Issa Hweidi - Academia.edu (original) (raw)

Papers by Issa Hweidi

BMC Women's Health, May 25, 2023

Background The Fertility Quality of Life (FertiQoL) questionnaire assesses the quality of life of... more Background The Fertility Quality of Life (FertiQoL) questionnaire assesses the quality of life of people with fertility problems. The present study aimed to assess the psychometric properties of the Arabic version of the Fer-tiQoL in infertile couples in Jordan. Methods This study used a cross-sectional design among 212 participants with infertility problems. An exploratory factor analysis (EFA) and a confirmatory factor analysis (CFA) were conducted to investigate the underlying structure of the novel Arabic version of the FertiQoL tool. Results The Cronbach's alpha values for the FertiQoL core domain, the FertiQoL treatment domain, and the total FertiQoL scale were 0.93, 0.74, and 0.92, respectively. The EFA indicated a two-domain model, with the first factor having 24 items and measuring "Core QoL". The second factor has 10 items and measures "Treatment QoL" in the context of infertility. The EFA and the CFA supported a two-factor model whereby the two factors explained 48% of the shared covariance between the analyzed quality of life indicators. The indices of goodness-of-fit of the model showed acceptable fit as follows: the chi-squared test (χ2) = 7.943, the comparative fit index (CFI) = 0.999, the root mean square error of approximation (RMSEA) = 0.001, and the Tucker-Lewis index (TLI) = 0.989. Conclusion The study's findings demonstrated the reliability and validity of the Arabic version of the FertiQoL for assessing the quality of life of infertile couples or those in Jordan with no pregnancy or childlessness.

Background: A lack of knowledge among patients of heart failure represents a significant problem ... more Background: A lack of knowledge among patients of heart failure represents a significant problem that could lead to an increase in adverse outcomes, such as lengthening the hospitalization period and increasing the readmission rate. Purpose: This study aimed to identify the effect of mobile health education applications on the knowledge of patients of heart failure and identify the associated factors that would contribute to patients’ knowledge of heart failure. Methods: A quasi-experimental design (two groups with pretest-posttest design) was used. A non-probability convenient sample of 160 patients was recruited. The participants were assigned randomly to an experimental group and a control group. The Dutch Heart Failure Knowledge Scale was used to assess the patients’ level of knowledge. Descriptive statistics, independent t-test and multiple-regression analysis were used to analyze the data. Results: The total number of participants was 126. The overall Jordanian patients’ level of knowledge regarding the non-pharmacological management of heart failure was moderate (M = 9.4, SD = 2.07). Significant differences between study groups were found in terms of levels of knowledge. The intervention group (M = 12.26, SD = 2.36) had significantly higher mean scores of knowledge level of heart failure compared to the control group (M = 9.76, SD = 2.01); t = 6.361, p = 0.000). The result of the regression analysis was significant (adjusted R2 = 0.222, F (16,109)= 3.226, P=0.000). Conclusion: Mobile health education could be a promising solution for managing different chronic diseases, particularly HF. Implications for Nursing: Mobile health could be a more costeffective approach to patient education than other traditional approaches recently applied in clinical practice. Keywords: Heart failure, Patient education, Knowledge, Telehealth, Mobile health applications.

Journal of Infection and Public Health, Dec 1, 2012

Background: Few studies have been conducted in Jordan related to health care associated bloodstre... more Background: Few studies have been conducted in Jordan related to health care associated bloodstream infections (HCABSIs). This study aims to examine epidemiology of HCABSIs among hospitalized adult patients in Jordan. Methods: A cohort study (N = 570; 445 confirmed HCABSIs, 125 uninfected patients) with a nested 1:1 matched case-control design (n = 125 in each group) was used based on data from one large referral hospital in Jordan over a period of 5 years. HCABSI cases were determined based on confirmed positive blood culture after 48 h of admission. The case-control analyses (n = 250 per group) matched on gender, age, same admission month and unit. Results: The overall incidence and mortality rates were 8.1 and 5.8 per 1000 admissions, respectively. Four-variable and three-variable multivariate models were proposed to explain the risk of HCABSIs in the matched analyses .The fourvariable model consists of blood product (OR = 24.5), invasive procedures (OR = 4.3), renal failure (OR = 9.2), and presence of other infections (OR = 21.6). The threevariable model consists of recipient of blood product (OR = 19.7), invasive procedures (OR = 4.5), and renal failure (OR = 9.4). Conclusions: This study is a pioneer study that examined risk factors, the associated HCABSIs in Jordan. Results from this study can be used to influence infection control plans in Jordan.

Background. Central line associated blood stream infection is one of the main oncerns worldwide. ... more Background. Central line associated blood stream infection is one of the main oncerns worldwide. Reduction of this problem is the main goal of nurses working in intensive care units to improve patients' safety and quality of care. Little is known about the endemic burden of this problem in developing countris. Aims and Objectives. This study aimed to estimate the prevalence of central line associated bloodstream infection in adult patients hospitalized in intensive care units, in Jordan. Moreover, the study aimed at identifying significant predictors of central line associated bloodstream infection. Methods. A retrospective design was used. The setting of this study was a University affiliated hospital in northern Jordan.

Research Square (Research Square), Mar 13, 2023

Background: The Fertility Quality of Life (FertiQoL) questionnaire assesses the quality of life o... more Background: The Fertility Quality of Life (FertiQoL) questionnaire assesses the quality of life of people with fertility problems. The present study aimed to assess the psychometric properties of the Arabic version of the FertiQoL in infertile couples in Jordan. Methods: This study used a cross-sectional design among 212 participants with infertility problems. An exploratory factor analysis (EFA) and a con rmatory factor analysis (CFA) were conducted to investigate the underlying structure of the novel Arabic version of the FertiQoL tool. Results: The Cronbach's alpha values for the FertiQoL core domain, the FertiQoL treatment domain, and the total FertiQoL scale were 0.93, 0.74, and 0.92, respectively. The EFA indicated a two-domain model, with the rst factor having 24 items and measuring "Core QoL". The second factor has 10 items and measures "Treatment QoL" in the context of infertility. The EFA and the CFA supported a two-factor model whereby the two factors explained 48% of the shared covariance between the analyzed quality of life indicators. The indices of goodness-of-t of the model showed acceptable t as follows: the chi-squared test (χ2) = 7.943, the comparative t index (CFI) = 0.999, the root mean square error of approximation (RMSEA) = 0.001, and the Tucker-Lewis index (TLI) = 0.989. Conclusion: The study's ndings demonstrated the reliability and validity of the Arabic version of the FertiQoL for assessing the quality of life of infertile couples or those in Jordan with no pregnancy or childlessness.

International Journal of Nursing Practice, Sep 29, 2016

Illness perception in patients with coronary artery disease: A systematic review The aim of this ... more Illness perception in patients with coronary artery disease: A systematic review The aim of this study was to conduct a systematic review that investigates the differences in illness perception with age and gender in patients diagnosed with coronary artery disease. Previous studies show some discrepancies regarding the influence of age and gender on the specific dimensions of coronary artery disease patients' illness perception. A systematic review using a narrative synthesis process included preliminary synthesis, exploration of relationships and assessment of the robustness of the synthesis and findings was conducted. Search terms were used to identify research studies published between 1996 and December 2014 across four key databases: CINAHL, Medline, PsycINFO and Web of Science. A total of 14 studies met the inclusion criteria of the review. The review found that men had a stronger perception that their own behaviour had caused their illness than women. In addition, older patients had lower perceptions of the consequences and chronicity of their illness. This analysis concludes that some dimensions of illness perception vary according to age and gender of patients with coronary artery disease. These differences should be taken into consideration, particularly when providing health education and cardiac rehabilitation.

Journal of Wound Care, Dec 2, 2018

Objective: To assess the extra health-care costs and length of stay resulting from surgical site ... more Objective: To assess the extra health-care costs and length of stay resulting from surgical site infection (SSI), as well as to identify the most frequent aetiological microorganisms of SSIs among Jordanian craniotomy surgery patients. Method: A retrospective, descriptive, correlational and nested 1:1 matched case-control design was used. A computerised list of patients, who underwent surgery between May 2009 and March 2015, was generated in the targeted hospital. A final bill for every selected patient was also determined. Patients were divided equally into two groups: patients with an SSI and patients without an SSI. Results: A total of 64 patients were recruited. The SSI-group had a significant higher mean health-care cost of $7,899.08 (p=0.001) and a longer stay in hospital (mean additional days: 23.17) than the non-SSI group. Furthermore, Acinetobacter baumannii and Staphylococcus aureus were determined as the most predominant causative agents of SSI, at 39.1% and 26.1% of SSI patients, respectively. Conclusion: The results of this study can be considered as a baseline for national benchmarking to evaluate the quality of care provided to targeted patients. This study should encourage nurse administrators to adopt protocols and strategies that promote infection control measures, as well as to develop new methods of surveillance on universal precautions adherence. This may limit pathogen contamination in the surgical wound, shorten length of stay and decrease health-care costs.

International Journal of Nursing Practice, Apr 1, 2004

The purpose of this study was to identify needs of Jordanian families of hospitalized, critically... more The purpose of this study was to identify needs of Jordanian families of hospitalized, critically ill patients. The Critical Care Family Needs Inventory was introduced to 158 family members who were visiting their hospitalized, critically ill relatives. The findings revealed that ≥ 80% of the family members perceived 16 need statements as important or very important. The participants ranked order needs for assurance, information and proximity the highest and needs for support and comfort the lowest. Specifically, the most important needs of the families were to receive information about the patients, to feel that the hospital personnel care about the patients and to have the information given in understandable terms. Results of this study indicated that Jordanian families had specific and identifiable needs. Providing families of critically ill patients clear, simple and updated information about the patients, and assuring them about the quality of care the patients receive, should be essential components of the critical care nursing delivery system.

International Nursing Review, Sep 1, 2005

HWEIDI I.M. & AL-HASSAN M.A. (2005) Jordanian nurses' attitudes toward older patients in acute ca... more HWEIDI I.M. & AL-HASSAN M.A. (2005) Jordanian nurses' attitudes toward older patients in acute care settings.

Dimensions of Critical Care Nursing, 2017

Background: There is a distinct gap between theory and practice with respect to research use in c... more Background: There is a distinct gap between theory and practice with respect to research use in clinical practice, particularly in critical care units, that could be related to the presence of a number of barriers that hinder the use of research findings. Aims: The aims of the study were to identify barriers and facilitators to research use as perceived by Jordanian nurses in critical care units and to examine the predictors of research use among those nurses. Methods: The study used a cross-sectional, correlational design. The self-administered ''Barriers Scale'' was introduced to 200 registered critical care nurses, using the drop-and-collect technique, between October and November 2015. Results: The results revealed that ''nurse does not have time to read research at work'' was the top ranked barrier that hinders research use (mean [SD], 3.45 [0.79]). The first 7 ranked barriers were related to the organizational subscale. Managerial support was the top perceived facilitator for research use. Only ''attending special training courses in nursing research'' was the significant predictor of research use and explained 59.1% of the variance in research use, t(190) = j3.93, P = .003. The most identified barriers toward research use revealed by the qualitative data include dominant routine nursing tasks, existence of gap between theory and practice, shortage of nursing staff, and public negative image about nursing profession. Participants suggested the importance of increasing organizational support and creating an organizational research culture to further promote research use in clinical nursing practice.

International Journal of Nursing Sciences, Jul 1, 2017

Objectives This study aims to determine if patients with acute myocardial infarction differ in il... more Objectives This study aims to determine if patients with acute myocardial infarction differ in illness perception and secondary prevention outcomes depending on the treatment they received. Methods A repeated measures design was used to compare patients with acute myocardial infarction receiving three different treatment modalities: ST-elevation myocardial infarction treated by primary percutaneous coronary intervention, ST-elevation myocardial infarction treated by thrombolytic therapy, and non ST-elevation myocardial infarction treated by medication. A convenient sampling technique was used to recruit 206 patients with acute myocardial infarction who agreed to participate in the current study. Patients' illness perception, physical activity, and demographical and clinical data were collected during hospital admission and again at 6 months. Results A total of 186 patients completed the study. Results showed that the primary percutaneous coronary intervention group perceived their illness as acute rather than chronic (P = 0.034) and has lower personal control (P = 0.032), higher treatment control (P = 0.025), and higher perception of illness coherence (P = 0.022) compared with patients receiving thrombolytic therapy and treated after non-ST segment infarction. Moreover, they report low control of their blood pressure (P = 0.013) and less physical activity (P = 0.001). Conclusion The results of this study revealed that patients' treated with primary percutaneous coronary intervention had negative illness perception and limited behavioral changes 6 months after hospitalization in comparison with other treatment modalities such as percutaneous coronary intervention and thrombolytic treatment. Further research is recommended to confirm this association with longer follow-up study and among different cultures.

Journal of Clinical Medicine

Although the current management of COVID-19 is mainly focused on efficacious vaccine and infectio... more Although the current management of COVID-19 is mainly focused on efficacious vaccine and infection control, the most common psychological reactions (such as fear and anxiety) associated with the COVID-19 pandemic have not been investigated and even neglected in patients with heart failure who are at greater risk for morbidity and mortality. We assessed COVID-19 related fear and anxiety among patients with heart failure and determined their associated factors. A cross sectional survey was conducted among 300 consecutive patients with heart failure during the period of March 2021–June 2021. Almost 50.7% of patients had fear of COVID-19 and 36.3% had coronavirus anxiety. Age > 55 was significantly associated with increased odds of fear (OR = 2.6) and anxiety (OR = 4.3). Patients with angina were more likely to have fear (OR = 3.0) and anxiety (OR = 2.2) and patients with chronic lung disease were more likely to have fear (OR = 3.0) and anxiety (OR = 3.3). Increased age, having angin...

Advances in Medical Education and Practice

Purpose: Mindfulness meditation was used to reduce stress and its responses such as cortisol and ... more Purpose: Mindfulness meditation was used to reduce stress and its responses such as cortisol and C-reactive protein (CRP) among healthy and ill individuals in various cultures, but its effect has not yet been studied among nursing students, experiencing tremendous stress. The objective of this study was to examine the effects of mindfulness meditation on trait mindfulness, perceived stress, serum cortisol, and serum C-reactive proteins (CRP) in nursing students. Patients and Methods: Using a two-arm, randomized, parallel study (conducted in a large university in Jordan, 108 nursing students were randomly assigned to experimental group receiving five 30-minute weekly sessions of mindfulness meditation and control group sitting quiet during the experimental sessions. Trait mindfulness, perceived stress, serum cortisol, and CRP were measured at baseline and end of the intervention. Results: Using one-way MANOVA and post-hoc comparisons, the results showed that mindfulness meditation was significantly effective in decreasing serum cortisol levels and perceived stress. The mindfulness meditation also decreased CRP and increased trait mindfulness although the results did not reach statistically significant levels. Conclusion: These findings underscore the need for serious consideration of mindfulness meditation in nursing colleges to improve stress and raise immunity in this vulnerable population. Trial Registration: Mindfulness Meditation for Nursing Students: clinicaltrials.gov, identifier: NCT05099224.

Background: Improving physical activity, anxiety and depression levels among post-acute myocardia... more Background: Improving physical activity, anxiety and depression levels among post-acute myocardial infarction (AMI) patients is essential, necessitating interventions to improve these outcomes. This is a need for more research on physical activity, anxiety, and depression levels based on type of AMI following hospitalization. Aim: To compare physical activity behavior, anxiety, and depression levels among post-ST-elevation myocardial infarction (STEMI) and post-non-ST-elevation myocardial infarction (NSTEMI) patients not involved in cardiac rehabilitation program following hospitalization.Methods: A descriptive cross-sectional study design was employed with a convenience sample of 254 post-AMI patients, four weeks after hospitalization. Participants, recruited from three hospitals in Jordan, completed the socio-demographic and clinical data, International Physical Activity Questionnaire - Short Form (IPAQ-SF), General Anxiety Disorder-7 (GAD-7) Questionnaire, and Patient Health Ques...

International Journal of Nursing Sciences, 2022

Wounds : a compendium of clinical research and practice, 2020

BACKGROUND Surgical site infections (SSIs) are considered to be some of the most serious postoper... more BACKGROUND Surgical site infections (SSIs) are considered to be some of the most serious postoperative health concerns among patients with diabetes mellitus (DM) who undergo coronary artery bypass graft (CABG) surgery. OBJECTIVE The purpose of this study is to identify and explore the predictors of SSIs among patients with DM after CABG surgery. METHODS A quasi-experimental study was conducted using a convenience sample of 144 adult patients who were scheduled to undergo CABG at the main referral heart institute in Amman, Jordan from September 1, 2018, through November 30, 2018. Eligibility criteria stipulated participants should be adult (43-74 years) Jordanian patients with DM who underwent CABG surgery with or without cardiopulmonary bypass (CPB) and elective or urgent CABG surgery as well as being able to read and write Arabic. Key patient demographics, health history, baseline lab work, surgical characteristics, and clinical outcomes were collected from medical records. Data we...

Nursing Forum, 2021

INTRODUCTION Despitecardiac cachexia being a prevalent health problem among heart failure (HF) pa... more INTRODUCTION Despitecardiac cachexia being a prevalent health problem among heart failure (HF) patients, it has been given little attention by nursing researchers. Therefore, this study aims to conduct a systematic review that investigates cardiac cachexia among patients with HF. METHODOLOGY A systematic review will be performed according to the PRISMA guidelines to assess the findings of twelve selected studies which meet the inclusion criteria of the systematic review research. The selected articles were published between 2000 and 2020 across three databases: PubMed, CINAHL, and MEDLINE. RESULTS In comparison to cancer cachexia, cardiac cachexia has been insufficiently studied and is poorly understood. No definitive diagnostic method for cardiac cachexia has been identified in the literature. Age, smoking, and hypertension have been reported to be risk factors for cardiac cachexia. Cardiac cachexia has been significantly associated with lethal structural changes in the heart and has been measured using anthropometric measures and laboratory biomarkers. A combination of pharmacological and nonpharmacological treatments has been effectively implemented to manage cardiac cachexia. CONCLUSION A focused multidisciplinary approachthat takes culture into consideration is required to set a variety of assessment and interventional strategies for the early detection and proper management of cardiac cachexia.

American Journal of Infection Control, 2013

Background: This national study aims to evaluate compliance of Jordanian staff nurses with infect... more Background: This national study aims to evaluate compliance of Jordanian staff nurses with infection control guidelines. Methods: Cross-sectional, descriptive design was used. Proportional-multistage, probability sampling was used to obtain a sample of 10% of all staff nurses working in Jordanian hospitals. Standardized selfreported instruments were used to evaluate the compliance. Results: The total sample consisted of 22 hospitals, of which 8 were governmental, 7 military, 5 private, and 2 university-affiliated hospitals. Of the total 889 participating nurses, 52.6% were females, 81.9% holding a bachelor degree. The mean age was 29.0 years (standard deviation [SD] ¼ 5.9) with a mean of experience of 6.9 years (SD ¼ 5.8). According to the scale categories, 65.0% of participants demonstrated "high compliance," 32.3% "weak compliance," and 2.7% "unsafe compliance." Nurses who received infection control training in the hospital demonstrated higher compliance (mean ¼ 120.2, SD ¼ 13.6); than those who never received such training (mean ¼ 115.8, SD ¼ 15.2), P < .001. Nurses who work in university affiliated hospitals demonstrated higher compliance than other types of hospital (P < .001). Conclusion: This study provides information about infection control practices in various health care sectors in Jordan. Results from this study expected to guide efforts to develop educational tools, programs, and curricula to improve infection control practices in Jordan.

Journal of Wound Care, 2021

Objective: Surgical site infection (SSI) is one of the most serious potential complications post ... more Objective: Surgical site infection (SSI) is one of the most serious potential complications post cardiac surgery among patients with diabetes and has a number of adverse health outcomes. The literature shows discrepancies regarding the effect of different glycaemic control protocols on reducing adverse health outcomes including SSIs. The aim of this study was to conduct a systematic review that investigated the effect of the optimal range of tight glycaemic control protocols using a continuous insulin infusion on reducing the incidence of SSIs in adult patients with diabetes undergoing cardiac surgery. Method: A systematic review was conducted following the PRISMA statement and guidelines. Search terms were used to identify research studies published between 2000 and 2019 across five key databases, including CINAHL, Medline, PubMed, Cochrane Database and Google Scholar. Results: A total of 12 studies met the review inclusion criteria. The reviewed literature tended to support the im...