Gender as a Moderator of Spirituality and Spiritual Care in ICU Nurses During COVID-19 Pandemic.

Background: Earlier research has found that female healthcare providers often report greater spirituality and spiritual care than males. This would evoke attention toward factors contributing to such differences, particularly gender. Aim: To examine the moderating effects of gender on the relationships between demographic characteristics of ICU nurses and their perceived spirituality and spiritual care. Methods: A cross-sectional correlational design was used to recruit a national sample of 865 nurses working in ICUs in Jordan and providing care to patients diagnosed with COVID-19. Data were collected using a self-report bilingual version of Spirituality and Spiritual Care Rating Scale (SSC) and analysed using the SPSS software package. Results: Social status, monthly income, and receiving previous courses or lecture training on spirituality and spiritual care were predictors of higher SSCRS scores. Working with COVID-19 patients was a positive predictor (B = 0.074, p = 0.023), suggesting that working with COVID-19 patients is more likely to have a higher level of SSC. Gender was a negative predictor (B = -0.066, p = 0.046), suggesting that female participants are likelier to have a lower SSC score. Conclusion: Working with patients during the COVID-19 pandemic positively impacted nurses' perception of SCC, but female nurses had lower score than male nurses indicating the need for more emphasis on training female nurses and exploring further the areas in which they need more training and to be able to provide an effective SSC. A sustainable up-to-date training and in-service education programs responding to nurses' needs and emerged emergencies crisis need to be integrated into nursing quality of care policy development.

Effect of sulfur fertilization on chemical composition, ensiling characteristics, and utilization by lambs of sorghum silage.

Effects of S fertilization, 0 or 138 kg of S/ha, as (NH4)2SO4 on chemical composition, ensiling characteristics, and utilization of sorghum (Sorghum bicolor L.) silage by wether lambs was investigated. Pioneer 947' sorghum forage was ensiled at the soft dough growth stage. Sulfur fertilization increased (P < .01) concentrations of S, N, K, Mn, and water-soluble carbohydrates (WSC) and decreased (P < .05) concentrations of Fe, Cu, Al, and acetic acid after ensiling. Sulfur-fertilized sorghum silage (N:S = 12) and non-S fertilized silage (N:S = 15) were fed alone and supplemented with urea to achieve 14% CP (N:S = 18 and 23, respectively) to 24 crossbred (1/2 Dorset, 1/4 Finn, 1/4 Rambouillet) wether lambs in a metabolism trial. Sulfur fertilization decreased apparent lignin digestibility and increased apparent digestibilities of DM, NDF, and hemicellulose (P < .05), apparent absorption and retention of S, N, P, K, Mg, and Mn (P < .01), and apparent absorption of Ca (P < .05). Apparent absorption and retention of Cu and Al were lower (P < .05) in lambs fed the S-fertilized silages. Digestibilities of DM and NDF were increased by N-supplementation in the non S-fertilized silage (N x S interaction, P < .05). Nitrogen supplementation increased (P < .01) blood urea nitrogen and apparent absorption and retention of N. Results indicate that S fertilization enhanced forage quality primarily due to increased TNC concentration, digestibility of hemicellulose, and N utilization by lambs but could exacerbate Cu deficiency where Cu levels are marginal.