Saudi Cultural Missions Theses & Dissertations
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Item Restricted NAVIGATING BARRIERS: WOMEN'S CAREER ADVANCEMENT IN SAUDI ARABIA POST-VISION 2030(University of Birmingham, 2024-09) Bakadam, Lina; Cai, MinjieThis dissertation investigates the barriers to women’s career advancement in the Kingdom of Saudi Arabia, in particular, within the context of economic and social changes driven by Vision 2030. The introduction highlights the importance of understanding these barriers as the Kingdom aims to empower its citizens and diversify the economy. The methodology chapter explains the systematic approach to extracting data, quality assessment, and thematic analysis of current literature, uncovering main themes to understand the career advancement of women. The findings emphasise the persistent challenges women encounter, which include cultural expectations, gender disparity, and a lack of support within the workplace. While there is a gradual improvement to empowerment, women remain challenged by a complex landscape of organisational and societal challenges. The discussion chapter integrates the findings with relevant theoretical frameworks, providing insights into recommendations for future research and practical implications targeting the enhancement of women’s role within Saudi society.19 0Item Restricted Identifying and Overcoming Barriers to Patient Engagement with Remote Patient Monitoring (RPM) Technologies: Insight from a systematic literature review of high-income countries(University College London, 2024) Almotairi, Mutaz; Jafri, TabassumThis research project investigates barriers to patient engagement with Remote Patient Monitoring (RPM) technologies in high-income countries while providing a systematic review of current literature. RPM technologies, driven by advancements in information and communication technologies (ICT) and a shift towards patient-centred care, have significantly reduced hospital admissions and improved outcomes for patients with chronic conditions and post-surgical recovery. Despite these benefits, several barriers hinder RPM's widespread adoption and effective use. Technological obstacles include device usability issues, connectivity problems, and data integration challenges. Psychological barriers encompass patient resistance due to fear of technology, concerns about data privacy, and a lack of trust in digital health solutions. Socioeconomic challenges involve financial constraints, digital literacy deficits, and disparities in access to necessary technology and internet services. Systemic obstacles within healthcare infrastructure, such as inadequate training for healthcare providers and insufficient reimbursement policies, further complicate the integration of RPM technologies. The research highlights the need for multifaceted strategies to overcome these barriers. Recommendations include developing user-friendly RPM devices, enhancing digital literacy through targeted educational programs, ensuring robust data security measures to build patient trust, and implementing supportive policies that provide financial incentives and comprehensive training for healthcare providers. Additionally, fostering an equity- centred approach and investing in technological infrastructure is crucial for mitigating disparities in RPM access and utilisation. By overcoming these barriers, the study aims to enhance patient engagement with RPM technologies, ultimately improving healthcare outcomes and optimising healthcare delivery. The findings provide valuable insights for healthcare providers, policymakers, and technology developers while underscoring the importance of a patient-centred approach in designing and implementing digital health solutions.14 0Item Restricted MENTAL HEALTH HELP-SEEKING IN SAUDI ARABIA: A SYSTEMATIC REVIEW.(Saudi Digital Library, 2023-08-15) Albukhari, Wed; Racin, LimoreBackground: Mental illness is common among people in Saudi Arabia. However, most individuals have negative attitudes and perceptions towards mental health illness and do not seek appropriate support. Aim: The purpose of this systematic review is to provide a critical analysis and a synthesis of the literature on the attitudes, perceptions, barriers and facilitators associated with mental health help-seeking practices among people in Saudi Arabia. Methods: The search was conducted in the PubMed, Web of Science, PsychInfo, and Scopus databases according to predefined keywords. A total of 11 studies met the eligibility criteria, and the results were presented using a flow diagram. The Joanna Briggs Institute Critical Appraisal Checklist was used to evaluate quality, and the data were extracted into predefined tables, and analysed using narrative synthesis. Results: According to the studies, people in Saudi Arabia have unfavourable attitudes and perceptions towards mental health help-seeking. Five main barriers were identified: stigma; culture and public perception; intrapersonal negative attitudes; service quality and cost; and religious and traditional beliefs. Four factors were identified that encourage help-seeking: perceived need and personal determination; supportive social networks and public awareness; service availability and provider competency; and increased mental health literacy. Conclusion: Self-stigma was the most prominent barrier to the utilisation of mental health services in Saudi Arabia, whereas perceived need was the most prominent facilitator. As a result of this review, various approaches and interventions should be implemented to promote psychological health help-seeking in Saudi Arabia.17 0Item Restricted THE ROLE OF THE PHARMACIST IN IMPROVING ADHERENCE TO INHALED MEDICATION AMONG COPD PATIENTS(Saudi Digital Library, 2023-05-07) Aljahan, Abdullah M; Jordan, Rachel; Hodgkinson, JamesBackground: COPD is not a single health problem, but a spectrum of diseases associated with airway obstruction. Adherence to inhaler medication is critical but remains sub-optimal amongst COPD patients. Intervention studies suggest pharmacists could play an important role in improving patients’ adherence, but there is a lack of integration of pharmacists within primary care. Despite the potential benefits of community pharmacists in improving adherence/inhaler technique amongst respiratory patients, community pharmacists are an untapped resource. In this thesis, I explore the current practice of UK pharmacists in promoting adherence to inhaler medications for COPD patients, and their views, and those of patients and primary healthcare practitioners on how pharmacists might best be involved in their care pathway. Aim: To explore the role of the pharmacist in improving adherence to inhaled medication among COPD patients. Methods: Five studies were conducted to fulfil the aim of this thesis. These involved a) a cross- sectional study to ascertain community pharmacists’ knowledge, attitude and current practice and explore views on their role to improve inhaler adherence among COPD patients; b) three qualitative studies exploring COPD patients’ perspectives on the role of pharmacists in the management of COPD patients, HCPs’ perspectives on the current role of pharmacists and their integration in the management of COPD, and both patients’ and HCPs’ perspectives on COVID-19 and its impact on healthcare services provided to COPD patients; c) a systematic review of pharmacist role in Shared Decision Making (SDM) for patients with long-term conditions. Results: This PhD identified a potential willingness from UK pharmacists to help COPD patients by offering high-quality services as most community pharmacists have a solid foundation of knowledge about inhalers. Many HCPs and patients believe pharmacists would benefit from being more involved in their patients’ treatment plans. However, patients’ and HCPs’ perceptions on the role of pharmacists highlighted their limited capacity, the limited collaboration and communication between HCPs and pharmacists as well as HCPs and patients, and regulatory hurdles such as lack of access to medical records. Conclusion: This PhD highlighted the potential pharmacists’ roles in supporting COPD care delivery. However, the results showed some aspects where barriers must be overcome to facilitate this role. Hence, this PhD proposes that future work should concentrate on these aspects to make it more possible to step up the pharmacists’ roles and eventually improve adherence to inhaled medication among COPD patients within the UK.22 0