Saudi Cultural Missions Theses & Dissertations
Permanent URI for this communityhttps://drepo.sdl.edu.sa/handle/20.500.14154/10
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Item Restricted Assessing Knowledge, Attitudes, and Practices: The Role of Caregivers in the Oral Health of Adults with Intellectual and Developmental Disabilities(University of Rochester, 2024-05-17) Alqahtani, Nahar; Planerova, Adela; Abdul Basir, Barmak; Planerova, AdelaObjective: This study aims to investigate the influence of caregiver education on attitudes, beliefs, and knowledge regarding oral health care for individuals with intellectual and developmental disabilities (IDD). Methods: Employing a single-arm, prospective design, this research was conducted at the Eastman Institute for Oral Health, University of Rochester Medical Center, with 101 caregivers participating. Caregivers, fluent in English and involved in the oral care of adults with IDD for at least six months, completed a validated, self-administered questionnaire. The questionnaire assessed demographics, oral health knowledge, attitudes, and practices. Data analysis utilized SPSS ver. 21.0, applying the Chi-Square test, independent samples t-test, and ANOVA to explore correlations between caregiver demographics and oral health practices. Results: The study demographic comprised predominantly female caregivers (74.3%), with a significant portion having completed high school or less (67%). Key findings indicated a substantial association between caregivers' education levels and their oral health practices for individuals with IDD. Caregivers with a Bachelor's degree or higher demonstrated a higher likelihood of adhering to recommended oral health practices (p=0.018) and exhibited a deeper understanding of dental health factors. Barriers to effective oral care, including non-cooperative behavior from care recipients and limited resources, were identified, emphasizing the necessity of addressing these challenges through comprehensive strategies. Conclusion: Caregiver education is crucial in determining the quality of oral health care provided to individuals with IDD. This study underscores the need for targeted educational interventions and policy reforms to enhance caregivers' abilities and address existing care delivery challenges. By fostering an environment of informed, engaged caregiving, we can significantly improve oral health outcomes for adults with IDD, advocating for an interdisciplinary approach to achieve an inclusive healthcare ecosystem.23 0Item Restricted Investigating asthma aetiology and remedies in Saudi Arabia and the UK: Assessing the impact of indoor air pollution and healthcare expertise on prescription expenses, within the realm of public health(University of Strathclyde, 2024) Saggah, Abdullah; Amanj, IbrahimThe thesis culminates with a set of references and appendices that supplement the research. The references section provides a comprehensive list of all the sources cited throughout the thesis, ensuring that the research is grounded in existing literature and scientific evidence. The appendices section includes supplementary materials that support the research findings, such as data tables, questionnaires, and additional analyses. In summary, this thesis offers a holistic and nuanced examination of asthma, a condition that affects millions worldwide. By analyzing various factors such as indoor air pollution, healthcare practices, and the impact of the COVID-19 pandemic, the research provides valuable insights into the management and treatment of asthma. The comparative analysis between the Kingdom of Saudi Arabia and the United Kingdom offers a unique perspective on the global and regional dimensions of asthma, making this thesis a significant contribution to the field of public health32 0Item Restricted Nurses' knowledge and attitudes towards non-pharmacological interventions for managing pain in the Intensive care unit: an extend literature review.(The Queen’s University of Belfast, 2024-03-22) Almatrafi, Rehab; Martin, DaphneBackground: Effective pain management in critical care units is crucial for patient outcomes and satisfaction. Although pharmacological approaches are commonly used, they can have adverse effects. Non-pharmacological interventions (NPIs) offer alternative methods for pain management and reduce reliance on medications. Aim: This literature review aimed to explore nurses’ knowledge of and attitudes towards NPIs for pain management in intensive care units (ICUs). It also sought to identify factors hindering nurses from using NPIs in the ICU. Search strategy: A total of 20 keywords were used, and six databases were consulted: CINAHL, MEDLINE, PsycINFO, Embase, Scopus and Web of Science. They were selected for their relevance to the research topic. The search strategy was verified by a subject librarian and a supervisor, and a systematic approach was followed. Additionally, the reference lists of relevant articles were hand-searched. The quality of the included studies was assessed using appropriate tools. Results: The review included six studies: two qualitative studies, three cross-sectional studies and one mixed-methods study. These studies examined nurses’ knowledge and attitudes concerning NPIs for pain management in the ICU. Overall, the results indicated that nurse training, education and policy support are crucial for enhancing the use of NPIs and improving nurse knowledge. Conclusions: Nurses’ knowledge of NPIs in the ICU was low to moderate, with a positive attitude towards their use. This lack of understanding may hinder the development of educational programmes for nurses, which could increase the use of NPIs. Barriers affecting nurses’ knowledge and attitudes concerning NPIs include professional barriers, ICU setting barriers and hospital policy barriers. Therefore, healthcare systems should establish a supportive environment, equip nurses with knowledge and skills, and encourage patient and family engagement in treatment plans.32 0Item Restricted Pediatric Oncology Nurses’ knowledge and practice in oral mucositis pain management: A Systematic Litruture Review.(Saudi Digital Library, 2023-11-09) ِAlotaibi, Amjad; Cardwell, PaulineBackground: Oral mucositis, a painful and distressing side effect of cancer treatment, affects patients' ability to eat, communicate, and maintain good nutrition. In order to provide comprehensive care to these patients, nurses are integral to managing the pain associated with oral mucositis. Yet, there are concerns regarding nurses' knowledge and adherence to evidence-based practices when addressing oral mucositis-related pain. Objective: to explore knowledge and practice of oncology nurses related to the management of oral mucositis pain in children with cancer diagnosis. Method: A systematic literature search was conducted using reputable databases such as PubMed, CINAHL, and Scopus. For eligibility purposes, studies published between 2013 and 2023 were reviewed. Studies selected focused on nurses' knowledge and practices regarding pain management associated with oral mucositis through cross-sectional surveys. PRISMA chart was used to document the search process, and JBI (Joanna Briggs Institute) criteria were used to evaluate studies included in the review. PIO elements were utilized to extract the data. Result: A review of seven cross-sectional studies meeting the predetermined criteria was conducted, covering different geographical regions. As a result of the data extraction process, oncology nurses consistently exhibited limited knowledge and practice in managing oral mucositis pain. Notably, nurses exhibited deficiencies in knowledge and practice related to pharmacological interventions, oral mucositis grading, and pain management guidelines. A lack of education and training, concerns about potential side effects from medications, and inconsistencies with pain assessment methods have all contributed to inadequate pain management. Conclusion: Several critical steps are needed to improve the quality of life of cancer patients with oral mucositis. By implementing standardised protocols for managing oral mucositis pain, nurses can provide consistent and evidence-based care, which enhances patient safety and treatment effectiveness. The multidisciplinary teamwork of oncologists, specialists, and other healthcare professionals provides a holistic approach to treating patients, addressing both their physical and psychological needs. Additionally, ongoing research provides nurses with access to emerging therapies and tailored interventions for improving care and outcomes in the management of oral mucositis.14 0Item Restricted Home Health Care Nurses and Home-Based Palliative Care in Saudi Arabia(2023-08-03) Almulla, Halah Ahmed; Hassouneh, DenaAbstract Purpose To explore barriers and facilitators of home-based palliative nursing care in Saudi Arabia. Design A prospective, mixed method concurrent research design. Methods A total of 52 HHC nurses completed the survey, and 14 nurses and leaders were interviewed. We used Latent Class Analysis, regression, and content analysis to analyze data and a joint display table to integrate findings. Findings We identified two groups of nurses in our quantitative findings: a barrier group and facilitator group. Language was the most commonly perceived barrier across groups. Qualitative findings consist of four themes: 1) Nurses’ Practice and Challenges and Rewards; 2) Empowering Caregivers, Families, and Communities to Take Responsibility; 3) Context, Policies, and Resources; and 4) Dealing with Challenges and Risks. Areas of convergence and divergence between the quantitative and qualitative findings are presented in a joint display table. Conclusion HHC is not a popular area of practice for nurses in Saudi Arabia due to various work-related factors. Leaders should find ways to attract nurses to work in this understaffed yet indispensable specialty.70 0Item Restricted Knowledge of Molar Incisor Hypomineralization among Physicians and Dentists(Saudi Digital Library, 2023) Ghazal, Ebtehal; Kulkarni, GajananObjectives: To assess the knowledge of physicians and dentists on Molar Incisor Hypomineralization (MIH) and its association with antibiotic exposure during early childhood. Methods: A cross-sectional survey design was utilized. The study was electronically advertised through professional organizations with a hyperlink provided to the questionnaire. Chi-square test was used to compare differences in levels of knowledge between the study groups. Results: There were 335 participants in the study; general physicians (n=79), pediatricians (n=98) and dentists (n=158). A significantly lower proportion of general physicians (19%) and pediatricians (18%) had knowledge of molar incisor hypomineralization compared to dentists (82%, P<0.001). There was no statistically significant difference between the groups regarding the association between antibiotics prescribed during the first years of life and MIH development (P=0.07). Conclusions: Physicians lacked knowledge about the MIH dental condition. Most study respondents did not know the potential association between MIH and frequent antibiotic intake during early childhood.47 0Item Restricted Disaster Preparedness Among Emergency Medical Services Worker in Saudi Arabia(Saudi Digital Library, 2023-05-03) Almukhlifi, Yasir Matar D; Hutton, Alison; Crowfoot, GaryDisasters are unexpected events that impose destructive consequences which can adversely overwhelm countries' healthcare response systems. Countries are required to prepare their healthcare workers for disaster response effectively. A greater level of preparedness is associated with a more effective response to disasters. Emergency Medical Services (EMS) workers are vital and essential to effective disaster response in Saudi Arabia. This research aims to examine the perception of knowledge, skills, and preparation for disaster preparedness among EMS workers in Saudi Arabia. It further seeks to explore the needs of EMS workers and perceived barriers and facilitators of disaster preparedness within this context. This study used an explanatory sequential mixed method design to examine disaster preparedness among EMS workers in Saudi Arabia. A descriptive cross-sectional survey using the Disaster Preparedness Evaluation Tool (DPET) was distributed to EMS workers in military and government hospitals across three Saudi Arabian cities (Riyadh, Jeddah, and Dammam) in phase one of the study. This phase aimed to explore the perceived disaster knowledge, skills, and preparedness levels of EMS workers in Saudi Arabia. The findings from Phase One were used to inform phase two by providing direction for interview questions. Participants who expressed their interest in phase one were interviewed in phase two. This phase aimed to explore the facilitators, barriers, and cultural factors that affect disaster preparedness among EMS workers in Saudi Arabia. Two-hundred-and-eighty-seven EMS workers participated in this study. In phase one, participants reported moderate knowledge, skills, and preparedness levels for disasters. However, EMS workers were underprepared in certain areas of disaster preparedness, specifically a lack of isolation and decontamination skills during bioterrorist or biological attacks (CBRNE). Interview findings showed that three factors influenced their preparedness levels: personal preparedness, workplace preparedness, and socio-cultural influences. Participants reported difficulties in accessing workplace policies and procedures, a lack of standardisation in managing and implementing EMS regulations, and irregularity in providing drills and exercise regimes in Saudi Arabia. Results also highlighted the socio-cultural impact on disaster knowledge, skills, and preparedness of EMS workers. Prevailing social-cultural expectations in Saudi Arabia are biased against women. This results in a predominantly male and patriarchal structure within the EMS profession. Consequently, women in this study had fewer opportunities to enhance their knowledge, skills, and preparedness than their male EMS peers. This research was able to explore the perception of EMS workers’ disaster knowledge, skills and preparedness from a geographically and demographic representative sample of the Saudi Arabia EMS workforce. Important insights from the study could advance the EMS workforce and increase disaster preparedness. These include providing equitable, standardised, and inclusive education and training opportunities for all EMS workers in Saudi Arabia. In addition, local, postgraduate programs would further support Saudi Arabia’s disaster preparedness. Saudi Arabian workplaces will benefit from recruiting more female EMS workers and standardising staff rotation. This will empower EMS workers within all healthcare systems in Saudi Arabia. The Saudi Association of Emergency Medical Services (SAEMS) should implement these changes and be provided with appropriate governance powers to regulate the profession.50 0