Saudi Cultural Missions Theses & Dissertations
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Item Restricted Exploring Factors Contributing to Parental Vaccine Hesitancy (VH) Towards Childhood Immunisation for Children Aged Birth to Six Years: A Structured Literature Review.(Glasgow Caledonian University, 2024-08) Al Qorad, Hadi Saleh; MacDonald, EmmaAims: This structured literature review (SLR) aims to explore the factors contributing to parental vaccine hesitancy (VH) towards childhood immunisation, focusing on children from birth to six years old. This research seeks to assist public health policymakers in designing interventions to enhance vaccination coverage and improve public health outcomes. Background: Childhood vaccination is one of the most effective public health measures for preventing disease and death; however, increasing VH globally threatens herd immunity and the control of vaccine-preventable diseases (VPDs). The World Health Organisation identifies VH as one of the top global health threats, with misinformation, cultural beliefs and distrust of medical authorities as key drivers. Methods: An SLR was conducted to analyse existing qualitative studies on the determinants of VH. Databases such as MEDLINE, CINAHL and Web of Science were searched using pre- defined keywords related to VH, parental attitudes and childhood immunisations. Four qualitative studies were selected based on predefined inclusion criteria, and the data were synthesised using thematic analysis. Findings: The findings revealed five primary themes: safety concerns and fear of side effects, preference for natural immunity, distrust of vaccines and health authorities, perceived lack of necessity for vaccination and lack of access to information. The results indicate that parental VH is driven by a combination of misinformation, personal beliefs and a lack of trust in the healthcare system. Conclusion: Addressing VH requires targeted communication strategies that address safety concerns, improve trust in vaccines and provide clear, evidence-based information. By understanding the complex factors behind parental VH, this research contributes to public health strategies aimed at increasing vaccine acceptance and maintaining high levels of immunisation coverage to prevent outbreaks of VPDs.19 0Item Restricted Barriers to communication between Mental Health Nurses and their patients: a systematic review of the literature(Saudi Digital Library, 2023-11-03) Alanazi, Shau; Hughes, ColinBackground: Effective communication between mental health nurses and patients is critical for positive health outcomes and patient satisfaction (Aryankhesal et al., 2019). Various barriers, however, can impede effective communication in this context. Understanding these barriers is key to enhancing communication and, ultimately, outcomes for patients (Martínez‐Martínez et al., 2019) via the delivering of high- quality mental healthcare. Objectives: This dissertation aimed to systematically review evidence on communication barriers between mental health nurses and patients. The specific objectives were as follows: 1) Explore the impact on care quality and patient outcomes due to poor communication; 2) Understand the causes and types of barriers; 3) Identify communication barriers from nurses' and patients' perspectives; 4) Assess proposed strategies to address barriers in order to improve patient outcomes. Search Strategy: A comprehensive search strategy was developed and executed across a number of major databases including MEDLINE, CINAHL, Cochrane Library, PsycINFO and EMBASE. Additional manual searching of reference lists of included studies supplemented the database search. The search was limited to studies written in English and published between 2013 and 2022 that examined various aspects of communication barriers, including causes, types, impacts, and strategies, specifically within the context of mental health nurse-patient interactions. Both qualitative and quantitative primary research, as well as reviews, were considered eligible for inclusion. Results: The systematic search and screening process identified six studies that met the eligibility criteria for final review and analysis. All six studies utilised qualitative 8 approaches with sample sizes ranging from 9 to 85 participants. The studies represented diverse geographic contexts, including Finland, USA, China, Iran, Canada, and Belgium. Three key themes were identified from the synthesised data via thematic analysis: 1) Communication barriers stemming from factors related to nurses, patients, and healthcare organisations; 2) Underlying causes encompassing stigma, language barriers, technology gaps, clinical environment, and workload; 3) Proposed strategies emphasising training programmes, optimising workloads, addressing personal biases, and addressing disparities in digital access to enhance communication. The review highlighted that prevailing communication barriers negatively impact therapeutic nurse-patient relationships and the overall quality of mental healthcare. Conclusion: The findings revealed that communication barriers in mental healthcare settings are multidimensional, arising from an interplay of personal, interpersonal, and organisational factors. Evidence-based training programmes, cultural competency building, workload adjustments and thoughtful technology integration could help attenuate existing barriers and enhance communication quality. Sustainable solutions, however, should be comprehensive rather than piecemeal or fragmented. This review makes a robust contribution to the empirical evidence regarding an important yet underexplored topic, with meaningful implications for enhancing clinical practice, education, and health policy. Future research could further build on these findings using quantitative, qualitative, or mixed methods approaches.33 0