Saudi Cultural Missions Theses & Dissertations
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Item 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 Barriers and Facilitators in Prehospital Pain Management: A Narrative Review(Queen Mary University of London, 2024-07-31) Alrasheedi, Amera; Zolfaghari, ParjamThis study aimed to explore the perceived barriers and facilitators in administering pain medications among prehospital care providers, focusing on paramedics, EMTs, nurses, and physicians. The objective was to identify common barriers and to examine factors that enhance pain management in prehospital settings. A narrative review method was employed, synthesizing existing literature and focusing on studies published within the last ten years. The review identified several key barriers, including educational and knowledge gaps, systemic and protocol limitations, cultural and attitudinal factors, technical and environmental challenges, and racial and ethnic disparities. Facilitators included continuous education and training, standardized clinical practice guidelines, effective communication, mentorship, and cultural competency training. The findings highlight the importance of addressing educational deficiencies, improving systemic protocols, and fostering a supportive and culturally competent environment to enhance pain management practices. Continuous education, standardized guidelines, and effective communication are essential to overcoming identified barriers and ensuring equitable and effective pain management for all patients.7 0Item Restricted The Effectiveness of School-Based Nurse Intervention in Managing Obesity among Students Aged 6-18 years old(University of Glasgow, 2024-07-29) Almuqeet, Balssam; Rosemary, MullenAbstract Background: Schools play a crucial role in shaping healthy lifestyles; however, school nurses are often excluded from obesity intervention programs. In 2022, 390 million children aged 5-19 were overweight and 160 million were obese, therefore effective methods of intervention are more important than ever. Aims: This review aims to explore the effectiveness of school-based nurse interventions in managing obesity among school-aged students from 6-18 years old. Methods: A comprehensive literature search of Medline Ovid, CINAHL, Cochrane library, and PubMed databases identified randomised controlled trials and quasi experimental studies from the last ten years. The inclusion criteria included school students aged from 6-18 years, interventions delivered by nurses in school, and reported outcome measures on weight or BMI. Studies that were not experimental designs were excluded. Joanna Briggs critical appraisal tools were used to appraise methodological quality. Results: Seven studies met the eligibility criteria. Interventions delivered by school nurses included educational sessions, physical activity programs, and dietary guidance. The measurable outcomes included improvements in dietary behaviour, decreases in BMI, and increases in physical activity levels among students. None of the studies used blinding, some studies did not clearly report the attrition rate. Despite these limitations, all studies used appropriate study designs and applied rigorous statistical analyses. Six out of seven studies reported significant improvement in dietary habits, five studies found an increase in physical activity levels among the students, and four studies observed a decrease in BMI. Conclusions: The findings of the review suggest that school-based nurse interventions are effective in managing obesity among school students. Future research should include objective measures and use longitudinal designs to assess the sustainability and impact on BMI.38 0Item Restricted Experiences of Mental Health Recovery in the Kingdom of Saudi Arabia(University of Technology Sydney, 2024-07-11) Hawsawi, Tahani; Wilson, Amanda; Appleton, JessicaThis thesis explores mental health recovery in Saudi Arabia from the perspectives of consumers, carers, and nurses. Using an exploratory descriptive qualitative design informed by social constructionism, the study involved semi-structured interviews with 16 consumers, 10 carers, and 8 nurses. Thematic analysis revealed that consumers view recovery as a transformative process, emphasising self-help and social support while facing barriers such as stigma and poor interpersonal skills. Carers highlighted the importance of the bond between carers and consumers, advocating for co-designed care planning. Nurses defined recovery primarily in terms of clinical improvements, recognising both biomedical and therapeutic approaches as facilitators. Common themes across all groups included the conceptualisation of recovery as a transformative journey requiring hope and determination, the significance of interpersonal skills, and the impact of stigma as a barrier. This study found that mental health recovery in Saudi Arabia is socially constructed and influenced by cultural norms and community interactions. The findings suggest that effective recovery-oriented practice in Saudi Arabia requires a shift from the dominant biomedical model towards a more holistic, culturally sensitive approach that integrates consumers' and carers' perspectives and emphasises consumer-centred, trauma-informed care.58 0Item Restricted THE RELATIONSHIP BETWEEN MAGICAL THINKING, RATIONAL THOUGHT AND EVIDENCE-BASED PRACTICE(Queensland University of Technology, 2022) Alghaythi, Khalaf Shami; Duff, JedBackground: Evidence-based practice (EBP) has attracted worldwide interest from nurses and researchers. EBP is critical to providing safe nursing care, improving the quality of health services for the patient, and problem-solving and clinical decision making. However, the implementation of EBP in clinical settings in Saudi Arabia has been challenging. Purpose: This study aimed to explore how EBP has been implemented among Saudi Arabian nurses and to assess whether there is a relationship between magical thinking, rational thought, and EBP among Saudi nurses. Method: A cross-sectional survey was administered online to 151 Saudi Arabian nurses. We used a questionnaire form to collect the demographic data of the participants and data on EBP, magical thinking and rational thinking using the Evidence-Based Practice Questionnaire (EBPQ), the Illusory Beliefs Inventory (IBI) and the Rational‐Experiential Inventory (REI‐40), respectively. Descriptive statistics were used to describe the participants’ demographic data, and regression analysis was used to predict and explain the variance which led to the implementation of EBP. Results: The findings demonstrated that nurses in Saudi Arabia had a positive attitude toward EBP (mean=4.29, SD=1.88) but low levels of implementation of EBP (mean=3.95, SD=1.53). Non-Saudi nurses correlated significantly with EBP B=0.859, p=0.001) and showed a better implementation of EBP than Saudi nurses. The regression results showed that the EBP increased by 0.027 units every year. However, the result was not significant (B= 0.027, p= 0.102). For every one year increase in the participants’ experience, the EBP increased by 0.008 units (B=0.008, p=0.645). The results indicated a significant positive correlation between EBP subtotal mean and IBI total mean (r=0.274, p=<.001), while the regression coefficient (B = 0.737, 95 %CI (0.317–1.157) indicated that an increase of one unit in the IBI total score corresponded, on average, to an increase in the EBP total score by 0.74 points. However, the results showed no significant correlation between EBP and REI. Conclusion: EBP is important for patients and the quality of nursing care. However, the nurses in Saudi Arabia showed low levels of EBP implementation. To enhance the level of EBP, nurses’ educational offices in hospitals and schools must increase awareness of the importance of EBP and thinking style.15 0Item Restricted A Scoping Review of the Predictors of the Work Engagement of Nurses in the Workplace and Methodological Limitations of Existing Evidence(Saudi Digital Library, 2023-12-01) Albalawi, Abdulrahman; Plumpton, KayAbstract Recently, there has been growing interest among policymakers about the importance of increasing the engagement of nurses in their work, as this can boost their productivity and performance as well as improve the quality of health care services. This encouraged several researchers to examine the predictors of the engagement of nurses in their work. Despite the emerging nature of this research field, there is a lack of scoping reviews that explore the scope of evidence in this research area. Further, there is a limited understanding of the methodological limitations of studies in this research field. This can be valuable, as it can guide future research on how to improve the methods used. Therefore, this study aims to explore the scope of evidence on the key predictors of the engagement of nurses in their work, identify the methodological limitations of research in this research area, and provide recommendations for future research. A scoping review was used. This scoping review used the Arksey & O'Malley (2005) framework as a guide. This scoping review employed six databases in order to identify the relevant research studies, including Science Direct, Elsevier, Scopus, JSTOR, PubMed, and Web of Science. The scoping research found that the engagement of nurses is influenced by a wide range of factors, including leadership style, organisational and supervisory support, organisational justice and fairness, rewards and recognition, job characteristics, age, trust and autonomy, and personal resources. Several methodological limitations were found in the available literature, including limited longitudinal studies, the lack of qualitative studies, the limited study of the moderators and mediators, the failure to control for confounding factors, the lack of studies with random sampling, the limited studies from a wide range of countries (South America, Africa, Russia, etc.), the lack of agreement on the measures used, and the failure to take gender differences into account. Researchers are recommended to conduct studies with a longitudinal or qualitative design, study the effect of moderators and mediators on the relationship, control for confounding factors, use random sampling, use the Core Outcome Sets (COS), and take gender differences into account. Keywords: engagement, nurses, healthcare, motivation, healthcare.30 0