Saudi Cultural Missions Theses & Dissertations
Permanent URI for this communityhttps://drepo.sdl.edu.sa/handle/20.500.14154/10
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Item Restricted Child with ASD in the Emergency Department: A Critical Integrative Literature Review of ASD Child and Family Experience(Queen's University Belfast, 2024-07-02) Alzubaidi, Salwa; Corkin, DorisBackground: The Emergency Department (ED) serves as a crucial space for urgent medical care, grappling with challenges like overcrowding, extended waiting times, and communication barriers, affecting both patients and professionals globally. Despite efforts, the ED remains strained with medical emergencies. Simultaneously, Autism Spectrum Disorder (ASD) prevalence has risen significantly, leading to increased utilization of ED services by individuals with ASD, who often present with complex needs. Addressing these challenges requires a patient and family-centred approach, emphasizing communication, informed decision-making, and collaboration between healthcare providers and families. However, implementing such an approach in the fast-paced ED environment remains challenging, compounded by varying healthcare providers’ knowledge and attitudes towards neurodevelopmental disorders. Aim: This study aims to highlight ASD children and their families’ experiences in ED settings, identifying specific aspects within the ASD child-ED interaction and provide actionable insights, to meet their needs effectively. Methods: A critical integrative review of literature carried out to characterize the experiences of autistic children in ED, in order to identify ways to enhance their interactions for improved care. Utilizing the PRISMA checklist, a systematic search of five electronic databases and hand searches conducted, for studies published between 2013 and 2023. Eligibility criteria developed based on the PICOS framework, ensuring relevance and quality. Results: Thematic analysis identified four dimensions of experiences in the ED for children with ASD. Insights from each dimension drawn into a roadmap of 6 blocks, informing strategies for improving the ED environment, enhancing staff training, optimizing healthcare delivery, and identifying areas for research to better support the autistic child and their family, throughout their overall experience in the ED. Conclusion: Despite available evidence of resources to enhance ASD care, persistent obstacles and challenges exist, with a pattern of information needed by the family. Data is key and relevant to support the organisation of sources that will enhance the experiences of children and their families within the ED environment.13 0Item Restricted The Maternal Figure Symbolizes Stability and Continuity in the Novels of George Eliot: a Close Reading of The Mill on the Floss(Univeristy of Tennessee, Knoxville, 2024-05-18) Naseb, Razan A.; Henry, NancyThis study delves into the intricate mother-daughter dynamics and societal critiques in George Eliot's The Mill on the Floss, focusing on the Tulliver women's battle within a patriarchal society. It vividly portrays how Maggie Tulliver's emotional and intellectual needs are overshadowed by Mrs. Tulliver, who places social status and financial security above all, mirroring the deeply ingrained gender norms of their time. The research argues that the novel's exploration of women's confined roles and the enduring influence of maternal figures still strikes a chord, tackling timeless issues of gender and familial relations. Through the stark contrast between Maggie's rich inner life and her mother's preoccupation with appearances and social standing, Eliot brings to the fore the isolation and hurdles women encounter in asserting their individuality. The thesis posits that Mrs. Tulliver's treatment of Maggie reflects her entanglement in unresolved societal expectations, perpetuating the constraints in which that she has. The analysis uncovers a poignant irony in Mrs. Tulliver's adherence to patriarchal standards, reinforcing the novel's critical stance on Victorian gender limitations and their enduring relevance.27 0Item Restricted Examining the Challenges and Strategies for Mothers of Children with ASD in Saudi Arabia through an Autoethnography and Interpretative Phenomenological Analysis.(Saudi Digital Library, 2023-12-03) Aljuaid, Mashael; Heather, ColemanThe purpose of this autoethnography and interpretative phenomenological analysis (IPA) study was to gain a better understanding of the challenges faced by mothers of children with Autism spectrum disorder (ASD) in Saudi Arabia and the strategies they use to address these challenges. In addition, explore the feelings and meanings associated with these challenges and strategies. The study focused on Saudi mothers of children with ASD to align with my lived experience as a researcher and full member of this community. This study used my autoethnography writing as a mother of a child with ASD and online interviews with six Saudi mothers raising a child with ASD. The study found that mothers and I faced a range of challenges, including dissatisfaction with some diagnosis services provided to children with ASD, insufficient information, anger because lack of support, feeling lonely and isolated from society, and feelings of fear and worries. However, mothers and I also reported using various coping strategies, including spirituality, social media, and our own knowledge and self-learning are the key to our strength and success.20 0