Objectives:To determine the epidemiology of non- transported emergency medical services (EMS) calls within the EMS system at Riyadh, Saudi Arabia, to identify factors that contributes to non-transport of patients by EMS provider, and to recommend suggestions for reduction in number of non-transported calls.Methods:Retrospective analysis of 1390 patient care reports (PCR) of non-transported cases responded to, and documented by the Saudi Red Crescent Authority (SRCA) emergency medical technicians (EMTs). All PCRs of non-transported cases from 10 EMS stations, in 3 consecutive months were examined. The SRCA EMTs management in Riyadh allocated all non-transported PCRs for 3 months (March-May 2014). Constructive data that includes patients demographics, scene characteristics, trip and timing information, length of stay, clinical and assessment data, and physician contact, or presence status were extracted from those PCRs.Results:Twenty-five percent of calls made during the study period were reported as non-transported calls. Seventy percent of non-transported calls were related to refusal by patient. Approximately 22.4% of non-transported calls were canceled by dispatch. Approximately 50% of non-transported patient were in the young age group (16-30 years). In 26% of non-transported calls, the field time was restricted to 15 minutes.Conclusion:More than half of the non-transported emergency calls were reported as refused by patient/relative, while approximately one quarter were reported as cancelled calls.

Coronavirus disease-2019 (COVID-19) is an ongoing public health issue, which threatens the lives of more than 2.4 million people worldwide. This study's purpose is to establish paramedics’ knowledge, attitude, and practices (KAP) towards COVID-19 in Saudi Arabia. An online cross-sectional, descriptive study was conducted among paramedics in four hospitals via WhatsApp Messenger. The study population was composed of paramedics aged 18 years and above. A pre-validated questionnaire was used to evaluate KAP towards COVID-19. Bloom’s cut-off of 80% was used to assess sufficient knowledge (≥80%), positive attitude (≥4), and good practice (≥2.4). All analyses were performed using SPSS version 26 of the approaching 300 paramedics, 71 (24%) responded. The majority of participants were male (n=61, n=85.9%), with an average age of 33 (range: 18–57) years. Overall, 4.2% (n=3) had sufficient knowledge, 42% (n=30) had a positive attitude, and 4% (n=4) had good practice regarding to COVID-19. There was a statistically significant difference between paramedics’ KAP according to their socio-demographic characteristics. Younger paramedics (≥ 18) have sufficient knowledge and a good practice toward COVID-19 than older paramedics (≥37) (p=0.000, p=0.005), respectively. Older paramedics (≥37) have a positive attitude towards COVID-19 relative to younger paramedics (≥ 18) (p=0.000). A statistically significant difference between the total KAP and the level of education (p=0.000) at which the diploma (p=0.000) had sufficient knowledge of COVID-19 than the bachelors and the postgraduate level. Bachelor's and graduates have a positive attitude (p=0.000) towards COVID-19 than the diploma. Saudi paramedics have poor knowledge of COVID-19. In addition, the results of this study have shown that there are statistically significant differences in KAPs’ paramedics according to their demographic characteristics. The author suggests follow-up studies concerning emergency medical services (EMS) settings around the country. Relevance to clinical practice: Ongoing professional education program for Saudi paramedics is encouraged to improve knowledge of paramedics, thus preventing negative attitudes and encouraging constructive preventive and therapeutic practices.

Background: Everyone becomes aware due to the epidemic, especially primary department nurses. The significance of their experiences teaches nurses how to take care of themselves and be successful in their caregiving. Objective: The purpose of this study was to investigate the perceptions of nurses working in primary care settings in rural regions during the omicron variant pandemic. Methods: On the basis of the Nvivo 12 analytic approach, extensive semi-structured interviews were used to perform this qualitative study. 20 interviews later, data saturation had been reached. Data collecting was place from February to March 2022 for a month. The following participant characteristics were discovered through semi-structured interviews with 20 nurse participants. Ages of the participants, who were split between eight men and twelve women, varied from 28 to 43 years (average age 36.4 years). The majority (75% of them) had a vocational education, and their years of experience ranged from five to fifteen (average 11 years). Results: 4 topics and 7 sub-themes' results. The results' fundamental message is: The Nursing Clinical Practice Dilemma, school district, virus type uncertainty Indigenous peoples do not adhere to the concept of the afterlife. Must Be Excited and Alert; School Cluster; Virus Type Confusion; Non-Belief in Covid; and the Dilemma of Nursing in Clinical Practice are the Overarching Themes of This Study. Conclusion: Making innovations to increase motivation thereby reducing mental and physical fatigue are the implications of the results of this study. Further exploration of the readiness of nurses to treat patients in the main department is believed to be beneficial for the results of this study.

Objective This study aims to increase understanding of the process of nursing students at risk of completing suicide attempts that facilitates the transition from suicidal ideation to action. And The Central Bureau of Statistics, there were 812 suicide cases throughout Indonesia. Methods The qualitative research involved 15 nursing students who were selected purposively. data collection in rural East Java Data were collected through semi-structured interviews and analyzed using the Colaizzi phenomenological method. Results We identified six main themes; 1 (the dimension of individual history). 2 (socio-cultural dimension) describes the problems experienced by nursing students on campus and off campus. 3 (interpersonal dimension). 4 (intrapersonal dimension); Factors of family conflict, peer conflict, and psychiatric and/or medical disorders. 5 (emotional dimension). 6. (be a good listener). Conclusion The intrapersonal element is the most influential catalyst in the progression from suicidal ideation to action. As prospective targets for preventive interventions and practices with nursing students at risk of suicide, our findings suggest the need for specific measures addressing freshman recruitment during selection for faculty, emotional dysregulation, and feelings of invalidity and entrapment. Nursing students need intrapersonal training. Being a good listener for all students, lecturers and staff is important to create a support system for suicide prevention in the nursing environment.