Purpose: To explore the psychological problems (stress, depression, and anxiety) and the level of resilience among frontline healthcare workers (HCWs) who provide care for patients with coronavirus disease 2019 (COVID-19). Additionally, the current study identified the correlation among these problems, resilience, and demographics of participants. The study explored the main predictors of stress, depression, anxiety, and resilience.Methods: Both the descriptive cross-sectional correlational design and convenience sample technique were used to collect data from active Jordanian HCWs who directly deal with patients suspected or confirmed to be infected with COVID-19 and work at healthcare facilities in Jordan. Data were collected by using online questionnaires about the demographics, stress, anxiety, depression, and resilience of the participants.Results: Data were collected from 225 HCWs. Their mean age was 31.17 years (SD = 6.8). All the participants perceived different levels of stress, with most perceiving exposure to a high level of stress (distress) (46.2% with low level and 53.8% with high level of stress); approximately half of them (52.9%; n = 119) reported a high level of anxiety, and more than half (66.2%; n = 149) had a high level of depression. Additionally, an increased anxiety and depression level was significantly associated with the decreased resilience and increased stress level. Increased age and experience of HCWs are significantly correlated with increased stress levels. The participants having personal protection equipment (PPE) reduced anxiety and depression and increased resilience (p > 0.05). The predictors of the main variables were varied in the study.Conclusion: Frontline HCWs involved in treating the patients with COVID-19 are liable to have a high level of stress that is associated with increased anxiety and depression levels. These high levels affect their mental well-being and resilience. Healthcare institutions in Jordan must tailor appropriate psychological interventions and support that are congruent with the needs of HCWs during and after caring for patients with COVID-19.
Aim: Reviewing the existed literature that addresses the factors influencing adolescent's substance use disorder. Background: Substance use disorder among adolescents considered a major problem worldwide that affects adolescents wellbeing and destroys their functionality socially, physically and psychologically. Data Sources: A review of relevant literature uses electronic databases including EBSCO, MEDLINE, CINAHL, and PubMed. Methods: Using an integrative method, peer-reviewed research and discussion papers published between 2011 and 2019 and listed in the CINAHL, SCOPUS, Science Direct, PubMed and Google Scholar databases were reviewed. Findings: A final review of 9 studies that used quantitative and qualitative research methods to study many factors was related to the substance use disorder. Themes were: Influence of psychological factors on adolescents. Influence of socio-cultural factors on adolescents, the influence of biological factors on adolescents and the influence of environmental factors on adolescents. Conclusions: Reviewed articles revealed that many psychological, biological, socio-cultural, and environmental factors that increase adolescents risk having substance use disorder. For example, stressful life events during adolescents like loss of someone increase the risk to take illicit substances in order to forget painful memory; personal tendency like curiosity and experimentation, increase the risk to have risk health behaviors like substance use disorder. Furthermore, adolescence is a critical period that youth need more supervision and health education to protect them from Substance use disorder.
Electronic health record (EHR) implementation is expanding worldwide to achieve the benefits of that technology, but it is reported in the literature as a “disruptive” change to the work environment in which all health-care workers need to be ready for the change, to enhance adoption and harvest the benefits. Jordan has rolled out a national EHR system. This study explored EHR implementation readiness, levels of realizing the benefits of EHR, and adoption among Jordanian nurses, using a self-report questionnaire at nine governmental hospitals in Jordan. A total of 462 registered nurses participated in the study. Results showed that nurses have moderate levels of readiness for EHR implementation, but higher levels of EHR benefits realization and adoption. All health-care workers’ readiness for EHR implementation must be assessed regularly before, during, and after EHR implementation. Readiness-based roll-out can be used as a strategy in implementing EHR systems. Introducing a large-scale change management program is recommended to assess readiness, guide roll-out plans, enhance EHR implementation readiness, improve benefits realization, and increase EHR adoption levels, to help move health-care systems into the digital era.
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