Saudi Cultural Missions Theses & Dissertations
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Item Restricted Understanding Parental Caregiving for Children with Cerebral Palsy in Saudi Arabia: A Multi-Method Study Combining Insights from a Scoping Review and Qualitative Data(Saudi Digital Library, 2025) Alqahtani, Ashwaq Amer; Afolasade, FakoladeCerebral palsy (CP) is the most common motor disability in childhood, affecting approximately 2-3 per 1,000 live births worldwide. The lifelong nature of CP places significant caregiving responsibilities on families, particularly parents. Understanding parents' experiences and support needs is critical to informing effective interventions and advancing disability research. While CP caregiving has been widely studied, research involving Arab parents of children with CP, particularly in Saudi Arabia, remains scarce. The overarching goal of this thesis was to explore the caregiving experiences of Saudi parents of children with CP and characterize their support needs through a social-ecological lens. This thesis includes two studies, starting with a scoping review that examined existing research on CP caregiving in the Arab contexts, identified gaps in knowledge, and offered recommendations for future studies. Then, a qualitative exploratory descriptive interview study involving 12 Saudi parents from Qassim, Saudi Arabia, aimed to explore their caregiving experiences and characterize their support needs. The scoping review revealed that mothers are predominantly the primary caregivers in Arab contexts, and that caregiver burden is a major concern. However, the qualitative study in Saudi Arabia showed that caregiving responsibilities are shared between both parents, with roles shaped by traditional gender norms. Parents faced significant emotional, physical, material, and informational challenges, with financial strain being particularly pronounced. Barriers to accessing education and health care services further contributed to caregiver stress. However, Islamic spiritual values played a pivotal role in fostering collectivism and community involvement, serving as vital sources of resilience and social support for parents navigating caregiving responsibilities. Overall, the integrated findings showed that effectively supporting Saudi and Arab parents of children with CP depends on understanding their unique experiences and cultural context. To achieve this understanding, families, communities, support organizations, and the government must work together. Future research and program development should consider these contexts to support and effectively address the needs of parents of children with CP in Saudi Arabia.5 0Item Restricted Child with ASD in the Emergency Department: A Critical Integrative Literature Review of ASD Child and Family Experience(Queen's University Belfast, 2024-07-02) Alzubaidi, Salwa; Corkin, DorisBackground: The Emergency Department (ED) serves as a crucial space for urgent medical care, grappling with challenges like overcrowding, extended waiting times, and communication barriers, affecting both patients and professionals globally. Despite efforts, the ED remains strained with medical emergencies. Simultaneously, Autism Spectrum Disorder (ASD) prevalence has risen significantly, leading to increased utilization of ED services by individuals with ASD, who often present with complex needs. Addressing these challenges requires a patient and family-centred approach, emphasizing communication, informed decision-making, and collaboration between healthcare providers and families. However, implementing such an approach in the fast-paced ED environment remains challenging, compounded by varying healthcare providers’ knowledge and attitudes towards neurodevelopmental disorders. Aim: This study aims to highlight ASD children and their families’ experiences in ED settings, identifying specific aspects within the ASD child-ED interaction and provide actionable insights, to meet their needs effectively. Methods: A critical integrative review of literature carried out to characterize the experiences of autistic children in ED, in order to identify ways to enhance their interactions for improved care. Utilizing the PRISMA checklist, a systematic search of five electronic databases and hand searches conducted, for studies published between 2013 and 2023. Eligibility criteria developed based on the PICOS framework, ensuring relevance and quality. Results: Thematic analysis identified four dimensions of experiences in the ED for children with ASD. Insights from each dimension drawn into a roadmap of 6 blocks, informing strategies for improving the ED environment, enhancing staff training, optimizing healthcare delivery, and identifying areas for research to better support the autistic child and their family, throughout their overall experience in the ED. Conclusion: Despite available evidence of resources to enhance ASD care, persistent obstacles and challenges exist, with a pattern of information needed by the family. Data is key and relevant to support the organisation of sources that will enhance the experiences of children and their families within the ED environment.14 0Item Restricted The Maternal Figure Symbolizes Stability and Continuity in the Novels of George Eliot: a Close Reading of The Mill on the Floss(Univeristy of Tennessee, Knoxville, 2024-05-18) Naseb, Razan A.; Henry, NancyThis study delves into the intricate mother-daughter dynamics and societal critiques in George Eliot's The Mill on the Floss, focusing on the Tulliver women's battle within a patriarchal society. It vividly portrays how Maggie Tulliver's emotional and intellectual needs are overshadowed by Mrs. Tulliver, who places social status and financial security above all, mirroring the deeply ingrained gender norms of their time. The research argues that the novel's exploration of women's confined roles and the enduring influence of maternal figures still strikes a chord, tackling timeless issues of gender and familial relations. Through the stark contrast between Maggie's rich inner life and her mother's preoccupation with appearances and social standing, Eliot brings to the fore the isolation and hurdles women encounter in asserting their individuality. The thesis posits that Mrs. Tulliver's treatment of Maggie reflects her entanglement in unresolved societal expectations, perpetuating the constraints in which that she has. The analysis uncovers a poignant irony in Mrs. Tulliver's adherence to patriarchal standards, reinforcing the novel's critical stance on Victorian gender limitations and their enduring relevance.27 0Item Restricted Examining the Challenges and Strategies for Mothers of Children with ASD in Saudi Arabia through an Autoethnography and Interpretative Phenomenological Analysis.(Saudi Digital Library, 2023-12-03) Aljuaid, Mashael; Heather, ColemanThe purpose of this autoethnography and interpretative phenomenological analysis (IPA) study was to gain a better understanding of the challenges faced by mothers of children with Autism spectrum disorder (ASD) in Saudi Arabia and the strategies they use to address these challenges. In addition, explore the feelings and meanings associated with these challenges and strategies. The study focused on Saudi mothers of children with ASD to align with my lived experience as a researcher and full member of this community. This study used my autoethnography writing as a mother of a child with ASD and online interviews with six Saudi mothers raising a child with ASD. The study found that mothers and I faced a range of challenges, including dissatisfaction with some diagnosis services provided to children with ASD, insufficient information, anger because lack of support, feeling lonely and isolated from society, and feelings of fear and worries. However, mothers and I also reported using various coping strategies, including spirituality, social media, and our own knowledge and self-learning are the key to our strength and success.20 0