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تتمتع مدينة اللاذقية بكمية هطول سنوية عالية نسبيا، وبما أنها متنوعة التضاريس نسبيا، بالتالي فإن شوارعها ليست على منسوب واحد وتعاني من وجود شوارع ذات ميول كبيرة وكذلك يتم تصريف المياه المطرية الى شبكة الصرف الصحي مما أدى إلى حدوث فيضانات في الطرق واعاقات وحوادث مرورية , تم في هذا البحث وضع مخطط للشبكة الحالية المشتركة ورسمها على برنامج الGIS وتحديد الأقطار للأنابيب ومصبات الصرف المشتركة ومن ثم تم تقييم حالة تصريف الشبكة للمياه المعاشية والمطرية عن طريق تقييم قدرة استيعاب الشبكة للغزارات الحالية حيث تم ادخال أقطار ومناسيب الشبكة الحالية وكذلك كمية مياه الصرف الصحي والمطري لبرنامج ال sewer gems ليقوم بعمل تحليل لقدرة الشبكة على إمرار هذه الغزارات , حيث بين التحليل وجود مشاكل في التصريف في أغلب الشوارع الرئيسية , ومن ثم تم تصميم شبكة مطرية منفصلة عن طريق برنامج ال sewer gems حيث تم اختيار ثلاث مصبات رئيسية ورسم الشبكة على أساسهم, ليعطي البرنامج نتائج التصميم (قطر-سرعة-أعماق حفر ) .

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]

Why you should read this article: • To enhance your understanding of the relationships between workplace stressors and job performance • To familiarise yourself with validated scales that can be used to measure stress, resilience and job performance • To consider measures that could be implemented to mitigate stressors, increase resilience and foster effective coping mechanisms among nurses. Background: Nurses are a crucial part of healthcare organisations, constituting around half of the global healthcare workforce. Therefore, it is important to examine the factors that may affect their job performance, which is central to the delivery of effective healthcare services. Aim: To examine the relationships between stress, resilience and job performance within the nursing context in Jordan. Method: A cross-sectional descriptive correlational design was used. A self-administered questionnaire comprising stress, resilience and job performance scales was completed by a convenience sample of 207 nurses working in five hospitals in the northern and middle regions of Jordan. Results: Overall, respondents self-reported moderate stress levels, normal resilience levels and moderate job performance. The study identified: a moderate positive correlation between stress and resilience; a weak negative correlation between stress and job performance; and a weak positive correlation between resilience and job performance. Conclusion: It is essential that nurse managers, leaders and policymakers implement measures to mitigate the stressors encountered by nurses, increase resilience and foster effective coping mechanisms. Such measures could enhance nurses’ resilience and job performance, ultimately improving patient care. [ABSTRACT FROM AUTHOR]

Bystander cardiopulmonary resuscitation improves survival after out-of-hospital cardiac arrest. This study aimed to assess the effectiveness of a basic life support (BLS) educational course given to 110 middle school children, using a pretest posttest design. In the pretest, students were asked to demonstrate BLS on a manikin to simulate a real-life scenario. After the pretest, a BLS training course of two sessions was provided, followed by posttest on the same manikin. Students were assessed using an observational sheet based on the American Heart Association's BLS guidelines. In the pretest, students showed significant weakness in the majority of guidelines. In the posttest, they demonstrated significant improvement in their BLS skills. BLS training in the middle school was effective, considering the lack of previous skills. It is recommended that BLS education be compulsory in the school setting.

Headache is considered one of the most common complaints affecting all ages: children, adolescents, and adults. A school-based, cross-sectional study was conducted to assess primary headache among high school students aged 16-18 in Grades 11-12, over a period of 3 weeks (May 2017). A questionnaire was designed, in accordance with the International Headache Society's criteria. The Pearson's X[superscript 2] test was computed to show the differences between the variables. Nearly two thirds of the students reported having headache (19.0% tension-type headache, 8.8% migraine, and 39.0% unknown type). Nearly a quarter sought help for headache, and the most frequently used analgesic was acetaminophen (82.2%) followed by aspirin (5.1%). The current study revealed that the prevalence of headache and migraine was initially high and increased with age. Moreover, headache is one of the major public health problems among high school students. An education program conducted by school nurses and other health-care providers regarding headache and migraine is needed.

The number of individuals with dementia is on the rise, highlighting the need to create effective educational methods that can improve nursing students' understanding and attitude toward this group of people who require special care. Explore the effectiveness of introducing a new curricular course in improving nursing students' knowledge of and attitudes toward people living with dementia and the provision of care for them. A pretest – posttest quasi-experimental design was used. After the introduction of dementia lectures, both study groups had a significant improvement in knowledge and attitude toward people living with dementia (P ≤.05). Adding clinical experience did not significantly enhance knowledge. It improved attitudes, but the result was not statistically significant (P >.05). The introduction of a new curricular course had a positive impact on the knowledge of and attitudes of nursing students toward people living with dementia. These findings emphasize the importance of incorporating dementia-focused education to enhance the quality of care provided by future nursing professionals. [ABSTRACT FROM AUTHOR]

Introduction: In general, undergraduate university students in the north of Jordan have a low level of physical activity. Objectives: To examine the physical activity level, perceived barriers and benefits to physical activity, and the contributing factors among university students in north of Jordan. Methods: A cross-sectional study design was used, and data was collected from 235 university students through a self-reported questionnaire. The International Physical Activity Questionnaire (IPAQ) was utilized to calculate the amount of physical activity, while the exercise benefits and barriers scale (EBBS) was used to measure the perceived benefits and barriers of physical activity. Results: According to the findings, less than half of the students (48.1%) reported engaging in physical activity. Several factors were found to be significantly related to higher levels of physical activity, including being younger, single, having a normal body weight, and reporting excellent health status. Logistic regression analysis revealed that overweight (OR = −0.068, 95% CI 0.025–0.183) and obese (OR = −0.250, 95% CI 0.068–0.924) were less likely to be physically active, while those who rated their health as excellent had higher rates of physical activity (OR = 3.590, 95% CI 1.263–10.201). The students agreed most strongly with the perceived benefit item "Exercise improves the way my body looks," while the perceived barrier item they identified most strongly with was "There are too few places for me to exercise." Conclusion: This study provides important data for health promotion programs aimed at supporting physical activity among university students. [ABSTRACT FROM AUTHOR]

Background: The significance of physical activity in preventing and treating chronic illnesses has long been established. However, there are limited studies focusing on the physical activity among old people with chronic illnesses in Jordan. Purpose: This study aimed to explore the association between physical-activity level, chronic illnesses, and multimorbidity among people 60 years old and above in Jordan. Methods: A crosssectional design was used in the northern region of Jordan. A survey was conducted among 200 old people aged 60 years and above. The survey included sociodemographic data and the International Physical Activity Questionnaire (IPAQ). The statistical analyses included descriptive statistics, correlation coefficient, and logistic-regression analysis. Results: Approximately 41% of old people had a sufficient level of physical activity. Gender, level of schooling, smoking, heart conditions, diabetes, and multimorbidity were significantly associated with physical activity. In the logistic-regression analysis, gender (OR 0.221, 95% CI 0.096-0.507), heart condition (OR 0.093, 95% CI 0.011-0.760), and diabetes (OR 0.312, 95% CI 0.120-0.810) were found to be significantly associated with physical activity among old people. Conclusion: This study revealed a low physical activity among old people. It is important to develop policies that support regular physical activity for old people with chronic illnesses. Implications for Nursing: Community-based healthpromotion programs should be developed to encourage regular physical activity among older people with chronic illnesses. [ABSTRACT FROM AUTHOR]

Background: Although breakfast skipping among university students is a significant concern, its prevalence and the contributing factors among university students have received little attention in the literature. This study aims to determine the prevalence of skipping breakfast among Jordanian university students and examine the associated factors and variations in rates of skipping breakfast by day of the week. Materials and Methods: A cross-sectional study was conducted among undergraduate students between March and May 2022 through a self-questionnaire. A convenience sample of 891 students was chosen at four Jordanian public universities. The data were analyzed using descriptive and inferential statistics. Results: The prevalence of skipping breakfast among university students was 66%. The reasons for skipping breakfast were having no time due to oversleeping and having no feeling of hunger (59% for both), followed by having no energy to prepare the breakfast and making no difference (49% and 48%), and not being able to afford to eat or buy breakfast (19%). There is a strong correlation between eating fast food and skipping breakfast. With whom the student eats breakfast is significantly associated with breakfast skipping, revealing that the highest percentages of skipping occur with friends. About 63% of students skipped breakfast through university days compared with 37% on the weekend, while 37% of them had breakfast through university days compared with 67% on the weekend. Conclusions: A high percentage of university students in Jordan skip breakfast. More attention should be paid to correlating factors and developing interventions to help students adhere to the breakfast. [ABSTRACT FROM AUTHOR]

Background: Virtual reality (VR) is recognized as a versatile training tool across various domains, including healthcare. In Jordan, dementia is a significant public health concern, accounting for 5.17% of all recorded deaths. Given the complex nature of dementia care, preparing nursing students is crucial. Purpose: This paper explores the feasibility and effectiveness of VR-based empathy training for nursing students, with a growing global interest in VR training applications, despite the need for further study of VR acceptability in the Jordanian context. Methods: This mixed-methods study included 71 nursing students in a psychiatric course at a university in Jordan. Feasibility was assessed through recruitment, retention, adherence, data completion, and implementation fidelity. Pre- and post-intervention assessments measured empathy levels. Thematic analysis of participant feedback provided insights into usability. Results: Recruitment and retention rates were excellent, with a 100% participation rate and 100% retention. The intervention demonstrated a statistically significant enhancement in empathy scores following the program (M_pre = 50.44, SD_pre = 9.24; M_post = 65.17, SD_post = 8.53), t (71) = -23.89, p < 0.001. The thematic analysis highlighted the importance of a user-friendly interface, a supportive learning environment, and engaging content. Conclusion: This study highlights the potential of VR-based training to enhance empathy among nursing students in the context of dementia care. The robust feasibility outcomes and positive user experiences suggest that VR technology can be a valuable addition to nursing curricula, ultimately benefiting patient care and the nursing workforce. Implications for Nursing: Integrating VR into nursing education presents the potential for elevating empathy in nursing students, notably within dementia care. This innovative approach equips prospective healthcare providers with vital skills for delivering more compassionate patient care. [ABSTRACT FROM AUTHOR]

Background: Vaccination against COVID-19 is pivotal in curbing the spread of the virus among school children. However, there is a dearth of studies exploring parents' attitudes and acceptance levels regarding immunizing their children against COVID-19 in Jordan. Purpose: This study aimed to assess parents' attitudes and key concerns toward administering COVID-19 vaccines to their school-aged children in Jordan. Additionally, it sought to identify the differences in parents' attitudes based on sociodemographic variables. Methods: The cross-sectional and correlational study was conducted in AL-Mafraq governance within Northeastern Badia schools from March to May 2022 and involved 498 eligible parents. Stratifying the parent population based on school districts, data were conveniently collected using the Parent Attitude about Childhood Vaccines (PACV) scale. Statistical Package for the Social Sciences (SPSS) version 17 facilitated data analysis, incorporating descriptive and inferential statistics at a significance level of 0.05, with a 5% margin of error. The independent t-test and One-Way ANOVA were employed to depict differences between studied variables. Results: The result showed that out of 600 distributed questionnaires, 498 were returned, resulting in a response rate of 83%. Findings revealed parental reluctance toward administering COVID-19 vaccination to their children. Notably, 65.9% of parents expressed concern about potential serious side effects, while 57.8% of parents harbored anxieties about vaccine safety and efficacy. Marital status emerged as a significant factor, with widowed parents exhibiting a more favorable attitude (p<0.05). Conclusion: Parents in Jordan are hesitant about COVID-19 vaccination for their school-aged children. Addressing these concerns necessitates educational campaigns through various channels, including social media and authorized TV and radio, to reassure parents about vaccine effectiveness and safety. This proactive approach is crucial to fostering broader acceptance and ensuring the success of vaccination initiatives. [ABSTRACT FROM AUTHOR]

Introduction: Limited research exists on the knowledge and attitudes of Jordanian community residents toward people with dementia (PwD). As the prevalence of dementia is anticipated to increase, there is a critical need for informed knowledge and positive attitudes toward dementia in the Jordanian community. Objectives: This study aimed to evaluate people's knowledge of and attitudes toward PwD and identify the predictors of dementia knowledge and attitudes. Methods: The study employed a cross-sectional research design and utilized a self-administered questionnaire as the primary data collection method. The study employed the Alzheimer's Disease Knowledge Scale (ADKS) to evaluate the knowledge of the participants, and the Dementia Attitudes Scale (DAS) was utilized to assess their attitudes in the Jordanian community. Multiple regression analysis was performed to find relevant factors influencing knowledge of and attitude toward dementia. Results: The study's 346 participants revealed limited knowledge about dementia, with an average ADKS score of 17.21 out of 30. However, participants showed a positive attitude toward dementia, as evidenced by a mean DAS score of 88 out of 140. Statistical analysis demonstrated significantly higher knowledge scores among employed individuals (P <.05), while females exhibited significantly higher attitude scores (P <.05). Participants with experience in geriatric clinical practice, dementia education or training, informal caregiving experience, and a desire to learn more about dementia also exhibited significantly higher knowledge and attitude scores (P <.05). Conclusion: The study offers preliminary insights into the knowledge and attitudes toward dementia in the Jordanian population. The findings underscore the importance of continuing education and training to increase knowledge and understanding of dementia. Improving dementia care and support in Jordan requires enhancing knowledge and attitudes toward dementia. The study findings were presented to policymakers, with recommendations for strategic planning and the development of awareness programs. Future research can build upon these findings and promote evidence-based practices in dementia care and community awareness programs. [ABSTRACT FROM AUTHOR]

Purpose: Nursing research studies investigating the relationship between spiritual wellbeing and health-related quality of life are lacking among Arab hemodialysis patients in Jordan or any other Arab country. The purpose of this study was to explore the associations between spiritual wellbeing, its religious and existential wellbeing dimensions, and health-related quality of life among Jordanian Muslim hemodialysis patients. Design: A cross sectional, quantitative correlational study. Methods: A convenience sample of 150 Jordanian hemodialysis patients completed a structured, self-administered questionnaire. Descriptive, bivariate, and multivariate regression models were used. Findings: The Jordanian hemodialysis patients had a moderate level of spiritual wellbeing and religious wellbeing, a low level of existential wellbeing, and a poor health-related quality of life. The findings revealed a significant moderate positive correlation between the spiritual wellbeing and its dimensions, and health-related quality of life. The existential wellbeing was the strongest predictor, with a large, positive, and significant effect after controlling for other spiritual, demographic and medical-related variables. Conclusion: Overall, the study suggests Jordanian hemodialysis patients use their religious and spiritual beliefs and practices as a coping mechanism, especially as sources of satisfaction, peace, comfort, strength and support, to help improve their health-related quality of life. [ABSTRACT FROM AUTHOR]

Introduction: Healthy meals play an essential role in the healthy physical and mental development of adolescents. Breakfast at home is associated with improved nutritional choices, and skipping breakfast is detrimental. This study assessed prevalence of skipping breakfast at home among adolescent students in the Badia Region of Jordan, identifying the reasons and characteristics associated with such behavioural choice. Methods: A cross-sectional survey among adolescent students (aged 13-16 years, in 8th-9th grades) from six public schools in Badia Region, Mafraq Governorate, Jordan, was conducted through self-administered questionnaire from February to March 2022. Results: Results showed that 68.1% of 552 student participants regularly skipped breakfast at home (72.4% boys vs. 61.3% girls; p=0.007). Among those who regularly skipped breakfast, three main rationales for this choice were not feeling hungry (5.3%), lack of time (2.7%), and lack of appetite (3.5%). Conclusion: The prevalence of skipping breakfast at home among adolescents in Badia Region was high for various reasons, including lack of time, not feeling hungry, seeking to manage weight, and insufficient knowledge on the importance of healthy breakfast. Therefore, understanding the reasons and factors that contribute towards breakfast skipping may help in solving the problem, underscoring that positive beliefs should be reinforced in schools, with parents encouraging adolescents to eat healthy breakfast. [ABSTRACT FROM AUTHOR]

Background and Purpose: No valid and reliable instrument exists in Arabic to measure the spiritual perspectives of Arab Muslims and Christians. This study translated the Spiritual Perspective Scale (SPS; Reed, 1987) into Arabic and examined its psychometric properties. Methods: The Arabic SPS was tested in a convenience sample of 206 Jordanian Christians and 182 Jordanian Muslim undergraduate nurses. Correlational and exploratory factor analysis were used. Results: For both sample groups, the factor analysis supported a clear two-factor structure for the Arabic SPS. A significant moderate positive correlation between the spiritual perspectives and religiosity was in the expected direction. The internal consistency reliability of the Arabic SPS was high. This study revealed that the Arabic SPS is a valid and reliable instrument to measure spiritual perspectives among Jordanian Muslim student nurses and adult Christians. Implications for Practice: Developing an Arabic version of the SPS exhibited good evidence of validity and reliability is important because it contributes to the evaluation of the spiritual behaviors and spiritual values and beliefs of Arab nurses and their patients. It also opens the way for comparison and transcultural studies regarding individual's spiritual perspectives. [ABSTRACT FROM AUTHOR]

AIMThe study aimed to identify nursing students' professional competencies and examine which factors of the clinical learning environment affect these competencies. BACKGROUND Professional competencies are vital for the quality and safety of nursing practice. The learning environment is important for the development of professional competencies. METHOD Data were collected from 178 nursing students using the Clinical Learning Environment and Supervision Scale and the Nursing Professional Competencies Scale-Short Form. RESULTS The highest competency was achieved in value-based nursing care; the lowest competency was achieved in development, leadership, and organization of nursing. Factors such as positive pedagogical atmosphere, nursing care on the ward, and good supervisory relationship affected learning and, in turn, improved professional competencies. CONCLUSION The results establish a link between the clinical environment and reported professional competencies, leading to a call for more focused coverage of these factors in the academic curricula. [ABSTRACT FROM AUTHOR]