Browsing by Author "Ali, Sarah"

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Intensive Care Unit Nurses' Experiences in Caring for Lightly Sedated Mechanically Ventilated Patients: An Extended Literature Review
(Queen's University Belsat, 2024-06-14) Ali, Sarah; John, Nimmy
Background: Sedation is crucial for critical care patients' comfort and treatment. The trend has moved towards lighter sedation levels than deep sedation. Lightly sedated intubated patients require more focused care in a suitable setting compared to deeply sedated patients. Intensive care unit (ICU) nurses, as carers, hold a pivotal position in care and sedation monitoring. There remains a lack of comprehensive investigation into nurses' psychological and professional experiences during the care management process. Aim: To explore ICU nurses’ experiences of caring for intubated patients under light sedation. Methodology: This dissertation employed the Extended Literature Review (ELR) method by using six electronic databases were systematically searched: the Cumulative Index for Nursing and Allied Health Professionals (CINAHL) Plus, Medline, PsycINFO, Scopus, and Web of Science. English-language studies were included and conducted between 2013 and 2023, examining nurses' caring experiences while managing light sedation with mechanically ventilated patients. The quality of the included studies was evaluated using the Joanna Briggs Institute (JBI) and the Mixed Methods Appraisal Tool (MMAT) checklists. Results: Eight studies met the inclusion criteria: five qualitative, two mixed methods, and one cross-sectional study. Qualitative studies revealed that ICU nurses face significant challenges in achieving and maintaining light sedation while ensuring patient comfort. Mixed methods studies indicated that nurses were generally satisfied with patient outcomes associated with light sedation approaches. The cross-sectional study demonstrated a high level of compliance among nurses with light sedation guidelines and its implications for intubated patients. Four overarching themes emerged from the analysis, providing insights into ICU nurses' experiences during the care provided for ventilated patients under light sedation.
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Prevalence of Occult Hepatitis B Virus in Premarital Samples in AlQassim Region
(Saudi Digital Library, 2019) Alanezy, Reem Murayqib; Ali, Sarah
Introduction: Hepatitis B infection caused by hepatitis B virus is one of the most important public health threats worldwide. The virusinfects the liver and can drive serious liver complications which may lead to death in most cases. In 2007, viral hepatitis classified by ministry of health as the second common viral disease with 9000 new cases (HBV 52%). The current rate of HBV in Saudi Arabia in 2019 was 14.58 per 100.000 population.However, in some cases, HBsAg appears as negative, which known as occult HBV infection (OBI). OBI can be defined as presence of HBV DNA in liverand HBsAg negative.This study aimed to investigate the rate of OBI in premarital screening blood samples, which can lead to raise the attention against this infectious disease. Methods: A cross-sectional study was conducted in public hospitals in Buraydah city during 2018. This study included random collection of 848 samples from both genders from different hospitals in the Qassim region. All samples weretested by ELISA technique,and DNA viral load was detectedusingQ-PCR. Results: Out of 848 samples,only 28 samples were with reactive anti-HBc,while820 samples were with non-reactive anti-HBc. Among reactive anti-HBc, there were24 samples with reactive anti-HBsand only 4 samples with non-reactive anti-HBs. There were 4 samples below detecting range among analysis of HBV DNA by Q-PCR Conclusion: Our study showed that the probable rate of OBI in Qassim region was 3.30% with no difference in gender or age group. Thus, it is recommended to introduce anti-HBc assay screening as a criteria of PMS
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