SACM - United States of America
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9668
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Item Restricted Perceived Barriers and Facilitators by Critical Care Nurses and The Impact of Cultural Variations Between Nurses and Patients on End-Of-Life Care at Intensive Care Units(University of Cincinnati, 2024-10-18) Alali, Khairayah; Smith, Carolyn R.Background: Due to the complexity of medical conditions in the intensive care unit (ICU), mortality rates are typically high in most hospitals. End-of-life care (EOLC) begins when curative treatments are no longer beneficial, shifting the focus to comfort and quality of life for patients and families. Despite EOLC being a standard part of ICU management, healthcare professionals encounter complexities and uncertainties when transitioning from life-saving treatments to comfort-focused care. Additionally, EOLC in the ICU is influenced by the cultural backgrounds of both nurses and patients. The nursing culture in Saudi Arabia reflects a diverse workforce, with a significant reliance on expatriate nurses from various countries, leading to cultural and language differences that can influence EOLC. Objectives: To explore the perceived barriers and facilitators of critical care nurses in providing EOLC in intensive care units, how cultural variations between nurses and patients impact care, and how nurses address and meet the cultural needs of dying patients. Method: The study employed a qualitative descriptive method, utilizing semi-structured interviews that were conducted virtually through Zoom. Purposeful sampling techniques and a homogeneous sampling approach were used to recruit participants. Open-ended questions were used from an interview guide to prompt the critical care nurses to share their viewpoints and experiences. Results: The exploration of the perceived barriers and facilitators of critical care nurses during EOLC for terminally ill patients in the ICU revealed three main themes: (a) EOLC barriers, (b) EOLC facilitators, and (c) suggestions to improve the EOLC and overcome barriers. The exploration of how cultural variations between nurses and patients impact care, and how nurses address and meet the cultural needs of dying patients revealed five main themes: (a) cultural practices and traditions of patients & families, (b) cultural competence during EOLC, (c) culturally competent nursing care decisions and actions (d) challenges in providing culturally competent nursing care, and (e) suggestions to improve cultural competence. Conclusion: This study identified barriers to EOLC, including family acceptance, understanding of EOLC, unrealistic expectations, over-involvement, poor policy awareness, staffing shortages, high workloads, care continuity, and insufficient training. Nurses showed a strong commitment to respecting patients' cultural and religious practices but faced challenges in delivering culturally competent care. Recommendations include better family education, clear communication, integrating EOLC training into nursing education, addressing language barriers, implementing advance directives, and fostering a collaborative team environment with adequate resources and flexible visiting hours. These steps can enhance the quality and compassion of EOLC.31 0Item Restricted IDENTIFYING BARRIERS WOMEN FACE ASSUMING LEADERSHIP POSITIONS IN HIGHER EDUCATION IN SAUDI ARABIA(Saudi Digital Library, 2023-11-17) Alanazi, Nufud; Al-Shaya, AhmedThe higher education sector in Saudi Arabia has experienced significant growth and development in recent years, making it increasingly crucial for women to assume leadership positions. The purpose of this study was to examine female Saudi faculty members’ perceptions regarding identifying the most common barriers that they experienced to obtain senior leadership positions in higher education. A quantitative descriptive design was used to provide a comprehensive analysis of these barriers in terms of personal, professional, and cultural concepts and to gather the data in this study. An online survey was used to capture 74 responses from female faculty members who are working at the University of Hfar Alabatin in Saudi Arabia. The findings of this study indicated that personal and professional barriers were identified as the most important barriers facing academic women leaders, while cultural barriers were identified as less important. The study also discusses additional findings. Moreover, this study provides some recommendations for practices and further research to empower Saudi women to assume better opportunities in their educational roles.27 0Item Restricted EXPLORING SUCESS FACTORS OF ADOPTING ADVANCED MANUFACTURING TECHNOLOGY FOR ELECTRICAL VEHICLES INDUSTRY IN SAUDI ARABIA APPLYING THE TECHNOLOGY ACCEPTANCE MODEL (TAM)(Al Fatais, Abdullah, 2023) Al Fatais, Abdullah Mohammed; Korwowski, WaldemarBased on the Technology Acceptance Model (TAM), the study explores the success factors of adopting Advanced Manufacturing Technology (AMT) for the Electrical Vehicles (EVs) industry in Saudi Arabia. The study assesses the impact of eight factors on AMT adoption and implementation success. The dimensions include Training & Education, Planning, Management, Technology, Business, Economic, Policies & Regulations, and Social. The study analyzes the sample including people with careers related to advanced manufacturing in Saudi Arabia, either in the public sector, private sector, industrial sector, and academia. Furthermore, an online questionnaire was used to collect data from the participants. Additionally, a Systematic Literature Review (SLR) was conducted to analyze the existing literature in addition to the utilization of TAM for data analysis. This study aims to evaluate the readiness of the Saudi industrial sector to adopt EVs manufacturing technologies. Moreover, this study is expected to use a reasonable sample size for analysis purposes which can result in solid conclusions and practical recommendations.19 0