SACM - United Kingdom
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9667
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Item Restricted Knowledge and Acceptability of HPV Vaccination in Countries in the Eastern Mediterranean Region: A Systematic Review(University College London, 2024) Aboalaz, Amirah; Sonnenberg, PamBackground: Human Papillomavirus (HPV) is a significant cause of cervical cancer and may cause other cancers, including anal and penile cancers. Despite the availability of effective vaccines, the level of knowledge and acceptability of HPV vaccination varies widely across different regions. This systematic review focuses on the Eastern Mediterranean Region (EMR) to evaluate the current state of awareness and vaccine acceptability. Methods: A systematic review was conducted following PRISMA guidelines, with a comprehensive search across Embase, Scopus, PubMed, and Web of Science for studies published between January 1, 2008, and March 30, 2024. Inclusion criteria were cross-sectional studies conducted in the EMR that included questions on HPV awareness, vaccine awareness, the link between HPV and cervical cancer, and vaccine acceptability. Studies were assessed for quality using the Joanna Briggs Institute (JBI) critical appraisal checklist. Results: A total of 815 studies were identified and after screening and quality appraisal, a total of 36 studies from 14 countries in the EMR were included. The review revealed low levels of awareness about HPV and its vaccine, with median awareness levels at 35.05% for HPV infection and 31.8% for the HPV vaccine. The median acceptability level for the HPV vaccine was higher, at 54.05%. Knowledge about HPV was found to be correlated with higher vaccine acceptability. Conclusion: The findings highlight the need for targeted public health interventions to improve HPV vaccination knowledge and acceptability in the EMR. Strategies may include robust educational campaigns, integration of HPV education into school curricula, community engagement, and training of healthcare providers. Policy interventions to make the vaccine more accessible and affordable are also crucial. Addressing these challenges through comprehensive and multi-faceted approaches can significantly enhance vaccine uptake and reduce the burden of HPV-related diseases in the region.23 0Item Restricted Knowledge, attitude and practice of health and safety guidelines among laboratory staff in Saudi Arabia(Newcastle University, 2024-11) Aldhamy, Haifa Omar; McCune, Victoria; Pearce, Mark S; Maniatopoulos, GregoryBackground Medical laboratories are required to follow health and safety regulations to minimise occupational risks to laboratory staff. Without knowledge of and adherence to appropriate controls and procedures, laboratory acquired infection (LAIs) can result in morbidity and mortality to staff. The prevention and reduction of LAIs is a key priority for the Kingdom of Saudi Arabia (KSA) healthcare system as part of its infection prevention and control (IPC)/biosafety programme. This mixed-methods study aimed to explore the implementation of the IPC/biosafety programme from the laboratory staff viewpoint and to assess knowledge, attitude and practice of recommended polices and procedures. Methods A mixed-methods study design, combining quantitative (survey) and qualitative (semistructured interviews) methods was employed. The study was conducted in three hospitals (two public, and one private in KSA. Participants included laboratory staff, allied health professionals and infection control specialists. Quantitative data were analysed using descriptive and inferential analysis. Qualitative data were analysed using the Normalisation Process Theory (NPT) framework. Results King Abdulaziz Medical City participants had the highest mean knowledge scores (9.81). Hayat National Hospital participants had the highest median attitude scores (53.5). Participants who received training had the highest median practice scores (52.0). There was a positive correlation between the knowledge and practice scores (r= 0.32, p= 0.003). Several themes regarding the implementation of safety guidelines were identified using NPTs four constructs, such as; awareness and risk perception of LAIs; valuing the benefits of guidelines; compliance with implementing guidelines; assessment and monitoring of guidelines implementation and facilitators of guidelines implementation. Conclusion Although the majority of participants had high scores on knowledge, attitude and practice, there were some differences between hospitals, confirming the need for standardisation among hospitals and continuous education and training. Staff were also aware of the risk of LAIs, and value of implementing guidelines to minimise occupational risk. However, factors such as lack of organisational support and lack of resources affected the implementation process. The need for a comprehensive action plan from the Ministry of Health and the General Directorate for Infection Prevention and Control in Healthcare Facilities to facilitate the implementation of the IPC program was regarded as critical to the uptake of safety guidelines.26 0Item Restricted Nurses’ perspectives on the barriers to and facilitators of effective paediatric pain assessment and management: A systematic review(Saudi Digital Library, 2023-11-21) Gadi, Amirah Dawood M; Wilson, IseultBackground: Children’s pain is a universal problem that has far-reaching negative consequences. Despite the recognition that effective pain management is a fundamental human right, some children are still suffering from unrelieved pain. Nurses have a pivotal role in paediatric pain management; however, they are confronted by many barriers. It is therefore of value to explore the barriers and facilitators that nurses experience when caring for children in pain. Aim: This study aims to explore nurses’ perspectives regarding the barriers and facilitators related to the effective assessment and management of pain in children, infants, and neonates. Methodology: A search strategy was formulated, and five databases were searched for relevant articles including ProQuest, Scopus, CINAHL, PsycINFO and PubMed. Each paper identified by the search underwent a quality assessment using a predetermined tool. Relevant information to the research question was extracted, and the major themes were then identified by thematic analysis. Findings: Eighteen studies were included in this review. Recognised barriers and facilitators were categorised into three main themes related to: (i) healthcare professionals; (ii) the child and their parents; and (iii) the organisation. Prominent barriers included nurses' inadequate knowledge of the uses and side effects of medication, limited pain assessment experience, low prioritisation of pain, time constraints, communication and language difficulties with children, as well as uncooperative children, insufficient parental involvement, lack of guidelines and resources shortages, and nurses’ distrust in pain assessment tools. Key facilitators comprised robust knowledge, adequate experience, higher education, in-service training, parental involvement, effective communication with children and parents, clear guidelines, adequate resources, and nurses’ trust in and utilisation of pain assessment tools. Conclusions: This review provides valuable insights into the barriers and facilitators faced by nurses with respect to the assessment and management of pain in the paediatric population. There is a need for targeted educational interventions and policy changes to support nurses’ ability to deliver high-quality pain care. Further research is needed in order to investigate these factors and to examine any other potentially associated determinants amongst paediatric nurses.23 0