Community Mental Health Nursing
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- ItemMENTAL HEALTH LITERACY AND INFLUENCING FACTORS AMONG UNDERGRADUATE STUDENTS AT AN NAJAH NATIONAL UNIVERSITY: A CROSS-SECTIONAL STUDY(An Najah National University, 2025-06-04) Alsayed, AseelBackground: Psychological disorders - including depression and anxiety - are prevalent among college students; yet, a limited number seek therapy. Mental health literacy might contribute to the low rates of mental health care utilization. Aim: This study aims to examine students' mental health literacy, assess the level of mental health literacy midst university students, and find the most influential factors that may affect mental health literacy among university students. Finally, the study aims to compare mental health literacy between health and non-health specialty students. Design: The study employed a cross-sectional design. The researcher conducted the study at Najah National University in the Nablus district of the West Bank. A convenience sampling was used to select the participants. The study employed the Mental Health Literacy scale and collected data through an online survey. The university institutional review board approved the study before data collection. The study took place between January and April of 2024 at An-Najah National University. The researcher selected three scientific colleges and three non-scientific colleges using the convenience sample technique. The Mental Health Literacy scale was used in the current study. Results: About 420 students participated in the current study; the majority were female students (76.9%), about 48.1% were students affiliated from the faculty of medicine and health sciences, and about 26.9% were students at the fourth-year level. The mean score for the Mental Health Literacy Scale was 111.45 ± 11.35 out of 160. The highest score indicates better literacy. The analyses showed that female students had statistically significantly higher mental health literacy than male students (p = .006). Conclusion: Many students need psychological support programs, literacy, and conveying the correct idea about the nature of psychological and mental illnesses, and that illness is not a mark of shame.
- ItemQUALITY OF LIFE AND SOCIAL SUPPORT AMONG PALESTINIAN BREAST CANCER WOMEN(An-Najah National University, 2025-04-17) Abu Sa A, Walaa Hani Abdul-JabbarBackground: Globally, the incidence and mortality rates of cancer are ranking withrising., with breast cancer ranking with the leading causes of death for women worldwide, including in Palestine (Devi, 2025; Elshami et al., 2022). This disease greatly affects the quality of life of affected women. Social support, meanwhile, plays an essential role in mitigating challenges and enhancing well-being in daily life. Aim: the main aim of current study is to assess the quality of life (QoL) among women diagnosed as breast cancer, evaluate the level of social support they receive, and examine the relationship between QoL and social support. Method: A cross-sectional study design was employed, involving 210 women diagnosed with breast cancer recruited from daycare units in hospitals across the West Bank of Palestine. A questionnaire was used to measure quality of life, the Arabic version of the European Organization for Research and Treatment of Cancer Quality of Life Scale (EORTC-C30), and to assess the support provided to women we used the Multidimensional Perceived Social Support (MPSS). Results: This study enrolled 210 participants women who have been diagnosed with breast cancer, the mean of age was 50.54 ± 11.83 years, regarding to marital status majority of them were married 72.4%, and 73.8% were unemployed. 51.4% of respondents resided in urban, about financial support the majority of them 73.3% depended on their family members. The mean QoL score was 52.33, reflecting a moderate level of overall well-being. A significant positive correlation was identified between social support and QoL (r = 0.65, p < 0.001). Furthermore, 78% of the participants reported moderate to high levels of social support. Conclusion: This study highlights the critical role of social support in improving the quality of life of women with breast cancer. The findings emphasize the importance of distinguishing types of social support and implementing tailored interventions to address individual needs effectively. Such personalized strategies are vital for enhancing QoL in this population. Keywords: Breast Cancer, Quality of Life, Social Support, Palestine
- ItemCONTINUOUS TRAUMATIC STRESS RESPONSE AND COPING STRATEGIES AMONG ADULTS EXPOSED TO POLITICAL VIOLENCE IN THE NORTH OF THE PALESTINIAN TERRITORIES: A MIXED METHOD STUDY(An-Najah National University, 2024-10-02) Ghannam, MaramBackground: Prolonged exposure to political violence, such that which occurred during the Israeli-Palestinian occupation, has caused serious physical and mental distress for Palestinian civilians. It is crucial to examine that people experience anxiety, dread, and sense of perceived threat during continuous traumatic stress are directly affect coping strategies. The aim of the study : To assess the level of Continuous Traumatic Stress Response and coping strategies among Palestinian adults exposed to political violence. Method: A mixed method of quantitative and qualitative research study design was adopted in this study. A purposive sampling method of adults who are from Jenin and Nablus camps and Nablus Old City. Out of 407 participants were included in this study. The Politically Violent Events Scale, continues traumatic stress response scale and the Jalowiec Coping Scale were used.Ten participants were included in this study in qualitative study for in depth interviews. Results: The findings indicated that the participants' greatest exposure (76.7%) was to their home being searched by the military. In terms of the event's severe impact, curfews or being prohibited from leaving one's home or city was ranked as the most severe influences. Participants feels fear and helplessness (63.6%), followed by feeling of exhausted and detachment (62.61%), and finally feeling of rage and betrayed(59.35%). the focus on concentrating their efforts on doing something about the situation was the highest among the approach coping method and their trying to find comfort in religion was the highest among the avoidant coping method among the study participants. In the qualitative findings, Six themes were emerged: Military occupation as a source of danger, terror, sabotage, deprivation of freedom and rights. a source of psychological and physical diseases, loss of loved ones. And the “Challenging the occupation as a source of hope” theme . Conclusion: Enhanced comprehension of the psychological ramifications of possibly traumatic incidents can eventually result in better CTSR prevention and treatment strategies. The promotion of mental health and well-being among people impacted by stress and trauma connected to conflict requires standardized instruments, family support, and cultural sensitivity.
- ItemPATIENTS’ SATISFACTION WITH ELECTRONIC HEALTH RECORD SYSTEM AND ITS EFFECT ON THE WAY OF THEIR COMMUNICATION WITH THE NURSES(An-Najah National University, 2024-09-12) Qaissi, AseelBackground: Health Information Technology, particularly Electronic Medical Records, is crucial for improving patient care quality and safety. In today's complex hospital environment, Electronic Medical Records help institutions meet government objectives and improve operational efficiency by reducing errors and increasing accuracy. This leads to a safer environment for patients and fewer medical mistakes. Aim: The aim of the study is comparing between hospitals that use EMRs and hospitals that use paper medical record in terms of patients’ satisfaction with the provided healthcare and patients’ communication with nurses. Methods: A comparative and descriptive study was conducted in hospitals in the West Bank of Palestine, comparing electronic medical records with paper medical records medical records. A random sample of 370 patients was selected from both types of hospitals. Data were collected using a questionnaire adapted from previous research, including the Patient Satisfaction Questionnaire (PSQ-18) for overall care satisfaction and the Consultation and Relational Empathy measure for evaluating patient-nurse communication. Results: The study's patient population had a median age of 41, with a nearly equal distribution across hospitals. Data were analyzed using non-parametric tests due to non-normal distribution. The cohort consisted of 53.2% males and 46.8% females, with 71.6% being married and 54.6% having higher education. Income was reported as less than USD 500 per month by 52.4% of patients, with 47.6% living in cities and 45.9% in rural areas. Satisfaction levels showed variability but were generally higher in hospitals using Electronic Medical Records (EMRs), though not significantly different. Lower education levels were associated with higher communication scores (p = 0.008), and EMR usage also correlated with better communication scores (p = 0.038). Enhanced nurse communication was positively correlated with higher patient satisfaction (r = 0.261, p = 0.018). Conclusion: Patient satisfaction was generally high, with strong agreement on the Patient Satisfaction Questionnaire items and effective communication with nurses. Satisfaction did not vary significantly with sociodemographic factors or documentation type, though better communication was notably linked to lower educational levels and hospitals using EMRs. Improved communication positively correlated with higher satisfaction. Enhancing patient-nurse communication is essential, and policymakers should focus on improving both verbal and non-verbal communication methods. Further research in this area within Palestine is recommended.
- ItemTHE EFFECT OF COGNITIVE BEHAVIOURAL THERAPY IN TREATING HALLUCINATION AND DELUSION AMONG PATIENTS WITH SCHIZOPHRANIA: A RANDOMIZED CONTROL TRIAL(An-Najah National University, 2024-06-26) Zamareh, SalsabeelBackground: Schizophrenia is a leading cause of disability across the globe, affecting nearly 1% of the worldwide population. Cognitive Behavioral Therapy for Psychosis (CBTp) is recognized as an established therapeutic approach, proving effective in mitigating symptoms and improving the quality of life for those with psychotic disorders. CBTp is aimed at enhancing functionality while navigating through challenging symptoms such as hallucinations, negative symptoms, cognitive disturbances, and delusions. Method: This study employed a quasi-experimental methodology and was conducted at the Hebron mental health clinic from January to March 2023. It utilized two assessment tools: The Psychotic Symptom Rating Scales (PSYRATS) and the Positive and Negative Syndrome Scale (PANSS), with the SPSS version 28 for statistical analysis. Results: The intervention group showed a statistically significant improvement in post-test scores for auditory hallucinations, delusions, and overall severity of schizophrenia compared to the control group (p < 0.05). Furthermore, a significant reduction in distress and anxiety levels was noted in the intervention group's post-test scores compared to the control group (p < 0.05). Additionally, no significant differences were found in the outcomes related to auditory hallucinations, delusions, and schizophrenia severity across various demographic groups of participants (p > 0.05). Conclusion: The outcomes of this study highlight the pivotal contribution of CBT to the considerable decrease in overall psychotic symptoms, especially in positive symptoms, auditory hallucinations, and delusions within the case group. This work contributes to the growing evidence supporting the adaptation of validated interventions and the efficacy and acceptance of CBT in the treatment of psychosis. Keywords: Delusions, Hallucinations, Psychosis, Cognitive Behavioral Therapy (CBT).