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 What are the barriers to the early integration of paediatric palliative care? A systematised review(Saudi Digital Library, 2023-12-03) Aljardahi, Rakan; Mcfeely, ClareBackground: Children with serious illnesses, such as cancers or congenital anomalies, require special care that alleviates the disease burden. Paediatric palliative care (PPC) is comprehensive, interdisciplinary care for patients and their families that begins once a life-threatening disease has been diagnosed. PPC’s early integration with curative treatments has been proven to relieve suffering and enhance both patients’ and families’ quality of life. Nonetheless, few paediatric patients access and receive these services. Aim: To identify and synthesise the barriers to PPC’s early integration. Methods: This systematised review is based on PRISMA guidelines. The Medline, Embase, PsychInfo and CINAHL databases were searched using controlled and non-controlled keywords and a variety of research strategies. This search was limited to peer-reviewed studies published in English between 2018 and 2023. Based on the inclusion criteria, Covidence software was used to screen, extract and assess the retrieved studies, which were evaluated using the CASP and MMAT checklists. Findings were synthesised using narrative synthesis with inductive thematic analysis. Results: Eight studies of medium to high quality met the inclusion criteria. Three main themes were identified: limited resources, the lack of a standardised referral process and fears associated with palliative care. Conclusion: Reflecting the insufficient attention the speciality receives, several modifiable barriers impede paediatric patients from accessing the early benefits of palliative care services. PPC requires financial support, community awareness and a clear referral process. Policymakers play an important role in supporting PPC, and researchers must work to explore policymakers’ perspectives on these barriers and find facilitators.25 0Item Restricted The Impact of the COVID-19 Pandemic on Dental Health Practices and Oral Health Outcomes in Children: A Scoping Review(Saudi Digital Library, 2023-09-15) Alsadoon, Mashael; Lodder, Annemarie; Heilmann, AnjaBackground: Oral health is a critical aspect of overall well-being. The COVID-19 pandemic has significantly affected children's oral health through dental clinic closures, disrupted school-based oral health programs, increased sugary snack consumption, and changes in oral hygiene behaviours Aim: The aim of this study was to undertake a scoping review of the literature on the global impact of the COVID-19 pandemic on dental health practices and oral Health outcomes in children. Methods: A literature search was carried out using three online databases (PubMed, Scopus, and Web of Science) to select studies published between 2020 and 2023. The initial search included 516 results, which were subsequently screened based on their titles and abstracts. After screening process, 16 studies were considered for the final review. Results: The COVID-19 pandemic disrupted access to dental care for children, especially in lower income countries and among those from disadvantaged backgrounds. Health behaviours, such as brushing frequency and dietary habits, varied during the pandemic, with some children improving their oral care and food choices while others experienced declines. Dental caries prevalence increased, affecting children's quality of life, particularly when parents were distressed. Conclusion: The pandemic had adverse effects on the availability of dental clinics and has exacerbated inequality. It has also impacted children's Oral Health-Related Quality of Life (OHRQOL) and behaviour, leading to reduced brushing and increased sugar consumption. Parental involvement and education play a crucial role in addressing these issues.23 0Item Restricted Outdoor Play in Public Green Spaces: Perspectives of Mothers of Young Children in Riyadh, Saudi Arabia(Saudi Digital Library, 2023-04-26) ALGHAMEDI, Weam Saud A; Grieshaber, SueThis research examines the understanding of outdoor play in public green spaces among six mothers of young children between the ages of 3–6 years in Riyadh, Saudi Arabia. Mothers of young children play a central role in managing their children’s play. Understanding mothers' perspectives on the use of public outdoor places can make visible their views on the relationship between outdoor spaces, children, and their experiences. A narrative life history approach documenting mothers’ experiences and perspectives was used as a research design. Life history interviews and an analysis of policies governing outdoor public spaces in Saudi Arabia were undertaken. Interviews were analysed using a three-dimensional space approach and grounded theory. One finding indicated positive perspectives of outdoor play in public green spaces amongst the mothers. Despite mothers valuing outdoor play experiences, opportunities were restricted according to needs and priorities. COVID-19 produced a fear of visiting these public spaces for a period. Online learning for two years in Saudi Arabia was associated with increased visits of these spaces as a substitute place to interact and play with others.99 0