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Nurses are at the frontline, dealing with people's most immense healthcare needs in stressful and demanding work environments. Consequently, it is essential to thoroughly examine how various coping mechanisms might affect the relationship between stress and quality of life (QOL). This study aimed to examine the mediation effect of both problem‐focused coping (PFC) and emotion‐focused coping (EFC) mechanisms on mitigating the effect of stress on the QOL among Jordanian nurses. A multisite cross‐sectional descriptive correlational design was used in this study. An online survey was completed by 203 nurses using a convenience sampling technique between October 2023 and January 2024. The study included nurses working in different Jordanian healthcare sectors including governmental, private, and university‐affiliated hospitals. Several measures were used to collect data, including questionnaires on sociodemographics, QOL, coping, and stress. Two models were hypothesized for this study. The two models were analyzed using Andrew Hayes Process Macro Model 4 for testing the mediation effects. Additionally, descriptive and correlational analyses were run prior to the main analysis. The results showed that coping significantly mediated the relationship between stress and QOL with variations between PFC and EFC. In conclusion, psychological distress symptoms were common among Jordanian nurses; psychological distress, coping, and QOL are correlating variables. Nurses' stress levels and coping modalities can predict QOL with a superior effect of PFC compared with EFC. Strategies should be put in place to improve effective coping to improve nurses' QOL. The results of this study have important implications for nursing education, practice, future research, and policy. [ABSTRACT FROM AUTHOR]

Purpose: This paper aims to explore examine the therapeutic potential of head-mounted display (HMD)-based Virtual Reality Relaxation Therapy (VRRT) sessions for people individuals with dementia in Jordan. Design/methodology/approach: This cross-sectional survey recruited 75 dementia-diagnosed elderly individuals from three Jordanian care homes. A VRRT intervention comprising 10 tailored RT sessions held over the course of five weeks was administered to the participants. Apathy, cognitive performance, anxiety and depression were evaluated before and after the intervention to determine any changes. The Person-Environment Apathy Rating Scale's (PEARS) Arabic translation's validity and reliability were also evaluated. Findings: The VRRT intervention yielded noteworthy results in reducing apathy, as indicated by a substantial decrease in PEARS scores from 17.20 to 11.15. The findings of the study revealed that the participants demonstrated enhanced cognitive abilities, as evidenced by a significant rise in their Saint Louis University Mental Status ratings, which increased from 15.11 to 19.70. The levels of anxiety and depression exhibited a significant decrease subsequent to the implementation of VRRT, with anxiety levels decreasing from 13.66 to 8.23 and depression levels decreasing from 13.62 to 9.33. Furthermore, a notable 70% of participants demonstrated statistically significant decreases in indifference. Practical implications: This study makes a significant contribution to the advancement of innovative treatment approaches aimed at addressing the needs of the aging population, hence enhancing health outcomes and raising the quality of care in Jordan. Originality/value: The effectiveness of VRRT in reducing apathy among Jordanian senior citizens residing in nursing homes has not yet been fully investigated. Therefore, this paper seeks to assess the effectiveness of HMD-based VRRT by conducting pre- and post-intervention evaluations. This research aims to provide valuable insights into the applicability and significance of VRRT in the Jordanian context, contributing to the development of culturally appropriate and cutting-edge therapeutic interventions for older individuals in Jordan. Through this study, the authors aim to promote improved health and elevated standards of care for this population. [ABSTRACT FROM AUTHOR]

Background: Shared governance is a structural framework for operationalizing nursing ownership and accountability for nursing practice. Healthcare institutions are striving to promote healthy and satisfactory work conditions to retain their qualified personnel and achieve organizational stability and high care quality. However, little is known about nurses' participation in governance in developing countries. Aim: This study aims to evaluate the levels of shared governance, also known as professional governance, among nurses in Jordan. The demographics of the study participants will also be assessed. Methods: The current study used a cross‐sectional design implementing an anonymous online survey technique to collect data from 111 nurses on the Index of Professional Nursing Governance (IPNG). Descriptive statistics were performed to evaluate the nurses' perception of the concept of shared governance in the domains of personnel, information, resources, participation goals and conflict resolution, and practice. Results: Among the 111 nurses, 55% of the participants were females, 45.5% were affiliated with governmental hospitals, and about half of them worked in critical care units. The analysis showed that the mean score for the total IPNG was 113 (SD = 26.28). The analyses of the mean scores of IPNG domains ranged from 11.5 (SD = 4.6) for goals and conflict resolution to 23.8 (SD = 5.7) for access to information. Discussion: The results revealed that nurses' average perception of professional governance demonstrated shared governance, and more specifically, in the lower level of shared governance where decisions are made primarily by management with some staff input. Analysis of the domains of governance revealed that participants' scores corresponded with shared governance in the areas of information, resources, goals and conflict, and practice, while traditional governance was prevalent in the governance of nursing personnel and participation. Conclusion: There is an agreement on the need of moving the position of frontline nurses to the center of their organizations where equity, accountability, and ownership are the pillars of participative governance. Frontline nurses need further empowerment to be more actively engaged especially in the management of nursing staff and related structures and in the participation in structures connected to governance activities at different organizational levels such as in committees. [ABSTRACT FROM AUTHOR]

Aim: The study aimed to examine the relationship between structural empowerment and attitudes towards computer use among nurses. Background: Empowering organizational structure is a significant factor affecting employees' attitudes and behaviours towards using organizational resources. Health information technologies were proven to improve health care quality. No previous studies examined the relationship between structural empowerment and attitudes towards computer use. Methods: A cross‐sectional correlational design was used. Self‐reported questionnaires were completed by 200 Jordanian nurses. Descriptive statistics, Pearson r correlation and linear regression analyses were used to address the research aim. Results: Structural empowerment was significantly and positively associated with attitudes towards computer use. Dimensions in structural empowerment that predict positive attitude towards computer use were access to opportunity (β = 0.382, p =.000), formal power (β = −0.252, p =.006) and informal power (β = 0.176, p =.046). Conclusions: Strengthening access to empowerment structures is essential to increase nurses' work efficiency. Improving empowering structures can be achieved by enhancing opportunities to increase professional knowledge and skills towards computerization. Implications for Nursing Management: Nurse managers should promote work conditions that motivate nurses towards positive recognition of innovation through efficient collaborations with the information technology teams. [ABSTRACT FROM AUTHOR]

This study aims to identify the level of nursing care quality and examine its predictors considering nurses' demographic data, organizational culture, and communication skills. Quality of care is a determinant of the sustainability of any healthcare organization. Therefore, it is imperative to understand how factors may contribute to the quality of nursing care. Limited research is available on the interaction between the concepts of quality of nursing care, communication skills, and organizational culture. A cross-sectional multi-site correlational design was used in this study. A convenience sample of 200 nurses from four Jordanian hospitals was recruited. Data was collected using self-reported questionnaires. Descriptive statistics, Pearson correlations, and multiple regression were performed to achieve the study's aims. The majority of the nurses in this study were females with bachelor's degrees. Age ranged between 22 and 53 years whereas experience ranged from 1 to 30 years. Communication skills significantly predicted the quality of nursing care; however, organizational culture was not a significant predictor of the quality of nursing care. Nevertheless, Pearson r correlation results revealed a significant correlation between organizational culture and communication skills (r = 0.57, p < 0.05). Nurses and organizational managers can increase the level of quality of nursing care by investing in programs that target improving nurses' communication skills. Providing a good environment in the hospital can increase communication skills between staff members, ultimately increasing the quality of nursing care. Further studies are recommended to elaborate and further uncover concerns related to the current research. • This is the first study investigating if quality of care can be predicted by organizational culture, communication skills, and demographic data from Jordanian nurses' perspectives. • Effective communication skills positively predict the quality of nursing care. • Associations exist between hospital type, organizational culture, and communication skills with the quality of nursing care indicating an indirect effect between organizational culture and quality of nursing care. [ABSTRACT FROM AUTHOR]

Background: Medical errors (MEs) are serious but preventable threats to patient safety. Annually, 421 million hospitalizations take place worldwide, from those an estimation of around 43 million MEs occur. Low‐middle income countries account for two‐thirds of these MEs. Aim: To examine the prevalence and contributing factors predicting MEs and its reporting among Jordanian nurses and nursing students. Methods: The study used a cross‐sectional descriptive design. A total of 178 nursing students and 123 bedside nurses participated in this study. Study data were collected through a five‐section newly developed survey. Results: MEs are highly prevalent in Jordanian hospitals. More than 70% of nurses and nursing students have no previous training in preventing and reporting MEs. The most prevalent type of MEs were related to changing positions for bedridden patients followed by medication errors, iatrogenic infections, and falls. Staff shortage was the main cause of MEs from participants' perspectives. Conclusion: A central concern of these results is the need for providing effective programs on identifying and preventing MEs in health‐care settings and integrate these programs into graduate nursing curriculums. Strategies should be implemented to establish electronic systems that are accessible, confidential, and a time‐saver to enhance reporting MEs. [ABSTRACT FROM AUTHOR]

Objectives: The purpose of this study was to explore perceptions and experiences of nurses working in paediatric wards in Jordan towards the off‐label administration of medicines in children. Methods: This is a prospective cross‐sectional questionnaire‐based study. A validated questionnaire was administered to 200 paediatric nurses in different hospitals in Jordan. The questionnaire was obtained from a previous study conducted to assess the perceptions and attitudes of paediatricians towards off‐label medicine use. The questionnaire consisted of 27 questions and was divided into four parts. Key findings: Only 25.6% of respondents were familiar with the concept of off‐label medicine use, primarily through work experience. The most common reasons for that were younger age than recommended (86.6%), and higher than (64%) or lower than (38%) recommended dose. Furthermore, lack of dosage data, risk of side effect and lack of clinical trials data were recognized as major areas of concern for paediatric nurses when handling paediatric off‐label medicines. More than half of respondents (55%) believed that the lack of appropriate formulations or the lack of efficacy data were of concern. Conclusions: The study revealed low levels of knowledge of off‐label medicine use in children among nurses. The majority of respondents admitted to unknowingly administer medicines in an off‐label manner to paediatrics. The implementation of training programmes and workshops is very important to increase nurses' awareness of the use of off‐label medicine in children. Further development of the educational curriculum for nurses should cover such use of medicine in children. Multidisciplinary paediatric care should be encouraged, specifically the collaboration between nurses and clinical pharmacists. [ABSTRACT FROM AUTHOR]