Intensive care unit nurses’ perceptions of the obstacles to the end of life care in Saudi Arabia

Mani, Zakaria A.; Ibrahim, Mahmoud Abd Elkhalik

doi:10.15537/smj.2017.7.18454

Cited by 20 publications

(27 citation statements)

References 14 publications

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“…Seven of the included papers explained that there are differences in language, religion and culture among nurses providing health services to patients in Saudi Arabia [17–20, 34, 38, 40] with the language, religion and culture of non-Saudi nurses differing from their Saudi patients. Unlike the expatriate nurses, almost all patients in Saudi Arabia speak Arabic and share the same cultural values, norms and religion [40].…”

Section: Current Communication Practicesmentioning

confidence: 99%

“…Consequently, multiple studies have found that non-Saudi nurses experience difficulty in understanding, and in some cases respecting, the cultural and religious practices of patients [20, 38]. This was attributed to the fact that most of these expatriate nurses have limited knowledge about the practices of their patients.…”

Section: Current Communication Practicesmentioning

confidence: 99%

“…Differences in language between nurses and patients have historically created problems in the health systems of Saudi Arabia, particularly in some routines of nurses. Two studies identified that language diversity causes significant challenges in caring for patients with life-threatening conditions; in particular, when discussing patient wishes in terms of their care and during sessions of health education [20, 29]. Other studies identified that nurses experienced difficulty in understanding patients, particularly when seeking information during health-care delivery, such as taking the history of the patient [18, 19].…”

Section: Current Communication Practicesmentioning

confidence: 99%

“…Other studies identified that nurses experienced difficulty in understanding patients, particularly when seeking information during health-care delivery, such as taking the history of the patient [18, 19]. Several studies have suggested that the phenomenon not only poses significant challenge to the nurses but also to the patients and their families [17, 20, 34]. In particular, some nurses avoid conversations with patients or their families due to language differences.…”

Section: Current Communication Practicesmentioning

confidence: 99%

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Barriers to nurse–patient communication in Saudi Arabia: an integrative review

2019

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BackgroundEffective nurse–patient communication is important in improving quality of health care. However, there are several barriers to nurse–patient communication in Saudi Arabia. This is attributed to the increasing number of non-Saudi expatriate nurses providing health care to patients. In particular, there are differences in culture, religion and language among non-Saudi nurses and patients. This integrative review aims to identify and synthesize quantitative and qualitative evidence on the current practice in nurse–patient communication in Saudi Arabia and its effect on service users’ quality of care, safety and satisfaction.MethodsAn integrative review based on Whittemore and Knafl’s approach (Whittemore and Knafl, J Adv Nurs 52:546–553, 2005) was used to conduct the review. Peer-reviewed articles containing any of a series of specific key terms were identified from sources such as CINAHL, EMBASE, Medline, PubMed and PsychINFO. The review included studies that focused on nurse–patient communication issues, communication barriers, and cultural and language issues. The search was limited to papers about the Saudi Arabian health system published in English and Arabic languages between 2000 and 2018. A data extraction form was developed to extract information from included articles.ResultsTwenty papers were included in the review (Table 1). Ten papers employed quantitative methods, eight papers used qualitative methods and two used mixed methods. The review revealed two major themes: ‘current communication practices’ and ‘the effect of communication on patients’. Some of the communication practices rely on non-verbal methods due to a lack of a common language, which often results in the meaning of the communication being misinterpreted. Many non-Saudi nurses have limited knowledge about Saudi culture and experience difficulty in understanding, and in some cases respecting, the cultural and religious practices of patients. Further, limited nurse–patient communication impacts negatively on the nurse–patient relationship, which can affect patient safety and lead to poor patient satisfaction.ConclusionsCurrent nurse–patient communication practices do not meet the needs of Saudi patients due to cultural, religious and language differences between nurses and patients. The barriers to effective nurse–patient communication adversely effects patient safety and patient satisfaction. Further research from the perspective of the patient and family is needed.

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Section: Current Communication Practicesmentioning

confidence: 99%

Section: Current Communication Practicesmentioning

confidence: 99%

Section: Current Communication Practicesmentioning

confidence: 99%

Section: Current Communication Practicesmentioning

confidence: 99%

See 2 more Smart Citations

Barriers to nurse–patient communication in Saudi Arabia: an integrative review

2019

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“…This may be because the majority of the nurses (57.9%) in this study were expatriates and care was taken to ensure that they were very qualified nurses with the necessary competence when they were recruited into the Saudi health system. Furthermore, it could also be that the nurses involved in critical care practice in their former country follow strict protocols in the management of mechanically ventilated patients (Mani & Ibrahim, ; Yaseen & Salameh, ). However, this needs to be studied further.…”

Section: Discussionmentioning

confidence: 99%

Critical care nurses' perception of care coordination competency for management of mechanically ventilated patients

Alsharari

Aroury

Dhiabat

et al. 2020

Journal of Clinical Nursing

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Aims and Objectives To evaluate nurses’ care coordination competency for mechanically ventilated patients in intensive care units (ICUs) of Saudi Arabia (SA). Background ICUs are increasingly using multidisciplinary approach to provide critical care. Functionality gaps remain within these teams preventing optimum performance, including a lack of adequate care coordination in the management of mechanically ventilated (MV) patients. Design A cross‐sectional survey of ICU nurses working across 20 hospitals in SA. Methods The Nurses’ Care Coordination Competency Scale (NCCCS) survey for MV patients was administered to all the nurses to assess their care coordination competence. The data were analysed using Student's t test, ANOVA and linear regression. Reporting of this research follows STROBE guidelines. Results A total of 254 nurses participated in the survey. The overall NCCCS mean score was 3.94 (±0.69) out of a 5‐point scale. Also, the “promoting team cohesion factor (Factor 1)” had a mean score of 3.90 (±0.77), the “understanding care coordination needs factor (Factor II)” had a mean score of 4.00 (±0.77), the “aggregating and disseminating information factor (Factor III)” had a mean score of 4.05 (±0.76), and the “devising and clearly articulating the care vision factor (Factor IV)” had a mean score of 3.78 (±0.87). The mean overall NCCCS score was 4.10 among Indians, 3.98 among Filipinos and 3.81 among Saudi nationals. Conclusion There were a high overall score and subscale scores of nurses’ care coordination competence for mechanically ventilated patients, but few gaps were identified in some of the items. Relevance to Clinical Practice The results provide information on the status and gaps in ICU nurses’ care coordination competencies to address the needs of mechanically ventilated critically ill patients. The NCCCS can be utilised as an educational tool for nurses who are new to the ICU work environment.

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