Dissertations / Theses on the topic 'Self-care, Health Saudi Arabia'
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Al-Yaemni, Asmaa Abdullah. "Does universal health care system in Saudi Arabia achieve equity in health and health care?" Thesis, University of Liverpool, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.526777.
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Al-Zahrani, Ahlam. "Women's sexual health care in Saudi Arabia : a focused ethnographic study." Thesis, University of Sheffield, 2011. http://etheses.whiterose.ac.uk/14570/.
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This study was conducted to describe how women and health care professionals perceive sexual health and services that are currently provided in Saudi Arabia. Background At present, the worldwide health authority, in the form of the World Health Organisation (WHO) has drawn great attention to the importance of improving women's sexual health globally. It is increasingly concerned about women's sexual health and permanently works to shed light on the innovative approaches that are needed to raise women's awareness of risky behaviour. and to help them access the advice and treatment they need to avoid negative health outcomes that would impact on their future lives. Research into women's sexual health in Saudi Arabia will help in identifying possible causes of poor sexual health care that could be used as preventive tools in that, or similar cultures. In addition, it helps to meet women's physiological, emotional and educational needs, which is essential to support good sexual health.
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Bakhashwain, Abdullah Saeed. "Acceptance and utilisation of primary health care in Jeddah City, Saudi Arabia." Thesis, University of Hull, 1995. http://hydra.hull.ac.uk/resources/hull:3798.
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The provision of health services to all the population is one of the highest priorities in many governments' agenda, because the health system, education and social security are important indicators of the level of development of a state. However, the provision of health services to cover all the population is not easy, particularly in many developing counnies, which lack human and financial resources. In 1978, at Alma - Ata WHO and UNICEF jointly declared the primacy of the primary health care ( PHC) approach for achieving the WHO's social goal, " health for all the people by the year 2000". Since then, PHC has become a major concern on national and international levels. Saul Arabia one of the countries which has adopted and implemented the PHC approach.This study explores the implementation of the PHC approach, the utilisation of health services delivered at the health centres and health awareness in Jeddah, a major urban centre in Saudi Arabia, where public and private health services co-exist and compete, and where traditional medicine is still used and practised. A sample comprising both utilisers of the PHC centres and non- utilisers were questioned about their health practices, beliefs and attitudes, and an attempt was made to determine whether socio- economic and demographic characteristics were significantly related to utilisation and health awareness. No single pattern of attitude or behaviour was found to be consistently related to socio-economic or demographic characteristics. However, the findings indicate the general significance of education.The nature of service provision was found to affect satisfaction and a need was found to improve the quality of the health service and to remove bureaucratic barriers which impede utilisation. Although many aspects of PHC are successfully implemented, there is evidence of misunderstandings of the approach by both consumers and providers, which limits both utilisation and satisfaction. In particular providers and users still prioritises curative above preventive medicine, health education is still neglected, and the potential of the media in this respect is under-exploited.Finally, traditional medicine was found to be used and practised, but the finding; indicate there is not necessarily a conflict between the two systems. They appear to be used in a complementary way, and them may be scope for integration.
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Dossary, Mesfer. "Health and development in poor countries with particular reference to Saudi Arabia." Thesis, University of Aberdeen, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.295285.
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This thesis describes and analyses the development of the health care system in Saudi Arabia, particularly in the period since 1970. Two major differences between Saudi Arabia and most other countries have to be isolated. First, as a result of its oil wealth, Saudi Arabia has experienced extremely rapid economic growth over the last twenty years. Second, a very strong value system, Islam, has a persuasive effect upon Saudi society, including the organization of its health care system. The Basic Needs approach, which is favoured here, defines 'economic development' a the satisfaction of certain basic material human needs. Health care is important because it is one such basic need. The principal characteristics of health and health care in poor countries are examined. Patterns of mortality and morbidity are discussed as are the different health systems, and financial and health care planning arrangements, which are to be found. Trends in mortality, morbidity and life expectancy in Saudi Arabia are then discussed, bringing together data not previously assembled. The framework of the Saudi health sector is described. For the first time, the roles of health service providers, other than the Ministry of Health itself, are comprehensively documented. Regression contributions of rising living standards and the development of the health services to improvements in health status. Although some positive results are obtained, inadequate data prevent firm conclusions from being drawn. This crucial issue is therefore pursued on a more analytical level, employing comparative evidence on the experience of other countries. The final judgement is that economic growth, rather than the expansion of the health services, is the principal explanation of better standards of health in Saudi Arabia.
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Al-Tuwaijiri, A. M. "Primary eye care in Saudi Arabia : an integral part of the primary health care system." Thesis, Swansea University, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.635734.
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Blindness is a serious socioeconomic handicap and most causes of blindness are preventable. The Primary Health Care System has been identified by the World Health Organisation as the 'first line of defence' in tackling the health care problems of developing countries. This is as true for eye care as it is for the whole range of other diseases and illnesses that affect a country's population. The Primary Eye Care system is, therefore, essential in the prevention of many ocular disorders that may cause blindness. The aim of the thesis is to define the current status of primary eye care systems in the Kingdom of Saudi Arabia. It will concern itself with identifying and assessing the current resources and facilities that are available for eye patients at the primary health care level. It will also determine the strengths and weaknesses of the existing primary eye care system in the country according to geographical location, covering both urban and rural areas. Specific recommendations for action are formulated, in the light of the data collected, aimed at the reduction, control or elimination of avoidable and curable blindness. The ultimate goal of this thesis is, therefore, to add to the existing knowledge of eye care problems in the Kingdom and to put forward a series of recommendations to help in the prevention of blindness in the Kingdom of Saudi Arabia.
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Al-Maharwi, Saad Ali Gana 1957. "The impact of human activities on Asir National Park, Saudi Arabia." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/278241.
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Saudi Arabia has witnessed rapid development in economic, cultural and social aspects since the discovery of oil a few decades ago. This development involves all the governmental sectors including national parks. The need for national parks has become inevitable. Asir National Park was established to provide recreational sites and to preserve the unique natural and cultural features of the park. Research evaluated the impact of human activities of logging, grazing, hunting, land development and elimination and negligence of traditional architecture on Asir National Park features. A questionnaire, interviews and field observations were conducted to investigate the impact of these activities on Asir National Park. Asir National Park suffers a great deal of pressures from human activities. The local population depends on the park as their source of livelihood and as a traditional habit. The study illustrates the most affected zones where action should be taken to preserve park features.
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Al, Magrabi Katibah Saad Aldean. "Geographical aspects of health and use of primary health care services in Jeddah, Saudi Arabia." Thesis, University of Strathclyde, 2001. http://oleg.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=21426.
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This thesis examines the contribution that geographical analysis can make to the study of the variation in the patterns of human health and subsequently to the discussion on the type and level of use of the public health service in a rapidly developing country. The current study was conducted in Jeddah Governorate, Kingdom of Saudi Arabia during the period 1994 and 2000. One of the main aims was to examine the pattern of health services provided in Saudi Arabia and this aim was achieved by investigating the provision and use of the Public Healthcare services. An attempt was made to clarify the complex web of relations that existed between, on the one hand, the different socioeconomic and geographic factors and on the other, the distribution of common ailments together with the level of utilization of health services. Shortcomings in the nature of the official health statistics regarding socioeconomic conditions of the patients were remedied through the use of a questionnaire. A tot al of 1000 patients from the eight PHCCs were surveyed for their use of the public health service. Data was collected from the same patients on their socio-economic, education and habitation details. This sample was used to supplement the data collected from the official government health statistics. These two data sets permitted an evaluation of the occurrence of different ailments and the variations in geographic distribution among the eight selected PHCCs. Difficulties persisted in the availability of official 1992 census data until publication of census data became available in 1999. In contrast to the problems of the census data, the availability of accurate and up-to-date patient records compiled by Ministry of Health staff was of considerable benefit to this research project. Use was made of Geographic Information Systems software for the analysis of data collected at the level of the PHCC. This allowed visual identification of the spatial variation in the use of the different health services and also allowed the identification of gaps in healthcare provision. The study showed that a density of habitation index used as a prime indicator of socio-economic status could be used as an indicator of the occurrence level for a number of common diseases. A pattern of disease was observed that suggested that the number of visits to PHCCs was substantially higher in low socio-economic districts compared to medium and higher socio-economic districts. It can be shown that the most common ailment was Upper Respiratory Tract Infections followed by Dental and Gingival diseases. Persons aged between 15 and 44 years made most visits to PHCCs although children under 15 years made proportionately greater use of PHCC facilities. No difference could be found between Saudi and Non Saudi as regards the occurrence of the most common ailments and diseases. The lack of difference was probably due to the close integration of the two population groups and the sharing of the same local environment. This similarity occurred despite considerable differences in income levels and socio-economic status. The level of utilisation of health centers in the selected districts showed differences, being higher in those districts categorized as low socio-economic in the south of Jeddah when compared to higher socio-economic districts in the north of the city. It was evident that the difference in socio-economic factors had an impact on the occurrence of some frequently occurring diseases e.g. URI, Dental, Ophthalmic, musculoskeletal and skin diseases. Although not primarily concerned with private health care facilities, for completeness sake some information was collected on the use of private health care in conjunction with public health care facilities. The author was surprised to discover that greatest use of private facilities occurred among women and children patients from Al Nuzla al Yamaneyyah and Al Thaalebah, districts that were characterised by low socio-economic conditions. The use of traditional folk healing was also briefly studied as this form of treatment remains important for some patients. Results showed that there was no difference between the educational standards of patients and their use of traditional folk healers. Again, children and women constituted the majority (86.6%) of users of traditonal healing with Saudi users (18.9%) higher than non Saudi (11.4%). There remains the supposition that alternative medicine may be of far greater importance than the sparse official data suggests. The unquantified illegal immigrant population may be totally reliant on unofficially operating alternative medicine centres. The thesis concludes by recommending a number of improvements to the existing public health care system. Some changes in the policy and practice of PHCC services will inevitably require more financial resources. These include an extension of the opening times of PHCCs and an increase in the number of specialist facilities such as dental surgeries. Other changes may not require more finances. These include a strengthening of communication and co-operation between PHCCs and hospitals to improve the referral of patients. Expansion of the existing computer network connecting PHCCs with hospitals should be given high priority.
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Al-Megren, J. S. "Factors influencing the learning process in primary health care in Riyadh, Saudi Arabia." Thesis, Swansea University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.635699.
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Health education is an established, cost-effective primary health care intervention technology, at times the only tool available for disease control. As the PHC approach demands maximal participation by the community in solving its own health problems, the minimum the community can do is to adopt a health life style. Towards this end, the medical profession has a responsibility to initiate desired changes through changing the information levels of the community. Cancer prevention is one of the major arenas where educational inputs could play an important role. As the aeteo-pathogenesis of cancer depends on prolonged exposure to the risk factors, the progress of which can be altered through interventions at different stages of development. To this end, the existing information levels, the factors influencing the learning process in the population at risk (in terms of socio-demographic and cultural determinants), are required to be understood for planning and implementing educational intervention programmes. In this study an effort is made to explore the above mentioned factors with the ultimate goal of projecting an appropriate model for cancer education in a PHC setting in Saudi Arabia, by spelling-out the needed educational inputs in terms of culturally acceptable methods and material.
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Saleh, Doha Mahmoud Ismail. "The utilisation of ambulatory health care services in Saudi Arabia : a quantitative analysis." Thesis, London School of Economics and Political Science (University of London), 2004. http://etheses.lse.ac.uk/1862/.
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The thesis aims to investigate whether need is the major determinant of ambulatory health care utilisation for Saudi nationals in Saudi Arabia. This is done by applying multivariate analysis on the utilisation of both curative and preventive services on the data provided by the 1996 Saudi Arabia Family Health Survey. The analysis is applied within the framework of Andersen's sociobehavioural model, categorizing the factors that affect health services utilisation into predisposing, enabling and need factors. It can be concluded from the results that although need seems to be an important determinant of ambulatory health care utilisation, some of the predisposing and enabling factors were also found to affect health services utilisation, although the degree of their effect differs according to the health condition and type of services tested for. Need is dominant with regards to the utilisation of health services in response to children's diarrhoea, infants' full immunisation and attending at least one prenatal care session. But since some of the predisposing and enabling factors were found to affect health services utilisation, this highlights the importance of addressing the factors that were found to impede the utilisation at the health care system level as well as at the society level in order to achieve a more equitable health care system.
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Bargawi, Amina Adam. "Identification of quality attributes for primary health care services in Jeddah, Saudi Arabia." Thesis, Swansea University, 2007. https://cronfa.swan.ac.uk/Record/cronfa43079.
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In this study, the researcher attempts to identify special quality attributes in primary health care services in Saudi Arabia. Knowledge about these attributes will help in improving the quality of primary care services and enhance consumers' and providers' satisfaction. In addition, this study is trying to bridge the quality perception gap between PHC providers and consumers. A descriptive survey design (questionnaire) was used as the research methodology. The researcher developed the questionnaire after extensive revision of related literatures, its validity and reliability was carefully addressed. The study was conducted at the selected 18 Ministry of Health PHC centres at Jeddah city, Saudi Arabia. Random stratified sampling process were used to select the PHC consumers while, available sampling was used to select the PHC providers. The data is analyzed by using the (SPSS) program. Frequency, percentage, weighted mean, t -test and ANOVA were used. The result of the study indicated that PHC providers and consumers in Saudi Arabia perceived the four aspects of quality (structure, technical process, interpersonal process and outcomes) as very important, and they gave the structure aspect the higher importance rate among the others. The three most important PHC attributes are tangible, preventive services and staffing, whereas the least important attribute is the community participation. While a vaccination service is judged by both PHC providers and consumers as "Excellent" services, the Dental clinic, Community participation, Environmental health and Radiology service were judge as "Good" services. The general level of the quality of the PHC services was scored around 70%. "Deficiencies of medical equipments and materials" was the most frequent criteria against which the PHC providers judge the existence of poor quality, whereas, "provider show no courtesy and bad manner when dealing with the consumers" the most frequent criteria against which the PHC consumers judge the poor quality of PHC services. The implications of the findings were discussed, and recommendations were given to rectify certain problems.
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Alsaleh, N. S. M. "Identifying health education competencies for primary health care nurses in Saudi Arabia : a Delphi Consensus Study." Thesis, University of Salford, 2016. http://usir.salford.ac.uk/39563/.
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Research Aim: The primary aim of this Saudi-based study is to identify health-education competencies (knowledge, skills & attitudes) for Primary Health Care (PHC) nurses. Although the Saudi Ministry of Health (MOH) has highlighted the importance of health education provided in PHC by nurses, there have been no studies into the required competencies in the Saudi context. Methods: The Delphi technique was employed with a sample of sixty PHC nurses who matched the study’s inclusion criteria and they took part in a three-round questionnaire. A consensus criterion of 60 per cent was adopted for the study. The first round asked participants’ opinions about what items should be included within health education competencies for PHC nurses by selecting (Yes, No, Uncertain). In the second round, participants were asked to rank the competencies on which there had been no initial consensus, using a five-point Likert scale. In the final round, participants selected agree or disagree for each of the remaining competencies. Following the Delphi technique an interactive workshop was undertaken with primary health care nurses and service users, to consider the next steps and practical piloting and testing of the competencies. Principal Findings: The expert Delphi panellists eventually reached consensus on 45 of the 48 competencies for PHC nurses to engage in health-education practice. These competencies were classified into three domains: knowledge (22), skills (10) and attitudes (13). Three competencies related to knowledge did not reach consensus in the three rounds. The main outcomes of the interactive workshop suggest that service users would welcome the introduction of technology within the delivery of health education, and the PHC nurses confirmed the need for more training courses in order to improve their practice of health education. Importance and Relevance: This is the first study to identify health-education competencies for PHC nurses in S.A. The results from this study represent a contribution to knowledge in a PHC setting and they can assist the MOH by being an initial step on the road to developing a national competency and curriculum framework for PHC nurses’ practice. Also, it is the first study to involve service users.
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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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Al-Otaibi, Abdullah Saleh. "An assessment of the role of organisational culture in health care provision in Saudi Arabia." Thesis, University of Manchester, 2010. https://www.research.manchester.ac.uk/portal/en/theses/an-assessment-of-the-role-of-organisational-culture-in-health-care-provision-in-saudi-arabia(3eae33be-53b4-47f3-8af8-e6535d7d7130).html.
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The health care system in Saudi Arabia has faced a variety of problems affecting its services, especially in the management area, for example in coordination, duplication of services, authority and leadership. These problems have resulted in patients having difficulty accessing services, in long waiting lists, in medical malpractice and in dissatisfaction among patients and employees. At fault appears to be the organisational culture in the Saudi public sector. To understand this culture and to be able to change it in a positive way, this study applies the Competing Values Framework (CVF) to health care providers in Saudi Arabia. Since this application goes beyond the original Western context of the CVF, it is important to analyse the national culture of Saudi Arabia. Using a critical application of Hofstede’s framework, it was characterised by high power distance, collectivism, femininity and risk aversion. The organisational culture of the health service and its hospitals reflects these societal characteristics. Application of the CVF revealed a balance between the four types of organisational culture in the Saudi health care provision, in both the current and preferred situations. The findings also revealed that a hierarchy culture had slight prevalence when compared to other types in the current situation, while clan culture was slightly more prevalent in the preferred situation. To improve Saudi health care provision, a balance and a uniform strengthening of the four types of cultures (clan, adhocracy, market and hierarchy) is required. The findings of the research will be of use across Arab countries in a variety of public service settings. In addition, this research makes a considerable addition to a rather sparse stock of empirical studies in the management of culture in the Arab Gulf states.
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Alfaqeeh, Ghadah Ahmad. "Access and utilisation of primary health care services in Riyadh Province, Kingdom of Saudi Arabia." Thesis, University of Bedfordshire, 2015. http://hdl.handle.net/10547/603523.
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The Kingdom of Saudi Arabia (KSA) faces an increasing chronic disease burden. Despite the increase in numbers of primary health care centres (PHCCs) current evidence from the KSA, which is limited overall, suggests that access and utilisation of PHCCs, which are key to providing early intervention services, remain unequal with its rural populations having the poorest access and utilisation of PHCCs and health outcomes. There is a dearth (lack) of information from the KSA on the barriers and facilitators affecting access and utilisation of primary health care services (PHCS) and therefore this study aimed to examine the factors influencing the access and utilisation of primary health care centre (PHCC) in urban and rural areas of Riyadh province of the KSA. The behavioural model of health services use (Andersen’s model) provided the contextual and individual characteristics and predisposing, enabling and need factors which assist with an understanding of the barriers and facilitators to access and utilisation of PHCCs in Riyadh province. A mixed methods approach was used to answer the research questions and meet the objectives of the study. The converged qualitative and quantitative findings show that there are a number of predisposing (socio-demographic characteristics; language and communication and cultural competency) enabling barriers such as; distance from PHCCs to the rural residence, lack of services, new services, staff shortages, lack of training, PHC infrastructure, and poor equipment. Facilitators: service provider behaviour/communication, free PHCS, service provision and improvements, primary health care (PHC) infrastructure, manpower, opening hours, waiting time, and segregated spaces and need (increasing prevalence of chronic diseases, PHC developments in the KSA) factors influencing access and utilisation of PHCS. This study highlights important new knowledge on the barriers and facilitators to access and utilisation of PHCS in Riyadh province in the KSA. The findings have some important policy and planning implications for the MOH in the KSA. Specifically, the findings suggest: the need for clear documentation/guidance on minimum standards against which the PHCS can be measured; an audit of service availability at the PHCCs, regular patient satisfaction evaluations of PHCS, that the MOH take a parallel approach and continue to resource and improve buildings and equipment in existing PHCCs, the recruiting of more GPs, nurses, pharmacists, nutritionists and physiotherapists to meet patient demand and more Saudi health care staff, more targeted health education and interventions for the prevention of chronic diseases in the KSA and the need for an appointment system for attending the PHCCs. There is a need for further research into the barriers and enablers to accessing and utilising health care in Riyadh and the KSA overall. This research would be made easier with a clearer definition of rural and urban in the KSA context which would allow a greater comparability between urban and rural PHCS for future research, audit and evaluation as well as comparison with PHCS in other parts of the world. The Andersen model provided a useful conceptual model to frame this research and provided a structure for contrasting and comparing the findings with other studies that have used the Andersen model to understand the barriers and enablers to accessing and utilising health care services.
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Al-Shahrani, Homoud. "The accessibility and utilization of primary health care services in Riyadh, Kingdom of Saudi Arabia." Thesis, University of East Anglia, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.410310.
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Al, Qatari Ghazi M. "An evaluation study of the quality of primary health care in Qateef, Eastern Saudi Arabia." Thesis, University of Liverpool, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.338460.
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Al-Muzaini, Ahmed Saleh. "Investigation of the development of palliative care services for cancer patients in Saudi Arabia." Thesis, Cardiff University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.250753.
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Algaman, Abrahim Hamad. "TQM implementation in a health care setting : a case study of a Saudi Arabia National Guard primary care setting." Thesis, Manchester Metropolitan University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.311074.
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Jaber, Hanadi Mohamad. "The Impact of Accreditation on Quality of Care: Perception of Nurses in Saudi Arabia." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/41.
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Accreditation is recognized worldwide as a tool to improve health care quality. In developing countries, the interest in attaining international accreditation is growing despite the considerable resources the accreditation process consumes and the lack of information about its impact on quality of care. The purpose of this study was to assess the impact of Joint Commission International (JCI) accreditation on health care quality and to explore the contributing factors that affect quality of care as perceived by nurses. The theoretical foundation for this study was based on total quality management theory and Donabedian's model. The research questions for the study examined the impact of JCI accreditation on quality of care and the relationship between quality improvement activities and quality of care. A cross-sectional quantitative design was employed in which a self-administered questionnaire was used to collect data. Participants from one accredited and another nonaccredited hospital in a developing country in the Middle East formed the purposive nonprobability sample that included 353 nurses. The results of a Wilcoxon Rank Sum Test and a correlation analysis indicated that JCI accreditation has a significant impact on quality of care ratings by nurses. Also, multiple regression analysis showed that leadership commitment is the best predictor of quality of care as perceived by nurses. This study may foster social change by encouraging hospital administrators and policy makers, particularly in developing countries, to implement quality improvement programs that will eventually improve the health care system in their countries.
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Al-Ribdi, Mohamed Saleh. "The geography of health care in Saudi Arabia : provision and use of primary health facilities in Al-Qassim region." Thesis, University of Southampton, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.280833.
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Khan, Baraah A. "Providing mental health care to women in a Middle Eastern context : a qualitative study in Saudi Arabia." Thesis, University of Stirling, 2018. http://hdl.handle.net/1893/27318.
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In Middle Eastern countries the authority of male guardians means women often endure significant social and gender inequalities, which can contribute to mental health problems, and impact on the mental health care received. This exploratory, qualitative study investigated mental health care delivery to Middle Eastern women in Riyadh, Saudi Arabia. Nurses (7), psychiatrists (3) and clinical psychologists (3) from a mental health hospital, student nurse interns (6) from a public women’s university and mental health care service users (5) and their family members (7) from a charitable organisation underwent semi-structured interviews. Their mental health beliefs, views and perceptions regarding the provision of mental health care to Middle Eastern women were explored. Transcripts were analysed using grounded theory, underpinned by the theory of intersectionality. Social identities of culture, religion and gender emerged as particularly important intersecting influences. Social class was less prominent. Gender inequalities and family control significantly impacted on women’s mental health and the care they received. Women violating cultural norms risked psychiatric labelling, and being interned, whilst those with genuine mental health problems were stigmatised and sometimes rejected by families. Most health care professionals voiced frustration over cultural norms, which compromised the care they provided. Nevertheless, they respected service users’ behaviours to earn trust and facilitate a therapeutic relationship. They appeared to be subconsciously tailoring the biomedical model of care to ensure appropriate and effective, culturally competent and culturally safe care. Gender inequalities, marital stress, polygamy, supernatural beliefs, folk/faith healing, lack of knowledge, compassion fatigue and custodial versus therapeutic care also emerged as important themes. These findings informed recommendations for best practice in the care of women with mental health problems in Saudi Arabia.
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Alkhamis, Abdulwahab. "A comparison of access to medical care for insured and uninsured expatriates in Saudi Arabia." Thesis, University of Liverpool, 2013. http://livrepository.liverpool.ac.uk/12077/.
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Background: Saudi Arabia is one of the Gulf Cooperative Council (GCC) countries which have common characteristics such as high-income governments, dominant expatriate populations, and under-developed healthcare systems, including healthcare financing. The dominance of the expatriate working population raises the question of how to find a mechanism that ensures expatriates have appropriate access to medical care whilst the employers bear the responsibility of healthcare expenses. Saudi Arabia is one of the few GCC countries to have reformed its private healthcare system through a Compulsory Employment-Based Health Insurance (CEBHI). The CEBHI was designed to mitigate some of the disadvantages of the Employment Sponsored Insurance scheme previously implemented in the United States; and this is the first study to investigate the impact of this form of private health insurance on access to medical care, in a country such as Saudi Arabia. The main aim of the study was to explore the influence of health insurance on access to medical care, in order to assist the Saudi Government in their deliberations about making CEBHI compulsory for all people (citizens and expatriates) within Saudi Arabia. This aim was investigated through the following objectives: 1) to review health financing in Saudi Arabia and compare it with other GCC countries and elsewhere in the world; 2) to compare the access to medical care of insured and uninsured expatriates in Saudi Arabia; 3) to develop a framework for understanding the complex relationship of health insurance and access to healthcare, 4) to make policy-relevant recommendations regarding the key question as to whether compulsory health insurance in Saudi Arabia should be expanded. Methods: Two methods were used to tackle the study objectives. Firstly, a framework for country-level analysis of healthcare financing arrangements was used to compare and analyse the national expenditure on healthcare within the GCC and other developing/developed countries. Secondly, a logistic regression analysis of data from a cross-sectional survey was undertaken to investigate the impact of health insurance on access to medical care, considering the main workplace and personal characteristics of the expatriates. Three access measures, access to usual medical care (Access 1), inability to access medical care (Access 2), and utilization of medical care (Access 3), were used to evaluate access to medical care for the expatriate population. Prior to the implementation of CEBHI the expatriate population accessed medical care through a variety of different avenues. These modes of access were used as classification of the expatriate population into four groups. Two of these groups were insured but had a different Previous Method of Paying for Healthcare (PMPHC) (Group B=insured, not paid, and Group D=insured and paid) and two groups were not insured but also had different PMPHC (Group A=not insured, not paid and Group C=not insured, but paid). A multistage stratified cluster sampling was used, and a sample selected from each sector and company size proportionately. The total sample size was 3,278. A simple conceptual framework for studying access to medical care was developed to guide the multi-variate regression techniques, and greatly assisted interpretation of the results. Results: The GCC characteristics impact on the healthcare financing strategies of GCC countries in three ways. First, GCC governments provide the majority share of the health budget, similar to high-income countries. Second, GCC countries use different strategies to control expatriates costs, but some of these strategies lead to increased out-of-pocket expenses, which is a characteristic of low-income countries. Third, health care financing systems in GCC countries are still being developed as they finance most of their public services, including health care services, with revenue from natural resources (i.e. oil or gas). Additionally, some of their health care indicators are identifiable with those from below upper-middle income countries. In addition, after CEBHI, private expenditure did not change but remained around 22.4%, which does not reflect the huge number of people having access to medical care though private sector only. However, there was a shift in the means of private sector expenditure from Out Of Pocket payments to private insurance expenditure. OOP expenditure decreased from 32.3% in 2006 to 28.4% in 2008, and private insurance expenditure increased as a percentage of private sector expenditure from 26.2% in 2006 to 36.7% in 2008. Analysis of the data from the survey demonstrates that health insurance is strongly associated with access to medical care, as measured by the three different access measures). Compared to uninsured workers, being enrolled in CEBHI increased the possibility of an expatriate’s access to usual medical care and utilisation of medical care by more than 10 (8.709-12.299, 95%), and 2.3 (1.946-2.750, 95%) respectively. However, the influence of PMPHC is greater than the influence of insurance alone on reducing the inability to access medical care (health insurance reduced the inability to access medical services by 42% (0.515-0.995, 95%), whereas PMPHC reduced the inability to access medical services by more than 65.% (0.273-0.436, 95%)).Therefore, the impact of health insurance on access to medical care is much greater for those expatriates previously having had healthcare costs met by their employer, than for those who had not. These impacts remained, when the odds ratios were adjusted for both workplace and personal characteristics. Conclusion: CEBHI has a clear positive impact on reducing out of pocket payments and increasing private insurance expenditure. However, overall, private healthcare expenditure has increased insignificantly. This indicates that the main impact of CEBHI on private expenditure, is the change in the mode of payment from out of pocket payments to private insurance expenditure. However, the actual impact on private sector expenditure is still minor. Access to medical care is influenced by health insurance. In addition, it is also influenced by PMPHC as a contributory role to play in the influence of health insurance on access to medical care. Workplace and personal characteristics play a small part in mediating the influence of health insurance on access to medical care. A framework was developed for understanding the complex relationship of health insurance and access to healthcare, which will be useful for further investigations regarding the influence of health insurance on access to medical care. Both long and short-term recommendations are proposed for increasing the expatriate population’s access to medical care, whilst reducing the burden on healthcare financing.
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Brand, Catharina Gertruida Maria. "Factors influencing change management in a selected hospital in Saudi Arabia." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80141.
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Thesis (MCurr)--Stellenbosch University, 2013.ENGLISH ABSTRACT: Saudi Arabia has experienced a number of changes due to revolutionary new findings and technologies, discoveries and new research in the health care arena, which has proven and contradicted a new approach to health care delivery. Demands by patients who have become more educated, the emergence of new or modern disease profiles which demand a new way of approach and a quickening in the pace of change, hurled unfamiliar and often demanding and challenging conditions at management One such change, as addressed in this study, is the change from a paper-based patient record system to a computer based patient information system to which all healthcare professionals in the multidisciplinary team had access to. However, not all change is welcomed, accepted or viewed as necessary by those who have to carry out or use new technologies. Change is harsh, and part of the problem is identifying factors that influence change initiatives. This study addresses the perceptions of nursing personnel of the process of change from a paper-based to a computer based (Quadramed) patient record system. The study design used a quantitative and descriptive approach in which a structured, self-designed questionnaire was used to obtain data from 117 professional nurses at a selected healthcare facility in the Eastern province of the Kingdom of Saudi Arabia. The theoretical framework used for this study was the Model for Change Management as designed by the Prosci Institute for Research, also referred to as the ADKAR Model of Change Management (Awareness, Desire, Knowledge, Ability and Reinforcement). The major findings of this study revealed that 97.44% of the respondents were non-Saudi individuals, and were mainly from the Philippines (69.24%), with (95.65% being female with an average age of 37-42 years. Most (47%) were in possession of specialty qualifications in medical, surgical nursing and experience between 8-10 years, of which 2-3 years had been in Saudi Arabia. In regard to 61.3% of the respondents it was found that they had no prior knowledge of computerised patient records. The nurse managers played a vital role in providing the most information and support to adjust to the system. With reference to the aspect of patient safety, positive feedback about the QCPR was provided by the majority of respondents. Most of the respondents experienced change positively, and 70% indicated that being involved played a major role in their positive attitude. Recommendations include that reasons for change should be more clearly communicated, suggestions for change should be valued more by managers and rumours and uncertainties about change should be addressed as and when appropriate.
AFRIKAANSE OPSOMMING: Saoedi-Arabië het 'n aantal veranderinge ondervind as gevolg van revolusionêre nuwe bevindings en tegnologie, ontdekkings en nuwe navorsing in die gesondheidsorg arena, wat 'n nuwe benadering tot die lewering van gesondheidsorg bewys en weerspreek. Eise deur pasiënte wat meer geletterd is, en nuwe en moderne siekte profiele eis 'n nuwe benadering tot verandering. Die versnelling in die tempo van verandering is dikwels onbekend, veeleisend en uitdagende vir die bestuur van gesondheidsinstellings. Een so 'n verandering, soos dit in hierdie studie aangespreek word, is die verandering van 'n papier-gebaseerde na 'n rekenaar-gebaseerde pasiënt inligting stelsel wat aan alle lede van die multidissiplinêre gesondheidsorg span toegang verleen. Nogtans word nie alle verandering verwelkom, aanvaar of as nodig beskou deur diegene wat die dienste uitvoer of die nuwe tegnologie moet gebruik nie. Verandering is gekompliseerde proses, en deel van die probleem is die identifisering van faktore wat 'n invloed op die veranderings inisiatiewe het. Hierdie studie fokus op die persepsies van die verpleegpersoneel tydens die proses van verandering van 'n papier-gebaseerde tot 'n rekenaar gebaseerde (Quadramed) pasiënt rekord stelsel. Die studie-ontwerp gebruik 'n kwantitatiewe, beskrywende benadering wat 'n gestruktureerde, self-ontwerpte vraelys gebruik om data te verkry van 117 professionele verpleegsters by 'n geselekteerde gesondheidsorg fasiliteit in die Oostelike Provinsie van die Koninkryk van Saoedi-Arabië. Die teoretiese raamwerk wat gebruik word vir hierdie studie was die model vir veranderingsbestuur soos ontwerp deur die Prosci Instituut vir Navorsing, waarna ook verwys word as die “ADKAR Model of Change Management” (Awareness, Desire, Knowledge, Ability and Reinforcement). Die belangrikste bevindings van hierdie studie het aan die lig gebring dat 97,44% van die respondente was nie-Saoedi-individue nie, en was hoofsaaklik van die Filippyne (69,24%), met (95,65%) vroue met 'n gemiddelde ouderdom van 37-42 jaar. Die meeste (47%) was in besit van gespesialiseerde kwalifikasies in mediese, chirurgiese verpleeging. Die meeste van die respondente het tussen 8-10 jaar ervaring in verpleegkunde gehad, waarvan 2-3 jaar in Saoedi-Arabië was. Met betrekking tot 61,3% van die respondente dit is gevind dat hulle geen vorige kennis van die gerekenariseerde pasiënt rekords gehad het nie. Die saal bestuurder het 'n belangrike rol gespeel in die verskaffing van die meeste inligting en ondersteuning om aan te pas tot die nuwe stelsel. Met verwysing na die aspek van die veiligheid van pasiënte, is positiewe terugvoer oor die QCPR voorsien deur die meerderheid van die respondente. Die meeste van die respondente het ook die verandering positief ervaar, en 70% het aangedui dat hul betrokkenheid 'n belangrike rol gespeel het in hul positiewe gesindheid. Aanbevelings sluit in dat die redes vir verandering duidelik gekommunikeer behoort te word, voorstelle vir verandering moet erkenning kry deur bestuurders en gerugte en onsekerhede oor verandering moet aangespreek word soos en wanneer toepaslik.
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Alomeer, Saleh Hadi. "Integration of clinical information systems in Saudi Arabian health care contexts: A grounded theory exploration." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/91728/1/Saleh_Alomeer_Thesis.pdf.
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This research examined the implementation of clinical information system technology in a large Saudi Arabian health care organisation. The research was underpinned by symbolic interactionism and grounded theory methods informed data collection and analysis. Observations, a review of policy documents and 38 interviews with registered nurses produced in-depth data. Analysis generated three abstracted concepts that explained how imported technology increased practice and health care complexity rather than enhance quality patient care. The core category, Disseminating Change, also depicted a hierarchical and patriarchal culture that shaped the implementation process at the levels of government, organisation and the individual.
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Alshammasi, Abdrabalamir Abbas Abdullah. "The influence of economic, political and socio-cultural factors on the development of health services in Saudi Arabia." Thesis, University of Hull, 1986. http://hydra.hull.ac.uk/resources/hull:5105.
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In this thesis I examine the influence of economic, political and socio-cultural factors on the development of health services in Saudi Arabia. There are four main parts and a conclusion. In Part One I review the situation in developing countries. Many commentators have argued that economic factors, and to some extent political factors, are the main determinant of health services development in developing countries. Socio-cultural factors are generally neglected in these analysis. In this thesis I redress the balance by examining the relationship between economic, political and socio-cultural factors in the development of the Saudi health care system.In Part Two I analyse the Saudi resource situation. Although the health service is not considered a priority in the overall Saudi development strategy, the government provides generous financial resources for its development. However, non-financial resources remain a problem. Relatively abundant financial resources can provide a short-term solution to some of the resource shortages, such as the lack of skilled manpower, but the use of expatriate health personnel may have unanticipated negative consequences.In Part Three I examine the resource allocation process. The Saudi political system contains a mixture of modern and traditional elements, and the decision making process is affected by traditional social relationships. The King and public bureaucrats play a key role in the allocation process, but local leaders and Governors have wide scope to influence their decisions. While health provision is not a political issue in the country, it contributes to the social cohesion between the government and the general public.In Part Four I examine the influence of socio-cultural factors on the development of the Saudi health service. In the Saudi society socio-cultural factors affect the behaviour of individuals in their interaction with the health system. For example, the annual pilgrimage to Mecca by millions of moslems from all over the world presents a formidable challenge to health authorities. Health authorities accept the importance of socio-cultural factors, and respond by compromising policies. In the conclusion I consider the policy and theoretical implications of the study. In particular I examine the need for the formal recongnition and incorporation of socio-cultural factors into health policy decision making. This would lead to the generation of alternative policy options which complement other options based on economic and political considerations. The socio-cultural oriented approach can contribute significantly to the improvement of the long term prospect for health services in Saudi Arabia, and developing countries generally.
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Al-Asheikh, Abdullah Abdulmalik. "A study of productivity and quality improvements in Riyadh Armed Forces Hospital." Thesis, University of Nottingham, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367488.
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Al, Nahedh Nora N. A. "Infant mortality in Saudi Arabia : a study of factors related to primary health care in a rural setting." Thesis, University of London, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246099.
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Yousuf, Shadia Abdullah Hassan. "The nature of nutritional advice given by diploma nurses in primary health care centres in Jeddah, Saudi Arabia." Thesis, London South Bank University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.298379.
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The introduction of Primary Health Care (PHC) in Saudi Arabia has given nurses excellent opportunities and more responsibility to provide health education and advice in health promotion activities. Provision of appropriate and affordable dietary advice is an important role of the nurses in the Primary Health Care Centres (PHCC). Maternal nutrition is an essential element for the health status of the child, the family and the wider society. Many studies have suggested that there is a relationship between good nutritional intake during pregnancy and the successful outcome of the pregnancy. The present study was conducted to explore the knowledge and understanding of Saudi women and nurses in PHCC regarding nutritional intake during pregnancy. The study also looked at the effect of a short education programme on the nurses' nutritional knowledge and their subsequent practice. The aims of the study were to identify the understanding of Saudi women of pregnancy and nutritional intake during pregnancy, and to evaluate the effect of a short nutritional programme on diploma nurses. To achieve the aims, data collection was carried out in three phases. Phase one used semi-structured interview (tape recorded) on 10 pregnant women, selected randomly, to elicit the general understanding pregnant women had on pregnancy and pregnancy related areas. Phase two used a structured interview schedule on 100 pregnant women attending PHCC, selected systematically, to assess nutritional knowledge and their perception of nutritional advice given by the nurses in PHCC. Phase three was divided into two stages. The first stage used a self-administered questionnaire on 20 diploma nurses working in antenatal clinics in PHCC to assess their nutritional knowledge in relation to pregnancy. The questionnaire was used as both a pre-test and post-test instrument. Thereafter, based on the findings from phase one and two, a 20-hour continuing education (CE) programme was developed by the researcher on maternal nutrition for the diploma nurses. The second stage was to implement the programme to the nurses in five days. The effect of the programme was evaluated by an immediate post-test on nurses' knowledge and a follow-up post-test (after six months) to assess any lasting changes. Data analysis was carried out using content analysis for phase one. For the phase two and three, SPSS programme was used. Chi square was used to look for any association between knowledge scores and personal variables, paired Hest was used to assess the difference between pre-test and post-test. The results from the study showed that the majority of women attending the PHCC were illiterate or had little formal education, had a high pregnancy rate and had poor nutritional knowledge in relation to pregnancy. They preferred female health professional care and they preferred to have female doctors attending their antenatal care rather than the nurses. There was no significant difference between nurses' and women's nutritional knowledge. The results also showed a significant correlation between poor nutritional knowledge scores of the women and certain factors: the scores correlated positively with the level of education and negatively with the number of pregnancies. Regarding the programme, the results showed a significant increase in the nurses' nutritional knowledge scores from pre-test to post-test at p< 0.05, indicating that participants demonstrated increased nutritional knowledge as a result of participation in the programme. There was no significant difference between the initial post-test and the six-month follow-up. No significant relationships were identified between the nurses' scores and their age and years of experiences. The study also indicated that nurses in PHCC were not giving adequate nutritional advice to pregnant women in the views of these women and in my own observation. The findings suggest that frequent continuing education is essential for nurses in PHCC in Saudi Arabia to improve their skills and nutritional knowledge to be able to provide better care for women.
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Al-Ghamdi, Mohammad Ali. "Knowledge, attitude and practice of hospital senior and middle management towards health care quality programs in eastern Saudi Arabia." Thesis, University of Hull, 2007. http://hydra.hull.ac.uk/resources/hull:5843.
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Quality programs are not new to Saudi hospitals. The first known quality program was started in ARAMCO Hospital in 1982. Besides the Ministry of Health, the main provider of health care, more than 15 providers share in the delivery of the health care in Saudi Arabia. Quality activities being sporadic, with no national control, the programs depend'heavily on the top management commitment and support. The success of quality programs varies among the different health care providers. Hence the need to investigate the knowledge, attitude and practice of the senior and middle managers (HSMM) towards quality programs. The findings of their investigation could throw some light on some incorrect concepts and explain the reasons behind the ineffective practice of quality. Two studies were conducted simultaneously for this research. A descriptive study to investigate the knowledge, attitude and practice of the HSMM, for which two data collecting tools were used. The HSMM self administered questionnaire was completed by the HSMM of 20 selected hospitals in the Eastern Saudi Arabia; 173 HSMM responded to the study giving response rate of 86.5%. The other tool used for the descriptive study was a check list completed by the researcher on each studied hospital. The other part of this research was the action research aimed at exploring the amount of the support HSMM extends to these activities in order to enhance quality services in their hospitals. The study revealed that a majority of senior and middle managers had enough knowledge to initiate very promising quality programs, but there seemed to be a problem with their attitude on quality which affected the implementation of the quality program. Attending training courses on quality subjects made a significant difference to the general information, factor enhancing quality program, causes of quality program failure and the ranking of HSMM towards quality programs. Combining all of these significant variables and classifying them based on their relation with the patient, quality program and staff gave a clear indication that most were related to attitude. The study concluded " that the input and the output of the hospital had less impact on quality programs compared to the process reflected by the knowledge, attitude and practice of the HSMM. Recommendations cover the input, output and the process of quality programs, with more emphasis on the process. The HSMM should pave the way for a quality culture in the hospital which pays proper attention to the development of the skills of the staff and their orientation to the quality environment.
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Kashm, Mohammed Abdullah. "Health-care priority setting decisions in Saudi Arabia : an exploration of the context, and potential, for using economic evaluation." Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/6894/.
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Recent health care reforms within Saudi Arabia have advocated use of economic evaluation in health care decision making. Little research has, however, considered the use of economic evaluation to set priorities in rentier state settings. This thesis explores the nature of the rentier state and the basis of health care priority setting, and conducts a systematic review of the use of economic evaluation in priority setting. The thesis uses in-depth qualitative research to explore health care priority setting and use of economic evaluation in Saudi Arabia. Qualitative data comprised 22 in-depth interviews with decision makers at the national and district levels, 3 focus groups, and one meeting observation. Data collection and analysis were conducted iteratively using constant comparison. Findings show that contextual factors have a great influence on the decision making process and that the use of economic evaluation is still very limited. There appeared to be two types of barriers to the use of economic evaluation: decision context-related barriers and barriers relating to the production of economic evaluation data. Incorporating economic evaluation into the health care decision making process in Saudi Arabia is proving to be complex and contextual factors have more influence on priority decisions than economic evaluation.
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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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Al-Otaibi, Meshari. "The miswak (chewing stick) and oral health : studies on oral hygiene practices of urban Saudi Arabians /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-953-6.
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Altassan, Saleh Ibrahim. "The emergence of health insurance in the Kingdom of Saudi Arabia : a case study for the adoption of an alternative path." Thesis, Manchester Metropolitan University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.289425.
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Alkahtani, Minahi Mesfer. "An Evaluation of Modified Empathic Design for the Improvement of the Quality of Primary Health Care Services in Saudi Arabia." Thesis, Lancaster University, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.518156.
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Salam, Abdul. "The Impact of Work-Related Stress on Medication Errors by Health Care Professionals in Saudi Arabian Hospitals." ScholarWorks, 2016. http://scholarworks.waldenu.edu/dissertations/2379.
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Despite increased awareness about patient safety and quality of care, errors and adverse outcomes occur frequently in clinical practice. An estimated 10% of the 35.1 million U.S. hospital patients suffered injuries caused by medical errors; the most common were medication errors, which accounted for more than 50% of all medical errors. Work-related stress is associated with medication errors for health care professionals (HCP) in Saudi Arabia (SA) hospitals; however, the specific types of stressors and their effect on the level of medication errors have not been studied in SA. The purpose of this quantitative correlational study was to examine the relationship between the overall level and sources of work-related stress using the job stress scale on the level of medication errors for a group of 269 HCPs working at King Abdul-Aziz Hospital (KAH) in SA. The theoretical framework for this research was the Donabedian patient safety model, which relates healthcare quality to personal, environmental, and organizational factors. Binary logistic regression analyses indicated there was no relationship between overall levels of stress and medication errors. However, specific sources of work related stress such as disruption to home life, excessive workload, and night/weekend call duties were associated with a significant increase in the medication error rate, while pressure to meet deadlines and difficulties with colleagues was associated with a significant decrease in the medication error rate. Positive social change implications include how understanding the impact of work-related stress on medication errors by SA HCPs may lead to specific interventions to reduce medication errors and improve patient care.
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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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Almalki, Mohammed Jubran. "Quality of work life and turnover intention in primary healthcare organisations : a cross-sectional study of registered nurses in Saudi Arabia." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/50766/1/Mohammed_Almalki_Thesis.pdf.
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Purpose: The purpose of this study was to improve the retention of primary healthcare (PHC) nurses through exploring and assessing their quality of work life (QWL) and turnover intention.
Design and methods: A cross-sectional survey design was used in this study. Data were collected using a questionnaire comprising four sections (Brooks’ survey of Quality of Nursing Work Life [QNWL], Anticipated Turnover Intention, open-ended questions and demographic characteristics). A convenience sample was recruited from 143 PHC centres in Jazan, Saudi Arabia. A response rate of 87% (n = 508/585) was achieved. The SPSS v17 for Windows and NVivo 8 were used for analysis purposes. Procedures and tests used in this study to analyse the quantitative data were descriptive statistics, t-test, ANOVA, General Linear Model (GLM) univariate analysis, standard multiple regression, and hierarchical multiple regression. Qualitative data obtained from responses to the open-ended questions were analysed using the NVivo 8.
Findings: Quantitative findings suggested that PHC nurses were dissatisfied with their work life. Respondents’ scores ranged between 45 and 218 (mean = 139.45), which is lower than the average total score on Brooks’ Survey (147). Major influencing factors were classified under four dimensions. First, work life/home life factors: unsuitable working hours, lack of facilities for nurses, inability to balance work with family needs and inadequacy of vacations’ policy. Second, work design factors: high workload, insufficient workforce numbers, lack of autonomy and undertaking many non-nursing tasks. Third, work context factors: management practices, lack of development opportunities, and inappropriate working environment in terms of the level of security, patient care supplies and unavailability of recreation room. Finally, work world factors: negative public image of nursing, and inadequate payment. More positively, nurses were notably satisfied with their co-workers. Conversely, 40.4% (n = 205) of the respondents indicated that they intended to leave their current employment.
The relationships between QWL and demographic variables of gender, age, marital status, dependent children, dependent adults, nationality, ethnicity, nursing tenure, organisational tenure, positional tenure, and payment per month were significant (p < .05). The eta squared test for these demographics indicates a small to medium effect size of the variation in QWL scores. Using the GLM univariate analysis, education level was also significantly related to the QWL (p < .05). The relationships between turnover intention and demographic variables including gender, age, marital status, dependent children, education level, nursing tenure, organisational tenure, positional tenure, and payment per month were significant (p < .05). The eta squared test for these demographics indicates a small to moderate effect size of the variation in the turnover intention scores. Using the GLM univariate analysis, the dependent adults’ variable was also significantly related to turnover intention (p < .05).
Turnover intention was significantly related to QWL. Using standard multiple regression, 26% of the variance in turnover intention was explained by the QWL F (4,491), 43.71, p < .001, with R² = .263. Further analysis using hierarchical multiple regression found that the total variance explained by the model as a whole (demographics and QWL) was 32.1%, F (17.433) = 12.04, p < .001. QWL explained an additional 19% of the variance in turnover intention, after controlling for demographic variables, R squared change =.19, F change (4, 433) = 30.190, p < .001. The work context variable makes the strongest unique contribution (-.387) to explain the turnover intention, followed by the work design dimension (-.112). The qualitative findings reaffirmed the quantitative findings in terms of QWL and turnover intention. However, the home life/work life and work world dimensions were of great important to both QWL and turnover intention. The qualitative findings revealed a number of new factors that were not included in the survey questionnaire. These included being away from family, lack of family support, social and cultural aspects, accommodation facilities, transportation, building and infrastructure of PHC, nature of work, job instability, privacy at work, patients and community, and distance between home and workplace. Conclusion: Creating and maintaining a healthy work life for PHC nurses is very important to improve their work satisfaction, reduce turnover, enhance productivity and improve nursing care outcomes. Improving these factors could lead to a higher QWL and increase retention rates and therefore reinforcing the stabilisation of the nursing workforce. Significance of the research: Many countries are examining strategies to attract and retain the health care workforce, particularly nurses. This study identified factors that influence the QWL of PHC nurses as well as their turnover intention. It also determined the significant relationship between QWL and turnover intention. In addition, the present study tested Brooks’ survey of QNWL on PHC nurses for the first time. The qualitative findings of this study revealed a number of new variables regarding QWL and turnover intention of PHC nurses. These variables could be used to improve current survey instruments or to develop new research surveys. The study findings could be also used to develop and appropriately implement plans to improve QWL. This may help to enhance the home and work environments of PHC nurses, improve individual and organisational performance, and increase nurses’ commitment. This study contributes to the existing body of research knowledge by presenting new data and findings from a different country and healthcare system. It is the first of its kind in Saudi Arabia, especially in the field of PHC. It has examined the relationship between QWL and turnover intention of PHC nurses for the first time using nursing instruments. The study also offers a fresh explanation (new framework) of the relationship between QWL and turnover intention among PHC nurses, which could be used or tested by researchers in other settings. Implications for further research: Review of the extant literature reveals little in-depth research on the PHC workforce, especially in terms of QWL and organisational turnover in developing countries. Further research is required to develop a QWL tool for PHC nurses, taking into consideration the findings of the current study along with the local culture. Moreover, the revised theoretical framework of the current study could be tested in further research in other regions, countries or healthcare systems in order to identify its ability to predict the level of PHC nurses’ QWL and their intention to leave. There is a need to conduct longitudinal research on PHC organisations to gain an in-depth understanding of the determents of and changes in QWL and turnover intention of PHC nurses at various points of time. An intervention study is required to improve QWL and retention among PHC nurses using the findings of the current study. This would help to assess the impact of such strategies on reducing turnover of PHC nurses. Focusing on the location of the current study, it would be valuable to conduct another study in five years’ time to examine the percentage of actual turnover among PHC nurses compared with the reported turnover intention in the current study. Further in-depth research would also be useful to assess the impact of the local culture on the perception of expatriate nurses towards their QWL and their turnover intention. A comparative study is required between PHC centres and hospitals as well as the public and private health sector agencies in terms of QWL and turnover intention of nursing personnel. Findings may differ from sector to sector according to variations in health systems, working environments and the case mix of patients.
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Aboalshamat, Khalid. "The effect of a self-development coaching program on the psychological health and the academic performance among medical and dental students in Saudi Arabia." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/91305/1/Khalid_Aboalshamat_Thesis.pdf.
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Observational studies have shown that medical and dental students have poor psychological health worldwide; however, few interventional studies have been used to test approaches to help students. This thesis used a randomised control trial study design to evaluate the effect of a self-development coaching program on psychological health and the academic performance among medical and dental students in Saudi Arabia. The outcomes indicated that these medical and dental students in Saudi Arabia experienced high levels of depression, anxiety and stress, and that the self-development coaching program was a promising intervention to improve students' psychological health.
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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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Al-Sheikh, E. M. "An analysis of the difficulties involved in introducing western programmes for the training of health care professionals into the Kingdom of Saudi Arabia." Thesis, Swansea University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.635727.
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This study arose as a result of the author's experiences as Director of Training at the Military Hospital in Riyadh, Saudi Arabia when, as a consequence of the hospital's Saudization policies, the emphasis shifted from 'out-of-Kingdom' training on the small scale, to 'in-Kingdom training' on the large scale. This expansion included the inauguration of a wide range of diploma and degree programmes accredited by British and North American universities and professional bodies. The author noted that, during the early stages of their training, the carefully selected Saudi High School graduates experienced unexpected learning difficulties that did not seem to be directly related to any limitations of their spoken or written English. During the first phase of the study, observations, cases studies, and structured interviews led the author to formulate the hypothesis that specific limitations of the trainees' High School education limited their initial progress. It was suggested that these limitations include little, or no prior art or practical training, a concentration on rote learning, poorly developed study skills, and a dependence on theoretical, teacher-centred learning. The hypothesis predicted that significant differences existed between the High School backgrounds of Saudi and North American trainees. The second phase of the study tested this prediction by means of a self-administered questionnaire which sampled the views of a large number of Saudi and North American based trainees and trainers. Statistical analysis of the collected date confirmed that highly significant differences existed between the two trainee samples.
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Al-Turki, Khaled. "An investigation into the perceptions of male smokers and health care professionals in the smoking cessation clinics in Riyadh on the Tobacco Control Program in Saudi Arabia." Thesis, University of Huddersfield, 2014. http://eprints.hud.ac.uk/id/eprint/23794/.
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Aim: The aim of this dissertation is to produce an original piece of investigative research into perceptions of smoking cessation services provided by the TCP in the Riyadh region. Objectives: In order to realise this aim, the dissertation has the following objectives: 1. To investigate perceptions of the extent of the health care (smoking cessation) services provided under the TCP for smokers in the Riyadh region. 2. To investigate the perceptions of male clients and health care services professionals in the smoking cessation clinics in this region, on the effectiveness of the clinics in raising awareness of the dangers of smoking, in order to encourage smokers to quit. 3. To identify the perceived strengths and limitations of health care (smoking cessation) services provided for smokers in the Riyadh region specifically as a platform for developing those strengths in the future. Design: Primary data was collected through questionnaires administered to male clients attending the smoking cessation clinics in Riyadh, Saudi Arabia, and professional staff working in those same clinics. The views of respondents represent their individual subjective experience of one specific aspect of an objective social experience, in this case the functioning of the Tobacco Control Program. Methods: A questionnaire was devised based on the policies and activities of the Tobacco Control Programme in Saudi Arabia. Convenience sampling was used, conducting the survey among 500 male clients attending the smoking cessation clinics in Riyadh and 30 staff in the clinics. The sampling was purposive, seeking to obtain the views of service-users and service-providers in the clinics, as those who would be expected to be more informed about the Tobacco Control Programme rather than a random sample drawn from the general population, such as a household survey. The Pilot Study was conducted in a smoking cessation clinic run by an anti-smoking charity in Riyadh. Results: The results obtained from both sets of questionnaires indicated in Sections A and B that respondents considered that the Tobacco Control Program was actively engaged in a series of activities relating to tobacco control, in raising awareness of the hazards of smoking and providing treatment. Responses in Sections C and D suggested that clients and staff 3 perceived that the Tobacco Control Program was operating effectively, despite some difficulties occasioned by a lack of resources. Conclusions: The level of satisfaction with the performance of the Tobacco Control Program indicated in the responses was high. The uniformity of the responses may be responsible due to two factors – a relative lack of cultural diversity among respondents, and limitations of the study itself in overcoming potential problems of reporting bias. Given the setting of the study and the methods chosen, this may have resulted in a measure of unwillingness to criticise aspects of the Program. Nevertheless, as the first study of satisfaction with the TCP since its inception in 2002, valuable lessons will be learned for future surveys to obtain data, perhaps based more closely on surveys such as those conducted in the UK to measure satisfaction with the NHS. A more standardised international approach should, therefore, be the way forward in terms of research design and methods.
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Algarni, Saleh Saeed. "Primary health care management of overweight and obese adults in Riyadh City, Saudi Arabia : current status and potential quality improvement through the fit and minimally disruptive medical model." Thesis, University of Canterbury. Health Sciences Department, 2015. http://hdl.handle.net/10092/10423.
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Background: Obesity is now one of the most important public health issues in Saudi Arabia, with 74.2% of women and 69% of men found to be overweight or obese, but there is limited research into the nature and effectiveness of overweight and obesity management in primary care in Saudi Arabia or elsewhere. International literature supports the role of primary health care in managing obesity through evidence-based interventions, yet also notes many barriers to health professionals helping patients achieve significant weight loss. A new collaborative and patient-centred approach to primary care management of chronic disease, Fit and Minimally Disruptive Medicine, appears potentially well-suited to helping patients manage their weight.
Research Aims: This thesis aimed to determine health professionals’ and patients’ views on the appropriateness and quality of current obesity management practices in primary health care in Riyadh, Saudi Arabia., and also their views on the acceptability, utility and applicability of Fit and Minimally Disruptive Medicine to assist successful weight management.
Research Methods: Preliminary informal interviews were held with representatives of key groups in primary health care in Riyadh, four senior primary health care officials, 10 primary health care centre managers, 20 doctors, 20 nurses and 20 patients from 10 primary health care centres. The main investigation used the interview material to develop two structured questionnaire surveys for a quantitative cross-sectional descriptive study on the management of overweight and obesity in primary health care. The first questionnaire, for doctors and nurses, addressed primary health care centre resources and services, use of weight loss strategies, and the health professionals’ views on overweight and obese patients, obesity management and the Fit and Minimally Disruptive Medicine approach. The second survey, for patients, addressed patients’ motivation and readiness to lose weight, support from family and friends, weight loss options used, satisfaction with services provided by their primary health care centre, and views on using the Fit and Minimally Disruptive Medicine approach. The surveys were conducted in
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53 primary health care centres in four out of five health sectors in Riyadh City; 10 centres were included in a pilot study and 43 in the main study. The main study was conducted with a sample of 77 doctors, 78 nurses and 80 patients.
Results: Findings showed that while primary care practice management of obesity in Riyadh incorporates some best practice recommendations, there are important elements that are rarely, or inconsistently, used. Only 44.2% of doctors and 55.1% of nurses, for example, always calculated patients’ body mass index, and only 10.4% of doctors and 12.8% of nurses always assessed the patient’s progress for more than six months. The main strategy for obesity management was the recommended combination of diet, exercise and behaviour modification (67.5% of doctors and 56.4% of nurses). Reported barriers to establishing obesity clinics included inadequate resources, and administrative and referral issues. The patient survey found 90% of patients said they were ready to lose weight, but identified various barriers, including lack of family and friend support, and dissatisfaction with their primary care centre’s staff and services (48%). The majority of health professionals and patients supported the use of Fit and Minimally Disruptive Medicine weight management.
Discussion: This thesis makes a major contribution to the literature on the effectiveness of primary care management of obesity, notably including the patient perspectives. The thesis is also the first to investigate health professionals’ and patients’ views on applying Fit and Minimally Disruptive Medicine to weight management. Recommendations for Saudi Arabia include further training of health professionals, the introduction of clinical practice guidelines on managing obesity, and a pilot study of using Fit and Minimally Disruptive Medicine for weight management in primary health care. This thesis provides valuable guidance for health care organisations seeking to improve the management of overweight and obesity in primary care, and for researchers interested in undertaking further investigations in this area.
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Tassi, Ahmad. "Electronic Learning Management System Integration Impact on Tertiary Care Hospital Learners' Educational Performance." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2694.
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Technological innovations have been shown to improve the quality of health information and improve safety in health care systems. The purpose of this project was to offer hospital nurses a more flexible and practical alternative to education and training than the traditional face-to-face method, supporting nurse educators in overcoming many of the obstacles in responding to nurses' needs in the clinical areas. This project used a randomized, 2-group posttest-only experimental design to measure the effect of treatment at a targeted hospital. The experimental group received a new instructional approach using an Electronic Learning Management System (ELMS) and the control group used the site's traditional standard method; both groups completed the Posttest Knowledge Assessment. The study population consisted of registered nurses who had attended the project site's Safe Blood Transfusion Practice program over a period of 1 month. There were no significant differences between the 2 groups' members' gender, age, level of education, or nursing experience. Data analysis showed a significant (p < .00) difference between the 2 groups' posttest scores, indicating that the participants who used the ELMS attained a higher median knowledge (M = 89.39, SD = 9.26) than did participants who received traditional, face-to-face instruction (M = 76.85, SD = 10.628). These results suggest that ELMS-based learning is a more effective method of instructional delivery that could effectively replace many of the traditional face-to-face education programs. Implementing this innovative system will create positive social change on the targeted hospital by improving health care delivery. The application of the finding would support clinical educators to improve educational delivery to their clients at the clinical areas.
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Al-Hosan, Ibraheem. "Patients' views on the service quality of primary health care services : a comparative study of PHC services provision by the security forces and general public sectors in Riyadh City, Kingdom of Saudi Arabia." Thesis, University of Bristol, 2005. http://hdl.handle.net/1983/dbcd28e9-9e27-4579-88b5-9e4e11b3d8b5.
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Hafiz, Alaa Hussain B. "Enhancing the competence of undergraduate nursing students to care for dying children in Saudi Arabia." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/112417/1/Alaa%20Hussain%20B_Hafiz_Thesis.pdf.
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Most undergraduate nursing students receive limited formal education regarding paediatric palliative care. The study employed a sequential explanatory mixed methods design to generate knowledge about how to enhance nursing students' competence in caring for dying children in Saudi Arabia. The study provides evidence of the benefits of well-designed educational programs in enhancing the learning of palliative care and improving students' knowledge, attitudes, and perceived self-competence in this field. Programs which include a mix of both didactic and active learning approaches are recommended. The study also identified a range of sociocultural influences on what competence means in the context of paediatric palliative care in Saudi Arabia and the importance of considering these when designing educational interventions.
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Alsomali, Sabah Ismile M. "An investigation of self-care practice and social support of patients with type 2 diabetes in Saudi Arabia." Thesis, University of Salford, 2019. http://usir.salford.ac.uk/49498/.
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Background: The prevalence of Type 2 Diabetes Mellitus (T2DM) is increasing globally, and the number of people with T2DM has increased particularly dramatically in Saudi Arabia in recent years. The International Diabetes Federation (IDF) has indicated that Saudi Arabia has a higher prevalence of diabetes than most other countries, with a prevalence rate of type 2 diabetes of 20.5% of the population in 2014. Adherence to self-care activities is the cornerstone of T2DM management, along with adopting a healthy lifestyle. This study thus aims to investigate the extent to which healthcare professionals and social support act as determinants of self-care among adults diagnosed with T2DM in Riyadh, Saudi Arabia. Methods: This study uses a concurrent triangulation design that combines quantitative and qualitative methods in a convenience sample of adults (N=388) diagnosed with type 2 diabetes mellitus who were recruited from two separate hospitals. Each participant completed a set of questionnaires and a Summary of Diabetes Self-Care Activities (SDSCA). Semi-structured interviews were also conducted with 10 male and 10 female participants (n=20) and 12 healthcare professionals. Results: Five themes emerged from the qualitative data analysis. The quantitative findings were then integrated to provide further explanations and context for these themes. The study indicated that poor adherence to diabetes self-care activities may lead to heightened incidence of uncontrolled T2DM among patients in Saudi Arabia. Culture and Religion, Gender, Stigma, Social Support, and Healthcare Environment all influenced adult diabetes adherence to self-care activities in Saudi Arabia. Conclusion: The results of this study show that the successful management of T2DM is dependent on support from family, spouses, friends, and healthcare professionals. The findings of this study therefore have implications for the creation and implementation of healthcare policy and practice in Saudi Arabia. These findings contribute to expanding existing knowledge by enabling healthcare providers to tailor diabetes self-care management educational programmes to best fit the psycho-social and cultural needs of adults in Saudi Arabia. It is particularly necessary for healthcare professionals in Saudi Arabia to recognise the roles played by gender, culture, religion and stigma, and to integrate these into any educational programmes.
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Yalli, Nadir. "Social work in Saudi Arabian hospitals : an exploration of practitioners' perceptions of the profession's position in the delivery of health care services." Thesis, University of East Anglia, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.446146.
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Almarwani, Abdulaziz Mofdy. "The Relationship Of Perceived Basic Psychological Needs For Health Behaviors And Medication Adherence In Saudi Arabian Patients With Coronary Artery Disease." University of Akron / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=akron1574420777367008.
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Alsadoun, Ahmed. "EXAMINING THE INFLUENCE OF DEMOGRAPHIC CHARACTERISTICS AND PERCEIVED SOCIAL SUPPORT ON SELF-MANAGEMENT BEHAVIORS AND HEALTH RESPONSIBILITY IN SAUDI ARABIAN PEOPLE WITH DIABETES MELLITUS TYPE 2." Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1572451424708553.
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Almomen, Yasmeen A. "Stigma for mental illness among primary health care physicians and nurses in Dammam, Saudi Arabia." Master's thesis, 2018. http://hdl.handle.net/10362/52278.
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ABSTRACT: People who experience any type of mental disorder not only face difficulties with their health challenge they also suffered from negative responses that come from their social environment in many forms such as discrimination, denial or social rejection and this leads to stigma.
Mental illness stigmatization within the healthcare professional has an impact on the delivery and provision of care services to the patients and is an obstacle to health seeking and maintaining good health management. This study aims to explore stigma for mental disorder in primary health care physicians and nurses because they are the first contact when a patient needs help.
The study took place in Dammam Primary Health Centres and recruited physicians and nurses who completed the Opening Mind Scale for Health Care Providers as a tool of measuring levels of stigma. The results of the questionnaire were compared between both groups and correlated with their sociodemographic data. Result prove the existence of stigma in primary health physician and nurses the mean score is 55.13 out of 100. with Saudi staff having more stigma than non- Saudi , another factor that associated with more stigma is gender as female express more stigma than male .
At the end of the study stigma in physicians and nurses was almost equal. This needs to be considered in future planning to minimize negative perception of people with a mental illness by initiating anti-stigmatization program for health care provider as a means of primary prevention and health promotion.