Saudi Cultural Missions Theses & Dissertations
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Item Restricted The Lived Experience of Adults with Hypertension Towards Using Self-Monitored Blood Pressure Incorporated with Telemonitoring Programmes: A Systematic Review of Qualitative Studies(Queen's University Belfast, 2025) Alsayed, Amani; Greene, EuniceAbstract Background: Telehealth, especially telemonitoring, has become an effective method for managing chronic diseases like hypertension within primary care settings. Self-monitored blood pressure (SMBP) telemonitoring programs have significantly improved blood pressure management. However, there is a lack of qualitative research on adults' experiences with these programs. Objectives: This review explores the experiences of adults with hypertension using self-monitoring combined with telemonitoring programs for blood pressure management in primary care, highlighting their benefits and challenges. Methods: This qualitative systematic review adhered to 27 PRISMA guidelines and employed a comprehensive search across databases such as Medline, CINAHL, Embase, PsycINFO, and Scopus, along with grey literature sources like organisational reports and Google Scholar, between May and August 2024. It included qualitative studies assessing adults’ experiences with hypertension management through telemonitoring and self-monitoring in primary care, restricted to English language publications. Inclusion and exclusion criteria were applied to select relevant primary studies, which were then evaluated using CASP tools, and data were analysed through thematic synthesis to identify key findings. Result: Out of an initial 1105 articles, 14 were suitable for the review, with most rated high quality and two rated moderate and low. The studies included 287 participants aged 18 to 95. The thematic analysis identified four benefits: a significant psychological impact with enhanced safety, increased motivation for autonomy, the importance of physical health, and perceived ease of using the telemonitoring system. However, challenges included technical difficulties, particularly among older adults, and trust issues regarding system reliability, which negatively affected psychological well-being. Conclusion: The findings indicate that combining telemonitoring with self-monitoring is promising for managing hypertension. Future research should aim to create tailored tech solutions for older adults while considering younger adults' views. Integrating these programs into public healthcare requires careful attention to technological infrastructure, educational support for providers, and raising public awareness of their benefits.12 0Item Restricted Mapping the patient journey in breast cancer screening in Saudi Arabia(Saudi Digital Library, 2023-12-01) Saeedy, Ghudir; Expert, PaulPurpose: The rapid surge in breast cancer incidence among Saudi females triggered a robust governmental response since 2015 (Saudi Arabia. MOH, 2020d, Saudi Arabia. MOH, 2015). This initiative prioritizes health promotion and prevention, with the Health Holding Company aiding in implementing the breast cancer screening (BCS) pathway to encourage early screening and deliver efficient healthcare. Patient experience significantly impacts the BCS pathway's success, playing a pivotal role in achieving desired outcomes. However, the exploration of patient experience in the Saudi Arabian BCS pathway remains unexplored. This report employs Patient Journey Mapping (PJM) through operations management to underscore this significance. Methodology: This study employs a narrative literature review methodology to explore the primary touchpoints, key concepts, and pain points of the patient experience in Saudi Arabia's BCS pathway. These concepts are identified through the PJM framework, and recommendations to enhance the experience are provided. Findings: The study identifies twelve patient journey concepts. At the PHC level: (1,2) women’s awareness and psychology, (3) GP’s role, (4) first impression, (5) embarking mammography, (6) medical staff as guardians. At the secondary care level: (7) care coordination, (8) effective communication, (9) practitioner-patient rapport. At the tertiary care level: (10) decision-making, (11) circle of support, (12) beyond treatment. To enhance these concepts, the KSA health system should expand mass media awareness, alleviate mammography discomfort, bolster care coordination, implement closed-loop communication, and embrace women's empowerment and support. Value: Drawing on the PJM framework, this study identifies key concepts governing the BC patient experience within the BCS pathway and provides strategies to enhance them. The Saudi MOH can promote preventive care, reduce the BC mortality rate, and more by embracing these milestones. Moreover, The findings inform quality improvement efforts, operational strategies, and fostering a patient-centric healthcare ecosystem. These strategies could serve as a foundation for an audit tool to gauge service alignment with patient needs and inform other care pathways in KSA.26 0