Saudi Cultural Missions Theses & Dissertations
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Item Restricted The prevalence of burnout and associated factors among anaesthesia providers : Scoping Review(University of leicester, 2024-09-16) Almutairi, Fahd; Rachel, EvleyBackground: Burnout is a common phenomenon among healthcare professionals and has significant negative impact on both employee wellbeing and patient safety. This scoping review aimed to provide a comprehensive review of the current literature on burnout among anaesthesia providers, focusing on prevalence, contributing factors, impact on patient safety, and potential solutions. Methods: Three electronic databases were searched to locate relevant literature, namely Scopus, Medline, and CINAHL. A total of 398 studies were identified through the search strategy, although only 18 articles met this review’s inclusion criteria. Result: 17 of the 18 studies included focused on the prevalence of burnout and its risk factors, while only one looked at interventions to reduce its prevalence. A few papers touched on recommended interventions to mitigate burnout and implications for patient safety. Factors contributing to burnout included age, gender, work experience, marital status, and organisational factors like staff shortages, working hours, workload, and support. Anaesthesia healthcare professionals' burnout negatively impacted work performance and patient safety. The review found individual and organisational interventions such as mindfulness-based programs, cognitive-behavioural training, small group discussions, self-care physical activity, working hour regulation, and creating career development opportunities for those with low academic qualifications. Conclusion: Overall, the prevalence of burnout among anaesthesia healthcare professionals is relatively high, and is influenced by individual and organisational factors. It was slightly higher after the COVID-19 pandemic. This calls for greater organisational attention to ameliorating the phenomenon of burnout, thereby improving employee wellbeing, which will benefit care quality and patient safety.16 0Item Restricted "To explore the potential impact on patient outcomes due to burnout in critical care nurses and its prevalence: A Systematic Review."(Queen's University of Belfast, 2024-09) Alqarni, Fahad Saleh; McMullan, JohannaBackground Burnout is a significant issue among critical care nurses and characterised by emotional exhaustion, cynicism, and reduced professional efficacy. High-stress environments, patient suffering, and heavy workloads contribute to high burnout rates, affecting both nurse well-being and patient care outcomes. Aim This systematic review aims to explore the impact of burnout on patient outcomes among critical care nurses and its prevalence. Methodology A comprehensive electronic search of three major databases (CINAHL, PubMed, and EMBASE) was conducted, employing a systematic search strategy. Relevant search terms and inclusion criteria were identified. Data were extracted, and the quality of each study was assessed using predetermined critiquing frameworks. Results Ten studies met the inclusion criteria, including seven quantitative, one qualitative, and two mixed-methods studies. High burnout rates were consistently associated with decreased patient safety, increased medical errors, and lower patient satisfaction. Conclusion Burnout significantly affects patient outcomes in critical care settings. Comprehensive strategies to reduce burnout and support critical care nurses are essential for improving patient care quality. Further35 0Item Restricted The Impact of Relational Leadership Styles on the Burnout of Nurses: A Systematic Review(Saudi Digital Library, 2023) Alghathayan, Abdulrahman Khaled H; Charnock, DavidABSTRACT Background: Relational leadership styles are integral to the nurse management. Nurses are prone to burnout levels due to the work schedules, work environment, bullying incidences, and overall demanding nature of work. However, there is a lack of systematic reviews that synthesise the existing evidence. Although the majority of studies showed that relational leadership styles can reduce the risk of burnout, little is known about the potential mechanisms and pathways through which relational leadership styles reduce the risk of burnout. Aim: To determine the impact of relational leadership styles on the burnout of nurses Methodology: A systematic review approach was used. The approach was anchored in evidence-based practice. A search strategy was developed and implemented in four databases namely ScienceDirect, PubMed, CINAHL, and SCOPUS. A matrix was used to extract data from the included studies. The study used ROBINS-I and RoB 2 Tools to assess methodological quality of non-randomised and randomised studies, respectively. Thomas and Harden’s (2008) thematic synthesis were used for synthesising the findings from the eleven studies. Results: Search in ScienceDirect, PubMed, CINAHL, and SCOPUS generated 144, 42, 22, and 137 articles, respectively. Screening and inclusion process found 11 studies for the final qualitative synthesis. The synthesis of the outcomes of the 11 included studies revealed the different forms of relational leadership styles including transformational leadership style, resonant, emotionally intelligent, ethical, and authentic leadership styles. The findings revealed that emotionally intelligent leaders created a conducive environment and fostered their adaptation to the demanding clinical practice to curb burnout rates. This study found that transformational leadership style reduces burnout among nurses. This leadership style inspires, motivates, and empowers team members to succeed. The study found that resonant leadership reduced burnout of nurses by enhancing job satisfaction. The review found that nurses registered low burnout rates because ethical leaders motivated and increased their morale for work. The review found that authentic leadership created an effective and conductive work environment for the nurses and reduced their burnout rate. Conclusion and Recommendations: Nurse leaders should adopt relational leadership framework to curb burnout among nurses. Further studies should use either cross-sectional or longitudinal studies to explore the impact of nurse managers adoption of relational leadership on the personal and professional issues affecting job demands.12 0Item Restricted The Impact of Electronic Health Records on Nursing Burnout in a Hospital Setting in Saudi Arabia: Mixed-Methods Study(Saudi Digital Library, 2023-11-27) Alobayli, Fatimah Yahya; Holloway, Aisha; Cresswell, KathrinBackground: There is growing evidence suggesting that electronic health records (EHRs) can be associated with clinicians’ burnout, which may hamper the effective use of EHRs and introduce risks to patient safety and quality of care. Nursing research in this area is minimal in comparison with studies conducted on burnout among physicians. In addition, although the majority of research on the impact of EHR use on nursing burnout was conducted in Western contexts, this study fills the gap by exploring this prevalent issue within the context of Saudi Arabia. Aim: The research aim was to examine the association between nursing burnout and EHR use and to explore the contributing factors to nursing burnout related to EHR use in a hospital setting in Saudi Arabia. Methods: The study used a mixed-methods approach with an explanatory sequential design: a quantitative study followed by a qualitative study. The study was conducted in a hospital that was adopting an advanced EHR system, in Riyadh, Saudi Arabia. Using a purposive sampling method, registered nurses working in inpatient units using an EHR system on a daily basis were included in the study. Two validated instruments were used in the online survey, the Mini-Z and EHR perceptions, to examine the association between nursing burnout and EHR-related factors. Qualitative interviews, undertaken both online and in- person, were used to gain an in-depth understanding of factors associated with nursing burnout and hospital EHR use. Survey data were analysed using regression analysis. Thematic analysis was utilised for the interview data. The study was informed by a iii sociotechnical approach to understanding the relationship between the social system (nurses) and the technical system (EHR use) in a given context (a hospital in Saudi Arabia). Results: A total of 282 completed survey responses were included in the study, and a total of 21 nurses participated in the interviews. Participants were predominantly female and worked in acute and critical care units. Most survey respondents were from the Philippines (53%), Malaysia (21%), and Saudi Arabia (11.7%), with South African and European nurses accounting for about 5% each. Interviewees were primarily from the Philippines and Saudi Arabia (33% each), and 24% from Malaysia. The findings indicated that despite the overall acceptance of the EHR among the nurse participants being relatively high, negative perceptions of the EHR and stress related to EHR use were found. There was a slight inconsistency between the quantitative and qualitative results regarding the perceived burnout outcome. The survey statistics showed that the minority of nurses who reported negative perceptions about the EHR were likely to be burnt out while the interviews showed that all participants who reported stress related to the EHR did not think that EHR-related stress would lead to burnout. This inconsistency suggests there is a weak link between EHR use and burnout may exist, possibly indicating the mitigating role of resilience identified in the qualitative study. In this qualitative study, I identified specific perceived organisational stressors associated with EHR use, such as high EHR documentation workload creating a conflict between organisational requirements and direct patient care. Technological stressors were also identified, including usability issues causing disruption to nurses’ workflow, and concerns about data privacy through unauthorised access by healthcare workers at the hospital. Despite these stressors, resilience was demonstrated at both individual and organisational levels, which emerged as a protective factor from EHR-related burnout. Factors like computer literacy, perceived usefulness of the EHR, and nurses’ adaptability to iv change were key contributors to individual resilience that aided nurses in navigating EHR stressors and adjusting to the EHR system. At the organisational level, health information infrastructure facilitated smoother interaction with the EHR system, reducing potential stressors while supportive organisational culture fostered teamwork, work–life balance, continuous learning, and iterative improvement, thereby bolstering resilience among nurses. Conclusion: EHR did not significantly contribute to nursing burnout in a specific Saudi Arabian hospital context. The resilience mechanisms in place at both individual and organisational levels mitigated the potential impact of EHR-related stress on nurses’ burnout. The unique contribution of this research is the introduction of a novel conceptual model elucidating the impact of EHR on nursing burnout. This renewed perspective emphasises the role of resilience at both individual and organisational levels and their collective influence on mitigating EHR-related burnout among nurses. This model has the potential for further development and application both locally and globally. This study signals a need for healthcare organisations to foster resilience-building strategies in their EHR implementation processes and usability that should be tailored to the specific needs and circumstances of each organisation, to effectively manage EHR-related stress and prevent potential burnout. These include encouraging self-care practices among nurses, promoting work–life balance, fostering supportive workplace culture, improving health information infrastructure, providing training and continuous learning, and improving EHR usability through regular feedback sessions from EHR users. Additional research is needed to corroborate this finding with different types of clinicians in the same hospital, and in other hospital settings within Saudi Arabia.42 0Item Restricted Saudi millennials burnout(Saudi Digital Library, 2022) Bajnaid, Raneem; Furman, AdamWhat is my Definition of Burnout ? and How Would I Approach This Matter in Relation to My Outcome? Burnout is an alarming state of a person’s lifestyle as a whole, your mind and body is reaching a level of chronic stress that it becomes harder to tolerate the simplest things. Everything feels overwhelming and heavy, your motivation goes down the hill, but you are still pushing yourself everyday despite all warnings. If these warnings were ignored for a long period of time, they may eventually result in mental breakdowns, health problems or depression. Being a Saudi millennial myself, and surrounded by many, I have seen and experienced this issue and I wanted to contribute to raising awareness about it before it reaches a serious level. Therefore, I decided to create the “millennial burnout kit” as a first aid kit to help burnt out people of my generation to process and express their feelings in a different way, which leads to raising awareness and taking the first steps towards acting and not ignoring.10 0