Background Shared governance is examined through a framework for developing independent decision making in professional nursing practice and improving patient care outcomes. Aims This study is designed to obtain a baseline measurement of the degree of shared governance in a selected children’s hospital in Saudi Arabia. Methods The study was guided by the Donabedian model. The Professional Nursing Governance Index was used. A total of 400 questionnaires were distributed to nurses working at the hospital, with a response rate of 77% ( n = 307). Descriptive and inferential statistics were used for analysis. Results The results corresponded with those from nurses and managers in most subscales of the Index of Professional Nursing Governance (information, goals, resources, participation and practice). However, nurses working in the operating theatre and surgical unit have a perceived higher level of shared governance than those in critical care units and medical wards. Conclusions The results could encourage shareholders and leaders in the nursing field to develop the perception of shared governance by adopting a shared governance model, which in turn might improve the quality of nursing care .

Security personnel are the first ones who attend the scene in the case of out-of-hospital cardiac arrest (OHCA) at malls. Cardiopulmonary resuscitation (CPR) is not enough for those patients; they need an automated external defibrillator (AED) to bring the heart to function normally. This study aimed to assess the current status of CPR and AED knowledge and availability in Saudi malls by security personnel. Using a descriptive design, a study was conducted at seven malls located in the Eastern Province of Saudi Arabia. Two hundred and fifty participants were surveyed using the American Heart Association (AHA) 2015 guidelines to assess CPR and AED knowledge and availability in Saudi malls. The sample mean age was 32.60 years (SD = 10.02), and 87% of participants were working as security personnel. The majority of the participants had not received training about CPR and AED (75.8% and 95.2%, respectively). Common misconceptions are fallen into all categories of CPR and AED knowledge. Correctly answered statements ranged from 7.2% in the compression rate to 24.2% in hand placement. The study results indicated a poor training knowledge of CPR and AED in public settings. Integrating high-quality CPR and AED knowledge within the school and college curricula is a vital need. However, in order to maximize the survival rate, it is important to set laws and legislation adopted by stakeholders and decision makers to advocate the people who try to help, mandate AED installation in crowded places, and mandate teaching hands-only CPR and AED together as a package.

Background: Non-transported calls refer to calls received by dispatchers, ambulances dispatched, and the patient not being transported to any health facility. There is a need to analyze and scrutinize the number of such calls and the monetary cost associated with them as it will help to build an effective system to prevent wastage of money and time. Objective: The main objective of this study is to determine the cost and time lost due to the use of resources higher than required in non-emergency situations, and then a comparison is being made to determine the acceptable cost if the appropriate resources are used for such cases. Incidence of non-transported Emergency Medical Services (EMS) calls and the financial and time burdens in Jubail, classified non-urgent from 2017 to 2019, have wasted EMS resources. This information can be useful to improve EMS operations and allocate resources to control inappropriate usage. Methodology: A retrospective cross-sectional study was conducted to assess non-emergency EMS calls in Jubail, Saudi Arabia. Study data were obtained from the Royal Commission Health Services Program- Jubail (RCHSP-J) key performance indicator (KPIs) system from 2017 to 2019. Descriptive statistical measures (sum, mean, and percentage), and comparison methods were obtained. Results: The cost from 2017 to 2019 for the non-emergency calls by using the advanced life support ambulance (ALS) was 2,051,651 USD while the cost of emergency calls was 546,037 USD only. On the other hand, the time for the non-emergency calls was 6870 hours (78%) and the emergency calls were only 1769 hours (22%). Conclusion: In systems with limited resources and poor regulation; the non-emergency calls having higher costs and time more than emergency calls from 2017 to 2019, might have caused a delay in providing care for the more serious cases. This involves a significant financial waste that could have been planned to make the system work more efficiently avoiding massive waste of resources.

Background: A layperson is the first one who attends the scene in the case of Out-of-Hospital Cardiac Arrest (OHCA). Cardiopulmonary Resuscitation (CPR) is not enough for those patients; they need Automated External Defibrillator (AED) to bring the heart to function normally. This study aimed to assess the current status of CPR & AED knowledge among laypersons. Methods: Using a descriptive design, study was conducted at seven malls located in the Eastern Province of Saudi Arabia. Two hundred fifty participants were surveyed using American Heart Association (AHA) 2015 guidelines to assess CPR & AED knowledge. Results: The sample mean age was 32.60 years (SD = 10.02), and (87%) of participants working as security personnel. The mainstream of the participants did not receive training about CPR & AED (75.8%, 95.2% respectively). Common misconceptions are fall into all categories of CPR & AED knowledge. Correctly answered statements ranged from (7.2%) in compression rate to (24.2%) in hand placement). Conclusions: The study results indicated a poor training of CPR & AED in public settings. Integrating high quality CPR & AED knowledge within the school and college curricula is a vital need. National policy adopted by stakeholders’ and decision maker to improve public awareness of CPR & AED and maximize the survival rate. AED public access needs to empower health care system and support community safety regarding Emergency Cardiovascular Care in public settings. Keywords: Automated External Defibrillator; Cardiopulmonary Resuscitation, Layperson; Out of Hospital Cardiac Arrest; Saudi Arabia.

The authors have withdrawn this preprint from Research Square.