SACM - United Kingdom
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9667
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Item Restricted Intensive Care Nurses' Experiences of Burnout During the COVID-19 Pandemic in Saudi Arabia: A Constructivist Grounded Theory Study(King's College London, 2024) Alzailai, Nawal; Xyrichis, Andreas; Barriball, LouiseBackground: Burnout amongst healthcare staff, particularly amongst intensive care unit (ICU) nurses, is a critical issue that intensified during the COVID-19 pandemic. Previous research, especially within the Saudi context, has identified significant levels of burnout in ICU nurses. However, a notable gap exists in the use of qualitative methodologies to deepen our understanding of ICU nurses’ burnout in the Saudi context. Moreover, comprehending the experiences of nurses who suffered from burnout during the pandemic, focusing on the factors that contributed to their stress, has been essential for identifying developmental needs and for shaping interventions aimed at mitigating burnout amongst nurses. Despite this, the existing literature lacks a reliable theory or model that adequately captures the phenomenon of burnout within highly demanding environments like ICUs, particularly under the unpredictable and greatly challenging circumstances of disasters. Aim: To construct a theory grounded in burnout experiences of ICU nurses in Saudi Arabia during the COVID-19 pandemic, intended to act as a foundation for future research that explores burnout in high-stress environments for nurses or other healthcare staff working in similar contexts. Methods: Building from one scoping review and one systematic review, a constructivist grounded theory design was employed for this study, as proposed by Charmaz (2014a). Conducted in four distinct adult ICU departments of a tertiary hospital in Saudi Arabia, the research involved 22 ICU nurses experienced in caring for COVID-19 patients and 10 decision-makers, recruited through initial purposive sampling and subsequent theoretical sampling until theoretical saturation was reached. Data were collected through semi-structured, in-depth interviews. Field notes and a reflexive methodological journal were maintained throughout the research process. Interviews were transcribed verbatim and translated into English where necessary. The analysis followed “Charmazian” principles, which include initial, focused and theoretical coding; constant comparison; theoretical sampling and sensitivity; memo writing; and diagramming. Ethical approval was secured from King’s College London and from the relevant Institutional Review Board in Saudi Arabia. Results: The theory generated by this investigation suggests burnout is a process, resulting from multiple interrelated factors within and beyond an individual’s working environment. This process occurs in three dynamic stages affected by the coping and supportive resources that the nurse has used/received. The core category that emerged, ‘we fought and now we need to be healed’, encapsulates the essence of the nurses’ experiences with perceived burnout and their vital need for recovery and support. This finding led to the development of the BuRN-ICU19 model, a comprehensive framework representing the ICU nurses’ experiences with burnout during the COVID-19 pandemic and informed by results from two fundamental reviews: a scoping review and a systematic review. Conclusion: This thesis offers novel insights into the experiences of burnout among ICU nurses in Saudi Arabia during a disaster situation. It highlights the critical need for targeted interventions and policy reforms to alleviate burnout in, improve the well-being of and effectively support ICU nurses in demanding situations. The BuRN-ICU19 model presents a valuable framework for future research and practical application in ICU nursing, with potential implications extending beyond the Saudi context.45 0Item Restricted Educational Provision in antimicrobial stewardship for Healthcare Professionals in NHS Wales(swansea, 2024) Alhazmi, Nawaf; Davies, AngharadBackground: Antimicrobial stewardship (AMS) initiatives are specialized programs designed to lower the incidence and development of antimicrobial resistance. Educational provisions impose direct and successful impact over the implementation of antibiotic resistance stewardship practices. The current study aims to take into account, or capture the amount and nature of education and training taking place in NHS Wales. Through AWARE interprofessional community members in Wales. The specific study objectives include assessment of the participation ratio of different types of healthcare professionals of NHS Wales, mode and duration of learning, and examination of challenges faced by NHS Wales healthcare personnel in AMS program across the health boards. Methods: Reliable datasets from five different Health Boards in Wales namely, Betsi Cadwaladr University Health Board's (BCUHB), Cwm Taf Morgannwg University Health Board (CTMUHB), Hywel Dda University Health Board (HDUHB), Swansea Bay University Health Board (SBUHB), and Aneurin Bevan University Health Board (ABUHB) were included. A survey was executed via Microsoft Forms, followed by statistical analysis utilising SPSS software, with data displayed as counts and frequencies. Results: Studies showed 2735 members received education and training. Mixed audiences of doctors, nurses, pharmacists, and allied healthcare practitioners were most numerous, followed by doctors and students (medical and pharmacy). Fewer nurses and pharmacists participated. Face-to-face sessions had the most participants, followed by virtual and hybrid sessions. Hybrid sessions lasted 60 minutes across all health boards, virtual sessions 20–120 minutes, and face-to-face sessions 20–300 minutes. The study documented participants' AMS program problems.. Conclusions: Antimicrobial stewardship education interventions have great impact in addressing the challenging issue of antimicrobial resistance, however for effective outcomes it is imperative to motivate participation of multi-functional healthcare professionals including nurses and pharmacists.22 0Item Restricted Barriers and Facilitators in Prehospital Pain Management: A Narrative Review(Queen Mary University of London, 2024-07-31) Alrasheedi, Amera; Zolfaghari, ParjamThis study aimed to explore the perceived barriers and facilitators in administering pain medications among prehospital care providers, focusing on paramedics, EMTs, nurses, and physicians. The objective was to identify common barriers and to examine factors that enhance pain management in prehospital settings. A narrative review method was employed, synthesizing existing literature and focusing on studies published within the last ten years. The review identified several key barriers, including educational and knowledge gaps, systemic and protocol limitations, cultural and attitudinal factors, technical and environmental challenges, and racial and ethnic disparities. Facilitators included continuous education and training, standardized clinical practice guidelines, effective communication, mentorship, and cultural competency training. The findings highlight the importance of addressing educational deficiencies, improving systemic protocols, and fostering a supportive and culturally competent environment to enhance pain management practices. Continuous education, standardized guidelines, and effective communication are essential to overcoming identified barriers and ensuring equitable and effective pain management for all patients.16 0Item Restricted The Effectiveness of School-Based Nurse Intervention in Managing Obesity among Students Aged 6-18 years old(University of Glasgow, 2024-07-29) Almuqeet, Balssam; Rosemary, MullenAbstract Background: Schools play a crucial role in shaping healthy lifestyles; however, school nurses are often excluded from obesity intervention programs. In 2022, 390 million children aged 5-19 were overweight and 160 million were obese, therefore effective methods of intervention are more important than ever. Aims: This review aims to explore the effectiveness of school-based nurse interventions in managing obesity among school-aged students from 6-18 years old. Methods: A comprehensive literature search of Medline Ovid, CINAHL, Cochrane library, and PubMed databases identified randomised controlled trials and quasi experimental studies from the last ten years. The inclusion criteria included school students aged from 6-18 years, interventions delivered by nurses in school, and reported outcome measures on weight or BMI. Studies that were not experimental designs were excluded. Joanna Briggs critical appraisal tools were used to appraise methodological quality. Results: Seven studies met the eligibility criteria. Interventions delivered by school nurses included educational sessions, physical activity programs, and dietary guidance. The measurable outcomes included improvements in dietary behaviour, decreases in BMI, and increases in physical activity levels among students. None of the studies used blinding, some studies did not clearly report the attrition rate. Despite these limitations, all studies used appropriate study designs and applied rigorous statistical analyses. Six out of seven studies reported significant improvement in dietary habits, five studies found an increase in physical activity levels among the students, and four studies observed a decrease in BMI. Conclusions: The findings of the review suggest that school-based nurse interventions are effective in managing obesity among school students. Future research should include objective measures and use longitudinal designs to assess the sustainability and impact on BMI.41 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 0