SACM - United Kingdom
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9667
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Item Restricted Patient portals in the National Health Service general practice (GP) practices: a systematic review and analysis of GP patient surveys and clinical practice research datalink(Imperial College London, 2024) Alturkistani, Abrar Saleh A; Costelloe, Ceire E; Greenfield, Geva; Beaney, ThomasIntroduction: Patient portals are online platforms for accessing healthcare records, prescriptions, and appointments, and are available in all General Practice (GP) practices providing National Health Service (NHS) services in England. This thesis aims to study the use and associations of patient portals in this context and explore healthcare-related outcomes, offering clinical and policy recommendations. Methods: A systematic review was performed to determine health and healthcare utilisation outcomes associated with patient portals among patients with diabetes. An analysis of the GP Patient Surveys (GPPS) of 2018-2020 was performed to explore characteristics associated with patient portal use in England. An analysis of Clinical Practice Research Datalink (CPRD), was performed to evaluate the number of consultations and statin prescription ordering adherence before and after patient portal registration. Results: The systematic review concluded that patient portal use is associated with health and healthcare utilisation outcomes. Analyses of the GPPS surveys indicated that respondents with long-term conditions (compared to those without), of the age groups 16 years old until 84 years old (compared to those aged 85 years and older), and of the lowest deprivation level (compared to those in the highest level) were more likely to use patient portals. The exploration of health utilisation indicated a reduced number of face-to-face consultations (incidence rate ratio (IRR): 0.93, 95% confidence interval (CI): 0.93, 0.94), but an increased number of remote consultations after portal registration (IRR: 1.16, 95% CI: 1.15, 1.18). Additionally, there was a reduction in statin prescription ordering adherence (of at least 80%) after portal registration (IRR: 0.84, 95% CI: 0.81, 0.86). Conclusion: Patient portals are useful tools, but there is a need to further explore and address any existing inequalities, and unintended outcomes associated with their use. Future research could explore inequalities and the mechanisms between patient portal use and outcomes.4 0Item Restricted Examining the Impact of Nursing Leadership Programmes on Quality of Patient Care in Saudi Arabia(Saudi Digital Library, 2023-11-02) Albahrani, Fatimah; King-Okoye, MichelleAim: This research investigates the impact of nursing leadership development programmes on the quality of patient care in the Saudi Arabian healthcare system. Background: Nursing leadership plays a crucial role in healthcare delivery, nurses’ employment, patient outcomes, and, ultimately, the quality of services delivered. Globally, there is a shortage of nursing professionals, and the World Health Organization (WHO) has identified nursing leadership as a priority area to address this challenge. However, a shortage of nursing leaders in Saudi Arabia necessitates the development of evidence-based programmes to address this issue. Nursing education and training in the country require further emphasis on leadership subjects and professional development to effectively prepare nurses for executive positions. Holding this empowerment will enhance the Saudi nursing workforce and, in turn, the quality of patient care. Methods: An ethnographic qualitative design with a purposive sampling strategy will be used to assess the impact of nursing leadership development programmes. Data will be collected through face-to-face semi-structured interviews and observation. A thematic analysis method and data triangulation will be employed for data analysis, considering ethical principles and best practices in conducting the research. Conclusion: The study’s findings will have practical implications for nursing leadership in Saudi Arabia and contribute to academic research. It will give healthcare policymakers, administrators, and educators valuable insights to optimise nursing leadership development programmes. This will improve the quality of patient care in the Saudi healthcare system.37 0