2026· Majmaah Journal of Health Sciences· Vol 14, pp. 204· 0 citations
TL;DR
The results indicated that the CCNs who participated in the study have a high overall competency, knowledge-based gaps remain, and the need for continuous theoretical reinforcement, structured clinical mentoring, and simulation-based training to ensure sustained excellence in critical care is emphasized.
Abstract
Background and aim:
Critical care nursing competency is essential for delivering safe and effective care to critically ill patients. Despite global attention to critical care nurse (CCN) competencies, region-specific assessments in Saudi Arabia, particularly in Najran, remain limited. This study aimed to assess the self-reported competency levels of CCNs in Najran City Hospitals and examine the relationship between their competencies and sociodemographic characteristics.
Methods:
A cross-sectional survey of 158 CCNs across four Najran hospitals was conducted using a convenience sampling approach. Sample size was determined using the Raosoft online sample calculator; a sample size of 179 CCNs was required from a population of 334 (50% response rate, 95% power, 5% margin of error). The survey was completed by 158 nurses, with a response rate of 88.26%. Data were collected using the validated Intensive and Critical Care Nursing Competence Scale-1 (ICCN-CS-1), which evaluates four domains: knowledge, skills, attitude/values, and experience. Data were analyzed using IBM SPSS Statistics version 23, with descriptive statistics summarizing participant characteristics and chi-square tests employed to examine associations between categorical variables.
Results:
More than half of the nurses (55.7%) demonstrated excellent overall competency, with the highest scores in knowledge (63.3%), experience (59.5%), and attitude (58.9%) domains. The skills domain showed the lowest percentage of excellence (48.1%). Competency level was significantly associated with marital status (p = 0.005) and attendance at patient safety training (p = 0.008), whereas age and experience were not significantly associated with both.
Conclusion:
The results indicated that the CCNs who participated in the study have a high overall competency, knowledge-based gaps remain. Although these gaps do not appear to critically affect current clinical practice or demand immediate intervention, they highlight opportunities for improvement. These findings emphasize the need for continuous theoretical reinforcement, structured clinical mentoring, and simulation-based training to ensure sustained excellence in critical care.
BACKGROUND
Chronic pain is a significant public health issue in Saudi Arabia, and its prevalence is consistent with global trends. Trauma-informed care (TIC) is an approach that is used to reduce the likelihood of traumatization and to encourage individuals to better engage with therapy. Currently, empirical data concerning the TIC competencies of nurses in the management of chronic pain in Saudi Arabia are lacking.
OBJECTIVES
This study aimed to: (1) assess nurses' knowledge, opinions, competencies, barriers, and practices related to TIC across work settings, and (2) examine how these factors are associated with overall TIC competence in chronic pain management.
METHODS
We conducted a cross-sectional study using an online survey distributed to nurses working in hospitals in the Jazan region. A total of 272 nurses were recruited using convenience sampling. We collected data using the TIC Provider Survey to evaluate nurses' competencies, barriers, and experiences in TIC over five months. Multiple regression analysis was used to evaluate whether years of nursing practice experience were associated with nurses' knowledge, attitudes, competencies, and practices related to TIC in chronic pain management.
RESULTS
Significant differences were observed across work settings in knowledge, opinions, and competencies (all p < 0.001), but not in perceived barriers (p = 0.61). Nurses in mental health and operating room settings demonstrated higher competence than those in other units, whereas pediatric nurses reported the lowest scores. Regression analysis indicated that greater knowledge (β = 0.32, p < 0.001), more positive opinions (β = 0.28, p < 0.001), and fewer perceived barriers (β = 0.19, p < 0.001) were significant predictors of TIC competence, explaining 52% of the variance.
CONCLUSIONS
This study presents new evidence regarding the variability of TIC competencies among nurses in different work settings. The results highlight the significance of knowledge, opinions, and practices in determining TIC competence. Targeted training, incorporation of TIC into nursing curricula, and institutional support are crucial for advancing trauma-informed practices in chronic pain management and for improving patient-centered care outcomes.
The demand for critical care nursing is increasing globally, including in China, where nurses in intensive care units and general wards manage critically ill patients. However, no locally validated tool exists to assess their practical competency in this field.
To develop and validate a Critical Care Practical Competency Scale for Clinical Nurses in China (CCPCS-CN) based on the Knowledge–Attitude–Practice framework.
A mixed-methods sequential design was used. Phase 1 generated items via literature review, interviews, focus groups, and a Delphi survey. Phase 2 involved a cross-sectional survey of 796 nurses from tertiary hospitals for item analysis and exploratory factor analysis (EFA). Phase 3 used confirmatory factor analysis (CFA) to validate the structure and assess reliability and validity.
The final CCPCS-CN has 22 items across three dimensions: Foundational Critical Care Skills (13 items), Proficiency in Operating Equipment (5 items), and Capability for Collaborative Emergency Response (4 items). EFA indicated a three-factor structure explaining 72.6% of variance. CFA confirmed good model fit
$$\:({\upchi\:}^2/\text{d}\text{f}=3.4,\:\text{C}\text{F}\text{I}=0.93,\:\text{T}\text{L}\text{I}=0.92,\:\text{R}\text{M}\text{S}\text{E}\text{A}=0.07)$$
. The total scale of Cronbach’s alpha was 0.94 with sub-scales being 0.93, 0.88, and 0.86 respectively. Value of Cronbach’s alpha above 0.70 indicates acceptable reliability. The composite reliability and average variance extracted were good; this demonstrates that there is good convergent validity.
The CCPCS-CN is a valid and reliable instrument for determining clinical practice competency amongst nurses working in Chinese tertiary hospitals facilities. The tool will assist in identifying educational needs, evaluating education programs, and supporting workforce planning.
Not applicable.
BACKGROUND
Modern healthcare systems are experiencing a rapid state of change, and it is evidence-based practice (EBP) that is playing a key role in ensuring safe and quality patient care. While EBP has been correlated with favorable patient outcomes, its predictive association with the quality of nursing work life (QNWL) has not been explored, especially in the Middle East region like Jordan.
AIM
This study evaluated EBP knowledge, attitudes, practices, and barriers among Jordanian nurses and factors that predict QNWL.
METHODS
Descriptive, correlational, and cross-sectional research designs have been used. A convenience sample of 198 nurses in five Jordanian hospitals was completed in EBPQ, EBP Barriers Scale, and Brooks' QNWL Scale.
RESULTS
Participants (mean age 29.99; 58.1% female) reported a moderate level of EBP (M = 111.30) or QNWL (M = 153.45). Organizational issues were the greatest challenge to EBP implementation. Higher levels of QNWL had significant relationships with being female, having a bachelor's degree, and working in private hospitals. Of interest, EBP knowledge was one of the predictors of QNWL, followed by educational level.
LINKING EVIDENCE TO ACTION
Findings indicate that strengthening the knowledge of nurses on EBP can improve QNWL. Structured skill-based EBP training and skills development through mentorship should be given priority. Managers should encourage conducive environments with time and resource protection. Policymakers should make EBP competencies part of continuing professional development as well as licensure standards. Future studies should use longitudinal and intervention designs to investigate mechanisms of causal influence and test EBP-oriented workforce strategies.
A. Khalifeh, Ahmad Rayan, Suhair Al-ghabeesh et al.· Worldviews on Evidence-Based...· 0 citations
Objectives: To evaluate the levels of cultural competence among nurses, and to identify the influencing factors.
Method: The cross-sectional study was conducted from May 10 to November 28, 2024, in Peshawar, Pakistan, and comprised nurses of either gender from both private and government tertiary care hospitals having professional experience of at least four months. Data was collected using a structured questionnaire. Data was analysed using SPSS 26.
Result: Of the 337 nurses with mean age 27.26±4.81 years (range: 21-50 years), 187(55.5%) were male and 150(44.5%) were female. Overall, 317(94%) nurses showed high cultural competence, with scores ranging 76-100%, followed by 18(5.3%) having moderate cultural competence, with scores ranging 51-75%, and 2(0.6%) having low cultural competence, with scores ranging 1-50%. Factors influencing cultural competence were treating people from diverse cultural backgrounds (p<0.05), and 295(87.5%) subjects noted institutional support for the development of cultural competence.
Conclusion: High level of cultural competence was noted among the nurses.
Key Words: Cultural competence, Nurses in Peshawar, Tertiary care hospitals in Peshawar, Peshawar.
Imad khan, Muhammad Mehr Ali, Nadia Qazi et al.· JOURNAL OF PAKISTAN MEDICAL...· 0 citations
BACKGROUND
Missed nursing care (MNC) in intensive care units (ICUs) is associated with adverse patient outcomes, yet multicentre evidence from mainland China remains limited.
AIM
To describe the level and pattern of MNC among ICU nurses in China and to identify associated factors.
STUDY DESIGN
Multicentre cross-sectional survey across China.
RESULTS
Of the 900 questionnaires distributed, 840 valid responses were included in the final analysis. The mean total MNC score was 98.9 ± 22.4. Psychological support, basic nursing care and rehabilitation care were the most frequently missed domains. The mean score for perceived causes of MNC was 72.3 ± 15.8, with absolute and relative shortages of human resources and communication-related factors identified as the leading contributors. Average number of patients cared for per shift, ICU specialist nurse qualification, professional title and hospital level were significantly associated with total MNC score, together explaining 24.4% of the variance.
CONCLUSIONS
MNC is common in Chinese ICUs, particularly in psychosocial, basic and rehabilitation-related care. Organisational context, nurse workload and professional preparation appear to be important factors associated with MNC. Targeted strategies are needed to optimise staffing, strengthen specialist training and improve communication processes in ICU teams.
RELEVANCE TO CLINICAL PRACTICE
Better understanding of the pattern and key associated factors of MNC may help nurse managers prioritise staffing, competency development and communication improvement to enhance ICU nursing quality and patient safety.
Su-Jun Xiao, Rong Jiang, Qin Xiong et al.· Nursing Critical Care· 0 citations
There is limited literature on the perceptions and practices of nurses in Saudi Arabia related to neonatal palliative care (NPC). This study aimed to assess NPC perceptions and practices among female nurses in Saudi Arabia. This cross-sectional survey study was conducted in Saudi Arabia between May and October 2025. The inclusion criteria for this study were nurses working in neonatal intensive care units in Saudi Arabia, regardless of the level of care provided. Factors associated with higher perception scores were identified using multivariable logistic regression analysis. A total of 170 nurses were included in this study. The majority worked in the governmental sector (148, 87.6%). Most participants reported that their institutions had formal NPC guidelines (142, 83.5%). Perception scores showed a significant difference by nurses’ education level (P = .01). Nurses with a bachelor’s degree or lower reported a mean score of 85.16 ± 16.64, whereas those with a master’s degree or PhD had a mean score of 71.44 ± 31.30 (P-value = .02). Participants aged between 30 and 40 years showed lower odds of attitude (adjusted odds ratio = 0.33, 95% confidence interval: 0.11–1.00, P = .05), which was borderline significant. This study assessed NPC among nurses in neonatal intensive care units in different settings in Saudi Arabia. The results suggested the importance of education in both NPC awareness and practice. Further studies are needed to confirm these findings. Improving nurses’ knowledge and skills may lead to better palliative care for neonates and their families.
Hassan Al-shehri, Ashwaq Alotaibi, Bayan K Alanazi et al.· Medicine· 0 citations