The Lived Experience of Family Support Among Women During and After Childbirth in Jordan: A Phenomenological Study.

Introduction: Many studies highlight the importance of family support in enhancing the experience of childbirth among women. Objective: This qualitative study aimed to describe the lived experience of family support from the perspective of women during and after childbirth in the Jordanian context. Methods: A qualitative descriptive phenomenological approach was used to explore the experiences of women's family support in the context of their childbirth experiences. A total of 11 Jordanian women participated in the study. Face-to-face semi-structured interviews were conducted to collect data. Results: Four major themes emerged from the data describing family support provided to women during and after childbirth. These themes were family support during childbirth, family support in the postpartum period, importance of family support during and after childbirth, and challenges related to receiving family support. Supportive family members primarily included the husband, the woman's family, and the family-in-law, according to the traditions inherited in the Jordanian context and culture. Conclusion: The study findings could help maternal health professionals screen pregnant women who are at risk of receiving low family support, contribute to developing effective interventions regarding family-centered care, and enhance the overall childbirth experience for women in Jordanian cultural contexts.

Nurses' and Midwives' Awareness of the Recommended Breastfeeding Practices During the Pandemic of COVID-19 and the Associated Factors in Jordan.

Introduction: The COVID-19-related restrictions imposed to reduce viral transmission have highlighted the need to support the importance of maternal breastfeeding. Clear guidelines for consistent practices across settings have been drawn up on the basis of the best available data. Emerging recommendations call to increase nurses' and midwives' awareness of these guidelines. Objective: This study aimed to explore nurses' and midwives' awareness of the recommended breastfeeding practices and associated factors in Jordan during the COVID-19 pandemic. Methods: An online descriptive cross-sectional design was adopted. This study was conducted in clinical settings representing Jordan's North, Middle, and Southern regions. One hundred seventy nurses and midwives were selected through a convenient sampling technique. Results: The mean total score of the awareness was 7.78 (SD = 1.60); 62.9% of participants were highly aware of the recommended breastfeeding practices. Nurses and midwives who were aware of the recommended breastfeeding practices during the pandemic of COVID-19 (90.7%) were more likely to perceive COVID-19 preventive measures as effective than those who were not aware of breastfeeding practices (74.6%) (χ2 = 7.886, p = .005), while work experience in years (χ2 = 8.966, p < .01) was significantly associated with awareness of the breastfeeding recommended practices. Conclusion: Most Jordanain nurses and midwives were highly aware of the recommended breastfeeding practices during COVID-19 pandemic. This awareness was positively associated with working experience and perceiving that the preventive measures of COVID-19 are effective. Educational programs for nurses and midwives about breastfeeding practice recommendations are necessary to help mothers obtain appropriate care and education.

Effectiveness of antibiotics versus ibuprofen in relieving symptoms of nosocomial urinary tract infection: A comparative study.

BACKGROUND AND PURPOSE: Antibiotic therapy has been the mainstay of treatment in the management of hospitalized patients with nosocomial urinary tract infection (UTI); however, its use is associated with an increase in resistance and high cost. Ibuprofen showed effectiveness in relieving symptoms of UTI, but its superiority is questionable. The goal of this study was to compare the effectiveness of antibiotics against ibuprofen in relieving symptoms of UTI and to identify factors that affect symptom relief. METHODS: This study was conducted in three public hospitals in Jordan. Patients with nosocomial UTI were assigned to either antibiotics or ibuprofen. Symptoms of UTI were assessed at the time of initiation of treatment and 5 days later. CONCLUSIONS: Antibiotics were more effective in relieving symptoms of UTI than Ibuprofen. Comorbidity and length of hospitalization affected symptom relief during the treatment of UTI. IMPLICATION FOR PRACTICE: Nurse practitioners in the clinical settings can take an active role in helping patients with UTI to achieve relief of symptoms by supporting the use of antibiotics over ibuprofen in symptom resolution.

Cardiopulmonary resuscitation training for undergraduates from nonmedical majors: Effectiveness of the three tiers model.

BACKGROUND: Integrating cardiopulmonary resuscitation (CPR) in undergraduate education would help to increase the rate of bystander CPR. However, few qualified trainers are available for this purpose. Training student nurses to become CPR trainers on campus could reduce this shortage. PURPOSE: The purposes of this study were to assess CPR skills of students from nonmedical majors and to examine the effectiveness of the three tiers model for CPR training. SETTINGS: One public university in Jordan. PARTICIPANTS: Student nurses and undergraduates from nonmedical majors. METHOD: Five student nurses attended CPR training courses based on the American Heart Association CPR guidelines. The trainees provided the same CPR training to a sample of 197 undergraduates from nonmedical majors. The participants were asked to imagine a real-life scenario of out-of-hospital cardiopulmonary arrest and to perform CPR on a manikin. Assessment of skills was made before and after training, using a structured observational checklist. RESULTS: In the pretest, participants showed poor CPR skills with a pass rate of only 4%. In the posttest, participants demonstrated significant improvement: t(196) = 26.78, P = 0.00. CONCLUSION: The three tiers model for CPR training would be an effective strategy to compensate for the shortage in the number of certified CPR trainers.

Knowledge and self-care behaviors among patients with heart failure in Jordan.

Knowledge is known to affect self-care behaviors. However, little is known about the factors that influence self-care behaviors among patients with heart failure in Jordan. A cross-sectional descriptive-correlational design was used to describe the associations between knowledge, sociodemographics, and self-care behaviors. In a convenience sample of 226 patients with heart failure, the Dutch Heart Failure Scale and Self-Care of Heart Failure Index (SCHFI) version 6.2 were used to measure knowledge and self-care behaviors, respectively. The mean heart failure knowledge score was quite low at 5.29. The SCHFI self-care management subscale mean was 57.56 with an actual range of 10-90, and the SCHFI self-care maintenance subscale mean was 53.89 with an actual range of 13.33-86.66. The SCHFI self-care confidence subscale mean was lowest of the three at 45.07, with an actual range of 5.56-94.52. All three subscale mean scores were below the clinical target level (≥70) for the SCHFI. Lower knowledge, income, and educational level, shorter duration of disease, fewer people living at home, older age, and being unemployed were significant predictors of low self-care scores. Characteristics of the cultural, social, and healthcare environment in Jordan may help explain some results. Nurses may play a role in improving knowledge and self-care among patients with heart failure in Jordan. Studies of the effect of educational programs on knowledge and self-care among patients with heart failure are recommended.