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Alayyash, Maha. "Three-party medical consultations in Saudi Arabia : a mixed-methods study." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/25977.
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One of the cultural traditions in Saudi Arabia is that the Saudi female patient has to be accompanied by a third-party on her medical visits, thus giving rise to consultations between three parties. By third-party, I mean a chaperone or a family member who can be a patient’s spouse, parent, adult child, sibling, or relative. This person shares responsibility for the patient’s health and the patient relies on them to support them generally with assistance in terms of their health care needs and especially for medical visits. In this research, I focus on the presence of a third party in medical consultations with reference to patient satisfaction, how patients perceive the role of their chaperones during the medical visit and the nature of three-party medical interactions. To investigate these aspects, a convergent parallel mixed method design was used in order to develop a better understanding of doctor-patient-three party interactions, as no mixed method study has been conducted on these issues in medical consultations in Saudi Arabia. Hence, this study addresses this gap in literature by focusing on the interaction between the Saudi female patients, their male physicians and their chaperones. I have concentrated on the Saudi female patients (from different age groups, i.e. 19-75) for religious and cultural reasons. Therefore, the overall aim of this thesis is to understand the phenomenon of three-party consultations in Saudi Arabia through a variety of aspects including patient satisfaction, patients’ perceptions, and what actually happens in three-party medical interactions (e.g., alignment and epistemic asymmetry). The data for this study included quantitative (i.e. questionnaires) and qualitative (i.e. four open-ended questions and observational and audio-recorded) data collected in one phase from 20 clinics in 3 hospitals in Jeddah in Saudi Arabia (two private and one governmental). A total of 117 female patients along with their chaperones were recruited. Statistical analysis of the questionnaire ratings showed that only patient’s education has a positive effect on patient satisfaction with chaperone involvement. Findings from thematic analysis of the open-ended questions data revealed that patients described three supportive roles of the chaperones, namely emotional, informational and logistical support. The patients’ perceptions regarding their chaperones’ supportive roles are re-evaluated in a real-life context by observing the chaperone’s facilitative role in three-party consultations. Therefore, conversation analysis of the audio-recorded data showed three main patterns of alignment: (1) doctor-patient, (2) chaperone-patient (and patient-chaperone), and (3) chaperone-doctor (and chaperone-patient) alignments. All these actions indicate that the participants were collaboratively involved in the positive interaction and this enhanced patient participation. However, in analysing three exceptional cases from the Chemotherapy and Haematology clinics, it was found that the presence of a chaperone dominates as well as complicates doctor-patient interaction and thus can significantly override or ostracise the patient who does not know her illness. For example, by using the Conversation Analysis approach, various epistemic resources used by the interlocutors (i.e. the oncologist and chaperones) are displayed by which the patient’s epistemic primacy is usurped and her epistemic access is controlled in terms of participation and the amount of information given. In comparing the mixed methods used in this study, congruent and discrepant results are found between the quantitative and qualitative data. In terms of congruent results, overall, the findings of this study concurred on the importance of having a supportive chaperone during a female patient’s medical appointment. Chaperones’ supportive roles appear to differently influence female patients’ symptoms, diagnosis or treatment plan. Chaperones in the current study have provided a useful contribution to the doctor-patient interactions. However, in terms of discrepancy, findings yielded by the conversation analysis (in Chapters 6 and 7) showed a discrepancy between what patients reported (see Chapter 5) about their chaperones’ supportive roles and what their chaperones did in the consultation. For example, the thematic analysis of the open-ended questions found that both genders were equally likely to be active in speaking for the patient. However, the conversation analysis of observational data adds and clarifies to what patients reported about their chaperones speaking on their behalf. The conversation analysis has given a good picture of the chaperone’s supportive role during medical visits in orienting towards patients as being the actual owners of their bodies and illness (see Chapter 6). Therefore, patients were given the chance to present their problem. Chaperones, in working collaboratively with patients and physicians, support the patient and facilitate the physician’s understanding. However, in only two exceptional cases (see Chapter 7) of actual medical interactions, the chaperone acts as a surrogate patient and restricts the patient’s own knowledge of their illness. Therefore, the current study contributes to three important areas, namely: (1) the literature of three-party interactions, (2) three-party interactions in Saudi Arabia, and (3) clinical practices in Saudi Arabia.
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Banaser, Manal S. "Patient satisfaction in oncology ward settings in Saudi Arabia : a mixed methods study." Thesis, University of Stirling, 2016. http://hdl.handle.net/1893/23848.
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Background: Since the 1980s, Saudi Arabia’s socio economic transformation has led to vast social development. As a result there has been increased adoption of behaviours such as smoking and sedentary life styles, which pose a risk to health. It is anticipated that cancer incidence will double over the next two decades and it is thus vital that high quality of care is provided to meet the growing health care demands. Moreover, it is important that patients are satisfied with their care provision. This thesis begins with a narrative synthesis of the existing literature about patient satisfaction in the Saudi context and beyond. An evaluation of the key concepts for understanding patient satisfaction illuminated the lack of evidence about the assessment of patient satisfaction including specific key domains of the structure and process of care. This evaluation also indicated the need to further investigate the Saudi patient perspectives in oncology hospital setting. The aim of my study was to examine the extent to which clinical effectiveness impacts upon patient satisfaction in oncology ward settings in the Kingdom of Saudi Arabia (KSA). Methods: A sequential explanatory mixed methods design was employed. The Donabedian quality framework (1980) and Patient experience model (Reimann and Strech 2010) were used to assess patient satisfaction with quality of care provided. A quantitative phase was followed by a qualitative phase. In the first phase, the European Organisation for Research and Treatment of Cancer (EORTC) IN-PATSAT32 validated questionnaire was used to collect data from 100 adult oncology inpatients at a Cancer Centre in Riyadh. The second qualitative phase involved semi-structured telephone and face to face interviews with 22 adult oncology inpatients who previously answered the questionnaire. Synthesis occurred at the intersection of quantitative Phase 1 and qualitative Phase 2 data. The qualitative Phase 2 thus further explored the satisfaction scores of quantitative Phase1 to deepen the understanding of patient satisfaction in oncology ward settings in KSA. Findings: The main findings were that patient satisfaction levels are influenced by the clinical effectiveness of doctors and nurses, accessibility to health care and socio-demographic factors. Specifically, the interpersonal aspects of care were deemed core to patient experiences in oncology ward settings in KSA. It emerged that doctor-patient relationships, nurse shortages and language barriers are particular areas where changes could be made to improve care, thereby enhancing patient satisfaction. These findings contribute important new insights into the interpersonal aspects of care in the light of the underlying social and cultural contextual factors that influence patient satisfaction in the KSA. Conclusion: This study has provided new evidence supporting the need for stronger interpersonal relations and a more patient-centred approach in the oncology health system in KSA. In particular, the influential role of cultural issues in influencing patient satisfaction in oncology ward settings was apparent. Evidence provided by this research will make a substantial contribution to policy makers and hospital management teams in the KSA wanting to improve patient satisfaction in oncology wards and in other health care settings.
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Algamdi, S. J. "Older patients' satisfaction with home health care services in Al-Baha Region, Saudi Arabia." Thesis, University of Salford, 2016. http://usir.salford.ac.uk/40219/.
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In this study, I have presented the background of the current health services supported by the Saudi government and how these services work. Older patients’ satisfaction and home health care are discussed, ageing population as well. Also, the theory of patient-centered care which is used in the Ministry of Health in Saudi Arabia is presented and reviewed in this thesis. To answer the research questions, hypothesis and meet the objectives, two main methods were used for this study, employing a cross-sectional survey and subsequent qualitative interviews. It included three major aspects regarding the pertaining topic of research, i.e. ageing, patients’ satisfaction and home health care. These three areas are explored in consideration with educational level, gender and marital status of the employed participants. The Home Care Patient Satisfaction Instrument - Revised (HCCSI-R) was used. For this questionnaire, a response rate of 87% participants (n=410) was achieved. The findings of the quantitative part of this study showed that there is high contentment amongst patients about the Home Health Care (HHC) services being provided in Al-Baha region, Saudi Arabia. This is indicated in the findings, which reveal that 99.3% of respondents would recommend the service to other older people; while a mere 0.7% of people would not. The next part of this study has presented the in-depth qualitative interviews and analyzed the results using the content analysis which revealed several overarching themes related to providers’ perceptions of home health services. These topics reflect the common experiences of the group such as the Perceptions of HHC services as providing comprehensive medical care which serves to provide the effective care, reduce the burden on hospitals for the chronically ill, minimize the period of stay for patients, reduce rates of infection, improve psychological health of patients, and maintain patient dignity. In the end, keeping in view the variabilities of customs and religious conventions, recommendations are made to enhance the quality of services. Through the discussion with service providers and leaders in the Ministry of Health, it has been proposed pre-emptive action to improve the existing home health care services along with recommendations to further strengthen these services in the latter part of this study. With these findings, this study has recommended that Patients should be treated in compliance with their respective cultural arrangement to maintain their comfort level , also do further future research in this field to discuss any changes or developments or (opposite) in the services provided to patients, considering how much has been addressing the problems relating to the consent of the patients under the complicated environment such as Al Baha region with taking account that the culture is a central issues in this thesis and it could be an issue for similar researches globally. I believe that, this study is the newest and I am the first researcher on this topic until now in the Saudi context.
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Mahrous, Mohamed Saad. "Does a systematic approach to quality improvement in hospitals Accident and Emergency increase patient satisfaction more than management exhortation : a case-study from Saudi Arabia." Thesis, University of Liverpool, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.423963.
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Zainy, Zainy M. Ali. "Primary care health centres : exploring the interface between patients' overall satisfaction with the primary health care environment, environmental factors, and non-environmental factors: case study Arriyadah City, Saudi Arabia." Thesis, University of Strathclyde, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287913.
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Aloudah, Nouf Mohammad. "Oral hypoglycaemic medication adherence in Saudi Arabia." Thesis, University of Aberdeen, 2016. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=231048.
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Diabetes has been labelled as one of the largest crises in the twenty-first century. Saudi Arabia is one of the top 10 countries for prevalence of diabetes and one in five people has the condition. Medication adherence assessment is vital to help clinicians reach therapy outcomes and identify gaps in patient management. The aim of this PhD was to explore oral hypoglycaemic medication (OHM) adherence in patients with Type 2 diabetes patients in Saudi Arabia and to identify factors associated with OHM adherence. The aim was addressed by: 1) Conducting a systematic review to identify which tools could be used to measure adherence to OHM as well as to quantify adherence levels across different countries; 2) Undertaking a cross-sectional study to quantify the prevalence of adherence to OHM in a group of patients in Saudi Arabia using a validated measure of adherence. An interview study on a subset of these patients then explored in detail Type 2 diabetic patients' beliefs and attitudes towards their OHM regimen, including factors which helped or hindered their medication taking behaviour. The systematic review included 37 studies. It showed that the level of OHM adherence varied widely across all measures: 36% to 95% when dispensing records were used, 37% to 98% with self-report, and 17% to 97% with pill counts. The term 'adherence' was most commonly used. There was no identified studies assessing OHM adherence in Saudi Arabia. The cross-sectional study showed that the level of OHM adherence was 40%, Lower adherence was associated with patients of younger age (OR, 1.084; 95% CI, 1.056-1.112), individual taking a higher number of non-OHM (OR, 0.848; 95% CI, 0.728-0.986) and having a higher HbA1c level (OR, 0.808; 95% CI, 0.691-0.943). The interview study identified several factors affecting OHM adherence using a validated theoretical framework. Facilitators of OHM adherence were OHM scheduling, knowledge about OHM, knowledge on other relevant behaviours such as diet and physical activity, knowing how to take OHM appropriately and how to manage hypoglycaemia. In addition, OHM adherence was facilitated by beliefs of preventing diabetic complications, avoiding insulin injections, achieving an improved quality of life, accepting diabetes, being optimistic about the future, and having high self-confidence. Conversely, barriers to OHM adherence were forgetfulness, cognitive overload, lack of knowledge of sexual health implications of OHM, and knowledge of OHM side effects or drug-drug interactions. Furthermore, side effects of OHM such as weight gain or hypoglycaemia, knowing how to measure blood sugar, feeling no symptoms, and having many medications to take were additional barriers to OHM adherence. The MASA study also showed that there are several social- and physical-related factors affecting OHM adherence such as the patient-physician relationship and perceived family support. The work in this PhD suggests that targeting suboptimal OHM adherence behaviour needs to be done in a comprehensive manner. The key benefit is to provide future researchers with a comprehensive range of factors that can be targeted when defining targets for an intervention(s). Further systematic intervention development and testing is required to choose and prioritise the most promising interventions to improve OHM adherence.
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Aldajani, Mouhamad. "Electronic patient record security policy in Saudi Arabia National Health Service." Thesis, De Montfort University, 2012. http://hdl.handle.net/2086/6016.
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Saudi Arabia is in the process of implementing Electronic Patient Records (EPR) throughout its National Health services. One of the key challenges during the adoption process is the security of EPR. This thesis investigates the current state of EPR security in Saudi Arabia’s National Health Services (SA NHS) both from a policy perspective and with regard to its implementation in SA NHS’s information systems. To facilitate the analysis of EPR security, an EPR model has been developed that captures the information that is stored as part of the electronic record system in conjunction with stated security requirements. This model is used in the analysis of policy consistency and to validate operational reality against stated policies at various levels within the SA NHS. The model is based on a comprehensive literature survey and structured interviews which established the current state of practice with respect to EPRs in a representative Saudi Arabian hospital. The key contribution of this research is the development and evaluation of a structured and model-based analysis approach to EPR security at the early adoption stage in SA, based on types of information present in EPRs and the needs of the users of EPRs. The key findings show that the SA EPR adoption process is currently proceeding without serious consideration for security policy to protect EPR and a lack of awareness amongst hospital staff.
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Alonazi, Mamdooh Shrier. "An evaluation of a patient safety culture tool in Saudi Arabia." Thesis, University of Sheffield, 2011. http://etheses.whiterose.ac.uk/14990/.
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Background Safety culture is considered to be an essential element of patient safety. Several tools are available to assess patient safety culture in hospitals. One of the most common methods of assessing safety culture is the use of safety climate questionnaires. Research question Is there an existing patient safety culture measure that can be demonstrated to be a valid and reliable tool for use with the workforce in hospitals in Saudi Arabia? Aim and objectives This study aims to identify whether there is an existing English language tool that would be suitable for assessing patient safety culture in Saudi context. The objectives of the study are: 1. To select an appropriate questionnaire to assess hospital patient safety culture. 2. To evaluate the face validity of the selected patient safety climate questionnaire. 3. To assess the psychometric properties of the selected patient safety climate questionnaire in hospitals in Saudi Arabia. 4. To develop the most appropriate measure for assessing patient safety culture for use in hospitals in Saudi Arabia. Methods Qualitative methods were used to evaluate face validity (n=12 hospital staft). Quantitative methods were used to assess psychometric properties (n=862 doctors and nurses in three hospitals in Saudi Arabia). Findings Evaluation of face validity identified a need for minor changes to the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire wording before it was used to collect data for psychometric assessment. The results of Confirmatory Factor Analysis (CF A) and reliability analysis showed an unsatisfactory fit for the factor structure of the original HSOPSC questionnaire to the Saudi data. Exploratory Factor Analysis (EF A) was used on one half of the Saudi dataset to produce an optimal model(s). This was followed by CFA of the resulting measurement model on the second (validation) half of the data to test the fit of the resulting optimal factor structure. The result of EF A showed that eight factors (23 safety climate items) is the optimal model to the Saudi data. I All factors consisted of two to four items. The items loading were between 0.43 and 0.97. The result of CF A confirmed the eight factors solution (CF A=O.94, RMSEA=0.045, SRMR=O.040, TLI=O.97). The results of EFA, CFA, correlation and reliability analysis (Cronbach's alpha) showed that the optimal model for the Saudi data consists of eight patient safety culture dimensions (23 safety climate items). Conclusion This is one of very few studies to provide an assessment of an American patient safety culture tool using data from Saudi Arabia. The results indicate the importance of appropriate validation of patient safety climate questionnaires prior to applying them to populations outside contexts in which they were developed. The validated Saudi English language version of the HSOPSC questionnaire is an appropriate patient safety climate questionnaire to assess patient safety culture in Saudi hospitals.
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Almotiri, Naif. "Teleconsultation perspective for cardiovascular patients in Saudi Arabia." Thesis, Brunel University, 2012. http://bura.brunel.ac.uk/handle/2438/7343.
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This research of teleconsultation services aims to improve the quality of diagnosis and treatment for rural cardiovascular patients through utilizing distant medical expertise. Equitable access to expert healthcare as well as improved medical management for these patients can assist in modifying cardiovascular disease (CVD) risk and reduce morbidity and mortality in Saudi Arabia. The objectives were to design and develop a new care pathway for cardiovascular disease patients by utilizing teleconsultation technology, investigate factors and issues that might act as barriers to its adoption, and then evaluate the impact of this model on the stakeholders. A small scale pilot project was used to determine the issues of technology, processes and human resources required to deliver an effective service with the context of the research setting. Four primary healthcare centres, two regional hospitals, fifteen patients and sixty other participant stakeholders were included in this study. An approach using (PCP) patient care pathways was used to introduce the teleconsultation technology and integrate it within the healthcare delivery system. Compared to the traditional PCP, the modified PCP utilising teleconsultation technology improved the quality of healthcare through: Improved access to medical care and quality of diagnosis by obtaining the expertise of a distant specialist. More efficient medical evaluation and management. Enhanced role of primary healthcare centres and participating hospitals by providing all levels of health services for patients. Evidence-based referral (reduced waiting time, reduced burden on outpatient clinics). The telconsultation adoption barriers included: Inadequacy of finance Limited infrastructure Legal and regularity difficulties. Organization issues. Literacy on technology. This study recommends the following for telemedicine implementation in the country: Promote perception and readiness for ICT services with the healthcare community. Enhance structural readiness including appropriate infrastructure and adequate funding, human resources and equipment. Proactive policies to encourage growth of the telecommunication sector and to address concerns regarding privacy and security.
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Al-Fahhad, Abdulrahman. "Non-Saudi employees' job satisfaction and dissatisfaction in a private organization in Saudi Arabia." Thesis, University of Hull, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.419749.
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Introduction - In the recent years, job satisfaction and/or dissatisfaction have been the major concern of the public as well as the private sector in Saudi Arabia. In the public, unlike in the private sector, more emphasis has been placed on improving services excellency and promoting more on market research, promotion of business, generation of higher profits and sustenance of organizational growth. Purpose - Firstly, to determine the factors that contributes to employees' job satisfaction or dissatisfaction and the association (if any) between jobs related stress and employees' job satisfaction or dissatisfaction. Secondly, to determine the levels of jobs satisfaction or dissatisfaction among non-Saudi employees in the Twaik Medical Company (TMC) in Riyadh, Saudi Arabia. MethodlDesign - Ten Ministry of Health (MOH) hospitals took part in this study. Subjects were non-Saudi employees (phYSicians, nurses, engineers, technicians and labourers) working under the sponsorship of TMC. A random sample of 524 employees was obtained from a list of 2,250 active non-Saudi TMC employees (males and female). The selection criteria were: all non-Saudi employees accept those who were on vacation. The data was collected using Minnesota Satisfaction Survey Questionnaire (1967). The survey questionnaire (instrument) consisted of 56 items. Nine items were modified to match with the Saudi environment. The items were pre-coded on a 4-point scale as follows: 1 ='very dissatisfied,' 2='dissatisfied,' 3=satisfied,' and 4='very satisfied.' The questionnaire was pre-tested before being distributed to the respondents. 525 questionnaires were distributed. A total of 452 responses were received. Of these, 52 (11.5%) questionnaires were not fully completed; they were excluded from the analysis. The final sample foe a usable response rate of 88.5 percent (n=400) of the non- Saudi employees was achieved. The average age of the sample was 38.31, which is in the range of '29 -39" age group of the total sample. Data Analysis - The Statistical Package for Social Sciences (SPSS) computer program was used to analyze the data. The reliability of the study was consistent, with values of Alpha above .80. The frequency distributions and two by two (2x2) tables were used for descriptive and analytical purposes. Multiple regression and one-way analysis of variance (ANOVA) were applied for all and selected variables. Further, the Pearson Correlation Coefficient was instituted to determine the association between males and females' levels of job satisfaction and whether this association is significant or otherwise. Result - The results show that there is significant positive relationship between gender, levels of education and employee's job satisfaction (p = .05) for both males and female. Also, the results indicate that there are several factors that have significant influence on employees' job satisfaction or dissatisfaction. For example, the 'amount of salary,' 'top management,' and company's administrative policies are positively correlated to employee's job satisfaction (p = .005, P = .000 and p = .05) so as 'social activities' (p = .032). The work-related stress variables show that 'the inability to control anger,' relationship with subordinate' and 'unclear objectives' have positive association with employee's job satisfaction (p = .005, P = .03 and p = .023). Also, in Saudi Arabia, being female and number of years worked in the company is positively related with employee's job satisfaction (p= .05) especially on younger employees. These results are comparable with the results reported by Sokoyo (2000), Bhuian, AI Shammari and Jefri (1996), Bhuian and Manguc (2002). It proves that a survey is reliable method to determine employees' job satisfaction or dissatisfaction. Conclusion - This study has provided insights into the factors perceived as contributing to employees' job satisfaction or dissatisfaction in a private sector company. Therefore, further researches need to be conducted to understand the dynamics of non-Saudi employees in the Saudi private sector fully. Also, the TMC managers need to pursue strategies that would increase non-Saudi employees' commitment to work and increase their job satisfaction
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Al, Tamimi Nadia. "Predictors of marital satisfaction in arranged marriages in Saudi Arabia." Thesis, University of York, 2009. http://etheses.whiterose.ac.uk/14208/.
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Al-Sobayel, Hana I. "Patient education for women with knee osteoarthritis in Saudi Arabia : development of patient education programme." Thesis, King's College London (University of London), 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.435013.
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Al, Tayyar Khalid. "Job satisfaction and motivation amongst secondary school teachers in Saudi Arabia." Thesis, University of York, 2014. http://etheses.whiterose.ac.uk/6191/.
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Many studies of job satisfaction and motivation have been conducted in developed countries, but few in developing ones, including Saudi Arabia, in particular in the field of education. The present study investigates the general job satisfaction and motivation of teachers in boys’ secondary schools in Saudi Arabia, identifies the main contributory factors and explores the relationship between satisfaction and motivation and the effects of demographic variables such as age, qualifications, experience, length of service and training. In the quantitative phase, 737 teachers in 24 schools in Riyadh completed a self-administered questionnaire, then qualitative data were gathered by means of semi-structured interviews with 32 teachers. Factor analysis of the quantitative data, using SPSS, identified the following ten factors affecting job satisfaction: staff development; student progress; salary and promotion; supervision and status in society; educational system; marking pupils’ work; workload; nature of the work; administration; and interpersonal relationships. Factor analysis also identified two main factors with regard to motivation, labelled ‘intrinsic and altruistic’ and ‘extrinsic’. The interview data indicated that religion was a third motivating factor. The findings show that teachers were generally satisfied with their jobs and that interpersonal relationships made the greatest contribution to their satisfaction, followed by school administration and the nature of the work. Satisfaction was moderately influenced by marking pupils’ work, the educational system, supervision and social status, workload and conditions, salary and promotion, and student progress, whereas staff development contributed to teachers’ dissatisfaction. The participating teachers were generally highly motivated, more so by the intrinsic/altruistic factor than the extrinsic and religious ones. The study also found a significant relationship between teachers’ general job satisfaction and their general motivation. There were two other significant correlations: a relatively strong one between satisfaction and extrinsic motivation, and a less strong one between satisfaction and intrinsic/altruistic motivation. With regard to demographic variables, there were statistically significant differences in job satisfaction and motivation between teachers based on their qualifications, experience and subjects taught, whereas age, job grade, length of teaching experience at the present school, the number of lessons taught and having received in-service training were not associated with statistically significant differences between teachers in terms of either job satisfaction or motivation.
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Tameem, Jamal Abbas. "User Satisfaction in a Government Library : A Case Study of the Ministry of Foreign Affairs in Saudi Arabia." Thesis, University of North Texas, 1991. http://books.google.com/books?id=VMzgAAAAMAAJ.
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Diyab, A. H. A. "Working in ministries or public organizations in Saudi Arabia : A study of career development and job satisfaction of the Saudi Arabian middle managers." Thesis, University of Kent, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.379268.
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Al-Harrbi, Abdulaziz Salem. "The housing of pilgrims in Al-Madina : Islamic principles and user satisfaction." Thesis, University of Newcastle Upon Tyne, 1998. http://hdl.handle.net/10443/870.
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Where about 2 million people perform Hajj and visit the Holy places in Makkah and al-Madina. Pilgrimage is considered one of the largest event in the world. The increase in the pilgrims' number does not follow with an increase in the accommodation and built environment needs. As a result, pilgrims find themselves in a built environment which is not designed according to their satisfaction level. The specific core proposition of this study is to analyse the results of pilgrims' satisfaction with all aspect of their existing accommodation as a micro built environment, as well as with their neighbourhood and the city of al-Madina as a macro level of the built environment.
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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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Medabesh, Ali Mohemmed M. "Customer comfort as a marketing construct in healthcare." University of Western Australia. Dept. of Information Management and Marketing, 2009. http://theses.library.uwa.edu.au/adt-WU2009.0068.
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Customer comfort is an important factor in developing and maintaining relationships between customers and service providers. For example, it plays essential roles in selecting service provider. In spite of its importance, the concept of comfort has not been fully explained in the service marketing literature. Although, comfort has been discussed as a fundamental element in healthcare, its role in developing and maintaining customer relationships has not been fully explored in the boarder marketing literature. The present study focuses on the concept of comfort (physical and psychological) as a crucial factor in marketing health care services, particularly in Saudi private hospitals This thesis examines a number of the antecedents and consequences of physical and psychological aspects of comfort in the marketing arena. Antecedents investigated included: functional and technical dimensions of service quality, the environmental and social aspects of hospital life and service costs (monetary and non-monetary). Patients satisfaction was the consequence of customer comfort explored in this thesis. When the relationships between the physical and psychological aspects of comfort and their antecedents were examined, it was concluded that a number of these constructs were shown to have positive effects in the concept of comfort in Saudi private hospitals. For example, the construct of functional service quality appears to have a positive effect in the perception of psychological comfort. The construct of technical service quality, such as staff behaviours, also tends to have a positive effect in the perception of psychological comfort. The social and environmental aspects of hospital life stood out as the only construct that has a positive effect in the perception of physical comfort. While the monetary and non-monetary costs of the service were VII found to have no effect in the perceptions of both physical and psychological comfort. In testing the consequence of the physical and psychological aspects of comfort, it was found that psychological comfort tends to have a positive effect in satisfaction. Finally, the findings showed that the technical dimension of service quality appears to have significant effects in the perceptions of both psychological comfort and satisfaction. This implies that the technical dimension of service quality tends to promote psychological comfort and satisfaction for Saudi patients. The perception of physical and psychological comfort in Saudi private hospitals is also influenced by the roles of the Islamic religion which is based on the holy Quran and Sunnah of Profit Mohammed (peace be upon Him). In addition to the basic dimensions of comfort, these roles can be used to shape the perceptions of the concept of comfort. It may be useful for Saudi private hospitals to direct their efforts towards promoting patients comfort and satisfaction by providing healthcare quality experience that focuses on the functional and technical dimensions of healthcare services, the environmental and social aspects of hospitals and the costs of their services. Data has been collected using an established questionnaire to examine the relationship between comfort, service quality, hospital life and costs.
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Al, Ghamdi Abdullah Mohammed A. "Experience Design Modelling of the Relationship between Patient Recovery and Hospital Design in the Kingdom of Saudi Arabia." Thesis, Curtin University, 2021. http://hdl.handle.net/20.500.11937/84910.
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This study investigates the relationship between hospital design, development and operational stages and patient recovery in public hospitals in the Kingdom of Saudi Arabia. It examines environmental design issues in relation to stakeholders’ satisfaction by analysing events that support patient's healing and recovery as well as the effectiveness of care services. To achieve these, the study focuses on patient health recovery causations [that is, factors, requirements, needs and causes that influence patients’ health] and the roleplayed by the current design process in Saudi’s public hospitals.
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Abdulfattah, Fatthwia. "The effect of electronic customer relationship on customer satisfaction : a study in web banking in Saudi Arabia." Thesis, University of Huddersfield, 2012. http://eprints.hud.ac.uk/id/eprint/18098/.
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E-CRM emerges from the Internet and web technology to facilitate the implementation of CRM; it focuses on Internet or web-based interaction between banks and their customers. In particular, E-CRM enables banks to provide appropriate service and products to satisfy the customer and enhance customer loyalty, Furthermore, E-CRM features are vital for managing customer relationships online. They are generally referred to as concrete website functionality or tools and they are required for customizing, personalizing and interacting with the customer. Without E-CRM features, CRM could not be realized on the Internet. In fact, in the literature, there appears to be an absence of theoretical model for effects of E CRM features on customer satisfaction in general, and E-CRM features affect service quality, which in turn leads to customer satisfaction in particular. Consequently, this research attempts to fill the information gap. The aim of this thesis was to examine the effect of various E-CRM features at the different stages of transaction cycle (pre-transaction, during-transaction, and post-transaction) on customer satisfaction on banks websites in Saudi Arabia. Six basic hypotheses were tested, as parts of a theoretical model of these E-CRM features against seven service quality dimensions selected from the SERVQUAL instrument and discussed in detail in Chapter (3). Data was collected through a questionnaire which was administered in the Western Region (Jeddah) of Saudi Arabia in April/May 2010. The empirical analysis was carried out using a structural equation model. The results form of this research indicate that the use of E-CRM in building customer relationships effects online customer satisfaction and service quality. The efficiency of E-CRM program determine the level of which online features, such as site customization, membership, site information, privacy, security, product or service customization, alternative payment and frequently asked questions would be implemented on banks’ websites. This research contributes to knowledge in several ways. Most importantly, it illustrates the roles of E-CRM features in enhancing service quality and customer satisfaction at different stage of transaction cycle. In particular, this research highlight the critical dimensions of service quality, which managers in the banking sector should invest in their customer satisfaction strategies.
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Saleh, Mohammad Y. N. "The impact of pressure ulcer risk assessment on patient outcomes among hospitalised patients at Riyadh Military Hospital, Saudi Arabia." Thesis, De Montfort University, 2007. http://hdl.handle.net/2086/4343.
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This study is designed to evaluate the effectiveness of using PU RASs(the Braden scale) on patients' outcomes in terms of PU incidence. The study aimed to examine the effects of RASs (the Braden scale) compared to the effects of PU training and nurses' clinical judgement on patients' outcomes in terms 6fPU incidence. A non-equivalent pretest posttest controlled groups designs were used and the data were gathered using an observational checklist, the Braden scale for PU risk assessment, and nurses' clinical judgement rating scale. 719 hospitalised patients at Riyadh Military Hospital in Saudi Arabia were selected from 9 Medical-Surgical wards and were divided into 3 groups (A, B and C). In Group A, nurses received training on the Braden scale; in Group B, nurses received PU training, ,and Group C was control. The Braden score of:s 18 was used as a cut off score to determine at risk patients. The Agency for Health Care Policy and Research (AHCPR) (1992) classification system was used to consider PU incidence. Data were collected by one tissue viability specialist and two researchers. The findings showed that 22.9% of the patients developed PU (stage one to stage four). The PU incidence was relatively similar between the study groups (24.4% in Group A, 23.4% in Group B, a,nd 21.1% in Group C) which demonstrates no significant effect for using RASs (the Braden scale) compared to PU training and nurses' clinical judgment on PU incidence. The findings also pointed out a significant difference in PU incidence among pretest (31%) patients and posttest (19%) patients which suggest the clinical benefit of the PU prevention programme implemented by the RMH. Logistic regression analysis revealed that age, clinical judgement scores, Braden scores, standard hospitalbed mattress, neuro-surgical diagnosis, and skin barrier creams have predictive function in relation to PU development. The ROC analysis showed a relatively similar performance for Braden scale and nurses' clinical judgement in relation to PU development. The study concluded no significant effect of using RASs (the Braden scale) on patients' outcomes in terms of PU incidence reduction. In respect to this, the study suggests that .RASs (the Braden scale) and nurses' clinical judgement can be used together to improve patients' outcomes in terms ofPU development.
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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-Owaidi, Khalid. "A study of job satisfaction and commitment among vocational trainers in Saudi Arabia : the cases of Tabuk and Hail." Thesis, University of Exeter, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.418778.
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Alfaraidy, Hamdh Abdullah. "Unemployment : a study to explore the association between unemployment, family relationships, self-esteem and life satisfaction in Saudi Arabia." Thesis, University of Liverpool, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.631572.
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The issue of unemployment started to be considered as a major problem in the most developed countries during the 1930s when these countries faced a major economic recession. At that time researchers in different academic disciplines such as economics, sociology and psychology focused their research on the impact of unemployment on individuals, families and societies. In addition, studies concerning the impact of unemployment investigated topics such as the relationship between unemployment and suicide and juvenile crime. Researchers also focused on the relationship between unemployment and family life including family communication and general family functioning, and individual outcomes such as self-esteem and life satisfaction where mixed results were reported. In recent years most developing countries have started to focus on the issue of unemployment as a growing crisis. The government of the Kingdom of Saudi Arabia has recognised and responded to the problem of unemployment during the last two decades. The Saudi government now plan to address the problem of unemployment from different aspects such as economically, educationally and socially. This research focuses on the relationship between unemployment and family relationships and individual outcomes. Since the literature revealed few previous studies focused on the Saudi environment, it is hoped that the present study will contribute to the existing literature and provide important new evidence of the case of unemployment in the Saudi context. The literature helped in refining and developing the research variables and research questions. For data collection purposes, the study adopted a triangulation approach. In the first stage, a survey questionnaire was employed with a research sample comprising unemployed individuals (N= 550), and for comparison purposes a sample of employed individuals was selected (N=600). In the second stage, to obtain a clearer view and contribute to the comprehensiveness of the research findings, semi structured interviews were conducted with selected subjects who participated in the first stage and agreed to continue in the second stage. The results showed various relationships between unemployment and the examined factors. For family relationships, the results did not show a significant relationship between family communication (p = .697) and general family functioning (p = .242). For individual outcomes, the results indicated significant relationships between the two examined factors; self-esteem (p < .001) and life satisfaction (p < .001). In addition, the results showed that religion was the most frequently adopted strategy by participants that could help in reducing the impact of unemployment. However, the participants believed that family was the most reliable source of support. The results also reveal that the impact of unemployment can be influenced by factors such as wider support and work involvement. The interview findings showed similar themes where participants did not indicate that there was a negative relationship between unemployment and family relationships while evidence of the negative associations between unemployment and personal outcomes (self-esteem and life satisfaction) was reported. The findings helped the identification of different implications that can be of benefit for relevant organisations while contributing to academic knowledge about unemployment.
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Al, Asmri Mushabab Saeed Hassan. "Organisational culture, leadership behaviour and job satisfaction among primary health care professionals in Saudi Arabia : a mixed-methods study." Thesis, Queensland University of Technology, 2014. https://eprints.qut.edu.au/78375/1/Mushabab_Al%20Asmri_Thesis.pdf.
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The purpose of this study was to improve individual and organisational performance in primary health care (PHC) by identifying the relationship between organisational culture, leadership behaviour and job satisfaction. The study used a sequential explanatory mixed methods design, to investigate the relationships between organisational culture, leadership behaviour, and job satisfaction among 550 PHCC professionals in Saudi Arabia. From surveying the PHC professionals, the results highlighted the importance of human caring qualities, including praise and recognition, consideration, and support, with respect to their perceptions of job satisfaction, leadership behaviour, and organisational culture. As a consequence a management framework was proposed to address these issues.
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Alshehri, Abdullah. "Assessment of diabetes care in Saudi Arabia : by analysis of routine healthcare data, patient case notes and interviews with key stakeholders." Thesis, University of Dundee, 2014. https://discovery.dundee.ac.uk/en/studentTheses/98b4a50e-db5d-4344-b479-a6e4ccd330af.
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Background:Diabetes is a major public health problem in Saudi Arabia. One fifth (20%) of the Saudi population has diabetes and their healthcare takes almost a quarter (23%) of the total healthcare expenditure. A few sporadic small studies showed some evidence of suboptimal diabetes care. Aims:The aim of this study was to identify the deficiencies in diabetes care and the potential areas for quality improvement of service provision in Abha, a city representative of Saudi Arabia. Methods:A programme of research was undertaken using multiple research methods: semi-structured interviews with key stakeholders encompassing patients, healthcare professionals, managers and pharmacists; standard checklist for evaluating available resources; analysis of routine healthcare data; questionnaires to medical directors and healthcare leaders; and examination of the case notes of patients with diabetes. Results:The local registered diabetes prevalence was found to be lower than the national estimate (3.75% versus 14-25%). Almost three quarters (73%) of people with diabetes in Abha city have not been diagnosed. The vast majority (85%) of adult people with diabetes were either overweight or obese. Reviewing case notes of patients with diabetes at the primary health care centres (PHCCs) showed that only 4% had a record of HbA1c test and most patients (77%) did not achieve the recommended target of FBG of = 130 mg/dl (=7.2 mmol/l). Almost half the patients exceeded (47%) the recommended level of total cholesterol of = 195 mg/dl (5 mmol/l). Screening for diabetes complications is inadequate: foot examination was done for only 5.5%, neuro-examination for 37% and eye examination for 52%. Some medications e.g. mixed insulin and statins were not consistently available and inadequacies were identified in the provision of healthcare staff (e.g. dieticians and podiatrists) and laboratory resources (e.g. HbA1c test). Limited attention was given to health education and concerns were expressed about patient compliance. These findings were consistent across the multiple methods used. Conclusion:This study in Abha city found that a large number of Saudi patients with diabetes are not achieving recommended levels of glycemic, lipid and body mass index (BMI) control and are therefore at high risk of diabetes complications. Inadequate provision of laboratory facilities, drugs and patient education programmes compound these problems. Recommendations are made for strategies to improve both the structure and processes of diabetes care and the healthy behaviours of people with diabetes.
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Alyousif, Abdulmohsen A. "Examining the most economical ways in which medicines can be both presribed and dispensed in Saudi outpatient hospitals : a study carried out, exclusively in Saudi Arabian Hospitals, to determine the consraints, problems and possible solutions to effective medicines supply for outpatients." Thesis, University of Bradford, 2012. http://hdl.handle.net/10454/5696.
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Backround. Based of my personal observations when employed as a pharmacist in a Saudi hospital it was clear that there were problems with medicine supply to outpatients. This thesis was designed to scientifically investigate the types of shortages, the reason(s) for such problems and potential solutions to the problem. Methods . This study was undertaken using a variety of experimental techniques to determine the views and perceptions of patients, pharmacists, physicians and administrative staff of the hospital under examination. To establish the scale of the problem: focus groups (n=25), structured questionnaires, structured interviews/meetings for health care professionals and a national survey (n=650) were the research tools used to objectively determine the relevant data. The data were analyzed by appropriate statistical methods. Results and Discussion That there was a real problem was quickly established in the data obtained from patients. A similar finding was made for each of the 'professional groups'. The central problem was one of shortages of medicines for prescriptions presented by outpatients. It was not a case the medicines were simply not available because they were never stocked but rather a simple shortage in the dispensary stock. It was established the lack of medicines was not due to central budget arrangements but involved prescribing quantities outside of the hospital guidelines which no degree of planning could accommodate. There was also the very unexpected finding that a prescription could be filled in a variety of hospital dispensaries as individuals could access more than one hospital or they could consult more than one physician for the same condition and obtain effectively double the supplies. Communications between the hospital and patients and the health care professionals could all be improved by perhaps increasing the knowledge of the patient about the correct use of medicines. Recommendations. A series of recommendations for future work is provided
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Alotaibi, Naif Daefallah. "Extending and validating the is-impact model in Saudi Arabia : accounting for computer network quality." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/57942/1/Naif_Alotaibi_Thesis.pdf.
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Organizations from every industry sector seek to enhance their business performance and competitiveness through the deployment of contemporary information systems (IS), such as Enterprise Systems (ERP). Investments in ERP are complex and costly, attracting scrutiny and pressure to justify their cost. Thus, IS researchers highlight the need for systematic evaluation of information system success, or impact, which has resulted in the introduction of varied models for evaluating information systems. One of these systematic measurement approaches is the IS-Impact Model introduced by a team of researchers at Queensland University of technology (QUT) (Gable, Sedera, & Chan, 2008). The IS-Impact Model is conceptualized as a formative, multidimensional index that consists of four dimensions. Gable et al. (2008) define IS-Impact as "a measure at a point in time, of the stream of net benefits from the IS, to date and anticipated, as perceived by all key-user-groups" (p.381).
The IT Evaluation Research Program (ITE-Program) at QUT has grown the IS-Impact Research Track with the central goal of conducting further studies to enhance and extend the IS-Impact Model. The overall goal of the IS-Impact research track at QUT is "to develop the most widely employed model for benchmarking information systems in organizations for the joint benefit of both research and practice" (Gable, 2009). In order to achieve that, the IS-Impact research track advocates programmatic research having the principles of tenacity, holism, and generalizability through extension research strategies. This study was conducted within the IS-Impact Research Track, to further generalize the IS-Impact Model by extending it to the Saudi Arabian context. According to Hofsted (2012), the national culture of Saudi Arabia is significantly different from the Australian national culture making the Saudi Arabian culture an interesting context for testing the external validity of the IS-Impact Model.
The study re-visits the IS-Impact Model from the ground up. Rather than assume the existing instrument is valid in the new context, or simply assess its validity through quantitative data collection, the study takes a qualitative, inductive approach to re-assessing the necessity and completeness of existing dimensions and measures. This is done in two phases: Exploratory Phase and Confirmatory Phase. The exploratory phase addresses the first research question of the study "Is the IS-Impact Model complete and able to capture the impact of information systems in Saudi Arabian Organization?". The content analysis, used to analyze the Identification Survey data, indicated that 2 of the 37 measures of the IS-Impact Model are not applicable for the Saudi Arabian Context. Moreover, no new measures or dimensions were identified, evidencing the completeness and content validity of the IS-Impact Model. In addition, the Identification Survey data suggested several concepts related to IS-Impact, the most prominent of which was "Computer Network Quality" (CNQ). The literature supported the existence of a theoretical link between IS-Impact and CNQ (CNQ is viewed as an antecedent of IS-Impact). With the primary goal of validating the IS-Impact model within its extended nomological network, CNQ was introduced to the research model. The Confirmatory Phase addresses the second research question of the study "Is the Extended IS-Impact Model Valid as a Hierarchical Multidimensional Formative Measurement Model?". The objective of the Confirmatory Phase was to test the validity of IS-Impact Model and CNQ Model. To achieve that, IS-Impact, CNQ, and IS-Satisfaction were operationalized in a survey instrument, and then the research model was assessed by employing the Partial Least Squares (PLS) approach. The CNQ model was validated as a formative model. Similarly, the IS-Impact Model was validated as a hierarchical multidimensional formative construct. However, the analysis indicated that one of the IS-Impact Model indicators was insignificant and can be removed from the model. Thus, the resulting Extended IS-Impact Model consists of 4 dimensions and 34 measures. Finally, the structural model was also assessed against two aspects: explanatory and predictive power. The analysis revealed that the path coefficient between CNQ and IS-Impact is significant with t-value= (4.826) and relatively strong with â = (0.426) with CNQ explaining 18% of the variance in IS-Impact. These results supported the hypothesis that CNQ is antecedent of IS-Impact. The study demonstrates that the quality of Computer Network affects the quality of the Enterprise System (ERP) and consequently the impacts of the system. Therefore, practitioners should pay attention to the Computer Network quality. Similarly, the path coefficient between IS-Impact and IS-Satisfaction was significant t-value = (17.79) and strong â = (0.744), with IS-Impact alone explaining 55% of the variance in Satisfaction, consistent with results of the original IS-Impact study (Gable et al., 2008).
The research contributions include: (a) supporting the completeness and validity of IS-Impact Model as a Hierarchical Multi-dimensional Formative Measurement Model in the Saudi Arabian context, (b) operationalizing Computer Network Quality as conceptualized in the ITU-T Recommendation E.800 (ITU-T, 1993), (c) validating CNQ as a formative measurement model and as an antecedent of IS Impact, and (d) conceptualizing and validating IS-Satisfaction as a reflective measurement model and as an immediate consequence of IS Impact. The CNQ model provides a framework to perceptually measure Computer Network Quality from multiple perspectives. The CNQ model features an easy-to-understand, easy-to-use, and economical survey instrument.
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Qattan, Ameerah. "The effect of work-related stress and burnout on nursing performance and job satisfaction : a study of hospitals in Saudi Arabia." Thesis, University of Sheffield, 2017. http://etheses.whiterose.ac.uk/20208/.
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Background: While there is much research on work-related stress among nurses in the literature, little attention has been focused on the effect of work-related stress and burnout on nursing performance and job satisfaction in hospitals within Saudi Arabia. In particular, studies from the western region of Saudi Arabia are lacking. Therefore, this study focuses on nurses in Jeddah, the country’s entry port and a city that regularly hosts pilgrims. Jeddah is highly multicultural, and the second largest city in Saudi Arabia with nearly 4 million people including travellers; it has the largest foreigner to citizen population ratio in Saudi Arabia, and a particularly high proportion of hospital nurses non-native to Saudi Arabia. Aim: The aim of this thesis was to identify research gaps and to contribute to existing knowledge by developing hypotheses pertaining to the level of work-related stress and burnout among hospital nurses in different hospital types in Jeddah. The study further evaluated the relationship between work-related stress and burnout, and how this related to nursing performance and job satisfaction. The analysis also examined the relationships between these variables among hospital nurses, and whether relationships are different for different hospital types. Methods: A systematic review of existing research into nursing stress in Saudi Arabia between 2003 and 2014 was carried out. From the 81 articles identified from the database search, 8 met the inclusion criteria. At the onset a pilot study was conducted was done among hospital nurses in King Abdulaziz University. Thereafter, a quantitative survey of 567 nurses derived from three large hospitals representing each sector (private, public and other governmental agency sector hospitals) was conducted. Bilingual questionnaires were used to collect quantifiable, reliable, and valid data in order to test the hypothesis derived from the pilot study. The data was analysed by quantitative research method of cross-sectional analysis and correlational study. Findings: Results showed levels of work-related stress varied among nurses depending on the type of hospital where the nurses were employed. Furthermore, there was a positive relationship between levels of work-related stress and burnout among hospital nurses working in all three types of hospitals in Saudi Arabia. However, there was a very weak relationship between work-related stress and job performance among private hospital (International Medical Center) nurses compared to the strength of this relationship observed in public hospitals. Stress was a significant predictor of burnout among nurses while burnout was the strongest descriptor of the relationship between work-related stress and job satisfaction among nurses. The analysis outcome revealed that work-related stress had the highest impact on job satisfaction, which was facilitated by burnout. Nurses working in the public (King Fahad Hospital) and university (King Abdulaziz University Hospital) hospitals reported high levels of stress and burnout, and also conveyed low levels of job performance and high levels of dissatisfaction compared with nurses working in the International Medical Center (IMC). The type of hospital moderated the effect between burnout and job satisfaction in both King Fahad Hospital (KFH) and King Abdulaziz University Hospital (KAUH) but did not affect the International Medical Center (IMC). The relationship between stress and burnout was significantly stronger in nurses working in the IMC compared with the KFH and KAUH hospitals. However, burnout was not important in the relationship between stress and satisfaction for those who worked in IMC. Therefore, hospital type did appear to moderate the mediation effect between burnout and job satisfaction, even though, the mediation effect occurred only in KFH and KAUH hospitals but not in IMC. Conclusion: The study demonstrated that there is evidence of work-related stress among nurses in Jeddah, Saudi Arabia. Its prevalence depended on the age,experience,nationality and the employment status of the nurses. Work-related stress and burnout impacted negatively on job performance and job satisfaction in nurses in public (KFH) and university (KAUH) hospitals but not in private (IMC) hospitals. Notably, there is a mediated relationship between work-related stress and burnout and a moderated mediation difference between the type of hospitals. Both work-related stress and burnout have shown an effect on the level of job satisfaction of nurses and their job performance. In essence, measures should be taken to help alleviate work-related stress and burnout levels of nurses working in non-privately funded hospitals Saudi Arabia. This study recommends an increase hiring Saudi Arabian nurses, a review of task allocation policies for nurses, provision of targeted training for nurses, increased focused government funds allocation to healthcare, an adoption of an integrated stress prevention intervention and management program throughout the healthcare system of Saudi Arabia.
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Almobarak, Foad Abdulaziz. "Beneficiaries' satisfaction with the Cooperative Health Insurance System (CHIS) in the Kingdom of Saudi Arabia : a case study of Riyadh City." Thesis, University of Hull, 2010. http://hydra.hull.ac.uk/resources/hull:4471.
Full textAbstract:
In 2005, Saudi Arabia implemented the Cooperative Health Insurance System (CHIS) for the purpose of shifting the financial burden of running health care services from the Ministry of Health (MOH) to the private sector. The aim of this study was to investigate, for the year 2007, beneficiaries' satisfaction with the CHIS in Riyadh, the capital city of Saudi Arabia, since no study had, as yet, been conducted. The current study uses a sequential explanatory design, a mixed methods approach, consisting of both quantitative and qualitative data analysis. The Canadian Common Measurement Tool (CMT) was used. In addition to service delivery, access and availability of facilities, communication and the cost dimensions, two new dimensions were added to the original instrument, namely, the employer role and the insurance company role. The results obtained showed the instrument was reliable and valid to be used to measure satisfaction with the CHIS. Using a five point Likert scale, 462 participants completed the questionnaires. Following analysis, 21 interviews contextualised by participant observation were conducted to assist in interpreting the findings of the primarily quantitative study. NVivo was employed for qualitative data analysis. Study findings revealed that 59% of respondents were moderately satisfied with the CHIS and that it has improved access to the health care system. However, beneficiaries were not satisfied with waiting times to receive the service under the CHIS. The comprehensiveness of covered health services was also a major concern. Beneficiaries were highly satisfied with their employer's role and moderately satisfied with the role of the insurance company in their coverage with health insurance. The most frequent problem reported by respondents was that some services were refused. The cost of health insurance and non-covered health care services was a common misconception. In addition, beneficiaries' awareness towards health insurance is still limited. The finding revealed that satisfaction with the insurance company role, service delivery, type of coverage and inclusion of family members were most important in explaining beneficiaries' satisfaction. Finally, the study provides insight into service improvement priorities which could inform future planning initiatives for health insurance development. The practical implications of the findings for health care providers, insurance companies and health care policymakers were highlighted, as were recommendations for improving the implementation of the CHIS in Riyadh city and suggestions for future research.
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Edrees, Mohammed Abdullah. "Urban changes in the residential layouts in Makkah City, Saudi Arabia : an assessment of residents' satisfaction with particular reference to residential barha." Thesis, Cardiff University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.250983.
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Al, Thagfan Sultan Saad. "An investigation of the current management of asthma in adolescents and children in Saudi Arabia, barriers to optimal care, and the influence of patient education." Thesis, Curtin University, 2012. http://hdl.handle.net/20.500.11937/1914.
Full textAbstract:
The incidence of childhood asthma in the kingdom of Saudi Arabia (KSA) ranges from 4% in some regions to 23% in others. Although international and national guidelines have been issued to improve the management of asthma, their implementation has not been as expected or hoped for. For instance, while the guidelines recommend the use of inhaled corticosteroids (ICS) as the first choice in chronic asthma treatment, international research shows that the use of these agents is suboptimal. This holds true in KSA. Many reasons have been suggested for the lack of implementation of guidelines and the inappropriate use of corticosteroids, including poor patient knowledge, attitudes and education, physician confidence and performance, health care costs, and available facilities.This research consists of four phases investigating the current practice of asthma management among both patients (children and adolescents) and physicians in primary health care in KSA with regard to the Saudi National Protocol for the Management of Asthma; it identifies barriers affecting young and adolescent patients’ and their families’ adherence with asthma management protocols and adherence with ICS use. It also evaluates the effects of education intervention and the provision of asthma action plans (AAPs).The first phase documents current patterns of management of asthma in children and adolescents in KSA, to assess the pattern and appropriateness of corticosteroid use in childhood asthma and to evaluate asthma management practice in primary health care centres (PHCCs) against the national protocol. A total of 230 respondents (56.1% male and 43.9% aged 5 to <10 years), comprising patients (or their carers) from Asser and Riyadh, completed a survey using a translated hybrid of the FACCT quality measures (Adult Asthma Measurement Survey-version 2.0) and Asthma Therapy Assessment Questionnaire (ATAQ) to provide data on patterns of asthma treatment, degree of asthma control, use of AAPs and PFMs (peak flow meters), and levels of patient education and knowledge. The majority of respondents in both regions had asthma classified as either mild or moderately severe (85.7%). Only 34.8% used ICS, while around two thirds (60.6%) used a β2 agonist only. Low adherence with PFM, spacer, and AAP use, and poor patient education, were found; as were regional variations. The conclusion is that asthma management tends to be inconsistent with national guidelines. Poor knowledge, attitudes, behaviours and self-efficacy, as well as lack of communication between patients/ carers and professionals, contribute to unsatisfactory management outcomes. The majority of study subjects did not have well controlled asthma.The second phase investigates physicians’ compliance with the National Protocol Asthma Guidelines in two regions of KSA. A total of 87 physicians from Riyadh (44) and Asser (43) completed a survey of strategies for management of asthma. The majority reported access to The National Protocol for the Management of Asthma at the point of care. Information about medication was provided by 78.2% of physicians to patients with moderate asthma and by 85.1% to those with severe asthma. AAPs were provided by 36.8% of physicians for patients with mild asthma, 55.8% for patients with moderate asthma, and 69.0% for those with severe asthma. Recommendations to use ICSs varied from 16.1% to 88.5% amongst six vignettes reviewed by the physicians. Bronchodilators were commonly recommended, and in some cases oral corticosteroids were deemed inappropriate. Compliance with national guidelines was found to be less than optimal. Poor communication between health care providers and patients/ carers was observed.A third survey uses The Illness Management Survey (IMS) and ICS scales for the purpose of identifying the barriers affecting Saudi asthma patients; it finds that 40% of participants believed that medications were unhelpful and doctors did not involve the patient in decision-making. Fewer than 40% of respondents reported adequate access to information. Low use of AAPs and PFMs, with inappropriate treatment, was observed; and ICS use adherence in this phase was low, with less than one third of respondents reporting daily use of ICSs. A majority reported more than five barriers to adherence with asthma management in general and ICS use especially, including lack of knowledge, patient behaviours and attitudes, lack of self-efficacy, misconceptions, misunderstandings among patients/ carers, poor communication, and lack of motivation and social support.The fourth phase evaluates the impact of an educational intervention and the provision of AAPs on asthma management outcomes. One group of patients was provided with education alone; a second group received education plus an AAP. Both groups A (n = 105) and B (n = 99) completed pre-intervention and post-intervention surveys. Both groups completed three steps: (1) a baseline self-administered questionnaire, (2) an education program, (3) a three-month follow-up period with the re-administration of the baseline questionnaire at the conclusion. Group A patients were also provided with an AAP. The education program improved patients’/ carers’ knowledge, behaviours/ attitudes, and self-efficacy, as well as their ability to communicate with health care providers; and resulted in improved asthma management outcomes. Use of controller medication and adherence increased. Furthermore, patients in the intervention stages had fewer asthma symptoms and better control of their asthma, which resulted in better quality of life. The conclusion is that the education program coupled with the provision of AAPs and follow-up achieved significantly better results.The overall of the study has found a number of differences in asthma management in KSA. In particular, an intervention and provision of AAPs and follow-ups led to notable improvements in patient outcomes.
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Omar, E. Y. "The effectiveness of the management of length of patient stay in Third World hospitals : A comparative study in Riyadh (Saudi Arabia) and Omdurman (the Sudan)." Thesis, Lancaster University, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.373800.
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Alnoeim, Fahad. "An examination of job satisfaction and its relation to motivation needs and some demographic variables in two different cultures (Saudi Arabia and the UK)." Thesis, University of Newcastle Upon Tyne, 2004. http://hdl.handle.net/10443/450.
Full textAbstract:
This research considers job satisfaction in two different cultures using a quantitative perspective. Questionnaires were used to collect the data for this study. The questionnaire has four parts: a job satisfaction scale developed by the researcher specifically for this study, the consequences of the level of job satisfaction part developed by the researcher, Manifest Need Questionnaire (MNQ), and the demographic part developed by the researcher. The subjects of this study were 406 middle managers from private organisations in Saudi Arabia, and 154 middle managers from private organisations in the North East region, England, UK. This thesis explores job satisfaction and its relation to the satisfaction with six job facets, satisfaction with co-worker, work itself, promotion, pay, supervision, and recognition. The six job facets were also examined in relation to the satisfaction with some variables associated with them. This thesis also examines the relationship between job satisfaction and motivation needs and some demographic variables. Significant positive relationships between the overall job satisfaction and the satisfaction with these job facets were hypothesized; and also significant positive relationships between job satisfaction and the four motivation needs (need for achievement, need for affiliation, need for dominance, and need for autonomy) were hypothesized in this study. Factor analysis gave us similar structure in the two samples. The two sets of factors contain exactly the samei tems, suggestingt hat using the items in this survey,m anagersin the two countriesc onceptualisejo b satisfactionc omponentsi n the samew ay. T-tests results suggestt hat there are statistically significant differences in the average satisfaction with co-worker, work itself, promotion, and supervision between the two samples, and no significant differences in the average satisfaction with pay, recognition, and overall job satisfaction were found between the two samples. The findings of this study support the notion that the level of job satisfaction has an effect on the employee's attitude towards the job and the organisation. It was found that satisfaction with the job accompaniedf avourablec onsequenceasn d vice versai n the two samples.J ob satisfaction was found to have very weak correlations with the four motivation needs in the two samples. Positive significant moderately weak relationships between job satisfaction and age, annual salary,w orking in the sameo rganisation,e ducation,a nd number of dependantsa; nd a very weak relation with the length of service in the Saudi sample. In the UK sample, very weak correlations were found between job satisfaction and the demographic variables; correlation with education was a significant but negativeo ne and correlation with number of dependantsw as negativea lso. Pearson Product-Moment Correlation test was employed to test the research hypothesis. Significant positive relationships between the overall job satisfaction and the satisfaction with the six job facetsw ere found, and hypothesesr egardingt he relationship betweent he four motivation needs and job satisfaction were rejected.
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Alaulamie, Lamees A. "Teaching Presence, Social Presence, and Cognitive Presence as Predictors of Students' Satisfaction in an Online Program at a Saudi University." Ohio University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1395341753.
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Alotaibi, Mishal M. "Evaluation of 'AIRQUAL' scale for measuring airlines service quality and its effect on customer satisfaction and loyalty." Thesis, Cranfield University, 2015. http://dspace.lib.cranfield.ac.uk/handle/1826/9651.
Full textAbstract:
Globalisation and stiff competition have changed the landscape of doing business. Decrease in customer loyalty and increase in customer expectations have challenged businesses to come up with unique methods of enhancing their quality of service. The same is true for airlines industry too. As a result, many airlines have transformed their marketing strategies, especially with regard to service quality, in order to compete efficiently in the global market. The marketing literature has introduced models of service quality, e.g.: SERVQUAL and AIRQUAL to help organisations measure and enhance customer experiences. SERVQUAL has been extensively researched and applied in many industries. Similarly, AIRQUAL, a model for the airline industry, has been developed but applied only in Cyprus. Moreover, the AIRQUAL scale lacks validity, as its development process is incomplete. This research, therefore, adapted 30-items of AIRQUAL and assessed and validated this revised scale. The validated scale was then applied to the airline industry of Saudi Arabia. Further, a comprehensive model is proposed, where the impact of the validated scale of service quality is tested with its impact on customer satisfaction, attitudinal loyalty, word of mouth, repurchase intentions and complaining behaviour. The assessment and validation process is divided into two main stages: first, qualitative; where four focus group interviews were undertaken that generated 46 items for the adapted scale. These items describe the perceptions of airline customers regarding service quality and were classified on the bases of the scheme proposed by Parasuraman et al. (1988). Second, a three-phase two sample, quantitative, research was performed to derive a validated 30-item scale comprising five dimensions: tangibles, reliability, responsiveness, assurance, and empathy. Further, the improved scale was tested in a new market (Saudi market) in order to assess the service quality of Saudi Airlines. A total of 500 self-administered questionnaires were distributed among airline customers. The returned questionnaires underwent thorough screening and cleaning. The reliability of the scale was tested through Cronbach’s Alpha, followed by exploratory factor analysis (EFA), which emerged with five dimensions. The content, convergent and discriminant validities were established. Further scale confirmation was conducted on a sample of US airline passengers. Finally, the proposed model with nine hypotheses was tested, which resulted in statistically significant results for all the proposed hypotheses.
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Abalkhali, Abdulwahab Mohammed. "Testing for differences between factors affecting job satisfaction measures of librarians at King Abdulaziz Public Library and Al-Imam Muhammad Ibn Saud Islamic University Library in Riyadh, Saudi Arabia." Diss., The University of Arizona, 2000. http://hdl.handle.net/10150/284296.
Full textAbstract:
The problem addressed in this study was to test for differences in job satisfaction of the librarians who were employed at two different library settings: King Abdulaziz Public Library (KAPL) and Al-Imam Muhammad Ibn Saud University Library (IUL) in Riyadh, Saudi Arabia. The purpose of this study was to determine if there were differences in perception of job satisfaction between the librarians in two types of libraries. Other purposes of this study were: (1) To determine if the differences are a factor of the variables that related to the librarians' personal situations, such as marital status, age, education, type of library, nature of work, length of years working at the present library, length of years in the profession, position level, salary, compensation, training, and job leaving. (2) To determine the degree of job satisfaction related to factors that influence the environment of the work at these libraries, such as supervision, staff development, social status, and pay. To measure the differences in job satisfaction among librarians in both libraries, the study utilized a questionnaire based on the work of Al-Salem. The population for this study is all the librarians working in the two libraries. Results were tabulated from the distribution of 105 questionnaires. There were sixty-eight (64%) completed and useable questionnaires for both libraries. Of the 55 questionnaires, 32 (58%) were returned from Al-Imam University Library. Of the 50 questionnaires sent to King Abdulaziz Public Library, 36 (72%) were returned. The data obtained from the participants were examined and analyzed by using the SAS program to run the one-way analysis of variance (ANOVA) technique. If the one way ANOVA test revealed a significant difference at the .05 level, the t-test was used to find the differences in the satisfaction of the various groups of employees. The results of the survey revealed that among the twelve independent variables that were involved in this study, only three had statistically significant effects at .05 level. These were type of library, annual salary, and job leaving. Regarding the type of library, the university librarians were more satisfied than the public librarians with regard to pay. The study showed that librarians who fall in the middle annual salary range were more satisfied than the other two annual salary ranges. With regard to job leaving, it was found that this variable had a significant effect on the dependent variable pay. While there was some evidence of job dissatisfaction, some suggestions and recommendations are drawn. First, the employees' salaries should be raised in both libraries to provide a better balance with Saudi living expenses. Second, opportunities for training and staff development should be available.
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Almutairi, Adel Faza. "A case study examination of the influence of cultural diversity in the multicultural nursing workforce on the quality of care and patient safety in a Saudi Arabian hospital." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/51580/1/Adel_Almutairi_Thesis.pdf.
Full textAbstract:
The purpose of the study:
The purpose of this study is to investigate the influence of cultural diversity, in a multicultural nursing workforce, on the quality and safety of patient care and the work environment at King Abdul-Aziz Medical City, Riyadh region.
Study background:
Due to global migration and workforce mobility, to varying degrees, cultural diversity exists in most health services around the world, particularly occurring where the health care workforce is multicultural or where the domestic population comprises minority groups from different cultures speaking different languages. Further complexities occur when countries have a multicultural workforce which is different from the population for whom they care, in addition to the workers being from culturally diverse countries and with different languages. In Saudi Arabia the health system is mainly staffed by expatriate nurses who comprise 67.7% of the total number of nurses.
Study design:
This research utilised a case study design which incorporated multiple methods including survey, qualitative interviews and document review.
Methods:
The participant nurses were selected for the survey via a population sampling strategy; 319 nurses returned their completed Safety Climate Survey questionnaires. Descriptive and inferential statistics (Kruskal–Wallis test) were used to analyse survey data. For the qualitative component of the study, a purposive sampling strategy was used; 24 nurses were interviewed using a semi-structured interview technique. The documentary review included KAMC-R policy documents that met the inclusion criteria using a predetermined data abstraction instrument. Content analysis was used to analyse the policy documents data.
Results:
The data revealed the nurses‘ perceptions of the clinical climate in this multicultural environment is that it was unsafe, with a mean score of 3.9 out of 5. No significant difference was detected between the age groups or years of experience of the nurses and the perception of safety climate in this context; the study did reveal a statistically significant difference between the cultural background categories and the perception of safety climate. The qualitative phase indicated that the nurses within this environment were struggling to achieve cultural competence; consequently, they were having difficulties in meeting the patients‘ cultural and spiritual needs as well as maintaining a high standard of care. The results also indicated that nurses were disempowered in this context. Importantly, there was inadequate support by the organisation to manage the cultural diversity issue and to protect patients from any associated risks, as demonstrated by the policy documents and supported by the nurses‘ experiences. The study also illustrated the limitations of the conceptual framework of cultural competence when tested in this multicultural workforce context. Therefore, this study generated amendments to the model that is suitable to be used in the context of a multicultural nursing workforce.
Conclusion:
The multicultural nature of this nursing work environment is inherently risky due to the conflicts that arise from the different cultural norms, beliefs, behaviours and languages. Further, there was uncertainty within the multicultural nursing workforce about the clinical and cultural safety of the patient care environment and about the cultural safety of the nursing workforce. The findings of the study contribute important new knowledge to the area of patient and nurse safety in a multicultural environment and contribute theoretical development to the field of cultural competence. Specifically, the findings will inform policy and practice related to patient care in the context of cultural diversity.
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Alghamdi, Ahmed Dirwish G. "An integrated model of the influence of personal psychological traits and cognitive beliefs on customer satisfaction and continuance intentions in relation to Internet banking usage within the Saudi Arabian context." Thesis, University of Plymouth, 2014. http://hdl.handle.net/10026.1/3096.
Full textAbstract:
This thesis examines the effects of Culture, the Unified Theory of Acceptance and Use of Technology (UTAUT), Expectation Confirmation Theory (ECT) and Technology Readiness (TR) on the satisfaction and usage continuance intention of Internet banking customers within the Saudi Arabian context. The aim is to develop and test a new framework for use in determining the factors that affect Internet banking customers’ actual usage behaviours, with a special focus on the role of cognitive processes, and cultural and personal psychological traits. This research uses cross-sectional survey questionnaire methods within a quantitative approach. 261 valid responses were received. Structural Equation Modelling (SEM) was used to test the hypothesised relationships within the research model in Analysis of Moment Structures (AMOS 20) software. ECT is well established in conventional marketing literature and explains how cognitive beliefs and affects lead to customers’ repurchasing behaviour. It was first adopted for the Information Systems (IS) context and then customised to explain IS continuance intention behaviour. However, previous ECT customisations in the IS context present a significant knowledge gap because technology-based services are sensitive to individuals’ psychological traits, which ECT does not account for. This research integrates psychological traits and culture into the ECT framework to explain customer satisfaction and continuance intentions in the context of Internet banking usage. It combines ECT with the UTAUT in order to expand ECT to include more cognitive beliefs. Then it integrates TR and Culture to account for psychological and sociological traits. The results present a new contribution to the body of knowledge by validating a theoretically backed integration of the above models into one structural model. This model broadens the understanding of the factors that influence IS satisfaction and usage continuance intention. Compared to previous studies, the explanatory power of this model is a major improvement, with an R2 of (0.61) for usage continuance intention.
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Alharbi, Badr. "Mobile Phone Service Providers in Saudi Arabia : Students' Customer Satisfaction." Thesis, 2013. https://vuir.vu.edu.au/29494/.
Full textAbstract:
The mobile phone services sector in Saudi Arabia, whether in terms of its total subscription
numbers or volume of usage, is a booming market with extensive reach across all sections of
consumers. There are now three mobile phone providers in the KSA and the competitive
environment will require careful management by the companies to attract and retain customers,
especially young customers, as the industry continues to be privatised. But the Saudi mobile
phone services market has not yet been subjected to a comprehensive study outlining the factors
that influence Saudi customers in their choice of service provider and their decision to either
retain or terminate their subscription with a particular provider. This study examines customer
satisfaction, choice of service provider and usage characteristics of young Saudis, with a crosssectional
survey of data gathered through self-reported questionnaires from 323 students at
universities in Riyadh, Jeddah, Dammam and other cities.
The results show that STC was the most popular provider followed by Mobily and Zain.
Majority of the students were dissatisfied with their service providers due to poor pricing and
service quality, and one-third of the customers intended to terminate their contracts after
expiration date. Minimum cost service packages, lower rates of call, and free allowances on the
contract for social calls were significant predictors of the intention to change provider. Inferential
statistics revealed that gender is a relevant demographic factor in determining the respondents'
satisfaction and usage characteristics, whereas location is was tangentially related to satisfaction
due to a gender skew in some locations. Males tended to pay their own bills and use their phone
more than females for social calls than business/education, and males were more likely to change
their providers when their contract expired.
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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.
Full textAbstract:
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 patientsHealth Studies
M.A. (Health Studies)
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Alsemeri, Hamed Ateg. "Factors affecting job satisfaction: an empirical study in the public sector of Saudi Arabia." Thesis, 2016. https://vuir.vu.edu.au/31008/.
Full textAbstract:
This research examines the causes and effects of job satisfaction among public sector workers
in Saudi Arabia. A Job Satisfaction Model was developed based on theories supporting
factors in job satisfaction, organisational commitment, and intention to leave and the research
questions were tested within the scope of the model. A range of intrinsic and extrinsic factors
was proposed to analyse causes affecting job satisfaction, while the effects were examined in
terms of organisational commitment and intention to leave.
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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.
Full textAbstract:
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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"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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Bokhari, Rasha M. "Improving Patient Safety as a Function of Organizational Ethics in the Delivery of Healthcare in Saudi Arabia." 2016. http://digital.library.duq.edu/u?/etd,197197.
Full textAbstract:
In the Kingdom of Saudi Arabia, there has not been a systematic effort to evaluate the problems of medical error and patient safety as critical issues in healthcare organizational ethics. This dissertation aims to pursue the impact of the original IOM report on this crucial topic by adopting what have been done in the American healthcare system in order to gain insight for the Saudi Arabian healthcare system. This dissertation examines the functions of continuous quality improvement in the healthcare environment of Saudi Arabia through the lens of the organization’s moral agency. This dissertation identifies several areas in Saudi healthcare organizations that are in need of improvement. As a result, this paper makes several recommendations that systematically address patient safety and medical error so that the system can be free from adverse events and medical errors. This dissertation argues that Saudi healthcare organizations have an ethical responsibility to continuously improve the system of healthcare in order to enhance patients’ safety and to reduce medical errors. This dissertation also recommends that Saudi health organizations foster a culture of safety as part of their ethical responsibility toward the customers they serve. Therefore, Saudi healthcare organizations should have an active, anonymous, and confidential reporting system; an open communication and collaboration between healthcare professionals; and create a non-punitive system. In addition, this dissertation argues in favor of patients’ involvement in the treatment process, and for having an ethics committee in Saudi healthcare organizations.McAnulty College and Graduate School of Liberal Arts;
Health Care Ethics
PhD;
Dissertation;
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Altaf, Eiad Abdul-Aziz. "Online instruction in Saudi Arabian universities: attitudes and satisfaction towards e-learning systems." Thesis, 2014. http://hdl.handle.net/1959.13/1055061.
Full textAbstract:
Research Doctorate - Doctor of Philosophy (PhD)The study investigated academic staff and students attitudes and satisfaction in relation to demographic factors. General background information also was provided about the current situation of e-learning in Saudi Arabia. Several factors found were significantly related to academic staff and students attitudes and satisfaction such as gender.
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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.
Full textAbstract:
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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Khan, Aamina. "Nurses' work engagement practices in a multicultural hospital in Saudi Arabia." Diss., 2018. http://hdl.handle.net/10500/25315.
Full textAbstract:
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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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.
Full textAbstract:
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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Al, Ghamdi Abdullah. "The influence of lecturer text-based immediacy on student engagement experiences and learning outcomes in distance education in Saudi Arabia." Thesis, 2017. https://vuir.vu.edu.au/33598/.
Full textAbstract:
Over recent decades, lecturer immediacy has been a widespread topic of inquiry and
research. Investigations have specifically considered the influence of lecturer verbal and
non-verbal immediacy behaviours in the classroom and their resultant impact on students’
experiences and learning outcomes. Improvements in capacity and quality of information
and communication technologies support the increase in educational transactions moving
online and an increase in the number of distance education programs worldwide. Recurring
concerns within the distance education community are the issues of physical and
psychological isolation and the separation that students experience in contrast to the
conventional classroom environment at universities. In this context, this research focused on
lecturer verbal and non-verbal text-based immediacy behaviours in an online setting as a
potential factor in reducing students’ perceived sense of isolation (physical and
psychological) and in supporting students’ learning experiences. This study inquired into
the impact of lecturer verbal and non-verbal text-based immediacy behaviours in
distance education courses on the following four student engagement variables: (1)
online class participation; (2) communication satisfaction; (3) affective learning; and (4)
cognitive learning. The study was conducted at a University in Saudi Arabia and
involved participants enrolled in distance education courses.