End-of-life care: a Saudi Arabian perspective

AL-Jabarti, Azzah; Al-Shareef, Ali S; Aseeri, Faisal

doi:10.24911/sjemed/72-1619991630

Cited by 3 publications

(3 citation statements)

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“…Although no works offer a philosophical examination of the practitioner’s moral commitments, several quantitative studies note inherent moral obligations including safeguarding ‘patients’ rights’ and healthcare access, and ensuring honesty, transparency and moral decision-making 43–47. These works attempt to identify practitioners’ ethical obligations as they relate to complex moral dilemmas such as disclosure, informed consent and end-of- life care 45–50. In recent years, the identification of specific ethical challenges in the Saudi context has also garnered the attention of researchers.…”

Section: Discussionmentioning

confidence: 99%

Ethical uncertainty and COVID-19: exploring the lived experiences of senior physicians at a major medical centre

et al. 2022

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Given the wide-reaching and detrimental impact of COVID-19, its strain on healthcare resources, and the urgent need for—sometimes forced—public health interventions, thorough examination of the ethical issues brought to light by the pandemic is especially warranted. This paper aims to identify some of the complex moral dilemmas faced by senior physicians at a major medical centre in Saudi Arabia, in an effort to gain a better understanding of how they navigated ethical uncertainty during a time of crisis. This qualitative study uses a semistructured interview approach and reports the findings of 16 interviews. The study finds that participants were motivated by a profession-based moral obligation to provide care during the toughest and most uncertain times of the pandemic. Although participants described significant moral dilemmas during their practice, very few identified challenges as ethical in nature, and in turn, none sought formal ethics support. Rather, participants took on the burden of resolving ethical challenges themselves—whenever possible—rationalising oft fraught decisions by likening their experiences to wartime action or by minimising attention to the moral. In capturing these accounts, this paper ultimately contemplates what moral lessons can, and must be, learnt from this experience.

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Section: Discussionmentioning

confidence: 99%

Ethical uncertainty and COVID-19: exploring the lived experiences of senior physicians at a major medical centre

et al. 2022

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“…This has changed over the years, as PEOL care is becoming recognized as a priority in the Saudi Arabian healthcare sector, as illustrated by the Saudi Vision 2030 (Saudi Vision, 2022 ). For instance, the country now has more than 15 cancer centers with a specific emphasis on palliative care units, indicating the country’s growing recognition of PEOL care (Al-Jabarti et al, 2021 ). This recognition can be attributed to the escalation in the prevalence of severe life-threatening illness among patients.…”

Section: Introductionmentioning

confidence: 99%

Evaluating ICU nurses’ education, practice, and competence in palliative and end-of-life care in Saudi Arabia: A cross-sectional study

Alrimali,

Alreshidi

2024

Belitung Nurs J

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Background: In palliative and end-of-life (PEOL) care, especially within intensive care units (ICUs), nurses’ unique skills are critical, yet their expertise remains under-explored, particularly in Saudi Arabia Objective: This study aimed to evaluate the education, practice, and perceived competence of adult ICU nurses in Saudi Arabia regarding PEOL care and to pinpoint key factors that influence this aspect of healthcare delivery. Methods: A cross-sectional design was utilized in this study. Participants were recruited from five public hospitals and one specialized center in Hail, Saudi Arabia. Data were gathered in September 2023 using the PEOL Care Index, which measures various care dimensions on a Likert scale in Arabic and English. IBM SPSS Statistics 29.0 was used for statistical analysis, particularly to conduct ANOVA, t-test, and multiple regression. Results: 142 out of the targeted 171 ICU nurses completed the survey, yielding a response rate of 83.04%. Although 81% of the nurses had experience caring for dying patients, only 30.3% had received in-service PEOL care training. Those with this training demonstrated significantly higher scores in education, clinical practice, and perceived competence than their counterparts (p <0.05). Mean scores across these areas were 69.67, 71.01, and 71.61, respectively. In-service training positively correlated with these metrics (p <0.05). Multiple regressions also revealed that in-service training, job satisfaction, and communication authority are strong influencers, explaining 21.6% of the variation in clinical practice and 16.9% in perceived competence. Conclusion: The study highlighted the proficiency of ICU nurses in PEOL care, emphasizing that in-service training, job satisfaction, and the authority to communicate effectively with patients and their families significantly improved clinical practice and nurses’ competence in PEOL care. This underlines the critical need for healthcare institutions to acknowledge and address these key factors to optimize patient care outcomes.

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“…The underdeveloped integration of palliative care services into healthcare facilities and limited public awareness regarding specialist end‐of‐life care are significant factors that impede its advancement in the KSA (Aboshaiqah, 2019 ; Almoajel, 2020 ). Consequently, patients in KSA at the end‐of‐life, typically receive nursing care in general hospital wards by generalist registered nurses (RNs) (Al‐Jabarti et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Registered Nurses' beliefs about end‐of‐life care: A mixed method study

Alshammari,

Sim,

Mcerlean

et al. 2023

Nursing Open

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AimsTo examine registered nurses' (RNs) behavioural, normative and control beliefs about end‐of‐life care for patients who are diagnosed with advanced and life‐limiting illnesses; and to identify the barriers and facilitators they experience when providing end‐of‐life care.DesignA sequential explanatory mixed methods study.MethodAn online cross‐sectional survey was conducted using the Care for Terminally Ill Patient tool among 1293 RNs working across five hospitals in the Kingdom of Saudi Arabia. Online individual semi‐structured interviews with a subgroup of survey respondents were then undertaken. Data were collected between October 2020 to February 2021.ResultsA total of 415 RNs completed the online survey, with 16 of them participating in individual interviews. Over half of the participants expressed the belief that end‐of‐life care is most efficiently delivered through multidisciplinary team collaboration. The majority of participants also believed that discussing end‐of‐life care with patients or families leads to feelings of hopelessness. Paradoxically, the study revealed that more than half of the participants held the negative belief that patients at the end of life should optimally receive a combination of both curative and palliative care services. The results showed that nurses' beliefs were significantly associated with their age, religion, ward type, level of education and frequency of providing end‐of‐life care. Data from the qualitative interviews identified four themes that explored RNs' beliefs and its related factors. The four themes were ‘holistic care’, ‘diversity of beliefs’, ‘dynamics of truth‐telling’ and ‘experiences of providing end‐of‐life care.’Implications for the Profession and/or Patient CareWherever possible, patients at the end‐of‐life should be cared for in specialist settings by multidisciplinary teams to ensure effective, high‐quality care. Where this is not possible, organisations should ensure that teams of multidisciplinary staff, including nurses, receive education and resources to support end‐of‐life care in non‐specialist settings. Hospitals that employ foreign‐trained nurses should consider providing targeted education to enhance their cultural competence and reduce the impact of different beliefs on end‐of‐life care.

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End-of-life care: a Saudi Arabian perspective

Cited by 3 publications

References 0 publications

Ethical uncertainty and COVID-19: exploring the lived experiences of senior physicians at a major medical centre

Ethical uncertainty and COVID-19: exploring the lived experiences of senior physicians at a major medical centre

Evaluating ICU nurses’ education, practice, and competence in palliative and end-of-life care in Saudi Arabia: A cross-sectional study

Registered Nurses' beliefs about end‐of‐life care: A mixed method study

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