SACM - United Kingdom
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9667
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Item Restricted The Psychosocial Impact on Families of Paediatric LT-MCS Patients During In- Hospital Bridge to Transplant: A Modified Systematic Review(University of Nottingham, 2024-09) Alawami, Sakinah; Hemingway, PippaIntroduction: End-stage heart failure children waiting for heart transplants have better survival rates with long-term mechanical circulatory support (LT-MCS). However, the shortage of donor hearts prolongs the transplant bridging period, extending hospitalisation, disrupting family life, and adding uncertainty. While a previous mixed-method systematic review has explored the home experience of these families, understanding their in-hospital experiences remains limited. Therefore, this review aims to examine the psychosocial impact on these families during their LT-MCS children’s in-hospital bridged to transplant, illuminating their challenges and resilience. Methods: This review employed the SPIDER framework searching for PubMed, CINAHL, ASSIA, Embase, and ProQuest (dissertations and theses) for English-published and non-published qualitative studies according to the pre-defined inclusion criteria. Findings: Six qualitative studies matched the pre-defined inclusion criteria. The review synthesised four themes using Braun and Clarke reflexive thematic analysis: (1) Commencing the families' journey with LT-MCS discussing the diagnosis and LT-MCS implantation’s impact. (2) Navigating the LT-MCS paediatric patients’ families through Bridging: addressing LT-MCS children-mother role changes, caregiver's daily life, complications, and grief. (3) Crossroads of blessings and challenges: LT-MCS children's families await a new heart, highlighting donor heart uncertainty. (4) The power stations of LT-MCS children’s families focus on supporting systems. After synthesising themes, findings were examined through Dr. Mishel’s Uncertainty in Illness Theory, Theor yielding recommendations aligned with Advanced Nursing Practice's pillars. Conclusion: This systematic review highlights the profound psychosocial impact and uncertain experience on LT-MCS children’s families during diagnosis, hospitalisation, complications, grieving, and the waiting period for a new heart. It calls for urgent tailored educational and supportive interventions by clinicians for sudden and previously diagnosed heart failure children's families, robust policy initiatives, and innovative research. Additionally, it points out the role and potential needs of healthcare providers in helping families mitigate the stresses associated with the in-hospital bridging period.20 0Item Restricted Evaluation of Self-Directed Learning Activities at King Abdulaziz University: A Qualitative Study of Faculty Perceptions(Saudi Digital Library, 2023-04-03) Balkheyour, Ammar Adnan; Tombs, MichalBackground: Self-directed learning (SDL) is an essential method for lifelong learning and professional development, especially in the medical field. SDL has been incorporated into the internal medicine curriculum at the Faculty of Medicine in Rabigh at King Abdulaziz University, Saudi Arabia. Aims: The study aimed to determine the faculty perceptions of the effectiveness of the SDL activities currently offered at the Department of Internal Medicine, Faculty of Medicine in Rabigh, King Abdulaziz University, Saudi Arabia. This was an evaluative study structured around Stufflebeam’s model of evaluation regarding input and process components. Methods: A qualitative study was conducted through semi-structured interviews. The sample type was non-probability convenience. Seven faculty members from the target academic department were included in the study. The interviews were transcribed, and their content was analysed using the thematic analysis method. Results: Thematic analysis led to the generation of four themes: faculty’s perceptions of SDL, curriculum design, student engagement, and learning environment. Conclusions: During input evaluation, the faculty perceived SDL activities as a reading task for the students that was required for discussion. Faculty support and training in conducting such activities were needed. Faculty had different opinions about the objectives and content of SDL sessions; however, they agreed that SDL sessions aligned with internal medicine objectives and addressed the students’ need. There was a lack of assessment tools for learning in SDL sessions. During process evaluation, all participants were dissatisfied with the students’ poor engagement, and they made suggestions to improve SDL. Challenges in the learning environment were reported, including issues in the scheduling of the academic activities and library access. Based on the results, recommendations were made for educational strategies and future research.35 0Item Restricted A qualitative study on Employee Turnover Intentions in the Hotel Hospitality Industry in Saudi Arabia(2022-12-05) Almana, Lemma; Voskeritsian, HorenThis qualitative study looks at the factors that influence employee turnover intentions among 10 employees working in the hotel hospitality industry in the capital city of Saudi Arabia, Riyadh. Following a thorough literature review, research was conducted in the form of semi-structured interviews. The findings revealed that 90% of the participants from both hotels had intentions to leave the hotel they’re currently working in. Most common factors for employee turnover intentions were like studies previously conducted in the field and these factors are job scheduling, lack of prospects for career growth, and constrained training opportunities. According to this study, hotels should better understand their staff members' requirements while offering career guidance, and appropriate training programs should be implemented to improve career prospects.19 0