Background: The Health Promotion Model (HPM) indicates that each person is a biopsychosocial creature that is partially shaped by the environment, but also seeks to create an environment in which inherent and acquired human potential can be fully expressed. The HPM is proposed as a holistic predictive model of health-promoting behavior for use in research and practice. Purpose: The purpose of this review is to examine how the HPM has been applied in various research studies. Methods: An integrative review was used to find studies that were guided by the HPM. Data search was between 2008 to 2018 using Google Scholar, Scopus, Web of Science, Science Direct, PubMed, Medline, CINAHL, EBSCO, Cochrane, ERIC, Joanna Briggs Institute and EBSCO host. The keywords used were Pender's and Health Promotion Model. Results: Seventeen studies were reviewed; most of them were quantitative studies. These studies discussed variables from the HPM. Most of the study variables were measured using instruments derived from the HPM. The results of the reviewed studies revealed that the HPM had predictive value in estimating health-promoting behaviors. Conclusion: The HPM was widely established in the nursing community and was implemented in nursing practice, education, and research. In addition, the HPM constructs were used to hypothesize conceptual frameworks in many studies to predict health-promoting behaviors in many chronic diseases.

The coronavirus infection COVID-19 has been a risk to world health, particularly for individuals who are vulnerable to it. Critical care nurses have described experiencing extremely high levels of stress under these struggling conditions. This study aimed to assess the relationship between stress and resilience of intensive care unit nurses during the COVID-19 pandemic. A cross-sectional study was conducted on 227 nurses who are working in the intensive care units in the West Bank hospitals, Palestine. Data collection utilized the Nursing Stress Scale (NSS) and the Brief Resilient Coping Scale (BRCS). Two hundred twenty-seven intensive care nurses completed the questionnaire; (61.2%) were males, and (81.5%) had documented COVID-19 infection among their friends, family, or coworkers. Most intensive care nurses reported high levels of stress (105.9 ± 11.9), but low levels of resilience (11.0 ± 4.3). There was a moderate negative correlation between nurses’ stress and their resilience ( P < .05) and a small to moderate negative correlation between nurses’ stress sub-scales and resilience ( P < .05). Also, the results revealed a statistically significant difference between the stress score mean and the nurses who had documented COVID-19 infection among their friends, family, or coworkers ( P < .05), and between the resilience mean score and the nurses’ gender ( P < .05). During the COVID-19 outbreak, intensive care nurses’ stress levels were high, and their resilience was low. Thus, controlling nurses’ stress levels and identifying possible stress sources related to the COVID-19 pandemic are important to maintain patients’ safety and improve the quality of care.

Background: Quality of life (QOL) is a concept commonly used within healthcare but lacks consensus. A concept that has been commonly associated with adherence, morbidity, and health outcomes. Objectives: The aim of this paper is to clarify the concept of QOL and identify the conceptualizations behind it and to provide some insights to QOL research. Design: Concept analysis according to Walker and Avant, consist of eight steps: select concept, determine purpose, identify uses, determine defining attributes, identify model case, identify additional cases, identify antecedents and consequences, and define empirical referents. Results: The fact that quality of life is subjective, and the most crucial lesson advanced practice nurses should learn from this investigation. However, in the absence of subjective evaluations of quality of life, objective evaluations can be done by people who were close to the patient and may understand what they would have appreciated. Though many of the characteristics of quality of life are measured, it is crucial to keep in mind that each person's priorities ultimately define what is important to them. When deciding on care goals and treatment plans, these must be made in collaboration with the patient so that the patient can determine what he/she values and what would improve his/her quality of life. Conclusion: The practitioner needs to put aside his/her personal opinions on what would improve the quality of life and instead listen to the patient’s wishes and goals. Quality of life is ultimately what an individual says it is, and when that is heard and respected, the highest and most individualized quality of care can be provided.

Background Nurses play a significant role in contributing to various health priorities globally, including research. Identifying the status of national nursing research priorities (NNRPs) in the Eastern Mediterranean Region (EMR) is crucial to cultivate these priorities. Aim This paper aims to highlight the existing status of NNRPs in EMR countries concerning their existence and publicity. Methods Experts from nine EMR countries, including Egypt, Iran, Iraq, Jordan, Pakistan, Palestine, Qatar, Oman, and Saudi Arabia, responded, and participated in this report. The analysis was conducted to determine the percentage of countries with existing, under development, or nonexistent NNRPs. Results The analysis shows that 58% of the participating countries have existing NNRPs, while 25.8% don't and 16% are under development. The largest portion of NNRPs (38%) was developed by governmental organizations. Midwives were not specified in half of the published priorities. The majority of NNRPs (65%) were developed by experts’ opinions and consensus, and 33% only have an associated strategy, outcome measures, and funding opportunities. Yet, most of the published research priorities were not updated regularly. Conclusion EMR countries face a challenge with the need for more nurses, which may hinder their involvement in research projects or continued education. Despite this, all countries involved in this report emphasized the importance of developing nursing education and research as priorities for improving their current nursing workforce. Health policymakers, nurse practitioners, academic researchers, educators, and nursing leaders should collaborate to develop operational plans to foster national nursing education and research.

The aim of the Study: The study aims to assess the prevalence of depressive symptoms among Palestinian deaf adults. Method: A quantitative cross-sectional design was adopted to answer the research question for the study. The framework is based on factors derived from previous studies on the Patient Health Questionnaire PHQ-9 (Robert & Spitzer et al, 2001). The subject population was composed of 217 adults from three representative West Bank Palestinian cities. Participants ranged in age from 15 to 65 years divided as males (n=136) and females (n=81). All participants attend special deaf centers and use the Palestinian Sign Language (PSL). Results and Data Analysis: The data analyzed using Statistical Package for Social Sciences (SPSS). We used mean, standard deviation, and multivariate logistic regression. According to the multivariate analysis results of the study showed, (OR=2. 0) (95% CI, 1.2-3.4) minimal depression, (OR= 1.7) (95% CI, 1.2-2.3) mild depression, (OR=1. 4) (95% CI, 1.1-1.9) moderate depression, and (OR=0. 9) (95% CI, 0.7-1.2) severe depression. Conclusion: The concluded result of our study is that more than half of the respondents suffer from depression at varying levels, which is considered significant conclusion. Tendency for depression might be a common health problem among deaf adults attending primary health maintenance installations. Further research on socio-demographic characteristics and the force of depression on their health status is required.