Saudi Cultural Missions Theses & Dissertations
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Item Restricted Studying Primary Healthcare Users’ Experience Regarding Quality of Care in The Eastern of Najran Region in the Kingdom of Saudi Arabia(Saudi Digital Library, 2025) Aldughdugh, Yahya; Hafez, Fatma ElemamThe study aimed to examine primary healthcare users’ experiences regarding the quality of care in the eastern region of Najran in the Kingdom of Saudi Arabia. Method: Phenomenological research utilizing an exploratory qualitative design was employed. Purposive sampling was used to recruit participants. Results: The study found that 75% of participants recognized the importance of safety in healthcare and services derived from scientific knowledge. There was common agreement on the value of patient-centered care, prioritizing individual needs. Most found waiting times were acceptable, and 75% acknowledged the need for efficient use of medical resources. Participants identified challenges to healthcare quality, such as a lack of awareness, inadequate funding, limited technology, and staff shortages.2 0Item Restricted The Experiences of Psychological Well-Being Amongst Paramedics During The COVID-19 Pandemic(Saudi Digital Library, 2025) Alalhareth, Musalli; Peters, RosemaryParamedics are critical frontline healthcare providers during emergencies. However, they often work in high-stress environments with a myriad of challenges, which affect their psychological wellbeing. The COVID-19 pandemic intensified these challenges, potentially worsening the paramedics’ mental health. Yet paramedics’ psychological experiences remain underexplored compared to other healthcare workers. This study sought to systematically review literature on the psychological wellbeing of paramedics during the COVID-19 pandemic to identify stressors, coping mechanisms, and assess the role of organizational support. The review synthesized four analytical themes. On the theme of psychological issues, it emerged that paramedics faced high rates of stress, anxiety, PTSD, emotional exhaustion, and depersonalization. Major stress and risk factors included fear of infection, inadequate PPE, long shifts, social stigma, leadership failures, and poor communication. The study identified various protective factors and coping mechanisms including personal resilience, humor, exercise, therapy, supportive leadership, peer support, and incentives. However, some used maladaptive strategies like alcohol overuse. There was substantial variation of experience by role and context. Student and less-experienced paramedics, and older staff faced more severe impacts while frontline paramedics experienced higher distress compared to second responders. This study makes several recommendations for improving the mental wellbeing of paramedics during emergencies. Organizations should improve communication, ensure PPE supply, provide psychological screening, promote healthy coping strategies, and tailor support by role and demographic. Educational institutions should integrate stress management and ethics training into paramedics’ curricula. Strategic interventions are vital for enhancing resilience and reducing attrition in future public health crises.23 0Item Restricted Secondary ELA Mentor Teachers’ Feedback on Preservice Teachers’ Video-Recorded Lessons(University of South Florida, Tampa, FL, 2025) Alharbi, Homood; Sherry, MichaelThis dissertation explores the feedback practices of secondary English Language Arts (ELA) mentor teachers and the reasoning behind their feedback to preservice teachers (PSETs) during early field experiences. Motivated by my own experience as a preservice teacher, where the absence of timely, meaningful feedback often left me without needed guidance, I was drawn to study how mentor teachers notice, interpret, and respond to novice teaching. This study focuses not on the mentoring relationship itself, but on the content and rationale of feedback provided by mentors. Three secondary ELA mentor teachers participated in this qualitative study. Each responded to two video-recorded lessons of preservice teachers and took part in two sets of interviews. Using a Teacher Noticing framework, I analyzed what mentors noticed, why they chose to respond, how they delivered feedback, and how their prior experiences shaped those decisions. Findings indicate that mentors’ own experiences with receiving and giving feedback significantly influenced what they prioritized and how they responded to preservice teaching moments. Across participants, feedback focused on seven key areas of teaching and was driven by three consistent reasons. While the study focuses on a small group in a specific context, it raises important questions about broader trends in ELA mentor feedback. I recommend further research across diverse contexts to examine the consistency of feedback practices among mentor teachers.14 0Item Restricted Secondary ELA Mentor Teachers’ Feedback on Preservice Teachers’ Video-Recorded Lessons(University of South Florida, Tampa, FL, 2025) Alharbi, Homoodh; Sherry, MichaelThis dissertation explores the feedback practices of secondary English Language Arts (ELA) mentor teachers and the reasoning behind their feedback to preservice teachers (PSETs) during early field experiences. Motivated by my own experience as a preservice teacher, where the absence of timely, meaningful feedback often left me without needed guidance, I was drawn to study how mentor teachers notice, interpret, and respond to novice teaching. This study focuses not on the mentoring relationship itself, but on the content and rationale of feedback provided by mentors. Three secondary ELA mentor teachers participated in this qualitative study. Each responded to two video-recorded lessons of preservice teachers and took part in two sets of interviews. Using a Teacher Noticing framework, I analyzed what mentors noticed, why they chose to respond, how they delivered feedback, and how their prior experiences shaped those decisions. Findings indicate that mentors’ own experiences with receiving and giving feedback significantly influenced what they prioritized and how they responded to preservice teaching moments. Across participants, feedback focused on seven key areas of teaching and was driven by three consistent reasons. While the study focuses on a small group in a specific context, it raises important questions about broader trends in ELA mentor feedback. I recommend further research across diverse contexts to examine the consistency of feedback practices among mentor teachers.30 0Item Restricted Equity and Access to Healthcare Services: A qualitative analysis of the maternity care experiences of Arab migrant women in Scotland(University of Dundee, 2025) Gashgari, Dawood; Symon, Andrew; Lee, ElaineBackground: Globally, migration has surged over the past two decades, with the UK emerging as the fifth top destination, hosting over 9.5 million foreign born residents (IOM, 2021). There has been a gradual increase in the number of new female migrants in the country. These trends emphasise the importance of meeting the maternity care access needs of new migrants, ensuring equitable access to services, and adapting these services to diverse cultures. This study’s initial scoping review mapped the literature about maternity care access experiences among newly arrived migrants in EU/EFTA countries. It identified limited studies about newly arrived migrant women in Scotland, a country experiencing population growth due to migration. Among migrant group that received little attention despite their numbers are newly arrived migrant women from Arab countries. Aim: To explore and describe the maternity care access experiences of newly arrived Arab migrant women who have given birth in Scotland, and for whom English is not their first language. Methods: A Qualitative Descriptive study was conducted using the Levesque et al. (2013) 5As access to healthcare framework. Twenty participants from various Arab countries and with different migration statuses were selected from Scotland’s four largest cities through purposive sampling strategy. In-depth semi-structured telephone interviews were conducted, focusing on their experiences. Thematic Analysis (TA) was employed to analyse the interviews. Findings: Participants reported varied experiences at different stages of maternity care, with more challenges than facilitators in accessing care. An overarching theme ‘Expectation and reality’ and four other themes were identified from the data. These are: 1) Perceived availability and appropriateness of maternity care; 2) Motivators and inhibitors when seeking maternity care; 3) Communication; and 4) Encounters with healthcare professionals. Discussion and Conclusion: The study highlights lack of familiarity and discrepancies between expected and actual care experiences, affecting experiences and perceptions of maternity services. Participants faced several challenges at both service and organisational levels, leading to criticism and resistance behaviours such as appointment avoidance and exaggerating conditions. The study shows how initial self-directed barriers could transform into motivators, and vice versa, which influenced participants’ decisions to seek, accept, or avoid care. It also identifies substantial communication barriers due to language difficulties and the inadequacy of interpretation services. This, along with a lack of tailored informational materials, significantly affected access to and understanding of maternity care services. Positive interactions with healthcare professionals fostered feelings of equality and welcome, while negative encounters often resulted in perceptions of discrimination. Recommendations include improving information provision and adopting women-centred, culturally sensitive practices to enhance maternity care for migrant women.17 0Item Restricted Emotional Walls: Designing Architecture That Speaks the Unspoken(Virginia Polytechnic Institute and State University (Virginia Tech), 2025-05) Alkhomairi, Hatim Abdulrahman; Jones, JamesThis thesis investigates how architecture and human emotions connect, linking the physical characteristics of spaces to psychological experiences. It explores how design can evoke emotional responses and how different architectural elements, including light, trigger specific emotional reactions. Using a "Gallery of Emotions" as a foundational project for experimentation, the aim is to develop concepts that are applicable to diverse architectural settings. The design process begins with words that are used to craft atmospheres that evoke targeted emotions. Two complementary approaches guide decision-making: digital software for testing ideas and physical techniques, including sketching and model-making, to achieve a cohesive final design.19 0Item Restricted Crafting Lasting Memories: An Exploration of Creating Authentic and Unforgettable Experiences in Peer-To-Peer Accommodations in the Asir Region (Saudi Arabia)(University of Florida, 2024) Alhejazi, Yusra Mahmoud; Roberto Jose, Rengel; Genesis, Okken MAccommodation is a cornerstone of the tourism economy, and the rise of the sharing economy such as Airbnb has marked a significant evolution in lodging options. This shift towards Peer-to-Peer (P2P) platforms has redefined travelers' expectations, emphasizing the desire for authentic experiences and deeper connections with local cultures. This research focuses on the Asir region of Saudi Arabia and examines how the integration of local cultural elements into P2P accommodations can enrich guest experiences and meet current expectations. Through qualitative interviews with local craftsmen and a cultural content analysis, the study identifies n=83 distinct elements that embody the unique character of Asir. Leveraging the authenticity themes proposed by Coca-Stefaniak et al. (2017) and the framework for Memorable Tourism Experiences (MTEs) proposed by (Kim et al., 2012), this thesis develops targeted strategies in the form of an adapted framework to support design application. These strategies are designed to offer memorable, unique, and culturally immersive accommodations, catering to the increasing demand for authentic travel experiences and promoting the growth of tourism in the region.38 0Item Restricted Isolation and Its Impact: Understanding Patient–Caregiver Experiences During Isolation for Haematopoietic Stem Cell Transplantation(Queen's University Belfast, 2024-06-24) Mayan, Soumaya; Martin, DaphneBackground: Haematopoietic stem cell transplantation (HSCT) is a complex procedure requiring long-term preparation. Patients undergoing the procedure have increased risks of developing infections and life-threatening complications, so the standard practice has been to isolate them before and after the procedure. Although isolation in a separate ward helps increase the chances of successful transplantation and survival, it has an immense negative effect on patients’ psychological state. Aim: This study aimed to examine the effects of isolation on patients and their caregivers. Specifically, it focused on the psychological/emotional state, health related quality of life, and coping skills of patients and their families. Methodology: An integrative literature review methodology was used to draw the data for this study. The search was limited to articles published in English in the past decade (September 5, 2013, until present), which focused on the experiences of adult patients/caregivers in the context of HTSC isolation. A thorough literature search helped extract 19 studies which were included in the sample. This approach helped obtain qualitative and quantitative data from different locations. Results: The review showed that isolation has a severe effect on patients and caregivers, leading to stress, anxiety, and depression. It is also associated with extreme uncertainty and the loss of control, which, coupled with a plethora of unpleasant and taxing symptoms, negatively impact health related quality of life. Patients and caregivers were found to demonstrate various coping behaviours, such as communication with friends and family, spending time on hobbies, engaging in religious/ spiritual activities, and others. However, maladaptive coping was also found to be common, which points to the importance of teaching patients and families how to overcome stress. Conclusions: Given the adverse effects of isolation on patients and their families, it is extremely important to provide them with relevant psychological support and resource27 0Item Restricted Intensive Care Unit Nurses' Experiences in Caring for Lightly Sedated Mechanically Ventilated Patients: An Extended Literature Review(Queen's University Belsat, 2024-06-14) Ali, Sarah; John, NimmyBackground: Sedation is crucial for critical care patients' comfort and treatment. The trend has moved towards lighter sedation levels than deep sedation. Lightly sedated intubated patients require more focused care in a suitable setting compared to deeply sedated patients. Intensive care unit (ICU) nurses, as carers, hold a pivotal position in care and sedation monitoring. There remains a lack of comprehensive investigation into nurses' psychological and professional experiences during the care management process. Aim: To explore ICU nurses’ experiences of caring for intubated patients under light sedation. Methodology: This dissertation employed the Extended Literature Review (ELR) method by using six electronic databases were systematically searched: the Cumulative Index for Nursing and Allied Health Professionals (CINAHL) Plus, Medline, PsycINFO, Scopus, and Web of Science. English-language studies were included and conducted between 2013 and 2023, examining nurses' caring experiences while managing light sedation with mechanically ventilated patients. The quality of the included studies was evaluated using the Joanna Briggs Institute (JBI) and the Mixed Methods Appraisal Tool (MMAT) checklists. Results: Eight studies met the inclusion criteria: five qualitative, two mixed methods, and one cross-sectional study. Qualitative studies revealed that ICU nurses face significant challenges in achieving and maintaining light sedation while ensuring patient comfort. Mixed methods studies indicated that nurses were generally satisfied with patient outcomes associated with light sedation approaches. The cross-sectional study demonstrated a high level of compliance among nurses with light sedation guidelines and its implications for intubated patients. Four overarching themes emerged from the analysis, providing insights into ICU nurses' experiences during the care provided for ventilated patients under light sedation.23 0Item Restricted Study of Judicial Discretion and Problems of Evidence as Proof in the Saudi Commercial Judiciary(2024-06-02) Turkastani, Ammar; Camp, MartinProof is an integral part of any commercial ruling issued by a judge in commercial courts. However, the means and methods of proof may differ between cases. Some judges may take custom as proof; other judges may accept various types of proof such as interrogation, confession, oaths, inspection, experience, testimony, writing, and presumption. Therefore, this dissertation addresses the complex issues surrounding the admissibility of evidentiary evidence and its weight in judicial procedures before commercial courts in the context of laws issued and updated by the Saudi legislature in a modern era in which modern evidence plays a pivotal role in the final ruling of the commercial judge. Understanding the rules governing the admissibility of evidence and its evaluation is of utmost importance. A recurrent problem in the commercial courts in the Kingdom of Saudi Arabia is that some judges refer to only one specific means of proof in all their rulings, even if the parties to the dispute possess documents related to other means of proof. Therefore, litigation procedures may be prolonged until the judge obtains what he wants for his reasoning to make a ruling, extending to months or even years until the document requested by the judge is brought to the commercial courts. Although the Saudi legislature has established regulations related to proof, in addition to amending many Commercial Laws, some judges cling to the same opinion as before, which they adhere to in their rulings, even though the Saudi legislature has approved many modern regulations and amended commercial regulations. Using a descriptive analysis approach, this research explores how the Saudi commercial judiciary deals with the admissibility of evidentiary evidence issued by the Saudi legislature in modern laws. This dissertation examines the relevant laws issued by the Saudi legislature, previous cases, legal principles, and what Islamic Sharia has approved to provide a comprehensive overview of the legal landscape in the Kingdom of Saudi Arabia as they relate to the use of evidence by the judiciary in commercial disputes. This dissertation also addresses the practical challenges of accepting and evaluating evidentiary evidence in Saudi commercial courts. The dissertation addresses previous issues related to how the commercial judiciary takes presumptions submitted to the commercial courts, questioning opponents before commercial courts, and procedures related to interrogation. Moreover, topics discussed in detail include the confession of each of the opponents in a commercial case; how to take the oath and directing the oath to merchants, and the effect of not swearing; the judge’s inspection of the dispute; the importance of experience and the role of the expert in proof; the role of testimony in commercial cases and how to perform it; writing and its types, and forgery before the commercial court; evidence and the judge’s authority in proof of evidence; custom and its enforcement and sources in Commercial Law. A concluding section discusses proving and adopting modern digital evidence, a problem that presents and ongoing challenge to the Saudi commercial judiciary. Through a descriptive approach and critical analysis of historical issues, this dissertation identifies common trends and differences in the treatment of evidentiary evidence across laws issued by Saudi legislatures, highlighting the need for an adaptable framework that accommodates the development that has occurred in Saudi laws. Furthermore, this dissertation provides practical recommendations for judges, legal practitioners, and Saudi legislatures seeking to improve the handling of evidentiary evidence in commercial trials, suggesting potential reforms in evidentiary evidence and procedural guidelines. In sum, this dissertation comprehensively examines the challenges and opportunities presented by evidentiary evidence in contemporary business procedures. It emphasizes the importance of a careful and adaptable approach to the evidentiary and Commercial Laws to ensure fair administration by the judge and to produce a sound judgment that includes the appropriate evidence in the case.41 0