Academic literature on the topic 'Women Health and hygiene Saudi Arabia'

Abstract Objective: The purpose of this study was to determine the risk of dental caries in relation to oral hygiene habits and food intake among women at university in Saudi Arabia. Methods: A sample of 935 undergraduate university women was selected from the King Abdulaziz University in Jeddah, Saudi Arabia. A previously pretested questionnaire was used to collect the data. Odds ratios were calculated to estimate the risk of dental caries associated with oral hygiene and food intake. Results: The findings revealed that women who cleaned their teeth three times or more per day mostly cleaned their teeth after intake of sweets and chocolates, and had no gingivitis were at less risk of dental caries than other women (p=0.029, p=0.000 and p=0.000, respectively). The intake of milk, fruit and vegetables on 4 days or more per week was found to protect against dental caries (odds ratios=0.34, 0.64 and 0.73, respectively), whereas the intake of chocolate and soft drinks for the same period was found to be a risk factor for dental caries (odds ratios=1.8 and 1.4, respectively). Conclusion: The results of this study are useful for public health intervention programs to combat dental caries in the Saudi community.

Reproductive cancers have a huge impact in woman quality of life. Research on Saudi Arabian cancer patients is a priority at King Abdulaziz Medical City (KAMC), Riyadh. To date, research on quality of life in cancer patients in Saudi Arabia has been insufficient and there is no enough research that assesses quality of life in gynecological cancer in Saudi women. The aims of this study were to assess the gynecological cancer risk factors and measure the quality of life among Saudi woman who diagnosed with uterine, ovarian or cervical cancer. A descriptive cross-sectional correlational design was used to conduct the study. A convenient sample of 100 Saudi women and who diagnosed with one of reproductive cancer type at King Abdullah Specialized Children Hospital, Riyadh city. Each woman in the sample signed an informed consent to participate in the study. Data was collected using risk factors assessment tool and WHOQOL-BREF questionnaire. Validly and reliability of the questionnaire were ensured. The mean age of the sample was 49.01 ± 12.88 years, 57 % got menarche at age 13 years, 25% had family history of gynecological cancer, 45% had gotten recurrent genital tract infections, and 47% had an abnormal Pap smear results. There was a statistically significant relationship between the physical health domain and social status (p=0.003), occupation (p=0.000) and monthly income (p=0.040). However, woman psychological health domain was significantly related to occupation n (p=0.000), number of abortions (p=0.001) and menstrual age (p=0.034). It was clear that the age (p=0.024), social status (p=0.011) educational level (p=0.023), and reproductive system hygiene (p=0.005) had significant relationship with woman social relationships domain. Half of the sample had good total quality of life score >70%, while only 11% had poor total quality of life score <50%. This study presented substantial findings that the sample had a moderate quality of life.

Strict norms about hygiene may sometimes have health benefits but may also be a burden. Based on research in the United States, it has been suggested that women traditionally shoulder responsibility for hygiene standards and therefore tend to have stricter views on hygiene. However, there is little systematic research on sex differences in hygiene norms at the global scale. We set up two hypotheses: (1) Stricter hygiene norms among women than among men is a global phenomenon. (2) The size of this sex difference varies across nations with the level of sex equality. We examine these hypotheses using data from a recent international survey (N = 17,632). Participants in 56 countries were asked for their views of where it is not appropriate for people to spit and in which situations people should wash their hands. As a measure of sex equality, we use an existing country-level measure of attitudes to equality between the sexes, available for 49 nations in the study. Stricter hygiene norms among women than among men are observed almost everywhere, but there are a few exceptions (most notably Nigeria and Saudi Arabia). The size of the sex difference in hygiene norms varies strongly with the level of sex equality, but in a non-linear way. The sex difference is most pronounced in moderately egalitarian countries with the highest recorded difference being in Chile. In more egalitarian parts of the world, more sex equality is associated with a smaller sex difference in hygiene norms. In the less egalitarian parts of the world, the opposite relation holds. We offer an interpretation in terms of what different levels of sex equality mean for the content of sex roles.

Background Cytomegalovirus (CMV) is the most common intrauterine congenital infection in humans. Worldwide seropositive rates of CMV are considerably high among women of childbearing age. There is currently no optimal drug treatment nor a vaccine for congenital CMV infection and therefore the best available program to date of prevention is practicing standard hygienic measures. The success of this program relies on women’s knowledge of CMV modes of transmissions, and risk and preventative behaviors. Objective The current study aims to assess the awareness and knowledge of CMV infection among women in Saudi Arabia. Method In this cross-sectional study, an online self-administered questionnaire was distributed to women 18 years of age or older residing in all regions of Saudi Arabia. The questionnaire included questions to assess awareness of CMV, knowledge of symptoms, transmission, and preventative measures of CMV infection. Results Out of the 1004 women who completed the questionnaire, self-reported knowledge of CMV was considerably low with only 82 women (8.17%) having heard of CMV infection. Most women reported learning about CMV from the internet and university. In binary logistic analyses, women pursuing studies in healthcare and those working in health professions, as well as those with undergraduate and graduate college degrees were significantly associated with higher knowledge of CMV. Urban area of residence was significantly associated with lower levels of knowledge of CMV. Among women who reported they had heard of CMV, their knowledge of CMV modes of transmission, symptoms, and preventative measures was considerably low. Regarding the transmission route, 23% reported no knowledge of modes of transmission, 59.75% reported mother-to-child transmission, 48.78% reported sexual intercourse, and 45% reported contact with body fluids of an infected person. Regarding knowledge of symptoms of congenital CMV, mental retardation and death were the most commonly reported clinical presentations. Conclusion The current study showed that the overall knowledge of CMV is very low among women in Saudi Arabia. Working in the healthcare field and higher education levels were significantly associated with better knowledge of CMV. It is crucial that women are provided with information regarding CMV-associated complications and preventative measures against mother-to-fetus transmission of CMV.

Background: Hand hygiene is a simple and effective practice that reduces the transmission of hospital acquired infections. However, adherence to hand hygiene guidelines among health care professionals is low. The aim of this study is to assess hand hygiene practices among nurses working in hospitals in the Kingdom of Saudi Arabia. Methodology: The standardized version of the World Health Organization (WHO) questionnaire was administered to nurses from six hospitals in the region of Asir. Results: 300 nurses were approached to enroll 243 participants so the response rate was 81%. The study found that 65.4% (159) of the participants followed a good hand hygiene practice while 10.3% (25) showed inadequate hand hygiene practice. Good hand hygiene practice was found to be significantly higher among female participants (88%) than the male participants (44%). The participants from the department of internal medicine (43.5%) showed the highest percentage of inadequate hand hygiene practice while participants from the department of pediatrics reported a 100% good hand hygiene practice. Conclusion: The male nurses and nurses working in the department of internal medicine require in-service educational intervention regarding hand hygiene to increase their compliance with its practice . Posters and other visual aids highlighting the significance of hand hygiene need to be displayed in all the departments to sensitize the importance of hand hygiene among nurses.

There are concerns regarding sleep deprivation among adolescents, especially with mounting evidence for the importance of sleep during puberty, and its effects on health and families. The present study aimed to characterise sleep in typical development (TD) adolescents in Saudi Arabia, and compare their sleep profiles to TD adolescents in the UK, to evaluate sleep patterns in adolescents in Saudi Arabia, and to examine the relationship between sleep patterns and the use of social media in both groups. Findings from the current study reported a shorter sleep duration for the Saudi Arabia group than in previous studies and the UK group, which may be attributed to the lack of sleep hygiene practised in Saudi Arabia. Multiple analysis of variance results found significant differences in daytime sleepiness (p < 0.001) and a preference for morningness/eveningness (p < 0.001) between Saudia Arabia and UK adolescents. Statistically significant negative correlations (p > 0.05) between the duration of social media usage and sleep duration were found in both the Saudi Arabia and UK adolescents, where a lower number of sleep hours was observed with a higher duration of social media use. This study fills a gap in the research of sleep in Saudi Arabia in adolescents, and offers important insights on the comparison in sleep habits between Saudi Arabia and UK adolescents.

Hand hygiene is among the most important factors of infection control in healthcare settings. Healthcare workers are the primary source of hospital-acquired infection. We assessed the current state of hand hygiene knowledge, perception, and practice among the healthcare workers in Qassim, Saudi Arabia. In this cross-sectional study, we used the hand hygiene knowledge and perception questionnaire developed by the World Health Organization. Knowledge and perceptions were classified into good (80–100%), moderate (60–79%), and poor (<60% score). The majority of the healthcare workers had moderate knowledge (57.8%) and perception (73.4%) of hand hygiene. Males were less likely to have moderate/good knowledge compared to females (OR: 0.52, p < 0.05). Private healthcare workers were less likely (OR: 0.33, p < 0.01) to have moderate/good perceptions compared to the government healthcare workers. Healthcare workers who received training on hand hygiene were more likely to have good/moderate perception (OR: 3.2, p < 0.05) and to routinely use alcohol-based hand rubs (OR: 3.8, p < 0.05) than the ones without such training. Physicians are more likely (OR: 4.9, p < 0.05) to routinely use alcohol-based hand rubs than technicians. Our research highlighted gaps in hand hygiene knowledge, perception and practice among healthcare workers in Qassim, Saudi Arabia and the importance of training in this regard.

Background. Lack of knowledge about appropriate handwashing practices has caused great concerns for human health, especially in the risk of many communicable diseases. The objective of the current study is to determine the level of handwashing knowledge, attitudes, and practices among school students in Eastern Province Schools, Saudi Arabia. A cross-sectional survey was recruited from November 2019 to March 2020 to assess the level of the students’ handwashing knowledge. A reliable questionnaire was prepared (Cronbach’s alpha = 0.608) and conducted using a two-stage sampling technique. A total of 271 students participated in the study from primary, middle, and high schools; 80% were boys, most of whom displayed an acceptable level of knowledge on hand hygiene. Nearly 75% and 74% of boys and girls, respectively, gained knowledge about hand hygiene practices from their parents. Only 46% of the students thought that handwashing is a potential protective measure against diseases, whereas 34% thought it only removes dirt. Prevalence of handwashing with soap after using the toilet was recognized among 52% of the students. Additionally, 93% of the students used water and soap to wash their hands ( p value < 0.001) and 97% suggested that soap and water are the best methods to wash their hands ( p value < 0.001). There was a positive correlation between the mother’s education and hand hygiene practices ( p value = 0.044). Results collectively indicated that handwashing knowledge and practices among school students in the Eastern Province are acceptable interventions in preventing the transmission of infectious diseases such as COVID-19. Indeed, further improvement conducted through specific health education programs to emphasize the role of handwashing in health hygiene is highly recommended.

This study explores public attitudes towards healthcare in the Eastern Province of KSA. It employs a sequential mixed-method design. Semi-structured focus group discussions (FGDs) were conducted with fifty-four participants in the Eastern Province. The qualitative arm of the study used a framework thematic analysis. A questionnaire was constructed from evidence-based items from four sources: an international performance assessment framework, literature review, systematic review, and the FGDs. The questionnaire was administered to 813 participants using on-site and online recruitment modes. Two qualitative validity assessments and quantitative construct validity and reliability tests were then carried out for the questionnaire. The FGDs indicate a public sense of pride in the Saudi health system. However, some concerns emerged from the FDGs-most notably, access barriers to the government health sector including the referral system from primary to secondary care and the necessity of personal connections, or 'wasta', to access timely care. Access barriers also emerged in the private health sector, namely the affordability of care and health insurance companies' delays in responding to medical claims. Participants also considered their inability to discuss treatment plans and to be involved in decision-making processes with their doctors as issues in both the public and private sectors. Participants were also concerned about the Ministry of Health (MOH) monitoring and regulating both sectors. This affected participant attitudes towards health service provisions. The questionnaire demonstrated qualitative validity and good psychometric properties in construct validity and internal reliability. Participants perceived doctor-patient communication as the most positive aspect of the Saudi health system while they perceived MOH monitoring of the private sector and affordability of care as the most negative aspects. Socio-demographic characteristics were considered as strong predictors of participants' attitudes towards the health system, and nationality and insurance status were identified as the most frequent predictors of satisfaction. Recommendations include implementing policies that monitor pricing in the private sector, fairer access to government healthcare, and patient involvement in decision-making processes. Future research should investigate the relationship between public attitudes towards the Saudi health system and health-related decisions to ensure better use of healthcare services in KSA.

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.

My main thesis is that Saudi culture, in the context of the field of Molecular Genetics Epidemiology (MGE) research, poses many challenges to the currently used biomedical research regulations developed by the Saudi National Committee of Bioethics (NCBE). The NCBE regulations are informed by selected international research ethics guidelines, and they are influenced by a set of assumptions about how we ought to think about ethics. The overall focus is on a version of liberalism, where there is a strong commitment to autonomy, there is a significant focus on informed consent, the harm principle guides the justification of action, and paternalism is seen as something that is to be avoided. There are no specific guidelines that regulate MGE research in Saudi Arabia. Therefore, it was important as a first step in the thesis to analyse the relevant regulations (both the Saudi and the selected international ones) and explore the related normative issues. One of the main empirical findings was an observed and reported lack of adherence to the requirements of the NCBE regulations. In this thesis I argued that the problem emerges from a mismatch between the liberal international guidelines and the nature of the Saudi context. One possible way to address this tension is to formulate a set of guidelines and research practices that build upon the nature of Saudi social relations and norms. This may result in a focus on what we can call trust-based, rather than the currently promoted autonomy-based, bioethics.

Despite the existence of breast cancer screening that could promote early diagnosis and survival of breast cancer, high mortality rates of breast cancer persist among Filipino women. The purpose of the qualitative study was to describe the perceptions, beliefs, and behaviors of Filipino women working as Overseas Filipino Workers (OFWs) in Saudi Arabia. Face-to-face interviews were conducted with 20 Filipino women between the ages of 40 to 60 years who were recruited voluntarily using purposeful sampling technique. Guided by the structures of health belief model (HBM), the study used an inductive coding technique to elicit common themes from the raw data. The study established that the participants' screening behaviors were influenced by family history of breast cancer, the financial and emotional burden of the disease and its treatment, the benefit of early detection, mobility to participate, culture and language barriers, and the social media. The study also demonstrated that the desire to participate in breast cancer screening is influenced by the participants' perception of susceptibility and perception of severity to breast cancer. The findings of the study could create a positive social change as it may inform the practice of public health providers, influence the drafting of informed policies for comprehensive breast health care, and improve access to preventive health services for Filipino women OFWs. Furthermore, the study could empower Filipino women in their personal health decision making, especially when working in other countries where good health is the working capital and a precondition for survival.

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.

This thesis explores the impact of lifestyle factors on the development of metabolic syndrome (MS) in Saudi Arabian women. A survey of a snowball sample was used to recruit 258 female and explored factors influencing physical activity (PA) and food intake and their effects on BMI in women living in the KSA and the UK. Participants completed a self-reporting questionnaire relating to knowledge, attitudes, barriers and levels of PA, sedentary activity and eating habits. Excessive energy intake, physical inactivity and sedentary lifestyle were all prevalent in Saudi women, resulting in 80%, over the age of 35y, being overweight or obese. BMI was associated with both energy intake and PA, though the relationship with the former was stronger. The most common barriers to regular exercise were transportation and lack of time. Findings were generally similar between women living in Saudi Arabia and the UK. The efficacy of reducing energy intake, with or without increased PA, on risk factors associated with MS in overweight Saudi women was investigated in a pilot study. After a four-week program, incorporating dietary modification alone (D) or in combination with regular vigorous aerobic exercise (D+E), improvements were seen in body composition and a range of metabolic risk factors. Both groups lost weight, but, paradoxically, those in D lost significantly more than those in D+E (5.3 vs. 3.3%, p=0.016). Moreover, significant reductions were also found in blood pressure, plasma triacylglycerol, insulin, total and LDL cholesterol, with no significant differences between the two groups. Plasma glucose and HDL cholesterol remained unaltered. Overall, these changes led to a decline in the prevalence of MS from 20% to 5% and 21% to 7% for the D and D+E groups, respectively. Thus, reducing energy intake appears, at least in the short term, more important than increasing PA in reducing body weight and associated metabolic risk factors. These studies confirm that excessive dietary intake and physical inactivity both contribute to overweight and obesity in Saudi Arabian women. With appropriate support, it is possible to both reduce energy intake and increase PA, although, in the short -term, the former appears to be most important. It remains to be established whether longer-term improvements in PA would further improve metabolic health.

In global terms, Saudi Arabia is a rapidly developing country. As such, its food industries have yet to fully implement the food safety management systems common in the EU. In the hospitals sector, the Ministry of Health intends to implement Hazard Analysis Critical Control Points (HACCP) system to provide safe meals for patients, staff and hospital visitors. The aim of this study was to evaluate the readiness of the Saudi Arabian hospitals to implement HACCP by assessing the pre-requisites programmes in their foodservices departments. An audit form was used in four hospitals in Riyadh. Questionnaires were also used to assess self-reported behaviour, knowledge and attitudes of 300 foodservices staff. Lack of training was known to be a major omission in the pre-requisite programs (PRP’s) of all hospitals. Therefore a bespoke food safety training program was developed and delivered to food handlers in the participating hospitals. An assessment was then made to determine whether this intervention had any effect on their knowledge, attitude to food safety and self-reported behaviour. The results show that, the prerequisite programs were not implemented properly in the participating hospitals. Also, foodservices staff had a poor knowledge with regard to food safety. However, staff knowledge was significantly improved following the training (p. value < 0.05) and their level of knowledge remained stable after six months. Participants’ behaviours and attitudes also improved after the training. This indicates that, training has a positive impact on food handlers knowledge, practices and attitude.

ANTECEDENTES: Después del hogar, la escuela representa el segundo entorno en el que se desatrrolla la vida de los niños. Su capacidad de aprendizaje está estrechamente relacionada con su bienestar y salud. Los estudiantes saludables asisten a clase con mayor asiduidad y son capaces de concentrarse mejor en las tareas escolares (Murray, 2007). Los enfermeros escolares desempeñan múltiples funciones en la protección y la promoción de la salud de los estudiantes. OBJETIVOS: A) General: ldentificar los factores que dificultan la implantación de la figura de la enfermera escolar en Jeddah, Arabia Saudi. b) Especificos: 1- Explorar las percepciones de las enfermeras que trabajan en centros escolares sobre las ventajas e inconvenientes de sus funciones en el ambito escolar. 2- Explorar las percepciones de los directores y profesores sobre la necesidad de las enfermeras escolares. 3- ldentificar las opiniones de los gestores sobre la necesidad de mcorporar enfermeras escolares en los centros educativos. · 4- Conocer la opinion de los directores, maestros y padres sobre el papel de la enfermera escolar. METODOLOGIA: Metodología cualitativa. Se diseñó un estudio fenomenológico interpretativo. Para la recogida de informaci6n se reaiizaron entrevistas en profundidad a educadores, enfermeros, directores, padres de aiumnos. RESULTADOS: Los resultados confirmaron la necesidad de tener una enfermera escoiar en los colegios de Arabia Saudí. Tanto los participantes de los colegios que disponen de la figura de una enfermera escolar como los que no la tienen, apoyan el rol de la enfermera escolar. Todos los informantes tienen coincidencias en el significado y funciones que ha de tener una enfermera escolar y todos consideran que la enfermera escolar tiene un impacto positivo tanto en los estudiantes como en el profesorado y en las familias; en los estudiantes, mediante su contribución a la promoción de la salud, la prevención de problemas de salud, el cuidado sistematico y a su formación en educación para la salud, al profesorado y dirección de las escuelas les genera seguridad y confianza lo cual les proporciona mayor libertad para realizar su trabajo docente y en las familias genera tranquilidad respecto al cuidado integral en salud de sus hijos. Los problemas que dificultan la inclusion de la enfermera escolar en los colegios son estructurales. CONCLUSIÓN: Los resultados de este estudio proporcionan información relevante sobre las percepciones y expectativas que las madres, profesoras, directoras y enfermeras escolares tienen respecto a las enfermeras escolares. Estos resultados abren las puertas a investigaciones adicionales en esta area en Arabia Saudí. Este estudio ha hecho una contribuci6n positiva y exclusiva para investigar mas sobre las enfermeras escolares, y por tanto tiene un impacto potencialmente positivo sobre el desarrollo en el establecimiento de la figura de una enfermera escolar en Arabia Saudi. El studio. mostró que todas las mujeres participantes que tuvieron experiencia de primera mano con enfermeras escolares reconocieron únanimemente la importancia del papel de las enfermeras escolares. Todas las participantes identificaron los primeros auxilios y tratar con las emergencias, accidentes o enfermedades y la dispensación de medicamentos corno las principales funciones de las enferrneras escolares, especialmente en las escuelas primarias donde los niños más pequeños tienen niveles más altos de hiperactividad y, por lo tanto, existe un mayor riesgo de lesión. Las enfermeras escolares mencionaron muchos beneficios de tener una enfermera en la escuela y ninguna desventaja. Los temas que surgen al abordar estas cuestiones fueron especialmente valiosos en terminos prácticos para los directores de las escuelas saudíes que desean emplear a una enfermera de alta calidad. El tema principal "empleando enfermeras escolares" identificó dos facilitadores de empleo de enfermeras escolares, a saber, la conciencia cultural / idioma y el horario laboral, micntras que surgieron varias barreras económicas para emplear a enfermeras escolares según se tratara de escuelas públicas o privadas.
BACKGROUND: The school is the second environment, after the home, where children develop their lives. Their learning capacity is widely related to their health and wellness. Healthy children attend classes more regularly and are capable to concentrate more in school activities (Murray, 2007). School nurses play multiple roles with regards to the protection and health awareness of the students. The aim of this project is to explore the perspectives directors, tutors and parents have of school nurses, and to find out what they think the role of a nurse consists of in a school environment. OBJECTIVES: General: to identify the factors that hinder the implantation of a school nurse figure in Jeddah, Saudi Arabia. Specific: I.Explore the perceptions of the nurses that work in schools regarding the advantages and disadvantages of their functions in that environment 2. Explore the perceptions of directors and teachers about the need of having a school nurse 3. Identify the opinions of managers about the need to include school nurses in education centres 4. Get to know the opinion of directors, teachers and parents with regards to the role of a school nurse. METHODOLOGY: Qualitative methodology, specifically with an interpretive phenomenological study. For the data collection, interviews will be held in depth with educators, · nurses, directors, parents and students. RESULTS: The findings confirmed the need for a nurse to be present in schools in Saudi Arabia. By comparing participants with and without a school nurse was possible to see that support for the role of school nurse was to be found in both groups. All the informants have coincidences in the meaning and functions that a school nurse must have and all consider that the school nurse has a positive impact on students, teachers and families; In the students, through their contribution to the promotion of health, prevention of health problems, systematic care and training in health education, for teaching staff and school managers generates security and confidence, which provides greater Freedom to carry out their teaching work and in families generates peace of mind regarding the comprehensive health care of their children. The problems that hinder the inclusion of the school nurse in schools are structural. CONCLUSION: The results of this study provide relevant information about the perceptions and expectations that mothers, teachers; principals and school nurses have regarding nurses. These results open the door to further research in this area in Saudi Arabia. This study has made a positive and exclusive contribution to further research on school nurses, and thus has a potentially positive impact on development in establishing a school nurse figure in Saudi Arabia. This study has made a positive and exclusive contribution to further research on school nurses, and therefore has a potentially positive impact on development in establishing a school nurse figure in Saudi Arabia. The study showed that all participating women who had firsthand experience with school nurses unanimously recognized the importance of the role of school nurses. All participants identified first aid and deal with emergencies, accidents or illnesses and dispensing medications as the main functions of school nurses, especially in primary schools w.here younger children have higher levels of.hyperactivity and, therefore, there is an increased risk of injury. School nurses mentioned many benefits of having a nurse at school and no disadvantages. The issues raised in addressing these issues were especially valuable in practical terms for the principals of Saudi schools who wish to employ a high-quality nurse. The main theme "employing school nurses" identified two facilitators of school nurse employment, namely cultural awareness / language and working hours, while several economic barriers emerged to employ school nurses as public or private schools.
ANTECEDENTS: Després de la llar, l'escola representa el segon entorn en que es desenvolupa la vida dels nens. La seva capacitat d'aprenentatge està estretament relacionada amb el seu benestar i salut. Els estudiants saludables assisteixen a classe amb mes assiduïtat i són capaços de concentrar-se millor en les tasques escolars (Murray, 2007). Els infermers escolars exerceixen múltiples funcions en la protecció i la promoció de la salut dels estudiants. OBJECTIUS a) General: Identificar els factors que dificulten la implantació de la figura de la infermera escolar a Jeddah, Aràbia Saudita. b) Específics: 1- Explorar les percepcions de les infermeres que treballen en centres escolars. sobre els avantatges i inconvenients de les seves funcions en l'àmbit escolar. 2- Explorar les percepcions dels directors i professors sobre la necessitat de les infermeres escolars. 3- Identificar les opinions dels gestors sobre la necessitat d'incorporar infermeres escolars en els centres educatius. 4- Conèixer l'opinió dels directors, mestres i pares sobre el paper de la infermera escolar. METODOLOGIA: Metodologia qualitativa. Es va dissenyar un estudi fenomenològic interpretatiu. Per a la recollida d'informació es van realitzar entrevistes en profunditat a educadors, infermers, directors, pares d'alumnes. RESULTATS: Els resultats van confirmar la necessitat de tenir una infermera escolar a les escoles d'Aràbia Saudita. Tant els participants dels col·legis que disposen de la figura d'una infermera escolar com els que no la tenen, donen suport al paper de la infermera escolar. Tots els informants tenen coincidències en el significat i funcions que ha de tenir una infermera escolar i tots consideren que la infermera escolar té un impacte positiu tant en els estudiants com en el professorat i en les famílies; en els estudiants, mitjançant la seva contribució a la promoció de la salut, la prevenció de problemes de salut, la cura sistemàtica i a la seva formació en educació per a la salut, al professorat i direcció de les escoles els genera seguretat i confiança la qual cosa els proporciona major llibertat per realitzar-la docent i en les famílies genera tranquil·litat respecte a la cura integral en salut dels seus fills.. CONCLUSIÓ: Els resultats d'aquest estudi proporcionen informació rellevant sobre les percepcions 1 expectatives que les mares, professores, directores i infermeres escolars tenen respecte a les infermeres escolars. Aquests resultats obren les portes a investigacions addicionals en aquesta àrea a l'Aràbia Saudita. Aquest estudi ha fet una contribució positiva i exclusiva per investigar més sobre les infermeres escolars, i per tant té un impacte potencialment positiu sobre el desenvolupament en l'establiment de la figura d'una infermera escolar a l'Aràbia Saudita. L’estudi va mostrar que totes les dones participants que van tenir experiència de primera ma amb infermeres escolars van reconèixer unànimement la importància del paper de les infermeres escolars. Totes les participants van identificar els primers auxilis i tractar amb les emergències, accidents o malalties i la dispensació de medicaments com les principals funcions de les infermeres escolars, especialment a les escoles primaries on els nens més petits tenen nivells més alts d'hiperactivitat i, per tant, hi ha un major risc de lesió. Les infermeres escolars van esmentar molts beneficis de tenir una infermera a l'escola i cap desavantatge. Els temes que sorgeixen en abordar aquestes qüestions van ser especialment valuosos en termes pràctics per als directors de les escoles saudites que volen donar feina a una infermera d'alta qualitat. El tema principal "emprant infermeres escolars" identificar dos facilitadors d'ocupació d'infermeres escolars, és a dir, la consciència cultural / idioma i l'horari laboral, mentre que van sorgir diverses barreres econòmiques per donar feina a infermeres escolars segons es tractés d'escoles públiques o privades.

Abstract 40% of the world gas reserves are located in in the Middle East, of which most contain high amounts of corrosive gases H2S and CO2, this with other environmental factors exerts stress on metallic and nonmetallic materials. For Baker Hughes to address these challenges, one answer was to establish local competencies in the Kingdom of Saudi Arabia as a H2S lab and materials science focused team, ultimately targeting the reduction of total expense of corrosion, and to tap into the research capabilities and expertise available in the ecosystem. H2S gas is a major health and safety challenge to deal with, as it is a lethal, flammable, corrosive. The analysis to design the lab was supported by methods of Asset Integrity Risk Management looking on barriers, process, and industry standards. The human factor was considered to ensure competency, mindset & culture. Among others, OSHA standards were followed to develop the Chemical Hygiene Plan (CHP) and respiratory protection program and Emergency Response and Operations Plan (EROP). An unexpected challenge arose during the COVID-19 pandemic where measures were taken to limit infection while maintaining lab operation. The lab started operation with a narrow scope to focus on critical lab operational skill development, successive new competencies and workflows are added following a Management of Change (MOC) process. Current developments leverage the labs growing competence to address arising challenges on ultra-high H2S, CO2 for CCUS, and hydrogen for the energy transaction.