Nazih S . Abu Tabar | University of Jordan (original) (raw)

Papers by Nazih S . Abu Tabar

Nursing management, May 16, 2023

Research Square (Research Square), Dec 8, 2022

Introduction: Nurses' psychological wellness and satisfactionare threatened by the exposure to ma... more Introduction: Nurses' psychological wellness and satisfactionare threatened by the exposure to many stressors that have been increased during the COVID 19 pandemic. Adopting a promising leadership style have bene ciary impacts at different levels, especially during crises. Objective:The study aimed to examine the impact of utilizing inclusive leadership on nurses' satisfaction and psychological distress during the COVID 19 pandemic in three Arabic countries. Methods: A cross-sectional descriptive design was utilized to meet the study goal. Data were collected electronically in the three countries by adoptingKessler Psychological Distress Scale (K-10), Minnesota Satisfaction Questionnaire, and Carmel's inclusive Leadership Scale.A total of 274 participants fully responded: 90 from Egypt, 82 from Saudi Arabia, and 102 from Jordan. Descriptive statistics, Pearson R, Spearman Rho, Point biserial, and ANOVA tests were used to answer the research questions. Results:Statistically signi cant differences in inclusive leadership and psychological distress means between countries were found. Statistically signi cant relationships between inclusive leadership, psychological distress, and job satisfaction were found as well. Conclusion: Thestudy focused onthe importance of approaching inclusive leadership to increase employees' satisfaction, reduce psychological distress, and achieve organizational goals. Clinical Relevance The paper has shown that nurses are at high risk for psychological distress and other negative consequences due to the challenging nature of the profession. Adopting an evidence-based leadership style will have a positive impact on nurses' psychological wellness and satisfaction, and thus on the quality of provided care, especially during crises. The paper displayed the importance of utilizing inclusive leadership on nurses in terms of improving their psychological wellness and satisfaction. The paper displayed and compared the results in three Arabic countries, which re ected an image of the situation in the region.

F1000Research, 2021

Patients’ with Chronic Obstructive Pulmonary Disease suffer from serious respiratory symptoms tha... more Patients’ with Chronic Obstructive Pulmonary Disease suffer from serious respiratory symptoms that increase anxiety, stress, and uncertainty, and affect quality of life. The aim of this study was to assess level of anxiety, uncertainty, and health related quality of life (HRQoL) among COPD patients in Jordan. Correlational cross-sectional survey design was used to collect data from 153 COPD patients. ‎The study was conducted at pulmonary clinics in three major referral hospitals in Jordan that provide care for COPD patients from different parts of the country. To assess HRQoL, St. George ‎Respiratory Questionnaire‎ was completed. Uncertainty and anxiety level was measured by Mishel's uncertainty of illness scale and state anxiety inventory respectively. The mean age of participants was 66.8 (SD= 10.3) and most participants were males (94.1%) with. The mean score of HRQoL was 57.9 (SD = 20.5). The mean score of participants’ level of anxiety was 38.1 (SD = 11.1). The mean score o...

F1000Research, 2021

Background: Evidence-based nursing practice (EBNP) is considered a major and very important globa... more Background: Evidence-based nursing practice (EBNP) is considered a major and very important global paradigm shift. Unfortunately, most healthcare providers and researchers embrace the concept of evidence-based practice (EBP) without integrating this concept in clinical settings. The current situation of EBP and new practice guidelines utilization in Jordan are scarce. This policy brief aimed to discusses the process of utilizing nursing EBP in clinical settings in Jordan. Methods: The authors adopted an action plan utilizing a systematic approach to develop and implement specific strategies and policies to integrate EBP in clinical settings in Jordanian hospitals. We present an experience of one country in terms of introducing a policy brief to establish an EBP policy accompanied by developing an EBP unit in the hospital's country. Results: A comprehensive description of this policy is provided with reference to the eminent steps of policy analysis and evaluation. In fact, EBP p...

Quality Management in Health Care, 2020

Background and Objectives: This review used the recent COnsensus-based Standards for the selectio... more Background and Objectives: This review used the recent COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) rating system, which gives the reader the ability to find appropriate instruments in a simple way. Shared decision-making (SDM) is part of health professionals', nurses', and patients' interaction about fundamental and special nursing care issues. The objective of this study was to critically appraise instruments that measure SDM in health care–related decisions according to the COSMIN criteria. Methods: This review was reported in accordance with the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guideline. A thorough search identified SMD measures via PubMed, Cochrane Library, MEDLINE, EBSCO Host, Ovid journals, SAGE journals, and Google Scholar search engine through November 2018 and updated on March 24, 2019. A rating system with “very good,” “adequate,” “doubtful,” or “inadequate” for COSMIN was used. Results: The 17 instruments reported in this review are varied in the measured perspectives; observer-based viewpoint, patient questionnaires, provider questionnaires, and physician questionnaires, or even mixed perspectives. Only one instrument (OPTION 12 Scale) received an excellent rating across all 5 COSMIN validity rating sections in content, structural, and criterion validity. Conclusion: Most of the instruments scored poorly on the COSMIN checklist. Despite the vast number of instruments measuring SDM, researchers must undertake critical appraisal before selecting an acceptable instrument that meets the specific research goal, as well as the quality requirements.

Open Journal of Nursing, 2019

Background: Health-related quality of life is an important outcome variable with COPD patients. I... more Background: Health-related quality of life is an important outcome variable with COPD patients. Impaired health-related quality of life among COPD patients is closely related to various factors. There are many factors that predict the HRQoL and the correlation with other important variables. Predictors of health-related quality of life were debatable in the literature. Aim: This review aimed to describe the correlation with HRQoL and to explore the predictors of HRQoL among patients with COPD. Methods: An integrative review method was conducted. A search protocol was conducted using EBSCO, Pubmed, CINAHL, Ovid, ProQuest, Cochrane, and Google Scholar databases up to October 1, 2019. Results: The review results out of 30 articles that discuss the predictors of HRQoL and 22 articles that discuss the HRQoL correlations with other important variables. The HRQoL predictors are classified according to sociodemographic factors and clinical factors, and also, the correlation and prediction of HRQoL with anxiety, fatigue, and uncertainty. The results of this review showed controversies in predictors between the studies. The most retrieved predictors were age, educational level, comorbidities, socioeconomic status, FEV1% predicted, GOLD stages, and the number of hospitalizations. The variables of anxiety and fatigue were strongly correlated and predicted HRQoL. While uncertainty was not reported as a significant HRQoL predictor. Conclusion: This review provides support about reliable predictors than unreliable one although some predictors still need further research in different races and cultures. Future research is needed to explore whether uncertainty can predict HRQoL among patients with COPD.

Journal of Intensive and Critical Care, 2015

Alasad and Ahmad [3] have recommended that students need clinical experiences with critically ill... more Alasad and Ahmad [3] have recommended that students need clinical experiences with critically ill patients. Thus, schools and administrators of the hospitals have an important role in

Eastern Journal of Healthcare

Journal of Critical Care, 2015

The aim of the study was to describe the Jordanian patients' experience during their stay in inte... more The aim of the study was to describe the Jordanian patients' experience during their stay in intensive care units (ICUs) and to explore factors that contribute to positive and negative experiences. Materials and methods: A descriptive, exploratory design was used. The study was conducted at 3 hospitals in Jordan. Patients were selected from surgical and medical ICUs within 72 hours after transfer to the floor. Data were collected through structured interviews using the Intensive Care Experience Questionnaire with 98 patients. Results: Data showed high level of awareness among patients to surrounding persons (82.2%) and relatives (90.3%). Although 58% of patients perceived pain as a problem during their stay, patients' perception of the care as good as it should be was generally high (82%). Male and female patients differed significantly in their frightening experiences (t = −2.559, P = .01). Conclusion: Understanding patients' experiences in the ICU would increase nurses' awareness to patients' stressors. It would help policy makers in designing structural and process-related care activities in a manner that promotes positive patient experiences, which would improve quality of care in general and specifically ICU patients' outcome. The ICU environment was found to adversely affect patients in many aspects. In addition, most patients were able to recall their ICU experience.

Purpose: The aim of the study was to describe the Jordanian patients' experience during their sta... more Purpose: The aim of the study was to describe the Jordanian patients' experience during their stay in intensive
care units (ICUs) and to explore factors that contribute to positive and negative experiences.
Materials and methods: A descriptive, exploratory design was used. The study was conducted at 3 hospitals in
Jordan. Patients were selected from surgical and medical ICUs within 72 hours after transfer to the floor. Data
were collected through structured interviews using the Intensive Care Experience Questionnaire with 98 patients.
Results: Data showed high level of awareness among patients to surrounding persons (82.2%) and relatives
(90.3%). Although 58% of patients perceived pain as a problem during their stay, patients' perception of the care
as good as it should be was generally high (82%). Male and female patients differed significantly in their frightening
experiences (t=−2.559, P = .01).
Conclusion: Understanding patients’ experiences in the ICU would increase nurses' awareness to patients’ stressors.
It would help policy makers in designing structural and process-related care activities in a manner that promotes
positive patient experiences, which would improve quality of care in general and specifically ICU patients’
outcome. The ICU environment was found to adversely affect patients in many aspects. In addition,most patients
were able to recall their ICU experience.

OBJECTIVE: The purpose of this study was to assess patient satisfaction with nursing care. BACKGR... more OBJECTIVE: The purpose of this study was to assess
patient satisfaction with nursing care.
BACKGROUND: Patients_ satisfaction with nursing
care is considered an important factor in explaining
patients_ perceptions of service quality.
METHODS: The study was conducted in a major
tertiary hospital in Riyadh, Saudi Arabia. An exploratory
approach utilizing cross-sectional survey design
was used. Data were collected from424 patients
through patients_ interviews using the Arabic version
of the Newcastle Satisfaction With Nursing Scale.
RESULTS: The results showed a high level of satisfaction
among patients in all hospital areas. Female
patients were significantly more satisfied than males
with no differences among other groups.
CONCLUSION: Patient satisfaction with nursing
care remains an important factor in explaining patients_
perceptions of service quality. International
healthcare settings should systematically monitor the
relationship between nursing care and experience to
support quality care provision.

Background: Critical care nursing is a requirement for senior baccalaureate nursing students at o... more Background: Critical care nursing is a requirement for senior baccalaureate
nursing students at our college. Undergraduate critical care nursing course
provide an opportunity for students to develop basic knowledge and skills
in critical care, and exposure them to the role of the critical care nurse.
Objectives: The purpose of this study was to explore the experiences of
undergraduate nursing students enrolled in a compulsory critical care
course.
Design: A qualitative content analysis study design was utilised to conduct
the study.
Setting: The study was conducted in one university in Saudi Arabia.
Participants: All nursing students enrolled in compulsory critical care
course (n=180).
Methods: Students were asked to report their experiences daily in writing
during clinical training using a special form the self-reported learning
experience form and notes from post-clinical conferences were analysed
qualitatively and emerging themes were presented.
Results: Participants described a variety of unique experiences throughout
the course, however four main themes emerged: support, knowledge and
skills, socialisation and moving on. Key factors that influence students’
experiences include: support from faculty and clinical supervisor,
preceptors’ attitudes towards students and learning process, course
content, and patients’ acuity in the unit. Strategies such as self-directed
learning and preceptorship management were found to positively improve
students’ experiences.
Conclusion: This study demonstrates the need for support in the form
of educational activities to provide the skills and knowledge required to
care for the critically ill patient, Effective preceptorship appears to be
significant in attaining socialisation to the unit. Further implications and
recommendations for education, practice, and research will be discussed.
Key words: Nurses student experiences; Clinical experiences; Undergraduate
critical care course; Qualitative design; Saudi Arabia

DESCRIPTION This poster will illustrate and discusses the situation of the nursing education in J... more DESCRIPTION This poster will illustrate and discusses the situation of the nursing education in Jordan and the effects that may influence the quality of education in present and future according to the Ministry of Higher Education regulations.

Nursing management, May 16, 2023

Research Square (Research Square), Dec 8, 2022

Introduction: Nurses' psychological wellness and satisfactionare threatened by the exposure to ma... more Introduction: Nurses' psychological wellness and satisfactionare threatened by the exposure to many stressors that have been increased during the COVID 19 pandemic. Adopting a promising leadership style have bene ciary impacts at different levels, especially during crises. Objective:The study aimed to examine the impact of utilizing inclusive leadership on nurses' satisfaction and psychological distress during the COVID 19 pandemic in three Arabic countries. Methods: A cross-sectional descriptive design was utilized to meet the study goal. Data were collected electronically in the three countries by adoptingKessler Psychological Distress Scale (K-10), Minnesota Satisfaction Questionnaire, and Carmel's inclusive Leadership Scale.A total of 274 participants fully responded: 90 from Egypt, 82 from Saudi Arabia, and 102 from Jordan. Descriptive statistics, Pearson R, Spearman Rho, Point biserial, and ANOVA tests were used to answer the research questions. Results:Statistically signi cant differences in inclusive leadership and psychological distress means between countries were found. Statistically signi cant relationships between inclusive leadership, psychological distress, and job satisfaction were found as well. Conclusion: Thestudy focused onthe importance of approaching inclusive leadership to increase employees' satisfaction, reduce psychological distress, and achieve organizational goals. Clinical Relevance The paper has shown that nurses are at high risk for psychological distress and other negative consequences due to the challenging nature of the profession. Adopting an evidence-based leadership style will have a positive impact on nurses' psychological wellness and satisfaction, and thus on the quality of provided care, especially during crises. The paper displayed the importance of utilizing inclusive leadership on nurses in terms of improving their psychological wellness and satisfaction. The paper displayed and compared the results in three Arabic countries, which re ected an image of the situation in the region.

F1000Research, 2021

Patients’ with Chronic Obstructive Pulmonary Disease suffer from serious respiratory symptoms tha... more Patients’ with Chronic Obstructive Pulmonary Disease suffer from serious respiratory symptoms that increase anxiety, stress, and uncertainty, and affect quality of life. The aim of this study was to assess level of anxiety, uncertainty, and health related quality of life (HRQoL) among COPD patients in Jordan. Correlational cross-sectional survey design was used to collect data from 153 COPD patients. ‎The study was conducted at pulmonary clinics in three major referral hospitals in Jordan that provide care for COPD patients from different parts of the country. To assess HRQoL, St. George ‎Respiratory Questionnaire‎ was completed. Uncertainty and anxiety level was measured by Mishel's uncertainty of illness scale and state anxiety inventory respectively. The mean age of participants was 66.8 (SD= 10.3) and most participants were males (94.1%) with. The mean score of HRQoL was 57.9 (SD = 20.5). The mean score of participants’ level of anxiety was 38.1 (SD = 11.1). The mean score o...

F1000Research, 2021

Background: Evidence-based nursing practice (EBNP) is considered a major and very important globa... more Background: Evidence-based nursing practice (EBNP) is considered a major and very important global paradigm shift. Unfortunately, most healthcare providers and researchers embrace the concept of evidence-based practice (EBP) without integrating this concept in clinical settings. The current situation of EBP and new practice guidelines utilization in Jordan are scarce. This policy brief aimed to discusses the process of utilizing nursing EBP in clinical settings in Jordan. Methods: The authors adopted an action plan utilizing a systematic approach to develop and implement specific strategies and policies to integrate EBP in clinical settings in Jordanian hospitals. We present an experience of one country in terms of introducing a policy brief to establish an EBP policy accompanied by developing an EBP unit in the hospital's country. Results: A comprehensive description of this policy is provided with reference to the eminent steps of policy analysis and evaluation. In fact, EBP p...

Quality Management in Health Care, 2020

Background and Objectives: This review used the recent COnsensus-based Standards for the selectio... more Background and Objectives: This review used the recent COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) rating system, which gives the reader the ability to find appropriate instruments in a simple way. Shared decision-making (SDM) is part of health professionals', nurses', and patients' interaction about fundamental and special nursing care issues. The objective of this study was to critically appraise instruments that measure SDM in health care–related decisions according to the COSMIN criteria. Methods: This review was reported in accordance with the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guideline. A thorough search identified SMD measures via PubMed, Cochrane Library, MEDLINE, EBSCO Host, Ovid journals, SAGE journals, and Google Scholar search engine through November 2018 and updated on March 24, 2019. A rating system with “very good,” “adequate,” “doubtful,” or “inadequate” for COSMIN was used. Results: The 17 instruments reported in this review are varied in the measured perspectives; observer-based viewpoint, patient questionnaires, provider questionnaires, and physician questionnaires, or even mixed perspectives. Only one instrument (OPTION 12 Scale) received an excellent rating across all 5 COSMIN validity rating sections in content, structural, and criterion validity. Conclusion: Most of the instruments scored poorly on the COSMIN checklist. Despite the vast number of instruments measuring SDM, researchers must undertake critical appraisal before selecting an acceptable instrument that meets the specific research goal, as well as the quality requirements.

Open Journal of Nursing, 2019

Background: Health-related quality of life is an important outcome variable with COPD patients. I... more Background: Health-related quality of life is an important outcome variable with COPD patients. Impaired health-related quality of life among COPD patients is closely related to various factors. There are many factors that predict the HRQoL and the correlation with other important variables. Predictors of health-related quality of life were debatable in the literature. Aim: This review aimed to describe the correlation with HRQoL and to explore the predictors of HRQoL among patients with COPD. Methods: An integrative review method was conducted. A search protocol was conducted using EBSCO, Pubmed, CINAHL, Ovid, ProQuest, Cochrane, and Google Scholar databases up to October 1, 2019. Results: The review results out of 30 articles that discuss the predictors of HRQoL and 22 articles that discuss the HRQoL correlations with other important variables. The HRQoL predictors are classified according to sociodemographic factors and clinical factors, and also, the correlation and prediction of HRQoL with anxiety, fatigue, and uncertainty. The results of this review showed controversies in predictors between the studies. The most retrieved predictors were age, educational level, comorbidities, socioeconomic status, FEV1% predicted, GOLD stages, and the number of hospitalizations. The variables of anxiety and fatigue were strongly correlated and predicted HRQoL. While uncertainty was not reported as a significant HRQoL predictor. Conclusion: This review provides support about reliable predictors than unreliable one although some predictors still need further research in different races and cultures. Future research is needed to explore whether uncertainty can predict HRQoL among patients with COPD.

Journal of Intensive and Critical Care, 2015

Alasad and Ahmad [3] have recommended that students need clinical experiences with critically ill... more Alasad and Ahmad [3] have recommended that students need clinical experiences with critically ill patients. Thus, schools and administrators of the hospitals have an important role in

Eastern Journal of Healthcare

Journal of Critical Care, 2015

The aim of the study was to describe the Jordanian patients' experience during their stay in inte... more The aim of the study was to describe the Jordanian patients' experience during their stay in intensive care units (ICUs) and to explore factors that contribute to positive and negative experiences. Materials and methods: A descriptive, exploratory design was used. The study was conducted at 3 hospitals in Jordan. Patients were selected from surgical and medical ICUs within 72 hours after transfer to the floor. Data were collected through structured interviews using the Intensive Care Experience Questionnaire with 98 patients. Results: Data showed high level of awareness among patients to surrounding persons (82.2%) and relatives (90.3%). Although 58% of patients perceived pain as a problem during their stay, patients' perception of the care as good as it should be was generally high (82%). Male and female patients differed significantly in their frightening experiences (t = −2.559, P = .01). Conclusion: Understanding patients' experiences in the ICU would increase nurses' awareness to patients' stressors. It would help policy makers in designing structural and process-related care activities in a manner that promotes positive patient experiences, which would improve quality of care in general and specifically ICU patients' outcome. The ICU environment was found to adversely affect patients in many aspects. In addition, most patients were able to recall their ICU experience.

Purpose: The aim of the study was to describe the Jordanian patients' experience during their sta... more Purpose: The aim of the study was to describe the Jordanian patients' experience during their stay in intensive
care units (ICUs) and to explore factors that contribute to positive and negative experiences.
Materials and methods: A descriptive, exploratory design was used. The study was conducted at 3 hospitals in
Jordan. Patients were selected from surgical and medical ICUs within 72 hours after transfer to the floor. Data
were collected through structured interviews using the Intensive Care Experience Questionnaire with 98 patients.
Results: Data showed high level of awareness among patients to surrounding persons (82.2%) and relatives
(90.3%). Although 58% of patients perceived pain as a problem during their stay, patients' perception of the care
as good as it should be was generally high (82%). Male and female patients differed significantly in their frightening
experiences (t=−2.559, P = .01).
Conclusion: Understanding patients’ experiences in the ICU would increase nurses' awareness to patients’ stressors.
It would help policy makers in designing structural and process-related care activities in a manner that promotes
positive patient experiences, which would improve quality of care in general and specifically ICU patients’
outcome. The ICU environment was found to adversely affect patients in many aspects. In addition,most patients
were able to recall their ICU experience.

OBJECTIVE: The purpose of this study was to assess patient satisfaction with nursing care. BACKGR... more OBJECTIVE: The purpose of this study was to assess
patient satisfaction with nursing care.
BACKGROUND: Patients_ satisfaction with nursing
care is considered an important factor in explaining
patients_ perceptions of service quality.
METHODS: The study was conducted in a major
tertiary hospital in Riyadh, Saudi Arabia. An exploratory
approach utilizing cross-sectional survey design
was used. Data were collected from424 patients
through patients_ interviews using the Arabic version
of the Newcastle Satisfaction With Nursing Scale.
RESULTS: The results showed a high level of satisfaction
among patients in all hospital areas. Female
patients were significantly more satisfied than males
with no differences among other groups.
CONCLUSION: Patient satisfaction with nursing
care remains an important factor in explaining patients_
perceptions of service quality. International
healthcare settings should systematically monitor the
relationship between nursing care and experience to
support quality care provision.

Background: Critical care nursing is a requirement for senior baccalaureate nursing students at o... more Background: Critical care nursing is a requirement for senior baccalaureate
nursing students at our college. Undergraduate critical care nursing course
provide an opportunity for students to develop basic knowledge and skills
in critical care, and exposure them to the role of the critical care nurse.
Objectives: The purpose of this study was to explore the experiences of
undergraduate nursing students enrolled in a compulsory critical care
course.
Design: A qualitative content analysis study design was utilised to conduct
the study.
Setting: The study was conducted in one university in Saudi Arabia.
Participants: All nursing students enrolled in compulsory critical care
course (n=180).
Methods: Students were asked to report their experiences daily in writing
during clinical training using a special form the self-reported learning
experience form and notes from post-clinical conferences were analysed
qualitatively and emerging themes were presented.
Results: Participants described a variety of unique experiences throughout
the course, however four main themes emerged: support, knowledge and
skills, socialisation and moving on. Key factors that influence students’
experiences include: support from faculty and clinical supervisor,
preceptors’ attitudes towards students and learning process, course
content, and patients’ acuity in the unit. Strategies such as self-directed
learning and preceptorship management were found to positively improve
students’ experiences.
Conclusion: This study demonstrates the need for support in the form
of educational activities to provide the skills and knowledge required to
care for the critically ill patient, Effective preceptorship appears to be
significant in attaining socialisation to the unit. Further implications and
recommendations for education, practice, and research will be discussed.
Key words: Nurses student experiences; Clinical experiences; Undergraduate
critical care course; Qualitative design; Saudi Arabia

DESCRIPTION This poster will illustrate and discusses the situation of the nursing education in J... more DESCRIPTION This poster will illustrate and discusses the situation of the nursing education in Jordan and the effects that may influence the quality of education in present and future according to the Ministry of Higher Education regulations.