Saudi Cultural Missions Theses & Dissertations
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Item Restricted Prevalence of Insomnia and Its Impact on Academic Performance Among Respiratory Therapy Students in Saudi Arabia (SA) and the United States of America (USA).(Saudi Digital Library, 2023-11-04) Alasimi, Ahmed H; Brandenberger, KyleBackground: Insomnia is a common sleep disorder characterized by difficulties falling asleep, staying asleep, or waking up early in the morning, along with significant distress and impairments of daytime functioning. It is a prevalent sleep complaint among health science students, due to an overburdened academic load, protracted intensive study periods, and stressful lifestyles to maintain an outstanding grade point average (GPA). Therefore, insomnia can adversely affect students' health and academic performance. Purpose: This study aimed to assess the prevalence of insomnia and its impact on academic performance among respiratory therapy students in Saudi Arabia (SA) and the United States of America (USA). Methods: A cross-sectional study was conducted between June 9 and September 12, 2023. Insomnia Severity Index (ISI) was distributed electronically to students' email addresses through direct coordination with RT department directors. Data were collected from RT students in both countries by using a non-probability convenience sampling technique. Descriptive statistics of the participants were presented in frequencies, percentages, means, and standard deviations. A one-way ANOVA test was used to measure the significant differences of ISI scores among categorical groups. Results: A total of 403 responses were received from both countries. The majority of them were from Saudi Arabia (79.9%) and (20.1%) from the United States. The study findings showed that the prevalence of insomnia among RT students in SA and the USA was found to be 32% and 21%, respectively. In addition, ISI scores were significantly higher among Saudi RT students who were female, in their second academic year, current smokers, single, and those with a poor cumulative GPA. However, ISI scores were significantly higher only among current smoker RT students in the USA. Conclusion: Insomnia was a prevalent sleep disorder among respiratory therapy students in both Saudi Arabia and the United States. Insomnia was negatively correlated with students' academic performance. Several demographic factors were significantly associated with a higher level of insomnia, including gender, academic year, smoking status, marital status, and GPA. Therefore, this study provides valuable insights for educational institutions and stakeholders to work collaboratively to implement tailored interventions and coping strategies that support students' healthy sleep habits, mental well-being, and academic achievement52 0Item Restricted The Perception of Skills for Maximizing Patient Comfort During Non-Invasive Ventilation Among Respiratory Therapists at KFSH&RC(Georgia State University, 2023-11-17) Albaqawi, Ahmed; Gardenhire, DouglasBackground: Noninvasive ventilation (NIV) is a modality that supports patient breathing through different types of face interfaces, such as a full-face mask and nasal mask. Noninvasive Ventilation modalities have proven to improve morbidity and mortality rates for patients suffering from respiratory failure in the hospital setting and Outpatient. It also helped prevent escalating the treatment to more advanced methods such as invasive ventilation. However, several elements are required for optimizing the therapy, including Health care providers' training in operating the different brands of NIV, equipment availability, cost, and appropriate adjustment to the settings according to patient response. Purpose: This study aims to assess the level of perception of maximizing patient comfort during non-invasive ventilation devices among respiratory therapists at KFSH&RC by utilizing specific features of NIV. For instance, ramp, Flex, humidification, and auto-adjusting pressure. In addition, how RTs perceive mask selection and other contributing factors that contribute to maximizing patients' comfort. Methods: The study used an online, cross-sectional survey with 20 questions were sent to Respiratory therapists at KFSH&RC. In this survey, data collected from targeted population regarding their perceptions of skills for maximizing patient comfort during non-invasive ventilation will be analyzed using the Statistical Package for the Social Sciences (SPSS). Result: The findings indicated that respiratory therapists at KFSH&RC generally hold a positive view about utilizing various aspects of NIV, such as auto-adjusting pressure, noise reduction, humidification, and specific NIV settings, to maximize patient comfort. They also recognized the importance of effective communication, patient encouragement, and addressing patient comfort before and after initiating NIV therapy. The study found that demographic factors like gender, country of graduation, years of experience, and age did not significantly impact the therapists' attitudes, except for therapists working in respiratory care community services (RCCS), who placed greater emphasis on maximizing patient comfort during NIV (P=.019). Conclusion: This research conducted at King Faisal Specialist Hospital & Research Centre (KFSH&RC) concluded that respiratory therapists demonstrated positive perception about utilizing different elements of NIV to maximize patient comfort during therapy. Majority of therapists believed that features such as auto-adjusting pressure, noise reduction, humidification, and the utilization of certain NIV settings such as the FLEX and RAMP have significance for enhancing patient comfort.39 0Item Restricted Evaluation of Smoking Prevalence, Secondhand Smoke Exposure, and Perceptions of Smoking Cessation among Respiratory Therapy Students in Saudi Arabia(2023-07-14) Alharbi, Abdulrahman; Gardenhire, DouglasBackground: Tobacco use is a global health concern that results in millions of deaths annually. This study focuses on Saudi Arabian respiratory therapy students in the Western region to assess smoking prevalence, secondhand smoke exposure, smoking cessation education, and perceptions of smoking cessation. Purpose: The purpose of this study is to evaluate the smoking prevalence among Saudi respiratory therapy students in the Western region, their exposure to secondhand smoke, smoking cessation education, and their perceptions of the positive effects of quitting smoking. Methods: Using a descriptive exploratory methodology, this study collected data on smoking prevalence, secondhand smoke exposure, and attempts to quit smoking among students. The Global Health Professional Students Survey (GHPSS) was employed as the survey instrument. Results: The results indicate that the prevalence of cigarette smoking among male respiratory therapy students was 52%, while it was lower among females at 3.7%. The study also revealed high rates of exposure to secondhand smoke in public settings (52%), whereas exposure at home was relatively low (28%). This emphasizes the importance of enforcing smoking bans in public spaces to safeguard individuals from the effects of secondhand smoke. Conclusion: This study sheds light on the smoking prevalence, secondhand smoke exposure, smoking cessation education, and perceptions of smoking cessation among Saudi Arabian respiratory therapy students in the Western region. The findings highlight the need for targeted interventions to address smoking behaviors among students. Additionally, the study reveals the importance of creating smoke-free environments, as the rates of exposure to secondhand smoke in public settings were alarmingly high.15 0Item Restricted Perception and prevalence of utilizing APRV mode with Covid-19 cases among Respiratory Therapists in Saudi Arabia(2023) Alrehaili, Jihad; Goodfello, LyndaBackground: Covid-19 is a recent pandemic that spread globally. Consequently, little research focused on Covid-19 that compared different mechanical ventilator modalities that were suitable for these cases. Investigating appropriate mechanical ventilation techniques such as APRV that control the pandemic is necessary to confront any future pandemic. RTs' beliefs and practices of utilizing mechanical ventilation during the Covid-19 pandemic are essential to establish a guideline to manage ventilated Covid-19 cases. Purpose: This study aims to evaluate the perception, prevalence, and utilization of APRV mode with Covid-19 patients among respiratory therapists in Saudi Arabia. Methods: The study utilized an online, cross-sectional survey with 29 questions administered to a convenience sample of Saudi Arabian RTs. The survey was divided into three sections to obtain information from respondents. These sections are demographic data, perceptions regarding APRV and ARDS, and the prevalence of utilizing APRV on patients with Covid-19 associated ARDS. Result: Eighty-six responses were obtained from the online survey that was sent to many respiratory therapy departments in different regions across SA. Two participants refused to participate, and n=47 (54.7%) of responders did not complete the survey, and their answers were excluded. Therefore, n=37 (43%) respondents completed the survey. The majority of respondents were male n=31 (83.8%), whereas the female accounted for n=6 (16.2%) of respondents. Most of the respondents held a bachelor's degree n=32 (86.5%), while only n=5 (13.5%) held a master's degree. There were no responders who held associate or Ph.D. degrees. The result showed there was a high level of confidence among RTs that using APRV with Covid-19 cases was effective with a mean of (2.97± 0.763). Furthermore, the results showed that RTs believed that Covid-19 associated ARDS had a similar clinical picture of non-Covid-19 associated ARDS n=28 (75.7%). A Kruskal-Wallis Test revealed no significant difference in using APRV with Covid-19 cases during the pandemic between the region of practice in Saudi Arabia, Kruskal-Wallis H=3.219, p=.395. Also, the results showed that there was no significant difference among different qualifications (p=0.875). Conclusion: The overall level of perception of APRV needs to be improved, which, in turn, can improve and strengthen the management of ARDS and respiratory disorders and increase the average survival rate in Saudi Arabia. More educational sessions and classes are required for this purpose.19 0