Saudi Cultural Missions Theses & Dissertations

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    The Psychosocial Impact on Families of Paediatric LT-MCS Patients During In- Hospital Bridge to Transplant: A Modified Systematic Review
    (University of Nottingham, 2024-09) Alawami, Sakinah; Hemingway, Pippa
    Introduction: End-stage heart failure children waiting for heart transplants have better survival rates with long-term mechanical circulatory support (LT-MCS). However, the shortage of donor hearts prolongs the transplant bridging period, extending hospitalisation, disrupting family life, and adding uncertainty. While a previous mixed-method systematic review has explored the home experience of these families, understanding their in-hospital experiences remains limited. Therefore, this review aims to examine the psychosocial impact on these families during their LT-MCS children’s in-hospital bridged to transplant, illuminating their challenges and resilience. Methods: This review employed the SPIDER framework searching for PubMed, CINAHL, ASSIA, Embase, and ProQuest (dissertations and theses) for English-published and non-published qualitative studies according to the pre-defined inclusion criteria. Findings: Six qualitative studies matched the pre-defined inclusion criteria. The review synthesised four themes using Braun and Clarke reflexive thematic analysis: (1) Commencing the families' journey with LT-MCS discussing the diagnosis and LT-MCS implantation’s impact. (2) Navigating the LT-MCS paediatric patients’ families through Bridging: addressing LT-MCS children-mother role changes, caregiver's daily life, complications, and grief. (3) Crossroads of blessings and challenges: LT-MCS children's families await a new heart, highlighting donor heart uncertainty. (4) The power stations of LT-MCS children’s families focus on supporting systems. After synthesising themes, findings were examined through Dr. Mishel’s Uncertainty in Illness Theory, Theor yielding recommendations aligned with Advanced Nursing Practice's pillars. Conclusion: This systematic review highlights the profound psychosocial impact and uncertain experience on LT-MCS children’s families during diagnosis, hospitalisation, complications, grieving, and the waiting period for a new heart. It calls for urgent tailored educational and supportive interventions by clinicians for sudden and previously diagnosed heart failure children's families, robust policy initiatives, and innovative research. Additionally, it points out the role and potential needs of healthcare providers in helping families mitigate the stresses associated with the in-hospital bridging period.
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    What are the challenges and facilitators facing Middle Eastern paramedics during their PhD journey? A phenomenological approach, qualitative study design.
    (Monash University, 2024-07-22) Alotaibi, Yousef Ayidh; Bowles, Kelly; Shannon, Brendan
    Abstract Aim This study aims to understand the lived experiences of paramedics from the Middle East during their PhD studies in paramedicine, to provide insights that can help universities and policymakers offer better support, potentially improving retention rates and creating a more inclusive academic environment for all international students. Methods In this study, participants were enrolled through purposive sampling method. We conducted a qualitative reflexive thematic analysis, using an inductive coding technique at the semantic/explicit level. This approach allowed us to detect themes from the participants’ reports of the PhD life internationally including its challenges and facilitators. Results Data was collected from 9 participants studying or graduated from PhD in paramedicine. Four themes were produced: (1) Importance of collaboration, which emphasises how crucial teamwork and collaboration are for the success of PhD studies in paramedicine; (2) a balancing act, which captures the personal challenges and experiences of paramedicine PhD students, especially those who move to a new country for their studies; (3) having a reason, where the personal reasons behind pursuing a PhD in paramedicine are explored in depth; and (4) lack of paramedicine expertise, exploring the lack of expertise in paramedicine within academic and research settings perceived by participants as well as a lack of Paramedic specific research training programs. These themes reveal the importance of the lived experiences of Middle Eastern paramedics in their PhDs. Conclusion This study highlights the importance of exploring the PhD journey in paramedicine. These findings can inform institutions and supervisors can enhance the PhD journey for Middle Eastern paramedics by implementing targeted support and mentorship programs, expanding postgraduate programs in paramedicine, and ultimately enhancing the overall experience for international students. Keywords PhD, Paramedicine, qualitative, Middle Eastern, challenges, lived experiences Corresponding Author: Yousef Alotaibi, Department of Paramedicine, Monash University – Peninsula Campus, PO Box 527, McMahons Road, Frankston, Victoria 3199, Australia. Yousef.Alotaibi@Monash.edu
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    Leveraging Technologies in Milk Traceability to Improve Supply Chain Performance: A Qualitative Study of the Saudi Dairy Industry
    (Victoria University, 2024-05-31) Alessa, Afyaa; Shee, Himanshu; DeVass, Tharaka
    Challenges related to food safety and fraud have caused a decrease in consumer confidence, emphasising the need for trustworthy and efficient traceability technologies to prevent and rapidly address these issues. In an industry intrinsically linked to public health, the dairy sector has a lot to gain from adopting such technologies. However, the dimensions that influence firms' intentions to adopt these technologies remain under researched. This study investigates the Technological, Organisational, and Environmental (TOE) aspects that encourage dairy companies in Saudi Arabia to adopt traceability technologies into their operations and supply networks. It further delves into the role of firm's culture, which is significantly influenced by top management, in potentially affecting the intention to adopt these technologies. The use of the TOE framework and in-depth interviews with senior production and distribution managers, and the analysis that was conducted using NVivo revealed that government policies primarily drive the intention for technology adoption. Conversely, employee resistance emerges as a significant barrier, and surprisingly, the complexity of the technology was not seen as an obstacle. The study also uncovered that workforce localisation initiatives, such as the "Saudization" policy, could hinder the adoption of such technologies. Findings indicate a gap in the adoption of new traceability technologies within the Saudi dairy sector, a stance that is inconsistent with the ambitions of Saudi Vision 2030. Furthermore, the COVID-19 pandemic had a minor influence on the decisions made by companies regarding the adoption of these technologies, likely due to governmental support and a sense of satisfaction with their current technologies. From a practical standpoint, this study enhances industry practices, improves policymaking, and promotes sustainable development goals. It provides critical insights for industry practitioners and policymakers and contributes to several United Nations' SDGs by advocating sustainable production, reducing environmental impact, and identifying areas for improvement in the dairy supply chain. From a theoretical perspective, this research functions as a form of theory elaboration. It strengthens the Technological, Organisational, and Environmental (TOE) framework by offering empirically grounded insights gained through semi-structured interviews with senior managers in the Saudi dairy industry. Additionally, the research introduces the concept of workforce localisation and probes the pivotal yet often overlooked role of cultural factors in influencing the adoption of traceability technologies.
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    Evaluation of Self-Directed Learning Activities at King Abdulaziz University: A Qualitative Study of Faculty Perceptions
    (Saudi Digital Library, 2023-04-03) Balkheyour, Ammar Adnan; Tombs, Michal
    Background: Self-directed learning (SDL) is an essential method for lifelong learning and professional development, especially in the medical field. SDL has been incorporated into the internal medicine curriculum at the Faculty of Medicine in Rabigh at King Abdulaziz University, Saudi Arabia. Aims: The study aimed to determine the faculty perceptions of the effectiveness of the SDL activities currently offered at the Department of Internal Medicine, Faculty of Medicine in Rabigh, King Abdulaziz University, Saudi Arabia. This was an evaluative study structured around Stufflebeam’s model of evaluation regarding input and process components. Methods: A qualitative study was conducted through semi-structured interviews. The sample type was non-probability convenience. Seven faculty members from the target academic department were included in the study. The interviews were transcribed, and their content was analysed using the thematic analysis method. Results: Thematic analysis led to the generation of four themes: faculty’s perceptions of SDL, curriculum design, student engagement, and learning environment. Conclusions: During input evaluation, the faculty perceived SDL activities as a reading task for the students that was required for discussion. Faculty support and training in conducting such activities were needed. Faculty had different opinions about the objectives and content of SDL sessions; however, they agreed that SDL sessions aligned with internal medicine objectives and addressed the students’ need. There was a lack of assessment tools for learning in SDL sessions. During process evaluation, all participants were dissatisfied with the students’ poor engagement, and they made suggestions to improve SDL. Challenges in the learning environment were reported, including issues in the scheduling of the academic activities and library access. Based on the results, recommendations were made for educational strategies and future research.
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    A qualitative study on Employee Turnover Intentions in the Hotel Hospitality Industry in Saudi Arabia
    (2022-12-05) Almana, Lemma; Voskeritsian, Horen
    This qualitative study looks at the factors that influence employee turnover intentions among 10 employees working in the hotel hospitality industry in the capital city of Saudi Arabia, Riyadh. Following a thorough literature review, research was conducted in the form of semi-structured interviews. The findings revealed that 90% of the participants from both hotels had intentions to leave the hotel they’re currently working in. Most common factors for employee turnover intentions were like studies previously conducted in the field and these factors are job scheduling, lack of prospects for career growth, and constrained training opportunities. According to this study, hotels should better understand their staff members' requirements while offering career guidance, and appropriate training programs should be implemented to improve career prospects.
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