Saudi Cultural Missions Theses & Dissertations
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Item 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 0