Saudi Cultural Missions Theses & Dissertations
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Item Restricted Nurses’ Experiences of Breaking Bad News in Oncology Settings With Adolescents and Young People(Trinity College Dublin, 2024-08-22) Alyami, Malak; Murphy, MaryanneABSTRACT Background: Oncology nurses communicate with adolescents and young adults (AYAs) at the end of life to break bad news, communicate important information, or gain insight into the patient’s condition, anxiety, fear, or pain. However, oncology nurses face many barriers to communicating with AYAs to break bad news at the end of life, so identifying these barriers is an essential step in overcoming them. What barriers do oncology nurses face when communicating with AYAs to break bad news at the end of life? Aim: To conduct a systematic review examining barriers oncology nurses face when communicating with AYAs to break bad news at the end of life. Methods: A systematic review question was developed, a search strategy was defined, and inclusion and exclusion criteria were applied to the search results. Afterwards, a quality assessment of the included studies was conducted, and data extraction was conducted according to JBI standards and protocol. The meta-aggregative approach was applied, and the extracted data were grouped into prominent themes. Results: The search and selection strategy resulted in 2,080 studies to which the inclusion and exclusion criteria were applied. After filtering the studies, 20 remained. Four met the high-quality assessment criteria and were included in the thematic analysis and meta-aggregative process. The analysis and synthesis process resulted in the emergence of five main themes related to the barriers faced by oncology nurses in breaking bad news to AYAs at the end of life: 1) communication skills and experiences of oncology nurses, 2) individual barriers, 3) professional barriers, 4) institutional barriers, and 5) societal barriers to breaking bad news. Conclusions: Oncology nurses face many barriers related to their lack of competence and effective communication skills. These barriers may be professional or related to the lack of protocols for breaking bad news and communicating with AYA oncology patients. They may also be due to institutional barriers resulting from inadequate resources, time, and nurses. In addition, the relationships between nurses and multidisciplinary teams, the overlap of tasks, and the lack of clarity of roles in the process of breaking bad news constitute barriers to the success of the communication process, in addition to the linguistic and cultural diversity between nurses, patients, and their families, which constitute major challenges in the communication process.12 0Item Embargo Satisfaction and Experiences of Saudi Parents in Neonatal Intensive Care Units: Mixed Methods Study(Florida Atlantic University, 2024-09) Alroyley, Eftkhar; Chiang-Hanisko, LennyThe Neonatal Intensive Care Unit (NICU) is an inherently stressful environment for parents, where their satisfaction is a critical indicator of the quality of care provided. However, limited research has explored the satisfaction levels of Saudi fathers and mothers in the NICU, which are influenced by Islamic cultural values, family dynamics, and societal norms. A convergent parallel mixed-methods design was employed to explore the differences between Saudi fathers and mothers by integrating quantitative data on satisfaction with qualitative insights from NICU parental experiences of satisfaction through the lens of Leininger’s Culture Care Theory (CCT). Quantitative data were collected through a cross-sectional descriptive correlation design using the Critical Care Family Satisfaction Survey (CCFSS), adapted for the Saudi context. Qualitative data were gathered through an ethnonursing design involving participant observations and semi-structured individual interviews. The study included 75 parents (34 fathers and 41 mothers) from King Fahad Medical City in Riyadh, Saudi Arabia. Quantitative data were analyzed using independent t-tests, while qualitative data (25 observations and 22 interviews) were analyzed according to Leininger’s four phases of the Data Analysis Enabler. The mixed-methods analysis employed a side-by-side comparison to present both findings in a parallel format. The quantitative findings revealed that both Saudi fathers and mothers reported high satisfaction levels with the care their infants received in the NICUs. However, Saudi fathers reported slightly higher satisfaction than mothers across the total score and all five subscales of the CCFSS, which include assurance, proximity, information, and support. A significant difference was observed only in the comfort subscale (p = 0.002), where fathers reported higher satisfaction. From the qualitative data, six major themes were identified: (a) emphasizing parental active engagement in NICU care, (b) addressing parental cultural considerations in NICUs, (c) integrating Islamic practices into NICU care, (d) cultivating collaborative partnerships between parents and NICU staff, (e) facing unexpected challenges during their infant's NICU stay, and (f) applying coping mechanisms to overcome NICU parental challenges. The mixed-methods findings showed that the roles of Saudi fathers and mothers in the NICU, shaped by social, cultural, and religious norms, significantly impacted their satisfaction. Convergence was found in total satisfaction, assurance, and comfort, while divergence occurred in proximity, information, and support. The findings of this study have important implications for NICU care in Saudi Arabia, highlighting the need for culturally sensitive, family-centered practices that integrate Islamic values, actively involve both parents in their infant’s care, and address the emotional and practical needs of fathers and mothers to enhance their overall satisfaction and well-being during their NICU experience.10 0Item Restricted "To explore the potential impact on patient outcomes due to burnout in critical care nurses and its prevalence: A Systematic Review."(Queen's University of Belfast, 2024-09) Alqarni, Fahad Saleh; McMullan, JohannaBackground Burnout is a significant issue among critical care nurses and characterised by emotional exhaustion, cynicism, and reduced professional efficacy. High-stress environments, patient suffering, and heavy workloads contribute to high burnout rates, affecting both nurse well-being and patient care outcomes. Aim This systematic review aims to explore the impact of burnout on patient outcomes among critical care nurses and its prevalence. Methodology A comprehensive electronic search of three major databases (CINAHL, PubMed, and EMBASE) was conducted, employing a systematic search strategy. Relevant search terms and inclusion criteria were identified. Data were extracted, and the quality of each study was assessed using predetermined critiquing frameworks. Results Ten studies met the inclusion criteria, including seven quantitative, one qualitative, and two mixed-methods studies. High burnout rates were consistently associated with decreased patient safety, increased medical errors, and lower patient satisfaction. Conclusion Burnout significantly affects patient outcomes in critical care settings. Comprehensive strategies to reduce burnout and support critical care nurses are essential for improving patient care quality. Further35 0