
Based on the findings of this study, the stress management program is an effective non‐invasive method that can be used to reduce stress levels and improve coping strategies for public health nurses. The implementation of stress management interventions in health care is likely to help nurses manage occupational stress in practice.
Impact
Nurses suffer from a high level of occupational stress. In particular, approximately74% of nurses experience severe occupational stress, which can lead to many mental and physical disorders. However, nurses were less able to utilize the correct stress preventive strategies due to gaps in knowledge, skills, and awareness. This study contributed to the provision of empirical evidence of the effectiveness of the stress management program in reducing occupational stress and improving coping strategies among public health nurses. A stress management intervention program is a valuable non‐invasive method that can be used by healthcare organizations to reduce stress levels and improve coping strategies for nurses in practice. Clinical trial registration number: NCT03833986.
摘要
目标
本研究旨在探讨压力管理干预计划对降低公共卫生护士职业压力及优化应对策略的效果。
设计
本研究采用双盲、集群随机方法,对压力管理干预方案进行评估。
方法
在约旦安曼市的8个综合医疗中心进行了一项集群随机对照试验;每个实验组和对照组随机分配4个中心。从2019年3月至2019年8月,随机抽取170名护士,采用护理压力量表和简明应对量表进行三次数据收集。采用描述性和推断统计学(重复测量方差分析、独立t检验和卡方检验)来回答本研究中所研究的问题。
结果
结果表明,在三个数据采集点上,两个研究组的职业压力水平和应对策略均存在显著差异(p<0.05)。
结论
基于本研究结果,压力管理计划是一种有效的非侵入性方法,可用于降低公共卫生护士的压力水平及优化应对策略。在卫生保健中实施压力管理干预措施可能有助于护士在实践中管理其职业压力。
影响
护士面临职业的高压力。具体来说,约74%的护士承受着严重的职业压力,可能导致许多精神和身体疾病。然而,由于知识、技能和意识上的差距,护士不太能运用正确的压力预防策略。本研究有助于提供实验性证据,证明压力管理计划在降低公共卫生护士职业压力及优化应付策略方面的效果。压力管理干预计划是一种有价值的非侵入性方法,可被医疗机构用于降低压力水平和优化护士的应对策略。临床试验注册号:NCT03833986。
Aims and objectives
To illuminate translation practice in cross‐language interview in health care research and its impact on the construction of the data.
Background
Globalisation and changing ...patterns of migration have created changes to the world's demography; this has presented challenges for overarching social domains, specifically, in the health sector. Providing ethno‐cultural health services is a timely and central facet in an ever‐increasingly diverse world. Nursing and other health sectors employ cross‐language research to provide knowledge and understanding of the needs of minority groups, which underpins cultural‐sensitive care services. However, when cultural and linguistic differences exist, they pose unique complexities for cross‐cultural health care research; particularly in qualitative research where narrative data are central for communication as most participants prefer to tell their story in their native language. Consequently, translation is often unavoidable in order to make a respondent's narrative vivid and comprehensible, yet, there is no consensus about how researchers should address this vital issue.
Design
An integrative literature review.
Methods
PubMed and CINAHL databases were searched for relevant studies published before January 2014, and hand searched reference lists of studies were selected.
Results
This review of cross‐language health care studies highlighted three major themes, which identify factors often reported to affect the translation and production of data in cross‐language research: (1) translation style; (2) translators; and (3) trustworthiness of the data.
Conclusion
A plan detailing the translation process and analysis of health care data must be determined from the study outset to ensure credibility is maintained. A transparent and systematic approach in reporting the translation process not only enhances the integrity of the findings but also provides overall rigour and auditability.
Relevance to clinical practice
It is important that minority groups have a voice in health care research which, if accurately translated, will enable nurses to improve culturally relevant care.
Background
A shared emotional response helps with understanding what other people are feeling and/or thinking; and it is a vital skill in clinical settings. Collectivist communities place more ...emphasis on the emotional components of their feelings in comparison to the cognitive aspects of their emotions.
Purpose
This study aimed to explore the emotions experienced by students at their first clinical placement.
Methods
A hermeneutic phenomenological approach was used among nine baccalaureate students.
Results
Three major themes emerged from the data: overwhelming emotions; unbalanced perception of professional identity; and adjustment and adaptation.
Conclusions and Discussion
It is evident that nursing students from collectivist communities encounter challenges in dealing with their emotions and managing their patients' emotions; however, they were capable of empathizing with their patients using the two components of their empathy; affective (emotion) and cognitive (cognition), with prominence given to the affective part. As countries become increasingly multi‐cultural, which in turn influences the characteristics of people entering pre‐registration nursing programs, nursing leaders are invited to address both dimensions of empathy as part of the nursing curriculum. Attention should also be given in clinical settings to appropriate channeling of clinical empathy to cultivate a professional identity.
Social media addiction became a serious concern that has received more attention from the public health sector due to its addictive features and its correlated psychological consequences. Thus, this ...study aimed to analyze the direct effect of SMA on academic performance, and the indirect effects on psychological reactions among university students in Jordan. A random survey in two universities was conducted in a sample of 510 university students; 31.4% were males and 68.6% were females. Their average age was 21.38 years (SD = 2.12). To test and validate the research model, advanced data analysis (Structural Equation Modelling-Partial Least Squares SEM-PLS) was applied in this research. Findings revealed that social media addiction had an indirect effect on academic performance, however; it has a direct impact on students' stress and anxiety levels. The stress could influence anxiety levels, which could directly affect students' academic performance. Further, students' stress levels had a direct effect on anxiety, which could result in depression. Given the importance of social media addiction and its potentially substantive effects on students' psychological reactions and impact of these reactions on academic performance, similar studies are recommended in other universities various fields to obtain a more conclusive result.
Celotno besedilo
Dostopno za:
BFBNIB, DOBA, GIS, IJS, IZUM, KILJ, KISLJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Adherence to medications is a significant element of self-care behaviors for patients with cardiovascular diseases (CVDs). Non-adherence to cardiovascular medications is the major risk for poor ...outcomes following any cardiac event. However, there is a lack of studies that addressed medication adherence among patients with CVDs attending outpatient clinics in Arabic countries, including Jordan. Thus, this study purposed to assess the psychosocial factors (e.g. depression, anxiety, stress, social support and self-esteem) and their correlation with adherence to medications among patients with CVDs attending outpatient clinics in Jordan.
A total of 395 Jordanian patients attending CVDs outpatient clinics at government, military and private healthcare facilities were recruited.
Our study findings showed that 31.4% of the patients reported complete adherence to their medications. The proportion of psychological reactions reported by the participants was 72.1% for depressive symptoms, 62.6% for anxiety and 50.1% for stress; 79.7% had moderate and normal social support, and 44% had low self-esteem. Depression, anxiety and stress had a significant negative correlation with adherence to medications; however, self-esteem had a significant positive relationship with adherence to medications. In addition, depression, anxiety and stress were the main predictors of adherence to medications.
Our findings might aid in paving the road for designing and developing strategies and interventions to increase adherence to medications and minimize these psychosocial problems among CVD patients in outpatient clinics.
Refugee youth living in Arab countries have disproportionately higher rates of depression due to the effects of displacement and trauma which makes screening a priority for early intervention. The ...Patient Health Questionnaire for Adolescents (PHQ‐A) is a reliable and valid scale to assess mental health issues, but its psychometric properties in Arabic refugee populations are unknown. This was a cross‐sectional study conducted between March and Mid‐April 2018, among Arabic refugee adolescents aged 13–18 years living in the Baqa'a United Nations Relief and Works Agency refugee camp in Jordan, to generate an Arabic‐language version of the questionnaire and to test its psychometric properties among adolescent refugees. Five hundred and ninety‐one adolescents completed the PHQ‐A in Arabic. Using SPSS and AMOS version 25, exploratory and confirmatory factor analyses were conducted and Cronbach's alpha coefficient was computed to assess construct validity and instrument reliability. Multivariate logistic regression analyses assessed the discriminant validity of the PHQ‐A. Although exploratory factor analysis identified the nine items from the original version and explained only 37% of the variance, confirmatory factor analysis supported the one‐factor structure of the PHQ‐A. Cronbach's alpha coefficient for the scale was 0.82 and ranged from 0.79 to 0.81 for each item. The Arabic translated version of the Patient Health Questionnaire for Adolescents showed acceptable psychometric properties for use as a screening tool for depression in Arabic adolescent refugees.
Intermittent catheterization (IC) has been identified as one of the critical techniques used by spinal cord injury (SCI) patients to cope with emptying the bladder, despite several problems impeding ...this procedure.
The study aimed accordingly to explore the lived experience of Arab male patients on IC after their SCI.
This study was carried out by using a descriptive qualitative approach with a phenomenological analysis of data.
A qualitative study was carried out on 10 Arab male patients from the Rehabilitation Hospital at King Fahad Medical City (KFMC), Riyadh, Saudi Arabia who were utilizing intermittent catheters following SCI. The interviews were analysed using Husserl's phenomenology and the Colaizzi method of data analysis.
Two major themes and six sub-themes were identified from exploring the patients experience. These themes are as follows: Theme 1: The Way to IC; with two sub-themes: (i) 'service provided and acceptance' and (ii) 'educational experience'; Theme 2: Lifestyle and self-adaptation; with four sub-themes: (i) 'Flexibility and freedom', (ii) 'Physical access to the community', (iii) 'Traveling' and (iv) 'Work and Social life balance'.
It is evident that using an intermittent catheter among patients with SCI influenced almost all aspects of the participant's life, including their social lives and body image appearance.
This study purposed to evaluate the effect of the Incredible Years Autism Spectrum and Language Delays (IY-ASD) program in reducing parents' stress and improving aggressive and disruptive behaviors ...in the parents among parents of children with autism spectrum disorder in Palestine.
A one-group pre-posttest design was used. Thirty-four parents who enrolled in the Palestinian Child Institute in Nablus were recruited.
Findings revealed a significant difference between parents' total stress pre and post-IY-ASD (t = 1.2, p < 0.01 and parents' behavioral management skills toward their children with autism spectrum disorder. The study demonstrated that the IY-ASD program for 16 sessions reduced stress among parents of children with autism spectrum disorder in Palestine and improved aggressive and disruptive behaviors in the parents.
The IY-ASD program can be successfully implemented for parents of this cohort group.
Healthcare providers can adopt such a program for enhancing parenting roles with their children experiencing autism spectrum disorder.
Shift-work leads to many negative health outcomes among nurses, including overweight/obesity, high stress level, and sleep disturbances. This study purposed to evaluate the influence of shift-work on ...perceived stress, sleep quality, and Body Mass Index (BMI) among emergency department (ED) nurses in Jordan. A descriptive correlational design was employed. A structured self-reported questionnaire was used to collect data from emergency nurses in government and private hospitals. A total of 450 emergency nurses responded to the questionnaire. Findings found that around 81.1% and 14.0% of the study participants endorsed moderate and high levels of stress, respectively. The majority of the participants (94.5%) had poor sleep quality; 35.3% had overweight and 18.7% had obesity. The study findings indicated that shift-work influenced on perceived stress (β = 0.18, p < .001) and BMI (β = 0.15, p < .001). The mixed shift-workers had lower perceived stress and higher BMI than their counterparts who were doing other shift-work categories. Hence, shift-work had a negative influence on the levels of perceived stress and BMI. Hence, this influence should be taken into consideration when planning interventions and strategies to minimize the negative effects of shift-work.
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