SACM - United Kingdom
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9667
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Item Restricted A Qualitative Exploration of the Adoption of Big Data Analytics Applications in Healthcare: Insights from Saudi Hospitals(University of Southampton, 2025) Almoosa, Alya Abdulwahab A; Kunc, Martin; So, Mee ChiThe emergence of big data analytics (BDA) has introduced innovative solutions to disease prediction and diagnosis, personalised medicine, and hospital management. These advancements have offered opportunities for healthcare organisations to address the sector's pressing demands to reduce cost, improve care quality, and enhance accessibility to healthcare services. The aim of this study is to uncover the factors influencing the adoption of BDA applications in hospitals, promoting a better understanding of BDA adoption within the sector. This research also aims to explore how BDA solutions are being adopted in practice. To address these aims, this investigation followed a qualitative multiple-case study approach. The study investigated five large public hospitals in Saudi Arabia with differing levels of BDA adoption. Data sources included semi-structured interviews, documents, and memos, with interviews serving as the primary research method. A total of 36 interviews were conducted with employees involved in the adoption process. The findings suggest that BDA adoption in hospitals is shaped by a complex interplay of technological, organisational, environmental (TOE), and processual factors. Technological enablers such as data quality, data availability, compatibility, infrastructure, expertise, and trust in BDA applications create a foundation for BDA adoption and their absence results in major barriers. While organisational needs such as healthcare service types, patient volume and internal pressures act as drivers, BDA literacy, business-IT alignment, and decision-making culture are essential enablers for BDA adoption. Similarly, dynamic environments, competition, and changes in medical practices are external drivers for BDA solutions, whereas regulations and vendor support emerged as enablers. The study reveals that a well-defined adoption process and stakeholder consensus facilitate the adoption. Challenges to BDA adoption include resistance to change, vendor lock-in, ethical concerns, and public sector-specific issues such as decision-making dependencies and funding mechanisms. The study also reveals that advanced analytical solutions in hospitals are often adopted as objective-specific projects driven by localised needs and priorities. This sheds light on the role of BDA beneficiaries in the adoption process and the unique challenges to BDA adoption. This study contributes to both theory and practice. Theoretically, it contributes to the information systems (ISs) innovation adoption literature by advancing the understanding of the drivers, enablers, and barriers impacting BDA adoption in hospitals, particularly in public hospitals in Saudi Arabia. In addition to the well-established dimensions of the TOE framework, the study suggests the relevance of a processual dimension in shaping adoption outcomes. This dimension emphasises how aspects of the adoption process itself can influence the adoption. The study also provides insights into how BDA solutions are adopted, further emphasising the importance of understanding the adoption process of emerging technologies in IS adoption research. Practically, the study offers actionable recommendations for hospitals to overcome adoption barriers, improve organisational readiness, and support the effective integration of BDA technologies. It also provides valuable insights for policymakers, IS vendors, and professional bodies by highlighting the need for detailed regulatory frameworks for BDA applications in healthcare, improved vendor practices, and targeted awareness initiatives that promote responsible and ethical BDA adoption in healthcare.17 0Item 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 How Does Transformational Leadership Influence Employee Creativity Through Psychological Empowerment in the Health Industry? Lessons from Existing Theoretical and Empirical Literature(Queen’s Business School, 2024-09-13) Bin Jower, Aisha; Makowski, PiotrThis dissertation investigates the effect of transformational leadership on psychological empowerment and creativity in healthcare settings. The study addresses how leadership styles affect innovation and the performance of organisations in an industry that is chronically stressed, where rules are strict and ever-changing, and where patients’ needs are in constant flux. It uses a mixed-methods approach to existing data to explore several pertinent themes. One of these is how the behaviours of transformational leaders influence empowerment and how empowerment, in turn, mediates creativity among healthcare professionals. Furthermore, this research combines a quantitative analysis with a thematic qualitative review of the relevant literature to shed light on the association between leadership, empowerment, and creativity. The results indicate that transformational leadership has a strong, direct, and positive effect on psychological empowerment, which serves as a mediator for employee creativity, leading to improved innovation and job satisfaction. Also, it underscores ’the importance of context, demonstrating that effective healthcare leadership strategies should be tailored to the particulars of the environment if they are to achieve the desired effect. The dissertation concludes by recommending that healthcare organisations develop leadership programs that empower and nurture adaptability in their leaders: essential qualities that enable an organisation to meet the many challenges currently facing the healthcare industry. Future research should explore the specific kinds of leadership that serve the healthcare context and the support systems needed to create a culture of creativity within organisations14 0Item Restricted EXPLORING THE CHALLENGES FACED BY HR MANAGERS IN HOSPITALS IN TERMS OF RECRUITMENT AND RETENTION: SCOPING REVIEW(Swansea, 2024-09-28) Alyami, Mana; Rea, DavidThis scoping review investigates the challenges faced by HR managers in hospitals regarding the recruitment and retention of healthcare professionals. Considering the critical role of HRM in maintaining a skilled workforce, the study addresses strategies that could mitigate these challenges to ensure effective healthcare delivery. The research employs a scoping review methodology to assess existing literature. The databases utilised include Google Scholar, Cochrane Library, CINAHL, and Campbell Collaboration. Inclusion criteria centred on peer-reviewed English-language papers published between 2000 and 2023 that examine HR practices in hospitals. Key findings reveal that HR managers face multiple recruitment challenges, including talent shortages, lengthy recruitment processes, biased hiring practice, and weak employer branding. Retention challenges include poor leadership, lack of employee motivation and ineffective organisational culture. The study applies several theoretical frameworks including the Resource-Based View and Herzberg’s Two-Factor Theory to develop strategies that improve recruitment and retention. These frameworks highlight the importance of leveraging existing resources, enhancing employee motivation as well as addressing leadership and cultural issues to retain healthcare professionals. The discussion chapter underscores the importance of adopting HRM practices that promote employee satisfaction, recognition, and career development opportunities to retain skilled staff. A notable limitation is that scoping reviews may not fully capture evolving challenges in rapidly changing environments which could impact the applicability of findings to emerging healthcare settings. Generally, the research identifies gaps in current literature and proposes future research opportunities to better address the evolving needs of HRM in healthcare recruitment and retention.23 0Item Restricted Privatisation of the Saudi Arabian Healthcare Facilities: An Understanding of the Problem Representations in the Governmental Documents(The University of Edinburgh, 2024) Alhaddab, Shatha; Virk, AmritAmidst rising healthcare costs and fluctuating oil prices, Saudi Vision 2030 incorporates healthcare sector privatization as a strategic approach to improve the efficiency and quality of healthcare services. This research critically analyzed problem representation in healthcare privatization policy proposals in Saudi Arabia, and how they conceptualize healthcare privatisation as a solution to these problems. A textual analysis using Bacchi's 'What’s the Problem Represented to be?' approach was utilized to analyze problem representations in Saudi Arabian governmental documents advocating healthcare privatization. A total of three governmental documents were included in this study. Three problem representations were identified during the analysis: poor quality and inefficient public healthcare services, a growing population with insufficient hospital capacity, and unsustainability funding for healthcare. As a solution, privatization and public-private partnerships are proposed. This includes selling certain government assets and forming partnerships. The study indicates that the KSA healthcare sector is undergoing significant transformations, driven by the Saudi Vision 2030 policy, aiming to enhance efficiency and quality through privatization. However, it raises concerns about increased healthcare costs and patient safety, underlining the need for robust governance to mitigate these risks. It emphasizes the importance of stakeholder involvement and regulatory frameworks to ensure equitable and high-quality healthcare.19 0Item Restricted Enhancing Organisational Performance through Strategic Human Resource Development: A Systematic Review of Employee Training Practices in the Healthcare Sector in the United Kingdom(Brunel University London, 2024-03-21) Alnasser, Mohammed; ValsecchiIn this dissertation, the study examines the strategic alignment of training initiatives with organisational objectives in the UK healthcare sector. The literature review explores various factors that impact the effectiveness of staff training and development programs. Specifically, the research delves into the role of leadership support, engagement of healthcare professionals, and barriers to implementation. The findings highlight the critical importance of aligning training objectives with organisational goals, emphasising the pivotal role of leadership support, and promoting a culture of continuous learning. Additionally, the research identifies disparities in training effectiveness across different healthcare settings, providing insights into potential areas for improvement. Furthermore, the dissertation offers recommendations for future research and practice to enhance the strategic alignment of training initiatives in healthcare organisations. Overall, this study contributes to understanding how strategic alignment can enhance the effectiveness of training programs in addressing the evolving needs of the healthcare sector in the UK.31 0Item Restricted What are the barriers to the early integration of paediatric palliative care? A systematised review(Saudi Digital Library, 2023-12-03) Aljardahi, Rakan; Mcfeely, ClareBackground: Children with serious illnesses, such as cancers or congenital anomalies, require special care that alleviates the disease burden. Paediatric palliative care (PPC) is comprehensive, interdisciplinary care for patients and their families that begins once a life-threatening disease has been diagnosed. PPC’s early integration with curative treatments has been proven to relieve suffering and enhance both patients’ and families’ quality of life. Nonetheless, few paediatric patients access and receive these services. Aim: To identify and synthesise the barriers to PPC’s early integration. Methods: This systematised review is based on PRISMA guidelines. The Medline, Embase, PsychInfo and CINAHL databases were searched using controlled and non-controlled keywords and a variety of research strategies. This search was limited to peer-reviewed studies published in English between 2018 and 2023. Based on the inclusion criteria, Covidence software was used to screen, extract and assess the retrieved studies, which were evaluated using the CASP and MMAT checklists. Findings were synthesised using narrative synthesis with inductive thematic analysis. Results: Eight studies of medium to high quality met the inclusion criteria. Three main themes were identified: limited resources, the lack of a standardised referral process and fears associated with palliative care. Conclusion: Reflecting the insufficient attention the speciality receives, several modifiable barriers impede paediatric patients from accessing the early benefits of palliative care services. PPC requires financial support, community awareness and a clear referral process. Policymakers play an important role in supporting PPC, and researchers must work to explore policymakers’ perspectives on these barriers and find facilitators.36 0Item Restricted IS THE CONCEPT OF BIG DATA RELEVANT IN SUPPLY CHAIN LOGISTICS? A REVIEW(Saudi Digital Library, 2023-11-30) Alharbi, Shaykhah; Marina, PapalexiIn this era of unprecedented digital data generation spanning the past two decades, the concept of Big Data (BD) has emerged as a powerful phenomenon. This paradigm shift extends to the healthcare sector, where a plethora of data originates from diverse sources, including electronic patient records and medical equipment. Despite the growing interest in applying big data analytics (BDA) to supply chain management (SCM) from both academia and industry, its exploration within the healthcare domain remains limited. Unlike its counterparts in business and manufacturing, the healthcare supply chain has yet to fully realize the potential of BDA, leading to performance disparities and the underutilization of best practices. In response, this review endeavors to delve into the existing literature concerning the application of big data in the healthcare supply chain, aiming to discern its pertinence. Through meticulous filtering, 56 primary studies were meticulously scrutinized and categorized from an initial pool of 5,626, in pursuit of addressing four key research inquiries. The findings underscore the transformative potential of big data within healthcare, with procurement, demand forecasting, inventory management, logistics, and quality assurance emerging as prominent applications. This potential is nurtured by a conducive environment shaped by various facilitating factors, although certain inhibitory elements are also evident. By offering a comprehensive analysis of the literature, this study not only highlights the focal points of ongoing research but also establishes a bridge between theoretical understanding and practical implementation. It serves as a foundation for future research endeavors, shedding light on pivotal areas and paving the way for a deeper comprehension of these domains in practice.23 0Item Restricted Barriers and Facilitators of AI-Driven Tools in Healthcare Project Management in Saudi Arabia: An Exploratory Study.(Saudi Digital Library, 2023-12-11) Alyami, Khawlah; Pagano, RosaneThe aim of this research is to identify and analyse the primary barriers and facilitators that could influence the project management of healthcare AI initiatives in Saudi Arabia. By doing so, the study seeks to contribute to the existing body of knowledge and assist in formulating strategies and policies that can expedite the digital transformation process in the healthcare sector. The research employs a qualitative methodology, utilizing semi-structured interviews and focus groups as tools for data collection. The participants included healthcare project coordinators and senior project leads with substantial experience in the field. The research aims to fill a gap in the existing literature by offering insights into the unique factors impacting AI technology adoption in the Saudi healthcare sector. Findings from the study identify strategic initiatives, skill development, and collaborations as central facilitators in the integration process. Simultaneously, data management challenges, ethical and regulatory concerns, stakeholder management, and risk management are recognized as significant barriers. The study offers specific recommendations to address these barriers, focusing on improving data security and compliance with regulations. This research serves as a valuable resource for stakeholders in the healthcare sector, providing actionable insights to advance the integration of AI tools in Saudi Arabia, aligning with the objectives of Vision 2030.46 0Item Restricted Medical Screening Assistant: A Chatbot to Help Nurses(Saudi Digital Library, 2023-11-08) Al Rabeyah, Abdullah Saleh; Da Silva, Rogerio E; Goes, FabricioOver the last several years, Machine Learning has emerged as a key player in the healthcare industry. The use of chatbots is a notable application of artificial intelligence within the field of healthcare. The advent of the ChatGPT revolution represents a significant breakthrough in the realm of natural language processing, a fundamental aspect of chatbot programming. This development has simplified the implementation of GPT to engage in user communication and fulfill the objectives of the application. The objective of this project is to reduce the excessive workloads faced by healthcare professionals and enhance the efficiency of decision-making processes. This will be achieved via the development of an intelligent medical chatbot as a mobile application, specifically designed to support nurses in conducting early patient diagnoses by analyzing symptoms. The chatbot uses Swift programming language for the iOS front-end and Python with Flask for the backend. It incorporates the ChatGPT API and machine learning models to effectively comprehend and interpret user inquiries. This project uses a Kaggle dataset of 41 distinct diseases along with their corresponding symptoms. The model is trained using Logistic Regression to predict the prognosis. The responsibility of managing the dialogue between the user and the chatbot, leading up to the compilation of the definitive list of symptoms shown by the patient, lies with ChatGPT. The use of a Flask RESTful API facilitates direct interaction between the iOS application and the server-side infrastructure. Finally, the application will provide the nurse with the five most probable prognoses, along with the prediction confidence scores, depending on the symptoms supplied. Additionally, the application will offer a description of the disease and provide precautionary measures for the patient.20 0