Background The work conditions in which the nurses provide care for older adults affect the quality of care. Study aim (a) To describe the quality of care for older adults as perceived by the nurse; (b) to examine the relationship between occupational stress, work climate, employee development and quality of care for older people; and (c) to determine the predictors of quality of care provided for older adults. Methods A descriptive correlational design was used in this study. A multi‐strategic sampling technique was used to recruit a sample of 500 nurses providing care for older adults in hospitals and health care centres. Results Almost 80% of the participating nurses reported that their workplace was insufficiently staffed. Quality of care was significantly associated with occupational stress, nurses’ competence and employee development. Significant predictors of quality of care were occupational stress, work climate and employee development. Conclusion Enhancing nurses' work climate, decreasing occupational stress and increasing chances for employee development would improve the quality of care provided for older adults. Implications for nursing management Health institutions have the opportunity to implement work environment improvements that increase support for advancing staff knowledge and skills by providing additional support for continuing education regarding the care of older adults.

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What is known on the subject? There is very limited literature on the health of Middle Eastern immigrants in the United States, and the available studies were mostly conducted on small convenient samples in local communities. There is also a need to understand changes in the rates of serious psychological distress (SPD) during the 15 years after 2001, as there were negative effects on Arabs’ health since the September 2001 aftermath. What does this paper add to existing knowledge? The study examined the rates of SPD, the risk of SPD and its associated factors in a national sample of Middle Eastern immigrants in the United States from 2001 to 2015. The study found that serious psychological distress rate was high among Middle Eastern immigrants. Being a female and having obesity were associated with a higher risk of reporting serious psychological distress among this population. What are the implications for practice? These outcomes necessitate mental health nursing interventions that provide culturally sensitive mental health care to immigrants For example, developing community‐based prevention programmes is required to address risk factors of psychological distress and to increase awareness about psychological distress among Middle Eastern immigrants. Abstract IntroductionWhile Middle Eastern immigrants are a fast‐growing population in the United States, there is very limited literature on their mental health. Most of the available studies were conducted on small convenient samples in local communities. AimsTo examine rates of serious psychological distress (SPD) and its associated factors among Middle Eastern immigrants in the United States, compared with US‐born, non‐Hispanic Whites. MethodsData from the National Health Interview Survey (NHIS) from 2001 to 2015 were analysed. The survey included 1,246 Middle Eastern immigrants and 232,392 US‐born, non‐Hispanic Whites. SPD was measured by the Kessler‐6 psychological distress scale. Survey analysis procedures, sampling weights and variance estimates were conducted. Descriptive statistics and regression analyses were employed to examine differences and factors associated with SPD. ResultsSPD rate was the highest among Middle Eastern immigrants (5.99%) between 2006 and 2010. Among Middle Eastern immigrants, being female and obese were significantly associated with a higher risk of SPD. DiscussionMiddle Eastern immigrants in the United States suffered high rates of SPD. Gender and obesity were factors associated with SPD risk. ImplicationsThese outcomes indicate the need for mental health nursing interventions that provide culturally sensitive mental health care to immigrants, such as developing community‐based prevention programmes.

Purpose A systematic review was conducted to understand self‐rated health (SRH) of Arab immigrants in the United States (U.S.). Background Arab immigrants are one of the fastest growing populations in the United States. There is some evidence that Arab immigrants face health issues including low SRH. However, no study has been done to synthesize research on SRH of Arab immigrants. Methods The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were used to guide this review. A search was conducted on seven databases. Results Six studies met the systematic review criteria. The available evidence indicated that rates of fair/poor SRH among Arab immigrants ranged between 4.66% and 41%. Arabic‐speaking immigrants, women, older immigrants, and socioeconomically disadvantaged immigrants had the highest rates of fair/poor SRH. Implications Health care providers need to assess patient's SRH and identify barriers to optimal health and health practices related to SRH of Arab immigrants.

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