Saudi Cultural Missions Theses & Dissertations
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Item Restricted Emergency Response Approach to Primary Health Care Centres During Mass Casualty Incidents in Al- Ahsa Health Cluster, Saudi Arabia(Saudi Digital Library, 2025) AlRamadhan, Abdulilah Adnan J; Morris, NaomiPrimary health care centres, or PHCs, can triage, stabilise, and offload hospitals during mass casualty incidents; MCIs, however, are not yet ready in Saudi Arabia. This study assessed PHC preparedness in the Al Ahsa Health Cluster, a high-risk area for road traffic events and mass gatherings. We used a convergent mixed-methods design and collected data in August and September 2025 through interviews with six PHC directors and four cluster leaders, a contextual staff survey of about 95 respondents, and a review of administrative records on volumes and facility layout. Thematic analysis guided qualitative findings, and descriptive statistics supported triangulation. Results showed a consistent gap between basic capability and surge performance. Written and rehearsed MCI protocols were missing. Training emphasised evacuation and BLS over triage, team roles, and handover. Crash carts and ambulance kits lacked standard content and routine audits. Communication relied on informal calls instead of role-based hotlines and structured reports to hospitals and the Saudi Red Crescent Authority. PHCs are underused assets because governance, protocols, and communication systems are weak. We recommend a short PHC MCI playbook, quarterly functional drills, a dedicated clinical hotline to the cluster command centre, and standardised crash carts with monthly checks to speed care and improve coordination.11 0Item Restricted The Role of Climate Change Education in Shaping Risk Perception, Communication, and Behavior Change: A Study of Saudi Youth(Saudi Digital Library, 2025) Al Buainain, Mozah; Lofstedt, RagnarThis study explores how climate change is perceived, communicated, and addressed across three interconnected domains in Saudi Arabia: media discourse, youth engagement, and postgraduate environmental education. Using a mixed-methods approach, it combines thematic content analysis of Saudi Gazette articles (2021–2025), a structured survey of Saudi youth aged 18–35 (with comparative data from older adults), and document analysis of postgraduate environmental program brochures from leading Saudi universities. The research examines how climate narratives are framed in the media, how environmental education is integrated at the postgraduate level, and how young Saudis perceive, engage with, and respond to climate change. By analyzing these strands together, the study provides critical insight into how national climate ambitions align with youth awareness, generational engagement, and institutional readiness for sustainability transitions.6 0Item Restricted Behavioral Intentions Among Saudi Red Crescent Authority’s (SRCA) Active-Duty Paramedics Toward Seeking Psychological Help From Mental Health Professionals(Kent State University, 2025) Alsulami, Mohammed Ahmed; Laurie, M. Wagner; Kele, Ding; Deric, KenneParamedics are among the most vulnerable to mental health disorders. The nature of their profession places them in repeated exposure to unpredictable work-related stressors (e.g., motor vehicle mortalities). Such repeated exposures predispose paramedics to chronic stress and potentially to mental health disorders. The fear of being stigmatized by others, perceived as weak, or suffering career consequences are among the most common barriers that hinder their ability to consider help. The study adapted and further extended the TPB to (a) investigate the levels of attitude, subjective norms, perceived behavioral control, social and self-stigma, and intentions toward seeking help from mental health professionals among a sample of 184 paramedics in Saudi Arabia; (b) Compare those levels between paramedics with past help-seeking experiences and those without; and (c) Determine the most significant predictors of professional help-seeking intentions among active-duty paramedics in the Kingdom. Self-stigma has emerged as the strongest predictor of professional help-seeking intentions among SRCA paramedics. This significant finding highlighted the urgent need to proactively counter self-stigma within active-duty and future paramedics in Saudi Arabia. The findings provide a foundation for developing culturally sensitive interventions across individual, interpersonal, organizational, and policy levels to promote a supportive mental health culture within the EMS profession in the Kingdom.36 0Item Restricted The Impact of Digital Transformation in the Management of Engineering Projects in the Kingdom of Saudi Arabia(Saudi Digital Library, 2025) Alruwaili, Aleidi Alraydh; Trrad, Issam Sulaiman; Abendeh, Raed MohammedThis study aimed to examine the impact of digital transformation on engineering project management in the Kingdom of Saudi Arabia. The research relied on a quantitative approach, and the research sample consisted of (368) participants from engineering and project management specialists in the Kingdom. The primary data collection tool was a structured questionnaire, developed to measure perceptions of multiple dimensions of digital transformation. Responses were collected using a five-point Likert scale and analyzed using SPSS statistical software, using descriptive statistics, standard deviation, mean scores, relative importance indicators, and multiple regression. The results revealed that the lack of professional training is the strongest obstacle to successful digital integration, while project management practices play a pivotal role in enabling digital transformation. Based on these findings, the study emphasizes one key recommendation: providing continuous training and capacity-building programs for employees, enabling organizations to overcome resistance and fully utilize digital tools for sustainable transformation.15 0Item Restricted THE RELATIONSHIP BETWEEN MORAL DISTRESS, INSTITUTIONAL BETRAYAL AND PERCEIVED PROFESSIONAL IDENTITY IN SAUDI ARABIA NURSES(Saudi Digital Library, 2025) Alenazi, reem; Abu Shosha, GhadaBackground: Moral distress, organizational betrayal, and professional identity have a direct impact on nurses’ psychological well-being, and quality of care provided. Limited studies have investigated the interaction between these variables in the specific cultural and organizational context of Saudi Arabia.0 0Item Restricted Crowdfunding in Saudi Arabia: Practices and Perceptions(University of Dundee, 2025) Almutairi, Mohammad Lafi; Burton, Bruce; Ahmed, Ahmed HassanCrowdfunding represents an alternative financing method characterised by its communitarian ethos and reliance on digital technologies. While extensively developed in the United States and Europe, crowdfunding in emerging economies, including Saudi Arabia, remains under-researched. This study critically examines how institutional factors shape crowdfunding in Saudi Arabia and explores its growth potential. Using a mixed-methods design, data were collected through a questionnaire survey (n=152) and semi-structured interviews with key stakeholders. The findings reveal that coercive pressures from regulatory bodies such as the Saudi Central Bank (SAMA) and Capital Market Authority (CMA) strongly influence platform operations, particularly promoting debt-based models over equity crowdfunding. Normative pressures, especially Sharia compliance, play a major role in building trust among users. Mimetic behaviours were also observed as new platforms imitate the strategies of established ones to achieve legitimacy. Debt crowdfunding, offering more predictable returns and Sharia-aligned contracts, has flourished, while equity crowdfunding faces difficulties due to regulatory caps, low liquidity, and investor conservatism. Despite relatively low public awareness and financial literacy, the sector shows strong growth potential. Policy initiatives to improve education, create secondary markets, and refine regulations could support crowdfunding's broader adoption. Institutional theory offers a comprehensive framework to interpret how regulatory, cultural, and competitive forces shape the sector’s evolution. As Saudi Arabia pursues Vision 2030 goals, crowdfunding is positioned to contribute to SME financing and entrepreneurship if institutional challenges are carefully addressed.22 0Item Restricted HEALTHCARE UTILIZATION PATTERNS, ASSOCIATED FACTORS, AND READMISSION RATES AMONG CHILDREN WITH SICKLE CELL DISEASE(Saudi Digital Library, 2025) Sabrah, Daniya; Karimi, SeyedSickle Cell Disease (SCD) is common in Saudi Arabia, with a prevalence rate of 2.3%. It is an expensive disease to manage due to the extensive utilization of healthcare resources, including hospital readmissions, extended hospital stays, and frequent emergency department visits, which cost approximately $395 million annually in U.S. dollars. The primary objective of this study was to conduct a systematic literature review of healthcare utilization and cost of patients with SCD, following the PICO framework and PRISMA guidelines. The second aim utilized count models, including the negative binomial and Poisson, to identify factors associated with emergency, inpatient, and outpatient hospital visits among children with SCD. The third aim employed a multi-episode survival analysis to assess the association between bone marrow transplantation and the risk of emergency and inpatient readmission rates among children. The Andersen-Aday and Donabedian conceptual models informed the statistical variables for aims two and three, respectively. De-identified data provided by the King Abdullah International Medical Research Center (KAIMRC) were used in this study. Factors affecting the average annual number of inpatient visits were the total number of complications (incidence rate ratio, IRR = 1.23), crisis episodes (IRR = 1.03), and living in the Eastern (IRR = 2.65) and Western and Southern (IRR = 1.98) regions of Saudi Arabia. Similarly, for emergency visits, the total number of complications (IRR = 1.52), total crisis episodes (IRR = 1.04), bone marrow treatment (IRR = 0.33), hydroxyurea (IRR = 1.72), and living in the Eastern Saudi Arabia region (IRR = 3.41) were examined. For an outpatient visit, the Charlson Comorbidity Index (CCI) score (IRR = 1.33), bone marrow treatment (IRR = 1.81), age (IRR = 1.02), and living in the Eastern Saudi Arabia region (IRR = 0.65) were significant factors. The association between bone marrow treatment and the risk of emergency readmission was estimated and compared to those who did not receive bone marrow treatment. Health policies regarding bone marrow treatment receipt and preventive healthcare can help alleviate the burden of healthcare costs.19 0Item Restricted Safeguarding Intangible Heritage in Saudi Arabia: Challenges and Strategies for Al-Qatt Art in the Asir region.(Saudi Digital Library, 2025) Mohdher, Hadeel Talal; Katapidi, IoannaAl-Qatt art is an ancient art form considered as a key element of the identity of the region of Asir and it is a vibrant expression of the cultural heritage of the Asir region in Saudi Arabia, has historically faced challenges in its safeguarding and promotion. This thesis explores the complexities surrounding Al-Qatt art, utilising social practice theory and a qualitative research approach to understand and address these challenges. The primary aim is to develop the contextual framework for protecting the authenticity of intangible cultural heritage, specifically focusing on Al-Qatt art. The research aims to explore the issues, barriers, and enablers surrounding this art form, and to propose comprehensive guidelines for its protection and promotion. The research adopts a case study approach with purposive sampling, focusing on Al-Qatt art practitioners and stakeholders, using in-depth interviews and thematic analysis for data collection and analysis. The study is grounded in the principles of social practice theory, exploring the interplay of meanings, materials, and competencies in the context of Al-Qatt art. This thesis contributes to the theoretical discourse on cultural heritage by providing a nuanced understanding of Al-Qatt art through social practice theory, highlighting gendered cultural heritage dynamics, and extending the theory's application to cultural heritage safeguarding. The research suggests practical strategies for the enhancement of cultural tourism, digital promotion of Al-Qatt art, and community engagement. It calls for institutional support to nurture and market Al-Qatt art, enhancing its economic viability. The thesis underscores the dynamic nature of cultural heritage and the need for adaptation and innovation to ensure its sustainability. As a female researcher from the Asir region, my personal connection to the subject has enriched the research, making it a scholarly pursuit and a testament to the enduring legacy of Al-Qatt art.27 0Item Restricted Flash Flood Hazard Assessment using Hydrological and Machine Learning Models with Multi-Satellite-Based Precipitation and d4PDF Climate data sets in Saudi Arabia(Kyoto University, 2025) Alamoudi, Fahad; Kantoush, SamehFloods are among the most prevalent natural hazards globally, causing significant damage and loss of life. The primary tool for flood risk assessment and damage mitigation is hydrologic early warning systems, which predict flood events using rainfall observations from ground stations. However, challenges such as data scarcity, spatial disruption, network density issues, and measurement errors in ground stations have necessitated using satellite-based rainfall products to address these limitations. Satellite-based precipitation estimates (SbPEs) and reanalysis precipitation datasets (RPDs) have become increasingly accurate, offering improved spatial and temporal resolution beneficial for hydrological applications and rainfall-runoff modeling. The challenges posed by climate change, particularly the increasing frequency of extreme events like floods, further complicate flood risk assessments, especially in regions like Saudi Arabia. The main challenge in assessing rainfall and runoff in Saudi Arabia is the limited availability and accuracy of observational data (1) rainfall station and monitoring that can be measured with reliable and less uncertain data with low maintenance cost. In addition, the extreme climatic variability under climate change impact with dam management and mitigation measures in KSA (2) the identification of suitable locations for new dams where they can effectively serve multiple purposes, including groundwater recharge, flood control, water storage, and protection. Therefore, the main objectives of this research thesis are to (1) Examine both the hydrological model and Machine learning to develop the flash flood susceptibility maps, (2) Deep understand the Spatiotemporal climatic variability of extreme storms, (3) To evaluate SBP rainfall data and Re-analysis Rainfall data over KSA, and (4) To develop Flood Hazard Map based on SBP and hydrological modeling including distribution of dams locations and purposes. This thesis consists of seven chapters that explain the flood risk assessment from different sources of rainfall data and culminate in the analysis of extreme rainfall in the present and future, using hydrological models and machine learning techniques to find the hazard mapping over Saudi Arabia. The introduction and the literature review about the rainfall-runoff processing under climate change in Saudi Arabia were presented [Ch.1, 2]. Afterward, a set of investigations was conducted through various analyses and modeling to find out the flash flood hazard and susceptibility map [Ch.3, 4, 5, 6]. Finally, the recommendation and future prospects were proposed with research conclusions in [Ch.7].38 0Item Restricted EXPLORING THE ROLE OF DECISION-MAKING PROCESSES IN GOVERNANCE PRACTICES ON OPERATIONAL EFFICIENCY IN SAUDI ARABIA’S PETROCHEMICAL COMPANIES(Swansea Univerity, 2024-09) Alsabhan, Bader; Huxtable-Thomas, LouisaThe purpose of this study is to explore the role of decision-making processes within governance practices on the operational efficiency of petrochemical companies in the Kingdom of Saudi Arabia. The literature review section explores Saudi Arabia’s Vision 2030-associated corporate governance frameworks and their implications for the petrochemical industry. It examines the challenges of breaking oil reliance, its importance in a diversified economy, and how governance affects operational performance. Data transparency and lean concepts are discussed with regard to their applicability to operational improvement. The review outlines the importance of the area in relation to Vision 2030 and fostering more economic diversification; however, it also stresses the need for balanced monitoring, geared towards enhancing both efficiency and adaptability. By following a primary qualitative method, which used semi-structured interviews to collect data from 23 interviewees, a thematic analysis was performed by developing a total of four themes. Under each theme, two codes were extracted. In this way, based on the comparison of the statements of participants, the results of this thematic analysis were obtained. This study reveals that petrochemical companies in Saudi Arabia mostly implement centralised decision-making practices. These practices enable the business organisations to ensure improved stakeholder engagement and operational efficiency as well. However, some challenges, such as resistance to change, complexity and regulatory or market changes, are associated with the overall process of corporate governance implementation in Saudi Arabian petrochemical companies. It is recommended that petrochemical organisations should focus on centralised decision-making, along with some elements of decentralisation, to increase innovation and inputs from lower-level employees. Technological upgrades are an essential requirement for the petrochemical companies, as they allow for increased efficiency in business operations.15 0
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