SACM - United Kingdom
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9667
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Item Restricted Improving Heart Failure Management in Saudi Arabia: A Quality and Safety Improvement Project Using Telemedicine(University of Nottingham, 2024) Alansari, Dareen; Stacy, JohnsonHeart failure is a common and complex healthcare problem in Saudi Arabia. Due to the lack of emphasis on primary and secondary prevention, the ageing population, and the increased prevalence of heart failure risk factors, especially among the younger population, the number of people with HF is expected to increase, leading to an increased burden on the national healthcare system in Saudi Arabia. This proposed quality improvement project will utilise telemedicine to monitor the progression of heart failure and heart failure risk factors, facilitate early identification of disease worsening and prompt referral to specialists, as well as educate people about the importance of managing their disease, in an effort to delay the development of heart failure and to improve the quality and safety of existing heart failure care in Saudi Arabia. Well-recognised quality improvement methodology and tools, including the Model for Improvement and Davidge’s Seven Steps to Measurement, supported by statistical process control charts as well as qualitative methods, will be used to guide the improvement process. A high emphasis will be placed on stakeholders involvement through an appropriate leadership style and engagement of stakeholders in the development of the design of this project at the early stages. This proposed quality improvement project provides a sustainable solution that is well-aligned with the vision of Saudi Arabia as well as the Institute of Medicine’s six domains of healthcare quality, taking advantage of a well-established technology infrastructure to tackle a persistent healthcare threat.33 0Item Restricted Exploring Digital Self-Management Support for Chronic Knee Pain in Physiotherapy Clinics in Jeddah, Saudi Arabia: A Two Phased Sequential Mixed Methods Study(Cradiff University, 2024-04) Aljahdali, Shaima; Latchem-Hastings, Julie; Button, Kate; Hamana, KatyBackground and study aim: Chronic knee pain is a widespread issue globally, affecting individuals of all ages worldwide. This challenge is intensified by an aging population, sedentary lifestyles and increasing obesity rates. There is an international shift towards promoting active management approaches in line with clinical guidelines, including physical activity, dietary changes and the support of self-management. This shift has led to an evolution of digital initiatives designed to support people to self- manage their chronic knee pain. However, despite the high prevalence of chronic knee pain in Saudi Arabia, relevant research in the region remains scarce. This study aims to explore digital self-management support for knee pain within the current physiotherapy practices in Jeddah, a prominent city in Saudi Arabia. Methods: This study employed a sequential exploratory mixed-method design. It started with qualitative interviews involving 29 participants (15 physiotherapists and 14 individuals with knee pain), analysed using reflexive thematic analysis (Phase 1). The aim was to explore how existing physiotherapy practices for knee conditions align with self-management support principles and to explore the perceptions of potential users towards digital self-management support initiatives. Part of the findings informed the adaptation of the digital intervention "TRAK" into a Saudi-specific platform named "TRAK-Saudi". In Phase 2, 12 participants (6 physiotherapists and 6 individuals with chronic knee pain) participated in remote usability testing sessions for evaluating the usability of TRAK-Saudi. The perceived usability was assessed using the Arabic System Usability Scale (A-SUS), with usability issues identified through a concurrent think-aloud approach and analysed via quantitative content analysis. Additionally, the likelihood of substituting face-to-face sessions was assessed using a 5-point Likert scale. Qualitative and quantitative data from both phases were integrated at various points to address the study's overarching aim. Findings: In Phase 1, the findings highlighted a discrepancy between current physiotherapy practices and the foundational principles of self-management support, underscoring an essential transition towards patient-centred care. Participants generally favoured digital self-management support initiatives, advocating for their role as supplementary to in-clinic therapy rather than as replacements. TRAK-Saudi was rated highly for usability, with A-SUS scores of 77.5 by individuals with chronic knee pain and 83.3 by physiotherapists. During the navigation of TRAK-Saudi, participants initiated 53 inquiries, primarily seeking guidance and assurance. Participants also expressed strong willingness to substitute in-clinic sessions with TRAK-Saudi, reflected in median ratings of 4.5 for individuals with chronic knee pain and 5 for physiotherapists, with a mode of 5 for both type of participants. Conclusion: Both physiotherapists and individuals with chronic knee pain demonstrated competence and openness to digital solutions. While TRAK-Saudi was user-friendly for Saudi users, current physiotherapy practices lack the clinical foundation to fully embrace digital self-management support initiatives. Significant changes in current practices are necessary to promote patient-centred care. At this stage, it is advisable for Jeddah’s physiotherapy clinics, if interested, to integrate TRAK-Saudi or similar initiatives as supplement to existing practices. This strategy aims to elevate the quality of knee care by enriching individuals’ knowledge, strengthening patient-provider relationship and improving self-management skills.4 0Item Restricted Improvements of Technical Blockchain to Combat Ransomware Attacks in Healthcare(Newcastle University, 2024) Albalawi, Sarah; Mace, JohnIn the face of increasing cybersecurity threats, ransomware attacks have become a significant risk to critical sectors such as healthcare. As medical healthcare systems increasingly rely on electronic health records, they face heightened vulnerabilities that can compromise patient data and disrupt essential medical services. Ransomware attacks can encrypt and render critical medical records inaccessible, jeopardising patient care. This research aims to develop and evaluate a blockchain-based solution designed to secure medical healthcare records against ransomware, enhancing data integrity, availability, and security in healthcare systems. By leveraging blockchain technology, specifically by using smart contracts and decentralised applications on the Ethereum platform, the proposed solution creates a decentralised, immutable medical record management system. The system's robustness is demonstrated through a Python-based ransomware simulation, which compares locally stored medical data with data managed via blockchain. The findings show that the blockchain-based approach and smart contracts maintain data integrity and availability during ransomware attacks, preventing unauthorised access and ensuring continuous healthcare operations. These results suggest that adopting blockchain technology in healthcare can significantly mitigate the risks posed by ransomware, reduce operational disruptions, and protect patient data from evolving cyber threats, ultimately providing a scalable and secure solution for enhancing cybersecurity in the healthcare sector.25 0Item Restricted MSc Dissertation Report(Sheffield Hallam University, 2024-09-05) Alghamdi, Ali; Shobayo, OlamilekanThe present study assesses how Big Data technology has affected healthcare with regard to telemedicine and demographic disparities among Medicare beneficiaries. This research has discovered large demographic variations in the use of telehealth across many demographic variables, alluding to the fact that it is oriented toward women, urban residents, and non-Hispanic whites more than their counterparts. It is demographic insight that allows one to understand the need for targeted interventions to close the gap in telehealth access and use. Among the important recommendations based on the findings are those that aim at improving the enhancement of digital literacy and access among older adults. This is attained through the development of user-friendly telehealth platforms, community-based training in telehealth, and support systems made up of family members and caregivers. It is also critical to invest more in broadband infrastructure, alter policies for reimbursement parity, and implement mobile health units across rural areas in order to reduce the urban-rural disparities with regard to telehealth usage. This involves the promotion of gender-inclusive strategies, mainly through the reduction of racial and ethnic disparities related to telehealth adoption. The techniques in achieving this include targeted outreach programs, training of healthcare providers to promote the use of telehealth in men with prostate cancer, and culturally competent programs that have the capacity to take care of various racial and ethnic groups. Further monitoring and richer data analysis may continue to shed light on the barriers to telehealth use across demographic groups, further ensuring there is equal access to care.12 0Item Restricted Referral Pathway to Domestic Violence and Abuse Agency for patients in Healthcare - Scoping review.(Queen Mary University, 2024) Alshahri, Nouf; Coulthard, PaulBackground: Domestic violence and abuse (DVA) present significant public health and medical challenges globally, leading to severe morbidity and disability among women. Healthcare professionals play a crucial role in identifying and referring DVA victims to appropriate services. Despite this, research on effective DVA referral pathways remains limited, highlighting a critical gap in healthcare systems. Aims: This study examines referral pathways for DVA patients within healthcare settings, focusing on the role of healthcare practitioners. The study aims to establish effective referral and care pathways by identifying best practices and emphasizing ongoing professional training to enhance detection rates and improve referrals to specialized care. This approach may reduce future violence and enhance the well-being of victims. Methods: A scoping review was conducted, involving an electronic search of databases such as EMBASE, Web of Science, MEDLINE, and CINAHL, covering literature from June 2010 to January 2023. The review specifically targeted studies related to healthcare practitioners' roles in DVA referrals. Results: Out of 214 articles screened, 40 studies met the inclusion criteria and were critically appraised for quality. These studies, which include both qualitative and heterogeneous research, underscore the importance of effective DVA referral pathways in healthcare. They also highlight the need for more research on cultural sensitivity, under-explored medical areas, and the improvement of support systems for DVA victims. Conclusion: The findings emphasize the need for ongoing professional training, empathy, and collaboration among healthcare providers, agencies, and support organizations to foster a comprehensive global response to DVA. Current research often focuses on individual components of the referral process, such as screening tools or initial referral steps, rather than examining the entire pathway.17 0Item Restricted Predicting the Uptake of a New Medicine in England using Classification(Saudi Digital Library, 2023-12-01) Alsoghayer, Sara; Tabassum, FaizaThe National Healthcare Service (NHS) is experiencing delays of the uptake of a new medicine within their formularies, despite the National Institute for Health and Care Excellence (NICE) recommendations. Such delays not only affect pharmaceutical companies’ during the launch stage but also contribute to potential harm in patients’ health, and low global competitiveness in the life sciences sector. This study investigates the viability of predicting the speed of uptake of a new drug on a formulary level using classification algorithms. Three types of machine learning models: XGBoost, random forest, and logistic regression were employed and evaluated. The results suggest the predictive model, XGBoost, is operating on a market entry level, showing generalized predictions across various formularies. The findings also indicate there is no correlation between the formulary medicine uptake and the number of partnered organizations of a formulary, or the size of patient population.51 0Item Restricted A Scoping Review of the Predictors of the Work Engagement of Nurses in the Workplace and Methodological Limitations of Existing Evidence(Saudi Digital Library, 2023-12-01) Albalawi, Abdulrahman; Plumpton, KayAbstract Recently, there has been growing interest among policymakers about the importance of increasing the engagement of nurses in their work, as this can boost their productivity and performance as well as improve the quality of health care services. This encouraged several researchers to examine the predictors of the engagement of nurses in their work. Despite the emerging nature of this research field, there is a lack of scoping reviews that explore the scope of evidence in this research area. Further, there is a limited understanding of the methodological limitations of studies in this research field. This can be valuable, as it can guide future research on how to improve the methods used. Therefore, this study aims to explore the scope of evidence on the key predictors of the engagement of nurses in their work, identify the methodological limitations of research in this research area, and provide recommendations for future research. A scoping review was used. This scoping review used the Arksey & O'Malley (2005) framework as a guide. This scoping review employed six databases in order to identify the relevant research studies, including Science Direct, Elsevier, Scopus, JSTOR, PubMed, and Web of Science. The scoping research found that the engagement of nurses is influenced by a wide range of factors, including leadership style, organisational and supervisory support, organisational justice and fairness, rewards and recognition, job characteristics, age, trust and autonomy, and personal resources. Several methodological limitations were found in the available literature, including limited longitudinal studies, the lack of qualitative studies, the limited study of the moderators and mediators, the failure to control for confounding factors, the lack of studies with random sampling, the limited studies from a wide range of countries (South America, Africa, Russia, etc.), the lack of agreement on the measures used, and the failure to take gender differences into account. Researchers are recommended to conduct studies with a longitudinal or qualitative design, study the effect of moderators and mediators on the relationship, control for confounding factors, use random sampling, use the Core Outcome Sets (COS), and take gender differences into account. Keywords: engagement, nurses, healthcare, motivation, healthcare.30 0Item Restricted Proposal for Quality Improvement Project Titled: Improving Vitamin D Test Utilisation in Family and Community Medicine Clinics(2022-09-12) Alomari, Rwan; Slater, NigelBackground With ever-changing and evolving healthcare comes the overutilisation of laboratory tests. One of the common laboratory tests that is frequently overutilised is the vitamin D test (VDT). Although the urge to avoid unnecessary testing is primarily motivated by budgetary considerations, there are several medical factors that also support this position. Objective The aim of this proposed quality improvement project (QIP) is to improve VDT utilisation by reducing inappropriate test ordering in a Family and Community Medicine Clinic (FAMCO). This project will reduce costs and labour while improving patient care within the healthcare organisation. Methods Methods including lean thinking, Standards for QUality Improvement Reporting Excellence (SQUIRE 2), Model for Improvement (MFI) and the seven steps to measurements will be used to achieve the aim of this proposed QIP. A broad selection of evidence-based quality improvement (QI) methodologies and tools will be utilised. The processes to be used to understand the local context, identify the problem and design and develop effective interventions are outlined within this QIP. Also, this proposal addresses the required leadership styles, change theories, measurement and analysis processes and patient engagement and communication methods. Results Since this is a proposal, there are no real results yet. However, simulated data are used to visualise and understand the current problem (Figure 3) and to evaluate the measurement methods (Figure 8, 9, and 10). Conclusion The proposed QIP will use multilevel collaborative interventions to achieve the aim of reducing the number of inappropriate VDT orders. It will focus on modifying the hospital information system to change the ordering process, which is expected to yield a fundamental change and ensure sustainability. The tested approach could also potentially be applied to different tests and hospital departments.8 0