Nemeh Ahmad Al-Akour
Jordan University of Science and Technology, Jordan, Jordan
Quality of life in Jordanian children with cystic fibrosis as perceived by children themselves and their parents
Nemeh Al-Akour was Acting Chair / Departments of Maternal and Child Health Nursing and Midwifery (2013-2015). She received her Doctorate of Nursing Science in Nursing from Widener University in 2003 with the specialization “Pediatric Nursing”, she received her Master of Science in Nursing from Villanova University in 1996 with the specialization “Parent-Child Health Nursing”, she completed her Bachelor of Science Nursing from University of Jordan in 1987.
Background:Children with cystic fibrosis facing health challenges and negatively effects on their health related quality of life. The management of cystic fibrosis should be carried out on a daily basis, which requires parental monitoring.
Objective: This study assessed thequality of life of Jordanian children with cystic fibrosis as perceived by them and their parents.
Methods:A cross-sectional design was conducted on 200 childrenwith cystic fibrosis aged 6 to 13 years and their parents. The Arabic Cystic Fibrosis Questionnaire Revised (Cystic Fibrosis Questionnaire–Child version (CFQ-Child) and Cystic Fibrosis Questionnaire–Parent version (CFQ-Parent) wasused to collect the data from participants who attended a pediatric hospital in northern Jordan between December 2012 and March 2013. Multivariate analysis and Pearson’s correlation coefficient were performed to assess children’s quality of life.
Results:The total domainsmean of the CFQ–Child and CFQ-Parentwere 58.1 (SD = 16.3) and 50.6 (SD = 19.0) respectively. Males and children aged 6-11 years had better quality of life digest (p = 0.011), emotional (p= 0.005), social (p = 0.007), body image (p = 0.005) domains.
Parents with higher educational level and employed were more likely to perceive that their children had better quality of life. CFQ–Child domains and CFQ-Parentdomains were not significantly correlated.
Conclusions:Quality of life of children with cystic fibrosis was poor as perceived by themselves and as perceived by their parents.CFQ–Child domains CFQ and parent domains were not significantly correlated.
Keywords: Children, Cystic ibrosis,Parents, Quality of life
Jordan University of Science & Technology , Jordan
Interactive Teaching Effects on University Students' Knowledge and Attitude Toward Reproductive Heal
CONTEXT: Youths in Jordanlack knowledge related to reproductive health (RH). Interactive teaching methods showed positive results in enhancing health awareness and adopting healthy practices among students.
OBJECTIVES: To examine the usefulness of an interactive teaching in promoting health awareness of reproductive health amongnon-medical university students in Jordan.
METHODS: We employed a Quasi-experimental one group pretest and post-test design for a purposive sample of 210 of students (18 -24 years). Knowledge and attitudes regarding reproductive health issues were assessed using a questionnaire developed by the researchers.
RESULTS: A significant improvement in students’ knowledge and attitudes toward RH was evident. Female students had higher scores on knowledge on the pretest; this difference was smaller on the posttest. Also, females had significantly more positive attitudes toward RH on pretest than males, though this difference vanished on the posttest. Study results indicated that students benefit from study intervention regardless their gender.
CONCLUSIONS: Integrating RH into university's curriculum coupled with interactive learning approach is a powerful way to promote RH awareness among youths
Jordan University of Science & Technology , Jordan
Jordanian Health Care Providers' Attitudes Toward Overweigth And Obese Women During Childbirth
Obesity had become a global issue and a major public health concern, because of its impact on the public health. Obstetric and midwifery evidences reported that maternal obesity an important issue, because of its associated complications like: obstructed labors, infections and hemorrhage. People who are obese are often stigmatized and blamed for their weight. Health care providers are not immune to obesity-related prejudice and the literature features several examples of their negative attitudes towards obese patients. In Jordan, few studies were conducted to investigate obesity prevalence rate and its associated factors. The purposes of this study were to assess the health care providers' attitudes toward overweight and obese women during the childbirth in the North of Jordan, and to investigate the relationships between health care providers' socio-demographic characteristics and their attitudes. A descriptive, cross-sectional design was utilized. A convenient sample was consisted of 95 midwives, 30 nurses and 62 obstetricians, who were working in the labor rooms. A self-administered questionnaire consisted of three sections: demographical data, Arabicversion of Fat Phobia Scale (FPS), and Arabic version of Nurses' Attitudes toward Obesity and Obese Patients Scale (NATOOPS). Results: The study findings revealed that the majority of Jordanian health care providers held negative attitudes toward overweight and obese women during childbirth. Midwives held less negative attitudes than did obstetricians and nurses. The majority of participants were perceived the overweight and obese pregnant women during childbirth as overate people, shapeless, slow and unattractive. Age, specialty, education and years of experience were found to be associated with health care providers’ attitudes. The conclusion: health care providersnegative attitudes toward overweight and obese pregnant women, are a cause for concern. Therefore, maternal obesity was needed to be more adequately addressed in basic education courses, and in the continuing professional education classes of practicing health care providers.
Jordan University of Science & Technology , Jordan
The prevalence of postpartum stress among Jordanian women
Khitam Mohammad is associate professor of midwifery research and practice. She received her BSN degree in 1997 from Jordan University of Science and Technology, her first master degree was in Anthorpology in 2003 from Al-Yarmouk University in Jordan, her second master degree was in Midwifery in 2004 from Griffith University, and her PhD in Midwifery from Griffith University in 2008 Australia. Khitam is the second associate professor in midwifery at the faculty of nursing, Jordan University of Science and Technology.
Background: Postnatal depression are a focus of considerable research attention, but little is known about the pattern of stress across this period.
Objective: to investigate the prevalence of stress after childbirth for Jordanian women and identify associated risk factors.
Design: A descriptive cross-sectional study. Participants were recruited six to eight weeks postpartum, provided personal, social and obstetric information, and completed the stress subscale of Depression Anxiety and Stress Scale (DASS-S), the Maternity Social Support Scale (MSSS), and Perceived Self-Efficacy Scale (PSES).
Setting: maternal and child health care clinics in four health care centres in Maan city in Southern Jordan.
Participants: Arabic speaking women (n = 324) between the ages of 18 and 45 years, six to eight weeks postpartum, primiparaous or multiparous at low risk for obstetric complications. Data collection was take place between October 2015 and January 2016. Ethical clearance was obtained prior to data collection.
Results: The prevalence of postpartum stress among Jordanian women was 39.8 %. A regression analysis revealed that occupation, low social support, financial problems, difficult marital relationships, difficult relationship with family in-law, giving birth to female baby, difficult childbirth, and low self-efficacy were associated with postpartum stress.
Conclusions and implications for practice: Jordanian women need support during pregnancy, during and after childbirth. postpartum emotional support and assessment of symptoms of stress needs to be incorporated into routine practice. The opportunity for open discussion along with increased awareness and clarification of common misconceptions about postpartum stress are necessary.
Jordan University of Science and technology , Jordan
Sexuality after childbirth from health care providers’ perspectives
Purpose: To explore Jordanian health care providers’ perspectives about sexual education after giving birth:
Methods: A purposive sampling method was used to recruit seven midwives, 13 nurses and two obstetricians from three Primary Health Centers located in Alzarqa, Al-Karak, and Irbid. The inclusion criteria for health care providers were: midwives, nurses or obstetricians with at least two years' experience and currently working at a maternity health center. A descriptive qualitative approach was used to address the study aims. Focus group discussions were used to collect data. A manual Thematic Content Analysis Toolwas used to analyze the data. Ethical approval was obtained from Jordan University of Science and Technology Ethics Committee and the Research Ethics Committee of the Ministry of Health
Findings: Five major themes emerged. Silence; resumption of sexuality after giving birth/ area of conflict; men’s authority; the importance of sexual education (what, when and whom) and Suggestions for sexual education approaches.
clinical implications: Findings from this study may encourage policy makers to include more training and health teaching within the antenatal and postnatal clinics which may positively impact on the experiences of these women and facilitate patients centered care. Adequate knowledge about sexual education should be provided to health care providers during studying and working periods. Therefore, educators should revise the curriculum to include more about sexual topic. Healthcare providers- women communication and relationship need active steps toward improvement.
Nemeh Ahmad Al-Akour
Jordan University of Science & Technology , Jordan
Quality of life in Jordanian children with cystic fibrosis as perceived by children themselves and t
Nemeh Al-Akour was Acting Chair / Departments of Maternal and Child Health Nursing and Midwifery (2013-2015). She received her Doctorate of Nursing Science in Nursing from Widener University in 2003 with the specialization “Pediatric Nursing”, she received her Master of Science in Nursing from Villanova University in 1996 with the specialization “Parent-Child Health Nursing”.
Background:Children with cystic fibrosis facing health challenges and negatively affects on their health related quality of life. The management of cystic fibrosis should be carried out on a daily basis, which require parental monitoring.
Objective: This study assessed the quality of life of Jordanian children with cystic fibrosis as perceived by them and their parents.
Methods: A cross-sectional design was conducted on 200 children with cystic fibrosis aged 6 to 13 years and their parents. The Arabic Cystic Fibrosis Questionnaire Revised (Cystic Fibrosis Questionnaire–Child version (CFQ-Child) and Cystic Fibrosis Questionnaire–Parent version (CFQ-Parent) wasused to collect the data from participants who attended a pediatric hospital in northern Jordan between December 2012 and March 2013. Multivariate analysis and Pearson’s correlation coefficient were performed to assess children’s quality of life.
Results:The total domains mean of the CFQ–Child and CFQ-Parent were 58.1 (SD = 16.3) and 50.6 ( SD = 19.0) respectively. Males and children aged 6-11 years had better quality of life digest (p = 0.011), emotional (p= 0.005), social (p = 0.007), body image (p = 0.005) domains.
Parents with higher educational level and employed were more likely to perceive that their children had better quality of life. CFQ–Child domains and CFQ-Parent domains were not significantly correlated.
Conclusions: Quality of life of children with cystic fibrosis was poor as perceived by themselves and as perceived by their parents.CFQ–Child domains CFQ and parent domains were not significantly correlated.
Jordan university of science and technology, Jordan
Students and teachers perceptions about Interactive Learning in Teaching Health Promotion Course: Im
Background: There is lack of studies that describe the experience of studying health promotion coursesusing an interactive approach, and compare students’ and teachers perceptions about this method of teaching.The purpose of this study is to provide a comparison between student and teacher experiences and perspectives in learning health promotion course using interactive learning.
Design: A descriptive qualitative design was used to provide an in-depth description and understanding of students’ and teachers experiences and perceptions of learning health promotion coursesusing an interactive learning.
Study Participants: About 14 fourteen students (seven male, seven female) and eight teachers at governmental university in northern Jordan participated in this study.
Data Analysis: Conventional content analysis approach was used for participants’ scripts to gain an in-depth description for both students and teacher’s experiences.
Results: the main themes emerged from the data analysis describingthe students’and teachers perceptions of the interactive health promotion class:teachers’ and students positive experience in adopting interactive learning, advantages and benefits of interactive teaching, , barriers to interactive teaching, and suggestions for improvement.
Conclusion: Bothteachers andstudents reflected positive attitudes toward interactive learning. Interactive learning helped to engage in learning process physically and cognitively. Interactive learning enhanced learning process, promote stdudent attention, enhanced final performance, and satesfied teachers and students accordingly. Interactive learning approach should be adopted in teaching graduate and undergraduate courses using updated and contemporary strategies. Nursing scholars and educators should be motivated to integrate interactive learning in teaching diffrent nursing courses.
Iran University of Medical Sciences, Iran
Relationship between nurse’s professional behaviorand organizational culture and commitment
Background and aim: Professional nursing is one of the factors involved in the professional, cultural, and organizational commitment. Strong and positive culture in the organization can accept nurses to better interact with colleagues and ultimately provide satisfaction in completing tasks and organizational objectives to be followed. Recently, researchers believe that professional commitment and organizational structures necessarily contradictory and are not incompatible, but can significantly correlated with each other. The purpose of this study was to determine the Relationship between nurse’s professional behavior and organizational culture and commitment in hospitals affiliated to Iran University of Medical Sciences.
Method: This study was a cross-sectional descriptive - correlation that aims to give community nurses in the hospitals affiliated to Iran University of Medical Sciences form. In this study, after obtaining the necessary and ethicalpermits,stratified sampling with proportional allocation of qualified nurses (200 nurses) were selected. For the study of four self-constructed questionnaire on demographic data, Goz professional behavior, organizational culture and organizational commitment of Allen and Meyer were used Robins. The questionnaire was completed by nurses to self-report method and duration of response to the questionnaires was about 20-30 minutes, the nurses were empowered to complete the questionnaire within 48 hours and returned to the researcher. After collecting the data and data entry into SPSS version 21 were analyzed. In order to achieve specific objectives and answer the research questions, descriptive statistics such as mean and standard tables and the central indices of dispersion such as standard deviation and Pearson correlation test was used.
Results: Professional nurses' mean score of (108/98+_17/41), organizational culturemean' score of (42/56 +_ 17/32 ) and rganizational commitment (97/94 +_ 8/66 ) was obtained. Professional behavior and organizational culture, there was no significant relationship (p-value =0/706) and only subscale attention to detail and professional behavior as there is a direct relationship between statistical significance (p-value =0/032). It is also a significant relationship between behavior was not professional and organizational commitment (p-value =0/152) and only between the normative and professional behavior statistically significant relationship was directly observed (p-value =0/007).
Conclusion: As a conclusion nurses working nurses working in hospitals affiliated to Iran University of Medical Sciences, professional behavior and organizational culture and commitment, there is no statistically significant relationship.
Egyptian and Jordanian Nurse Educators' Attitude and Perception of Barriers Preventing the Implementation of Evidence-Based Practice: A Cross-Sectional Comparative Study
Background: Studies discussing academic nurses’ attitude, knowledge, implementation of evidence-based practice (EBP) and barriers encountered towards implementation is somewhat limited.
Objective: To identify the attitude, perceived knowledge/skills, and implementation of EBP of nurse educators, in Egyptian and Jordanian universities, and to assess factors preventing them from adopting and implementing EBP in nursing program.
Design & Methods: A cross-sectional comparative design was conducted including two groups from Egypt and Jordan. The Evidence-Based Practice Questionnaire (EBPQ) and (ii) The Developing Evidence-Based Practice (DEBP) questionnaires were used alongside a demographic data sheet. Data were analyzed using SPSS version 20 and descriptive and inferential statistics tabulated.
Results: Most respondents were from adult nursing departments (49.2%). The mean score of EBPQ was 4.96± (SD 0.91), indicating moderate perceived knowledge, skills and attitudes of nurse educators toward EBP. Frequency of practicing EBP and attitude toward EBP scores were similar between nurse educators in both countries (p>0.05). However, the Jordanian staff had a remarkably higher perceived knowledge and skills of EBP than their Egyptian counterparts, 79.98 and 57.63 respectively, p=0.004. There was a statistical significant positive, moderate correlation between attitudes, skills and frequency of practicing EBP among nurse educators in both countries. The highest correlation observed for attitude and frequency of practicing EBP was among Jordanian staff (r = 0.707, p < 0.000).
Nurse educators in Egypt had significantly higher perceived barriers to finding and reviewing evidence than their Jordanian counterparts (p =0.000). However, both groups had similar perceived barriers related to changing practice and support from colleagues. Conclusions: Nurse educators in Egypt and Jordan, equally, holds a positive attitude toward adopting EBP. However, they encounter many barriers to implement it.
National Institute of Public Health, Mexico
Development of an instrument to measure the quality of prenatal, delivery, postpartum, and newborn care
Dr. HéctorLamadrid-Figueroa is head of the Department of Health and Gender in the National Institute of Public Health of Mexico (INSP). He was a consultant with MEASURE Evaluation from 2011 to 2015, facilitating Regional Workshops of Program Impact Evaluation in Mexico, South Africa,India and Nepal. He is a collaborator of the Global Burden of Disease study since 2015. His research interests are in Epidemiology, Maternal & Child Health, Program Impact Evaluation and Applied Statistical Methods.
Context: The World Health Organization and others have identified quality of care (QoC) before, during, and after childbirth as priority areas for research and intervention. Some studies have revealed substandard QoC and mistreatment of women in Mexican Hospitals. Currently, no validated instruments exist to measure QoC in Mexico.
Objective: To develop and validate items to produce a research instrument in order to measure obstetric QoC in Mexico.
Participants: A total of 69 experts in various fields related to maternal and newborn health working in Mexico.
Intervention: Utilizing a modified Delphi method, we conducted: 1) two brainstorming workshops to define QoC and its associated variables; 2) systematization; 3) ranking and selection; 4) instrument design; 5) validation; 6) verification based on practice guidelines and norms, 7) elaboration of QoC indicators.
Main Outcome: An instrument to measure QoC in Mexican health units.
Results. During the first workshop, participants defined QoC and identified more than 400 QoC. We achieved consensus on the selection of variables and potential indicators that would comprise 3 research instruments, all of which were subsequently validated before dissemination. Finally, we developed QoC indicators.
Conclusions. This paper describes the first effort in Mexico to define and measure QoC during prenatal, delivery, postpartum, and newborn care stages. This will permit consistent QoC measurement and impact evaluation studies across providers and institutions at the hospital-level throughout the country. While further validity and reliability research is needed before a single quality index can be used to define and measure QoC, dissemination of results stemming from this pilot study could contribute to improve QoC and, ultimately, health outcomes for women and newborns in Mexico.