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The work environment is a critical determinant of the professional quality of life (ProQoL) of Neonatal Intensive Care Unit (NICU) nurses. While compassion satisfaction enhances job satisfaction, burnout and secondary traumatic stress have adverse effects on the well-being of nurses and the quality of care provided to patients. This study explores the relationship between the work environment and ProQoL among NICU nurses working in the West Bank, an area plagued by resource scarcity, political instability, and staffing shortages. A cross-sectional study was conducted among 233 NICU nurses in West Bank hospitals from 9 January 2025 to 27 January 2025. Data were collected using the ProQOL and the Practice Environment Scale of the Nursing Work Index (PES-NWI) and analyzed using descriptive statistics, Pearson correlation, and Cronbach's alpha with SPSS version 23. Most nurses reported average compassion satisfaction (94.8%), burnout (91.0%), and secondary traumatic stress (84.1%). The practice environment was moderately favorable, mean 2.7 (SD = 0.3), with strong Collegial Nurse-Physician Relations, mean 2.8 (SD = 0.5), and low Staffing and Resource Adequacy, mean 2.6 (SD = 0.4). The Spearman's correlation analysis revealed that a positive relationship existed between the favorable environment and compassion satisfaction (r = 0.747, p < 0.001), while there was a negative correlation with burnout (r = -0.604, p < 0.001) and secondary traumatic stress (r = -0.151, p = 0.021). The results suggest improving staffing and resources, nurse-physician collaboration, and emotional support, which are vital in improving ProQoL in a highly demanding environment.

Patient satisfaction with nursing care is a crucial indicator of healthcare quality, influencing patient outcomes and experiences. In the West Bank, Palestine, understanding patient satisfaction is essential for improving healthcare services, particularly in resource-limited settings. This study aimed to evaluate patient satisfaction with nursing care in intensive care units (ICUs), coronary care units (CCUs), and medical wards within both governmental and non-governmental hospitals in the region, aligning with the revised study focus. A descriptive cross-sectional study was conducted in four hospitals in the West Bank, Palestine, over a three-month period (June-August 2024), involving 201 hospitalized patients selected through convenience sampling. Data were collected using the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ), a validated tool assessing multiple dimensions of nursing care. Descriptive statistics, independent t-tests, one-way ANOVA, and multiple linear regression analyses were conducted to identify predictors of patient satisfaction. Participants' ages ranged from 21 to 84 years (M = 38.39, SD = 14.16), with 50.7% female participants. The mean overall satisfaction score was M = 64.50 (SD = 14.16), indicating moderate satisfaction. A significant difference in satisfaction levels was found between ICU and medical ward patients (t = 2.45, p = 0.015), with ICU patients reporting higher satisfaction. Regression analysis identified age (B = 0.162, p = 0.005) and health status (B = 0.242, p = 0.001) as significant predictors of satisfaction, with older and healthier patients reporting higher satisfaction levels. Additionally, frequent hospitalizations were negatively associated with satisfaction (B = -0.107, p = 0.022). Perceived confidence in responding to deteriorating conditions significantly influenced overall perception (r = 0.342, p < 0.01). Moderate patient satisfaction highlights the need for targeted interventions to enhance nurse-patient communication and family involvement, particularly for younger and frequently hospitalized patients. Hospitals should implement specialized training programs to improve communication and patient engagement. Policy interventions should focus on strengthening patient-centered nursing care in both governmental and non-governmental hospitals in the West Bank.

Effective pain management is vital for intubated patients in intensive care units, as these individuals cannot verbally communicate their discomfort. The knowledge, attitudes, practices, and perceived obstacles of nurses are critical factors that influence successful pain management. This study aimed to evaluate the knowledge, attitudes, practices, and perceived obstacles faced by critical care nurses regarding pain management in intubated patients within hospitals located in Southern West Bank. A cross-sectional survey was carried out with 199 critical care nurses utilizing the Nurses' Knowledge and Attitudes Survey Regarding Pain, alongside a modified tool for assessing perceived barriers to pain management. The data collected were analyzed to pinpoint deficiencies in knowledge and barriers impacting effective pain management strategies. The analysis showed that 192 out of 199 nurses (96.5%) lacked sufficient knowledge regarding pain management. System-related barriers, including the lack of standardized protocols and ineffective communication with physicians, were frequently identified as obstacles, averaging a score of 2.41 out of 3. Additionally, nurse-related barriers comprised insufficient time for providing non-pharmacological interventions (73.9%) and a lack of confidence in utilizing assessment tools (43.7%). Patient-related issues, such as difficulties in communication (72.4%) and hesitancy to report pain (58.8%), were also noted. A notable difference in knowledge scores was observed based on prior education in pain management, with those having received training (41.7%) performing better. The findings underscore the need for focused educational initiatives, the establishment of standardized protocols for pain management, and enhanced interdisciplinary communication. These improvements are essential for optimizing pain management practices and ensuring better patient outcomes. The results suggest that addressing knowledge gaps and systemic barriers could lead to significant enhancements in patient care and health policies.

Early mobilization (EM) among critically ill patients is important to reduce complications such as ICU-acquired weakness and improve recovery outcomes. This study assessed factors influencing EM in Southern West Bank hospitals. A cross-sectional study was conducted using the PERME ICU Mobility Score. Data were analyzed using SPSS to evaluate associations between mobility outcomes, demographics, BMI, and reasons for hospitalization. Inclusion criteria focused on critically ill patients admitted to ICUs for 2-5 days. Among 150 participants, the highest PERME ICU Mobility Score was observed in abdominal pain patients (mean = 28.0, SD = 0.0), reflecting minimal barriers, while respiratory patients scored lowest (mean = 6.9, SD = 6.9). No significant differences were found by age, gender, or BMI (p > 0.05). Seventy patients (46.7%) were awake/alert upon admission, while 39 (26%) were unresponsive. Pain or inability to determine pain levels was reported by 99 patients (66%). Respiratory conditions and pain were critical barriers to EM. Demographic factors did not influence outcomes, but targeted pain management and condition-specific protocols are needed. The SD of 0.0 for abdominal pain patients suggests homogeneity in this subgroup, warranting further investigation.

Work engagement, defined as a positive, fulfilling, work-related state of mind characterized by vigor, dedication, and absorption, is crucial for nurse retention and quality of care in high-stress environments. Neonatal Intensive Care Units (NICUs) present unique emotional and psychological challenges for nurses, necessitating skills like emotional intelligence (EI) to enhance work engagement. This study investigates the association between EI, demographic factors, and work engagement among Palestinian NICU nurses. A cross-sectional, descriptive correlational design was employed during February-April 2025. Of 230 nurses invited, 207 completed the survey (response rate = 90.2%) across 12 Palestinian NICUs using convenience sampling. Data analysis was conducted using descriptive statistics, Pearson's correlation, and multiple linear regression via SPSS v26. Validated tools, the Schutte Self-Report Emotional Intelligence Test (SSEIT) and Utrecht Work Engagement Scale (UWES), were used. Emotional intelligence (EI) demonstrated a strong positive correlation with work engagement (r = 0.693, p < 0.001), accounting for 48.0% of the variance in engagement scores. Age (B = 0.463, β = 0.535, p = 0.002), female gender (B = -2.250, β = -0.115, p = 0.017), and rotating shifts (B = 1.579, β = 0.105, p = 0.028) were significant predictors. EI was the strongest predictor (B = 0.358, β = 0.593, p < 0.001). The EI subdimension \"utilizing emotions\" scored highest (M = 47.3 ± 5.8). The findings demonstrate strong associations between EI and engagement in high-stress NICU environments. Based on these findings, we propose implementing comprehensive EI training programs in nursing curricula, establishing mentorship programs to address age-related disparities, and developing gender-sensitive workplace policies to optimize work engagement and improve patient care quality.

Introduction It is widely recognized that critical care environments significantly increase the risk of infection for both patients and healthcare personnel. Purpose This study aimed to assess the determinants of nurses’ compliance with infection prevention and control practices in critical care units. Methods A cross-sectional study was conducted with 155 nurses working in critical care units. Data were collected using a structured questionnaire that measured sociodemographic characteristics, compliance, knowledge, and perceptions of infection prevention and control (IPC) practices. Statistical analyses, including multiple linear regression, were performed to assess predictors of compliance with IPC practices. This study was conducted following the Strengthening the Reporting of Observational Studies in Epidemiology guidelines to ensure transparency and rigor in the reporting of the methodology and findings. Results A total of 155 nurses participated in the study, yielding a response rate of 91.1%. Seventy-one percent demonstrated good compliance with IPC practices, while only 39.4% exhibited moderate knowledge of IPC guidelines. Experience in critical care (β = 3.542, p < .05) and institutional support (β = 0.246, p < .01) were significant predictors of compliance, highlighting the importance of both factors in promoting adherence to IPC practices. Conclusion Although compliance with IPC practices was generally high, gaps in knowledge and perception suggest the need for enhanced educational initiatives and institutional support to further improve IPC adherence. Future research should focus on developing strategies that address these gaps to ensure sustainable compliance.

Background Nursing students are exposed to various academic, clinical, and emotional stressors that may negatively impact their well-being. Resilience has been identified as a protective factor against such stressors; however, the relationship between resilience and well-being among nursing students in Palestine remains underexplored. Objective This study aimed to examine the relationship between resilience and well-being among nursing students in Palestine. Methods A cross-sectional study was conducted involving 297 nursing students at Palestinian Ahliya University from January 10 to March 20, 2025. Data were collected using two standardized instruments: the World Health Organization-Five Well-Being Index (WHO-5) and the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Descriptive statistics summarized the sample characteristics and scale scores. Pearson correlation analysis was used to assess the relationship between resilience and well-being. Multiple linear regression was employed to identify predictors of well-being. Results The mean well-being score was 81.8 (SD = 15.7), and the mean resilience score was 33.9 (SD = 3.8), indicating relatively high levels of well-being and resilience among participants. A significant positive correlation was found between resilience and well-being ( r  = 0.464, p  < 0.001), as well as between academic year ( r  = 0.216, p  < 0.001) and age ( r  = 0.133, p  = 0.021) with well-being. Multiple linear regression analysis revealed that resilience was the only significant predictor of well-being (B = 1.840, p  < 0.001). The overall model was statistically significant (R² = 0.219, adjusted R² = 0.211, p  < 0.001), explaining 21.9% of the variance in well-being. Conclusion Resilience is a significant predictor of well-being among Palestinian nursing students. This single-university sample, reliance on self-reported data and lack of control for potential confounders such as stress or academic performance limit the generalizability and causal interpretation of the findings. These findings highlight the importance of incorporating resilience-building strategies into nursing education to support student mental health. Further studies are recommended to explore additional psychosocial predictors and longitudinal outcomes. Clinical trial Not applicable.

Nurses in intensive care units (ICUs) face high levels of stress and emotional challenges, making it essential to understand the factors that influence their professional quality of life (ProQoL). This study aimed to investigate the relationship between work environment factors and ProQoL, particularly focusing on burnout, compassion satisfaction, and secondary traumatic stress, among ICU nurses. The Professional Quality of Life (ProQoL) Scale was used to measure these aspects, with an emphasis on the importance of a supportive work environment for enhancing staff well-being and organizational performance. This cross-sectional study was conducted between March and August 2024, involving 162 ICU nurses from hospitals in the southern West Bank. A stratified random sampling method was employed to ensure representativeness. Data collection involved surveys covering socio-demographic information, the Practice Environment Scale-Nursing Work Index (PES-NWI), and the ProQoL scale. Statistical analyses, including descriptive statistics and Pearson correlation, were performed using SPSS. The participants were predominantly young, with 61.7% less than 30 years old, and 65.4% were male. Most held a bachelor’s degree (54.9%). The survey indicated that the majority reported average levels of compassion satisfaction (90.7%), burnout (91.4%), and secondary traumatic stress (85.2%). The analysis showed that a moderately positive practice environment was significantly associated with lower levels of burnout and higher levels of compassion satisfaction. Additionally, there was a significant difference in mean Compassion Satisfaction scores according to sleep hours (F = 5.475, P < .05). Nurses who slept more than 8 h had significantly higher Compassion Satisfaction compared to those who slept less than 8 h or exactly 8 h (P < .05). ICU nurses generally perceived their work environment positively, though there are opportunities to improve their professional quality of life, particularly by addressing burnout. The findings highlight the need for targeted interventions and further research to enhance job satisfaction and well-being among ICU nurses.

Introduction Evidence-based practice (EBP) integrates clinical expertise, patient preferences, and research evidence to guide healthcare decisions. Despite its global importance, research on EBP competencies among Palestinian nursing students remains limited. This study aims to explicitly assess EBP competency levels; knowledge, attitudes, and skills, while identifying key predictors and barriers affecting EBP integration. Methods A cross-sectional study was conducted with 273 nursing students from Palestine Ahliya University using the validated Evidence-Based Practice Competence Questionnaire (EBP-COQ). Data were analyzed using descriptive statistics, Pearson correlation, and multiple linear regression. Results Participants exhibited moderate evidence-based practice (EBP) competency, with an overall score of 59.4% (mean = 74.3/125). Domain-specific scores revealed knowledge (58%), attitudes (62%), and skills (58%) at comparable levels. Multiple linear regression identified academic progression (fourth-year status: β = 5.982, p  < 0.001) and self-directed learning (papers read monthly: β = 3.133, p  < 0.001) as strong predictors of higher competency. Notably, prior EBP training showed a significant negative correlation with competency ( r = -0.492, p  < 0.001), raising concerns about the quality and effectiveness of existing training programs. Conclusion This study provides the first systematic assessment of EBP competency among Palestinian nursing students. While academic progression and self-directed learning enhance competency, concerns over the quality of EBP training programs require urgent attention. The findings underscore the need for curriculum reforms, structured mentorship, and improved access to research resources to enhance EBP integration into nursing education and practice in Palestine. Clinical trial number Not applicable.

Introduction Cardiac arrest is a serious threat to patients in intensive care units (ICUs), posing a significant risk that can lead to a patient's death if not treated promptly. The utilization of capnography to improve outcomes for patients with cardiac arrest has received substantial attention in research. Purpose The purpose of this study was to assess ICU nurses’ knowledge and perceptions of capnography use specifically during cardiac arrest resuscitation in South West Bank Hospitals. Methods A cross-sectional descriptive approach was used, employing a questionnaire for data collection. Data were collected from January 15, 2024, to March 15, 2024. The sample of the study consists of 155 nurses working in ICUs in South West Bank hospitals. Results The results of the study revealed that most participants (N = 106, 68.4%) had low knowledge of capnography, with a mean knowledge score of 52.9 ± 15.3. The results also showed that the participants’ perception of capnography use was fair in N = 60 (38.7%) and poor in N = 59 (38.1%). Furthermore, the results revealed that there were no significant differences in capnography knowledge based on selected demographic and professional characteristics of nurses (p > 0.05), indicating consistent knowledge gaps across experience levels. Conclusion The study confirmed that ICU nurses had fair and poor perceptions toward capnography use during cardiac arrest resuscitation. This highlights the need for targeted education to improve bedside capnography assessment skills among ICU nurses. Recommendations for enhancing capnography training and further research were presented.