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Almegewly WH, Karavasileiadou S, Alotaibi TS. Exploring the experiences of female undergraduate nursing students in providing home healthcare to older adults. Int J Qual Stud Health Well-being 2024; 19:2291838. [PMID: 38055792 DOI: 10.1080/17482631.2023.2291838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 12/03/2023] [Indexed: 12/08/2023] Open
Abstract
BACKGROUND In light of the growing ageing population in Saudi Arabia and Saudi nurses' hesitation to work with the older population, it is important to understand the experiences of nursing students on their clinical placement in home healthcare. METHODS This study is a descriptive qualitative study based on five focus groups of 3-5 students each. Data were collected from female senior baccalaureate nursing students at a female governmental university in Saudi Arabia, and during their placement in home healthcare. Data were analysed using thematic analysis. RESULTS Five main themes emerged : struggling with their own family; struggling with cultural and social beliefs; struggling during clinical training; struggling with domestic caregivers; and reflections for the future were considered important impressions in clinical experience. CONCLUSION The culture of Saudi Arabian society is an important factor in shaping the training experience of female nursing students either positively or negatively, specifically in the context of home healthcare nursing for older patients. The results of this study show how important it is for students to be prepared for the clinical environment, the nature of the work, and the role of the home healthcare nurse in order to improve their clinical learning.
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Affiliation(s)
- Wafa Hamad Almegewly
- Department of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
| | | | - Taghreed Samel Alotaibi
- Department of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
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Benjamin LS, Pasay An E, Vijayalakshmi K, Alqarni AS, Aseeri A, Alsulami A, Gonzales F, Mostoles R, Maestrado R, Areola B, Gonzales A, Shanmugam SR. Emotional intelligence and self-esteem among Saudi Arabian and Indian nursing students: findings from two countries. BMC Nurs 2024; 23:349. [PMID: 38790031 PMCID: PMC11127298 DOI: 10.1186/s12912-024-02022-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Accepted: 05/16/2024] [Indexed: 05/26/2024] Open
Abstract
INTRODUCTION Understanding the emotional intelligence (EI) and self-esteem of Indian and Saudi nursing students is important because their future nurse-patient relationships may be influenced by factors related to their unique cultural contexts. Hence, this study sought to investigate the EI and self-esteem of nursing students in Saudi Arabia and India. METHODS A descriptive-comparative research design was used to compare 660 nursing students from Saudi Arabia and India who were enrolled in the study from September 2022 to January 2023. Nursing students were recruited from University A in Riyadh and University B in Abha, Saudi Arabia, and from University C in India. RESULTS The study found significant differences in EI scores based on year of study (p < .011), age (p < .024), residence (p < .005), and academic performance (p < .008). Students in later years, over 20 years old, from urban areas, and with good grades, had higher EI scores. Conversely, only age showed a significant difference in the self-esteem scores (p < .002). The year of study (p > .670), residence (p > .430), and academic performance (p > .526) did not significantly affect self-esteem. Finally, urban residence and good academic performance were significant predictors of EI (p < .005), while none of the demographics predicted self-esteem (p > .005). CONCLUSION Higher emotional intelligence among nursing students can be associated with several variables, such as being in the higher years of study, older age, residing in an urban area, and good academic performance, whereas self-esteem appears to be hardly affected by these indicators but probably influenced by other aspects that were not measured. This implies that educators in relation to self-esteem should know the relationship between emotional intelligence and nursing practice besides healthcare establishments; they need to enhance their teaching methods so that learners can have more resilient attitudes towards work, provide quality patient care, and promote a better learning environment for nurses who will become stronger professionally in the future.
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Affiliation(s)
| | - Eddieson Pasay An
- College of Nursing, King Khalid University, Abha City, Saudi Arabia.
- Department of Nursing Administration, King Khalid University, Abha City, Saudi Arabia.
| | - K Vijayalakshmi
- Research Development, Apollo College of Nursing, The Tamilnadu Dr MGR Medical University, Chennai City, India
| | | | - Abeer Aseeri
- College of Nursing, Muhyil Asir Branch, King Khalid University, Abha City, Saudi Arabia
| | - Amal Alsulami
- Department of Community and Mental Health Nursing Sciences, College of Nursing, Taif University, Taif City, Saudi Arabia
| | | | - Romeo Mostoles
- College of Nursing, University of Hail, Hail City, Saudi Arabia
| | | | - Benito Areola
- Faculty, College of Nursing, Shaqra University, Riyadh City, Kingdom of Saudi Arabia
| | - Analita Gonzales
- Faculty of Nursing, University of Tabuk, Tabuk City, Saudi Arabia
| | - Sumathi Robert Shanmugam
- Department of Maternity and Pediatric Nursing, Princess Nourah Bint Abdulrahman University, Riyadh City, Saudi Arabia
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Almalki N, Boyle B, O'Halloran P. What helps or hinders effective end-of-life care in adult intensive care units in Middle Eastern countries? A systematic review. BMC Palliat Care 2024; 23:87. [PMID: 38556888 PMCID: PMC10983740 DOI: 10.1186/s12904-024-01413-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 03/17/2024] [Indexed: 04/02/2024] Open
Abstract
BACKGROUND As many patients are spending their last days in critical care units, it is essential that they receive appropriate end-of -life care. However, cultural differences, ethical dilemmas and preference practices can arise in the intensive care settings during the end of life. Limiting therapy for dying patients in intensive care is a new concept with no legal definition and therefore there may be confusion in interpreting the terms 'no resuscitation' and 'comfort care' among physicians in Middle East. Therefore, the research question is 'What helps or hinders effective end-of-life care in adult intensive care units in Middle Eastern countries?' METHODS The authors conducted a comprehensive systematic literature review using five electronic databases. We identified primary studies from Medline, Embase, CINAHL, Psycinfo and Scopus. The team assessed the full-text papers included in the review for quality using the Joanna Briggs Institute checklist (JBI). We completed the literature search on the first of April 2022 and was not limited to a specific period. RESULTS We identified and included nine relevant studies in the review. We identified five main themes as end-of-life care challenges and/or facilitators: organisational structure and management, (mis)understanding of end-of-life care, spirituality and religious practices for the dying, communication about end-of-life care, and the impact of the ICU environment. CONCLUSIONS This review has reported challenges and facilitators to providing end-of-life care in ICU and made initial recommendations for improving practice. These are certainly not unique to the Middle East but can be found throughout the international literature. However, the cultural context of Middle East and North Africa countries gives these areas of practice special challenges and opportunities. Further observational research is recommended to confirm or modify the results of this review, and with a view to developing and evaluating comprehensive interventions to promote end-of-life care in ICUs in the Middle East.
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Affiliation(s)
- Nabat Almalki
- Prince Sultan Military College for Health Sciences, Dharan, Saudi Arabia.
- School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast, BT9 7BL, UK.
| | - Breidge Boyle
- School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast, BT9 7BL, UK
| | - Peter O'Halloran
- School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast, BT9 7BL, UK
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Negm LMMA, Mersal FA, Fawzy MS, Rajennal AT, Alanazi RS, Alanazi LO. Challenges of nursing students during clinical training: A nursing perspective. AIMS Public Health 2024; 11:379-398. [PMID: 39027388 PMCID: PMC11252586 DOI: 10.3934/publichealth.2024019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Revised: 03/09/2024] [Accepted: 03/11/2024] [Indexed: 07/20/2024] Open
Abstract
Clinical training plays a fundamental role in nursing students' acquisition of professional capabilities. This study aimed to explore the perceived challenges nursing students face during clinical training. An explorative cross-sectional study was applied. A proportionate, stratified, random sample was enrolled in the study with inclusive criteria, including nursing students (2nd - 4th year) and interns who attended their internship in regional hospitals. A validated electronic questionnaire was used for data collection, which consisted of three sections and 29 items. The section that focused on the difficulties experienced by nursing students during their practical training included six elements: teachers, healthcare professionals, the students themselves, tasks, time management, and the location of the training. Another section inquired about the students' perspectives on the benefits of clinical training. A three-point "Likert scale" was applied. The findings indicated that mild (24%), moderate (62%), and severe (14%) degree of challenges were perceived by the study participants. The mean score for the total challenges during clinical training was 2.00 ± 0.28, and there were variations in the perceived challenges among grade levels. In conclusion, there are variations in the perceived challenges during clinical training among different grade levels. These challenges were related to teachers, health workers, the students, tasks, the time, and the place. Enhancing the nursing curricula alignment with practical training objectives is recommended, focusing on the development of technical and interpersonal skills with appropriate guidance, alongside positive clinical settings to help nursing students learn and boost their confidence in their approach.
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Affiliation(s)
- Lobna Mohamed Mohamed Abu Negm
- Department of Emergency and Intensive Care Nursing, Faculty of Nursing, Northern Border University, Arar 73213, Saudi Arabia
| | - Fathia Ahmed Mersal
- Department of Public Health Nursing, Faculty of Nursing, Northern Border University, Arar 73213, Saudi Arabia
| | - Manal S. Fawzy
- Unit of Medical Research and Postgraduate Studies, Faculty of Medicine, Northern Border University, Arar 73213, Saudi Arabia
- Department of Biochemistry, Faculty of Medicine, Northern Border University, Arar 73213, Saudi Arabia
| | - Ajitha Thankarajan Rajennal
- Department of Medical Surgical Nursing, Faculty of Nursing, Northern Border University, Arar 73213, Saudi Arabia
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Al-Shomrani S, Mahran SM, Felemban O. The Relationship Between Resilience and the Intention to Leave Among Staff Nurses at Governmental Hospitals in the Al-Baha Region of Saudi Arabia. Cureus 2024; 16:e56699. [PMID: 38646277 PMCID: PMC11032685 DOI: 10.7759/cureus.56699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2024] [Indexed: 04/23/2024] Open
Abstract
Background Nurses with high intent to leave can cause substantial problems for healthcare organizations, such as staffing shortages and higher expenses due to hiring and onboarding new nurses. In light of the increasing demands placed on nurses in understaffed and overloaded healthcare systems, nurses frequently face various pressures and difficulties in their field of work, including high workloads, irregular hours, complicated patients, and infectious disease exposure; resilience is critical for handling stress and hardship at work. Nurses will thus retain their jobs for longer. This study aimed to determine the relationship between resilience and the intention to leave among staff nurses. Methods This study utilized a quantitative, cross-sectional correlation design. It comprised three Saudi Ministry of Health-affiliated facilities in the Al-Baha region (King Fahad Hospital, Prince Mashari Hospital, and Mikhwah General Hospital). The study sample comprised nurses employed in critical areas and inpatient and outpatient hospital departments using convenience sampling and inclusion and exclusion criteria. An online questionnaire involving three sections was given out. The first part collected sociodemographic data, the second part included the Connor-Davidson Resilience Scale 25 (CD-RISC-25), and the third included the Anticipated Turnover Scale (ATS). Results This study found a moderate degree of intention to leave and resilience. Most participants in the survey held a bachelor's degree (75.8%), and around 87.1% of the sample consisted of women. About half of the sample (57.2%) were married; 67.6% of the participants were not Saudi nationals; and regarding the number of children, the majority (53.8%) were childless. Overall, 318 nurses working in acute and outpatient departments and critical regions participated. According to the study, 73.3% of the participants reported a moderate intention to quit, whereas 50.9% had moderate resilience. Similarly, a significant negative relationship was found between nurses' intention to leave and resilience. Conclusions In the current study, resilience has a statistically significant negative relationship with the nurses' intention to leave. Hospital management must consider the amount of work and the excessive work schedule to reduce nurses' intentions to leave. One way to do this is by assigning tasks to employees, minimizing their workload through flexible work schedules and shorter duty hours, and fostering teamwork among coworkers by ensuring clear communication and cooperation. Interventions like orientation programs for new nurses, regular meetings, seminars, and training sessions can improve nurse resilience.
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Affiliation(s)
| | - Sabah M Mahran
- Public Health/Nursing Administration, College of Nursing, King Abdulaziz University, Jeddah, SAU
| | - Ohood Felemban
- Public Health/Community and Primary Healthcare, King Abdulaziz University, Jeddah, SAU
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Al-Otaibi AG, Alyousef SM, Alhamidi SA, Almoammar DN, Alanazi NH. Exploring Nurse perceptions of structural empowerment in midwifery practice in Saudi Arabia: A qualitative study. Health Care Women Int 2024:1-15. [PMID: 38335006 DOI: 10.1080/07399332.2024.2312955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Accepted: 01/29/2024] [Indexed: 02/10/2024]
Abstract
Perceptions and experiences of midwives regarding structural empowerment during practice in Saudi Arabia were explored using a qualitative, constructive, descriptive design. Data was gathered using individual semi-structured interviews with ten midwives employed in delivery rooms, and prenatal and postnatal units of governmental hospitals in Saudi Arabia's eastern province. Data was analyzed with assistance of NVivo software, Version 12. Five themes emerged from our study: the meaning of structural empowerment, ambiguous hospital policies, the insufficient numbers of midwives, midwife-physician dynamics, and continuing education and training. Structural empowerment of midwives in maternity units may be useful in improving midwifery services in Saudi Arabia and worldwide.
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Affiliation(s)
- Areej Ghalib Al-Otaibi
- Fundamental of Nursing Department, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Seham Mansour Alyousef
- Community and Psychiatric Department, Nursing College Chairman of Community and Psychiatric Department, King Saud University, Riyadh, Saudi Arabia
| | - Sami Abdulrahman Alhamidi
- Department of Maternal and Child Health, Nursing College Vice Dean of postgraduate and research center, King Saud University, Riyadh, Saudi Arabia
| | - Danah Nasser Almoammar
- Department of Psychiatric and Mental Health Care, College of Nursing, King Saud University, Riyadh, Saudi Arabia
| | - Naif H Alanazi
- Medical-Surgical Department, College of Nursing, King Saud University, Riyadh City, Kingdom of Saudi Arabia
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Zaher S, Sumairi FA, Ajabnoor SM. Understanding nursing perspective towards barriers to the optimal delivery of enteral nutrition in intensive care settings. BMC Nurs 2024; 23:42. [PMID: 38221619 PMCID: PMC10789044 DOI: 10.1186/s12912-024-01715-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Accepted: 01/04/2024] [Indexed: 01/16/2024] Open
Abstract
BACKGROUND The management process of Enteral Nutrition (EN) typically involves the interaction between a team of health care practitioners. Nurses being the closest to the patients, have crucial responsibilities and play a major role in feeding delivery along with other medical treatments. This study was conducted to investigate the perception of the nurses working in adult and paediatric intensive care Units (ICUs) regarding the EN barriers and identify the factors that influenced their perception. METHODS The data in this cross-sectional study was collected via online survey between 15 October 2021 and January 2022. All nurses working in adult or paediatric ICUs across Saudi Arabia were eligible to participate. The tool used for the data collection was adapted from Cahill et al. (2016) and then reviewed and modified by the researchers. The survey collected information about the demographics of the nurses, and it included 24 potential EN barriers where the participants were asked to rate their importance on a scale from 1 to 5. Descriptive statistics were performed to describe the variables, univariant analysis were performed to compare the perceptions of the nurses regarding the EN barriers based on their characteristics followed by stepwise linear regression analysis. RESULTS A total of 136 nurses working in adult and paediatric ICUs were included in this study. The results showed that the most important barriers as perceived by the nurses was "Frequent displacement of feeding tube, requiring reinsertion" [3.29 ± 1.28], "Delays in initiating motility agents in patients not tolerating enteral nutrition" [3.27 ± 1.24] and "Enteral formula not available on the unit". [3.27 ± 1.24]. Our results showed that the responses of the participants statistically varied based on their work settings, gender, region, and educational level for some items in the survey (P-value ≤ 0.05). In the regression analysis, gender was the only variable statistically influenced the total Likert rating scores of the participants (r = -0.213, p-value = 0.013). CONCLUSION This study identified several barriers that exist in the nursing practice of EN in critical care settings. There are distinct differences in the perception of the nurses to these barriers based on their characteristics. Understanding such differences is important for implementing future strategies for units that needed the most help in prioritizing EN delivery.
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Affiliation(s)
- Sara Zaher
- Clinical Nutrition Department, Faculty of Applied Medical Sciences, Taibah University, P.O. Box 344, Madinah, 42353, Kingdom of Saudi Arabia.
| | - Futoon Al Sumairi
- Clinical Nutrition Department, Faculty of Applied Medical Sciences, Taibah University, P.O. Box 344, Madinah, 42353, Kingdom of Saudi Arabia
| | - Sarah M Ajabnoor
- Department of Clinical Nutrition, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
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Nahari A, Alhamed A, Moafa H, Aboshaiqah A, Almotairy M. Role delineation of advanced practice nursing: A cross-sectional study. J Adv Nurs 2024; 80:366-376. [PMID: 37449552 DOI: 10.1111/jan.15797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 06/14/2023] [Accepted: 06/28/2023] [Indexed: 07/18/2023]
Abstract
AIMS To identify the roles and activities of nurses, including advanced practice nursing (APN), and to determine nursing practice patterns across health facilities in Saudi Arabia. METHODS A descriptive cross-sectional design was used to collect data from 207 nurses working in the Saudi health sector between November 2021 and March 2022 through an online questionnaire. The Advanced Practice Role Delineation tool was used to measure and delineate nursing practice patterns and activities. Data were analysed using descriptive statistics and analysis of variance. The study followed the Strengthening the Reporting of Observational Studies in Epidemiology reporting guidelines. RESULTS Findings showed that participants, regardless of their current role, reported high scores across all domains of practice. The highest average score was obtained for the Clinical Care domain. Except for the leadership domain, findings showed that those reported working as advanced practice nurses had higher average scores across all domains than those working as staff nurses or being in managerial/administrative positions. There were significant differences in the average Clinical Care scores between advanced practice nurses and staff nurses. CONCLUSION Advanced practice nursing roles and activities are being practised in Saudi Arabia; however, there is no clear delineation of these roles and activities according to a unified and national-level APN scope of practice. IMPACTS Advanced practice nursing roles are evolving in Saudi Arabia; however, no study has examined the existing patterns of APN activities in Saudi Arabia. This study highlights the practice patterns of advanced practice nurses and adds to the international evidence base on the need for delineating APN activities under a unified scope of practice. The findings of this study are beneficial to practitioners, researchers, and stakeholders as well as the legislative and regulatory bodies. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Ahmed Nahari
- Department of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia
| | - Arwa Alhamed
- College of Nursing, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Hamza Moafa
- Department of Community and Psychiatric Mental Health Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia
| | - Ahmad Aboshaiqah
- Department of Nursing Administration and Education, College of Nursing, King Saud University, Riyadh, Saudi Arabia
| | - Monir Almotairy
- Department of Nursing Administration and Education, College of Nursing, King Saud University, Riyadh, Saudi Arabia
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Al Hamid A. Perceptions and Practices of Saudi Hospital Pharmacists Towards Reporting Medication Errors Including Near Misses. Cureus 2024; 16:e51987. [PMID: 38213934 PMCID: PMC10782184 DOI: 10.7759/cureus.51987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/10/2024] [Indexed: 01/13/2024] Open
Abstract
OBJECTIVES Medication errors (MEs) represent a patient safety concern that can have negative consequences on patients in the short and long term. Community pharmacists play an important role in the medication management process, which urges the need for their role in managing MEs. Therefore, this study aimed to investigate the perceptions and attitudes of Saudi pharmacists towards reporting MEs. METHODOLOGY A cross-sectional study was conducted using a semi-structured questionnaire that was distributed to Saudi pharmacists. The questionnaire was distributed to pharmacists via email after they had provided their consent to take part in the study. Data from the questionnaire were analysed using Statistical Product and Service Solutions (SPSS) (IBM SPSS Statistics for Windows, Armonk, NY), where descriptive statistics were applied. RESULTS The findings showed that most pharmacists appreciated the importance of reporting MEs and the role the reporting played in improving the quality of healthcare delivery. However, pharmacists raised many concerns regarding barriers to reporting. Such barriers to reporting included blaming patients or healthcare professionals, underdeveloped protocols, and the lack of standard procedures for ME reporting. Moreover, inadequate communication between healthcare professionals (for example, between pharmacists and doctors) represented an additional barrier to reporting MEs. CONCLUSIONS MEs and near misses are underreported among Saudi pharmacists due to many operational and communication challenges. These findings are useful for healthcare authorities involved in developing patient safety frameworks for reporting MEs and near misses. Future work can also determine the attitudes of other healthcare professionals involved in the medication management process.
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Alreshidi SM, Rayani AM. Predictors of Compassion Satisfaction, Compassion Fatigue, and Burnout Among Nursing Professionals in a Medical City in Saudi Arabia. Risk Manag Healthc Policy 2023; 16:2883-2892. [PMID: 38149179 PMCID: PMC10750782 DOI: 10.2147/rmhp.s430082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 12/20/2023] [Indexed: 12/28/2023] Open
Abstract
Purpose The present study aims to evaluate compassion satisfaction (CS), compassion fatigue (CF), and burnout levels in a population of nurses employed at medical city in Riyadh City, Saudi Arabia. Patients and Methods A self-report survey was employed to gather data from 300 nurses at the selected medical city in Riyadh. The survey incorporated a demographic inquiry along with the utilization of the Professional Quality of Life Scale version 5 (ProQOL 5). The ProQOL scale is one of the most widely used measures of CS, CF, and burnout. The ProQOL scale assesses multiple domains of work experiences (ie CS, CF, and burnout). This survey was disseminated through email channels, and it garnered participation from 177 nurses, culminating in a response rate of 59%. Results The study's findings reveal that nurses displayed average mean levels of CS, CF, and burnout. Interestingly, the participants aged 18-56 reported higher levels of burnout, particularly those in the age groups of 18-25, 26-35, and 36-56. Moreover, those with under 10 years' experience exhibited higher degrees of burnout and less CS compared to their more experienced counterparts. Additionally, nurses with professional qualifications demonstrated better scores on CS, CF, and burnout compared to those without such qualifications. Conclusion The experience of CF and CS among nurses appears to be influenced by multiple variables, such as length of experience, age, and professional qualifications. Nurses in certain age groups and with less experience are more prone to experiencing burnout, while having professional qualifications seems to protect against adverse outcomes to some extent.
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Affiliation(s)
- Salman M Alreshidi
- Community and Psychiatric Mental Health Nursing Department, King Saud University, Riyadh City, Saudi Arabia
| | - Ahmad M Rayani
- Community and Psychiatric Mental Health Nursing Department, King Saud University, Riyadh City, Saudi Arabia
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Aljabri NQ, Bulkeley K, Cusick A. Perspectives of Saudi Occupational Therapists Regarding Telerehabilitation: A Qualitative Study. Int J Telerehabil 2023; 15:e6584. [PMID: 38162945 PMCID: PMC10754250 DOI: 10.5195/ijt.2023.6584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2024] Open
Abstract
Background Telerehabilitation is emerging in Saudi Arabia. This study investigated occupational therapy professionals' perspectives on using telerehabilitation in their practice. Method Data were collected through semi-structured phone interviews conducted with nine Saudi occupational therapists. A pragmatic qualitative evaluation approach was used. Findings Experience and perceptions of participants regarding telerehabilitation were represented as follows: awareness and knowledge of telerehabilitation; how telerehabilitation increases occupational therapy availability and access in Saudi Arabia; telerehabilitation in the pandemic; telerehabilitation is preferred; suitability of telerehabilitation in Saudi Arabia; telerehabilitation care pathways; telerehabilitation readiness in Saudi Arabia; and telerehabilitation willingness by Saudi occupational therapists. Conclusion Saudi occupational therapists have good knowledge and awareness of telerehabilitation, and some had used it during the pandemic. They showed positive attitudes and a willingness to use telerehabilitation if appropriate technology infrastructure, official policy standards and guidelines, training, data security, and financial resources could be provided to support implementation.
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Affiliation(s)
- Naif Q. Aljabri
- College of Medical Rehabilitation Sciences, Taibah University, Saudi Arabia
- Faculty of Medicine and Health, The University of Sydney, Australia
| | - Kim Bulkeley
- Faculty of Medicine and Health, The University of Sydney, Australia
| | - Anne Cusick
- Faculty of Medicine and Health, The University of Sydney, Australia
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Alreshidi SM. Compassion fatigue prevalence and risk factors among Saudi psychiatric nurses: A cross-sectional study. Medicine (Baltimore) 2023; 102:e35975. [PMID: 37960724 PMCID: PMC10637429 DOI: 10.1097/md.0000000000035975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2023] [Accepted: 10/16/2023] [Indexed: 11/15/2023] Open
Abstract
In recent times, compassion fatigue is increasingly being recognized as a damaging outcome associated with the stress experienced by psychiatric nurses. In addition to affecting their job performance work-related stress undermines nurses' physical and emotional well-being. However, there is a lack of research on compassion fatigue that specifically focuses on psychiatric nurses working in Saudi Arabia. This cross-sectional study investigated the prevalence and factors associated with compassion fatigue among Saudi psychiatric nurses. The study participants were asked to complete a demographic questionnaire and the Arabic form of the Professional Quality of Life Scale. Statistical analyses, including one-way ANOVA, t-tests, the Levene test, and multiple linear regression, were employed to assess variables related to compassion fatigue. The survey spanned 158 psychiatric nurses from the Mental Health Complex located in Riyadh City. The mean scores for compassion satisfaction, burnout, and secondary traumatic stress were 39.72 ± 6.881, 24.29 ± 5.386, and 26.94 ± 6.973, respectively. The analysis revealed that variables such as age range (36-55 years) and an associated degree or lower explained 5.2% of the variance in compassion satisfaction. Age range (18-25 years), exercise frequency, and years of nursing experience collectively accounted for 8.4% of the variables contributing to burnout. The age range (25 to 35 years) and working night shifts also explained 5% of the variance in secondary traumatic stress. The findings indicated that compassion satisfaction, burnout, and secondary traumatic stress among the population of psychiatric nurses working in Saudi Arabia were at a moderate level. A higher frequency of healthy lifestyle practices, such as regular exercise, and being in an older age range, were positively associated with compassion satisfaction and negatively associated with burnout and secondary traumatic stress.
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Affiliation(s)
- Salman M. Alreshidi
- Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh City, Saudi Arabia
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Alshammari MH, Alboliteeh M. Moral courage, burnout, professional competence, and compassion fatigue among nurses. Nurs Ethics 2023; 30:1068-1082. [PMID: 37192753 DOI: 10.1177/09697330231176032] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
BACKGROUND Moral courage is the ability to defend and practice ethical and moral action when faced with a challenge, even if it means rejecting pressure to act otherwise. However, moral courage remains an unexplored concept among middle eastern nurses. AIM This study investigated the mediating role of moral courage in the relationship between burnout, professional competence, and compassion fatigue among Saudi Arabian nurses. RESEARCH DESIGN Correlational, cross-sectional design following the STROBE guidelines. PARTICIPANTS AND RESEARCH CONTEXT Convenience sampling was used to recruit nurses (n = 684) for four government hospitals in Saudi Arabia. Four validated self-report questionnaires (Nurses' Moral Courage Scale, Nurse Professional Competence Scale-Short Form, Maslach Burnout Inventory, and Nurses Compassion Fatigue Inventory) were used to collect data between May to September 2022. Spearman rho and structural equation modeling analyses were employed to analyze the data. ETHICAL CONSIDERATIONS The ethics review committee of a government university in Ha'il region, Saudi Arabia, approval this study (Protocol no.: H-2021-012; Approved: 08/022,021). Participants were fully explained the study aims, and consent was voluntarily secured. RESULTS The emerging model showed that burnout had a direct and positive influence on compassion fatigue, while professional competence had a direct, negative effect on compassion fatigue. Moral courage had a small and direct but negative influence on compassion fatigue. Mediation analyses also indicated that moral courage significantly mediated the indirect effects of burnout and professional competence on compassion fatigue. CONCLUSION Moral courage can be a crucial aspect in preserving the psychological and mental health of nurses, particularly under stressful conditions. Therefore, it is advantageous from an organizational and leadership standpoint to implement measures such as programs and interventions to foster moral courage among nurses.
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Affiliation(s)
| | - Mohammad Alboliteeh
- Mental Health Nursing Department, College of Nursing, University of Ha'il, Ha'il City, KSA
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Alsalem N, Rashid FA, Aljarudi S, Al Bazroun MI, Almatrouk RM, Alharbi FM, Al Mansour L, Abuzaid NB. Exploring Missed Nursing Care in the NICU: Perspectives of NICU Nurses in Saudi Arabia's Eastern Health Cluster. Pediatr Rep 2023; 15:571-581. [PMID: 37873798 PMCID: PMC10594518 DOI: 10.3390/pediatric15040052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 09/17/2023] [Accepted: 09/20/2023] [Indexed: 10/25/2023] Open
Abstract
(1) Background: Missed nursing care, an omission error characterized by delayed or omitted nursing interventions, poses significant risks to patients' safety and quality of car.; (2) Methods: This is a quantitative cross-sectional study on 151 nurses who work in NICUs in three main networks in the Eastern Health Province, Saudi Arabia: Dammam (n = 84), Qatif (n = 53), and Jubail (n = 14). The study uses a self-reported questionnaire (MISSCARE) and applies the 5-point Likert Scale. Statistical analysis data were analyzed using SPSS version 23.0. (3) Results: The primary reasons for missed care were shortage of nursing staff and unbalanced patient assignments. Missed nursing care negatively affects job satisfaction and was positively correlated with nurses' intentions to quit their jobs. Inadequate equipment, supplies, and breakdowns in communication between nurses and other healthcare professionals were also significant factors contributing to missed care. (4) Conclusions: Missed nursing care is associated with overwork, nursing shortages, and lower job satisfaction, impacting the quality of care provided in the NICU. Improving working conditions, nurse staffing, and patient assignment planning should be prioritized to address this issue effectively.
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Affiliation(s)
- Nasreen Alsalem
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | - Fatima Abu Rashid
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | - Saleh Aljarudi
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | | | - Roqayah Mirza Almatrouk
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | - Fatimah M. Alharbi
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | | | - Nahid Baker Abuzaid
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
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Almarhabi M, Cornish J, Raleigh M, Philippou J. In-service education in trauma care for intensive care unit nurses: An exploratory multiple case study. Nurse Educ Pract 2023; 72:103752. [PMID: 37619286 DOI: 10.1016/j.nepr.2023.103752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 07/25/2023] [Accepted: 08/17/2023] [Indexed: 08/26/2023]
Abstract
AIM This study explores the perceptions of intensive care units (ICUs) nurses with different educational backgrounds regarding their abilities in trauma care and the in-service education they receive to support it. BACKGROUND The advanced care of patients with traumatic injuries in ICU environments requires skilled and knowledgeable nurses, who need continuing and in-service education to provide the best care. Therefore, it is essential to understand the competencies and educational support these nurses may need in the ICUs to ensure safe and effective care delivery. DESIGN An exploratory multiple case study design was used, comprising three hospitals located in two different regions of Saudi Arabia. METHODS The study was conducted between October 2021 and March 2022. A total of forty ICU clinical staff, twelve managers, nine leaders and seven clinical educators participated in semi-structured interviews, which were complemented by a review of available documents on the trauma care in-service education syllabi, competencies and protocols. Interview data were analysed according to the Framework analysis approach, while documents were reviewed using qualitative content analysis. FINDINGS The data analysis revealed two interrelated categories relevant to trauma care: (i) care practice and (ii) education practice. The trauma care practice category highlighted the limited competencies and education in trauma care, as well as the perceived challenges and educational needs of nurses. The education practice category described the staff learning behaviours, supervision practices and in-service education systems in the participants' settings. CONCLUSIONS The study concludes that there is a lack of trauma care education at the examined sites. It suggests the need for further research to develop a theoretical foundation for trauma care education that can meet ICU nurses' educational needs while this being feasible to implement in the specific ICU context and practice.
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Affiliation(s)
- Maha Almarhabi
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK; Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.
| | - Jocelyn Cornish
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK
| | - Mary Raleigh
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK
| | - Julia Philippou
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK
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Albagawi B, Alkubati SA, Abdul-Ghani R. Levels and predictors of nurses' knowledge about diabetes care and management: disparity between perceived and actual knowledge. BMC Nurs 2023; 22:342. [PMID: 37770877 PMCID: PMC10537144 DOI: 10.1186/s12912-023-01504-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 09/12/2023] [Indexed: 09/30/2023] Open
Abstract
BACKGROUND Nurses have a crucial role in managing, educating, and caring for diabetic patients. However, their knowledge should be regularly assessed to avoid preventable complications and reduce costs. Therefore, the present study assessed the perceived and actual knowledge about diabetes among nurses in Hail province of Saudi Arabia and investigated predictors of such knowledge. METHODS A cross-sectional study was conducted among 325 conveniently sampled nurses from all public hospitals and primary healthcare centres in Hail province from September to December 2022. A pre-designed questionnaire was used to collect demographic and practice-related characteristics of the nurses. In addition, data on nurses' perceived and actual knowledge about diabetes were collected using the Diabetes Self-Report Tool (DSRT) and Diabetes Basic Knowledge Tool (DBKT) self-report questionnaires, respectively. The mean knowledge scores for demographic and practice-related variables were compared using the independent-samples t-test and one-way analysis of variance. Multiple linear regression was used to identify significant predictors of perceived and actual knowledge. The correlation between perceived and actual knowledge was investigated using Pearson's correlation coefficient. A P-value ˂0.05 was considered statistically significant. RESULTS Based on a highest maximum score of 60 using the DSRT, the mean score of perceived knowledge was 38.4 ± 12.0, corresponding to a percentage mean score of 64%. On the other hand, based on a highest maximum score of 49 using the DBKT, the mean score of actual knowledge was 23.2 ± 9.6, corresponding to a percentage mean score of 47.3% of correct responses. Being Indian, having a diploma or a bachelor's degree, and having a poor or fair self-perception of competence in diabetes care were predictors of lower perceived knowledge scores, whereas having no access to diabetes guidelines was a predictor of higher scores. However, being non-Saudi and having experience of at least 16 years were predictors of higher actual knowledge scores. The correlation between actual and perceived knowledge about diabetes was negligible and statistically non-significant (r = 0.011, P = 0.055). CONCLUSION Nurses affiliated with public health facilities in Hail province lack adequate knowledge about diabetes, with no correlation between what is perceived to be known and what is actually known. Indian citizenship, having a diploma or bachelor's degree, not having access to diabetes guidelines, not attending courses/workshops, and having a poor or fair self-perception of competence in diabetes care can significantly predict nurses' perceived knowledge. However, being non-Saudi (Filipino or Indian) and having at least 16 years of experience can significantly predict their actual knowledge of diabetes.
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Affiliation(s)
- Bander Albagawi
- Department of Medical Surgical Nursing, College of Nursing, University of Hail, Hail City, Saudi Arabia
| | - Sameer A Alkubati
- Department of Medical Surgical Nursing, College of Nursing, University of Hail, Hail City, Saudi Arabia.
- Department of Nursing, Faculty of Medicine and Health Sciences, Hodeida University, Hodeida, Yemen.
| | - Rashad Abdul-Ghani
- Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen
- Tropical Disease Research Center, Faculty of Medicine and Health Sciences, University of Science and Technology, Sana'a, Yemen
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Abualruz H, Al-Ghabeesh SH, El-Gazar H, Abu Tabar N, Al-Sharyah H, Al-Sarayreh R, Abousoliman A. The impact of utilizing inclusive leadership among nurses during crises: A multisite comparative study. J Med Life 2023; 16:1350-1356. [PMID: 38107706 PMCID: PMC10719789 DOI: 10.25122/jml-2023-0159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 07/05/2023] [Indexed: 12/19/2023] Open
Abstract
Nurses' psychological wellness and satisfaction are threatened by exposure to many stressors. Adopting a promising leadership style has beneficial impacts at different levels, especially during crises. This study aimed to examine the impact of inclusive leadership on nurses' satisfaction and psychological distress during crises, focusing on three Arabic countries. A cross-sectional descriptive design was utilized to meet the study goal. Data were collected electronically in the three countries using the Kessler Psychological Distress Scale (K-10), Minnesota Satisfaction Questionnaire, and Carmel's Inclusive Leadership Scale. Two hundred seventy-four participants fully responded: 90 from Egypt, 82 from Saudi Arabia, and 102 from Jordan. Descriptive statistics, Pearson R, Spearman Rho, Point biserial, and ANOVA tests were used to answer the research questions. There were statistically significant differences between countries in the mean scores of inclusive leadership and psychological distress. In addition, statistically significant relationships between inclusive leadership, psychological distress, and job satisfaction were found. The study focused on the importance of approaching inclusive leadership to increase employee satisfaction, reduce psychological distress, and achieve organizational goals.
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Affiliation(s)
- Hasan Abualruz
- Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
| | | | - Heba El-Gazar
- Faculty of Nursing, Port Said University, Port Fuad, Egypt
| | - Nazih Abu Tabar
- Fatima College of Health Sciences, Al Ain, United Arab Emirates
| | - Hussain Al-Sharyah
- AL-Ghad International Colleges for Applied Medical Sciences, Najran, Saudi Arabia
| | - Rozan Al-Sarayreh
- Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
| | - Ali Abousoliman
- Prince Sattam Bin Abdulaziz University, Riyadh, Saudi Arabia
- Faculty of Nursing, Kafr Elsheikh University, Kafr El Sheikh, Egypt
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Alreshidi SM, Rayani AM. The Correlation Between Night Shift Work Schedules, Sleep Quality, and Depression Symptoms. Neuropsychiatr Dis Treat 2023; 19:1565-1571. [PMID: 37440839 PMCID: PMC10335288 DOI: 10.2147/ndt.s421092] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 07/04/2023] [Indexed: 07/15/2023] Open
Abstract
Purpose Poor sleep and depressive symptoms are two negative effects of night shift work on physical and mental health. This study evaluated the correlation between sleep quality and depression symptoms among nurses in Saudi Arabia. Specifically, we assessed depressive symptoms and sleep quality observed among nurses who worked night shifts and compared the outcomes with those who worked exclusively day shifts in hospital settings. Patients and Methods A total of 191 participants (55.5% men, 44.5% women) participated. The response rate was 63.6%. The hospital anxiety and depression scale (HADS) and Pittsburgh Sleep Quality Index (PSQI) were used to assess depression score and sleep quality, respectively. Results Nurses who worked night shifts had substantially higher PSQI ratings (p<0.05) than those who worked day shifts. In addition, there was a clear relationship between the HADS and PSQI scores. According to the binary logistic regression, longer working hours and inadequate sleep were both independently linked to depressive symptoms among nurses. Conclusion Poor sleep quality brought on by night shifts may explain why Saudi nurses who work night shifts experience higher rates of depression than those who work day shifts only.
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Affiliation(s)
- Salman M Alreshidi
- Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh City, 12371, Saudi Arabia
| | - Ahmad M Rayani
- Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh City, 12371, Saudi Arabia
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Personal and Job-Related Factors Influencing the Work Engagement of Hospital Nurses: A Cross-Sectional Study from Saudi Arabia. Healthcare (Basel) 2023; 11:healthcare11040572. [PMID: 36833106 PMCID: PMC9956168 DOI: 10.3390/healthcare11040572] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 02/10/2023] [Accepted: 02/13/2023] [Indexed: 02/17/2023] Open
Abstract
This study explored the levels of work engagement and identified whether personal and job-related factors influenced the work engagement dimensions of vigor, dedication, and absorption of nurses working in a Saudi hospital. A descriptive, cross-sectional correlational survey of nurses in inpatient wards (general medical, surgical, and specialized wards) and critical care units in a tertiary hospital in Saudi Arabia, using The Utrecht Work Engagement Scale. Using a self-report questionnaire, 426 staff nurses and 34 first-line nurse managers were surveyed. Data collected consisted of selected personal and professional factors, including gender, age, education, current work setting, years of experience, nationality, and participation in committees, and/or work teams alongside the 17-item version of the UWES. The study participants showed high levels of work engagement. Age, years of experience, and participation in committees were significantly associated with work engagement. Nurses who were older, possessed more experience, and participated in committees showed higher levels of engagement. Healthcare organizations and their leaders, policymakers, and strategic planners should create a conducive work environment that supports the work engagement of nurses by considering the influencing antecedents. The nursing profession, patients' safety issues, and vital economic problems are the fundamental issues facilitated by the creation of practice environments that entirely engage nurses in their work.
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Alotaibi K, Higgins I, Chan S. Culture, religion, language and the assessment and management of children's pain by expatriate nurses in Saudi Arabia: A qualitative study. J SPEC PEDIATR NURS 2023; 28:e12399. [PMID: 36419370 DOI: 10.1111/jspn.12399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 11/03/2022] [Accepted: 11/14/2022] [Indexed: 11/25/2022]
Abstract
PURPOSE Unrelieved pain among hospitalized children is a common problem that affects all aspects of children's health and their quality of life. Cultural and language differences between nurses and patients have been shown to impact the quality and safety of nursing care and management for children with pain. The aim of this study was to identify the cultural factors, barriers, and facilitators impacting the assessment and management of children's pain by expatriate nurses in Saudi Arabia. DESIGN AND METHODS A qualitative descriptive design was employed in this study. A sample of 16 nurses was conveniently recruited and interviewed through face-to-face semistructured interviews. Each interview lasted between 30 and 60 min and was audio-recorded. Content analysis was used to analyze the transcripts. Transcripts were carefully read, significant statements were highlighted, coded, categorized, and clustered thematically. RESULTS Three main themes were identified, namely, (I) low priority of children's pain, (II) culture and religious challenges, and (III) communication challenges. PRACTICE IMPLICATIONS Cultural and language differences described by expatriate nurses hindered their care of children with pain. A systematic education for expatriate nurses, children, and families is urgently needed to enhance inter/cross-cultural understandings and improve childcare in Saudi Arabia. This study identifies the unique challenges faced by expatriate nurses in Saudi Arabia. The findings reveal how a lack of knowledge about cultural values and beliefs can lead to misunderstandings and conflicts between nurses, children, and families and can have an impact on childcare and pain. It also highlights the need to improve pain management practices in multicultural healthcare settings, similar to those of Saudi Arabia and neighboring Arab nations, and across the globe.
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Affiliation(s)
- Khalaf Alotaibi
- Nursing Department, College of Applied Medical Sciences - Dawadmi, Shaqra University, Shaqra, Saudi Arabia
| | - Isabel Higgins
- Older Person Care, School of Nursing and Midwifery, Faculty of Health Sciences and Medicine, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Sally Chan
- Tung Wah College (TWC), Homantin, Hong Kong
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Alzailai N, Barriball KL, Alkhatib A, Xyrichis A. Factors that contributed to burnout among intensive care nurses during the COVID-19 pandemic in Saudi Arabia: A constructivist grounded theory. Aust Crit Care 2023; 36:19-27. [PMID: 36437164 PMCID: PMC9643309 DOI: 10.1016/j.aucc.2022.11.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 10/27/2022] [Accepted: 11/03/2022] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND Intensive care unit (ICU) nurses experience high levels of burnout during the COVID-19 pandemic due to multiple stressors. It has long been known that burnout is negatively associated with patient and staff outcomes. Understanding the triggers for intensive care nurses' burnout during the pandemic can help to develop appropriate mitigation measures. OBJECTIVE The objective of this study was to examine intensive care nurses' experiences during the COVID-19 pandemic in Saudi Arabia to develop insights into the factors that influenced burnout. METHODS The study was informed by a constructivist grounded theory design. The study was conducted in an adult ICU in a tertiary hospital in the Makkah province in the Kingdom of Saudi Arabia. All participants were registered nurses with at least 6 months' experience in intensive care and experienced caring for COVID-19 patients. FINDINGS This paper reports on preliminary findings from interviews with 22 intensive care nurses. A core category 'pandemic pervasiveness' was identified from the interview data, which makes reference to the ever-present nature of the pandemic beyond the ICU context. Family, work, and the wider world context are the three groups of contextual factors that influenced nurses' experience and perception of burnout. CONCLUSION Many issues identified from the findings in this study can be attributed to shortages in the intensive care nursing workforce. Thus, we join others in calling for healthcare organisations and policymakers to be creative in finding new ways to meet nurses' needs, motivate, and empower them to maintain and sustain the nursing workforce in highly demanding areas, such as ICUs. Nursing managers can play a crucial role in mitigating nurses' burnout by identifying and tackling sources of stress that exist among their staff, specifically team conflict, workplace harassment, and discrimination.
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Affiliation(s)
- Nawal Alzailai
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care at King College London, James Clerk Maxwell Building, 57 Waterloo Road London, SE1 8WA, UK; Umm AL-Qura University, Makkah, Saudi Arabia.
| | - K Louise Barriball
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care at King College London, James Clerk Maxwell Building, 57 Waterloo Road London, SE1 8WA, UK.
| | | | - Andreas Xyrichis
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care at King College London, James Clerk Maxwell Building, 57 Waterloo Road London, SE1 8WA, UK.
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Halabi J, Nilsson J, Lepp M. The nurse professional competence scale: Self-reported professional competence among newly graduated nursing students in Saudi Arabia. SAUDI JOURNAL FOR HEALTH SCIENCES 2023. [DOI: 10.4103/sjhs.sjhs_151_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/17/2023] Open
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Alilyyani B, Kerr MS, Wong C, Wazqar DY. The influence of authentic leadership on nurses' turnover intentions and satisfaction with quality of care in Saudi Arabia: A structural equation modelling study. J Nurs Manag 2022; 30:4262-4273. [PMID: 36326612 DOI: 10.1111/jonm.13895] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Revised: 10/01/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022]
Abstract
AIM(S) The study aimed to test a model that examined the relationships between authentic leadership, psychological safety, work engagement and team effectiveness and subsequent effects of team effectiveness on job turnover intentions and nurse satisfaction with quality of care. BACKGROUND Nurse leaders who exhibit authentic leadership have been shown to contribute to the development of healthy work environments. In workplaces with demonstrated authentic leadership, nurses are more engaged and have lower job turnover intentions. METHOD(S) A non-experimental, cross-sectional design was used to test the hypothesized model via structural equation modelling. A total of 456 nurses were included. RESULTS Structural equation modelling analysis indicated a good fit for the hypothesized model. Authentic leadership had a positive, significant and direct relationship with team effectiveness, nurses' work engagement and psychological safety. Team effectiveness was found to be negatively related to job turnover intentions but positively related to nurse satisfaction with quality of care. CONCLUSION(S) Results of this study may help nursing leaders have a better understanding of the essential role of leadership style in increasing healthy work environments. IMPLICATIONS FOR NURSING MANAGEMENT Applying authentic leadership style in nursing practice could help to reduce the shortage of nurses stemming from the high turnover intentions of nurses.
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Affiliation(s)
- Bayan Alilyyani
- Nursing Department, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
| | - Michael S Kerr
- Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Ontario, Canada
| | - Carol Wong
- Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Ontario, Canada
| | - Dhuha Y Wazqar
- Oncology Nursing and Palliative Care at Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia
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Mariano MEM, Woodman A, Al Zahrani EM, Al Naam Y, Farrelly RR, Al‐Jamea LH, Al Mutair A, Al‐Ansari R, Quiambao JV, Balilla J. Turnover-attachment motive of Saudi Arabia nursing workforce: A Cross-Sectional study. Nurs Open 2022; 10:988-997. [PMID: 36109849 PMCID: PMC9834159 DOI: 10.1002/nop2.1366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 08/08/2022] [Accepted: 08/30/2022] [Indexed: 01/16/2023] Open
Abstract
AIM This study aimed to explore the association of turnover-attachment motive with socio-demographic data among Saudi and foreign nurses in a hospital in the Eastern Province of Saudi Arabia. METHODS A cross-sectional correlation study was conducted among n = 180 registered Saudi and foreign nurses working at a private tertiary hospital in the Eastern Province, Saudi Arabia. The turnover-attachment motive survey was used to evaluate the eight motivational forces. Data were analysed using JASP version 16 statistical software and Orange 3 version 3.26.0. The data were subjected to correlation analysis and multiple linear regression. RESULTS Only 8% of participants were identified with a high intention to leave driven by alternative, behavioural, normative and constitutive forces. Younger healthcare workers tend to have higher intentions to quit the job; the 29-33 age group has a statistically significant negative effect, increasing intention to leave. It was found that those with 5-6 years of clinical experience at Dr. Sulaiman Al Habib Hospital, Al Khobar and no experience abroad had statistically significantly lower intention to leave. CONCLUSION This study presented the factors influencing nursing staff to stay or leave work in a hospital in the Eastern Province of Saudi Arabia that can be a basis for reviewing existing policies and procedures to improve nurses' working conditions.
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Affiliation(s)
- Maria E. M. Mariano
- Nursing Department, Prince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Alexander Woodman
- Vice Deanship of Postgraduate Studies and ResearchPrince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Eidan M. Al Zahrani
- Biomedical Technology DepartmentPrince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Yaser A. Al Naam
- Department of Clinical Laboratory SciencesPrince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Rory R. Farrelly
- Nursing Administration DepartmentDr. Sulaiman Al Habib HospitalDhahranSaudi Arabia
| | - Lamiaa H. Al‐Jamea
- Department of Clinical Laboratory SciencesPrince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Abbas Al Mutair
- Nursing Department, Prince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Rehab Y. Al‐Ansari
- Internal Medicine DepartmentKing Fahad Military Medical ComplexDhahranSaudi Arabia
| | - Jenifer V. Quiambao
- Vice Deanship of Postgraduate Studies and ResearchPrince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Jeffhraim Balilla
- Institutional Assessment, Effectiveness & Research Advancement UnitBulacan State UniversityBulacanPhilippines
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Grande RAN, Berdida DJE, Susanto T, Khan A, Waelveerakup W, Saad Z. Nursing competency inventory and professional competence of graduating students in six Asian countries: A cross-sectional study. NURSE EDUCATION TODAY 2022; 116:105470. [PMID: 35816765 DOI: 10.1016/j.nedt.2022.105470] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 05/18/2022] [Accepted: 07/04/2022] [Indexed: 06/15/2023]
Abstract
AIMS To investigate graduating nursing students' nursing and professional competencies and the predictors of their competencies. BACKGROUND Across Asian countries, there is a paucity of literature that explores graduating nursing students' competency and professional competence during the ongoing COVID-19 pandemic. DESIGN Descriptive, cross-sectional, and predictive approaches. METHOD Convenience sampling was used among graduating nursing students from the six Asian countries (n = 375). The STROBE guidelines for cross-sectional studies were used. Two self-report instruments were utilized to collect data. We conducted multiple linear regression analyses to assess the predictors of nursing competency and professional competence domains. RESULTS Country of residence and general point average (GPA) showed statistically significant multivariate effects. Value-based nursing care and critical thinking and reasoning domains recorded the highest in professional competence and competency inventory for nursing students, respectively. Country of residence, GPA, and preferred nursing major were significant predictors of graduating nursing students' nursing competency and professional competence domains. CONCLUSION Our study's findings revealed a high level of diversity among nursing students regarding ethical care obligations, caring pedagogies, and lifelong learning, all of which may be ascribed to their distinct culture, background, and belief systems.
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Affiliation(s)
- Rizal Angelo N Grande
- Mental Health Nursing Department, College of Nursing, University of Ha'il, Ha'il City 55473, Saudi Arabia; College of Health Allied and Medical Professions, University of San Agustin, Iloilo City 5000, Philippines
| | | | - Tantut Susanto
- Department of Community, Family & Geriatric Nursing, Faculty of Nursing, University of Jember, 681211, Indonesia
| | - Anwar Khan
- Medical-Surgical Nursing Department, College of Nursing, University of Ha'il, Ha'il City 55473, Saudi Arabia; Rajasthan University of Health Sciences, Jaipur (Laganshan College of Nursing, Makrana), Rajasthan 341502, India
| | - Wanpen Waelveerakup
- Faculty of Nursing, Nakhon Pathom Rajabhat University, 85 Maliaman Rd., Nongpaklong Sub-district, Mueang District, Nakhon Pathom Province 73000, Thailand
| | - Zahrah Saad
- International Relations, MAHSA University, Selangor 42610, Malaysia
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Nashwan AJ, Villar RC, Mathew RG, Al-Lobaney NF, Nsour AT, Abujaber AA, Leighton K. Intention and motivation to pursue higher education among registered nurses and midwives: a cross-sectional study during COVID-19. Int J Nurs Educ Scholarsh 2022; 19:ijnes-2021-0152. [PMID: 35969685 DOI: 10.1515/ijnes-2021-0152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Accepted: 07/27/2022] [Indexed: 11/15/2022]
Abstract
OBJECTIVES To determine the intention and motivation of nurses and midwives to pursue their higher education considering several factors. METHODS This is a cross-sectional study were a 16-item online survey was distributed using a convenience sampling method to approximately 12,000 nurses and midwives between May - July 2021. RESULTS A total of 513 eligible nurses and midwives participated in the study. Most of the respondents were females (76.61%), with a bachelor's degree (72.3%) and well experienced (11-15 years) (35.4%). Most nurses and midwives are highly motivated to pursue higher education (79.14%). The most motivating factor for the respondents is their professional goals (85.2%), While the most dissuading factor was the cost. Regarding COVID-19, about 28% of the respondents said that the COVID-19 pandemic has a negative effect on their desire to go for higher education. CONCLUSIONS The nurses and midwives were highly motivated to pursue higher education regardless of their demographic status, available resources, and barriers. Furthermore, the eagerness of the nurses and midwives to pursue higher education, which is rooted in their desire to grow in their profession.
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Affiliation(s)
- Abdulqadir J Nashwan
- Department of Nursing, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), Doha, Qatar.,University of Calgary in Qatar (UCQ), Doha, Qatar
| | - Ralph C Villar
- Department of Nursing, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Rejo G Mathew
- Department of Nursing, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Nabeel F Al-Lobaney
- Department of Nursing, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Ahmad T Nsour
- Nursing & Midwifery Education Department (NMED), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Ahmad A Abujaber
- Department of Nursing, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), Doha, Qatar.,University of Calgary in Qatar (UCQ), Doha, Qatar
| | - Kim Leighton
- ITQAN Clinical Simulation and Innovation Center, Hamad Medical Corporation (HMC), Doha, Qatar
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Al-Dossary RN. The Relationship Between Nurses' Quality of Work-Life on Organizational Loyalty and Job Performance in Saudi Arabian Hospitals: A Cross-Sectional Study. Front Public Health 2022; 10:918492. [PMID: 35903381 PMCID: PMC9315313 DOI: 10.3389/fpubh.2022.918492] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 06/09/2022] [Indexed: 11/13/2022] Open
Abstract
Purpose The purpose of this study is to analyze the relationship between quality of work-life on the organizational loyalty and job performance in Saudi Arabia. Methods This study used a cross-sectional design for collecting the data related to the nurses' quality of work-life, organizational loyalty, and job performance from nursing staff in Saudi Arabian hospitals. Three questionnaires were used in this study, which includes Quality of Work Life Scale (QWLS), Organizational Commitment Questionnaire (OCQ), and Individual Work Performance Questionnaire (IWPQ). An online version of the survey questionnaire was generated using the Google survey, to which a link is generated for collecting data. At the end of the survey, 243 responses were received. After removing the incomplete responses, 209 responses were considered for the data analysis. The statistical techniques including t-tests and Pearson's correlation were used in the data analysis. Results Nurse managers reflected good quality of life, and high loyalty toward their employers, and also reflected good job performance levels. However, staff nurses reflected poor quality of work-life, organizational loyalty, and job performance. Training and development had strong positive correlation with continuance commitment (r = 0.628, p < 0.01). Job satisfaction and job security held strong positive correlation with task performance (r = 0.601, p < 0.01) and contextual performance (r = 0.601, p < 0.01). Conclusion Quality of work-life, organization loyalty, and job performance are positively correlated, and poor quality of work-life can negatively impact job performance and organizational loyalty of nurses.
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Hamdan Alshammari M, Alboliteeh M. Structural equation modeling of the association between professional and cultural competencies of nurses in Saudi Arabia. Nurse Educ Pract 2022; 63:103382. [PMID: 35772307 DOI: 10.1016/j.nepr.2022.103382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 05/04/2022] [Accepted: 06/13/2022] [Indexed: 11/29/2022]
Abstract
AIM To determine the influence of Saudi nurses' professional competencies on their cultural competency using the structural equation model (SEM). BACKGROUND Nurses are an essential component of the health care delivery system; it is crucial to understand their professional and cultural competencies. However, these concepts remain underreported from a middle eastern perspective. DESIGN A correlational, cross-sectional design. METHODS Data were collected using two self-report instruments from 587 nurses employed in three government-run tertiary hospitals in Saudi Arabia. Spearman rho and SEM were performed to analyze the relationships of the studied variables. RESULTS The emerging model showed acceptable model fit indices. Among the six dimensions of professional competency, only three significantly influence cultural competency. Specifically, both care pedagogics and medical and technical care had a moderate, positive influence on cultural competency. Contrastingly, value-based nursing care had a moderate but negative influence on cultural competency. CONCLUSIONS Cultural competency is a complex and underused nursing concept influenced by nurses' professional competencies. The knowledge acquired from the presented model can be used by nurse leaders, administrators and educators in developing appropriate policies, programs and strategies.
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Affiliation(s)
- Mohammed Hamdan Alshammari
- Mental Health Nursing Department, College of Nursing, University of Ha'il, Ha'il City 55473, Saudi Arabia.
| | - Mohammad Alboliteeh
- Medical-Surgical Nursing Department, College of Nursing, University of Ha'il, Ha'il City 55473, Saudi Arabia.
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AL-Dossary RN. Leadership Style, Work Engagement and Organizational Commitment Among Nurses in Saudi Arabian Hospitals. J Healthc Leadersh 2022; 14:71-81. [PMID: 35698661 PMCID: PMC9188332 DOI: 10.2147/jhl.s365526] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 05/14/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose The purpose of this paper is to examine how nurse managers’ leadership styles, work engagement, and nurses’ organizational commitment are related in Saudi Arabia. Methods This study used a cross-sectional design using an online survey instrument targeted at nurse managers and nurses working in Saudi Arabian hospitals. Multi-factor leadership questionnaire (MLQ), organizational commitment questionnaire (OCQ), and Utrecht Work Engagement Scale (UWES) were used in the Questionnaire. The survey link is forwarded to HR administrators of 71 hospitals, which includes public, private, and public–private partnership hospitals. The survey link was active from 27th November 2021 to 18th December 2021, and at the end of the survey, 394 responses were received. After removing the incomplete responses, 390 participant responses are considered for data analysis. t-tests and correlation analysis are used to analyze the data. Results Among the participants, 84.4% of the participants were nurses and 15.6% were nurse managers. Significant difference (p < 0.05) of opinions is observed among nurse managers in relation to transformational and transactional leadership styles and engagement. Transformational and transactional leaderships are positively correlated with organizational commitment and nurses’ engagement. Conclusion Differences in leadership style perceptions among nurses and nurse managers reflected issues in nursing management, which have to be addressed in light of rapid infrastructural changes owing to Saudi vision 2030.
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Affiliation(s)
- Reem N AL-Dossary
- Nursing Education Department, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, 34221, Saudi Arabia
- Correspondence: Reem N AL-Dossary, Nursing Education Department, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, 34221, Saudi Arabia, Email
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