Predictors of job satisfaction of registered nurses providing care for older adults.

BACKGROUND: The population worldwide is ageing. This has required the nursing profession to respond to the growing demands of providing nursing care to this population. PURPOSE: To identify predictors of job satisfaction among registered nurses providing care for older adults. METHODS: A cross-sectional correlational design was used with a convenience sample of nurses. The Quality Work Competence Questionnaire, Job Satisfaction Scale and Nurses' Occupational Stress Scale were used to measure study variables. Descriptive statistics and multiple regressions were used to analyse the data. RESULTS: The study included 500 nurses; and 68% dissatisfied with their job. Nurses were mostly dissatisfied with the physical conditions in which they work (55.2%) and the rate of payment (50.2%). Physical strain demonstrated the highest positive correlation with nurses' satisfaction (r = .36). More years of experience, skills and employee development, high nurses' competence, and more physical strain predicted high job satisfaction. CONCLUSION: Job dissatisfaction among nurses providing care for older adults is high and is influenced by nurses' experience, professional development, competency and physical strain. IMPLICATIONS: Health care organisations should apply strategies that enhance the development of the professional competency of their nursing staff.

Perceived barriers to healthcare utilization among Jordanian families: A family centered approach.

AIM: This study aimed to understand the barriers to health services utilization by Jordanian families. BACKGROUND: Access to quality healthcare services is a significant issue facing healthcare systems. Healthcare systems must identify and apply measures to overcome barriers that face utilizing health services and thus increase clients' satisfaction. METHODS: A cross-sectional qualitative research design was used in this study. Semi-structured interviews were conducted with twenty-five families to elicit the model of health services barriers. RESULTS: The analysis of the family interviews led to four main themes related to health services barriers: service system, structural/physical barriers, equipment and medication, and staff competency. This study would increase awareness about underserved populations that avoid seeking medical care. CONCLUSION: Public health efforts are required to increase awareness about the importance of contacting the healthcare system as early as possible. However, public health policy may require developing new initiatives that reduce these perceived barriers, such as enhancing communication skills among healthcare workers, increasing supervision and inspection of healthcare quality, and enhancing patient engagement by using phone calls and messages as appointment reminders and careful follow-up.

Systematic review: Self-rated health of Arab immigrants in the United States.

PURPOSE: A systematic review was conducted to understand self-rated health (SRH) of Arab immigrants in the United States (U.S.). BACKGROUND: Arab immigrants are one of the fastest growing populations in the United States. There is some evidence that Arab immigrants face health issues including low SRH. However, no study has been done to synthesize research on SRH of Arab immigrants. METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to guide this review. A search was conducted on seven databases. RESULTS: Six studies met the systematic review criteria. The available evidence indicated that rates of fair/poor SRH among Arab immigrants ranged between 4.66% and 41%. Arabic-speaking immigrants, women, older immigrants, and socioeconomically disadvantaged immigrants had the highest rates of fair/poor SRH. IMPLICATIONS: Health care providers need to assess patient's SRH and identify barriers to optimal health and health practices related to SRH of Arab immigrants.

Prevalence and Correlates of Sleep Quality Among Jordanian University Students: A Cross-Sectional National Study.

Poor sleep quality affects university students' life and increases their risk of long-term health consequences. This study aimed to describe the quality of sleep among Jordanian university students, examine differences in sleep quality according to selected variables, and identify predictors of sleep quality. A cross-sectional correlational design and a multi-strategic sampling technique were used to select a sample of 1,308 university students. The Pittsburgh Sleep Quality Index, the Perceived Stress Scale, and the Sleep Hygiene Instrument were administered to the subjects. T-test, ANOVA, and multiple regressions were used to analyze the data. The results showed that most students were classified as poor sleepers (87.1%), and only (12.8%) reported having a good sleep quality. Among the components of sleep quality, subjective sleep quality (m = 1.90, SD = 0.89) and daytime dysfunction (m = 1.72, SD = 0.67) had the highest mean scores, while sleep efficiency (m = 0.50, SD = 0.91) and the use of sleep medications (m = 0.23, SD = 0.73) had the lowest mean scores. There were statistically significant differences in sleep quality in relation to residency, academic level, academic achievement, and family income. Significant predictors of sleep quality were gender, marital status, employment status, sleep hygiene, and stress.

Knowledge and compliance to prevention of central line-associated blood stream infections among registered nurses in Jordan.

Background: Central line-associated bloods tream infections (CLABSIs) are among the most common healthcare-associated infections (HAIs). Aims: To assess the rates of CLABSIs and to investigate predictors of knowledge and compliance of registered nurses to central venous catheters (CVCs) maintenance care bundle in intensive care units (ICUs). Methods: A cross-sectional correlational design was used. A convenient sample of 114 registered nurses was selected from three hospitals in Jordan. Nurses' knowledge and compliance were measured by previously established measures and an observational checklist developed according to the Center for Disease Control and Prevention (CDC). Findings: The rate of CLABSI was the lowest in the hospital that applies the CVC bundle of care. Nurses' knowledge about CLABSI prevention practices was significantly correlated with their compliance to CVCs maintenance care bundle. Nurses' knowledge differed bytheirage, income, experience in ICU, and nurse-to-patient ratio, and in multiple regressions, age was the single predictor of knowledge of CLABSI prevention. Significant differences were also found in nurses' compliance to the CVC care bundle according to the hospital and nurse-to-patient ratio. The nurse-to-patient ratio was the single significant predictor, and it attenuated the effect of age and income on nurse's compliance to the CVC care bundle. Conclusion: This study indicated the need to expand the application of the CVC maintenance care bundle in hospitals. Programs that target promoting nurses' knowledge about CLABSI prevention and compliance to CVC care need to consider some factors, such as nurses' age and the circumstances of their work (nurse-to-patient ratio).

Serious psychological distress: A national study of Middle Eastern immigrants.

WHAT IS KNOWN ON THE SUBJECT?: There is very limited literature on the health of Middle Eastern immigrants in the United States, and the available studies were mostly conducted on small convenient samples in local communities. There is also a need to understand changes in the rates of serious psychological distress (SPD) during the 15 years after 2001, as there were negative effects on Arabs' health since the September 2001 aftermath. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: The study examined the rates of SPD, the risk of SPD and its associated factors in a national sample of Middle Eastern immigrants in the United States from 2001 to 2015. The study found that serious psychological distress rate was high among Middle Eastern immigrants. Being a female and having obesity were associated with a higher risk of reporting serious psychological distress among this population. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: These outcomes necessitate mental health nursing interventions that provide culturally sensitive mental health care to immigrants For example, developing community-based prevention programmes is required to address risk factors of psychological distress and to increase awareness about psychological distress among Middle Eastern immigrants. ABSTRACT: Introduction While Middle Eastern immigrants are a fast-growing population in the United States, there is very limited literature on their mental health. Most of the available studies were conducted on small convenient samples in local communities. Aims To examine rates of serious psychological distress (SPD) and its associated factors among Middle Eastern immigrants in the United States, compared with US-born, non-Hispanic Whites. Methods Data from the National Health Interview Survey (NHIS) from 2001 to 2015 were analysed. The survey included 1,246 Middle Eastern immigrants and 232,392 US-born, non-Hispanic Whites. SPD was measured by the Kessler-6 psychological distress scale. Survey analysis procedures, sampling weights and variance estimates were conducted. Descriptive statistics and regression analyses were employed to examine differences and factors associated with SPD. Results SPD rate was the highest among Middle Eastern immigrants (5.99%) between 2006 and 2010. Among Middle Eastern immigrants, being female and obese were significantly associated with a higher risk of SPD. Discussion Middle Eastern immigrants in the United States suffered high rates of SPD. Gender and obesity were factors associated with SPD risk. Implications These outcomes indicate the need for mental health nursing interventions that provide culturally sensitive mental health care to immigrants, such as developing community-based prevention programmes.