Saudi Cultural Missions Theses & Dissertations
Permanent URI for this communityhttps://drepo.sdl.edu.sa/handle/20.500.14154/10
Browse
2 results
Search Results
Item Restricted The Potential Impact of Nursing Workload and Work Environment on Nurses Leading them to Ration or Miss Care in ICU Settings: A Systematic Review.(Queen’s University, Belfast, 2024-03-19) Aldossary, Amani; McMullan, JohannaTitle: The Potential Impact of Nursing Workload and Work Environment on Nurses Leading them to Ration or Miss Care in ICU Settings: A Systematic Review. Background: Intensive Care Units (ICUs) provide life-saving care to critically sick patients resulting in numerous challenges for nurses (Moradi et al., 2021). Heavy workloads, time limits, and resource shortages all contribute to a problem known as "rationing of nursing care," in which essential tasks are left undone because of limitations. Addressing nurse needs and building supportive work cultures are critical elements in maintaining quality care for everyone in ICUs. Aim: Objectives: To examine how the nurses’ workload and work environment could potentially impact nurses to ration and miss care in ICU settings. 1. To identify what aspects of ICU care could be affected by the rationing of nursing care. 2. To investigate if ICU workload and work environment lead nurses to care rationing. 3. Exploring what measures could be implemented to limit the rationing of nursing care in ICU settings. Methodology: A systematic review, started with comprehensive electronic search of databases, and a meticulously crafted search strategy was done to identify a relevant latest published articles. Full texts were subsequently screened for eligible studies, ultimately leading to the inclusion of thirteen studies, nine were quantitative studies, one qualitative study, and three mixed-methods studies. Conclusion: Thirteen research that were evaluated for validity and relevance shed light on the factors that lead to care rationing. High workload, patient-to-nurse ratios, a poor work environment, resource limitations, and job satisfaction emerge as major factors. Notably, while the quality of the research varies, they all demonstrate significant rationed care, with activities such as ambulation and patient comfort falling victim. Interestingly, no reported missed care was identified in a patient-focused investigation, implying a potential gap between nurses' and patients' perspectives.36 0Item Restricted The Impact of Missed Nursing Care on Organisational Commitment(Saudi Digital Library, 2023-05-19) Alsubhi, Hattan; Meskell, Pauline; O’Shea, Deirdre; Doody, OwenMissed Nursing Care has been described as a global problem for nursing practice, potentially affecting numerous nursing outcomes. The overall aim of this study was to investigate the psychological mechanisms through which missed nursing care impacts organisational commitment. A quantitative, longitudinal survey design was implemented with data collected using an online survey across four-time points from nurses working in Saudi hospitals across the five regions of the Kingdom of Saudi Arabia (N= 1,905 at time 1; N= 176 at time 4). Descriptive, correlation, ANOVA, and regression statistics were performed in SPSS 26. In addition, Hayes’ PROCESS Macro was used to perform a sequential mediation analysis of the relationship between missed nursing care and organisational commitment mediated by work meaning, professional identity and job stress. The findings showed that missed nursing care did not impact organisational commitment directly (LLCI = -0.11, ULCI = 0.11) and neither were they significantly correlated. In addition, work meaning (BootLLCI = -0.01, BootULCI = 0.01), professional identity (BootLLCI = -0.03, BootULCI = 0.012), and job stress (BootLLCI = -0.08, BootULCI = 0.02) did not mediate the relationship between organisational commitment and missed nursing care. Similar results were realised for work meaning and job stress (BootLLCI = -0.01, BootULCI = 0.00). However, professional identity impacted on job stress significantly (LLCI = -0.70, ULCI = -0.12) and could explain a 6 percent variance in job stress (ΔR2 = .06), while job stress impacted on organisational commitment negatively (LLCI = -0.48, ULCI = -0.14) and could explain 12 percent variance (ΔR2 = .12). Other results showed that nurses working in the general medical surgical nursing reported higher missed nursing care than nurses working in either emergency or critical care nursing or daycare/operation theatre nursing/obstetrics and labour room. Therefore, it can be concluded that job stress is one of the most critical factors for achieving organisational commitment among Saudi nurses. Although the prevalence of missed nursing care is not very high among Saudi nurses in general, nurses working in units associated with higher work meaning and professional identity based on clearly defined roles tend to have comparatively lower missed nursing care.20 0