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.

In an emergency, making the correct decision is vital. It is a necessary element of professional nursing care, and the ability of nurses to make successful clinical decisions is the most critical element influencing care quality. The purpose of this study was to assess the factors influencing nurses’ clinical decision-making in the emergency department of Palestinan hospitals. A cross-sectional study was targeted at all nurses working in emergency departments at the Palestinian hospitals. The study was completed with 227 nurses, and collecting data was performed with the Clinical Decision Making in Nursing Scale. Results of the study revealed that the average score for the total clinical decision-making score was 3.3 (SD = 0.23). The subscales of clinical decision making were “search for alternatives or options,” “canvassing of objectives and values,” “evaluation and reevaluation of consequences,” and “search for information and unbiased assimilation of new information.” Furthermore, multiple linear regression analysis revealed that degree and work hours accounted for 11.7% of the variance in clinical decision-making. The study confirmed the average score for clinical decision-making was slightly higher than the average score. Also, it approved that nursing degree and work hours were predictors of clinical decision-making among nurses in emergency departments.

Nurses in intensive care units (ICUs) face high levels of stress and emotional challenges, making it essential to understand the factors that influence their professional quality of life (ProQoL). This study aimed to investigate the relationship between work environment factors and ProQoL, particularly focusing on burnout, compassion satisfaction, and secondary traumatic stress, among ICU nurses. The Professional Quality of Life (ProQoL) Scale was used to measure these aspects, with an emphasis on the importance of a supportive work environment for enhancing staff well-being and organizational performance. This cross-sectional study was conducted between March and August 2024, involving 162 ICU nurses from hospitals in the southern West Bank. A stratified random sampling method was employed to ensure representativeness. Data collection involved surveys covering socio-demographic information, the Practice Environment Scale-Nursing Work Index (PES-NWI), and the ProQoL scale. Statistical analyses, including descriptive statistics and Pearson correlation, were performed using SPSS. The participants were predominantly young, with 61.7% less than 30 years old, and 65.4% were male. Most held a bachelor’s degree (54.9%). The survey indicated that the majority reported average levels of compassion satisfaction (90.7%), burnout (91.4%), and secondary traumatic stress (85.2%). The analysis showed that a moderately positive practice environment was significantly associated with lower levels of burnout and higher levels of compassion satisfaction. Additionally, there was a significant difference in mean Compassion Satisfaction scores according to sleep hours ( F = 5.475, P < .05). Nurses who slept more than 8 h had significantly higher Compassion Satisfaction compared to those who slept less than 8 h or exactly 8 h ( P < .05). ICU nurses generally perceived their work environment positively, though there are opportunities to improve their professional quality of life, particularly by addressing burnout. The findings highlight the need for targeted interventions and further research to enhance job satisfaction and well-being among ICU nurses.

Introduction: Emotional intelligence (EI) is crucial for managing stress, enhancing well-being, and improving clinical decision-making (CDM). In neonatal intensive care units (NICUs), where rapid decisions, emotional demands, and complex interactions are common, understanding how EI supports CDM is key to ensuring high-quality care and effective outcomes. Objective: This study aimed to explore the relationship between EI and CDM among NICU nurses. Methods: The study was cross-sectional in design and used a convenience sample of 178 NICU nurses. Data collection gathered by paper-based between 10 January and 10 April 2024, employing the “Schutte Self-Report Emotional Intelligence Test” and the “CDM Scale.” Results: The analysis revealed that the average EI score among participants was 151.9 ± 1.7 (range: 33–165, CI = 151.613–152.096), reflecting a high level of EI. High EI in the NICU context is characterized by nurses’ ability to manage their own stress effectively, empathize with families facing emotional distress, and maintain composure in high-pressure situations. Similarly, participants demonstrated a high level of CDM, with an average score of 179.6 ± 8.6 (range: 40–200, CI = 178.349–180.770). High CDM involves making accurate and timely clinical decisions, such as assessing neonatal conditions, prioritizing interventions, and collaborating with interdisciplinary teams to ensure optimal outcomes. A significant positive relationship was found between EI and CDM ( r = 0.53, p < .001, effect size = 0.8). Furthermore, EI was a significant predictor of enhanced accuracy, timeliness, and prioritization in CDM ( p < .001, CI = 1.991–3.337). Conclusion: Nurses in NICUs demonstrated both high EI and strong CDM skills. A positive association between these two variables was evident.

Introduction: The work environment is a critical determinant of the professional quality of life (ProQoL) of Neonatal Intensive Care Unit (NICU) nurses. While compassion satisfaction enhances job satisfaction, burnout and secondary traumatic stress have adverse effects on the well-being of nurses and the quality of care provided to patients. This study explores the relationship between the work environment and ProQoL among NICU nurses working in the West Bank, an area plagued by resource scarcity, political instability, and staffing shortages. Methods: A cross-sectional study was conducted among 233 NICU nurses in West Bank hospitals from 9 January 2025 to 27 January 2025. Data were collected using the ProQOL and the Practice Environment Scale of the Nursing Work Index (PES-NWI) and analyzed using descriptive statistics, Pearson correlation, and Cronbach’s alpha with SPSS version 23. Results: Most nurses reported average compassion satisfaction (94.8%), burnout (91.0%), and secondary traumatic stress (84.1%). The practice environment was moderately favorable, mean 2.7 (SD = 0.3), with strong Collegial Nurse-Physician Relations, mean 2.8 (SD = 0.5), and low Staffing and Resource Adequacy, mean 2.6 (SD = 0.4). The Spearman’s correlation analysis revealed that a positive relationship existed between the favorable environment and compassion satisfaction (r = 0.747, p < 0.001), while there was a negative correlation with burnout (r = -0.604, p < 0.001) and secondary traumatic stress (r = -0.151, p = 0.021). Discussion: The results suggest improving staffing and resources, nurse-physician collaboration, and emotional support, which are vital in improving ProQoL in a highly demanding environment.

Introduction: Newly graduating nurses should be able to enter clinical practice as safe, accurate, competent, and compassionate professionals in health care settings that necessitate them to be learners who can easily get familiar with a broad diversity of clinical practice settings. Purposes: The purpose of this study was to evaluate the effect of high-fidelity simulation experiences on self-satisfaction and self-confidence among the pediatric nursing students. Methods: A quasi-experimental design, post-test, was carried out through the recruitment of a convenience sample of 150 nursing students from Arab American University. The students were randomly assigned to the study ( n = 75) or control ( n = 75) groups. Data were collected using learner satisfaction and self-confidence scales. Results: The results of the post-test revealed that there was a significant difference between both groups in self-satisfaction ( t (148) = 11.14, P < .001) and self-confidence ( t (148) = 13.04, P < .001). The mean score of self-satisfaction for the study group (22.45 ± 2.27) was higher than control group (16.80 ± 3.76). Also, the study group’ mean self-confidence score (35.72 ± 3.49) was higher than the control group (27.28 ± 4.39). Conclusion: High-fidelity simulation was confirmed to be an helpful tool to keep an effective and safe learning method for pediatric nursing students, thus increasing their satisfaction and confidence.