Saudi Cultural Missions Theses & Dissertations
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Item Restricted Nudges: A Behavioural Approach for Mitigating Missed Appointments at a Private Dental Clinic in Saudi Arabia(Saudi Digital Library, 2023-12-01) Alghamdi, Zeyad; Davies, JulieMissed appointments continue to bedevil private healthcare providers globally. It implies failure by a patient to arrive for an appointment or to cancel an appointment in advance. Clinics management plays an important role in mitigating no-shows among their patients. Some interventions have been implemented, such as sending reminder messages to patients about their upcoming appointments and imposing sanctions against those who fail to attend. However, the interventions have yet to mitigate the challenge completely. As a result, it is essential to explore alternative interventions with behavioural economics approaches considered more effective. Nudge theory is a behavioural theory, which seeks to influence the attainment of desired decisions among various populations, in this context, patients with clinical appointments. Subsequently, the review sought to assess the effectiveness of nudges in mitigating missed appointments. Methodology The study adopted a narrative literature review methodology to examine the use of nudges in mitigating missed appointments within Nayel Clinics (NC), a private dental health facility in Saudi Arabia. The adoption of nudges is analysed based on its influence on behaviour and appointment attendance. Findings The review concluded that missed appointments pose significant financial losses to clinics. However, the application of behavioural nudges was found to evoke more profound thoughts and analysis among patients leading to desirable decisions. The effective practices identified and recommended for applying nudges in NC involve developing an exclusive loyalty programme, creating a feedback loop for patients, and digitising the appointment confirmation process. These recommendations are suggested to encourage patients to attend clinical appointments or to make timely cancellations. Research limitations The study adopted a narrative literature review rather than a meta-analysis to explore interventions for missed appointments. Consequently, the findings may not have yielded precise recommendations. Additionally, the methodological quality of the reviewed studies varied, which may have influenced the outcomes. Future studies should focus on generating empirical evidence to validate the findings presented in the current review. Practical implications No-shows negatively impact healthcare systems globally by decreasing continuity of care and clinic capacity. Healthcare providers can implement recommendations from this review to increase appointment attendance. Keywords Missed appointments, No-show, Nudge theory, Nudge, Kingdom of Saudi Arabia, patient, behavioural economics, hospital, management. Article classification Research paper, A critical evaluation of nudge theory.14 0Item Restricted The impact of nurse staffing level on patient outcomes in critical care setting(Saudi Digital Library, 2023-11-23) Alrashedi, Hadeel; Zolfaghari, ParjamBackground:The care of very ill patients, who typically have illnesses that are life-threatening, is provided in a high-tech setting that requires substantial staffing and competency levels in intensive care units. Aims of study: To assess The impact of nurse staffing level on patient outcomes in critical care setting. Materials and method: A cross-sectional study was conducted by Standards for nurse staff in intensive care units inThe British Association of Nurses in CC (BANCC) (2001), Royal College of Nursing (2003, 2005), and other CC nursing professional organisations in the United Kingdom (UK) have previously created guidance for nurse staffing in CC to help nurses make well-informed choices about staffing CCUs. Results: The CC family requirements portfolio was largely used to explore family needs, and it shows that information and assurance, after that closeness, relaxation, and support, are the two most urgent requirements that families have. Families seek accurate information on their relative's growth that is presented every day in clear terms, without giving rise to unfounded optimism . Additionally, they want to be informed immediately if their relative's clinical status changes and want reassurance that they are getting the finest care possible at all times. Conclusion : overall , ICU cares for patients who may be able to recover and who can advantage from closer monitoring and invasive procedures than can be safely offered on regular wards or high-dependence sections. Patients needing unconventional respiratory support solely or support for two or more deteriorating organ systems should be placed in an ICU. ICU facilities are available for various organ dysfunction diagnoses, prophylaxis, and therapy.26 0