Saudi Cultural Missions Theses & Dissertations

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    An exploration of the perceptions and experiences of adult heart failure patients utilizing telehealth monitoring in their homes: A Qualitative Systematic Review
    (Saudi Digital library, 2023-12-13) Alhazmi, Raneem Mohammed Ahmed; Whittingham, Katharine; Brindley, Allison; Gee, Gareth
    Abstract Background Heart failure (HF) is a significant health issue since affected individuals endure a substantial load of symptoms and restrictions in their physical functioning, with implications on their mental and behavioural welfare. The implementation of a telemonitoring system promises to enhance the treatment of the disease by facilitating prompt medication adjustments, early identification of signs and symptoms indicating illness progression, and fostering the adoption of self-care practices. This qualitative systematic review examines the overall experiences of adult heart failure patients who used telemonitoring equipment inside their homes as a component of follow-up treatment and self-management. Objective To identify and explore the experiences and perceptions of adult HF using TM in their homes. Methods A qualitative systematic review was performed using the JBI framework, studies released between 2010 and 2022 and the search was implemented from three central databases that have been carefully searched (CINHAL full text, MEDLINE and PUBMED). Results Seven qualitative investigations, for a total of more than one hundred patients diagnosed with heart failure using telemonitoring tools. A total of forty-nine results were identified and eight categories derive. Four synthesised results were obtained: awareness and knowledge about their condition promote reassurance and self-empowerment, continuity in care facilitates adherence to habits and self-management, patients value in-person interactions with healthcare practitioners and perceive telemonitoring systems as lacking personalized touch, patients find value in the time efficiency and user-friendliness of telemonitoring systems, but technical and economic barriers often outweigh these benefits. Conclusion TM can enhance patients' disease awareness, knowledge, and self-care competence. Patients generally reported feeling reassured and empowered through daily self-monitoring, which helped establish their healthy routines. However, the qualitative evidence indicates that patients still highly value human connection and in-person support from healthcare professionals, seeing TM as an adjunct instead of serving as a substitute for in-person interactions
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    Home Health Care Nurses and Home-Based Palliative Care in Saudi Arabia
    (2023-08-03) Almulla, Halah Ahmed; Hassouneh, Dena
    Abstract 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.
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