The influence of the pulmonary recruitment maneuver on post-laparoscopic shoulder pain in patients having a laparoscopic cholecystectomy: a randomized controlled trial.

BACKGROUND: Post-laparoscopic shoulder pain is very common after laparoscopy. One method to reduce postoperative shoulder pain is the pulmonary recruitment maneuver. It is used to reduce post-laparoscopic shoulder pain. This study utilizes a truly experimental, double-blinded, prospective randomized design to assess the effect of pulmonary recruitment maneuvers on post-laparoscopic shoulder pain after laparoscopic cholecystectomy. METHODS: Sixty patients were allocated randomly into two groups. The intervention group received five manual pulmonary inflations for 5 s at a maximum pressure of 25 cm H2O. The control group included patients whose residual CO2 gas was evacuated from the abdominal cavity using passive exsufflation as the routine method at the end of surgery by abdominal massage. Gentle abdominal pressure was applied to facilitate CO2 gas removal. RESULTS: When Ramsay's Sedation Score's results were compared between the two groups after the operation, there was no statistically significant difference between the two groups during the first and (p value = 0.20) second (p value = 0.61) hours. A repeated measures ANOVA revealed that the pulmonary recruitment maneuver is significant (p-value 0.001) and had a high effect size (0.527) in reducing shoulder pain among laparoscopic cholecystectomy patients after controlling the effect of other covariate patient characteristics. CONCLUSION: Utilizing a pulmonary recruitment maneuver at the end of laparoscopic surgery reduces shoulder pain.

Prevalence and Triggering Factors of Headache among Jordanian Adolescents in Al-Mafraq Region.

Aims: This study evaluates the epidemiology of headache and migraine among adolescents aged 12 to 15. Methods: A school-based cross-sectional study was conducted to collect and analyze data from students in grades 7-10 over the course of one month, using a simple random sampling method. The overall number of participants in this study was 692, with an average age of 13.9 years (SD = 1.3). Descriptive measures and Fisher's exact test were computed. Multivariate regression was calculated to assess the predictors of headache and migraine. Findings. Approximately one-half of the students reported having headaches: tension-type headaches (10.3%), migraines (4.8%), and other headache types (31.5%). Moreover, girl students in the age group of 14-15 reported more headaches and migraines. Conclusion: The prevalence of headache and migraine in Jordan is high and increasing as students grow older. Health education programs led by school nurses and other healthcare practitioners are urgently needed.

Knowledge, attitudes, and practices toward epilepsy among schoolchildren in Jordan.

The purpose of this study was to assess knowledge, attitudes, and practice toward epilepsy among Jordanian schoolchildren. A cross-sectional design was used, utilizing a self-administered questionnaire to assess students' knowledge, attitudes, and practices in eight schools in a single province in Jordan. The results showed students' age ranged from 12 to 18 years (mean = 15.19, SD = 1.8). Students demonstrated inadequate knowledge and negative attitudes toward people with epilepsy. None of the participating students had received first aid or seizure management training in or out of school. The conclusion state that students demonstrated poor knowledge and negative attitudes toward people with epilepsy. They had no form of education or training regarding epilepsy management or first aid, indicating a need to launch education sessions as part of the school curriculum and to introduce straightforward activities in the school health education program.

Undergraduate nursing students' knowledge of and attitudes toward people with alzheimer's disease.

As the population ages, the number of people living with Alzheimer's disease is expected to grow; consequently, nursing students are expected to care for more people with Alzheimer's disease in their future careers. Exploring nursing students' level of knowledge and attitudes is essential here to fill any knowledge gap and enhance attitudes. For this reason, the current study aimed to measure the knowledge of and attitudes toward people living with Alzheimer's disease among undergraduate Jordanian nursing students. A descriptive cross-sectional design was utilized. Data were collected through an online questionnaire consisting of the Alzheimer's Disease Knowledge Scale (ADKS) and Dementia Attitudes Scale (DAS). A third part contained questions about previous formal education about Alzheimer's disease, reading Alzheimer's research, and the need for formal education about Alzheimer's disease. The study targeted all undergraduate Jordanian nursing students. A total of 275 students agreed to participate and completed the questionnaire. Jordanian nursing students had low knowledge regarding people living with Alzheimer's disease, with a mean ADKS score of 18.3 out of 30; however, their attitudes were positive, with a mean DAS score of 91 out of 140. There was no statistical difference in attitude or knowledge between different academic levels. The majority of students (90.5%) expressed their desire to have a formal education regarding Alzheimer's disease. Knowledge regarding people with Alzheimer's disease could be improved through training and education. Positive attitudes reported by students could augment the learning process.

Public information needs and attitudes regarding cancer and cancer patients in Oman: a cross-sectional survey.

BACKGROUND: Exploring public information needs and attitudes towards cancer patients might be the first step in developing an intervention that encourages public engagement in early detection and cancer prevention programmes. AIM: To explore Omani public information needs and attitudes towards cancer in Oman. METHODS: A cross-sectional survey design was used. FINDINGS: Of the 569 participants, 369 (64.9%) were female; the mean age was 30.9 (SD=9.5) years. Of the participants, 94.4% wanted to be informed if they were found to have cancer in the future. The mean total attitudes score was 40.2 (SD=4.7) out of a maximum 48. Further, being employed, preferring to be informed about cancer diagnosis and having positive attitudes towards cancer and cancer patients predicted higher information needs. CONCLUSIONS: The current paternalistic approach seems to be no longer appropriate for cancer patients in Oman, and more active patient involvement in decision-making is needed.

Pressure ulcer incidence in acute care settings: a multicentre prospective study.

OBJECTIVE: Pressure ulcers (PUs) are one of the most commonly occurring complications in hospitalised patients. Knowing the size of the problem and its risk factors will help in preventing it. The aim of this study is to measure the incidence of PUs in acute care settings in Jordan and to explore associated risk factors. METHOD: A prospective incidence study for hospitalised patients in Jordan according to the European Pressure Ulcer Advisory Panel methodology. All patients admitted into four Jordanian hospitals over a period of six months were included. RESULTS: The cumulative incidence rate was 0.48%. Using multivariate analysis, a low albumin level, elevated white blood cells, incontinence and having more chronic illnesses were significantly associated with acquiring PUs. CONCLUSION: Incidence of PUs in Jordan is lower when compared with other parts of the world; this could be related to the relatively younger Jordanian population compared with other populations. DECLARATION OF INTEREST: The author has no conflicts of interest to declare.

Cancer Awareness and Barriers to Seeking Medical Help Among Syrian Refugees in Jordan: a Baseline Study.

Refugees in Jordan have an increased burden of cancer due to hard conditions and low income. An increase in awareness of the early signs of cancer could prompt early diagnosis. The current study aims to explore the level of cancer knowledge and barriers to seeking care among Syrian refugees in Jordan. A descriptive cross-sectional survey design was used. Two hundred and forty-one Syrian refugees living in the north of Jordan completed the Cancer Awareness Measure. The mean age was 27.9 (SD 9.1) years, ranging from 18 to 47 years. More than half (56%) of the participants were female. Participants were able to recognize a low number of symptoms (mean 4.4, SD 2.3) and risk factors (4.7 (out of 11), SD 1.9). The most commonly reported barrier was having no medical insurance (83.4%). Refugees' knowledge of symptoms and risk factors was generally unsatisfactory. Barriers to seeking medical care were prevalent. Much work is needed to overcome barriers and enhance knowledge that can hinder early diagnosis and treatment.

Quiz game teaching format versus didactic lectures.

BACKGROUND: Lecturing has been traditionally used as the core teaching strategy in university education in all disciplines. However, new research in education suggests that other formats such as game teaching could be more effective. AIM: To compare students' performance, satisfaction and retention of knowledge between a Jeopardy!-style game format and a didactic lecture format in teaching the subject of models for organising patient care to fourth-year nursing students. METHODS: A parallel-group randomised controlled trial was conducted. Participants were fourth-year nursing students who registered in the second semester of 2012-2013 and enrolled in the Nursing Management and Ethics in Nursing Course in the Community Health Department. RESULTS: 66 students completed the study (34 in the quiz game group and 32 in the lecture group). Pre-test results showed no significant difference between the two groups in their achievement scores. However, in the immediate achievement post-test and the retention test the students in the quiz group scored significantly better than those in the lecture group. A satisfaction questionnaire showed that the game format was well liked and accepted by students as a more satisfying teaching method. CONCLUSION: This study is the first of its kind in Jordan to explore the effectiveness of this particular game format versus the lecture format. RESULTS suggest that the game format was well liked and accepted by students as a more satisfying teaching method. Additionally, it appeared to be a better method of education as it promoted greater information retention.

Pressure ulcers in long-term care: a point prevalence study in Jordan.

BACKGROUND: Pressure ulcers (PUs) are a common problem in the elderly long-term care population. AIM: To explore the prevalence of PUs in Jordanian long-term care settings. DESIGN: A cross-sectional survey. METHOD: Data in this study were collected with the European Pressure Ulcers Advisory Panel (EPUAP) minimum data set. The skin of residents was directly examined. Risk of PUs was assessed with the Braden scale. Information about prevention was obtained from staff and resident files. SETTING AND SAMPLE: The largest elderly long-term care facility in Jordan (124 residents) was surveyed. Six residents did not match the inclusion criteria, and 118 were actually examined. RESULTS: Participants in this study were considerably younger when compared with similar studies (median age 65 years, mean 65.14, standard deviation 11.48). The general prevalence of PUs was 16.9%. The most common place for PUs was on the buttocks (42.9%). The most reported grades were 1 and 2, each of which had 40% prevalence. Of those patients at risk, 27.6% received adequate prevention for PUs. CONCLUSION: Given that the residents in this study sample were quite young, prevalence of PUs was relatively high compared with similar studies that used the same methodology. Bearing in mind that most elderly patients in Jordan are looked after at home, on account of Jordanian cultural attitudes toward elderly people, it can be hypothesised that institutionalised elderly people are either very ill or do not receive the care they need at home. The greater frailty of the Jordanian patients in this study, evident in their higher PU risk scores and comorbidities, supports this hypothesis.

Prevalence, Predictors, and the Role of Social Support in Posttraumatic Stress Disorder Among Cancer Patients in Oman.

BACKGROUND: Cancer, regardless of type, presents a formidable life challenge affecting patients' psychological well-being. Many perceive cancer diagnosis and treatment as traumatic. OBJECTIVES: This study aimed to estimate posttraumatic stress disorder (PTSD) prevalence in Omani adult cancer patients, identify predictors, and probe its correlation with social support. METHODS: This cross-sectional study enrolled 343 adult cancer patients undergoing treatment from 3 hospitals in the Middle East country of Oman. Posttraumatic stress disorder was assessed via the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and perceived social support was measured using the Multidimensional Scale of Perceived Social Support. RESULTS: The prevalence of PTSD among Omani adult cancer patients was 27.4%. Enhanced social support correlated with lower PTSD risk (odds ratio [OR], 0.95; 95% confidence interval [CI], 0.93-0.97; P < .001). Predictors included shorter time since diagnosis (OR, 0.98; 95% CI, 0.97-0.99; P = .017), no psychiatric referral (OR, 0.46; 95% CI, 0.23-0.96; P = .04), and insufficient social support (OR, 0.96; 95% CI, 0.94-0.98; P < .001). CONCLUSIONS: Social support significantly mitigates PTSD risk. Routine assessment and psychiatric referrals, especially for recent diagnoses, can enhance patients' lives. Reevaluating the PTSD diagnostic cutoff score (33) merits consideration for improved clinical use. IMPLICATIONS FOR PRACTICE: Early PTSD assessment, particularly for low-social support new-diagnosed patients, is crucial for timely intervention. Psychiatric referrals can guide specialized treatments. Stressing social support's role can guide healthcare providers, including oncology nurses, in supporting patients effectively.

Perceptions of spirituality and predictors of competence in spiritual care among nursing students in five middle eastern countries: A cross-sectional survey.

BACKGROUND: Spiritual Care is integral to holistic nursing; however, it often remains underprovided due to a lack of education. OBJECTIVE: This study examined perceptions of spirituality and predictors of competence in spiritual care among nursing students in Middle Eastern countries. DESIGN: A cross-sectional survey was used. PARTICIPANT/SETTING: Nursing students (n = 785) from five universities in Middle Eastern countries were included. METHODS: Participants completed the Spiritual Care-Giving Scale-Arabic and Spiritual Care Competency Scale. Multiple linear regression analysis was used to identify the predictors of perceived competence in spiritual care. RESULTS: Nursing students showed positive attitudes towards spirituality, with a mean score of 5.1 (SD = 0.60) on the Spiritual Care-Giving Scale-Arabic. However, their perceived competence in providing spiritual care was low to moderate with a mean score of 79.0 (SD = 32.0) on the Spiritual Care Competency Scale. The bivariate analysis indicated significant relationships between students' spiritual care competence and gender, previous exposure to spirituality education, willingness to undergo spirituality training, and total spirituality score. Finally, significant predictors of higher competence included regular admission status, prior spiritual education, willingness to undergo spiritual care training, and higher personal spirituality scores. CONCLUSION: Nursing students in the Middle East have positive attitudes towards spirituality, but low to moderate competence in providing spiritual care. The influence of personal spirituality on competence underscores the importance of fostering a supportive environment for students to reflect on their beliefs. Comprehensive curriculum revisions and training programs, along with the recognition of the impact of personal spirituality, are essential to prepare future nurses for holistic people's care.

Assessment of Cognitive Impairment and Related Factors Among Elderly People in Jordan.

Background: With an increase in elderly people, it is essential to address the issue of cognitive impairment and support healthy aging. This study aimed to assess cognitive impairment and factors associated with it among older adults. Materials and Methods: A cross-sectional study was carried out in different catchment areas within the Jerash governorate in the north of Jordan. The Elderly Cognitive Assessment Questionnaire (ECAQ) and a household face-to-face interview were used to collect data from 220 older adult participants aged 60 years and more. Descriptive statistics were conducted to describe the study variables. Correlation tests were applied to find associations between them. Logistic regression analysis was applied, with a minimum significance level (p < 0.05). Results: About 9.10% of the older adults had cognitive impairment. Cognitive impairment was correlated with age, self-perceived health, hypertension, stroke, and mental illness. The primary predictors of cognitive impairment were age [odds ratio (OR) =1.07 (1.01-1.14), p = 0.001] and stroke [OR = 10.92 (1.44-82.85), p = 0.001]. Conclusions: While many factors were correlated with cognitive impairment, the strongest predictors of cognitive impairment were age and stroke.

Breakfast Skipping and Associated Factors Among Jordanian University Students.

Background: Although breakfast skipping among university students is a significant concern, its prevalence and the contributing factors among university students have received little attention in the literature. This study aims to determine the prevalence of skipping breakfast among Jordanian university students and examine the associated factors and variations in rates of skipping breakfast by day of the week. Materials and Methods: A cross-sectional study was conducted among undergraduate students between March and May 2022 through a self-questionnaire. A convenience sample of 891 students was chosen at four Jordanian public universities. The data were analyzed using descriptive and inferential statistics. Results: The prevalence of skipping breakfast among university students was 66%. The reasons for skipping breakfast were having no time due to oversleeping and having no feeling of hunger (59% for both), followed by having no energy to prepare the breakfast and making no difference (49% and 48%), and not being able to afford to eat or buy breakfast (19%). There is a strong correlation between eating fast food and skipping breakfast. With whom the student eats breakfast is significantly associated with breakfast skipping, revealing that the highest percentages of skipping occur with friends. About 63% of students skipped breakfast through university days compared with 37% on the weekend, while 37% of them had breakfast through university days compared with 67% on the weekend. Conclusions: A high percentage of university students in Jordan skip breakfast. More attention should be paid to correlating factors and developing interventions to help students adhere to the breakfast.

Cancer pain in Jordan: prevalence and adequacy of treatment.

BACKGROUND: Despite the introduction of numerous guidelines and pharmacological interventions to manage cancer pain, poor assessment and under-medication remain common. AIM: To estimate the prevalence of cancer pain and the adequacy of its management in Jordan. METHOD: A convenience sample of 162 cancer patients from two hospitals participated in a cross-sectional survey using an Arabic version of the Brief Pain Inventory-short form (BPI). RESULTS: 73.3% of the patients had pain severe enough to merit rating on the BPI. The mean of the worst pain scores in the past 24 hours was high at 7.5 out of 10 (standard deviation (SD) 2.7). 31% of patients with pain had not been treated for their pain, and the mean Pain Management Index score was -1.20 (SD 1.0). CONCLUSION: These cancer patients were experiencing high levels of pain, which was undertreated. Providing adequate pain management is a priority, hence more education, training, and resources are needed in Jordan to reduce cancer patients' suffering.

Identifying Symptom Clusters in Cancer Patients Receiving Chemotherapy using Symptom Occurrence and Distress Dimensions.

The current study explored symptom clusters in a heterogenous sample that includes all age groups, and all types of cancer being treated with chemotherapy. A cross-sectional survey design was used. The sample comprise 393 cancer patients with a mean age of 52.1 years (SD 13.9). The most prevalent symptoms were tiredness (78.9%), lack of energy (71.8%), and irritability (66.9%) and the most distressing symptom was lack of appetite. Four clusters of the symptom experience: chemotherapy-related, psychological, fatigue and pain, and gastrointestinal symptoms, regardless of the dimension used, were identified. The content and number of symptoms within each cluster using the distress dimension were slightly different from the occurrence dimension. The findings call for an early comprehensive assessment and treatment of symptoms for patients undergoing chemotherapy. Also, healthcare providers especially nurses need to thoroughly assess and manage these symptoms to ease patients' experience, enhance their compliance and improve their quality of life.

Nurses' knowledge of chemotherapy-induced neutropenia and its management: a cross-sectional survey.

BACKGROUND: Chemotherapy-induced neutropenia (CIN) is a serious and potentially life-threatening condition that is associated with high morbidity, mortality, and healthcare costs. OBJECTIVE: This study aims to assess nurses' level of knowledge of CIN and its association with socio-demographic factors. METHODS: A cross-sectional survey design was used. RESULTS: Participants had a mean age of 34.1 years (SD = 7.1 years) and were predominantly female (78%) and with a bachelor's degree in nursing (95.6%). The nurses had a moderate level of knowledge about neutropenia and its management (mean total score 16.3 out of 30, SD = 3.7). Those who had a post-graduate degree (P = .048), had received an oncology educational course (P = .011), had attended a course on neutropenia (P = .007), who were working in an oncology unit (P = .002), and had more oncology experience (P = 001) were more likely to have a higher level of knowledge of CIN and its management compared to their other counterparts. CONCLUSION: Based on the findings of a moderate level of knowledge of CIN among nurses, the findings call for the need for further education and training. As a long-term plan, this might be accomplished by encouraging nurses to pursue post-graduate education or oncology-specialized certification and supporting them with scholarship grants. However, deliberate plans for short courses, training and workshops on oncology or CIN are other choices with a more immediate impact on nurses' knowledge and clinical practice. Finally, integrating oncology nursing education within nursing curricula is urgently needed.

An evaluation of serum albumin and the sub-scores of the Waterlow score in pressure ulcer risk assessment.

BACKGROUND: From previous work serum albumin is predictive of pressure ulcers over and above the Waterlow score. However the sub-scores of the Waterlow score were not available, and the accuracy of calculation of the total score was poor. This study has used sub-scores and is an order of magnitude larger. OBJECTIVES: To compare serum albumin with Waterlow score as a predictive measure for pressure ulcers. DESIGN: Retrospective analysis of hospital information support system. SETTINGS: A district general hospital in Staffordshire. PARTICIPANTS: Adult non-elective in-patients. METHODS: Logistic regression and receiver operating characteristic. RESULTS: The sub-scores of the Waterlow score were explored. While they constitute a multi-dimensional dataset, many were not found relevant to pressure ulcer risk in this population (non-elective in-patients). Some sub-scores were not recorded correctly, and body mass index (BMI) was particularly badly reported. Age was found to be as predictive of pressure ulcer as the more complex Waterlow score. Serum albumin was at least as good as the Waterlow score in risk assessment of pressure ulcers. Matching patients with pressure ulcers to patients with none, who had identical Waterlow sub-scores, confirmed serum albumin as a robust predictive value in pressure ulcers. CONCLUSION: Risk assessing patients based on their age is as good as the more complex Waterlow score. Additional risk information can be gained from knowing the serum albumin value.

Nurses' knowledge and attitude toward people with Alzheimer's disease: An exploratory study.

BACKGROUND: Alzheimer's disease (AD) constitutes a significant health problem that affects mainly older people and causes a significant decline in cognitive abilities, thus affecting the quality of life and independence. AIM: The current study aimed at exploring knowledge and attitude toward people with AD among Jordanian nurses. METHOD: A cross-sectional survey utilizing a self-administered questionnaire was conducted in three Jordanian hospitals. Nurses' attitude was measured using the Dementia Attitude Scale (DAS). Knowledge was measured using the Alzheimer's Disease Knowledge Scale (ADKS). RESULTS: A total of 207 nurses agreed to participate and completed the questionnaire. Most nurses demonstrated poor knowledge of AD with an ADKS score of 17.8 out of 30. In contrast, nurses had a positive attitude toward people with AD, with a total DAS mean score of 83.8 out of 140. CONCLUSION: Nurses lacked knowledge regarding AD, which could be attributed to insufficient education during university studies or after employment. Attitude toward people with Alzheimer's was positive in general; this implies that nurses have the potential to learn more about AD to enhance the care provided for people with the condition.

Annual Period Prevalence and Risk Factors of Dementia Among Older Jordanian Hospitalized Patients.

BACKGROUND: The number of people living with dementia is forecasted to increase rapidly, particularly in developing and underdeveloped countries. No epidemiological studies of dementia have been reported in Jordan; therefore, the number of people living with dementia and the risk factors are unknown. OBJECTIVE: Measure the annual period prevalence of dementia, along with its risk factors in Jordanian hospitalized patients over the age of 50 years. METHODS: The prevalence of dementia was measured using a prospective survey design for over one year. Risk factors were explored using a case-control match design. RESULTS: The total number of participants in the overall survey was 31,411, and the number of participants included as cases with dementia was 406, the number of matched controls free of dementia was 416. The general annual period prevalence of dementia for people older than 50 years was 1.29%, comprising 406 patients. Multivariate analysis revealed that older age, male gender, family history of dementia, and illiteracy were significant risk factors for dementia. CONCLUSION: The prevalence of dementia in Jordan is lower than the global prevalence due to the relatively younger Jordanian population. Results from this study can provide baseline information for policymakers for significant health planning to meet the needs of such a group of patients.

Student nurses' knowledge about the management of chemotherapy-induced neutropenia: Multi-national survey.

BACKGROUND: Chemotherapy-induced neutropenia is a serious global health concern. It is essential that student nurses who are the future of healthcare are equipped with the right knowledge to care for the unique needs of patients with neutropenia. OBJECTIVE: The study assesses student nurses' knowledge of neutropenia management and examines the difference in their knowledge with regard to their demographics. DESIGN: A descriptive cross-sectional survey design was used. SETTINGS: Participants for this survey were recruited from four nursing schools from three countries: Jordan, Oman, and Saudi Arabia. PARTICIPANTS: The study sample comprised 230 student nurses representing all three countries. METHODS: Online data collection was implemented. A message including the link to the study questionnaire was sent to students through their university portal. Demographic data and the neutropenia knowledge questionnaire were collected. RESULTS: The student nurses showed poor knowledge of neutropenia and its management (mean = 10.1 out of 30). The bridging students (M = 12.6, SD = 9.8) had significantly higher mean total knowledge scores than the regular students (M = 9.8, SD = 5.5) (t = 2.9, df = 38.9, p = 0.006). However, students who had received previous education about neutropenia management (M = 11.6, SD = 5.0) had significantly higher mean knowledge scores than those who had not (M = 9.5, SD = 5.6) (t = -2.73, df = 134.8, p = 0.007). CONCLUSIONS: The study findings underscore the overarching necessity to improve students' knowledge of neutropenia and its management. However, addressing this concern is multifaceted and requires deliberate effort from various agencies. Developing innovative strategies to increase the coverage of oncology nursing in the curriculum, improving faculty expertise, enhancing staff nurses' knowledge and skills, provision of funding, and adoption of oncology-related competencies in the nursing program need to be explored as key solutions.