Amal Ababneh

Background: Suicidal ideation is a major public health concern and an important indicator of suicide risk among university students. Undergraduate nursing students may be particularly vulnerable because of the combined academic, clinical, and emotional demands of nursing education. Despite growing concern regarding students’ mental health, evidence on the prevalence of suicidal ideation and its associated factors among nursing students in Jordan and Palestine remains limited. This study aimed to determine the prevalence of suicidal ideation and identify factors associated with suicidal ideation among undergraduate nursing students in Jordan and Palestine. Methods: A cross-sectional study was conducted between October and December 2025 among undergraduate nursing students enrolled in public and private universities in Jordan and Palestine. Participants were recruited using convenience sampling and completed a structured online self-administered questionnaire comprising a researcher-developed sociodemographic questionnaire and the validated Arabic version of the Beck Scale for Suicidal Ideation (BSS). Descriptive statistics were used to summarize participants’ characteristics and estimate the prevalence of suicidal ideation. Spearman’s rank correlation and multiple linear regression analyses were performed to identify factors independently associated with suicidal ideation scores. Statistical significance was established at p < 0.05. Results: A total of 646 undergraduate nursing students participated in the study. Using a BSS cutoff score of ≥ 6, 490 participants (75.9%) were classified as having elevated suicidal ideation. Bivariate analysis demonstrated that previous history of mental illness, economic status, younger age, and sleep duration were significantly correlated with suicidal ideation scores. In the multiple linear regression analysis, previous history of mental illness (β = 0.20, p < 0.001), higher perceived economic status (β = 0.13, p = 0.001), and younger age (β = −0.10, p = 0.010) were independently associated with higher suicidal ideation scores. Sleep duration was not independently associated with suicidal ideation after adjustment for other variables ( p = 0.059). Conclusion: Elevated suicidal ideation was highly prevalent among undergraduate nursing students in Jordan and Palestine. Previous history of mental illness, younger age, and higher perceived economic status were independently associated with higher suicidal ideation scores. These findings highlight the importance of implementing routine mental health screening, strengthening accessible psychological support services, and developing culturally appropriate suicide prevention strategies within nursing education programs to promote students’ mental well-being and facilitate early identification of those at increased risk.

Objective This study aimed to describe the experiences of chemotherapy-induced oral mucositis among patients with breast cancer. Its primary focus is on how chemotherapy-induced oral mucositis affects day-to-day functioning, psychological wellness and overall quality of life. Methods 12 Jordanian women who had been diagnosed with breast cancer and had presented with chemotherapy-induced oral mucositis were the purposive sample for this qualitative study, which employed in-depth, semistructured interviews. The verbatim transcriptions of the interviews were subjected to thematic analysis. Results The thematic analysis of the 12 participants’ reviews revealed five main themes: distressing physical manifestations, eating and nutritional struggles, mouth care difficulties, psychological strain, social and emotional consequences, and coping and adaptation strategies. Conclusions Breast cancer patients’ daily routines, mental health and quality of life are all significantly impacted by chemotherapy-induced oral mucositis. According to the study, individuals with breast cancer who experience chemotherapy-induced oral mucositis should get patient-centred care and address their emotional, psychological, social and physical discomfort to maximise their outcomes.

Objectives: To assess the efficacy of motivational messages on nurses’ professional quality of life and well-being. Design: The present systematic review was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses, a widely accepted framework for conducting systematic reviews. The researchers used specific keywords to search for eligible studies in several databases. This review covered articles written in English and published between the years 2014 and 2024. Eventually, five articles were included in this review study; in particular, four articles were trial studies and one was a cross-sectional study. The risk of bias and risk of methodological quality of the included studies were assessed using the Joanna Briggs Institute Critical Appraisal methods. Results: The results of the review demonstrate how motivational messages may be an effective strategy for reducing work-related stress among healthcare employees. Conclusion: By using technological platforms and employing motivational messages during regular work tasks, healthcare organisations may foster a positive work environment which, in turn, promotes nurses’ resilience and enhances their well-being. PROSPERO registration number: CRD42024576029.

Aim To assess the prevalence and risk factors associated with obstetric violence during childbirth among Jordanian women. Methods A descriptive cross-sectional design was adopted. Recruitment occurred in public maternity and children’s health centres in the Irbid Directorate in Jordan. Five hundred and fifteen women were enrolled in the study as a convenient sample. An online questionnaire comprised socio-demographic, obstetric and clinical variables and obstetric violence measurement. Results The prevalence of physical, verbal, and psycho-affective violence was reported in 390 (75.7%), 154 (29.9%), and 191 (37.1%) cases, respectively. Mode of delivery, using induction, and complicated delivery were significantly associated with physical violence (p<0.05). Place of last delivery (OR= 0.51 95% CI: 0.3-0.86), complicated delivery, and primary healthcare provider were associated with exposure to verbal violence (p<0.05). Psycho-affective violence was significantly associated with the mode of delivery, complicated delivery, and primary healthcare providers (p< 0.05). Conclusion The findings of this study, which showed a high prevalence of physical, verbal, and psycho-affective violence, underscore the urgent need to create possible solutions that guarantee the global goal of respectful maternal treatment. These findings are significant as they highlight the prevalence of obstetric violence among Jordanian women and the associated risk factors, thereby contributing to the growing body of research on this critical issue.

Aim: This study aimed to describe the lived experiences of women with breast cancer who suffered from chemotherapy‐induced dysphagia. Methods and Materials: This qualitative study used in‐depth, semistructured interviews with a purposive sample of 12 Jordanian women who were diagnosed with breast cancer and presented with dysphagia. Interviews were transcribed verbatim and then analyzed using thematic analysis. Ethical approval was obtained, and all participants provided their informed consent. Results: Four overarching themes emerged from the data, namely, the physical effect of dysphagia, emotional and psychological reactions, social and supportive networks, and coping strategies and adaptations. Participants showed significant difficulties in coping with the physical symptoms of dysphagia and its effects on their psychological status. These findings underscore the growing need for comprehensive clinical and emotional support. Discussion: This study explores both universal and culturally specific dimensions of dysphagic breast cancer patients in Jordan. Participants reported dietary adjustments, fear of choking, and psychological distress, including frustration, anxiety, and social isolation. A unique feature of this study is its focus on cultural nuances, such as heightened social anxiety during family gatherings centered around food, as well as on spiritual coping mechanisms, which are less examined in Western studies. Social support also plays an important role, as those without caregiver assistance suffer greater psychological distress. The insights highlight the need for culturally sensitive interventions that address the physical, emotional, and social challenges faced by this. Conclusion: Dysphagia significantly impacts the quality of life, daily routines, and mental health of patients with breast cancer. The study calls for a patient‐centered approach to treatment that would address physical and emotional distress and optimize results among dysphagic patients with breast cancer. The results also highlight the necessity for culturally tailored interventions in managing dysphagia among breast cancer patients.

This study aims to investigate patients' knowledge of the triage system, utilization of primary healthcare resources, and expectations for waiting times in Jordanian Emergency Departments (EDs). A descriptive, cross-sectional design was employed in the EDs in the largest public hospitals in Jordan. Convenient sampling resulted in 726 participants. A self-reported questionnaire included socio-demographic information and instruments assessing primary healthcare use, triage system awareness, and expected waiting times. Most participants (61.3%) lacked awareness of the triage system. The use of primary healthcare was influenced by age, education, marital status, current job, nationality, and location. Having a primary healthcare provider was associated with higher patient satisfaction. Significant variations in expected waiting times for diagnostic test results were noted based on gender, place of residence, education, current job, and marital status. Addressing patient awareness of the triage system is crucial for optimizing healthcare accessibility and quality in Jordanian EDs. Improving patient education, communication, and primary care utilization can enhance patient outcomes, reduce ED burden, and contribute to a more efficient healthcare system.

Randomised Control Trials (RCT) serve as the gold standard in research design, offering valuable insights into evaluating the impact of nursing interventions on patient health outcomes. This paper explores the methodological considerations and challenges inherent in designing and conducting RCTs within the nursing context. The inclusion criteria involved a thorough search across reputable databases, including CEINAHL, EBSCO, Scopus, Google Scholar, and Cochrane Library, spanning any period due to the scarcity of relevant material. Articles were selected based on their alignment with key considerations such as randomisation, blinding, sample size calculations, outcome measures, and ethical aspects. Data extraction involved findings related to methodological considerations and challenges faced by nurse researchers in RCT design and implementation. Various challenges arise when applying these considerations due to the nature of nursing interventions and ethical concerns. Proposed solutions include comprehensive informed consent, mixed-methods approaches, and the cluster-randomization process. This paper underscores the role of nurse researchers in overcoming challenges and fostering evidence-based practice. Integrating robust methodological strategies and ethical considerations ensures the validity and reliability of nursing RCTs, contributing to improved patient care.