The scientific research committee at Philadelphia University approved the methodology and provided financial
support to carry out this research. Access to the field was obtained from the institution reviewboards in the
hospitals included in this study. Written informed consent was obtained from each participant nurse before the
data collection process. They were assured that confidentiality, anonymity, and the right to withdraw from the
study would be honored. In addition, voluntary participation was ensured. The purpose of the study was
explained and feedback about study results will be given to all participants.