Quality of care in university hospitals in Saudi Arabia: a systematic review

Aljuaid, Mohammed; Mannan, Fahmida; Chaudhry, Zain; Rawaf, Salman; Majeed, Azeem

doi:10.1136/bmjopen-2015-008988

Cited by 47 publications

(50 citation statements)

References 18 publications

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“…Nurses from different countries are likely to have different views on QNC because of differences in cultural backgrounds and perceptions of the characteristics of care. This finding is worth noting because many shortcomings, such as medical errors, poor performance, lack of positive organisational climate, insufficient resources and understaffing, have been reported in hospitals in Saudi Arabia (Alenezi et al, 2019;Aljuaid, Mannan, Chaudhry, Rawaf, & Majeed, 2016). These issues challenge nurses to improve their QNC as required in the clinical setting.…”

Section: Discussionmentioning

confidence: 94%

Influence of workplace incivility on the quality of nursing care

Alshehry

Alquwez

Almazan

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To examine the influence of workplace incivility on the quality of nursing care. Background Recent evidence describes workplace incivility as a serious concern in the healthcare setting worldwide. Exposure to workplace incivility can alter a nurse's behaviour, thought process and perspective towards the nursing profession. However, there is insufficient evidence to determine whether workplace incivility might be associated with the quality of nursing care in Saudi Arabia. Design A quantitative and cross‐sectional study. Method A survey was carried out amongst 378 nurses in two government hospitals in Saudi Arabia from February 2018–May 2018 using the Nurse Incivility and quality of nursing care scales. Multivariate multiple regression was performed to investigate the influence of the uncivil experiences of nurses from different sources on the different aspects of quality of nursing care. The study adhered to STROBE guideline (see Appendix S1). Results The overall mean of the quality of nursing care scale was 3.14 (SD = 0.66) from a scale of 1–5, with patient satisfaction receiving the highest mean dimension (mean = 3.27, SD = 0.72) and health promotion the lowest mean dimension (mean = 3.08, SD = 0.74). Experience in the present hospital and the hospital were associated with the overall quality of nursing care. General and nurse incivility exerted a multivariate effect on overall quality of nursing care and its different dimensions. Conclusion General incivility and nurse incivility were found to negatively impact quality of nursing care and its different dimensions. Relevance to clinical practice Stronger policies geared towards eliminating workplace incivility should be implemented as uncivil acts can lead to poor quality of nursing care. Nurse administrators and nurses should be pro‐active in recognising, preventing, approaching, reporting and intervening with uncivil acts in the hospital to protect these workers from these types of behaviours and avoid their negative impacts on patient care.

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Section: Discussionmentioning

confidence: 94%

Influence of workplace incivility on the quality of nursing care

Alshehry

Alquwez

Almazan

et al. 2019

Journal of Clinical Nursing

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“…In a medical context, such communication barriers lead to poor service delivery. This outcome can be related to the studies conducted in other parts of the globe on the importance of language in facilitating communication between patients and healthcare givers (Al Hamid et al, 2017;Albougami, 2015;Almutairi, 2015;Aljuaid et al, 2016). For instance, Al Hamid et al (2017) revealed that communication barrier contributes to medicine-related problems among patients with cardiovascular diseases and diabetes since the healthcare giver finds it challenging to communicate with the patient about compliance and other vital issues.…”

Section: Discussionmentioning

confidence: 88%

“…Other previous studies also show that a language difference is a barrier to the provision of quality healthcare in Saudi Arabia (Albougami, 2015;Almutairi, 2015;Aljuaid, Mannan, Chaudhry, Rawaf, & Majeed, 2016). As Wong et al (2011) note, effective communication is an important component in a healthcare setting.…”

Section: Literature Reviewmentioning

confidence: 82%

“…Looking at the country-specific studies on Saudi Arabian healthcare sector, it is clear that the language barrier is a possible threat to the provision of quality services. As Albougami (2015) and Almutairi (2015) and Aljuaid et al (2016) note, the language barrier is one of the main challenges facing Saudi Arabian hospitals. In a Kingdom where foreign medical practitioners play a significant role in running hospitals, it is necessary for researchers to take a bold step and find out how the problem of the language barrier can be solved.…”

Section: Literature Reviewmentioning

confidence: 99%

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Linguistic Hegemony of English Language in the Medical Context of King Abdullah Hospital

Alsubaiai¹

2019

SSRN Journal

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This study aims to investigate how the dominance of the English language at Bisha King Abdullah Hospital in Saudi Arabia affects service delivery. Specifically, the research focuses on the attitudes of patients and staff towards communicating in English instead of Arabic, which is the primary official language in Saudi Arabia. First, the study addresses the question of how the dominance of English language in the selected medical context affects service delivery. Second, the study explores the attitude of patients and medical staff towards the dominance of the English language. Third, the study presents a comparison of the attitude of patients and medical staff towards the use of English language. Finally, the study responds to the question of how patients' level of education influences their attitude towards the use of English at the hospital. The study is based on quantitative research, involving 60 participants, where 30 patients and 30 medical staff. The findings reveal that 86.7% of medical staff members find it challenging to communicate with their patients in English. On the same note, 60% of patients interviewed admitted that they find it difficult understanding medical practitioners when they communicate in English. The findings can have significant practical implications since they show a possible communication barrier that can be addressed to improve patient experience at Bisha King Abdullah Hospital. The findings provide statistical evidence to inform evidence-based strategies to improve communication between patients and medical practitioners at the hospital. Abbreviations and Acronyms Definition

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“…Although limited research investigated the awareness and influence of the patientcentred approach among healthcare professionals and patients in the KSA, a systematic review investigated the quality of health care in university hospitals reported that the main factors that negatively influence delivering patient-centred 15 services were lack of communication with patients in terms of providing them with enough information and communicating in the Arabic language (Aljuaid et al 2016). …”

Section: Structure Of the Healthcare System And Current Physiotherapymentioning

confidence: 99%

Exploring self-management of chronic low back pain in Saudi Arabia

Mohammed¹

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Aim: The main purpose of this research project is to explore both patients' and physiotherapists' perceptions and understanding of self-management for chronic low back pain (CLBP) in the Kingdom of Saudi Arabia (KSA) and moreover, to explore current physiotherapy practice for managing CLBP in KSA. Methods:This research project used a mixed methods approach with sequential designs. The first section contains a quantitative study and the second section includes two qualitative studies. The quantitative section allowed exploration of current physiotherapy practices for CLBP management using a large population. The qualitative section has provided a more in-depth understanding of both patients' and physiotherapists' perceptions in regards to self-management and physiotherapy management for CLBP.Results: In the current study, physiotherapists acknowledged the importance of exercise and advice. Moreover, these represented the most common treatment methods used in daily practice. However, patients' preferences for passive approaches, such as rest, massage and modalities were frequently reported. This shows conflict between physiotherapists and patients with CLBP in terms of the preferred approach for managing the disorder.Physiotherapists' extensive use of modalities where evidence of effectiveness was lacking or insufficient was a common practice for physiotherapy management in patients with CLBP in the current research project. Moreover, physiotherapists and patients showed limited understanding of self-management as a concept. Conclusion:Promoting self-management in daily physiotherapy practice appears to be a complex issue. It involves various factors, such as promoting an evidencebased practice culture among physiotherapists; a patient-centred approach; access to guidelines and evidence; and organisational support through developing policy, local guidelines and CPD training. This research presents a platform of recommendations for future researchers, professionals, educators and policymakers to enhance the quality of care for patients with CLBP in the KSA in general and may increase the adoption of self-management.iii DECLARATION

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Quality of care in university hospitals in Saudi Arabia: a systematic review

Cited by 47 publications

References 18 publications

Influence of workplace incivility on the quality of nursing care

Influence of workplace incivility on the quality of nursing care

Linguistic Hegemony of English Language in the Medical Context of King Abdullah Hospital

Exploring self-management of chronic low back pain in Saudi Arabia

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