This study aimed to evaluate the efficacy of Benson’s relaxation technique on anxiety and depression among patients undergoing hemodialysis. A systematic review of randomized controlled trials was conducted. Searching databases included EBSCO Host, PubMed, ProQuest, Science Direct, Sage Journals, Ovid, and Google Scholar from January 2000 to September 2020. Five randomized controlled trials were identified. Findings revealed a statistically significant decrease in anxiety score. Concerning depression; one RCT showed a statistically significant decrease and two RCTs revealed a non-significant difference in depression level. The overall quality of the RCTs was not high. Despite that the RCTs showed benefits of BRT in managing anxiety. However, this is not the same for depression. The lack of high-quality scientific evidence supporting its retinue use indicates that additional well designed randomized controlled trials in multiple countries are warranted to support the efficacy of Benson’s relaxation technique on anxiety and depression among patients undergoing hemodialysis.

Introduction: Intensive care unit patients and families experience significant stress. It creates frustrations, nervousness, irritability, social isolation for patients, anxiety, and depression for families. An open visitation policy with no time or duration limits may assist in reducing these negative experiences. However, most Jordanian and regional hospitals within the Middle-East and Northern Africa (MENA) have not implemented this strategy. Purpose: To evaluate nurse managers' and nurses' perspectives on the effects of an open visitation policy at intensive care units (ICUs) on patients, families, and nurses' care. Method: A cross-sectional, descriptive, and comparative survey design was used. Results: A total of 234 nurses participated in the study; 59.4% were males, and 40.6% were females. The mean of their age was 28.6 years, with a mean of 4.1 years of experience. Nurses generally had negative perceptions and attitudes toward the open visitation policy and its consequences on the patient, family, and nursing care. Conclusions: ICU managers and staff nurses did not favor implementing an open visitation in their units despite its known benefits, international recommendations, and relevance and compatibility with the local religious and cultural context. A serious discussion regarding this hesitation from the side of the healthcare professionals should be started to find a suitable solutions that consider the benefits of the open visitation policy and the challenges that prevent its implementation in the Jordanian and Arabic cultures.

Benson’s relaxation affects many symptoms among hemodialysis patients. A cluster-randomized active control clinical trial with three repeated measures; pre, 1-week, and 1-month post-intervention sought to evaluate the effectiveness of Benson’s Relaxation on pain and perceived stress (P&PS) among hemodialysis patients. Two governmental hospitals were randomly assigned to intervention and control. Thirty-six participants were randomly selected; 18 were intervention, and 18 were controlled. The intervention group performed Benson’s Relaxation twice a day for 10 minutes for 8 weeks after a training session. The control group received an educational session about Progressive Relaxation. Findings revealed a statistically significant reduction in the PSS-10 and PRI scores between pre-intervention and 1 month after-intervention ( p < .001) and at 1 week after intervention and 1 month after-intervention ( p < .001). A non-statistically significant reduction between pre-intervention and 1 week after-intervention ( p > .05). Benson’s Relaxation significantly relieved P&PS among hemodialysis patients but not after only 1 week of practicing.

Introduction: Stress and pain are high among patients undergoing hemodialysis. Benson's Relaxation technique affected a wide range of physical and psychological signs and symptoms among patients undergoing hemodialysis. Objective: To evaluate the effectiveness of Benson's Relaxation Technique in reducing stress and pain among patients undergoing maintenance hemodialysis. Materials and Methods: A systematic review of randomized controlled trials was conducted. A systematic literature search was carried out from 2000 to 2023. Searched databases included EBSCO-Host “Academic Search, Cochrane, CINAHL, Health Business, MEDLINE, Psychology and Behavioral Sciences, SPORTDiscus”, PubMed, Ovid, and Google Scholar. The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines were conducted. RCTs were critically appraised using the Cochrane's Risk of Bias Tool. Four RCTs met the inclusion criteria and included in this review since they were applicable to practice. Results: Four randomized controlled trials were identified supporting the use of Benson's relaxation technique as a nursing treatment in managing stress and pain among patients undergoing maintenance hemodialysis, as it achieved a significant decrease in stress and pain scores. The overall quality of the randomized controlled trials was judged to be low to relatively moderate. Conclusions: Most of the randomized controlled trials lacked details on intervention adherence. It is recommended to conduct additional longitudinal randomized controlled trials in different countries with bigger sample sizes, to provide more evidence for generalizing outcomes.

Background: Healthcare institutions aim to enhance medication error reporting. A “just culture” is recognized as a safety subculture, with numerous studies affirming its contribution to improving safety standards in hospitals. However, its influence on motivating nurses to report medication errors remains ambiguous. Aims and Objectives: This study aimed to evaluate the perception of “just culture” and the willingness to report medication errors among nurses in Jordanian hospitals, as well as to examine the relationship between Jordanian nurses’ perception of “just culture” and their willingness to report medication errors. Methods: A descriptive, correlational, cross‐sectional study was conducted in four Jordanian hospitals using self‐report questionnaires. A convenience sample of 190 nurses participated in this study. Data were collected using an online survey platform using the Just Culture Assessment Tool (JCAT) to assess the perception of “just culture,” and hypothetical scenarios were employed to determine the nurses’ willingness to report medication errors. Results: The majority of participants were female (70%), held a bachelor’s degree (88.4%), and had 1–10 years of experience (77%). The findings indicated that nurses perceived their units as having a high degree of “just culture” (114.05 out of 189). However, more than two‐thirds of the nurses ( n = 131, 68.9%) expressed an unwillingness to report their own medication errors. The study also identified a weak positive correlation between “just culture” and willingness to report medication errors ( r = 0.192, p < 0.01). Conclusion: The study’s findings provide essential evidence for nursing managers and supervisors to develop policies and strategies that foster a “just culture,” which may significantly influence nurses’ willingness to report medication errors. The culture of blame must be replaced with a culture of trust and accountability. Reported errors and incidents should be viewed as opportunities for learning and improvement, with lessons learned being disseminated across hospitals to prevent future occurrences. Educators should incorporate “just culture” into the nursing curriculum, enhance the learning environment, and prepare nursing students to address the challenges of patient care and safety issues.