Saudi Cultural Missions Theses & Dissertations
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Item Restricted PERITONEAL DIALYSIS NURSES’ KNOWLEDGE, VALUES, AND IMPLEMENTATION OF CLINICAL GUIDELINES IN PRE-DIALYSIS EDUCATION AND EVIDENCE-BASED PRACTICE(University of Massachusetts Boston, 2024) Fatane, Sumayah; Fawcett, JacquelineGuided by the Conceptual Model of Nursing and Health Policy, this pilot exploratory study was designed to describe peritoneal dialysis nurses’ knowledge, values, and implementation of evidence-based practice, extent of use of the Saudi Clinical Guidelines for Peritoneal Dialysis in pre-dialysis education, and barriers and facilitators to implementation of these guidelines. Little is known about nurses’ knowledge, values, and implementation of the SCGPD. No studies have investigated nurses’ implementation of these guidelines in pre-dialysis education for patients with chronic kidney disease. Twenty-eight peritoneal dialysis nurses were recruited from peritoneal and hemodialysis units in eight hospitals in the Western region of Saudi Arabia. Data were collected using an online survey including a demographic data form, the Quick-EBP-VIK (values, implementation, knowledge), questions about extent of implementation of the Use of the Saudi Clinical Guidelines for Peritoneal Dialysis and open ended-questions about the barriers of and facilitators for the pre-dialysis education. The nurses scored highest in the Quick EBP VIK value domain, moderate on knowledge, and lowest on implementation, and frequently implementing the recommendations of the SCGPD. Perceived barriers were patient/family readiness, communication, healthcare educators' lack of knowledge and resources. The perceived facilitators were improving self-management, health educators’ active communication and knowledge of patient education, availability of teaching resources, and institutional support. The study findings identified a gap in the nurses’ use of evidence from clinical guidelines and can inform nursing practice to implement the clinical guidelines, overcome barriers, and facilitate the delivery of high- quality and evidence-based pre-dialysis education.35 0Item Restricted THE RELATIONSHIP BETWEEN MAGICAL THINKING, RATIONAL THOUGHT AND EVIDENCE-BASED PRACTICE(Queensland University of Technology, 2022) Alghaythi, Khalaf Shami; Duff, JedBackground: Evidence-based practice (EBP) has attracted worldwide interest from nurses and researchers. EBP is critical to providing safe nursing care, improving the quality of health services for the patient, and problem-solving and clinical decision making. However, the implementation of EBP in clinical settings in Saudi Arabia has been challenging. Purpose: This study aimed to explore how EBP has been implemented among Saudi Arabian nurses and to assess whether there is a relationship between magical thinking, rational thought, and EBP among Saudi nurses. Method: A cross-sectional survey was administered online to 151 Saudi Arabian nurses. We used a questionnaire form to collect the demographic data of the participants and data on EBP, magical thinking and rational thinking using the Evidence-Based Practice Questionnaire (EBPQ), the Illusory Beliefs Inventory (IBI) and the Rational‐Experiential Inventory (REI‐40), respectively. Descriptive statistics were used to describe the participants’ demographic data, and regression analysis was used to predict and explain the variance which led to the implementation of EBP. Results: The findings demonstrated that nurses in Saudi Arabia had a positive attitude toward EBP (mean=4.29, SD=1.88) but low levels of implementation of EBP (mean=3.95, SD=1.53). Non-Saudi nurses correlated significantly with EBP B=0.859, p=0.001) and showed a better implementation of EBP than Saudi nurses. The regression results showed that the EBP increased by 0.027 units every year. However, the result was not significant (B= 0.027, p= 0.102). For every one year increase in the participants’ experience, the EBP increased by 0.008 units (B=0.008, p=0.645). The results indicated a significant positive correlation between EBP subtotal mean and IBI total mean (r=0.274, p=<.001), while the regression coefficient (B = 0.737, 95 %CI (0.317–1.157) indicated that an increase of one unit in the IBI total score corresponded, on average, to an increase in the EBP total score by 0.74 points. However, the results showed no significant correlation between EBP and REI. Conclusion: EBP is important for patients and the quality of nursing care. However, the nurses in Saudi Arabia showed low levels of EBP implementation. To enhance the level of EBP, nurses’ educational offices in hospitals and schools must increase awareness of the importance of EBP and thinking style.15 0