Dissertations / Theses: 'Nurses Saudi Arabia'

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Schoombie, Tracy. "Decisional involvement of registered nurses in a tertiary hospital in Saudi Arabia." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80245.

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Thesis (MCurr)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: Literature suggests that job satisfaction and retention of nurses can be improved by empowering nurses in decision making (Mark, Lindley & Jones, 2009:120; Mangold, Pearson, Schmitz, Scherb, Specht & Loes, 2006:266; Manojlovich, 2007; and Scherb, Specht, Loes & Reed, 2010:2). Positive work environments such as those found in Magnet® accredited hospitals and those where management models have flat hierarchical structures, support the decisional involvement of registered nurses. Decisional involvement is described as “the pattern of distribution of authority for decisions and activities that govern nursing practice policy and the practice environment” (Havens & Vasey, 2005:377). The purpose of this study was to explore the decisional involvement of registered nurses in a tertiary hospital in Saudi Arabia. It is hypothesized that an empowering shared governance structure will result in a high level of decisional involvement of registered nurses who provide direct patient care. A quantitative study with a descriptive exploratory design was chosen to answer the research objectives. Through simple random sampling, n=140 registered nurses who provide direct patient care (target population N=672) and through non-probability purposive sampling n=18 nurse managers (target population N=21), participated in the study. A self-administered questionnaire was designed which included a validated tool, namely the Decisional Involvement Scale (Havens & Vasey, 2003:333). A pilot study was completed to test the validity of the self-designed sections of the questionnaire. Numerical data was analysed using STATISTICA v. 11.5 while the open-ended questions were analysed and placed into themes. It was found that registered nurses who provide direct patient care have low levels of actual and preferred decisional involvement, implying that the authority for decisional involvement lies with managers. The hypothesis that empowering shared governance structures will result in a high level of decisional involvement is not supported. There was no statistical difference identified between bedside Registered Nurses (bedside RNs) and nurse managers in the overall perception of decisional involvement. Factors that were identified to impact on decisional involvement included educational level, experience, leadership styles, the work environment and a culture of shared decision making. It is recommended that the focus to improve the decisional involvement of registered nurses who provide direct patient care should be on addressing those activities where more decisional involvement is preferred, while concurrently addressing those factors that were identified which would impact on the decisional involvement of all registered nurses.
AFRIKAANSE OPSOMMING: Literatuurstudies dui aan dat bemagtiging van verpleegkundiges in die proses van besluitneming tot meer werksbevrediging en retensie sal lei. Positiewe werksomgewings soos die by Magnet geakkrediteerde hospitale en die met plat hiërargiese bestuursmodelle dra by tot betrokkenheid van geregistreerde verpleegkundiges in besluitneming. Betrokkenheid by besluitneming word beskryf as ‘die wyse waarop outoriteit versprei is sodat besluite en akwiteite wat verpleegpraktykbeleid en die praktykomgewing bepaal, uitgevoer kan word’ (Havens & Vasey, 2005:377). Die doel van die studie was om die betrokkenheid te bepaal van geregistreerde verpleegkundiges by besluitneming in ‘n tersiêre hospitaal in Saoedi-Arabië. Die hipotese is dat ‘n bemagtigende, gedeelde bestuurstruktuur sal lei tot ‘n hoë vlak van deelnemende besluitneming by geregistreerde verpleegkundiges verantwoordelik vir direkte verpleegsorg. Die navorsingsdoelwitte is beantwoord deur middel van ‘n kwantitatiewe studie met ‘n beskrywende, ondersoekende ontwerp. Geregistreerde verpleegkundiges (n=140) wat direkte verpleegsorg lewer (teikengroeppopulasie N=672) is gebruik as deelnemers in die studie. Verpleegdiensbestuurders (n=18) is ook gebruik as deelnemers en gekies deur nie-waarskynlike, doelbewuste steekproefneming (teikenpopulasie N=21). ’n Self-toegepasde vraelys is ontwerp, met insluiting van ‘n geldig verklaarde Besluitnemende Betrokkenheidskaal (Havens & Vasey, 2003:333). ‘n Loodsstudie om die geldigheid van die selfontwerpte deel te bepaal, is voltooi Numeriese data is ontleed deur middel van STATISTICA v. 11.5. Oop-einde vrae is ontleed en in kategorieë georganiseer. Daar is gevind dat geregistreerde verpleegkundiges wat direkte pasiëntsorg lewer, laer vlakke van werklike en verkose betrokkenheid het in besluitneming, wat aandui dat die outoriteit vir besluitnemende betrokkenheid by bestuurders lê. Die hipotese dat bemagtigende gedeelde bestuurstrukture tot ‘n hoë vlak van deelneming in besluitneming sal lei, word nie ondersteun nie. Daar was nie ‘n beduidende statistiese verskil tussen geregistreerde verpleegkundiges wat by die bed betrokke is en verpleegdiensbestuurders met algehele waarnemingsbetrokkenheid by besluitneming nie. Geïdentifiseerde faktore wat ‘n rol speel by betrokkenheid by besluitneming behels opvoedkundige vlak, ondervinding, leierskapstyle, die werkomgewing en ‘n kultuur van gedeelde besluitneming. Daar word aanbeveel dat aktiwiteite waarby geregistreerde verpleegkundiges wat direkte pasiëntsorg lewer, verkies om meer betrokke by te wees tydens besluitneming, aangespreek word. Terselfdertyd moet geïdentifiseerde faktore wat ‘n rol speel in die betrokkenheid van besluitneming van alle geregistreerde verpleegkundiges ook aangeroer word.

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Alharazi, Ruba. "Understanding registered nurses' and student nurses' positive mentorship experiences in Jeddah (Saudi Arabia) using appreciative inquiry." Thesis, City University London, 2015. http://openaccess.city.ac.uk/13866/.

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This thesis presents work conducted for a structured doctorate consisting of four main components. The first element is a case study investigating the current practice of mentorship in a clinical setting in Jeddah, Saudi Arabia. The qualitative case study was conducted in a government nursing college and its associated government hospital. Data were collected through individual interviews (2) with nursing coordinators; semi-structured focus groups (8) with mentees (n=3), mentors and clinical educators (n=3), lecturers (n=1) and head nurses (n=1); and finally, documentary analysis. The findings show that neither mentors nor mentees were happy with the current arrangements. Mentees believed that mentorship did not benefit them, and mentors seemed to resent the request to devote time to mentees. Both parties need to approach the other with more empathy, appreciating their difficulties and respecting their individual choices and wishes. Mentors also pointed to a lack of coordination between university and hospital, and both mentors and mentees felt that the mentorship process lacked clarity. Devising and putting into practice a new policy could lead to important positive changes in mentors’ and mentees’ experiences and relationships. The second element of the structured doctorate, undertaken after the case study, is the best evidence literature review. The aim of the review was to examine published studies on mentorship in nursing from the perspectives of both mentors and mentees in order to obtain a holistic view of mentorship experiences. A critical evaluation of these published studies is presented, reviewing the definitions of mentorship in the literature and highlighting the sparse literature on nursing mentorship in Saudi Arabia. Next is a critical overview of the nursing mentorship experiences in Islamic countries. Mentors’ and mentees’ views on mentorship are discussed. The final section summarizes the findings and attempts to use them to answer the literature review questions whilst highlighting the gaps in the literature. The third element is the main study, which emerged from the literature and builds on the case study. It aimed to investigate the factors contributing to positive mentorship experiences in nursing in Jeddah by exploring mentors’ and mentees’ positive experiences. The qualitative study was conducted from the theoretical perspective of appreciative inquiry (AI). Data were collected in semi-structured focus groups (total of six) with mentees (n=3) and mentors (n=3) at three settings. The key contributing factors to positive mentorship experiences and the main themes from data analysis are communication; involvement; encouragement; reciprocity; students’ sense of fear; mentors’ role, including its characteristics, preparation for it and feedback; and organisational-level processes and resources, such as time availability, workload, allocation and college-university collaboration. It is recommended that a consensus definition of mentorship be issued to avoid conflict in roles and expectations, that systems be developed to give mentors time to spend with mentees and that mentors attend a mentorship training programme to gain understanding of the process and be prepared for their role. The fourth element is the dissemination artefact and plan, which communicate the findings to develop education, policy, practice and research. A briefing for stakeholders contains an overview of the study and key findings. An outline of a mentorship training programme and a draft handbook for local use in Saudi Arabia are proposed. The dissemination plan explains how the researcher plans to disseminate the artefact.

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Jaber, Hanadi Mohamad. "The Impact of Accreditation on Quality of Care: Perception of Nurses in Saudi Arabia." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/41.

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Accreditation is recognized worldwide as a tool to improve health care quality. In developing countries, the interest in attaining international accreditation is growing despite the considerable resources the accreditation process consumes and the lack of information about its impact on quality of care. The purpose of this study was to assess the impact of Joint Commission International (JCI) accreditation on health care quality and to explore the contributing factors that affect quality of care as perceived by nurses. The theoretical foundation for this study was based on total quality management theory and Donabedian's model. The research questions for the study examined the impact of JCI accreditation on quality of care and the relationship between quality improvement activities and quality of care. A cross-sectional quantitative design was employed in which a self-administered questionnaire was used to collect data. Participants from one accredited and another nonaccredited hospital in a developing country in the Middle East formed the purposive nonprobability sample that included 353 nurses. The results of a Wilcoxon Rank Sum Test and a correlation analysis indicated that JCI accreditation has a significant impact on quality of care ratings by nurses. Also, multiple regression analysis showed that leadership commitment is the best predictor of quality of care as perceived by nurses. This study may foster social change by encouraging hospital administrators and policy makers, particularly in developing countries, to implement quality improvement programs that will eventually improve the health care system in their countries.

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Pelser, Anya. "Assessing the knowledge and opinions of registered nurses with reference to quality indicators in clinincal nursing within a tertiary health institution in Saudi Arabia." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17938.

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Thesis (MCur)--Stellenbosch University, 2011.
ENGLISH ABSTRACT: The quality of care nurses provide to patients is done with the expectation that skills and knowledge of each registered nurse will result in quality patient care. Compliance statistics for quality indicators (level of service indicators) or (LSI’s) in the tertiary health care institution in Saudi Arabia varies, raising the following questions: “Do nurses understand the importance of quality indicators in clinical nursing and do they know how to use them to improve patient care?” No studies done on registered nurses’ knowledge and opinions of quality indicators could be found thus indicate the necessity of a research study to determinine the knowledge and opinions of registered nurses on quality indicators in clinical nursing in the tertiary healthcare system in Saudi Arabia. This is the focus of this research. The objectives of the study were: - To determine the current knowledge and opinions of the professional nurses regarding quality indicators in a tertiary hospital in Saudi Arabia - To identify the factors that influence identification of quality indicators in clinical nursing - To identify the need for a training program regarding nurse sensitive quality indicators Data was collected through a questionnaire handed to more than 200 nurses working in general wards and intensive care areas in a single Saudi Arabian hospital. Participants were selected through a randomised list. The registered nurses who have participated in the pilot study’s responses were excluded from the final data analysis. No patients were included or involved in the study. A descriptive design with a quantitative approach was applied to investigate the professional nurses’ knowledge and opinions on quality indicators (level of service indicators) or (LSI’s) in clinical nursing in Saudi Arabia. Research data suggests that the knowledge and opinions of registered nurses in the tertiary health care institution in Saudi Arabia are not supporting the expectations of quality assurance in clinical nursing. Registered nurses have strong opinions of quality indicators in clinical nursing but do not have the knowledge to support those opinions. Improving initial and recurring training on quality indicators provided to nursing staff with diverse backgrounds and high turnover was recommended as an essential component in using quality indicators to drive improvements in patient care.
AFRIKAANSE OPSOMMING: Die kwaliteit verpleegsorg wat verpleegkundiges op ‘n daaglikse basis aan kliente bied gaan gepaard met die verwagting dat hulle oor die kennis en bevoegtheid moet beskik om kwaliteit verpleegsorg aan te wend wat ‘n langdurige positiewe uitkoms met verwysing na pasientsorg kan bied. Die kwaliteits aanwyser statistieke in die tersiere gesondheidsorg sisteem verskil maandeliks en het die navorser geinspireer om ‘n studie te doen om te bepaal of geregistreerde verpleegkundiges verstaan wat die belangrikheid van kwaliteits aanwysers is en of hulle die kennis het oor die gebruik daarvan, in watter opsigte dit gebruik kan word en wat die voordele inhou wanneer kennis en applikasie daarvan vir kliniese verpleging toegepas word. Literatuur met betrekking tot vorige studies omtrent kennis en opinies van geregistreerde verpleegkundiges tot kwaliteits aanwysers in kliniese verpleeging kon nie deur die navorser gevind word wat gebruik kon word as agtergrond of ondersteuning tot die studie nie. Die fokus van die navorsings studie was om geregistreerde verpleegkundiges se kennis en opinies te bepaal met betrekking tot kwaliteits aanwysers in kliniese verpleging in die tersiere gesondheidsorg sisteem in Saudi Arabie. Die doelwitte van die studie was om: - Die huidige kennis en opinies van geregistreerde verpleegkundiges met betrekking tot kwaliteits aanwysers in die tersiere gesondheidsorg sisteem in Saudi Arabie te bepaal - Om faktore wat ‘n invloed op identifikasie van kwaliteits aanwysers het te identifiseer - Om die nodigheid van ‘n opleidings program met betrekking tot kwaliteits aanwysers te bepaal Die data van die studie was ingesamel deur middel van ‘n vraelys wat aan die geregistreerde verpleegkundiges meesal werksaam is in algemene sale of intensiewe sorgeenhede. Deelnemers was gekies deur middel van ‘n alternatiewe lys. Die deelnemers aan die loots studie was ge-ellimineer van die finale data analise. Geen pasiente was betrokke by die studie nie. ‘n Beskrywende ontwerp met ‘n kwantitatiewe benadering was toegepas om geregistreerde verpleegkundiges se kennis en opinies omtrent kwaliteits aanwysers in kliniese verpleging in die tersiere gesondheidsorg sisteem in Saudi Arabie te toets. Die navorsing het bewys dat die kennis en opinies van geregistreerde verpleegkundiges in die tersiere gesondheidsorg sisteem in Saudi Arabie nie op ‘n aanvaarbare standard kan geklassifiseer word nie asook nie die nodige kwaliteits versekering in kliniese verpleging ondersteun nie. Die studie bewys dat geregistreerde verpleegkundiges beskik oor genoegsame opinies omtrent kwaliteitaanwysers maar nie noodwendig oor die kennis om hulle opinies daaroor te ondersteun nie. Die studie is ook uitkoms gebaseerd omtrent die nodigheid van ‘n opleidings program met betrekking tot kwaliteits versekering in kliniese verpleegkunde te implimenteer, insluitend die vakgebied van kwaliteits aanwysers in kliniese verpleeging.

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Mtsha, Aaron. "Documentation of nursing care current practices and perceptions of nurses in a teaching hospital in Saudi Arabia." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/4040.

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Thesis (MCur (Nursing Science))--University of Stellenbosch, 2009.
ENGLISH ABSTRACT: Nursing documentation is the written evidence of nursing practice and reflects the accountability of nurses to patients. Accurate documentation is an important prerequisite for individual and safe nursing care. It is a severe threat for the individuality and safety of patient care if important aspects of nursing care remain undocumented. Nursing staff cannot rely on information that is not documented. Every patient is important and unique hence every patient’s care is individualised and different according to his/her needs. This is why important aspects of his/her care need to be documented. Ultimately, the documentation practices reflect the values of the nursing personnel (Isola, Muurinen and Voutilainen, 2004:79-80). The goal of this study was to investigate documentation of nursing care with reference to current practices and perceptions of nurses in a teaching hospital in Saudi Arabia Specific objectives of the study were:  to identify whether the hospital policies are being carried out  to identify whether the procedures regarding current documentation are being carried out and  to explore the perceptions of the nurses regarding the current documentation practices. Research Methodology For the purpose of this study, a non-experimental descriptive design with a quantitative approach was used. The study was carried out at King Faisal Specialist Hospital in Jeddah in Saudi Arabia. The total population of 90 registered nurses were used in this study. Questionnaires were distributed to the participants and they were answered with no identities written on the questionnaires. After the questionnaires were completed, it was posted in a box and was collected by the researcher. The questions are straightforward, easily understood, unambiguous, non-leading, objectively set and aimed at obtaining views, experiences and perceptions of documentation of nursing care. . Involvement of participants was voluntary and non-coercive. Data analysis were carried out with the support of a statistician, expressed in tables, frequencies and statistical associations were done between various variables based on a 95% confidence interval. The study revealed that:  Hospital policies are being carried out N=76 (95%)  Procedures pertaining to documentation of nursing care are being carried out N=67(83,7%).  Nurses N=45(56,3%) indicated that paper documentation included a lot of paperwork.  The Cerner (computer system) is regarded as the best system ever used for documentation of nursing care N=44(55%)  The Mycare system (medication ordering system) is regarded as the most reliable, user-friendly system and nurses are happy with it N=68(85%) Recommendations are:  Nurses still need to be taught about the hospital policies  Nurses should be taught the correct procedure on documenting the patient data  Nurse clinicians and managers should check the Cerner for compliance with regard to documentation of physical assessment when conducting audits  Use of paper for nursing documentation should be minimized by shifting some of the nursing documentation procedures from paperwork to electronic version  Continuous updating, in-service training and monitoring to keep nurses abreast with the dynamic nature of computer usage  Reviewing of the system, troubleshooting and suggestions from users need to be attended to on a continuous basis  It is recommended that a backup system (generator) is in place to ensure continuity of documentation.
AFRIKAANSE OPSOMMING: Die dokumentering van verpleegsorg is die skriftelike bewys van die verpleegpraktyk en weerspieël die toerekenbaarheid van verpleegsters teenoor pasiënte. Noukeurige dokumentering is ’n belangrike voorvereiste vir individuele en veilige verpleegsorg. Dit is ’n ernstige bedreiging vir die individualiteit en veiligheid van pasiënte-sorg, indien belangrike aspekte van verpleegsorg nie gedokumenteer word nie. ’n Mens kan nie inligting vertrou wat nie gedokumenteer is nie. Die versorging van elke pasiënt is belangrik en uniek. Dit is waarom belangrike aspekte aangaande haar/sy versorging gedokumenteer behoort te word. Uiteindelik weerspieël die dokumenteringspraktyke, die waardes van die verpleegpersoneel (Isola, Muurinen en Voutilainen, 2004: 79-80). Die doel van die studie was om dokumentasie van verpleegsorg met verwysing na huidige praktyke en persepsies van verpleegkundiges in ‘n opleidingshospitaal in Saudi Arabia te ondersopek. Spesifieke doelwitte was  om vas te stel of die hospitaal se beleidsrigtings toegepas word  om vas te stel of die prosedure t.o.v die huidige dokumentering uitgevoer is  en’n ondersoek na die persepsies van verpleegsters aangaande die huidige dokumenteringspraktyke Vir die doel van hierdie studie is ’n nie-eksperimentele beskrywingsontwerp met ’n kwantitatiewe benadering gevolg. Hierdie studie was in King Faisal Specialist Hospital in Jeddah, in Saudia Arabia gedoen. ’n Totale bevolking van 90 geregistreerde verpleegsters was betrokke. Vraelyste was versprei na die deelnemers en is naamloos beantwoord, sonder dat hulle identiteite op die vraelys aangebring is. Na voltooiing van die vraelyste, is dit in ’n houer geplaas en deur die navorser afgehaal. Die vrae is direk, eenvoudig, maklik verstaanbaar, ondubbelsinnig, nie-afleibaar, objektief opgestel en is daarop gemik om gesigspunte, ervaringe en persepsies oor dokumentering van verpleegsters te verkry. Betrokkenheid van deelnemers was vrywillig en nie afdwingbaar nie. Data is getabuleer en in histogramme en frekwensies voorgestel. Deur die Chi-square- toets te gebruik, is statisties betekenisvolle assosiasies tussen veranderlikes bepaal. Bevindinge sluit die volgende in:  Die hospitaalbeleid word toegepas N= 76(95%)  Prosedure t.o.v. dokumentering aangaande verpleegsorg word uitgedra N=67(83,7%)  Verpleegsters het aangedui dat dokumentering op papier, baie papierwerk behels N=45(56,3%)  Die Cerner (rekenaarstelsel) word beskou as die beste stelsel ooit in gebruik vir die dokumentering van verpleegsorg N==44(55%)  Die Mycare stelsel (medisyne bestellingstelsel) word beskou as betroubaar en gebruikersvriendelik, en een waarmee verpleegsters gelukkig is N=68(85%). Aanbevelings is gemaak, gebaseer op die volgende bevindinge:  Dit is steeds nodig dat verpleegsters die hospitaal se beleidsrigtinge geleer moet word  Verpleegsters moet die korrekte prosedure aangaande die dokumentering van die pasiënt se data geleer word  Verpleegklinici en bestuurders moet die Cerner nagaan ter voldoening van die dokumentering van fisiese waardebepalinge tydens ouditeringe  Die gebruik van papier vir verpleegdokumentering behoort afgeskaal te word deur van die praktyk van papierwerk na elektroniese dokumentering te skuif  Voortdurende bywerking van data, indiensopleiding en monitering van verpleegsters om hulle op die hoogte te hou van die dinamiese aard van rekenaargebruik  Hersiening van die stelsel, foutspeurdery en voorstelle van gebruikers moet op ’n voortdurende basis aandag geniet.

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Haines, Fiona Imelda. "Error management in nursing amongst registered nurses working in a tertiary hospital in Saudi Arabia." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80226.

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Thesis (MCurr)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: Healthcare organizations have implemented numerous safety initiatives to address errors due to the impact on the patient, families, healthcare provider and the organization as highlighted in the Institute of Medicine report. However, error identification, reporting and management remain a challenge. Nurses have been identified as the healthcare provider with the greatest potential for errors. Supportive work environments are needed to provide optimal care to the nurse who makes an error; which may be minor to severe repercussions. The patient is identified as the first victim and the nurse who makes the error as the second victim. How nurse errors are reported, managed and disclosed is dependent on the response of leaders and peers which may be in a shame and blame or just culture approach. The aim of the study was to assess error management in nursing amongst registered nurses working in a tertiary hospital in Saudi Arabia. The objectives were to identify the occurrence of nursing related errors, determine the current process of reporting nursing errors, describe the management of nursing errors and explore the factors impacting on the management of nursing errors. The research methodology for this study was a descriptive, quantitative approach which is applicable when exploring the unknown. Ethical approval was obtained from the Ethics Board, University of Stellenbosch and the Institutional Review Board, King Faisal Specialist Hospital and Research Centre (General Organization) -Jeddah (KFSH&RC-J). The population was registered nurses working in KFSH&RC-J and assigned to the job descriptions of Staff Nurse 1&2, Clinical Nurse Coordinators and Assistant/Head nurses. Sample was selected using proportional allocation for nationality and simple random selection for nursing specialty; 215 RNs from these three groups. Data was collected using a questionnaire developed by the researcher and analysis completed using SPSS and regression analysis to identify factors which influences the reporting and management of errors. Data was presented in the form of frequency tables and graphs using the EXCEL program to analyze the data. The main findings of the study; there was significant difference in nurse leaders and professional nurses ability to identify nursing errors; questioning of the practice of peers, views of a non-punitive environment and the ability to differentiate between error and negligence. The nurse executive was positively associated with the average positive responses received. RNs of Middle Eastern nationality and the Adult nursing division were found to be slightly more negative in their perceptions about error reporting and management than other respondents. Improvements are needed in the processes of error reporting and management which include education; leadership development, underreporting of errors, feedback and communication, nurse manager support and disclosure of errors. Recommendations are the implementation of the Just Culture principles within the organization and leadership development to address error reporting and management. The need to develop a national database for error reporting in Saudi Arabia is recommended. Nursing errors occurred in one tertiary hospital in Saudi Arabia and an on-line system is available to report errors. However, nurses do not report errors as they fear being blamed and shamed. The process of error management within the organization has not been clearly defined.
AFRIKAANSE OPSOMMING: Gesondheidsorganisasies het talle veiligheids inisiatiewe geïmplementeer om foute aan te spreek weens die invloed wat dit het op die pasiënt, families, die gesondheidsverskaffer en die organisasie soos uitgelig in die Mediese Verslag van die Instituut. Nietemin, die identifisering van foute, verslaggewing en bestuur bly ’n uitdaging. Verpleegsters is geïdentifiseer as die gesondheidsverskaffers wat oor die grootste potensiaal beskik om foute te begaan. Ondersteunende werkomgewings word benodig om optimale sorg aan die verpleegster te verskaf wat ’n fout van ’n mindere aard tot die met ernstige gevolge begaan. Die pasiënt word geïdentifiseer as die eerste slagoffer en die verpleegster wat die fout begaan as die tweede slagoffer. Die manier hoedat verpleegfoute gerapporteer, bestuur en openbaar gemaak word, is afhanklik van die reaksies van leiers en portuurgroepe wat ’n skaamte- en blameerbenadering of “just culture”-benadering kan wees. Die doel van die studie was om die hantering van verpleegfoute tussen geregistreerde vepleegkundiges wat in n tersiêre hospital in Saudi werk te ondersoek. Die doelwitte is om die voorkoms van verpleegverwante foute te identifiseer, die huidige proses van verslaggewing van verpleegfoute te bepaal, die bestuur van verpleegfoute te beskryf en die faktore te ondersoek wat ’n impak het op die bestuur van verpleegfoute. Die navorsingsmetodologie vir hierdie studie is ’n beskrywende, kwantitatiewe benadering wat van toepassing is wanneer die onbekende ondersoek word. Etiese goedkeuring is verkry van die Etiese Raad aan die Universiteit Stellenbosch en die Institusionele Beoordelingsraad, King Faisal Specialist Hospitaal en Navorsingssentrum (Algemene Organisasie) – Jeddah (KFSH & RC-J). Die teikengroep is geregistreerde verpleegsters wat werk in KFSH & RC-J aan wie die posbeskrywing van stafverpleegster 1 & 2 toegeken is, Kliniese Verpleegkoördineerders en Assistent/Hoofverpleegsters. Die steekproef is geselekteer deur gebruik te maak van proporsionele toekenning vir nasionaliteit en ’n eenvoudige ewekansige steekproef vir verpleegspesialiteit; 215 geregistreerde verpleegsters van hierdie drie groepe. Data is gekollekteer deur gebruik te maak van ’n vraelys wat deur die navorser ontwikkel is en die analise is voltooi deur gebruik te maak van SPSS en regressie-analise om faktore te identifiseer wat verslaggewing en bestuur van foute beïnvloed. Data is aangebied in die vorm van frekwensie-tabelle en grafieke deur gebruik te maak van die EXCEL-program om die data te analiseer. Die vernaamste bevindinge van die studie is dat daar beduidende verskille tussen verpleegleiers en professionele verpleegsters se vermoë is om verpleegfoute te identifiseer; bevraagtekening van die praktyke van portuurgroepe; beskouinge van nie-strafgerigte omgewing en die vermoë om te onderskei tussen foute en nalatigheid. Die verpleegeksekuteur is positief geassosieer met die gemiddelde positiewe response wat ontvang is. Geregistreerde verpleegsters van Midde-Oostelike nasionaliteit en die Volwasse Verpleegafdeling is gevind om effens meer negatief te wees in hulle persepsies van fouteverslaggewing en bestuur, as ander respondente. Verbeterings is nodig in die prosesse van verslaggewing van foute en bestuur daarvan wat opvoeding daarvan insluit; leierskapontwikkeling, onderverslaggewing van foute, terugvoer en kommunikasie, ondersteuning van verpleegbestuur en bekendmaking van foute. Aanbevelings is die implementering van die “Just”-kultuur beginsels binne die organisasie en leierskap ontwikkeling om die verslag van foute en bestuur aan te spreek. Die behoefte om ’n nasionale databasis te ontwikkel vir die verslag van foute in Saoedi-Arabië word aanbeveel. Verpleegfoute het in een tersiêre hospitaal in Saoedi-Arabië plaasgevind en ’n aanlyn sisteem is beskikbaar gestel om foute te rapporteer. Nietemin, verpleegsters rapporteer nie foute nie, want hulle vrees om geblameer te word en beskaamd te staan. Hierdie proses van foutebestuur binne die organisasie is nog nie duidelik gedefinieer nie.

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Al-Turki, R. A. "Effective collaborative working between nurses in a multicultural setting in Saudi Arabia : barriers and solutions." Thesis, University of Salford, 2019. http://usir.salford.ac.uk/49579/.

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Research Aim The chief aim of this Saudi-based study is to provide an in-depth understanding of how nurses and nurse managers perceive culture and effective and ineffective collaborative working in a highly multicultural healthcare setting. Methods A qualitative case study approach was used. Eighteen semi-structured interviews were conducted to better understand how nurses and nurse managers perceive culture and how this impacts effective and ineffective collaborative working in a large hospital in Riyadh in the Kingdom of Saudi Arabia (KSA). A literature review guided the development of an interview schedule, underpinned by the Purnell Competence Model (Purnell, 2002). The results of all interview data were collected, transcribed, and analysed inductively and deductively. Principal Findings Fourteen items in total from the in-depth semi-structured interview can help to identify the barriers and facilitators of multicultural nurses working together. The Purnell Model proved its efficiency to be used for multicultural nurses' collaboration in a Saudi hospital, but a further three themes emerged beyond the Purnell Model of Cultural Competence to better describe the current case study. Conclusions In order for optimal healthcare to be provided by multicultural nurses, it is essential that they collaborate effectively. This can be accomplished through appropriate practices, training, education, and research, as well as professional and self-awareness through cultural competence; publicising ethical guidelines and enacting regulation by the Ministry of Health in KSA. Importance and Relevance This study is the first study to describe the barriers and facilitators of multicultural nurses working together in any context and specifically in a KSA context. There have been no studies into the barriers and facilitators in a Saudi context. Therefore, the academic contribution of this thesis will help to fill the gap in knowledge. A few studies have previously been conducted in Saudi Arabia, but these focus on barriers to nurse-patient relationships, rather than multicultural nurses working together. The results of this thesis will inform the future multicultural nursing workforce collaboration strategies of the KSA Ministry of Health and ultimately impact on patient care through better working relationships.

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Telford-Smith, Colette. "Reflections of South African nurses migrating to the Kingdom of Saudi Arabia a framework for support." Thesis, Nelson Mandela Metropolitan University, 2006. http://hdl.handle.net/10948/401.

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The last decade has seen an exodus of South African nurses migrating to "greener pastures". As a result of this migration, the South African Healthcare Service has been drained of one of its most essential resources – nurses. Subsequently, the crippling flight of nurses has thrown the nursing profession into a state of crisis. The Kingdom of Saudi Arabia is one of the more popular destinations for South African nurses, the main reason being the attractive financial rewards. One agency reports that they send an average of thirty nurses a month to various hospitals within the Kingdom of Saudi Arabia. Saudi Arabia is an Islamic country. Due to the uniqueness of the enforcement of the Islamic faith and the Saudi culture, many restrictions are imposed, particularly on women. The challenges and problems facing the South African nurses were, therefore, unique compared to elsewhere in the world. This research study had a primary and a secondary objective: The primary objective of this study was to explore and describe the lived experiences of South African nurses related to living and working in Saudi Arabia; The secondary objective of this study was to develop orientation guidelines to support South African nurses working and living in Saudi Arabia. The researcher utilized a qualitative, explorative, descriptive and contextual design based on a phenomenological approach to inquiry, in an attempt to answer the question: "What are the professional and personal experiences of the South African registered nurses working and living in Saudi Arabia?" Eleven registered nurses were selected to participate by means of purposive sampling. These nurses had been living in Saudi Arabia between three and six months. Consent was obtained from participants and the ethics committee of both the Nelson Mandela Metropolitan University and King Faisal Specialist Hospital and Research Centre. The central theme emanating from the study was recognized as being 'Cultural Diversity'. The sub-themes identified related to the registered nurses’: - Religious/spiritual adaptation - Environmental adaptation - Emotional/psychological adaptation - Professional adaptation Based on the identified themes, guidelines were formulated to assist South African registered nurses when migrating to Saudi Arabia. Utilization of these should assist the South African registered nurse in assimilating into both the cultural and working environment. However, in reality, the outcome showed that no one can be prepared fully for what awaits them in Saudi Arabia.

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Alsaleh, N. S. M. "Identifying health education competencies for primary health care nurses in Saudi Arabia : a Delphi Consensus Study." Thesis, University of Salford, 2016. http://usir.salford.ac.uk/39563/.

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Research Aim: The primary aim of this Saudi-based study is to identify health-education competencies (knowledge, skills & attitudes) for Primary Health Care (PHC) nurses. Although the Saudi Ministry of Health (MOH) has highlighted the importance of health education provided in PHC by nurses, there have been no studies into the required competencies in the Saudi context. Methods: The Delphi technique was employed with a sample of sixty PHC nurses who matched the study’s inclusion criteria and they took part in a three-round questionnaire. A consensus criterion of 60 per cent was adopted for the study. The first round asked participants’ opinions about what items should be included within health education competencies for PHC nurses by selecting (Yes, No, Uncertain). In the second round, participants were asked to rank the competencies on which there had been no initial consensus, using a five-point Likert scale. In the final round, participants selected agree or disagree for each of the remaining competencies. Following the Delphi technique an interactive workshop was undertaken with primary health care nurses and service users, to consider the next steps and practical piloting and testing of the competencies. Principal Findings: The expert Delphi panellists eventually reached consensus on 45 of the 48 competencies for PHC nurses to engage in health-education practice. These competencies were classified into three domains: knowledge (22), skills (10) and attitudes (13). Three competencies related to knowledge did not reach consensus in the three rounds. The main outcomes of the interactive workshop suggest that service users would welcome the introduction of technology within the delivery of health education, and the PHC nurses confirmed the need for more training courses in order to improve their practice of health education. Importance and Relevance: This is the first study to identify health-education competencies for PHC nurses in S.A. The results from this study represent a contribution to knowledge in a PHC setting and they can assist the MOH by being an initial step on the road to developing a national competency and curriculum framework for PHC nurses’ practice. Also, it is the first study to involve service users.

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Alosaimi, Dalyal. "A phenomenological study of non-Muslim nurses' experiences of caring for Muslim patients in Saudi Arabia." Thesis, De Montfort University, 2013. http://hdl.handle.net/2086/10628.

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This study addressed three research objectives related to non-Muslim nurses’ experiences providing health care to Muslim patients in Saudi Arabian hospitals. These objectives included: first, understanding what it is like to care for Muslim patients considering both religion and culture; secondly, exploring what it is like being cared for by non-Muslim nurses. In order to address these objectives, the study has employed a qualitative approach, represented in hermeneutic phenomenology. The target groups in this study were Muslim patients and non-Muslim nurses who were interviewed using interviews and focus group discussions. The study found that religious, cultural and linguistic factors have a negative effect on non-Muslim nurses’ experience of care in Saudi Arabia, which included a personal impact, and a practical impact resulting from working practices. However, the results indicated that nurses had some problems with family members who interfered in decisions related to patients, and that they also encountered disrespect from patients’ relatives and friends. The study results indicated that non-Muslim nurses, to some extent, have an understanding of the different aspects and practices of Islam, such as praying, fasting and spirituality. The study results also revealed a significant relationship between spirituality (Islamic faith) and the provision of health care. Nurses believe that religious and spiritual practices have an effect on care. However, they failed to understand the importance of religion and spirituality to Muslims in general and patients in particular. The lack of training and orientation concerning specific issues of religion and culture negatively affected not only the communication between nurses and patients, but also the provision of health care. It was envisaged that this study would have a positive impact on the delivery of nursing training and education, because it highlights the need to tailor this to specific contexts. The study distinguishes itself from other studies conducted in the same field by investigating non-Muslim nurses’ and Muslim patients’ confusion between religion and culture. The study stressed an overlap between religion and culture in Saudi society, which consequently affected nurses’ provision of health care. It was essential in this study to investigate the differences between religion and culture, to see of non-Muslim nurses would understand religion and culture are not the same; while in some cases they complement one another, in other cases they contradict. Furthermore, the study addressed the issue of professionalism when caring for Muslim patients’ and non-Muslim nurses’ point of view. Although nurses claimed to provide healthcare in professional way, they were not fully aware of Saudi local culture or the impact of religion on patient’s daily life It can be concluded, in general, that non-Muslim nurses are facing challenges to providing healthcare to Saudi Muslim patients, due to a lack of understanding of the importance of cultural values and religious practices, and the lack of training and alignment on such issues.

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Simpson, Elaine. "The development of critical thinking in saudi nurses: an ethnographical approach." Queensland University of Technology, 2002. http://eprints.qut.edu.au/15868/.

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Introduction Saudi Arabia is the largest country in the Middle East occupying the majority of the Arabia Peninsula. In 1934 the exploration of oil propelled this country from one of the poorest to one of the highest in per capita income. Islamic law forms the basis of Saudi Arabia's constitution, its civil and penal codes and guides the Saudis in their daily and family lifestyles, governing morals, dress, eating habits and business dealings. Between 1970 and 1980, there was a sharp increase in the rate of population. Currently the population is estimated at 20.8 million with a projected increase to 44.8 million by the year 2025, with approximately 49% under the age of 20. This rise in population has implications for the health care industry, of which expatriates make up more that 85% of the country's health care system. Purpose The purpose of the study was to examine the social and cultural experiences associated with living and working as a registered nurse in a major teaching hospital in Saudi Arabia and to identify and understand how to develop critical thinking skills in Saudi nurses during a nursing education/intervention program in Saudi Arabia. Methodology The researcher reviewed the literature on critical thinking, which allowed the construction of a conceptual model (Appendix 1) to guide teaching and evaluation of critical thinking skills and maintained the focus on dialogue to stimulate interaction and participation in order to promote critical thinking abilities in Saudi nurses. This study adopted ethnography as a methodology and utilised Spradley's (1979)ethnographic research cyclical tasks for data collection and analysis, which are explained in the exploratory, descriptive and explanatory phases of the research. The researcher was a participant observer and collected ethnographic data in the social situation. A variety of data collection methods were employed, which included observation of students and clinical instructors, evaluation of clinical instructors teaching techniques in utilising critical thinking strategies, evaluation of students' responses in the use of critical thinking strategies, focus group interviews of students and clinical instructors and informal interviews conducted within the hospital setting with relevant informants. The use of multi-methods provided the opportunity to examine more fully the richness and complexities of the culture, by gathering data from various sources to validate the consistency of information to reflect the multiple realities of this cultural group. Cultural domains were identified after examining field notes and interviews for terms and clues repeatedly verbalised by informants, in particular students. The researcher organised the domains to formulate taxonomies, leading to cultural themes, which are answered within the research questions in Chapter 8. The research questions for this study are as follows: Research questions 1. What are the issues related to the implementation of critical thinking in a Professional Development Program to improve critical thinking in Saudi nurses? 2. What major elements are involved in creating and sustaining the Saudi Arabian nursing profession? 3. How might Saudi culture be used to support the development of professional nursing identity? Implications for the study This study has the potential to make a significant contribution to nursing education in Saudi Arabia in promoting critical thinking in nurses and in curriculum development for the following reasons. First, didactic instruction was replaced with an interactive approach by utilising critical thinking strategies and devices to facilitate the development of critical thinking abilities. Second, working with a conceptual framework or model made it easier to manage complex multifaceted concepts, such as critical thinking. The model maintained the focus on dialogue and experiential learning thereby assisting students and staff to integrate theory and practice. This model was effective for the program and if duplicated by other programs, could create a learning environment that would allow the effective development and evaluation of critical thinking. The model is reflected in Appendix 1. Recommendations for the nursing profession in Saudi Arabia * To establish the Nursing Practice Act which subsequently leads to the formation of a National Nursing Registration Board. * To transfer nursing into the higher education sectors, to be on par with their Western counterparts. To foster career incentives for men to meet the cultural needs of the people, increase Saudi nurses in the workforce and to raise the image of nursing. * To enact Saudiisation policy. * To incorporate Islamic nursing history into diploma nursing and other nursing educational programs and implemented into the workplace, government policy and the media. * To construct separate male and female hospitals to solve the gender issues. * To systematically collect, collate and analyse nursing data. * To develop continuing education programs to meet educational needs of nurses.

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Yousuf, Shadia Abdullah Hassan. "The nature of nutritional advice given by diploma nurses in primary health care centres in Jeddah, Saudi Arabia." Thesis, London South Bank University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.298379.

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The introduction of Primary Health Care (PHC) in Saudi Arabia has given nurses excellent opportunities and more responsibility to provide health education and advice in health promotion activities. Provision of appropriate and affordable dietary advice is an important role of the nurses in the Primary Health Care Centres (PHCC). Maternal nutrition is an essential element for the health status of the child, the family and the wider society. Many studies have suggested that there is a relationship between good nutritional intake during pregnancy and the successful outcome of the pregnancy. The present study was conducted to explore the knowledge and understanding of Saudi women and nurses in PHCC regarding nutritional intake during pregnancy. The study also looked at the effect of a short education programme on the nurses' nutritional knowledge and their subsequent practice. The aims of the study were to identify the understanding of Saudi women of pregnancy and nutritional intake during pregnancy, and to evaluate the effect of a short nutritional programme on diploma nurses. To achieve the aims, data collection was carried out in three phases. Phase one used semi-structured interview (tape recorded) on 10 pregnant women, selected randomly, to elicit the general understanding pregnant women had on pregnancy and pregnancy related areas. Phase two used a structured interview schedule on 100 pregnant women attending PHCC, selected systematically, to assess nutritional knowledge and their perception of nutritional advice given by the nurses in PHCC. Phase three was divided into two stages. The first stage used a self-administered questionnaire on 20 diploma nurses working in antenatal clinics in PHCC to assess their nutritional knowledge in relation to pregnancy. The questionnaire was used as both a pre-test and post-test instrument. Thereafter, based on the findings from phase one and two, a 20-hour continuing education (CE) programme was developed by the researcher on maternal nutrition for the diploma nurses. The second stage was to implement the programme to the nurses in five days. The effect of the programme was evaluated by an immediate post-test on nurses' knowledge and a follow-up post-test (after six months) to assess any lasting changes. Data analysis was carried out using content analysis for phase one. For the phase two and three, SPSS programme was used. Chi square was used to look for any association between knowledge scores and personal variables, paired Hest was used to assess the difference between pre-test and post-test. The results from the study showed that the majority of women attending the PHCC were illiterate or had little formal education, had a high pregnancy rate and had poor nutritional knowledge in relation to pregnancy. They preferred female health professional care and they preferred to have female doctors attending their antenatal care rather than the nurses. There was no significant difference between nurses' and women's nutritional knowledge. The results also showed a significant correlation between poor nutritional knowledge scores of the women and certain factors: the scores correlated positively with the level of education and negatively with the number of pregnancies. Regarding the programme, the results showed a significant increase in the nurses' nutritional knowledge scores from pre-test to post-test at p< 0.05, indicating that participants demonstrated increased nutritional knowledge as a result of participation in the programme. There was no significant difference between the initial post-test and the six-month follow-up. No significant relationships were identified between the nurses' scores and their age and years of experiences. The study also indicated that nurses in PHCC were not giving adequate nutritional advice to pregnant women in the views of these women and in my own observation. The findings suggest that frequent continuing education is essential for nurses in PHCC in Saudi Arabia to improve their skills and nutritional knowledge to be able to provide better care for women.

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Alenezi, A. "The effects of a burnout prevention programme on mental health nurses in the Kingdom of Saudi Arabia (KSA)." Thesis, University of Salford, 2017. http://usir.salford.ac.uk/43851/.

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Burnout is a common problem among mental health professionals, particularly mental health nurses. High levels of burnout result in job dissatisfaction, rapid turnover of staff, physical and psychological discomfort, and reduction in the quality of patient care. While there is an abundance of research relating to burnout per se, there is a lack of research regarding burnout among mental health nurses in Saudi Arabia, and more specifically of the impact a burnout prevention programme might have on those experiencing high levels of work related stress. In starting to address this gap, the aim of this study was to identify the level of burnout, predictors of burnout, and measure the effects of a burnout prevention programme on mental health nurses working in Saudi Arabia. A quasi-experimental design was used to test the effectiveness of a two-day burnout prevention workshop offered to mental health nurses working in Saudi Arabia. The sample was drawn from the Al-Amal Complex for Mental Health at two sites; Riyadh and Ara'r, the former providing the intervention group, the latter the control group. The workshop consisted of providing information about burnout, as well as strategies to decrease stress. A demographic questionnaire, as well as the Maslach Burnout Inventory (MBI), was used to collect data immediately before conducting the workshop and at one, three and six month intervals after participants had completed the workshop. Data were analysed using the latest version of SPSS. Means, standard deviations, frequencies and percentages were used to describe the sample and levels of burnout experienced by the nurses. A t-test, ANOVA, Multiple linear regression and chi squared were used to measure the effect of the workshop before and at three intervals after the nurses were exposed to the burnout prevention programme. Findings indicate the burnout prevention programme was effective with a significant reduction being reported one month after the intervention. However, although not returning to baseline scores, an increase in the burnout score was again observed after 6 months, indicating a need to continue with the programme at reasonable intervals. However, the overall efficacy of the burnout reduction programme is evident within this study as there was a significant reduction in burnout among mental health nurses working in Saudi Arabia. Importance and Relevance: This research was carried out to address burnout levels by introducing a burnout prevention programme and measuring the effects of such on mental health nurses working in Saudi Arabia. Additionally, predictive factors of burnout for this target geoup were also identified. This is the first of study within Saudi Arabia.

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Mahsoon, Alaa. "The Relationships Among Systems Thinking, Safety Culture, Safety Competency and Safety Performance of Registered Nurses in Saudi Arabia." Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1565193017213961.

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15

Simpson, Elaine. "The development of critical thinking in Saudi nurses : an ethnographical approach." Thesis, Queensland University of Technology, 2002. https://eprints.qut.edu.au/15868/1/Elaine_Simpson_Thesis.pdf.

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Introduction Saudi Arabia is the largest country in the Middle East occupying the majority of the Arabia Peninsula. In 1934 the exploration of oil propelled this country from one of the poorest to one of the highest in per capita income. Islamic law forms the basis of Saudi Arabia's constitution, its civil and penal codes and guides the Saudis in their daily and family lifestyles, governing morals, dress, eating habits and business dealings. Between 1970 and 1980, there was a sharp increase in the rate of population. Currently the population is estimated at 20.8 million with a projected increase to 44.8 million by the year 2025, with approximately 49% under the age of 20. This rise in population has implications for the health care industry, of which expatriates make up more that 85% of the country's health care system. Purpose The purpose of the study was to examine the social and cultural experiences associated with living and working as a registered nurse in a major teaching hospital in Saudi Arabia and to identify and understand how to develop critical thinking skills in Saudi nurses during a nursing education/intervention program in Saudi Arabia. Methodology The researcher reviewed the literature on critical thinking, which allowed the construction of a conceptual model (Appendix 1) to guide teaching and evaluation of critical thinking skills and maintained the focus on dialogue to stimulate interaction and participation in order to promote critical thinking abilities in Saudi nurses. This study adopted ethnography as a methodology and utilised Spradley's (1979)ethnographic research cyclical tasks for data collection and analysis, which are explained in the exploratory, descriptive and explanatory phases of the research. The researcher was a participant observer and collected ethnographic data in the social situation. A variety of data collection methods were employed, which included observation of students and clinical instructors, evaluation of clinical instructors teaching techniques in utilising critical thinking strategies, evaluation of students' responses in the use of critical thinking strategies, focus group interviews of students and clinical instructors and informal interviews conducted within the hospital setting with relevant informants. The use of multi-methods provided the opportunity to examine more fully the richness and complexities of the culture, by gathering data from various sources to validate the consistency of information to reflect the multiple realities of this cultural group. Cultural domains were identified after examining field notes and interviews for terms and clues repeatedly verbalised by informants, in particular students. The researcher organised the domains to formulate taxonomies, leading to cultural themes, which are answered within the research questions in Chapter 8. The research questions for this study are as follows: Research questions 1. What are the issues related to the implementation of critical thinking in a Professional Development Program to improve critical thinking in Saudi nurses? 2. What major elements are involved in creating and sustaining the Saudi Arabian nursing profession? 3. How might Saudi culture be used to support the development of professional nursing identity? Implications for the study This study has the potential to make a significant contribution to nursing education in Saudi Arabia in promoting critical thinking in nurses and in curriculum development for the following reasons. First, didactic instruction was replaced with an interactive approach by utilising critical thinking strategies and devices to facilitate the development of critical thinking abilities. Second, working with a conceptual framework or model made it easier to manage complex multifaceted concepts, such as critical thinking. The model maintained the focus on dialogue and experiential learning thereby assisting students and staff to integrate theory and practice. This model was effective for the program and if duplicated by other programs, could create a learning environment that would allow the effective development and evaluation of critical thinking. The model is reflected in Appendix 1. Recommendations for the nursing profession in Saudi Arabia * To establish the Nursing Practice Act which subsequently leads to the formation of a National Nursing Registration Board. * To transfer nursing into the higher education sectors, to be on par with their Western counterparts. To foster career incentives for men to meet the cultural needs of the people, increase Saudi nurses in the workforce and to raise the image of nursing. * To enact Saudiisation policy. * To incorporate Islamic nursing history into diploma nursing and other nursing educational programs and implemented into the workplace, government policy and the media. * To construct separate male and female hospitals to solve the gender issues. * To systematically collect, collate and analyse nursing data. * To develop continuing education programs to meet educational needs of nurses.

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Butler, Mollie. "The development, implementation, validation and evaluation of a continuing professional development learning programme for nurses working in Saudi Arabia." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/16510.

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Dissertation (PhD)--University of Stellenbosch, 2005.
ENGLISH ABSTRACT: The Saudi Arabian Government has implemented a nation-wide policy to prepare its people for the workforce and has directed that the Saudi Council for Health Specialties (SCHS) be established. Under the SCHS umbrella the Saudi Nursing Board (SNB) has been formed for the purpose of regulating the nursing profession. While Saudi Arabia has for many years been dependent on the international community for nurses, it is now establishing its own nursing workforce. One challenge for the SCHS and the SNB is to ensure that practice standards are developed, since ultimately nursing practice affects the quality of the patient services and patient health outcomes. The Saudi nursing profession has a responsibility to develop its social mandate and provide a full range of services to the Saudi public. Systems and education programmes are required for all aspects of the regulatory process, including continuing professional development. Effective regulation systems are not based on a “one size fits all” approach. Furthermore, nurses need to insist on high quality education to develop both basic and ongoing competence and should be able to depend on the profession for social status and credibility. The purpose of this research was to develop, implement, validate and evaluate a continuing professional development learning programme for nurses working in Saudi Arabia. The learning programme was built from a vision of nurses (regardless of country) engaging in lifelong learning for the purpose of ensuring quality patient care and population health. The development of a continuing professional development learning programme is an initial step in fulfilling the need for educational structures to support standards of practice. The overall outcome of the research was functional by nature in that the knowledge of continuing professional development in nursing was generated and applied to nursing practice in Saudi Arabia. In view of the nature of the question, a mixed methodology was selected. Although the qualitative aspect was dominant, both the qualitative and quantitative aspects were used simultaneously. The design included exploratory and descriptive aspects. Furthermore, the researcher employed qualitative methods to develop, implement and evaluate the provisional learning programme and quantitative methods to validate the provisional programme, resulting in a partial explanation of the research phenomenon. The primary theoretical drive was inductive, as the purpose was to discover rather than to test the learning programme contents. Botes’ Research Model and King’s Theory of Goal Attainment were utilised. They complemented each other, as they both support a comprehensive, dynamic scientific approach to learning (health) outcomes influenced by the quality of nursing practice and practice environment. The research, which was outcomes–based, was carried out in the context of quality patient care (population health) and nursing practice situated within the Saudi Arabian setting, where the nursing regulatory system is emerging. As the questionnaire mean ( X ) results revealed scores of 3.0 to 3.9, data saturation was achieved during the first round of the Delphi technique. Fourteen experts from six different countries were asked to validate the provisional learning programme, which was duly done. The programme was implemented in a tertiary research hospital in Saudi Arabia. Formative and summative evaluations were also conducted. The results of the implementation and evaluation affirmed the effectiveness of the learning programme. Boyer’s Model for Scholarship was used to triangulate the research findings. These results formed the basis for the recommendations and final summary. The five broad recommendations that emerged from the research were that nurses should take on self-regulatory and leadership responsibilities; that they should engage in continuing professional development collaboration; that the nursing profession’s self-regulation responsibilities be acknowledged; that a healthy (quality) workplace environment be ensured; and that further research be done in this field.
AFRIKAANSE OPSOMMING: Die regering van Saoedi-Arabië het ŉ landwye beleid geïmplementeer om die mense van die land vir die arbeidsmag voor te berei en het opdrag gegee vir die stigting van die Saudi Council for Health Specialties (SCHS,) ŉ raad wat spesifiek met gesondheidsdienste gemoeid is. Die Saoedi Raad vir Verpleging (Saudi Nursing Board oftewel SNB) is tot stand gebring met die doel om die verpleegdiens in die land te reguleer. Nadat Saoedi-Arabië vir baie jare van die internasionale gemeenskap vir verpleegkundiges afhanklik was, word ŉ eie verpleegkorps nou in die land gevestig. Een van die uitdagings waarmee die SCHS en die SNB te kampe het, is die noodsaaklikheid om te verseker dat standaarde vir die praktyk ontwikkel word, aangesien die verpleegpraktyk inderdaad die gehalte van pasiënte-diens en gesondheidsuitkomste beïnvloed. Die verpleegberoep in Saoedi-Arabië is daarvoor verantwoordelik om sy maatskaplike mandaat te ontwikkel en ŉ volledige reeks dienste aan die mense van die land beskikbaar te stel. Stelsels en opvoedkundige programme is nodig vir alle aspekte van die reguleringsproses. Dit sluit voortgesette professionele ontwikkeling in. Vir ŉ reguleringstelsel om werklik doeltreffend te wees moet dit op spesifieke behoeftes gerig wees en kan een stelsel nie aan al die vereistes van diverse instellings voldoen nie. Dit is noodsaaklik dat verpleegkundiges op onderrig van ŉ hoë gehalte aandring ten einde basiese en voortgaande bevoegdheid te ontwikkel. Daarbenewens behoort hulle op die beroep te kan steun vir sosiale status en geloofwaardigheid. Die doel van hierdie navorsing was om ŉ voortgesette leerprogram vir die professionele ontwikkeling van verpleegkundiges wat in Saoedi-Arabië werk, te ontwikkel, te implementeer, te valideer en te evalueer. Die leerprogram het onstaan uit ŉ visie van verpleegsters (ongeag hulle land van oorsprong) wat hulle met lewenslange leer besig hou met die doel om diens van ŉ hoë gehalte aan pasiënte asook bevolkingsgesondheid te verseker. Met die ontwikkeling van ŉ leerprogram vir voortgesette professionele ontwikkeling is die eerste stap gedoen om in die behoefte aan opvoedkundige strukture ter ondersteuning van praktykstandaarde te voorsien. Die algehele uitkoms van die navorsing was funksioneel van aard deurdat die kennis van voortgesette professionele ontwikkeling in verpleging deur die verpleegpraktyk in Saoedi-Arabië gegenereer en ook daarop toegepas is. Vanweë die aard van die navorsingsvraag is besluit om ŉ gemengde metodologie, dit is kwalitatiewe en kwantitatiewe aspekte gelyktydig te gebruik, met die kwalitatiewe aspek as die dominante metode. Sowel verkennende as beskrywende aspekte is in die ontwerp ingesluit. Daarbenewens het die navorser kwalitatiewe metodes gebruik om die voorlopige leerprogram te ontwikkel, te implementeer en te evalueer, en kwantitatiewe metodes om die voorlopige program te valideer. Die navorsingsverskynsel is deur middel van ŉ gedeeltelike verklarende metode ontleed. Die primêre teoretiese dryfkrag was induktief, aangesien dit die doel van die navorsing was om die leerprogram se inhoud te ontdek eerder as om dit te toets. Daar is van Botes se Navorsingsmodel en King se Teorie van Doelbereiking (Theory of Goal Attainment) gebruik gemaak. Hulle het mekaar aangevul aangesien albei ŉ omvangryke, dinamiese wetenskaplike benadering tot leer- (gesondheid-) uitkomste, wat deur die gehalte van verpleegpraktyk en die praktykomgewing beïnvloed word, ondersteun. Die navorsing, wat uitkomsgebaseerd was, is uitgevoer binne die konteks van pasiëntediens van gehalte (bevolkingsgesondheid) en verpleegpraktyk, gesetel in die Saoedi-Arabiese milieu, waar die reguleringstelsel vir verpleegkunde aan die ontwikkel is. Data saturasie is reeds bevestig tydens die eerste rondte van die Delphi tegniek met gemiddelde tellings van ( X ) 3,0 en 3,9. Die navorsingsontwerp is daardeur verder versterk. Veertien deskundiges van ses verskillende lande is gevra om die voorlopige leerprogram te valideer, wat hulle ook gedoen het. Die program is in ŉ tersiêre navorsingshospitaal in Saoedi-Arabië geïmplementeer. Formatiewe en summatiewe evaluering is gedoen en die resultate van die implementering en evaluering het die doeltreffendheid van die leerprogram bevestig. Boyer se Wetenskaplikheidsmodel (Model for Scholarship) is gebruik om die navorsingsbevindinge te staaf. Hierdie resultate het die grondslag gelê vir die aanbevelings en die finale opsomming. Die vyf breë aanbevelings wat uit die navorsing voortgekom het was dat verpleegkundiges selfregulerende en leierskapverantwoordelikhede aanvaar; dat hulle aan samewerkingsaksies ten opsigte van voortgesette professionele ontwikkeling deelneem; dat die verpleegberoep se verantwoordelikhede ten opsigte van selfregulering erken word; dat ŉ gesonde (gehalte-) werkomgewing verseker word; en dat verdere navorsing op hierdie gebied gedoen word.

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Aldosh, A. A. M. "Designing a practice-based, culturally sensitive model of health-patient education for hospital nurses to use in Saudi Arabia." Thesis, University of Salford, 2015. http://usir.salford.ac.uk/34094/.

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This study aims to design a practice-based, culturally sensitive model of health education for hospital nurses. The theoretical and literature background to the meaning of practice-based, culturally sensitive models indicates that designing such models requires consideration of theoretical assumptions and evidence-based findings related to both health education practice and cultural sensitivity. Hence, the study has to use the study findings to create the final model design. The study objectives that needed to be answered using mixed methods include:1) Identify which health education skills are most valued by hospital nurses in Saudi Arabia; 2) Explore the self-perceived competence levels of Saudi hospital nurses when delivering health education; 3) Identify which aspects of health education knowledge are most valued by hospital nurses in Saudi Arabia; 4) Identify any organisational barriers that might impact on the delivery of health education in Saudi Arabian hospitals; 5) Identify any strategies that might impact on improving the delivery of culturally sensitive health education in Saudi hospitals. The results have found several important skills and subjects of knowledge related to health education, low confidence levels for the majority of measured skills among nurses, the presence of culture, nursing, the workplace and educational barriers to health education practice, and also recommended several culturally sensitive strategies able to help to deal with Saudi cultural norms and values. Therefore, from the discussion of theoretical assumptions, literature and evidence-based findings of the study results, the final model is created and indicates that practice-based, culturally sensitive health education requires several interventions at two levels. The model consists of two dimensions including internal and external dimensions. The internal dimension reflects actions inside hospitals, which include continuous education, barrier removal and motivational interventions. Actions outside hospitals include updating nursing policies, cooperation with community organisations and use of the media.

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Al, Harbi Manal. "Understanding the cultural competence of nurses in tertiary care settings within the western province of the kingdom of Saudi Arabia." Thesis, Ulster University, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.667755.

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Al, Faraj Eshtiaq. "Experiences of student nurses in Saudi Arabia : the impact of clinical exposure on their decision to continue or leave nursing." Thesis, University of Surrey, 2008. http://epubs.surrey.ac.uk/843804/.

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Muslim majority societies' religious perspective towards nursing as a predominantly female profession has been suggested as one possible reason behind the nursing shortage and problems of retention. A literature review indicated that no research has been directed toward student nurses' pre-registration experiences in the Kingdom of Saudi Arabia. Therefore this study looked at the experiences of Saudi student nurses to explore the extent to which student nurses' experiences during pre-registration education impacted on their decision to choose nursing as a future career following exposure in the clinical environment. An ethnographic and interpretive phenomenological approach was adopted. Purposeful sampling was used to include Saudi and non-Saudi, 32 female and four male participants. Multi-method approach was adopted to collect data over a 12 month period which included face-to-face semi-structured interviews, participant observation, structured telephone interview and documentary analysis. Thematic analysis based on Van Manen's (1997) six research activities was used to analyse data. NVivo (2.0) computer software was utilized to organize, reduce, and inter-relate different data sets to synthesize into a picture of student nurses' experiences. Data and methods triangulation were used to ensure the trustworthiness of the findings. Analysis identified student nurses' feelings over three timeframes: feelings or perceptions during pre- clinical, clinical and post-clinical exposure. The study contributes to the body of knowledge about student nurses' experiences in Saudi Arabia and contributes towards an understanding of how social-cultural aspects and the role of gender impact on student nurses' feelings of nursing as a future career. Findings centre on the nursing stereotypes which remain dominant in Saudi society and socialization within the healthcare environment. These stereotypes and socialization processes allow Saudi society to view nurses from the perspective of their gendered roles which are grounded in the traditional culture of the Islamic world which influence student nurses' socialization in clinical nursing; These factors cause a high level of anxiety that affect student nurses' perceptions of nursing as a future career. The study raises questions about the role of nurse education in resolving student nurses' difficulties in the clinical setting in relation to the nurse's role and its approach to Saudi society as a means to change the public view of Saudi nursing.

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Alharbi, Hanan. "Paediatric nurses' perceptions of using non-pharmacological pain management methods to control hospitalised children's procedural pain in Riyadh, Saudi Arabia." Thesis, University of Sheffield, 2016. http://etheses.whiterose.ac.uk/13313/.

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Alasmari, Hajar Ali M. "Examining intensive care nurses' clinical decision-making associated with acute kidney injury and continuous renal replacement therapy in Saudi Arabia." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/122877/1/Hajar%20Ali%20M_Alasmari_Thesis.pdf.

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This thesis explored the dimensions of decision-making of nurses managing continuous renal replacement therapy in the intensive care unit. Variations in the levels of decision-making were largely the result of contextual factors including workforce characteristics, management practices, socialisation and organisational constraints. The concepts also constitute an explanation of the ways in which the interplay of social, organisational and technological boundaries constructed the process of nursing clinical decision-making and performance with advanced technology. These finding suggest that there is an urgent need for organisational and social change in the nursing profession in Saudi Arabia.

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Almalki, Mohammed Jubran. "Quality of work life and turnover intention in primary healthcare organisations : a cross-sectional study of registered nurses in Saudi Arabia." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/50766/1/Mohammed_Almalki_Thesis.pdf.

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Purpose: The purpose of this study was to improve the retention of primary healthcare (PHC) nurses through exploring and assessing their quality of work life (QWL) and turnover intention. Design and methods: A cross-sectional survey design was used in this study. Data were collected using a questionnaire comprising four sections (Brooks’ survey of Quality of Nursing Work Life [QNWL], Anticipated Turnover Intention, open-ended questions and demographic characteristics). A convenience sample was recruited from 143 PHC centres in Jazan, Saudi Arabia. A response rate of 87% (n = 508/585) was achieved. The SPSS v17 for Windows and NVivo 8 were used for analysis purposes. Procedures and tests used in this study to analyse the quantitative data were descriptive statistics, t-test, ANOVA, General Linear Model (GLM) univariate analysis, standard multiple regression, and hierarchical multiple regression. Qualitative data obtained from responses to the open-ended questions were analysed using the NVivo 8. Findings: Quantitative findings suggested that PHC nurses were dissatisfied with their work life. Respondents’ scores ranged between 45 and 218 (mean = 139.45), which is lower than the average total score on Brooks’ Survey (147). Major influencing factors were classified under four dimensions. First, work life/home life factors: unsuitable working hours, lack of facilities for nurses, inability to balance work with family needs and inadequacy of vacations’ policy. Second, work design factors: high workload, insufficient workforce numbers, lack of autonomy and undertaking many non-nursing tasks. Third, work context factors: management practices, lack of development opportunities, and inappropriate working environment in terms of the level of security, patient care supplies and unavailability of recreation room. Finally, work world factors: negative public image of nursing, and inadequate payment. More positively, nurses were notably satisfied with their co-workers. Conversely, 40.4% (n = 205) of the respondents indicated that they intended to leave their current employment. The relationships between QWL and demographic variables of gender, age, marital status, dependent children, dependent adults, nationality, ethnicity, nursing tenure, organisational tenure, positional tenure, and payment per month were significant (p < .05). The eta squared test for these demographics indicates a small to medium effect size of the variation in QWL scores. Using the GLM univariate analysis, education level was also significantly related to the QWL (p < .05). The relationships between turnover intention and demographic variables including gender, age, marital status, dependent children, education level, nursing tenure, organisational tenure, positional tenure, and payment per month were significant (p < .05). The eta squared test for these demographics indicates a small to moderate effect size of the variation in the turnover intention scores. Using the GLM univariate analysis, the dependent adults’ variable was also significantly related to turnover intention (p < .05). Turnover intention was significantly related to QWL. Using standard multiple regression, 26% of the variance in turnover intention was explained by the QWL F (4,491), 43.71, p < .001, with R² = .263. Further analysis using hierarchical multiple regression found that the total variance explained by the model as a whole (demographics and QWL) was 32.1%, F (17.433) = 12.04, p < .001. QWL explained an additional 19% of the variance in turnover intention, after controlling for demographic variables, R squared change =.19, F change (4, 433) = 30.190, p < .001. The work context variable makes the strongest unique contribution (-.387) to explain the turnover intention, followed by the work design dimension (-.112). The qualitative findings reaffirmed the quantitative findings in terms of QWL and turnover intention. However, the home life/work life and work world dimensions were of great important to both QWL and turnover intention. The qualitative findings revealed a number of new factors that were not included in the survey questionnaire. These included being away from family, lack of family support, social and cultural aspects, accommodation facilities, transportation, building and infrastructure of PHC, nature of work, job instability, privacy at work, patients and community, and distance between home and workplace. Conclusion: Creating and maintaining a healthy work life for PHC nurses is very important to improve their work satisfaction, reduce turnover, enhance productivity and improve nursing care outcomes. Improving these factors could lead to a higher QWL and increase retention rates and therefore reinforcing the stabilisation of the nursing workforce. Significance of the research: Many countries are examining strategies to attract and retain the health care workforce, particularly nurses. This study identified factors that influence the QWL of PHC nurses as well as their turnover intention. It also determined the significant relationship between QWL and turnover intention. In addition, the present study tested Brooks’ survey of QNWL on PHC nurses for the first time. The qualitative findings of this study revealed a number of new variables regarding QWL and turnover intention of PHC nurses. These variables could be used to improve current survey instruments or to develop new research surveys. The study findings could be also used to develop and appropriately implement plans to improve QWL. This may help to enhance the home and work environments of PHC nurses, improve individual and organisational performance, and increase nurses’ commitment. This study contributes to the existing body of research knowledge by presenting new data and findings from a different country and healthcare system. It is the first of its kind in Saudi Arabia, especially in the field of PHC. It has examined the relationship between QWL and turnover intention of PHC nurses for the first time using nursing instruments. The study also offers a fresh explanation (new framework) of the relationship between QWL and turnover intention among PHC nurses, which could be used or tested by researchers in other settings. Implications for further research: Review of the extant literature reveals little in-depth research on the PHC workforce, especially in terms of QWL and organisational turnover in developing countries. Further research is required to develop a QWL tool for PHC nurses, taking into consideration the findings of the current study along with the local culture. Moreover, the revised theoretical framework of the current study could be tested in further research in other regions, countries or healthcare systems in order to identify its ability to predict the level of PHC nurses’ QWL and their intention to leave. There is a need to conduct longitudinal research on PHC organisations to gain an in-depth understanding of the determents of and changes in QWL and turnover intention of PHC nurses at various points of time. An intervention study is required to improve QWL and retention among PHC nurses using the findings of the current study. This would help to assess the impact of such strategies on reducing turnover of PHC nurses. Focusing on the location of the current study, it would be valuable to conduct another study in five years’ time to examine the percentage of actual turnover among PHC nurses compared with the reported turnover intention in the current study. Further in-depth research would also be useful to assess the impact of the local culture on the perception of expatriate nurses towards their QWL and their turnover intention. A comparative study is required between PHC centres and hospitals as well as the public and private health sector agencies in terms of QWL and turnover intention of nursing personnel. Findings may differ from sector to sector according to variations in health systems, working environments and the case mix of patients.

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Alomeer, Saleh Hadi. "Integration of clinical information systems in Saudi Arabian health care contexts: A grounded theory exploration." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/91728/1/Saleh_Alomeer_Thesis.pdf.

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This research examined the implementation of clinical information system technology in a large Saudi Arabian health care organisation. The research was underpinned by symbolic interactionism and grounded theory methods informed data collection and analysis. Observations, a review of policy documents and 38 interviews with registered nurses produced in-depth data. Analysis generated three abstracted concepts that explained how imported technology increased practice and health care complexity rather than enhance quality patient care. The core category, Disseminating Change, also depicted a hierarchical and patriarchal culture that shaped the implementation process at the levels of government, organisation and the individual.

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Babilonová, Zuzana. "Mezinárodní profesní migrace zdravotních sester a její kulturní aspekty, případová studie: Království Saúdské Arábie." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-16375.

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The thesis is focused on the professional migration of Czech nurses to the Kingdom of Saudi Arabia. In the beginning I characterize migration theories that together with other chapters about the Kingdom of Saudi Arabia, healthcare systems of the Kingdom of Saudi Arabia and the Czech Republic create basis for the research that is presented in chapter 5. Objectives of the research, which is the crucial part of the thesis, are to reveal motivations of the Czech nurses that lead to migration to the Kingdom of Saudi Arabia, their imaginations and expectations bounded with work and life in the Kingdom of Saudi Arabia. Also I would like to find out if the expectations were met and if they want to work and live in the Kingdom of Saudi Arabia on a longterm basis. Based on the results of the research, I conclude that Czech nurses do not want to stay in such country on a longterm basis especially due to big cultural differences between Saudi Arabian and Czech culture. At the end of the thesis I briefly characterize intercultural training that could help Czech nurses with their adaptation to Saudi Arabian culture.

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Alshareef, Abdullah Ghaleb S. "Identifying factors influencing Saudi Arabian nurses' turnover." Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/130634/9/Abdullah%20Ghaleb%20S%20Alshareef%20Thesis.pdf.

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This study provides the most comprehensive information available, to date, about factors that influence nurses desire to leave their current job and provides evidence for better health workforce planning in Saudi Arabia. This study strongly indicates that the main factor related to turnover is unfair, unequal salaries for different nationalities in Saudi Arabia. The findings of the study will help inform the design of nurse education policy and programs to potentially encourage expatriate nurses to remain.

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Herbert, Suzan Margaret. "Factors underlying registered nurse interactions in a multicultural tertiary healthcare perioperative area." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/97009.

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Thesis (MCur)--Stellenbosch University, 2015.
ENGLISH ABSTRACT: Disruptive behaviour among health care providers in high stress areas such as the perioperative setting has been linked to negative patient safety. Conflicts of power, role and personality lead to communication failure, which are identified as the leading root cause of medication errors and wrong site surgery. The aim of the study was to explore and describe the factors underlying registered nurse (RN) interactions in a tertiary healthcare perioperative area. A non-experimental, descriptive, exploratory study with self-administered survey using a quantitative approach was used. The total population of N=52 participants working in the perioperative area of a Middle Eastern tertiary healthcare centre were invited to participate in the study and the response rate was n=44, 85%. A structured self-administered questionnaire was used to collect the data. Reliability and validity was assured by means of a pilot study and consultation with nursing experts and a statistician. The Health Research Ethics Committee of the University of Stellenbosch approved the study. Permission for the study to be done in the tertiary care centre was obtained from the Internal Ethical Review Board and the Nursing Executive. Informed written consent was obtained from the participants. Anonymity and confidentiality was respected. The data was analysed with the assistance of a statistician and presented in frequencies, tables and histograms. The responses were compared using Mann-Whitney U test, Kruskal- Wallis ANOVA and Spearman’s Rank correlation, on a 95% confidence level. Only one factor showed a significant result, following Spearman’s Rank correlation that an association exists between work experience and lateral violence (p≤0.045239). The open-ended questions were categorized into themes and respect and communication emerged as factors necessary in teamwork and task management The level of respect and open communication between RNs were seen as important factors for interacting with colleagues in the workplace and if poor, affects team work. An area of concern was the high number of neutral responses to the statements on morale and conflict. Underpinned by the literature and the outcomes of this study, it is recommended that strong leadership is required to implement regular team building activities. Furthermore, perioperative staff should be monitored for emotional fatigue which results from conflict situations in order to avert adverse patient care events.
AFRIKAANSE OPSOMMING: Steurende gedrag onder gesondheidsorgwerkers in hoë gespanne areas soos in die perioperatiewe omgewing, word gekoppel aan negatiewe pasiënt veiligheid. Konflikte van mag, rol en persoonlikheid lei tot mislukking van kommunikasie wat geïdentifiseer word as die hoofoorsaak van foute by die toediening van medikasie en verkeerde plek vir chirurgie. Die doel van die studie was om die faktore te ondersoek en te beskryf wat onderliggend is aan geregistreerde verpleeg (GV) interaksies in ’n tersiêre gesondheidsorg perioperatiewe area. ’n Nie-eksperimentele, beskrywende, ondersoekende studie met ’n self-administrerende opname deur ’n kwantitatiewe benadering, was gebruik. Die totale populasie van N=52 deelnemers wat in die perioperatiewe area van ’n Midde-Oosterse tersiêre gesondheidsorgsentrum werk, was uitgenooi om deel te neem aan hierdie studie en die responskoers was n=44, 85%. ’n Gestruktureerde self-administrerende vraelys was gebruik om die data te kollekteer. Betroubaarheid en geldigheid was verseker deur die gebruik van ’n loodsprojek en konsultasie met verpleegdeskundiges, asook ’n statistikus. Die Gesondheidsnavorsingsetiekkomitee aan die Universiteit van Stellenbosch het die studie goedgekeur. Toestemming vir die uitvoer van die studie by die tersiêre gesondheidssentrum was verkry van die Interne Etiese Oorsigraad en die Uitvoerende Verplegingsbestuur. Ingeligte geskrewe toestemming was verkry van die deelnemers. Anonimiteit en vertroulikheid was gerespekteer. Die data was geanaliseer met die hulp van ’n statistikus en aangebied in frekwensies, tafels en histogramme. Die response was vergelyk deur van Mann-Whitney U-toets, Kruskal-Wallis ANOVA of Spearman se Rangkorrelasie op ’n 95% vertroulikheidsvlak gebruik te maak. Slegs een faktor het ’n beduidende resultaat getoon, dat daar ’n assosiasie bestaan tussen werkservaring en laterale geweld (p≤0.045239), deur Spearman se Rangkorrelasie te volg. Die ope-vrae was gekategoriseer in temas. Respek en kommunikasie het as noodsaaklike faktore vir spanwerk en taakbestuur na vore gekom. Die vlak van respek en ope kommunikasie tussen geregistreerde verpleegsters was gesien as belangrike faktore vir interaksie met kollegas in die werkplek en indien dit swak is, affekteer dit spanwerk. ’n Area van besorgdheid was die hoë aantal neutrale response op die stellings oor moraal en konflik. Ondersteun deur die literatuur en die uitkomste van die studie, word dit aanbeveel dat sterk leierskap vereis word om gereelde spanbou aktiwiteite te implementeer. Verder behoort perioperatiewe personeel gemonitor te word vir emosionele moegheid wat spruit uit konfliksituasies, ten einde nadelige pasiëntsorg af te weer.

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Mohammad, Abeer. "A Discourse Analysis of Nursing Handoffs: Exploring Nurse-to-nurse Interactions in Two Hospitals in Saudi Arabia." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/7064.

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A new realm of discourse research has started examining medical interactions in the crowded space – hospitals (Iedema, 2007). Beyond clinical settings and dyadic doctor-patient interactions, scholars have begun investigating doctors’ interactions in various hospital settings including Emergency Rooms and hospitals’ wards (e.g., Eggins & Slade, 2012; Slade & Eggins, 2016; Slade et al., 2015). Other investigations have expanded this scope of discourse research to include other health professionals, such as nurses (e.g., Staples, 2015). Drawing on discourse analytic approaches (Critical Discourse Analysis, Halliday’s Systemic Functional Grammar, and Interactional Sociolinguistics), this study examined nurse-to-nurse handoff interactions in two hospitals in Saudi Arabia. Nursing handoff – the transfer of patient information, professional responsibility, and accountability between departing and incoming nursing teams (Manser et al., 2010; Riesenberg et al., 2010; Slade & Eggins, 2016; Wood et al., 2014) – is a critical communicative practice which ensures the continuity and quality of care provided to hospitalized patients. The aim of this study was to provide detailed analyses of the language used in this type of nursing discourse and its impact on the quality of handoffs. The data included 80 nursing handoff interactions, which were observed and audio-recorded in 7 different wards at two sectors (National Guard Hospital and King Fahad General Hospital) in Saudi Arabia including: Intensive Care Units, General-Adult, General- Pediatric, Oncology-Pediatric, Oncology-Palliative, ENT, Urology and Surgical wards. The nurse participants come from various cultural backgrounds including Philippines, Indonesia, India, Malaysia, Morocco, South Africa, Egypt, Jordan, and Saudi Arabia. The analyses provided a detailed description of this type of nursing discourse including the discourse pragmatic features (i.e., linguistic, interactional, and interpersonal features) which nurses use while delivering and receiving patient information. In addition, the findings provide insights into the various discourse features that contributed either positively (e.g., using discourse markers, presenting complete thoughts, presenting sufficient detailed patient information) or negatively (e.g., producing questions instead of statements, shifting verb tenses, focusing on one patient issue as opposed to providing detailed patient information report) to the nursing handoff practices in this setting. The findings also point to the vital role that head nurses play in this nursing discourse and its impact on enhancing the quality of nursing handoffs. Additionally, a six-stage nursing handoff model was developed from the data, which could be used for nursing training in the National Guard Hospital and its branches in Saudi Arabia. Finally, the findings provide further support for Eggins and Slade’s (2012) claim that communicatively effective handovers are achieved interactionally and with the collaboration of both departing and incoming teams. Furthermore, the use of standardized protocols (like SBAR) alone proved to be insufficient in guaranteeing effective nursing handoff.

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Alreshidi, T. M. "Registered nurses' perceptions of medication administration errors and their management in Saudi Arabian hospitals." Thesis, University of Salford, 2016. http://usir.salford.ac.uk/39236/.

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Background: Medication error is a global issue that can cause serious harm and even death. Nurses who are responsible for administering medication at the patient interface have the potential to contribute to the problem by making medication administration errors or preventing errors before medication is given. There are multiple contributory factors to the occurrence of error; active failures, local conditions and latent conditions but in order to build a safe culture for patients, it has been recommended that as well as having systems and procedures in place to prevent error, it is important to know the values and beliefs of the staff involved to ensure that they play their part in communicating and preventing errors. In a multi-cultural nursing context such as that in Saudi Arabia the values and beliefs of nursing staff may be different to those in other parts of the world. Aims: The study was designed to explore nurses’ perceptions of medication administration errors in Saudi Arabia. It sought to collect nurses’ views about the factors that may influence medication administration errors, barriers to error reporting and strategies to promote safe medication administration. Methods: A systematic review was undertaken to contextualise the study and identify a gap in the literature. The methodological design adopted for this study is non-experimental, descriptive mixed methods. Quantitative and qualitative components were applied sequentially in two phases. Questionnaires (N=236), and semi structured interviews (N=19) were used to further explain nurses’ perceptions and views on managing medication errors in Saudi Arabia. Results: The systematic review highlighted a lack of in-depth and comprehensive studies of nurses’ perceptions of medication administration errors. This study found that in line with the international literature there are a range of factors that contribute to errors, however, in Saudi Arabia the highest perceived factors were high workload and poor handwriting. There is an underreporting of errors and the fear of the consequences remains the most significant barrier against reporting medication errors. Nurses appear to weigh up the risk to patients before deciding whether to report errors or not. Solutions for minimising errors can be found in a number of strategies at different levels of the organisation; these include staff training and technology solutions such as computer physician order entry (CPOE) or barcode technology. Conclusion: The findings in the current study offer a comprehensive understanding of the views and perceptions of nurses regarding medication errors within the Saudi context. This provides valuable local evidence that can be built into appropriate professional education and procedures for managing medication administration errors for both Saudi and international nurses employed in Saudi Arabian hospitals and thus improve patient safety.

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Almobarak, Fhaied Khalaf. "Exploring the perspectives of nurses, physicians, and healthcare administrators in Saudi Arabian hospitals on palliative care and palliative care nursing." Thesis, Manchester Metropolitan University, 2016. http://e-space.mmu.ac.uk/621247/.

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This thesis presents a qualitative research study, which identifies issues regarding the development of palliative care in the Kingdom of Saudi Arabia (KSA) hospital setting, from the perceptions of healthcare professionals working in Saudi Arabian hospitals. The literature suggests that challenges to palliative care in KSA exist on various levels. At the professional level, they exist where healthcare practitioners may neither be sufficiently equipped nor sufficiently oriented to deal with palliative care concerns. Saudi practitioners may have misconceptions that lead them to recommend or carry out activities that may be detrimental to the palliative care of their patient. Issues also exist at institutional levels, where palliative care systems in place in Saudi hospitals are insufficient for addressing the needs of its patients. There are also issues found at the cultural and legal levels, where pain and individual choice are not considered sufficiently important in Islamic law especially when weighed against matters about prolonging and preserving life and preparing the individual for the afterlife. The aims of this study were to determine the perceptions of KSA hospital healthcare professionals regarding palliative care, identify issues regarding the development of palliative care in the KSA hospital setting and to develop recommendations for strengthening the value of palliative care among healthcare professionals in KSA. To this end, semi-structured qualitative interviews were carried out with members of staff working in hospitals in KSA, with terminally ill patients. The findings suggest that while some participants define palliative care in a way which is in keeping with internationally recognised definitions, others had not heard of the term, or defined it in a way which was incomplete. Insights are provided in to doctors and nurses experiences of palliative care, an example of which is that the personality of the healthcare provided was a significant factor in the quality of palliative care. The findings suggested that as a specialism, palliative care is seen as unique and growing, and participants understood the need and importance of this area. Issues and problems with palliative care were identified, including issues with communication and lack of material and human resources. Various opinions were offered as to the role of the media in promoting palliative care in KSA, issues with medication, including access and procedures, were discussed, and finally the participants spoke about their vision of the future of palliative care in KSA, and what would be needed to achieve this vision. The contribution of the present study to the understanding of the perceptions of healthcare workers in KSA towards palliative care is significant considering the scarcity of research in this area, particularly qualitative research. It supports the findings of previous research into palliative care in KSA and the wider research on palliative care. It also provides a unique insight into the views of healthcare workers in an Islamic culture, expanding upon current literature.

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Khan, Aamina. "Nurses' work engagement practices in a multicultural hospital in Saudi Arabia." Diss., 2018. http://hdl.handle.net/10500/25315.

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Employee engagement is the ability of employees to express themselves ‘physically, cognitively and emotionally during role performance’. Nurse employees comprise the largest workforce in healthcare. They spend a significant time caring for patients, they have a strong impact on patient experiences. Thus, in order to improve patient care experiences, nurse employees require positive work environments with the necessary factors that drive employee engagement. This study aimed to investigate current nurse engagement practices and the work-related aspects that impact engagement among nursing employees. The ultimate goal was to enable nursing management to identify the areas for continued sustainability and to improve gaps identified through appropriate implementation initiatives. The hospital is in the central part of Riyadh, Saudi Arabia, and consists of a multicultural population and the local Saudi nurses. The study population is nursing employees, employed for one year and longer within the organisation, and includes both genders between the ages of 18 to 60 years old. Simple random sampling was adopted using a sampling frame. A structured questionnaire was used to collect data from the sample of nurses from the hospital. Descriptive and inferential statistical tests were performed to analyse data using Statistical Package for Social Sciences (SPSS) version 24 for Windows, while Ordered Probit regression was conducted using the Stata statistical program version 14 for Windows. This study showed the extent of nurses’ engagement using the selected constructs. Areas of strengths and weaknesses were identified. This study found that nurses were generally positive and passionate in their contribution to the organisation and connected in their work roles. This was established statistically and literature was also used to interpret the results. Respondents placed high importance on items that assessed the extent of nurses’ engagement and work-related factors. All the loadings in the eight dimensions measured were above 0.5, which shows significant correlation. In terms of organizational factors that impact nurse engagement, the estimates from the Ordered Probit regression showed that “feelings about the job” by employees had a statistically significant and positive influence on the employees’ or nurses’ “satisfaction about job aspects”. Results suggest the need to strengthen the identified areas in order to improve the nurses’ level of engagement.
Health Studies
M.A. (Nursing Science)

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Albukhodaah, Abdulrahman Abdullah. "Barriers and perceptions to medication administration error reporting among nurses in Saudi Arabia." Thesis, 2016. http://hdl.handle.net/2440/103929.

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Background: Medication administration errors (MAEs) are considered as a global problem which influences the safety of patients. Due to some factors MAEs are still underreported. However, MAEs have been under-researched in Saudi health settings. The reporting barriers of fear, perception of nurses towards reporting MAEs, and the process of reporting significantly contribute to failure to report. Understanding of factors that may inhibit reporting MAEs among nurses in Saudi Arabia is a primary step to improve the safety culture of hospitals. Furthermore, understanding nurses’ perception toward MAEs reporting is the initial step to increasing the reporting rate. Aims: (1) To identify factors from the literature that facilitate or hinder the reporting of medication administration errors among nurses and (2) to identify factors that nurses perceive as major contributors in the culture of reporting medication administration errors in Saudi Arabia hospitals. Methods: a questionnaire was developed consisting of four pages to examine the nurses’ perceptions and the potential barriers to the reporting of medication administration errors and an open-ended question to seek more understanding of this topic among nurses in Saudi Arabia. The questionnaire items included: demographics and background, nurses’ perceptions of reporting medication administration errors and potential barriers to reporting MAEs. Participants for this study were nurses from three hospitals in Saudi Arabia. The Statistical Package for the Social Sciences Software the IBM (SPSS) Statistics was used to analyses the quantitative data and content analysis was used to analyses the qualitative data. Results: A total of 366 nurses participated in the study with response rate 63.3%. Nurses’ perception and awareness towards the importance of medication administration error reporting were positive. The major perceived barrier was fear of the consequences after reporting. This study found only 28.6% of nurses always reported MAEs when it occurs. Nursing administration (Head Nurse, Nursing Supervisor and/or Nursing Director) was the biggest concern affecting nurses’ willingness to report MAEs. Making the work environment, a non-blame environment may encourage a greater reporting of MAEs. Conclusions: Most nurses in Saudi Arabia’s hospitals believed that MAEs must be reported. However, fear of blame or the possibility of legal action and administration factors lead to underreporting. Implications for nursing management: Nursing administration should work towards establishing a blame free culture and support the safety culture to encourage reporting.
Thesis (M.Nurs.Sc.) -- University of Adelaide, School of Nursing, 2016

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Gysman, Laura Clara. "Registered nurses' perception of the annual performance appraisal in a tertiary hospital in Riyadh." Diss., 2018. http://hdl.handle.net/10500/25482.

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The purpose of this qualitative, explorative descriptive study was to describe how registered nurses at a specific tertiary hospital perceive the annual performance appraisal. A sample of 20 registered surgical nurses working in the ten Surgical Care Divisions was purposively selected to meet the inclusion criteria. Data was collected through two focus group interviews with 10 participants each. The transcribed interviews were manually analysed according to Collaizzi‟s (1978) method. Findings were described according to six main themes, of which the last theme described the nurses‟ suggestions for improving the annual performance appraisal. The 15 sub-themes addressed, among other things, the process of conducting annual performance appraisals, scoring the performances, incentives, loyalty to the hospital, communication, and competency certification of registered nurses. Recommendations were made for developing guidelines to ensure a standardised process of annual performance appraisal and to involve all stakeholders in the review of the competency assessment certification process.
Health Studies
M.A. (Nursing Science)

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Sidumo, Euginia Motlalepule. "An investigation into the Saudi Arabian cultural knowledge among non-Muslim nurses working in the obstetric units." Thesis, 2007. http://hdl.handle.net/10500/798.

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The study was conducted with the aim of assessing the Saudi Arabian cultural knowledge among the non-Muslim nurses. These nurses work in the obstetric units at the King Faisal Specialist Hospital and Research Centre, Jeddah and come from different cultural groups and are caring for the Saudi Arabian Muslim women. In order for care to be congruent, comprehensive and of a high quality, the patients' needs should be met at the best attainable level. Nurses in all health care settings are expected to demonstrate knowledge of the culture that they serve in order to eliminate barriers. Data analysis was facilitated with the use of the SPSS 11.5 computer program. The study findings may suggest the development of educational guidelines, which will direct the activities of an educational intervention.
Health Studies
M.A. (Health Studies))

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Alshehri, Fuaad Ali. "Workplace violence against nurses working in emergency departments in Saudi Arabia: a cross-sectional study." Thesis, 2017. http://hdl.handle.net/2440/104816.

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Aim: the aim of this study was to assess the prevalence, types and contributing factors of violence against nurses in emergency departments. Background: Violence against health care workers, especially nurses is a significant concern for healthcare internationally. Emergency departments are considered high-risk areas in hospitals. Violence against nurses in EDs is a serious issue that cannot be ignored. Method: A cross-sectional study design was conducted from June to August 2016 using convenience sample of emergency nurses in four major hospitals in Riyadh City in Saudi Arabia. The questionnaire was adapted from Kitaneh and Hamdan (2012). Chi-Square test was used to analyse the data. Results: Four hundred and thirty-six emergency nurses responded to the questionnaire (a response rate of 71.2 %). The results showed 41.7% of respondents were exposed to both physical and non-physical violence in the workplace during the previous 12 months. The results showed that 44.7% of respondents were exposed to physical assault, 29.5% of respondents were exposed to threat, 88.1% of respondents were exposed to verbal abuse and 4.4% of respondents were exposed to sexual harassment in the last 12 months. Patients (67.7%) were identified as the most common perpetrators of physical violence, and visitors and patients’ relatives (67.1%) were identified as the most common perpetrators of non-physical violence. The treatment room was the most common place where the physical and non-physical violence happened. The most common factors contributing to physical violence were mental health or psychiatric patient (38.5%) while waiting to receive service (58.9 %) contributed most to nonphysical violence. Conclusion: Understanding workplace violence is the first phase to develop or improve appropriate strategies to handle this problem. Establishing and enacting suitable laws could enhance workplace safety violence for nurses. Further research on the topic is needed.
Thesis (M.Nurs.Sc.) -- University of Adelaide, School of Nursing, 2017

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"Job satisfaction and burnout among foreign-trained nurses in Saudi Arabia: A mixed-method study." UNIVERSITY OF PHOENIX, 2009. http://pqdtopen.proquest.com/#viewpdf?dispub=3357443.

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Almomen, Yasmeen A. "Stigma for mental illness among primary health care physicians and nurses in Dammam, Saudi Arabia." Master's thesis, 2018. http://hdl.handle.net/10362/52278.

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ABSTRACT: People who experience any type of mental disorder not only face difficulties with their health challenge they also suffered from negative responses that come from their social environment in many forms such as discrimination, denial or social rejection and this leads to stigma. Mental illness stigmatization within the healthcare professional has an impact on the delivery and provision of care services to the patients and is an obstacle to health seeking and maintaining good health management. This study aims to explore stigma for mental disorder in primary health care physicians and nurses because they are the first contact when a patient needs help. The study took place in Dammam Primary Health Centres and recruited physicians and nurses who completed the Opening Mind Scale for Health Care Providers as a tool of measuring levels of stigma. The results of the questionnaire were compared between both groups and correlated with their sociodemographic data. Result prove the existence of stigma in primary health physician and nurses the mean score is 55.13 out of 100. with Saudi staff having more stigma than non- Saudi , another factor that associated with more stigma is gender as female express more stigma than male . At the end of the study stigma in physicians and nurses was almost equal. This needs to be considered in future planning to minimize negative perception of people with a mental illness by initiating anti-stigmatization program for health care provider as a means of primary prevention and health promotion.

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De, Beer Jennifer. "Critical care nurses' perception towards family witnessed resucitation." Diss., 2005. http://hdl.handle.net/10500/2229.

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The aim of the study was to describe the perceptions of critical care nurses concerning family witnessed resuscitation, presenting arguments for or against the practice thereof. A quantitative, descriptive and exploratory approach was used. For the study, a non- probability convenience sample of 100 critical care nurses from five critical care units were used. A combined open-ended and closed-ended questionnaire was used. The majority of critical care nurses in the study disapproved of the idea of family witnessed resuscitation. They believed it to be traumatic for relatives, threatening to the resuscitation process and increasing litigation. Although the dominant feeling was one of disapproval, some critical care nurses felt that family witnessed resuscitation was beneficial to relatives. Recommendations for future practice included incorporation of educational programmes for critical care nurses concerning family witnessed resuscitation and providing training to deal with the stresses of family witnessed resuscitation.
Health Studies
M.A (Health Studies)

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38

Van, Bommel Michelle. "Expatriate non-Muslim nurses' experiences of working in a cardiac intensive care unit in Saudi Arabia." Thesis, 2011. http://hdl.handle.net/10500/5033.

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Nursing Muslim patients in the Kingdom of Saudi Arabia (KSA) poses challenges for expatriate non-Muslim nurses. Caring for Muslim patients in a cardiac intensive care unit, catering for patients who underwent open heart surgery, poses unique challenges to non-Muslim nurses. Semi-structured interviews were conducted with 63 non-Muslim nurses who cared for Muslim patients who had undergone cardiac surgery. Factors that influenced non Muslim nurses’ experiences of working with Muslim patients in the KSA, included culture shock, language barriers and a lack of understanding of Islam as a religion. In-service education sessions, addressing these issues, could enhance non-Muslim nurses' abilities to render culture competent care to Muslim patients in a cardiac intensive care unit in the KSA. Arabic-English translators could facilitate communication between the expatriate nurses and the Muslim patients.
Health Studies
M.A. (Health Studies)

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Shatnawi, Rani. "Perceived job stress and job satisfaction among intensive care nurses in the Kingdom of Saudi Arabia." Thesis, 2020. https://arro.anglia.ac.uk/id/eprint/706759/1/Shatnawi_2020.pdf.

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Background: This thesis explores the phenomena of job stress and job satisfaction among Intensive Care Unit (ICU) nurses in a multicultural nursing workforce at two main hospitals in the Kingdom of Saudi Arabia. Aim: To explore sources of perceived job stress and satisfaction among expatriate ICU nurses in a multicultural nursing workforce in two hospitals in Riyadh, Kingdom of Saudi Arabia. Methods: The research applied a mixed-methods design. Stage 1 (quantitative) distributed a survey to all expatriate ICU nurses employed by the hospitals; 421 (60%) responded. Participants completed the Critical Care Nursing Stress Scale (CCNSS), the McCloskey/Mueller Satisfaction Scale (MMSS), and demographic questionnaires. Stage 2 (qualitative) consisted of semi-structured interviews with 19 intensive care nurses recruited from stage 1 respondents. Findings: Overall, the CCNSS identified a moderate level of work-related stress. Closer analysis however identified workload factors, lack of appreciation/respect /support from managers, and negative interprofessional factors, especially with physicians, as being strong sources of stress. Nurses with a Bachelor's degree had highest stress scores suggesting an educational influence. Overall, the MMSS identified a moderate level of job satisfaction but closer analysis identified specific strong sources of dissatisfaction related to ‘Extrinsic rewards’ in particular ‘Salary’, ‘Vacation’ and ‘Maternity leave’. Married nurses scored lower on job satisfaction suggesting a need for further work on personal/social factors. Qualitative findings corroborated quantitative outcomes but also extended insights by identifying adverse nurse/patient ratios, expectations around meal times, and cleaning beds, floors and equipment, as important sources of stress and dissatisfaction. Additional sources were cultural; expatriate nurses reported discrimination of salaries and benefit packages based on nationality and gender. Female nurses felt discriminated against by KSA society inside and outside the hospitals. Conclusions: The study makes a valuable contribution to understanding job stress and dissatisfaction among migrant ICU nurses in the Kingdom of Saudi Arabia. This mixed methods design identified strong sources related to work demands, lack of appreciation, recognition of their skills, and respect from managers and physicians, and salary/benefit differentials according to nationality and gender. Regarding the latter, it is of note that since completing this study the regime has introduced unprecedented societal changes, particularly freedom and fairness, which make it important for future work to re-examine present findings in that context.

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Maake, Pauline Mmaletshabo. "Pre-operative patient education for patients undergoing kidney transplant as viewed by nephrology nurses." Diss., 2017. http://hdl.handle.net/10500/23708.

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The purpose of this study was to determine the views of nephrology nurses regarding pre-operative education prior to kidney transplant. The study was conducted in Nephrology Ward in King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia. Qualitative descriptive design was used. Purposive non-probability sampling was used until data saturation occurred. Target population were registered nurses working in the Nephrology Unit. Both male and female nurses aged between 25 and 59 years working for a period of at least one year in the Nephrology Unit were included in the study. Data saturation was reached after interviewing 15 nephrology nurses. Themes and categories emerged from adopting Creswell’s (2013) “data analysis spiral”. Some of the key findings were that pre-operative patient education is a multidisciplinary team approach and that psychosocial aspects of the patients should be taken into consideration before educating the patients. Conclusions were drawn and recommendations were also made from findings of this study. Ultimately, key recommendations were that there is a need to train and empower nurses in importance of delivering pre-operative education and that expatriate nurses have access to Arabic speakers to overcome language barriers while educating the patients
Health Studies
M.A. (Health Studies)

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Rademeyer, Beatrix Jannette Isabella Magdalena. "The perceptions of registered nurses about patient-friendly health services rendered within an ambulatory care setting in King Abdulaziz Medical City, Riyadh." Diss., 2014. http://hdl.handle.net/10500/13870.

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The purpose of this study was to explore and describe the perceptions of registered nurses about patient-friendly health services rendered within an ambulatory care setting in the King Abdulaziz Medical City, Riyadh (KAMC-R), Kingdom of Saudi Arabia. A qualitative, explorative, descriptive and contextual design was used. Fifteen registered nurses (one male and 14 female) voluntarily participated in this study. The data collection process comprised of semi-structured individual interviews with the participants to explore what they perceived to be patient-friendly health services. The obtained data were analysed using Van Mannen’s thematic analysis method. The emerging empirical data identified four themes, three categories and nine subcategories; a literature control was incorporated to validate the findings. The study findings revealed that the participants identified cultural differences as a quintessential obstacle in rendering patient-friendly health services in the study context. Professional yet patient-friendly communication proved to be a challenge as did ambulatory care flow. This had the potential to compromise patient-friendly health services. Meeting the patients’ needs was acknowledged. However, the needs, goals and values of patientfriendly healthcare services were perceived differently by the patients on the one hand and the registered nurses on the other and this affected the process of interaction and delivery of patient-friendly care. Despite the fact that the registered nurses daily experienced ongoing challenges which compromised patient-friendly health services, they were aware and committed to deliver patient-friendly health services. The process of scientific inquiry concluded with the limitations of the study and recommendations were made based on the findings.
Health Studies
M.A. (Heath Studies)

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42

Alqarni, Ayidah Sanad Mubark. "Designing a Simulation Intervention to Reduce Stress among New Graduate Registered Nurses in the Intensive Care Units in Saudi Arabia: A Mixed Methods Design." Thesis, 2018. http://hdl.handle.net/2440/117808.

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Introduction: Health care professionals, including registered nurses are prone to stress, with new graduates experiencing high levels of stress in their graduate year. In Saudi Arabia many new graduates are expected to be placed in critical care units due to a range of contextual issues. These units are stressful; effective ways to assist these new graduates are required. Simulation learning is envisaged to be a novel strategy to overcome this issue. Reducing stress levels in new graduates assists them to transition to professional practice and has the potential to improve workforce demands by increasing retention. Thus, this research explored both stressors among new graduate registered nurses (RNs) in intensive care units (ICUs) and the potential use of a complex intervention using simulation to reduce these stress factors. For the purpose of achieving the aim of this study, the research was based in one hospital in Saudi Arabia, the King Saud Medical City- Riyadh (KSMC-R). It is also noteworthy that the complex intervention was designed and will be implemented and evaluated in future research. Objective: This study aimed to design a simulation based learning exercise (SBLE) based on the specific stressors experienced by new graduate RNs working in the paediatric and adult ICUs at KSMC-R. Methods: This research was based on an interventional mixed method design. The research involved the integration of three studies which incorporated both quantitative and qualitative approaches, whereby a sequential exploratory design was employed. Study 1: Survey of new graduate RNs in which 189 Saudi new graduate RNs were surveyed about their experiences of stress in their ICUs units using the Perceived Stress Scale (PSS) to measure the level of stress and the Expanded Nursing Stress Scale (ENSS) that measured the factors/frequency of stressors experienced by new graduate RNs in the ICUs. Study 2: Individual interviews of 10 new graduate RNs further explored their experiences of stressors in ICUs. Study 3: a single group discussion with 5 nurse educators investigated the extent and type of educational support provided for new graduates and educators’ views of and experience with simulation. Results: The results from the three studies were integrated using complementarity and triangulation techniques. From the results a complex intervention based on SBLE was designed to potentially assist new graduates to better manage and overcome these stressors. Conclusion: This research has contributed new knowledge regarding the level and nature of stressors that are experienced by Saudi new graduate RNs working in critical environments such as the ICUs. In addition the study offers a potential intervention to assist new graduates to deal with these stressors. The approach of using multiple data sources to inform the design of an SBLE has the potential to be used in other contexts.
Thesis (Ph.D.) -- University of Adelaide, School of Nursing, 2018

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Alboliteeh, Mohammed. "Choosing to become a nurse in Saudi Arabia and the lived experience of new graduates: a mixed methods study." Thesis, 2015. http://hdl.handle.net/2440/92214.

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Saudi Arabia has undergone rapid social and economic change in recent years. As one of the largest employers in the country, these changes have had a significant impact on the healthcare sector, in particular on the nursing workforce. In the past, Saudi Arabia relied almost exclusively upon expatriate nurses to meet the healthcare needs of its growing population. However, an increase in the Saudi population, high levels of Saudi unemployment, and a desire to redress the country’s reliance on an expatriate workforce, led the Saudi government to implement a Saudisation program, an initiative to recruit, train and employ Saudi nationals throughout the workforce. As a result, approximately 50% of nurses are now of Saudi nationality. This research is a mixed methods study. A quantitative study was undertaken to gain a description of the Saudi nursing workforce in Riyadh city; in particular their motivations, views of the profession and future plans. The initial aim of the quantitative study was to ascertain why high numbers of Saudi males were entering the nursing workforce in Saudi Arabia; however, female nurses were also surveyed in order to understand if there was a relationship between gender and motivations to undertake nursing, views of the profession and future plans. In this component of the study, a self-administered survey was distributed to all Saudi nurses working as registered nurses in Ministry of Health (MOH) hospitals in Riyadh. The results indicated that the Saudi Arabia nurses surveyed were young and inexperienced with a mean age of 27 years and with 80% having less than five years’ experience in the nursing field. Other important issues emerged in this study, such as the nurses’ desire for educational and professional development; poor working conditions in the sector; the low social status of the profession; difficulties associated with working in a mixed-gender environment; and cultural and communication problems. Significantly, just below half of all respondents intended leaving the profession. These results informed the second, qualitative component of this study which sought to explore in more depth, some of the findings which emerged from the initial component of the study. The second study aimed to explore the lived experience of newly gradated Saudi Nurses. Twelve newly graduate nurses who had been working in Ministry of Health Hospitals in Riyadh five years or less were interviewed. In-depth interviews in the Arabic language were performed with the nurses, who had been working in the profession for five years or less. Themes were identified from the data using van Manen’s hermeneutic phenomenological approach. Six major themes emerged from analysis of the data. Firstly, nurses felt unprepared for nursing. They felt they lacked the educational and training support they required, had little knowledge of the profession before joining, and had rarely chosen the profession themselves. Secondly, nurses in the study felt they were not readily included in nursing teams and were marginalised and discriminated against by management and expatriate nurses. In addition, Saudi nurses suffered from the poor social status associated with the profession and were subject to criticism and poor treatment by family, other health professionals and society at large. Despite this, nurses in general had a positive attitude to their profession. Saudi nurses indicated that they believed Saudi nurses were vital to the profession; both male and female nurses considered male nurses of central importance to the profession to ensure that the cultural and religious needs of Saudi patients were met. Finally, Saudi nurses showed an awareness of social changes occurring in nursing and in society in general and expressed a desire to be part of this change. This study offers important insights into a segment of the Saudi nursing workforce, which has not been the subject of intensive study. This new, emerging nursing workforce is making a mark on the Saudi healthcare sector. In order to prevent attrition in the nursing field, Saudi nurses need to be provided with appropriate education, training, respect and working conditions. This study offers important recommendations and insights for the future of Saudi nursing.
Thesis (Ph.D.) -- University of Adelaide, School of Nursing, 2015

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Kolobe, Litaba Efraim. "Perceptions of surgical nurses regarding the post-operative pain management of patients after total hip or knee replacement surgery." Diss., 2015. http://hdl.handle.net/10500/20071.

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The purpose of this study was to explore and describe the surgical nurses’ perceptions about the management of post-operative pain and strategies employed in management of pain in patients who have undergone total hip or knee replacement surgery in King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia. Qualitative, exploratory-descriptive research design was applied. Purposive nonprobability sampling was used and data collected by means of audio-recorded semistructured individual interviews. Data saturation was reached after interviewing twenty surgical nurses. Themes and categories emerged from adopting Creswell’s (2013) “data analysis spiral”. One of the key findings was that patients reportedly experience moderate to severe pain during the first three days after surgery, before it is controlled on mild to moderate levels or before the patient is pain free. Conclusions were drawn, and one of the major ones was that multimodal strategies are employed by the surgical to manage post-operative pain. Recommendations were also made from findings of this study, and one key recommendation was that expatriate nurses to have access to Arabic speakers to overcome language barriers.
Health Studies

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Alotaibi, Khalaf. "Pain assessment and management in infants and children: A mixed methods study of the knowledge and attitudes of nurses working in Saudi Arabia." Thesis, 2019. http://hdl.handle.net/1959.13/1412105.

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Research Doctorate - Doctor of Philosophy (PhD)
Background: Unrelieved pain amongst hospitalised infants and children remains a widespread problem, despite decades of extensive research and the development and ready availability of evidence-based guidelines and standards supporting clinical practice for effective management of children’s pain. Research into pain in hospitalised children shows that their pain is often ignored or neglected, under diagnosed, poorly assessed, under treated, unmanaged and unaddressed. Whilst relief from pain is a fundamental human right, hospitalised children worldwide continue to experience unrelieved pain and distress. Unrelieved pain may be harmful to children both physiologically and psychologically and it has many adverse effects, short term and long term. Providing effective pain care is an integral part of the nurse’s professional role and practice. This thesis focuses on the understanding of knowledge, attitudes and beliefs of professional nurses in SA (Saudi Arabia), who are largely expatriates providing care for Saudi children with pain. In the light of the large expatriate workforce, it was also important to understand the barriers and facilitators to pain management and the impact of cultural differences on the pain care provision for children. At the time of writing this thesis, there were no published studies conducted in SA on this topic to guide the improvement of children’s pain management. Aims of the Study: The aims of the study were to: (1) examine the knowledge and attitudes of Saudi and non-Saudi nurses in relation to infants’ and children’s pain assessment and management, (2) identify the barriers and facilitators to effective pain assessment and management for infants and children in SA, and (3) identify the cultural factors impacting pain assessment and management for infants and children in SA. Methods: A two-phase sequential explanatory mixed-methods design was used in the study reported in this thesis. In Phase 1, a descriptive cross-sectional survey, the Paediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain (PNKAS-Shriners Revision) was distributed amongst 750 eligible Registered Nurses (RNs) working at five government hospitals in the Riyadh region of SA. Data were analysed using descriptive (frequency, percentage, mean and standard deviation) and inferential statistics, including Pearson Correlation, Independent Samples t-test and one-way ANOVA tests. Phase 2 of the study adopted a qualitative approach involving semi-structured interviews with 17 nurses, drawn from the survey participants. These interviews explored the nurses’ experiences of working in SA with children in pain. Data were transcribed verbatim and thematically analysed. Significant relevant statements were highlighted, coded, categorised and clustered thematically. Results: In Phase 1, 410 valid surveys were received representing an overall response rate of 54.7%. The overall mean correct score achieved by all participants; Saudi (n=75, 18.3%) and non-Saudi nurses (n=335, 81.7%), was 15.04 on the 31 items assessed for knowledge. While on the nine items relating to attitude, their overall score for correct answers was 3.08. Poor overall knowledge and attitudes about children’s pain and its management was evident in this study in different areas, such as pharmacology, non-pharmacological approaches and pain assessment. Phase 2 of the study identified many barriers to managing children’s pain effectively. Themes that emerged from the data were (1) children’s pain: a low priority, (2) culture, religion, mistrust, and pain, and (3) understanding/misunderstanding childhood pain behaviour. Pain in children was not a priority of care for either nurses, physicians or hospitals as health organisations. Barriers to effective pain management included cultural and language differences and misunderstandings, religious matters and conflicts, distrust in expatriate nurses’ care as well as poor team communication and collaboration. Facilitators for pain management included parents’ participation in their child’s pain care and developing a trusting relationship with the child during hospitalisation. Conclusion: This thesis shows that many expatriate nurses in SA were unable to care for children in pain because of cultural, religious and language challenges. Findings should be responded to with urgency to ensure quality pain care for children in SA. Recommendations include prioritising children’s pain into hospital policy and daily routine practice, and improving team communication and collaboration through a teamwork approach to pain management. Ongoing educational opportunities are essential on culture and pain management for families of children, for nurses, and for any health professionals who are involved in childcare. This study is the first of its kind in SA and also the first of its kind globally on pain management in children involving a heterogeneous nursing population. The findings of this study could be used to improve nursing care and pain management practices in multicultural healthcare settings similar to those of SA and neighbouring Arab countries, and across the globe.

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AL, Qrishah Mohammad Hassan. "The Factors Associated With the Occurrence of Medication Errors in the Ministry of Health Hospitals in Saudi Arabia: A Cross-Sectional Study of Nurses." Thesis, 2017. http://hdl.handle.net/2440/110348.

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Aim: to investigate the factors associated with occurrence of medication errors (ME) in Ministry of Health hospitals in Saudi Arabia. Objective: To investigate nurses’ views on factors that contribute to medication errors. Methods: A cross-sectional descriptive survey was undertaken. A convenient sample of 152 nurses from three hospitals was obtained. Respondents were asked to determine factors associated with the occurrence of medication errors Results: A total of 152 of 300 (50.7%) questionnaires were returned. Exactly half of the respondents had been involved in medication errors once or more during their nursing career, with 26.97% (n= 41) having reported one or more medication errors at some point in their nursing career. A significant number (n= 131 86%) of respondents identified that unclear writing or illegible medication orders or prescriptions was the most significant factor in ME. Other highly significant factors contributing to errors included poor communication between nurses and physicians (n= 118, m=3.99), similarity in the name of medications (n= 114, m=3.92), similarity in the appearance of medications (n= 114, m=3.91), interruptions while preparing or administering medications (n= 101, m=3.71) , stressful working environments (n= 105, m=3.66), and a lack of medication safety education programs (n= 94, m=3.55). Conclusion: There are a range of factors that contribute to ME, of those the most significant is unclear or illegible medication orders or prescriptions. This study has identified a range of other factors in Saudi Arabian hospitals leading to medication errors, further research could be directed to the appropriate strategies to reduce them.
Thesis (M.Nurs.Sc.) -- University of Adelaide, School of Nursing, 2017

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Alqallaf, Hebah. "Exploring the need and potential role for school nurses in Saudi Arabian schools." Thesis, 2016. http://hdl.handle.net/1828/7515.

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The purpose of this study was to explore the need for school nurses in the Saudi school system and to explore the current role of nurses in school health education and health promotion in Saudi Arabia. The study used a qualitative approach that was guided by implementation literature. Fifteen participants (8 nursing students; 4 nursing faculty members; 3 nurses) answered open-ended questions and participated in semi-structured interviews. From the findings, three themes emerged to identify the current role of nurses in Saudi Arabian school: “Health educator”, “Health promoter”, and “Liaison with community”. Four themes were identified based on the potential role of nurses in Saudi Arabian schools: “Leadership role”, “Care provider role”, “Educator role”, and “Liaison with community”. Five themes were identified based on facilitators and barriers to providing health and physical education in Saudi schools: “University and college level support”, “School health services”, “Governmental support”, “Lack of cultural approval”, and “Demand for nurses exceeds supply”. This study contributes to our understanding of what are the current and potential roles of nurses in Saudi Arabian schools, are nursing students currently prepared to provide health education and promotion to school staff and students, and what facilitators and barriers exist for nursing to provide health education and promotion in Saudi schools. This information can contribute to decision-making processes, formulation of necessary legislation, and government measures towards the implementation of school nursing and physical education, particularly in girls’ schools in Saudi Arabia, so as to maximize health and wellness in the Saudi community.
Graduate
0680,0523,0714
hebah.alqallaf@gmail.com

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"Intensive Care Unit Competencies of New Nursing Graduates in Saudi Arabia, Nurse Educator and Preceptor Perspectives." Thesis, 2013. http://hdl.handle.net/10388/ETD-2013-11-1295.

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The purpose of this study was to describe the competencies needed by nursing intern students as identified by their preceptors and nurse educators, who choose to work as registered nurses in intensive care units in Saudi Arabia. The research questions this study investigated were 1) what do nurse preceptors and nurse educators believe are the competencies for new graduates to allow them to work safely in an intensive care unit in Saudi Arabia, 2) what are the competencies they should possess at the end of their internships. 3) Is there a difference between nurse educators and preceptors in the perception of required or expected competencies of the nursing role in the Intensive Care Unit (ICU)? Through the Interpretive Description methodology, data were collected through interviews, the guide for which was developed based on the Canadian Association of Critical Care Nurses standards for critical care nursing practice. The data were analyzed to identify common themes. Themes for intensive care unit competencies included: 1) needed skill competencies; 2) development of knowledge application competencies; and 3) strategies for quality improvement. A notable aspect of this study was the finding that Saudi Arabia, there was agreement among participants that nursing intern students were not prepared to work in ICU immediately after their internship year. Building on participants’ responses, nursing intern students may acquire satisfactory preparation during their internship through continuous evaluation, consistent guidance, extended time period, and orientation. Consequently, it represents a significant contribution to enriching the nursing intern students’ internship outcomes as well as the literature in the context of Saudi Arabia and in advancing the nursing workforce in Intensive Care Units in Saudi Arabia.

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Alzahrani, Naif. "Assessment of doctors and nurses attitudes toward patient safety in emergency departments of Australian and Saudi Arabian hospitals." Phd thesis, 2019. http://hdl.handle.net/1885/195030.

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Abstract Introduction: Within the context of addressing the high number of medical errors in hospitals, the overall aim of this thesis was to investigate and assess the attitudes of doctors and nurses towards the patient safety in Saudi Arabian and Australian hospitals emergency departments. Methods: A mixed method research design was employed to address this aim. The quantitative study was conducted among doctors and nurses working in the emergency departments of Saudi Arabian and Australian hospitals. The qualitative part was conducted among doctors and nurses working in the emergency department of Saudi Arabian hospital. It was hypothesised that doctors will have more positive safety attitudes than nurses (H1). It was also hypothesised that patient safety attitudes amongst nurses and doctors will be comparatively more negative on the dimensions of management and working conditions (H2). Moreover, it was hypothesised that positive safety attitudes would be correlated with fewer reported clinical errors (H3). This thesis also compared the difference in patient safety attitudes between Saudi doctors and nurses and non-Saudi doctors and nurses. In addition, the differences in patient safety attitudes between doctors and nurses in Australian hospital were compared. Finally, the study compared the differences in safety attitudes between the two countries: Saudi Arabian and Australian sampled hospitals. Results: In the quantitative phase of the research in this thesis, Saudi doctors and nurses (N = 503) and Australian doctors and nurses (N = 51) working in hospital emergency departments completed the safety attitudes questionnaire (SAQ). The safety attitudes questionnaire measured the safety attitudes of doctors and nurses on the dimensions of teamwork climate, safety climate, perceptions of management, job satisfaction, working conditions, and stress recognition. In the qualitative phase of this research, Saudi doctors and nurses (N = 20) engaged in semi-structured interviews to provide comprehensive and rich data on their attitudes towards patient safety climate. Whereas the data from the quantitative studies was analysed with inferential statistics. In support of expectations, the findings showed patient safety attitudes amongst nurses and doctors were comparatively more negative on the dimensions of management and working conditions (H1). The findings also confirmed the expectation (H2) that doctors working in hospital emergency departments would report more positive attitudes toward the patient safety than nurses. Moreover, the findings also showed nurses reported lower teamwork climate and collaboration attitudes on the SAQ than doctors in both the Saudi and Australian hospital contexts. Even though there was evidence of under-reporting of medical errors by doctors and nurses, the findings provided qualified evidence to support the expectation (H3) that positive safety attitudes would be related to fewer reported clinical errors. Conclusion: These main findings and others in the thesis raise several empirical, theoretical and practical implications that centre on considering the impact of cultural and status differences on patient safety attitudes of doctors and nurses working in hospital emergency departments. The findings suggest that interventions to improve management support and engagement would lead to more positive patient safety attitudes among doctors and nurses. The findings of this thesis are also consistent the view that safety training interventions (during and post-medical school) are an important remedy to improve the engagement of doctors and nurses in patient safety in hospitals and to impact positively on the patient safety climate of hospital staff more broadly. In conclusion, the findings of this thesis provide one of the few research contributions to knowledge on the differential of doctors and nurses attitudes toward patient safety in hospital emergency departments.

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Dissertations / Theses on the topic 'Nurses Saudi Arabia'

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