Quality of Palliative Care: Perspective of Healthcare Providers at a Tertiary Hospital in Riyadh, Saudi Arabia

Almoajel, Alia

doi:10.1007/s10943-020-00998-6

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…Participants rated their satisfaction with palliative care quality in the psychological aspect less than their evaluation of other studied elements. The study concluded that the psychological aspects of palliative care need further research [9]. The literature review did not find any study examining the burden and psychological impact on caregivers of patients with terminal illnesses in Saudi Arabia.…”

Section: Introductionmentioning

confidence: 93%

Assessment of Burden and Stress Among Caregivers of Terminally Ill Patients in a Saudi University Hospital: A Cross-Sectional Study

Ghazwani¹,

Alshehri²,

Alghamdi³

2021

Cureus

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BackgroundAs the burden of cancer in Saudi Arabia has increased, the number of terminally ill patients is growing. In parallel, family caregivers' burden has emerged as an escalating problem within the field of palliative medicine. In this study, we aimed to explore the prevalence and types of burden experienced by caregivers of terminally ill patients and the associated risk factors. MethodologyA cross-sectional study was conducted from March 2019 to February 2020 at Najran University Hospital in southern Saudi Arabia. The study included all caregivers of terminal Saudi patients receiving palliative care. A three-part study questionnaire was used for data collection: socio-demographic characteristics, the Arabic version of Zarit Burden Interview to quantify the caregivers' burden, and the Caregiver Distress Scale to identify and rank the different types of burden among caregivers ResultsThe study included 78 caregivers of terminally ill cancer patients. Their ages ranged between 19 and 70 years, with an arithmetic mean of 39.5 years and a standard deviation of 12.9 years. The caregiver burden was reported among the majority of the participants (96.2%); the burden was mild among 46.2%, moderate among 38.5%, and severe among 11.5% of the participants. The age of caregivers who expressed moderateto-severe burden was significantly higher than those who expressed little-to-moderate burden (44.5 ± 13.7 versus 34.5 ± 9.8 years, respectively; p < 0.001). Moderate-to-severe burden was more observed among mothers/brothers [12 (80%)] than sons [21 (53.8%)] and daughters [six (25.0%)] (p = 0.003). Regarding caregiver distress, caregivers with shorter caregiving (≤three months) and mother/brother relation to the patient had significantly higher relationship distress scores (p < 0.001). In addition, relation to the patient was significantly associated with emotional burden score (p < 0.001), social impact score (p < 0.007), and personal cost score (p < 0.001). ConclusionCaregiving to terminally ill cancer patients is a considerably hidden problem leading to caregiver's burden and stress.

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Section: Introductionmentioning

confidence: 93%

Assessment of Burden and Stress Among Caregivers of Terminally Ill Patients in a Saudi University Hospital: A Cross-Sectional Study

Ghazwani¹,

Alshehri²,

Alghamdi³

2021

Cureus

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“…Another cross-sectional study was conducted on 80 healthcare providers working at the palliative department of a tertiary hospital in Riyadh, Saudi Arabia, to estimate the quality of palliative care from the perspective of healthcare professionals. Participants' mean rate of agreement on the quality of palliative care services provided was 4.62 out of 5 which indicates that the majority agree that they and their colleagues provide high-quality palliative care [29] .…”

Section: Perception Of Healthcare Providers About the Quality Of Carementioning

confidence: 99%

Quality Standards of Histopathology Laboratory and Work Facilities in a Developed Country

Alghamdi¹,

Alharbi²,

Alsubaie³

2021

Arch Pharma Pract

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Background: Quality in pathology and clinical medicine is the process of measuring efficiency at all levels of the laboratory test cycle, including pre-analytical, analytic, and post-analytical processes, to facilitate outstanding findings in medical treatment. Quality can develop productivity and production in the laboratory resulting in improved patient care and outcomes. Aim of the study: This paper aimed to overview the standards of quality of histopathology laboratory and work facilities in developed countries. Conclusion: Quality evaluation, processing, and monitoring of establishment, procedures, and activities of histopathology laboratory are essential to function effectively and safely. Guaranteeing the safety of operational personnel as well as setting is also highly significant. Quality standards of histopathology laboratory and work facilities are a must and all the standards must be applied to function effectively. A Quality Committee should be established within each histopathology laboratory to ensure routine review of quality data and to initiate improvements where required.

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“…In the Kingdom of Saudi Arabia (KSA), specialist end‐of‐life care is still in its nascent stage and is not widely available to patients (Alshammary et al, 2019 ). 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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Quality of Palliative Care: Perspective of Healthcare Providers at a Tertiary Hospital in Riyadh, Saudi Arabia

Cited by 4 publications

References 14 publications

Assessment of Burden and Stress Among Caregivers of Terminally Ill Patients in a Saudi University Hospital: A Cross-Sectional Study

Assessment of Burden and Stress Among Caregivers of Terminally Ill Patients in a Saudi University Hospital: A Cross-Sectional Study

Quality Standards of Histopathology Laboratory and Work Facilities in a Developed Country

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

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