SACM - United Kingdom
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9667
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Item Restricted Equity and Access to Healthcare Services: A qualitative analysis of the maternity care experiences of Arab migrant women in Scotland(University of Dundee, 2025) Gashgari, Dawood; Symon, Andrew; Lee, ElaineBackground: Globally, migration has surged over the past two decades, with the UK emerging as the fifth top destination, hosting over 9.5 million foreign born residents (IOM, 2021). There has been a gradual increase in the number of new female migrants in the country. These trends emphasise the importance of meeting the maternity care access needs of new migrants, ensuring equitable access to services, and adapting these services to diverse cultures. This study’s initial scoping review mapped the literature about maternity care access experiences among newly arrived migrants in EU/EFTA countries. It identified limited studies about newly arrived migrant women in Scotland, a country experiencing population growth due to migration. Among migrant group that received little attention despite their numbers are newly arrived migrant women from Arab countries. Aim: To explore and describe the maternity care access experiences of newly arrived Arab migrant women who have given birth in Scotland, and for whom English is not their first language. Methods: A Qualitative Descriptive study was conducted using the Levesque et al. (2013) 5As access to healthcare framework. Twenty participants from various Arab countries and with different migration statuses were selected from Scotland’s four largest cities through purposive sampling strategy. In-depth semi-structured telephone interviews were conducted, focusing on their experiences. Thematic Analysis (TA) was employed to analyse the interviews. Findings: Participants reported varied experiences at different stages of maternity care, with more challenges than facilitators in accessing care. An overarching theme ‘Expectation and reality’ and four other themes were identified from the data. These are: 1) Perceived availability and appropriateness of maternity care; 2) Motivators and inhibitors when seeking maternity care; 3) Communication; and 4) Encounters with healthcare professionals. Discussion and Conclusion: The study highlights lack of familiarity and discrepancies between expected and actual care experiences, affecting experiences and perceptions of maternity services. Participants faced several challenges at both service and organisational levels, leading to criticism and resistance behaviours such as appointment avoidance and exaggerating conditions. The study shows how initial self-directed barriers could transform into motivators, and vice versa, which influenced participants’ decisions to seek, accept, or avoid care. It also identifies substantial communication barriers due to language difficulties and the inadequacy of interpretation services. This, along with a lack of tailored informational materials, significantly affected access to and understanding of maternity care services. Positive interactions with healthcare professionals fostered feelings of equality and welcome, while negative encounters often resulted in perceptions of discrimination. Recommendations include improving information provision and adopting women-centred, culturally sensitive practices to enhance maternity care for migrant women.15 0Item Restricted Isolation and Its Impact: Understanding Patient–Caregiver Experiences During Isolation for Haematopoietic Stem Cell Transplantation(Queen's University Belfast, 2024-06-24) Mayan, Soumaya; Martin, DaphneBackground: Haematopoietic stem cell transplantation (HSCT) is a complex procedure requiring long-term preparation. Patients undergoing the procedure have increased risks of developing infections and life-threatening complications, so the standard practice has been to isolate them before and after the procedure. Although isolation in a separate ward helps increase the chances of successful transplantation and survival, it has an immense negative effect on patients’ psychological state. Aim: This study aimed to examine the effects of isolation on patients and their caregivers. Specifically, it focused on the psychological/emotional state, health related quality of life, and coping skills of patients and their families. Methodology: An integrative literature review methodology was used to draw the data for this study. The search was limited to articles published in English in the past decade (September 5, 2013, until present), which focused on the experiences of adult patients/caregivers in the context of HTSC isolation. A thorough literature search helped extract 19 studies which were included in the sample. This approach helped obtain qualitative and quantitative data from different locations. Results: The review showed that isolation has a severe effect on patients and caregivers, leading to stress, anxiety, and depression. It is also associated with extreme uncertainty and the loss of control, which, coupled with a plethora of unpleasant and taxing symptoms, negatively impact health related quality of life. Patients and caregivers were found to demonstrate various coping behaviours, such as communication with friends and family, spending time on hobbies, engaging in religious/ spiritual activities, and others. However, maladaptive coping was also found to be common, which points to the importance of teaching patients and families how to overcome stress. Conclusions: Given the adverse effects of isolation on patients and their families, it is extremely important to provide them with relevant psychological support and resource26 0Item Restricted 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, NimmyBackground: 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.20 0Item Restricted Mother's Experiences of Screening and Support for Postnatal Depression in Paediatric Settings: a systematic review(Queen’s University of Belfast, 2023-12-15) Asiri, Nawal Yahya H; Grant, AnneBackground: Postnatal depression (PND) is a significant public health concern that affects about 20% of new mothers after childbirth. Early detection and intervention are essential for managing PND, and paediatric healthcare providers are encouraged to screen for PND using validated screening instruments. However, research indicates that many mothers do not receive adequate screening or support for PND in paediatric settings, and there is a need to comprehend better mothers' attitudes towards screening and support for PND by paediatric health providers. Aim: To understand the mother's experiences of screening and support, if any, for postnatal depression from paediatric health providers. To examine the prevalence of postnatal depression in paediatric settings. Methodology: Six electronic databases were searched systematically. These databases were CINAHL, Medline, PsycINFO, EMBASE, Maternity and Infant Care, and PubMed.The result of the search was reported using PRISMA. MMAT critical appraisal tools were used to appraise the included studies based on their design critically. Results: A total of seven studies were included. According to the MMAT tool, three studies achieved high quality, and four were moderate. The findings are categorised into five themes. (1) Mother's experiences in screening for depression during Child/ Pediatrics Visits. (2) Mothers' fears of disclosing symptoms of depression. (3) The relationship between child service providers and mothers. (4) The relationship between socio-demographic factors and postnatal depression symptom screening status. (5) The complexities involved in understanding and addressing postnatal depression. Conclusion: Postnatal depression is a difficult time for mothers. They experience various emotions, including stigma and hopelessness, and often, they do not know they suffer from PPD. There is a lack of support for mothers during child-will visits to screen for PPD. The process suffers due to poor coordination and communication between these services. There is potential for nursing in pediatric field roles to improve these experiences.38 0Item Restricted An investigation of AI in talent management in luxury hospitality in the UK (United Kingdom)(Saudi Digital Library, 2023-09-29) Alshalah, Zahra; Marinakou, EvangeliaAn investigation has been conducted into the implementation of artificial intelligence in the luxury hospitality sector of the United Kingdom. Digitalization is influencing the business operations of the hospitality sector from a variety of perspectives, including talent management. Managing talent is critical to the success of business operations in the luxury tourism sector, since it is a fundamental component of providing a better level of service to customers. There is no doubt that the hospitality industry is one of the largest in the United Kingdom. Hoteliers have been assisted greatly by artificial intelligence in managing their talent in recent years. Yet most human resources managers in luxury hotels in the United Kingdom are unaware of the existence of this technology, which is the reason for their slow growth. The purpose of this specified dissertation paper is to provide an in-depth analysis and discussion regarding the various challenges that various HR managers are undergoing while implementing AI technology within the hospitality industry in the UK. As well as the variety of approaches through which these challenges can be mitigated, this article discusses various ways through which all of these challenges can be mitigated. Artificial intelligence has been found to be able to facilitate the recruitment process. By doing so, Human Resources professionals have been able to reduce their workload. Additionally, it is used to train employees, make cognitive decisions, and select resumes for employment.131 0