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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.

IntroductionCritical care is the multidisciplinary approach to the management of seriously ill medical, surgical, and obstetric patients [1]. Critical care is an area that presents many learning opportunities for nursing students. However; the need for critical care education at the baccalaureate level is expected to increase [2].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 Abstract 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.

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.

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.

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 of uncertainty was 66.1 (SD= 11.1). There is a statistically significant positive relationship between HRQoL and anxiety (r =.433, p< .01), and uncertainty (r=.483, p<.01). Increased anxiety and uncertainty among COPD patients was associated with low HRQoL. Health care providers need to pay attention the effect of anxiety and uncertainty on COPD patients’ quality of life and institute appropriate management.

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 beneficiary 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 significant differences in inclusive leadership and psychological distress means between countries were found. Statistically significant 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.

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 policies and clinical practice guidelines should keep a live document and revise regularly or as needed. Overall, the authors suggest the development of a unit for EBP to deal with issues related to clinical practice guidelines. Conclusions: Expected outcomes for the introduction of the EBP unit and its policy include increase research utilization and accelerated adoption of new evidence, increase the quality of care provided, increase patient, staff, and managers satisfaction, and decrease staff workload by reducing complications associated with medical errors and outdated interventions.