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There is a sharp increase in the number of older people globally. Thus, it is important to adopt strategies to improve the care provided for older people, especially due to the increased prevalence of chronic conditions. However, very little evidence is available on what should be done, especially from the perspective of healthcare professionals responsible for providing care for older people in nursing homes. Thus, this study aimed to explore the opinions of healthcare professionals including nurses and physicians in nursing homes on adopting holistic framing for improving care provision for older people with chronic conditions in Jordan. The study employed a descriptive phenomenological design using semi-structured interviews with 13 nurses and two physicians in Amman governorate in Jordan during the period from June to September 2024. Inductive content analysis was used to analyze data. The findings revealed three overarching themes including: (1) offering dedicated courses and postgraduate programs; (2) improving facilities and resources; and (3) raising awareness and enhancing collaborations. The findings provide a holistic framing for improving healthcare provision for older people with chronic diseases in Jordan.

It is estimated that 5.4 million Americans have some form of dementia and these numbers are expected to rise in the coming decades, leading to an unprecedented demand for memory care housing and services. In searching for innovative options to create more autonomy and better quality of life in dementia care settings, repurposing existing structures, in particular vacant urban malls, may be 1 option for the large sites needed for the European model of dementia villages. These settings may become sustainable Dementia Friendly City Centers (DFCC), because in the case of enclosed mall construction, the internal infrastructure is in place for lighting, HVAC, with varied spatial configuration of public spaces. This paper describes the community engagement research being conducted by a research team at a Midwestern university, laying groundwork for the DFCC model for centralized dementia programs, services, and attached housing. Using graphics and plans for the DFCC model using an 800 000 ft2 closed mall site, focus groups were conducted with family caregivers of individuals with dementia and long-term care residents to gather their input and response to the model. The participants identified both opportunities and barriers in using an adaptive reuse of a large site for an innovative integrated dementia care model and through the cross-case analysis of the focus group findings, 5 themes were identified which include: community education and acceptance; amenities and activities; maintaining family connections; resident adaptation and staffing.

Background Anemia is a major problem among infants aged under 1 year. There are limited studies in Palestine about anemia among infants. Thus, this study aimed to address this gap. Methods A retrospective study was conducted. A review of 1249 infants recorded in primary health centers of the West Bank, Palestine was performed during the period from January to December 2022. The collected data included sociodemographic factors, feeding practices, and hemoglobin levels. Descriptive statistics, correlations, and binary logistic regression were performed to analyze the data. Results The findings showed that 35.2% of infants were anemic, of which 67.2% had mild anemia. The detrimental predictors for anemia were introducing complementary feeding earlier than six months of age, receiving exclusive bottle feeding with complementary feeding (solid or semisolid) at 12 months, and low family income. While receiving exclusive breastfeeding and complementary feeding at 12 months was a protective predictor. Conclusion Healthcare professionals should develop intervention programs to enhance hemoglobin levels and decrease anemia among infants while considering correlating factors.

Background Patients diagnosed with hematological malignancies residing in low-middle-income countries undergo significant physical and psychological stressors. Despite this, only 16% of them receive proper care during the terminal stages. It is therefore crucial to gain insight into the unique experiences of this population. Aim To have a better understanding of the needs and experiences of adult patients with advanced hematological malignancy by exploring their perspectives. Methods A qualitative interpretive design was employed to collect and analyze data using a phenomenological approach. The study involved in-depth interviews with ten participants aged between 49 and 65 years, utilizing a semi-structured approach. Results Two primary themes emerged from the participants’ experiences of reaching the terminal stage of illness: “Pain, Suffering, and Distress” and “Spiritual Coping.” The first theme encompassed physical and emotional pain, suffering, and distress, while the second theme was centered on the participants’ spiritual coping mechanisms. These coping mechanisms included seeking comfort in religious practices, relying on spiritual support from family and friends, and finding solace in their beliefs and faith. Conclusion Patients with hematological malignancies in the terminal stages of their disease experience severe pain, considerable physical and psychosocial suffering, and spiritual distress. While they require support to cope with their daily struggles, their experiences often go unnoticed, leading to disappointment and loss of dignity. Patients mainly rely on their spirituality to cope with their situations. Healthcare providers must acknowledge these patients’ needs and provide more holistic and effective care.

Background Palliative care is crucial for all intensive care unit (ICU) clinicians. However, its effective implementation is often challenged by insufficient training, high staff turnover, and limited resources, negatively affecting the quality of care. This study aimed to assess the knowledge, attitudes, and self-efficacy regarding palliative care among ICU nurses in hospitals in the West Bank. Methods A cross-sectional study was conducted among 260 ICU nurses in governmental hospitals across the West Bank. Data were gathered between January and July 2024 through self-administered questionnaires, including the Palliative Care Quiz for Nurses (PCQN), the Frommelt Attitudes Towards Care of the Dying (FATCOD) scale, and the Palliative Care Self-Efficacy Scale (PCSES). Results The findings revealed insufficient levels of palliative care knowledge (M = 6.6 ± 2.6 out of 20), positive/favorable attitudes (M = 94.1 ± 2.9 out of 150), and low self-efficacy in palliative care (M = 23.0 ± 8.1 out of 48) among nurses. Significant predictors of self-efficacy included ICU experience and marital status, with single nurses and more experience showing higher self-efficacy ( p  < 0.01). Conclusion This study highlights the pressing need for targeted interventions to address the gaps in palliative care knowledge and attitudes among ICU nurses. Implementing such initiatives could substantially improve the delivery of palliative care in resource-constrained settings, emphasizing the importance of action to promote better patient outcomes.

Purpose Type 1 diabetes mellitus (T1DM) is the most common endocrine disorder during adolescence. Self-care behaviors are the cornerstone of diabetes management. Effective self-care behaviors require individuals to perform a range of complex daily tasks, including monitoring blood glucose, adhering to dietary recommendations, administering insulin, and recognizing symptoms of hypo- or hyperglycemia. Two critical psychosocial and cognitive factors that influence the success of self-management are self-efficacy and health literacy. There are limited studies on the factors related to self-efficacy and health literacy associated with self-care behaviors among adolescents with T1DM in the Arab World, including Palestine. Therefore, this study investigated the associations between self-efficacy, health literacy, select demographic variables, and self-care behaviors among adolescents with T1DM in Palestine. Methods A cross-sectional correlational design was used, and 156 adolescents aged 14–18 years were selected by a convenience sampling method from primary healthcare settings in Palestine between February and June 2024. A self-reported questionnaire was used to collect data, which included demographic variables, the Diabetic Health Literacy Scale, the Self-Efficacy for Diabetes Scale, and the Self-Care Inventory. Descriptive statistics, Pearson’s and point biserial correlation tests, and multiple linear regression were used to examine the relationships between the study variables. Results Participants reported high levels of self-efficacy (M = 108.80, SD = 14.92), low levels of health literacy (M = 2.12, SD = 0.78), and low engagement in self-care behaviors (M = 33.82, SD = 7.79). A positive correlation was found between self-efficacy and self-care behaviors ( r  = 0.396, p  < 0.01). In contrast, age was negatively associated with self-care behaviors ( r = -0.249, p  < 0.01). Furthermore, self-efficacy and age were significant predictors of self-care behaviors (β = 0.196, p  < 0.001; β = -1.256, p  < 0.01, respectively). Conclusions This study helps policymakers, healthcare providers, and parents develop strategies to enhance self-care behaviors through targeted interventions and educational programs. The findings may guide any future educational program or training sessions to improve self-care behaviors among adolescents with T1DM.

Family carers increasingly take on the responsibility of self-management of dementia as the condition progresses. However, research on this topic is scarce. This scoping review aimed to identify the key characteristics related to self-management of dementia by carers including its components, theoretical/conceptual frameworks that underpinned these components and measurements. A scoping review was conducted in 8 databases and 16 publications met the inclusion criteria. Twenty-two components were identified and grouped into two categories: activities and carer characteristics and skills. The identified theoretical/conceptual frameworks were numerous and varied as were the measures. There was a little consistency of the key characteristics of self-management of dementia by carers. The findings assist carers and healthcare providers to understand the components involved in self-managing dementia which will guide the development and delivery of self-management support interventions for carers. Further research is required to validate these findings and to develop specialized conceptual frameworks and measures.

Introduction Sepsis is a major global health issue leading to severe organ damage and causing 11 million deaths annually. It affects 50 million people worldwide and requires extensive knowledge and resources. Intensive care nurses play an important role in evaluating sepsis, identifying it, escalating care, and initiating treatment. This study aimed to assess the Intensive Care Unit (ICU) nurses’ knowledge, attitudes, and decision-making skills related to sepsis assessment and management, and determine the factors influencing nurses’ decision-making in ICUs. Methods A cross-sectional study was conducted among ICU registered nurses in Palestine. A convenience sample of 243 participants was recruited. A structured self-reported questionnaire comprising three sections: socio-demographic characteristics, Nurses’ Knowledge and Attitudes Survey, and the Nurses’ Decision-Making Instrument (NDMI) was used to collect the data from April to June 2024. Results The findings revealed that participants demonstrated means of 82.74 ± 16.34, 72.31 ± 22.32, and 88.36 ± 14.84 for knowledge, attitudes, and decision-making skills, respectively, reflecting high knowledge, moderate attitudes, and high decision-making skills levels. Decision-making skills were correlated with knowledge ( r  = 0.348, p  < 0.001), attitudes ( r  = 0.607, p  < 0.001), sex ( r = -0.193, p  < 0.01), and sepsis training ( r  = 0.607, p  < 0.001). The predictors of decision-making skills were sepsis training ( B  = 0.413, p  < 0.01), attitudes ( B  = 0.354, p  < 0.01), and knowledge ( B  = 0.147, p  < 0.01). Conclusion This study highlights that ICU nurses’ knowledge, attitudes, and training significantly influence their decision-making skills related to sepsis management. Targeted sepsis education programs, incorporating early recognition strategies, guideline adherence, and protocol-driven interventions, are crucial for enhancing nurses’ clinical decision-making. Strengthening these educational initiatives will improve timely and evidence-based sepsis care, ultimately leading to better patient outcomes in ICUs. Clinical trial number Not applicable.

Background Self-efficacy emerges as a crucial element that impacts engagement in self-care behaviors among patients with type 2 diabetes. There is a lack of studies examining management self-efficacy and quality of life among patients with type 2 diabetes in Palestine. Thus, this study examined these variables among this cohort. Methods A cross-sectional study and a convenience sample of 397 patients with type 2 diabetes who attended diabetic clinics in the North West Bank, Palestine, were recruited. Data were collected using a paper self-reported questionnaire composed of the RVDQOL-13 scale to assess the quality of life and the diabetes management self-efficacy scale. The participants received the questionnaire in person during their scheduled clinic visits and completed it independently. The researchers were responsible for distributing the questionnaires to participants and collecting them on the same day during the period from June to September 2023. Results The participants reported a high diabetes management self-efficacy, with a mean score of 73.6 (± 14.5), while their quality of life was generally poor, with a mean score of 47.6 (± 13.1). Quality of life showed significant positive associations with employment (p.b. r  = 0.143, p  < 0.01), monthly income (p.b. r  = 0.137, p  < 0.01), educational level (p.b. r  = 0.137, p  < 0.01), male gender (p.b. r  = 0.120, p  < 0.05), diabetes management self-efficacy ( r  = 0.545, p  < 0.01), and duration of diabetes ( r  = 0.157, p  < 0.01). In contrast, quality of life was negatively associated with body mass index (BMI) (p.b. r = -0.100, p  < 0.05) and HbA1c levels ( r = -0.265, p  < 0.01). Multiple regression analysis identified diabetes management self-efficacy (b = 0.474, p  < 0.001) and longer duration of diabetes (b = 0.204, p  < 0.015) as significant positive predictors of quality of life. Conversely, higher HbA1c levels were found to be a significant negative predictor of quality of life (b= -1.278, p  < 0.001). Conclusions This study emphasizes the need for multi-dimensional, person-centered care for patients with type 2 diabetes. Effective diabetes interventions should address the social, psychological, and educational needs that shape quality of life.

Background There is a lack of studies on alarm fatigue among nursing students during their internships in critical care units. Therefore, this study aimed to examine the association between alarm fatigue and perceived stress, resilience, and coping behaviors among Palestinian nursing students during their internships in critical care units. Methods A cross-sectional study was adopted involving 141 nursing students during their internships in critical care units in Palestine. A self-reported online questionnaire was used to collect data. It included the Alarm Fatigue Questionnaire, Perceived Stress Scale (PSS), Brief Resilience Scale (BRS), and Coping Behavior Inventory (CBI). Descriptive statistics, correlation, and multiple linear regression were used for data analysis. The data were collected at the end of the internships in January 2024. Findings : The results showed that the participants had moderate levels of alarm fatigue (M = 21.71, SD = 7.78 out of 52), perceived stress (M = 1.36, SD = 0.83 out of 4), and resilience (M = 3.25, SD = 0.60 out of 5). Problem-solving was the most frequent coping behavior. A weak positive correlation was found between alarm fatigue and perceived stress ( r  = 0.22, p  < 0.01). In contrast, a negative moderate relationship existed between alarm fatigue and resilience (-0.40, p  < 0.001) and problem-solving behavior ( r = -0.34, p  < 0.001). Resilience and problem-solving behavior were the main predictors of alarm fatigue. Conclusion This study highlights the importance of recognizing the correlated factors of alarm fatigue among nursing students during their internships, especially in critical care units. Strategies that foster resilience and positive coping mechanisms and minimize the perceived stress should be implemented to minimize alarm fatigue among nursing students and enhance their well-being and clinical performance. Ongoing guidance and training on effective alarm control practices are vitally important. Implementing effective stress-reduction measures, such as mindfulness-based practices and adopting positive coping strategies are essential.