Aim This study measures the levels of QNWL and determines the relationship between QNWL and nurses' personal, family and work shift factors. Background The nursing profession in Saudi Arabia (SA) is diverse, with many challenges during nursing practice. Therefore, examining QNWL is important for managers because it has become an essential subject in current nursing practice. Methods A quantitative approach utilizing a cross‐sectional design with 400 nurses recruited randomly through a multistage cluster sampling plan. Results The overall level of quality of nursing working life among nurses was moderate (mean = 165; SD = 26.8). Bivariate analysis showed that non‐Saudi nationality, higher age, more work experience, married status, full‐time employment, rotating shift and specialty units were the significant factors contributing to higher QNWL scores (p < .05). Conclusions The study provides initial understanding of the quality of work life among nurses working in the Madinah region. It reveals a moderate level of QNWL and a significant association between personal, family, and work shift variables and QNWL. Implications for Nursing Management The findings will be of interest to all management levels to support nurses through adequate staffing with defined criteria that dictate the nurse–patient ratio for adequate QNWL.

Objective: Reproductive health (RH) is a crucial aspect of general health; it is a reflection of health during adolescence and adulthood. The period of adolescence in females is a period of physical and psychological preparation for safe motherhood. As direct reproducers, adolescent girls' health influences not only their own health but also the health of the future generation. This study aimed to assess knowledge, hygiene practices during menses, and attitudes of female adolescents in Riyadh female secondary schools regarding RH aspects. Methods: A quantitative descriptive cross-sectional design was used for this study conducted on 350 female students selected from governmental secondary schools in Riyadh using multistage random sample type. Two tools were used for data collection in the current study: a self-administered questionnaire and an Attitudinal Assessment scale. Results: The findings showed that more than two-thirds (66.3%) of the participants had inaccurate knowledge, while about one-third (33.7%) of them had correct knowledge regarding RH. With respect to overall hygiene practices during menstruation, about 95.4% had correct menstruation hygiene practice, while only 4.6% had incorrect practices. The majority (88.3%) of students had positive attitudes regarding RH, while only 11.7% had negative attitudes. Mothers are a vital source of information regarding RH. Conclusions: The present study concluded that female adolescents had unsatisfactory knowledge, inadequate hygiene practices, and positive attitudes toward RH. It is recommended to improve adolescents' knowledge regarding RH issues and involve their parents and teachers to provide appropriate education related to RH issues.

Background: Due to the demanding nature of nurses’ work and the current shortage of nurses, hospital nurses often find themselves working extra shifts, extended hours, and taking on more responsibilities. However, this added pressure on the body and mind results in fatigue which adversely affects nurses' health status as well as their ability to provide optimal health care procedures. Preventing fatigue and reducing its adverse consequences requires comprehensive awareness about its diverse contributing factors.Purpose: Examine factors that influence fatigue among nurses employed in a hospital setting.Methods: An integrative review to assess the quality of the research evidence, to find minor and major gaps in current research and the main issues in the area of the research and finally to bridge the research gaps. This integrative review identified a total of 12 relevant research studies from Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Embase, PsycINFO, and a manual search were used in this review. Data were reviewed in May 2017, using an integrative review then interpreted, analyzed and synthesized to identify key contributing factors that influence fatigue among hospital nurses.Results: The 12 studies in this review revealed that significant factors such as organizational factors, nursing work characteristics, psychosocial factors as well as individual characteristics and demand influence nurse fatigue. Work shifts, specifically night- shifts and extended work shifts without sufficient inter-shift recovery were linked to higher levels of fatigue.Conclusion: This review identified the significant associations between work schedules, work environments, demographics and fatigue among nurses in hospital settings located in various countries all around the world.Impact: Increased physical and psychological job demands combined with the lack of social support at work leads to a heightened degree of job dissatisfaction, which results in acute and chronic fatigue. Findings from this study may help healthcare organizations and policymaker to introduce strategies that mitigate fatigue among nurses in hospital settings.

BACKGROUND Physical inactivity is a major public health problem and one of the main causes of noncommunicable diseases among children. The physical activity (PA) of children has been studied extensively in other countries, but not in Saudi Arabia, most especially among school-based girls. OBJECTIVES Assess the PA among older Saudi girls (10–15 years old) and determine the influence of various personal and family factors on PA. DESIGN Descriptive, cross-sectional study. SETTING Primary and middle schools in Riyadh, Saudi Arabia. SUBJECTS AND METHODS Using a multi-stage stratified sampling technique, school girls were surveyed using the Physical Activity Questionnaire for Older Children (PAQ-C). Personal and familial factors that influenced PA levels were assessed by multiple regression analysis. MAIN OUTCOME MEASURES PA levels of Saudi school girls. SAMPLE SIZE 464 girls. RESULTS The mean (SD) score of the respondents in the PAQ-C was 2.63 (0.57, range=1.27–4.24). The majority of the older children reported a moderate level of PA in the last seven days (73.5%), whereas 22.4% and 4.1% of them reported low and high levels of PA, respectively. Employment status of the parents and monthly family income were significant factors that influenced the PA of children. CONCLUSIONS The findings reiterate the significance of improving the PA of school girls and the critical role of the family in improving children’s PA. Multisectoral coordination between schools, health agencies, families, and other concerned agencies to plan and implement interventions should help increase the PA of school girls. LIMITATIONS The use of self-report may have introduced some levels of social desirability bias. The study was only conducted in a single city.

Introduction Saudi Arabia’s culturally diverse population is growing rapidly. The need for cultural competence is greatest in pediatric units where nurses provide care to children in collaboration with their parents. Method Nonprobability sampling of 394 nurses and cross-sectional descriptive design was used to investigate nurses’ cultural competence, and to examine the relationships between the variables and participants’ demographic data in pediatric units across five hospitals in Riyadh, Saudi Arabia, by asking nurses to complete a self-report questionnaire. Results The results suggest a high degree of cultural competency. Participants’ scores indicated high levels of perceived cultural awareness, sensitivity, and cultural competence behavior for performance. Discussion This study supports the 3-D Puzzle Model of culturally congruent care for cultural competence, which assumes that cultural competence is deeply influenced by one’s experiences. The findings revealed a high level of cultural competence despite a lack of information with respect to patient views.

Introduction. Students who speak English as a second language (ESL) may face considerable challenges at English language universities. Aim. To investigate the English language proficiency and academic performance of ESL bachelor’s degree nursing students. Methods. A correlational design was used with a sample of 136 nursing students who completed a structured questionnaire on socio-demographic characteristics, variables that affect language proficiency, open questions, and English Language Acculturation Scale (ELAS) to identify their English proficiency. Results. Forty-three percent of the participants experienced difficulty in understanding the second language in clinical practice, 68% experienced challenges in studying the second language, and 47% were embarrassed to speak English. Approximately 71% of the participants had low ELAS scores and 58% had a good grade point average (GPA). Regression analysis revealed that internal motivation, study challenge, and entrance GPA were predictors of academic performance. Conclusions. The results suggest that students’ grades were correlated with their use of English to read and write during their studies. Thus, faculty administrators should have concrete plans for improving and monitoring the English language proficiency of students throughout their enrolment.

Purpose: Medication errors have been identified as a major concern in the healthcare industries. The purpose of the current study was to assess nurses' perceived contributory factors of medication errors perceptions on the use medication technology as a strategy to reduce its occurrence.Methods: A descriptive cross-sectional design was used to describe the perception of nurses and examine their relationship with the profile characteristics. 200 registered nurses were conveniently selected from the two of the major tertiary healthcare facilities in Riyadh which were equipped with pediatric emergency department.Findings: This study highlights the significant role nurses play in the medication administration process. It has been found out that the 3 top rank factors contributing to medication errors were interruptions during medication pass (M= 2.32), shortage of nursing staff (M= 2.13), and caring for high acuity patients (M= 2.11). Whereas, hostile work environment (M= 1.56) was the least among all factors. Moreover, all four types of medication technologies: barcode medication administration (M= 1.79), computerized physician order entry (M= 1.9), automated medication dispensing (M= 2.28), and smart infusion pumps (M= 2.34) were perceived as very helpful in reducing medication errors. Lastly, the several demographic characteristics, years of clinical experience (p= 0.01), and the years of attending pharmacology courses (p= 0.04) were found significantly related with medication errors. Results of this study have implications for the staff nurses, hospital administration, and the health care system in planning for interventions which reduce medication error and promote establishing of a safety culture.Conclusion: Based on the findings of the current study, a multidisciplinary approach with administration and research, is needed to solve the problems of medication errors in the pediatric departments.Studies on medication errors are scarce in developing countries, and the present study was one of the first few relevant studies which explored medication administration errors in the pediatric wards in Saudi Arabia. Therefore, the study will ignite awareness concerning medication safety in Saudi Arabia and also encourage and ignite interest for future relevant studies. which promote medication safety.

Abstract:The perceived of those susceptible to breast cancer (BC) such as female adolescent is significant. Early detection lead to early prevention. The present study aimed to probe the perception of female adolescent at age group of 15-20 years in Riyadh about BC (phenomena) and the relationship between demographic characteristics of students and their perception regarding BC as a way of improving high school student toward health knowledge. A cross-sectional prospective study conducted among governmental and private school students. The study was conducted in Riyadh, Saudi Arabia from February to May 2014. A Representative probability sample of secondary school girls (n=917) in both Governmental and private was recruited for conducting this study. A structured questionnaire was developed which included part about four constructs of Health Belief Model and other parts about sociodemographic data and items related to students' source of information about BC. The validity and reliability for the scale was established. It was found that the perceived level of participants was moderate (M=3; SD =1.07) which provide an important baseline data about perception of toward BC. It is crucial to improve students level of perception toward BC and practice of breast self-examination (BSE) among female adolescent students within community. A further study is needed to explore the perception of female adolescent using both quantitative and qualitative methodology to elicit cultural issue in BC perception and breast self-exam.