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This study examined the Jordanian registered nurses’ perceptions of the obstacles and supportive behaviors of End-of-Life Care in Intensive Care Units and examined the differences in the concepts based on the samples’ demographics.

To purchase or authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1744-6198.2008.00092.x Byline: Majd T. Mrayyan (1), Ibrahim Al-Faouri (1) Keywords: Career commitment; job performance; nurse; Jordan Abstract: BACKGROUND. Career commitment and job performance are complex phenomena that have received little attention in nursing research. DESIGN AND SAMPLE. A survey was used to assess nurses' career commitment and job performance, and the relationship between the two concepts. Predictors of nurses' career commitment and job performance were also studied. A convenience sample of 640 Jordanian registered nurses was recruited from 24 teaching, governmental, and private hospitals. RESULTS. Nurses 'agreed' on the majority of statements about career commitment, and they reported performing 'well' their jobs. Using total scores, nurses were equal in their career commitment but they were different in their job performance; the highest mean was scored for nurses in private hospitals. Using the individual items of subscales, nurses were willing to be involved, on their own time, in projects that would benefit patient care. The correlation of the total scores of nurses' career commitment and job performance revealed the presence of a significant and positive relationship (r = .457). Nurses' job performance, gender, and marital status were the best predictors of nurses' career commitment: they explained 21.8% of variance of nurses' career commitment. Nurses' career commitment, time commitment, marital status, and years of experience in nursing were the best predictors of nurses' job performance: they explained 25.6% of variance of nurses' job performance. CONCLUSIONS. The lowest reported means of nurses' job performance require managerial interventions. Author Affiliation: (1)Faculty of Nursing, HashemiteUniversity, Zarqa, Jordan Article note: Author contact: mmrayyan@hu.edu.jo, with a copy to the Editor: nursingforum@gmail.com

Psychiatric health records are highly sensitive data which requires special policy to maintain its privacy, without affecting data accessibility. The current authors reviewed social, ethical and legal underpinnings for psychiatric electronic health records (EHR), and suggests a policy to maintain privacy and confidentiality of the psychiatric data, without affecting data accessibility. The purpose of this policy brief is to discuss and provide alternatives regarding psychiatric electronic health records privacy and information access. The current policy applied in Jordan still immature to ensure high levels of reliability, as the psychiatric data is openly accessed to the non-specialized personnel. Sensitive personal data policy is recommended in this paper with developing overriding mechanisms to counteract obstacles to data accessibility.

Digital Eye Strain (DES) is a newly recognized healthcare problem. Therefore, this study assessed the frequency, intensity, and prevalence of DES, the usage of digital devices for online learning among nursing students enrolled in nursing courses in a governmental and a private university during the COVID-19 pandemic, compared the usage of digital devices before and after the pandemic, assessed its predictors, and interventions nursing students used to prevent or accommodate DES. A cross-sectional online survey was carried out. Between November and December 2022, data were collected with a purposive sample of 142 nursing students enrolled in nursing courses at a governmental and a private university in Jordan, with a response rate of 88.75%. Our sample didn’t have DES, but when it occurred, it was intense. The most frequent and intense symptoms were reported. The median of the mean score DES indicated that the prevalence of DES was 55.23% (occurred occasionally), and the prevalence of (severe) intensity was 52.11%. The mean daily hours spent using digital devices before and after the pandemic were 3.51 ± 1.96 and 4.51 ± 2.53, respectively; the majority spent 3–4 h. Besides using electronic devices for online learning, our nursing students spent 3.31 ± 1.87 on other activities. Before the pandemic, nursing students commonly used mobile phones. This usage decreased during the pandemic as they moved to computer desktops, laptops, and tablets. Being senior students and using equipment to help protect the eyes predicted the DES. Students used different interventions to prevent or accommodate DES. Based on the international trend, we can conclude that the DES increased during the pandemic; nursing students have spent more hours on digital devices, and over 55.00% have DES. They have frequent serious symptoms from DES, which should be managed immediately. To decrease the prevalence of DES, redesigning our educational system should be prioritized, considering that online learning along with DES will remain even after this pandemic end.

‘Leadership’ is a social process in which a member or members of a group influence the interpretation of events, choice of goals/ outcomes, organization of work activities, motivation, abilities, power relations, and shared orientations. This study identifies leadership behaviours of Jordanian nursing leaders. A descriptive comparative design was used to collect data from four governmental and three private hospitals. Data were collected during April 2005. The total number of recruited nursing leaders was 140 with a 70% response rate. T-tests and chi-squares were performed to compare the phenomenon of interest. The mean reported leadership behaviours were slightly higher in private hospitals than those in governmental hospitals. However, more than half of the time, leaders in both types of hospitals used supportive leadership behaviours. There were significant differences between governmental and private hospitals in most demographics of the sample. Based on types of hospitals and gender, differences in leadership behaviours were advantageous for nursing leaders in private hospitals, while differences based on units and wards were advantageous for nursing leaders in governmental hospitals. In general, Jordanian nursing leaders used supportive leadership behaviours. Differences in leadership behaviours have implications for nursing practice, research, and education.

Our objective was to assess nutritional status and compare quality of treatment among hemodialysis patients in public and private hospitals in Jordan.

This paper aimed at studying variables of hospitals' organizational climates and nurses' intent to stay and determine predictors of the two concepts. A survey using a convenience sampling technique was used to collect data. A total of 362 nurses from three types of hospitals were recruited. Farly's Nursing Practice Environment Scale (NPES) was used to assess the organizational climates at Jordanian hospitals (Farly and Nyberg, 1990). McCain's Behavioral Commitment Scale (McCloskey, 1990) was used to measure nurses' intent to stay. Stepwise regression analyses were used to indicate predictors of hospitals' organizational climates and nurses' intent to stay.Quality of care and professionalism were major variables influenced hospitals' organizational climates. Nurses reported that they plan to keep their jobs for at least two or three years. Nurses' intent to stay, time commitment, types of hospitals and average daily census were predictors of hospitals' organizational climates. Predictors of nurses' intent to stay were hospitals' organizational climates, decision-making style, age and organizational structures.Managerial interventions that would create supportive work environments are needed to encourage nurses to stay longer at their jobs. These interventions include, but are not limited to, using participative management and supportive leadership, decreasing workload and employing nurses who work on a full-time basis.

The study objective was to validate the use of subjective global assessment (SGA) in assessing the prevalence of malnutrition among patients on hemodialysis in Jordan by comparing SGA grades with anthropometric and biochemical measurements.

Work autonomy is an essential aspect of nurses' professional lives. The aim of this research was to study American nurses' work autonomy and, in particular, autonomy over patient care and unit operations decisions. Data were collected electronically during July of 2004. A total of 300 American nurses were recruited from two clinical listserves in which nurses communicate electronically as a group. Nurses were more autonomous about decisions relating to patient care than unit operations, and their total work autonomy was moderate. Correlations and stepwise regression analyses revealed that nurses' experience, education, and time commitments influenced their work autonomy. Findings suggest that nurses' work autonomy should be enhanced to reach its full potential and that nurse administrators should promote their nurses' work autonomy.

Nurses’ roles in shaping health policy in the United States related to patient safety have not been fully expanded. This article explores various patient safety issues and how nurses can become involved to shape health policy in this area.