Saudi Cultural Missions Theses & Dissertations
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Item Restricted Key Psychosocial Experiences of Individuals with Limb Loss for Physiotherapists to Consider During Amputation and Prosthetic Rehabilitation: A Qualitative Synthesis Study(UNIVERSITY OF SOUTHAMPTON, 2025) BATAHF, AMAL; DONOVAN-HALL, MAGGIEAbstract Purpose: Amputation and prosthetic rehabilitation require a holistic, patient-centered approach that addresses physical, psychological, and social aspects. This paper focuses on the psychosocial experiences of people who have undergone lower limb amputation to support physiotherapists in enhancing the quality of care provided during rehabilitation. Materials and Methods: A qualitative synthesis of peer-reviewed studies exploring psychosocial adaptation to limb amputation was conducted. Ten qualitative studies published between 2018 and 2025 were included. Thematic analysis identified factors physiotherapists should consider during rehabilitation. Results: Five main themes emerged: (1) ‘Psychological distress and coping mechanisms’, highlighting the prevalence of depression, anxiety, and grief; (2) ‘Social adaptation and support systems’, emphasizing family and peer support, and community reintegration; (3) ‘Identity challenges and post-amputation adjustment’, illustrating struggles in self-identity and social roles; (4) ‘Patient-centered rehabilitation and motivation’, underscoring motivation, goal setting, and therapist engagement; and (5) ‘Challenges in transitioning to independent living’, identifying financial constraints, prosthetic access issues, and service gaps. Conclusions: Integrating psychological support, peer mentorship, and culturally informed rehabilitation into physiotherapy for individuals with limb loss is essential. Addressing psychosocial factors enhances rehabilitation and quality of life. This study recommends holistic rehabilitation strategies incorporating mental health interventions, patient empowerment, and equitable prosthetic and rehabilitation services access. Keywords: Lower limb amputation, psychosocial experiences, rehabilitation, physiotherapy, social support, psychological distress, prosthetic access, patient-centered care.8 0Item Restricted Antecedents of Job Stress: A Systematic Literature Review(Brunel university London, 2024-03-08) Alzahrani, Shorouq; Aljubairi, IbrahimCurrently, family concepts are evolving and are an essential and ongoing development. Maintaining family life is essential for achieving a high quality of life, as family conflicts can impact the enduring value of life quality. Business organisations must continuously enhance service quality to meet customer expectations and maintain competitiveness. Increased competitiveness and customer satisfaction demands might impact staff productivity. The competition significantly impacts the employees who might have irregular working hours, a significant workload, job stress, and challenges managing work and family obligations. Job stress is often seen in most business organisations these days. Job stress can arise when employees are unable to meet job standards. Considering its importance, this study investigated the systematic literature review of antecedents of job stress, including social support, job satisfaction, and work- family conflict. Besides, this study examined the impact of job stress on job satisfaction, social support, and work-family conflict. Secondary data was gathered from journals, websites, blogs, and articles. A total of 203 journal articles were collected for conducting a systematic literature review from JSTOR, Emerald, Science Direct, Taylor and Francis, Scopus, Google Scholar, and Elsevier, published between January 2013 and December 2023. 67 articles were included in the thematic analysis. The findings of this study are helpful for employers in reducing the job stress of employees and increasing their satisfaction levels. The study demonstrates that while several job stressors and coping strategies have been discovered, only a few sectors actively address these issues to provide a stress-free work environment. Future research may prioritise the establishment of an organisational framework that aligns with developmental characteristics and fosters a supportive atmosphere for employees, hence mitigating job stress levels.29 0Item Restricted ENABLING THIRD PLACES OF HEALTHCARE ENVIRONMENTS IN THE POST PANDEMIC ERA(University of Florida, 2024-05-12) Alfowzan, Nurah; Valipoor, Shabboo; Portillo, MargaretThird places refer to communal venues that facilitate social engagement and community cohesion, bridging the gap between home and work environments. These locales encompass diverse settings like coffee shops, libraries, and parks. Today, third places have evolved to accommodate various contexts, offering advantages to specific user groups. Within healthcare environments, merged third places (e.g., lobbies; gardens; cafes; staff lounges; and staff breakrooms) are distinct from psychologically hard clinical settings. Research shows that these in-between spaces are vital in enhancing social support, reducing stress, and promoting the overall well-being of healthcare workers. However, during the COVID-19 pandemic, many of these in-between spaces became significantly restricted to mitigate virus transmission. This research aimed to redefine third places in healthcare design, and advance interior design approaches that can balance social interaction and infection-prevention requirements. The study adopted a sequential exploratory mixed-methods design. The initial phase involved a comprehensive scoping review, mapping key design concepts that shape our built environments and human experiences through times of disease outbreaks. Subsequently, semi-structured interviews were conducted with design experts specializing in healthcare projects, exploring the challenges they faced, and the strategies employed to adapt healthcare spaces, particularly third places, during the COVID-19 pandemic. The findings from the scoping review and interviews yielded multiple design approaches with the potential to enhance the resilience of third places within healthcare environments. Three of these approaches aligned with attributes of flexibility. To delve deeper into these attributes, the following phase of the research involved a design charrette. This collaborative session engaged senior interior design students to generate innovative ideas for social spaces within healthcare environments. Design scenarios incorporating flexibility attributes were developed, refined, and integrated into the final research phase: a survey. The survey aimed to assess the perceived social support of healthcare workers in the design scenarios informed by prior phases. Results showed an inclination of users towards versatile third places that feature indoor-outdoor options. The outcomes can inform the creation of safe third places within healthcare facilities. Facilitating social support while ensuring safety in these environments can contribute to the overall well-being of individuals in healthcare settings.9 0Item Restricted EXAMINING THE RELATIONSHIP BETWEEN ACCULTURATIVE STRESS AND DEPRESSION AMONG SAUDI INTERNATIONAL STUDENTS IN THE USA(Saudi Digital Library, 2023-08) Shawly, Alaa; Delmonico, DavidThis quantitative study explored Saudi international students’ acculturation processes through an examination of the relationship between acculturative stress and depression among Saudi international students in the U.S. Moreover, the study also examined the role of social resources—social support and the use of counseling services—in mediating this relationship. Data was collected through an online survey from 103 Saudi international students enrolled at universities across the U.S. The survey included three scales: the Acculturative Stress Scale for Saudi International Students (ASSSIS) (Bashir & Khalid, 2020), the Beck Depression Inventory (BDI) (Beck et al., 1996), and LEVEL 2–Depression–Adult (PROMIS Emotional Distress– Depression–Short Form) (Nolte et al., 2019). To answer the research questions, several analyses were conducted. A correlation analysis was used to examine the relationship between acculturative stress and depression. In addition, a path analysis was conducted to explore the role of mediator variables—social support and the use of counseling services—in the relationship between acculturative stress and depression. Results reveal a significant relationship between acculturative stress and depression among Saudi international students in the U.S. It was also found that social support and the use of counseling services do not function as mediators for the association between acculturative stress and depression. The results emphasize the importance of the acculturation process for Saudi international students and its impact on depression. Implications for the field of counseling are provided as well as limitations of the current study and potential directions for future research. acculturative stress, depression, Saudi international students, social support, counseling services11 0