Saudi Cultural Missions Theses & Dissertations
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Item Restricted Effectiveness of mindfulness-based stress reduction (MBSR) in reducing burnout among mental health nurses: A Rapid Review(University of Wollongong, 2024) Almuqayti, Rana; Lapkin, SamExecutive Summary Background: Burnout negatively affects nurses and patients, as well as work quality. Mindfulness-based stress reduction (MBSR) can reduce stress and burnout levels among healthcare professionals, but studies are limited concerning mental health nurses. Aim: To evaluate the effectiveness of MBSR in reducing burnout among mental health nurses. Methods: A comprehensive search was conducted using PubMed, PMC, and JBI. Methodological quality of included studies was assessed using AMSTAR. Main findings: Ten systematic reviews met the inclusion criteria. MBSR reduced stress and burnout levels and improved nurses’ wellbeing. Conclusion: High quality studies that focus on mental health nurses are needed to corroborate the evidence.27 0Item Restricted Educational Provision in antimicrobial stewardship for Healthcare Professionals in NHS Wales(swansea, 2024) Alhazmi, Nawaf; Davies, AngharadBackground: Antimicrobial stewardship (AMS) initiatives are specialized programs designed to lower the incidence and development of antimicrobial resistance. Educational provisions impose direct and successful impact over the implementation of antibiotic resistance stewardship practices. The current study aims to take into account, or capture the amount and nature of education and training taking place in NHS Wales. Through AWARE interprofessional community members in Wales. The specific study objectives include assessment of the participation ratio of different types of healthcare professionals of NHS Wales, mode and duration of learning, and examination of challenges faced by NHS Wales healthcare personnel in AMS program across the health boards. Methods: Reliable datasets from five different Health Boards in Wales namely, Betsi Cadwaladr University Health Board's (BCUHB), Cwm Taf Morgannwg University Health Board (CTMUHB), Hywel Dda University Health Board (HDUHB), Swansea Bay University Health Board (SBUHB), and Aneurin Bevan University Health Board (ABUHB) were included. A survey was executed via Microsoft Forms, followed by statistical analysis utilising SPSS software, with data displayed as counts and frequencies. Results: Studies showed 2735 members received education and training. Mixed audiences of doctors, nurses, pharmacists, and allied healthcare practitioners were most numerous, followed by doctors and students (medical and pharmacy). Fewer nurses and pharmacists participated. Face-to-face sessions had the most participants, followed by virtual and hybrid sessions. Hybrid sessions lasted 60 minutes across all health boards, virtual sessions 20–120 minutes, and face-to-face sessions 20–300 minutes. The study documented participants' AMS program problems.. Conclusions: Antimicrobial stewardship education interventions have great impact in addressing the challenging issue of antimicrobial resistance, however for effective outcomes it is imperative to motivate participation of multi-functional healthcare professionals including nurses and pharmacists.22 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.23 0