Subjective wellbeing (SWB) is an indicator of communities’ welfare, which guides vital health, political, and economic decisions, especially concerning vulnerable groups. Stimulated by growing interest in satisfaction with life as the cognitive component of SWB, this study investigated the psychometrics of Diener’s Satisfaction with Life Scale (SWLS) in a Polish sample of community-dwelling adults (N = 120, 50

BACKGROUND:Pediatric inguinal hernia is a common surgical condition that requires competent nursing care to ensure child safety and improve outcomes. Structured educational models are important for enhancing nurses' clinical knowledge, practice, and professional excellence. AIM:To evaluate the effect of training based on the Pediatric Nursing Excellence (PNE) model on pediatric surgical nurses' knowledge, clinical practice, and excellence in caring for children undergoing inguinal hernia surgery. METHODS:A quasi-experimental, pretest-posttest design with study and comparison groups was utilized. The study was conducted at the surgical department of Menofia University Hospital and Sheibin El-Kom Teaching Hospital, Menoufia Governorate, Egypt. A convenience sample of 70 pediatric surgical nurses was included and divided into study and comparison groups. Data were collected using a structured questionnaire to assess nurses' knowledge, an observational checklist to evaluate nursing practice, and a Pediatric Nursing Excellence scale to measure competency level. RESULTS:No significant baseline differences were identified between the study and comparison groups in terms of nurses' knowledge, clinical practice, or excellence scores. After applying the Pediatric Nursing Excellence model, the study group achieved significantly higher scores across all outcomes compared with the comparison group (p ≤ 0.001), whereas no improvement was observed in the comparison group. Moreover, significant positive relationships emerged post-intervention between knowledge, clinical practice, and excellence within the study group (p ≤ 0.05). CONCLUSION:The Pediatric Nursing Excellence model was effective in improving nurses' competency, including knowledge, clinical practice, and excellence level, in caring for children undergoing surgical repair of inguinal hernia. IMPLICATIONS TO PRACTICE:Integrating the Pediatric Nursing Excellence (PNE) model into pediatric surgical nursing education and continuing professional development programs may enhance nurses' competency, promote standardized evidence-based care, and strengthen family-centered approaches, ultimately contributing to improved quality and safety of care for children undergoing inguinal hernia surgery.

BACKGROUND:The Control Attitudes Scale-Revised (CAS-R) is widely used to explore cardiac patients' beliefs about their ability to manage illness. The CAS-R's construct validity may be questionable in different cultural contexts. Conclusions/applications based on inaccurate construct validity can be misleading and incorrect. OBJECTIVE:In this study, we aimed to evaluate the psychometric properties of the Arabic version of the CAS-R. METHODS:Within a cross-sectional design involving 180 Omani patients with heart failure (mean age = 70.3 ± 9.8 years, 51.7% females), exploratory/confirmatory factor analysis (CFA) and multigroup CFA were used to evaluate the construct validity and measurement invariance of the CAS-R across gender and marital groups. RESULTS:In exploratory factor analysis, 2 factors with eigenvalues >1 explained 37.9% of the variance. Despite the poor fit of the unidimensional CAS-R, CFA revealed an excellent fit of a 2-factor structure. Negative (5 and 8) and cross-loading items (1) contributed to scale variance at the configural level. Eliminating negative items and item 6 improved model fit, reliability (Cronbach's α = 0.66 vs. 0.56), and invariance at all levels. In support of its convergent and criterion validity, the CAS-R 5 correlated with the CAS-R and depression ( r = 0.953, -0.268; P values <.01). CONCLUSIONS:Negative items comprised a minor weak factor (helplessness) that was not stable across groups. Eliminating items 5, 6, and 8 resulted in a clean invariant short form (CAS-R 5) with superior properties that may implicate nursing decisions and interventions concerning perceived control.

Background:The Heart Failure Somatic Perception Scale (HFSPS) is a brief instrument designed to assess the perceived burden of common symptoms of heart failure (HF). Aim:To investigate the psychometrics of the Arabic HFSPS. Methods:This methodological study investigated the construct validity of the HFSPS among 180 Omani patients with HF through exploratory factor analysis (EFA) and confirmatory factor analysis. Criterion validity was evaluated through correlations with the symptom frequency dimension of Kansas City Cardiomyopathy Questionnaire 12-item (KCCQ-12), Control Attitudes Scale-Revised Five-Items (CAS-R 5), and Patient Health Questionnaire-2 (PHQ-2). Results:EFA revealed three factors with eigenvalues >1, which explained 56.1% of the variance. Out of seven competing models, a five-factor structure comprising a new factor "weight gain," which comprised correlated items "11 and 14" in other models, expressed the best fit. It was invariant across gender and marital status with adequate convergent and discriminant validity as indicated by average variance extracted >0.50, strong subscale-total correlations, and acceptable heterotrait-monotrait ratios. Criterion validity was evidenced by significant associations with KCCQ-12 symptom frequency, PHQ-2, and CAS-R 5, and HFSPS reliability was excellent (ω = .93). Conclusion:Weight gain seems a distinct dimension that deciphers error correlations previously found in the HFSPS. It may relate to patients' physical activity, nutritional habits, and metabolic dysregulations, necessitating integrating weight control measures in the routine care of patients with HF.

Background Treating diarrheal illnesses in children under five presents unique challenges due to a combination of regional and national factors. This study aims to tackle these issues by examining whether a culturally adapted information booklet can improve maternal knowledge, attitudes, and practices (KAP) regarding diarrheal disease outcomes.Methods A quasi-experimental one-group pre-test–post-test design was conducted among 65 mothers attending an under-five clinic in Jordan between 15 June and 20 August 2025. The sample size was initially estimated using G*Power version 3.1 for a two-tailed paired-samples t-test, assuming α = 0.05, 80% power, and an expected effect size of Cohen’s d = 0.71. Data were collected using a KAP questionnaire before and after exposure to the culturally adapted Arabic information booklet. Descriptive statistics and paired-samples t-tests were used for data analysis, with statistical significance set at p < 0.05.Results The mean age of participating mothers was 30.9 ± 5.1 years. Knowledge scores increased from 4.85 ± 1.23 at baseline to 8.49 ± 1.45 at follow-up. Similarly, attitude scores increased from 29.60 ± 3.16 at baseline to 45.80 ± 3.21 at follow-up, while practice scores increased from 9.03 ± 2.87 to 16.87 ± 1.81, respectively. All three domains of improvement achieved a highly statistically significant difference of p < 0.001.Conclusion The current study indicates for the efficacy of a culturally adapted information booklet intervention on enhancing maternal knowledge, attitudes and practice regarding diarrheal disease prevention and management.

Background Up to 25% of patients undergoing total knee replacement (TKR) for end-stage knee osteoarthritis report persistent pain, functional limitation, and reduced health-related quality of life (HRQoL). Although depression, anxiety, and stress are recognized determinants of surgical outcomes, their postoperative impact remains poorly studied in the Arab world, with no multicenter data from Jordan. Objectives This study aimed to assess the postoperative depression, anxiety, and stress and their association with HRQoL among TKR patients in Jordan, and to identify independent predictors of HRQoL. Methods A cross-sectional descriptive correlational design was used. A total of 140 adults were recruited from two government orthopedic hospitals in Jordan. Assessments were conducted at a single postoperative time point, 6–12 weeks following TKR surgery. Postoperative depression, anxiety, and stress were measured using the validated Arabic DASS-21 (α = 0.94), and HRQoL was assessed using the Arabic SF-12 (α = 0.84). Data were analyzed using descriptive statistics, Pearson correlation, and stepwise multiple linear regression. Results Participants demonstrated moderate depression (M = 18.66, SD = 7.18) and anxiety (M = 14.13, SD = 7.63), and mild stress (M = 17.17, SD = 7.65) post-TKR. The mean HRQoL score was 39.56 (SD = 10.07). A statistically significant negative correlation was found between psychological distress and HRQoL (r = −0.27, p = 0.001). Multiple regression identified body mass index (BMI) (B = −0.382, p < 0.001) and postoperative psychological distress (DASS-21 total score; B = −0.054, p < 0.001) as independent predictors of HRQoL, explaining 17.7% of total variance. Educational level and comorbidities were significantly associated with postoperative depression, anxiety, and stress. Conclusion Postoperative TKR patients in Jordan demonstrated poor overall HRQoL alongside moderate psychological distress. Routine psychological screening and targeted multidisciplinary interventions addressing modifiable factors such as BMI and psychological distress may help improve patient outcomes following TKR.

Sexual health in cancer care is often overlooked. This study examines oncology nurses’ knowledge and practices regarding sexuality care, identifying barriers and facilitators. A Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA)-guided search of Scopus, ScienceDirect, PubMed, and EBSCO focused on studies from 2014 to 2024. Of 1735 identified studies, only 11 met inclusion criteria. Findings revealed a lack of knowledge among nurses and dissatisfaction with sexual healthcare. Barriers include time constraints, cultural factors, and personal reservations. Routine discussions are often absent due to inadequate training. Education- and system-based strategies are needed to enhance nurses’ competence in addressing sexual concerns. Implementing training programs, structured records, evaluation tools, concept maps, and system support would improve patient care and oncology nursing practices. Addressing these gaps with practical measures can enhance communication, patient satisfaction, and quality of life. This unique analysis was conducted by two experienced advanced nurses in the Middle East, where discussions about sex are often regarded as taboo.

BACKGROUND:Critical care nurses (CCNs) experience serious work-related stress due to a myriad of factors, like insufficiently trained staff, shortages, and high workloads. They might develop healthy or unhealthy coping strategies. The aim of this study was to measure stress levels and determine coping strategies among CCNs. It also aimed to explore the correlation between stress and coping mechanisms and identify differences in the demographic characteristics and work-related factors with the measured levels of stress and coping mechanisms. MATERIALS AND METHODS:This study employed a cross-sectional design during the COVID-19 pandemic, collecting data from 200 CCNs via an online questionnaire. The survey included a demographic sheet, the Perceived Stress Scale (PSS), and the Ways of Coping Questionnaire (WCQ). Data analysis utilized both descriptive and inferential statistics. Pearson correlations, t-tests, and ANOVA were used to analyze stress, coping mechanisms, and demographic factors, providing insights into CCNs' stress and coping strategies. RESULT:Most participants were single, held a bachelor's degree, and worked as staff nurses. Moderate to high stress levels were reported, with the most frequently used coping mechanism being a refuge in fate, and the least utilized being a refuge in supernatural forces. Significant positive correlations were found between stress levels and coping strategies such as keeping to self (r = 0.22, P < 0.05), escape-avoidance (r = 0.33), accepting responsibility (r = 0.37), and refuge in fate (r = 0.18). Additionally, stress was negatively correlated with age (r = -0.17, P = 0.02) and positively associated with night shifts (f = 3.22, P = 0.04), high nurse-to-patient ratios (1:5 and above) (f = 2.42, P = 0.048), and working in military hospitals (f = 3.25, P = 0.04). Coping mechanisms were positively correlated with age and experience, with planful problem-solving showing significant positive correlations with both age (r = 0.18, P = 0.03) and years of experience (r = 0.19, P = 0.007), suggesting that older and more experienced nurses are more likely to use this strategy. CONCLUSIONS:It is recommended that extra effort should be given to CCNs' ability to adapt to stressful situations. It is possible to improve the retention rates of new nurses by improving their ability to accommodate and by assisting them in developing healthy coping strategies.

Background: Sleep disturbances among critical care nurses have been widely recognized as a significant concern, affecting both individual well-being and patient care outcomes. Understanding the factors influencing sleep quality in this population is crucial for developing effective interventions and policies to promote better sleep health. Objective: This cross-sectional study aimed to investigate the demographic and work-related factors associated with sleep disturbances among critical care nurses in Jordan. Methods: A total of 182 critical care nurses from governmental, private, and military healthcare sectors in Jordan participated in this study. Data were collected using a structured questionnaire, including demographic variables and the Arabic version of the Insomnia Severity Index (ISI). Descriptive statistics and inferential analyses, including independent t-tests and ANOVA tests, were conducted to identify factors influencing insomnia severity among critical care nurses. Results: The study findings revealed a moderate level of insomnia severity among critical care nurses, with several demographic and work-related factors significantly associated with sleep disturbances. Educational level, smoking status, regular physical activity, weekly working hours, and working overtime were identified as significant predictors of insomnia severity among participants (all p <0.05). Conclusion: Our study underscores the importance of addressing various demographic and occupational factors in understanding sleep disturbances among critical care nurses. Targeted interventions aimed at promoting better sleep hygiene and addressing modifiable risk factors are essential for improving sleep quality and overall well-being in this vital healthcare workforce.

Warfarin therapy is commonly used to prevent thromboembolic events and cardiovascular disorders, but its effectiveness can be influenced by interactions with drugs and foods. Nurses play a crucial role in managing warfarin therapy and counseling patients on these interactions. This study aimed to assess the predictors of nurses’ knowledge regarding warfarin-nutrient and drug interactions and their competence in counseling patients on warfarin therapy. : A cross-sectional study design was used to evaluate nurses’ knowledge and counseling practices related to warfarin therapy across various healthcare institutions in Amman, Jordan. Participants included 176 registered nurses with at least one year of experience, recruited through convenience sampling from governmental, private, and educational hospitals. Data were collected through a self-administered questionnaire that assessed demographic characteristics, work-related factors, exposure to health education, and knowledge of warfarin-drug and food interactions, as well as counseling practices. The study found that most participants were female (58.6

BACKGROUND:Depression among medical students is a significant mental health challenge globally, with increased prevalence rate in the Arab region. AIM:To systematically review the prevalence and risk factors for depression among medical students in the Arab region. METHOD:A systematic search of databases (PubMed, Medline, CINAHL, PsycINFO) and grey literature identified 16 observational cross-sectional studies conducted between 2019 and 2024. RESULTS:The studies included data from 9,243 participants, with a depression prevalence rate ranging from 40% in Palestine to 77.9% in Sudan. Risk factors associated with depression were grouped into five categories: sociodemographic, social and family dynamics, academic, behavioral, and lifestyle, and health and mental health history. To illustrate, younger age, female gender, and preclinical years of medical school are associated with a higher level of depressive symptoms. Social challenges, such as living apart from family and lacking adequate social support, were risk factors for psychological distress. Furthermore, academic pressure and uncertainty increase the possibility of having depressive symptoms. Maladaptive coping mechanisms such as substance abuse and excessive screen time, further exacerbate the condition. CONCLUSION:This review underscores the critical need for tailored mental health strategies in Arab medical schools. Interventions should address stigma, enhance social and academic support, and include culturally relevant stress management and resilience-building programs. Future research should explore the impact of socio-political instability and evaluate interventions tailored to collectivist cultural norms.

Objectives: This study investigated the factors influencing Intensive Care Unit (ICU) nurses' use of physical restraints. These factors included the nurses' knowledge, attitudes towards restraints, and their work environment. Methodology: Researchers employed a descriptive predictive design. They recruited a convenience sample of 145 ICU nurses working across various healthcare institutions. Data collection occurred through an online survey using Google Forms. The survey assessed nurses' knowledge, attitudes, and practices related to physical restraints, along with demographic and work-related information. Findings: The study revealed that nurses had a low mean level of knowledge regarding physical restraint use (average score: 3.3 out of 11). Their attitudes were moderately positive (average score: 29.4 out of 48). Interestingly, the reported use of physical restraints was relatively high (average score: 32.5 out of 42). The analysis identified several factors influencing the use of restraints: knowledge, attitudes, experience, shift worked, and weekly work hours. Together, these factors explained 34% of the variation in physical restraint practices among the nurses. Conclusion: The study highlighted a gap in nurses' knowledge about proper physical restraint use. Additionally, nurses with more experience, longer workweeks, and experience on different shifts reported a higher frequency of using physical restraints. These findings suggest a need for ongoing educational programs to equip nurses with best practices for physical restraint use in ICU settings.

Background: This systematic review explores the impact of cardiac rehabilitation programs (CRPs) on health-related quality of life (HRQoL) and physiological outcomes post-coronary artery bypass graft (CABG) surgery. Acknowledging the increasing importance of CRPs in post-CABG care, the study emphasizes the need for a comprehensive evaluation of their effectiveness. The primary objective is to investigate how CRPs influence HRQoL and physiological outcomes in post-CABG patients, offering insights into the multifaceted impact of these rehabilitation programs. Methods: A systematic literature review approach was employed to identify relevant studies published between 2013 and 2023. Inclusion criteria encompassed clinical randomized trials and quasi-experimental studies, with a focus on CRP interventions and their impact on HRQoL and physiological parameters. Results: The review reveals a diverse array of CRP approaches, including exercise training, home-based programs, and telemonitored interventions. Despite methodological variations, a consistent positive impact on HRQoL and physiological outcomes is observed across studies. Noteworthy interventions, such as those incorporating family caregivers, demonstrate holistic benefits. However, limitations include methodological variability and the exclusion of qualitative studies. Conclusions: This systematic review underscores the substantial positive impact of CRPs on HRQoL and physiological outcomes in post-CABG patients. The diverse approaches and consistent improvements across studies provide a robust foundation for healthcare practitioners and researchers. Future efforts should focus on standardizing CRP interventions and conducting well-designed trials to further enhance the evidence base, facilitating more targeted and effective rehabilitation strategies for CABG patients.

Background and objectives: Cardiac rehabilitation program (CRP) is a multidisciplinary strategy to help cardiac patients override the complications associated with cardiac disease. Patients following Coronary Artery Bypass Graft (CABG) face a critical complication that may affect their health-related quality of life and physiological outcomes, and these programs provide a better and faster recovery from cardiac surgery within the first weeks after surgery. This study reviews the impact of cardiac rehabilitation programs on the specific outcomes among CABG patients. Methods: In this systematic review the PRISMA-2020 guideline was used. Assessment of quality of the chosen studies, using the “Consolidated Standards of Reporting Trial (CONSORT)” and Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) checklist. Eligible studies were finally included in the literature review were 8 out of the 45 records identified, (from 2010-2021). Results: The cardiac rehabilitation program showed a consistent enhancement in health-related quality of life as a primary outcome and in the physiological variables as a secondary outcome. This study of a systematic review of experimental and non-experimental studies highlights the positive impact of this type of program on health-related quality of life and physiological variables of CABG patients. Conclusion: The results have significant implications in nursing research and practice, as the data offered can be used by the stakeholders and administrators of health institutions to improve their awareness of joining CRP in the routine care of CABG patients. KEYWORDS: cardiac rehabilitation programs, experimental study, health-related quality of life, physiological variables, systematic review.

BACKGROUND:There are a lack of studies examining the effect of creative art therapy on older people. This study aimed to evaluate the effect of creative art therapy on reducing depressive symptoms and improving the quality of life among Jordanian older people. METHODS:A one-group time-series design (pretest, posttest, and follow-up) was adopted between June 2021 and April 2022 on 102 community-dwelling older people who suffered from depressive symptoms and low quality of life in Amman Governorate. FINDINGS:Significant differences were found among older people in pre-, post-, and follow-up therapy for depressive symptoms and quality of life. Post hoc tests showed a statistically significant reduction in symptoms and an improvement in quality of life from pre to post-intervention, which was sustained at follow-up. CONCLUSION:Results suggested that using creative art therapies as a therapeutic intervention for older persons was effective in minimizing depressive symptoms and improving quality of life.

Introduction Poor nursing performance is considered a threat to patient safety, affecting the quality of care provided and ultimately impacting patient outcomes. Objectives The main aim of this study was to identify the predictors of nursing performance. Methods A cross-sectional predictive design was used. A convenient sampling technique was used to recruit 251 emergency nurses in three health sectors. They were assessed using the secondary traumatic stress scale and the nursing performance scale. Data were collected between June and August 2022. Results Nurses experienced severe levels of secondary traumatic stress ( M = 57.9, SD = 14.94). The nursing performance level was below average ( M = 27.48, SD = 9.36), and the mental performance subscale received the lowest rating ( M = 5.82, SD = 2.69). There was a strong negative association between the secondary traumatic stress total score and the total score of nursing performance ( r = −.77). Additionally, factors such as high body mass index, smoking, the presence of chronic diseases, working overtime, and high levels of secondary traumatic stress were identified as significant predictors of nursing performance. Conclusion It is recommended that emergency nurses be provided with treatment programs and interventions to reduce their secondary traumatic stress to improve their performance, thereby ensuring high-quality patient care.

Background: Exercising during pregnancy can provide physical and mental health benefits for expectant mothers. Purpose: To assess healthcare providers’ knowledge, attitudes and practices regarding exercise during pregnancy in hospitals. Methods: A cross-sectional design was used. A convenience sample comprised (142) healthcare providers who work in four public hospitals in the southern region of Jordan. Descriptive analysis and inferential statistics were used to answer the research questions. Results: The results showed that some of the participants (39.4%) were familiar with the American College of Obstetricians and Gynaecologists guidelines for exercise during pregnancy, while the majority of participants were knowledgeable about the benefits of exercise during pregnancy. Healthcare providers’ attitudes were positive. Regarding the level of practice, the findings showed that approximately 50.7% of the participants provided advice about exercise. Demographic characteristics had no significant correlation with healthcare providers’ attitudes. Conclusion: Although healthcare providers' attitudes towards exercise during pregnancy were positive, not everyone knew of the American College of Obstetricians and Gynaecologists’ guidelines. Implications for Nursing: Healthcare Providers should undertake workshops and lectures and then highlight the need to practice exercise during pregnancy, also they should start by making a full and comprehensive assessment of the pregnant woman and then provide appropriate advice as advocated by the WHO and ACOG guidelines. Educational programmes, booklets and pamphlets should be available for free in all the hospitals and maternal healthcare centres to increase awareness among women in the community. Keywords: Attitudes, Exercise, Healthcare providers, Knowledge, Practices, Pregnancy

Coronary artery bypass graft (CABG) necessitates modification in patients' lifestyle after discharge, which leads to a decrease in their health-related quality of life (HRQOL). Hence, cardiac rehabilitation programs (CRPs) are needed. This study aimed to explore the effect of a CRP on HRQOL and physiological factors on CABG patients after discharge. The study used a quasiexperimental pre-/posttest design. Two experimental and control groups tested with 30 patients with CABG surgery participated in a rehabilitation center after discharge. The Arabic version of the Nottingham Health Profile for measuring HRQOL was used. In addition to several sociodemographic and physiological variables, findings indicated a significant improvement in HRQOL and its domains for the experimental group after CRP (mean = 2.06, SD = 1.7) when compared with the control group (mean = 19.9, SD = 3.1; P = .01), as well as some physiological variables 3 months after surgery. The CRP is an important intervention that administrators and cardiologists should take into consideration for CABG patients. It improves not just their HRQOL but also many physiological indicators.

Background: Nurses working in emergency departments are overworked and exposed to frequent stressors over time, leading to compassion fatigue, burnout, and secondary traumatic stress.Aims: This study aimed to assess the levels of compassion fatigue and compassion satisfaction, and examine the relationship of these two variables with specific demographic, health-related, and work-related factors among emergency nurses in Jordan.Methods: This is a cross-sectional study. The Professional Quality of Life Scale Version 5 was used to collect data.Results: A convenience sampling method was used to recruit 203 registered nurses from emergency departments in Jordan. The mean compassion fatigue and satisfaction scores were moderate. There was a significant but negligible correlation between compassion satisfaction and educational levels (r = 0.15, p < 0.05) and between secondary traumatic stress and comorbid diseases (r =-0.16, p < 0.05).Conclusions: Although the levels of compassion fatigue and satisfaction were moderate, both may negatively affect nurses' care and patient outcomes. Conversely, compassion satisfaction should be improved in order to overcome the negative effects of compassion fatigue.

Postpartum depression among first-time mothers is a sensitive issue and few studies were conducted related to this topic in developing countries including Jordan. Thus, this study purposed to assess postpartum depression levels and associated factors among Jordanian first-time mothers. A cross-sectional design was adopted, and 193 postpartum first-time mothers living in Amman governorate were recruited. A questionnaire consisting of two parts was used to record data, sociodemographic and maternal health, and Patient Health Questionnaire (PHQ-9). Findings showed that 34.1% of the women experienced postpartum depression. The employment, gravida, antenatal health problems, breastfeeding problems, newborn health problems, and availability of assistance during the postpartum period significantly correlated with postpartum depression. Thus, the understanding of postpartum depression and related factors would provide important empirical evidence for healthcare professionals and policy-makers when planning to develop strategies and measures to minimize postpartum depression among first-time mothers.