Overview of Cancer Care and Oncology Nursing in the Kingdom of Saudi Arabia

Wazqar, Dhuha Youssef; Kerr, Mickey; Regan, Sandra; Orchard, Carole

doi:10.11648/j.ajns.20170604.17

Cited by 9 publications

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“…Nursing care for terminally ill cancer patients is routinely provided by oncology nurses in Saudi Arabia, as specialist palliative care nursing is in its infancy [6]. As oncology services in rural settings are limited, referrals to metropolitan services may cause delayed diagnosis or treatment, and patients consequently presenting with advanced stage cancer [7]. Further, for cultural reasons, Saudi patients may not disclose their cancer diagnosis or prognosis to their family, which may result in delayed treatment and/or cancer-related risks [7].…”

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confidence: 99%

“…As oncology services in rural settings are limited, referrals to metropolitan services may cause delayed diagnosis or treatment, and patients consequently presenting with advanced stage cancer [7]. Further, for cultural reasons, Saudi patients may not disclose their cancer diagnosis or prognosis to their family, which may result in delayed treatment and/or cancer-related risks [7]. Although specialised cancer treatment is available for Saudi patients, for reasons specified above, some patients do not seek medical advice except in the late stages of their cancer when the effectiveness of the treatment is minimised, resulting in a high mortality rate and poor prognosis [7].…”

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confidence: 99%

“…Saudi citizens make up less than 9% of the oncology nursing workforce, significantly lower than the proportion of Saudi nurses in the nursing workforce [6,8]. Expatriate nurses working in oncology have reported difficulties relating to language and cultural barriers especially while delivering end-of-life (EOL) care [7,9,10]. Language barriers contribute to poor understanding of information between nurses, the patient and the patient's family that negatively impact the patient-nurse relationship [11].…”

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Factors influencing nurses’ intention to work in the oncology specialty: multi-institutional cross-sectional study

2021

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Background Nursing care for terminally ill cancer patients is routinely provided by oncology nurses in Saudi Arabia. Shortages and retention of oncology nurses is an important concern for healthcare leaders. Objectives To identify and describe predictors of nurses’ intention toward working in the oncology specialty amongst three groups: undergraduate nursing students, oncology registered nurses and postgraduate oncology nursing students. In particular, the study sought to analyse association between individual characteristics, job-related factors, palliative care knowledge, attitude toward caring for dying patients, general self-efficacy, job satisfaction and intention to work in oncology. Methods A cross-sectional study was conducted involving 477 participants in five major hospitals in Saudi Arabia. The Palliative Care Quiz for Nursing, Frommelt Attitudes Toward Care of the Dying Scale, General Self-Efficacy Scale and Minnesota Satisfaction Questionnaire short form were used for data collection. Multilevel logistic regression analysis was used to identify predictors associated with intention to work in oncology. Results 43.9% (n = 208) of the sample reported an intention to work in oncology. Only one variable was a significant predictor of intention to work in oncology across all three groups studied: a more positive attitude toward caring for dying patients (Odds ratio (OR) = 1.09 [95% confidence interval (CI) 1.04–1.16]), (OR = 1.08 [95% CI 1.04–1.12]), (OR = 1.078 [95% CI 1.053–1.103] with P ≤ 0.001 for undergraduate, registered and postgraduate groups respectively. At post-graduate level, higher levels of palliative care knowledge and general self-efficacy were significantly associated with increased intention, whilst at undergraduate level, general self-efficacy was a significant predictor. Job satisfaction was a significant predictor of intention amongst registered nurses. Conclusions Attitude toward caring for dying patients and general self-efficacy appear to be the most important predictors of intention to work in the oncology nursing specialty. However, the significance of influencing factors varied between the different groups of nurses studied. Perhaps surprisingly, palliative care knowledge was an influential factor amongst the postgraduate group only. The study results provide important insights for nursing leaders and policymakers in Saudi Arabia to inform the future planning of nursing workforce strategies to address shortages and retention of oncology nurses.

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Factors influencing nurses’ intention to work in the oncology specialty: multi-institutional cross-sectional study

2021

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“…Although Kim & Kim [ 39 ] used a different scale to measure stress, they found that the dimension related to excessive workload was the most affected, as was in the present study. To be aware of such stress levels is of great importance due to the well-known association of stress with reduced work performance, higher job turnover, decreased job satisfaction, loss of productivity, high rates of absenteeism, and reduced quality of nursing care for patients [ 40 , 41 , 42 , 43 ].…”

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Development and Validation of the Brief Nursing Stress Scale (BNSS) in a Sample of End-of-Life Care Nurses

2021

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Nursing has been identified as a very stressful profession. Specifically in end-of-life care, nurses frequently experience stressful situations related to death and dying. This study aims to develop and validate a short scale of stress in nurses, the Brief Nursing Stress Scale. A cross-sectional survey of Spanish end-of-life care professionals was conducted; 129 nurses participated. Analyses included a confirmatory factor analysis of the Brief Nursing Stress Scale, estimation of reliability, relation with sex, age and working place, and the estimation of a structural equation model in which BNSS predicted burnout and work satisfaction The confirmatory factor analysis showed an adequate fit: χ2(9) = 20.241 (p = 0.017); CFI = 0.924; SRMR = 0.062; RMSEA = 0.098 [0.040,0.156]. Reliability was 0.712. Women and men showed no differences in stress. Younger nurses and those working in hospital compared to homecare showed higher levels of stress. A structural equation model showed nursing stress positively predicted burnout, which in turn negatively predicted work satisfaction. Nursing stress also had an indirect, negative effect on work satisfaction. The Brief Nursing Stress Scale showed adequate estimates of validity, reliability, and predictive power in a sample of end-of-life care nurses. This is a short, easy-to-use measure that could be employed in major batteries assessing quality of healthcare institutions.

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“…Between 1999-2015, the reported cancer cases in SA increased by 136%, expected to rise a further 63% by 2030 (Jazieh et al, 2019). Patients with cancer in SA are at risk of developing serious complications due to inadequate access to cancer care facilities, a shortage of qualified oncology healthcare providers (HCPs), a shortage of cancer treatment, and inadequate resources to support cancer care and prevention (Al-Ahmadi et al, 2013;AlAzmi et al, 2020;Wazqar et al, 2017).…”

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Factors associated with self‐management practices and self‐efficacy among adults with cancer under treatment in Saudi Arabia

Al-Harithy

Wazqar

2021

Journal of Clinical Nursing

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Aims and Objectives: To discover the current state of self-management practices and levels of self-efficacy among adults with cancer under treatment in Jeddah City, Saudi Arabia, and to identify their associated factors. Background:The prevalence of cancer and cancer treatment-related problems is increasing in Saudi Arabia. However, effective cancer care programmes are not provided in this country. Design: Cross-sectional correlational study. Methods: This study was conducted with a convenience sample of 130 adults with cancer under treatment from May 2020-August 2020 at the largest tertiary care hospital providing cancer care in the western region, Saudi Arabia. The study methods were compliant with the STROBE checklist. Data were collected by Self-Care Inventory, Strategies Used by People to Promote Health, and sociodemographic and clinical surveys. Descriptive statistics and stepwise linear regression analysis were performed. Results:The total score for self-management practices was 84.38 (SD = 13.66) and self-efficacy, as a strong associated factor of self-management, earned a total score of 104.24 (SD = 15.87). Stepwise regression analysis identified self-efficacy, age and education level as important associated variables, explaining 57.6% of the total variance in self-management practices. Significant effects of age, gender, marital status and duration of cancer on patients' self-efficacy were also found. Conclusions:The levels of self-management practices and self-efficacy to manage cancer treatment-related problems demonstrated by patients with cancer in this study were rated as a medium. Self-efficacy, age and education level were the significant factors associated with self-management practices of patients in Saudi Arabia.Age, gender, marital status and duration of cancer were identified as associated factors of self-efficacy.

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Overview of Cancer Care and Oncology Nursing in the Kingdom of Saudi Arabia

Cited by 9 publications

References 29 publications

Factors influencing nurses’ intention to work in the oncology specialty: multi-institutional cross-sectional study

Factors influencing nurses’ intention to work in the oncology specialty: multi-institutional cross-sectional study

Development and Validation of the Brief Nursing Stress Scale (BNSS) in a Sample of End-of-Life Care Nurses

Factors associated with self‐management practices and self‐efficacy among adults with cancer under treatment in Saudi Arabia

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