Saudi Cultural Missions Theses & Dissertations
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Item Restricted Web-Based Intervention to Help Nurses to Manage Work-Related Stress in Saudi Arabia: A Feasibility Study(University of Nottingham, 2024-10) Allehyani, Yasser; Blake, HollyBackground: The prevalence of work-related stress (WRS) among healthcare employees globally is higher than that of other professions, with nurses reporting the highest rates. WRS results in functional limitations and decreased productivity at work, and high rates of presenteeism, sickness, absenteeism, and turnover, incurring massive costs for health systems. WRS poses a severe occupational risk for healthcare personnel that can negatively impact their health and the wider economy, but despite well-known prevalence in Saudi Arabia, little is known about particular local issues in this national context. Aims and objectives: This study aims to utilise a novel web-based intervention for work-related stress (WBI-WRS) to support behavioural self-management for nurses with WRS. This digital technology-based intervention can potentially meaningfully affect outcomes such as stress, mental well-being, turnover intentions, and presenteeism. These intervention techniques can improve the general standard of patient care inside healthcare organisations by favourably affecting nurses impacted by WRS. Method: The participants were chosen from a tertiary hospital in Saudi Arabia. Convergent parallel mixed methods research with a feasibility study design was used. This was achieved by testing several variables, including the rate of participant attrition. participant recruitment, participant engagement with the intervention, the appropriateness of the outcome measures, and their experiences with the intervention’s various components. Secondary outcomes of this exploratory study included pre-post measurements of perceived stress, mental well-being, turnover intention, and presenteeism. Quantitative data were collected from a single group before and after the intervention to evaluate primary and secondary outcomes at baseline and six weeks after the WBI-WRS. Semi-structured interviews with 17 nurses were used to gather qualitative insights. Findings: From 81 initial recruits, sixty-eight nurses participated in the quantitative intervention feasibility study and completed three monthly follow-ups to evaluate the research design. It was determined that the research procedure and quantitative and qualitative data collection and analysis were practical. The intervention showed an attrition rate of 28% (n=19 drop-outs). Based on their experiences with the intervention, all nurses who completed the intervention expressed satisfaction with its impacts; the feasibility of outcome measures was the sole criterion that needed any degree of adjustment. Thematic analysis of qualitative interviews with 17 nurses (11 female and 6 male, aged between 18 and 55 years old) revealed five thematic topics from interviews concerning their perceptions of the WBI-WRS usability and prospective utility, participation in the toolkit, the impact of the toolkit, and their general attitude towards it: (1) Overview of Work-Related Stress; (2) WBI-WRS Toolkit Features; (3) Experiences with WBI-WRS Toolkit; (4) WBI-WRS Toolkit Impact; and (5) Improving the Toolkit. These topics gave insights into the characteristics required for nurses to use the WBIWRS successfully. As nurses demonstrated improvement in their secondary outcome measures following the WBI-WRS, the quantitative results supported the feasibility of the primary outcomes. Implications: A feasibility trial has been conducted to assess the WBI-WRS Toolkit. The study showed that the toolkit is accessible, acceptable to, and appropriate for nurses practising in Saudi Arabia. The efficacy and long-term usefulness of the WBI-WRS for nurses and other healthcare professionals in the Saudi context now need to be tested in a definitive trial.9 0Item Restricted Ethical conflict experienced as a critical care nurse during the COVID-19 pandemic: a systematic review(Queen's University Belfast, 2024-04-30) Alotaibi, Omar; Alotaibi, OmarBackground The COVID-19 pandemic had a devastating effect on healthcare workers and healthcare systems at large. The first case of COVID-19 in the Kingdom of Saudi Arabia was reported on 2 March 2020 and, by 15 July 2021, the Ministry of Health had reported 8020 fatalities from the contagion. The COVID-19 pandemic laid bare the unpreparedness of healthcare systems across the world, and further led to a substantial shift in occupational risks and various stressors pertaining to critical care nursing. Objectives A PEO framework was used to develop the research question to investigate the ethical conflicts that intensive care nurses experienced during the COVID-19 pandemic, and their impact on nurses’ psychological wellbeing and job satisfaction. The study aimed to identify and describe common ethical conflicts faced by critical care nurses during the pandemic, their psychological impacts, and offer recommendations for healthcare and relevant policymakers. Search Strategy The study adopted a qualitative approach, and a systematic literature review was conducted on existing studies. An induction approach was used in respect to the sample size of the selected studies. A systematic search was conducted across three electronic databases including CINAHL Plus, PubMed, and MEDLINE ALL. Studies conducted prior to COVID-19, those conducted on healthcare providers other than intensive care nurses, and sources published in languages other than English were exempted from the study. Results The search produced 738 articles which were further evaluated against the inclusion and exclusion criteria. A total of 12 studies matched the inclusion criteria and met the CASP threshold for quality appraisal. Upon synthesis, changes in practice or work situations (n=7), lack of knowledge (n=3), an organisation’s inefficiency in supporting nurses (n=6), psychological wellbeing (n=7), and job satisfaction (n=4) were the main themes identified encapsulating ethical issues. Conclusion Nurses had to work under unfamiliar conditions typified by a high workload, prolonged use of PPE, and an increased demand for care in ICUs, hence the potentiality for ethical conflicts. Amid the construction of new ICU centres and an increasing workload, nurses had to deal with novel experiences such as adapting to collaboration with new workers, the role of constantly acting as a supporter, and complexities linked to working with non-healthcare professionals. A failure to highlight these complexities may cause critical care nurses to perceive them as routine. Increased isolation also had emotional ramifications which could affect job satisfaction levels among ICU nurses. Involvement in practice during COVID-19 led to depression, psychological distress, insomnia, and anxiety. The study also established that discrimination over the distribution of PPE, fatigue, and burnout had a profound effect on nurses’ job satisfaction levels. There is a need for interventions tailored towards increasing organisational support, improving nurses’ wellbeing, and building capacity. Organisations should also include nurses in the decision-making process, and consider both extrinsic and intrinsic factors of motivation to enhance job satisfaction levels.20 0Item Restricted Pediatric Oncology Nurses’ knowledge and practice in oral mucositis pain management: A Systematic Litruture Review.(Saudi Digital Library, 2023-11-09) ِAlotaibi, Amjad; Cardwell, PaulineBackground: Oral mucositis, a painful and distressing side effect of cancer treatment, affects patients' ability to eat, communicate, and maintain good nutrition. In order to provide comprehensive care to these patients, nurses are integral to managing the pain associated with oral mucositis. Yet, there are concerns regarding nurses' knowledge and adherence to evidence-based practices when addressing oral mucositis-related pain. Objective: to explore knowledge and practice of oncology nurses related to the management of oral mucositis pain in children with cancer diagnosis. Method: A systematic literature search was conducted using reputable databases such as PubMed, CINAHL, and Scopus. For eligibility purposes, studies published between 2013 and 2023 were reviewed. Studies selected focused on nurses' knowledge and practices regarding pain management associated with oral mucositis through cross-sectional surveys. PRISMA chart was used to document the search process, and JBI (Joanna Briggs Institute) criteria were used to evaluate studies included in the review. PIO elements were utilized to extract the data. Result: A review of seven cross-sectional studies meeting the predetermined criteria was conducted, covering different geographical regions. As a result of the data extraction process, oncology nurses consistently exhibited limited knowledge and practice in managing oral mucositis pain. Notably, nurses exhibited deficiencies in knowledge and practice related to pharmacological interventions, oral mucositis grading, and pain management guidelines. A lack of education and training, concerns about potential side effects from medications, and inconsistencies with pain assessment methods have all contributed to inadequate pain management. Conclusion: Several critical steps are needed to improve the quality of life of cancer patients with oral mucositis. By implementing standardised protocols for managing oral mucositis pain, nurses can provide consistent and evidence-based care, which enhances patient safety and treatment effectiveness. The multidisciplinary teamwork of oncologists, specialists, and other healthcare professionals provides a holistic approach to treating patients, addressing both their physical and psychological needs. Additionally, ongoing research provides nurses with access to emerging therapies and tailored interventions for improving care and outcomes in the management of oral mucositis.14 0Item Restricted Nurses’ perspectives on the barriers to and facilitators of effective paediatric pain assessment and management: A systematic review(Saudi Digital Library, 2023-11-21) Gadi, Amirah Dawood M; Wilson, IseultBackground: Children’s pain is a universal problem that has far-reaching negative consequences. Despite the recognition that effective pain management is a fundamental human right, some children are still suffering from unrelieved pain. Nurses have a pivotal role in paediatric pain management; however, they are confronted by many barriers. It is therefore of value to explore the barriers and facilitators that nurses experience when caring for children in pain. Aim: This study aims to explore nurses’ perspectives regarding the barriers and facilitators related to the effective assessment and management of pain in children, infants, and neonates. Methodology: A search strategy was formulated, and five databases were searched for relevant articles including ProQuest, Scopus, CINAHL, PsycINFO and PubMed. Each paper identified by the search underwent a quality assessment using a predetermined tool. Relevant information to the research question was extracted, and the major themes were then identified by thematic analysis. Findings: Eighteen studies were included in this review. Recognised barriers and facilitators were categorised into three main themes related to: (i) healthcare professionals; (ii) the child and their parents; and (iii) the organisation. Prominent barriers included nurses' inadequate knowledge of the uses and side effects of medication, limited pain assessment experience, low prioritisation of pain, time constraints, communication and language difficulties with children, as well as uncooperative children, insufficient parental involvement, lack of guidelines and resources shortages, and nurses’ distrust in pain assessment tools. Key facilitators comprised robust knowledge, adequate experience, higher education, in-service training, parental involvement, effective communication with children and parents, clear guidelines, adequate resources, and nurses’ trust in and utilisation of pain assessment tools. Conclusions: This review provides valuable insights into the barriers and facilitators faced by nurses with respect to the assessment and management of pain in the paediatric population. There is a need for targeted educational interventions and policy changes to support nurses’ ability to deliver high-quality pain care. Further research is needed in order to investigate these factors and to examine any other potentially associated determinants amongst paediatric nurses.22 0