Research Priorities of Clinical Nurses and Midwives in the Eastern Mediterranean Region: a Mixed Methods Study.

Effective use of resources in healthcare research is essential in meeting the United Nation's Sustainable Development Goal (SDG) 3 to achieve universal health coverage, increase retention of healthcare workers, and strengthen the capacity of all countries to reduce risk and manage global health risks; the World Health Organization (WHO) also identifies nursing research as an important piece of the framework for improving global healthcare. Determining research priorities to reduce redundancy and ensure a solid evidence base for practice is especially critical in resource-limited countries or those facing healthcare crises such as those in the Middle East. To identify regional research priorities for nursing, focus group discussions composed of hospital-based nurses were conducted in Egypt, Oman, and Saudi Arabia. Forty-eight percent of research priorities were nearly the same as those identified as critical by regional nursing leadership in a previous study, demonstrating consistency between clinician- and administrator-identified research priorities, and suggesting healthcare administrators are well attuned to the research needs of clinicians. Both groups identified critical gaps in population and community health research. Across countries, research priorities identified were related to nursing workforce, health systems research, and quality of care, representing critical issues needing investigation to build a solid evidence base for nursing practice.

Patterns of violence against women in three communities in Alexandria, Egypt.

PURPOSE: To identify patterns of violence against women (VAW) in three communities in Alexandria, Egypt, and develop recommendations to address the issue. DESIGN AND METHODS: One hundred fifty women were randomly selected and interviewed from each of the three settings representing an urban, squatter, and rural community in Alexandria, for a total sample of 450 women. RESULTS: More than half (60% and 59.3%) of the squatter and rural women, as compared to less than half of urban women (41.3%), reported they were exposed to domestic violence (DV) at least once in their marriages. Rural and squatter women believed that husbands have a right to beat their wives and have sex with their wives whenever they desire. About half of urban, squatter, and rural women (48.4%, 56.7%, and 61%, respectively) did not seek help when they were beaten despite incurring injuries. Exposure to DV was associated with many factors including the woman's education, occupation, number of children, and socioeconomic status. CLINICAL IMPLICATIONS: The following recommendations are made: empowering women and girls to lead change by increasing their access to education and information; meeting the needs of abused women; mobilizing advocacy initiative by enlisting social, political, and other leaders to speak about VAW; changing policies and legislation to address gender-based violence; conducting education, awareness, and sensitization programs highlighting the problem; screening for violence in healthcare facilities and developing culture sensitive protocols for prevention and interventions for DV; and promoting nurses' participation and involving men in movements to end VAW.