Nurses' Knowledge, Perceived Barriers and Practices Regarding Cancer Pain Management: A Scoping Review.

Nursing care plays a crucial role in the management of cancer pain, but nurses often face challenges due to inadequate knowledge, negative attitudes towards opioid use, and suboptimal pain evaluation practices. This scoping review aims to examine nurses' level of knowledge and practices in cancer pain management and identify the barriers they encounter when caring for patients with cancer. A comprehensive search of 50 articles was conducted using multiple databases such as Web of Science, PubMed, Ovid MEDLINE, Embase Classic + EMBASE (Ovid), The Cochrane Library (Wiley), and CINAHL. English-language scholarly publications from various countries with peer-reviewed content searched from 2018 to 2023, resulting in the identification of 25 articles for full text evaluation. After excluding five articles that did not meet the inclusion criteria, 20 articles were analyzed in detail. Three primary themes emerged regarding nurses' knowledge and practices in cancer pain. The findings underscore the need for enhanced education initiatives and a multidisciplinary approach to improve nurses' competency in managing cancer pain. By expanding their understanding and expertise in pain management, oncology nurses can greatly contribute to improving the well-being of cancer patients. It is crucial to address the identified barriers through educational interventions, enabling nurses to provide optimal pain control and high-quality care. Let's empower nurses to conquer cancer pain with knowledge, compassion, and unwavering dedication! Together, we can make a positive difference in the lives of cancer patients.

The Role of Illness Perception and Self-Efficacy in Determining Quality of Life among Cancer Patients.

BACKGROUND: The quality of life for people with chronic illnesses like cancer has been shown to be significantly impacted by self-efficacy and perceptions of their illness. OBJECTIVES: This study investigates the relationship between cancer patients' perceptions of their illness, their self-efficacy beliefs, and their quality of life. METHOD: Conducted from December 2022 to February 2023, this research involved 120 adults undergoing cancer treatment. We utilized the Illness Perception Questionnaire (IPQ), the Arabic version of the Cancer Behavioral Inventory Brief (CBI-B), and the Arabic EORTC QLQ-C30, alongside clinical data collection. Statistical analyses included Pearson correlation and descriptive statistics. RESULTS: Breast cancer emerged as the most common type among participants. A positive correlation was found between self-efficacy and quality of life, as measured by the EORTC QLQ-C30, particularly in relation to symptom management. Interestingly, all dimensions of illness perception correlated with quality of life, except for control and concerns. CONCLUSIONS: The findings underscore the vital role of nurses and healthcare providers in aiding cancer patients to develop and utilize self-management strategies effectively. The study reveals that a patient's capacity to manage their illness is significantly influenced by their confidence, understanding of their condition, and overall quality of life. Addressing these aspects can greatly enhance healthcare professionals' contribution to improving the resilience and well-being of individuals battling cancer.

The readiness of Saudi nursing interns for the professional role.

BACKGROUND: The nursing education program offers opportunities to prepare nursing students with the knowledge and skills required for their professional roles. The level of their readiness and confidence will affect their ability to provide effective and sufficient nursing care. The purpose of this study is to assess nursing interns readiness for professional roles. MATERIALS AND METHOD: To accomplish the study's objectives, a cross-sectional, descriptive design was employed. All nursing interns who graduated from the KAU School of Nursing in the academic year 2018-2019 were recruited from different hospitals in Jeddah, Saudi Arabia, from March 2019 until May 2019. Participants completed the Casey-Fink Readiness for Practice Survey. Descriptive statistics were conducted to answer the research questions. RESULTS: The results of this study demonstrated that the students felt ready and confident to assume their professional nursing roles. The students had some difficulties with managing multiple patients and certain skills, such as how to deal with dying patients and prioritize patient care needs. CONCLUSION: The findings of this study showed the students felt entirely ready for the professional nursing role. The nursing college at King Abdul-Aziz University is making a great effort to prepare its students for their professional roles. We still need to develop skills and clinical competencies in preparation for effective professional roles. In addition, continuous assessment is considered important for patient safety, to increase nurses' work retention, and to enhance professional nurse confidence and the quality of care they must provide.

Nurses' perception and self-confidence of family presence during cardiopulmonary resuscitation in Saudi Arabia.

BACKGROUND: Researchers have investigated the presence of families during cardiopulmonary resuscitation (CPR) to determine its benefits and barriers and the points of view of healthcare professionals, patients, and families. Family presence during resuscitation (FPDR) is debatable. Many professional health organizations worldwide, such as the Emergency Nurses Association, have suggested that healthcare facilities implement rules and policies that encourage the attendance of families and relatives during CPR. However, this does not consider the nurses' points of view or self-confidence during FPDR. The main aim of this study is to evaluate nurses' perceptions and self-confidence related to family presence during CPR in Saudi Arabia. MATERIALS AND METHODS: This descriptive correlation study was conducted between March and April 2022 at King Abdul Aziz University Hospital in Jeddah. A survey was completed by participants to collect their sociodemographic data. The relationship between Family Presence Risk-Benefit Scale (FPS-BS) and the Family Presence Self-Confidence Scale (FPS-CS) was analyzed using Pearson's correlation test. RESULTS: The study's participants consisted of 147 nurses. Regarding the FPDR, nurses had a moderately positive perception and level of confidence. Moreover, the level of self-confidence varied significantly by age group and years of experience. The results of the Pearson correlation indicated that there was a significant association between FPS-CS and FPR-BS (r = 0.221, P < .001). When implementing FPDR, nurses who see more benefits from it are more confident. CONCLUSION: According to the findings, the nurses who felt more comfortable including patients' families in resuscitation efforts also saw FPDR as having more advantages. FPDR has several effects on the healthcare team providing CPR. Nursing leaders should develop policies for their teams and instruct nurses and other healthcare professionals. Considering the clear benefits of clinical practice and family involvement in resuscitation, it is suggested to give this experience first using simulation and role-playing.

Chronic Illness Patients' Perceptions of Quality of Care During Hospitalization: A Qualitative Study.

Introduction: The rising prevalence of patients living with chronic illnesses and frequent hospitalizations represent many challenges in delivering high-quality care. Assessing patients' perceptions and needs regarding the quality of health care services is a critical step in improving quality of care. Objective: This study sought to explore the perception of quality of care from the perspectives and experiences of chronically ill patients during hospitalization. Methods: This study was conducted using a qualitative descriptive design. Face-to-face semi-structured individual interviews were conducted with 15 chronically ill patients at their bedside during their current hospital admission. Analysis followed Braun and Clarke's thematic analysis approach. Results: Overall patients were pleased with their hospitalization experience; however, they highlighted many aspects of care that can be addressed to improve the quality of care provided. Five themes were identified from the analysis as follows: defining quality of care; aspects related to the healthcare providers; unmet care needs; patient's involvement in healthcare decisions and care expectations and outcomes. Conclusion: A key finding of this study was the association between quality of care and healthcare providers' skills, clinical competence, and attitudes. Poor communication and discoordination of care were the most significant impediment expressed. Actively involving patients in care may be effective when combined with meeting expectations. The findings of this study helped to identify the strength points and areas of improvement that are the cornerstone for developing tailored and patient-centered strategies to improve the quality of care during hospitalizations among chronically ill Saudis.

Perspectives on barriers and facilitators to lifestyle change after cardiac events among patients in Saudi Arabia: a qualitative study.

AIMS: Lifestyle interventions are an essential element in the prevention of cardiovascular disease. However, promoting a healthy lifestyle is challenging because a multitude of factors interact and influence people's decisions to adopt and maintain healthy lifestyles. The effects of these factors on Saudi cardiac patients are largely unknown. This study aimed to explore the barriers and facilitators to healthy lifestyle changes among Saudis after cardiac events. METHODS AND RESULTS: The study followed an exploratory qualitative research design, using a social ecological approach. Semi-structured interviews were conducted with 21 participants (13 men and 8 women) who had a cardiac event. Participants were purposively recruited from cardiac clinics of two hospitals in Jeddah, Saudi Arabia. Data were analysed using the qualitative framework analysis, and factors were identified as salient based on their frequency and the potential strength of their impact. Six factors were identified as influencing lifestyle behaviours in cardiac patients, categorized as 'major' factors and 'mediating' factors. The 'major' factors were sociocultural norms, family values, and religious beliefs, and the mediating factors were insufficient healthcare services, physical environment, and policy regulations. Depending upon the behaviours reported and the context, the same factor could be classified as both a barrier and a facilitator. CONCLUSION: The findings of this study can be used to inform the development of contextual-based interventions to promote the adoption of healthy lifestyles that meet the population needs and are relevant to Saudi society.

Knowledge, Attitudes, and Barriers of Organ Donation in Jeddah City, Saudi Arabia: A Cross-sectional Study.

Organ donation is considered a life-saving treatment for end-stage organ failure worldwide. However, the severe organ shortage in Saudi Arabia creates a gap between patients in need of transplantation and the availability of organs. In Saudi Arabia, a limited number of studies have assessed knowledge and attitudes toward organ donation, especially in Jeddah City. Thus, this study aimed to assess the knowledge, attitudes, and barriers to organ donation and to determine the factors that may hinder or facilitate organ donation. Our findings indicated that almost half of the participants (49.2%) obtained their information from online resources. Fear of the unknown (31.2%) and a lack of knowledge (28.5%) were the main barriers to organ donation. A high percentage of the participants (73%) were unaware of any local or international legislation regarding organ donation. Half of the study participants were willing to donate their organs, with insignificant differences in age, gender, occupation, and education level. Only 5.4% of the respondents had an organ donor card. The study indicated that half of the participants were willing to donate organs, but they were unaware of local and international legislation. Therefore, an intensive education program and campaigns are recommended to increase public awareness about organ donation.

The Effect of Social Isolation Types on Quality of Life during the Coronavirus Disease 2019 Pandemic in Saudi Arabia: A Cross-Sectional Study.

COVID-19 has caused a global pandemic that has spread rapidly to six continents, with over 2.5 million deaths from December 2019 to March 2021. The number of confirmed COVID-19 cases is still growing worldwide, and quarantines have been recommended to prevent the disease's spread. However, quarantines affect people's quality of life (QOL). The aim of this study is to assess the effect of social isolation-quarantine-on QOL during the first wave of the COVID-19 pandemic in Saudi Arabia. A cross-sectional, descriptive design was used in the present study. We obtained data from an online survey conducted in Saudi Arabia. We included a convenience sample of 775 participants in the study. Most of the participants were female (67%), with a mean age of 46 years ranging from 18 to 75 years. Many participants were government employees (n = 308, 39.7%) and had a bachelor's degree or greater (n = 513, 66.2%). Most of the participants (n = 629, 81%) were free from any chronic disease. Nearly 88% of participants were partially isolated socially owing to COVID-19. Concerning QOL, the means of both the Physical Health Composite Scale and the Mental Health Composite Scale SF-12 scores were 44.7 and 34.6, respectively. Furthermore, the results demonstrate that partially socially isolated participants appeared to have significantly better physical health statuses (M = 44.96, SD = 5.90) than completely socially isolated participants (M = 42.87 ± 7.26). There was no significant social isolation effect on mental health status (t (773) = 2.5, p = 0.115). Social isolation during the COVID-19 pandemic considerably influenced various aspects of QOL including physical and mental health. Community-based interventions such as online counseling services and wellness programs are required to reduce the pandemic's negative impact and enhance overall health status and QOL.

Perception of Heath Care Providers About COVID-19 and Its Vaccination in Saudi Arabia: Cross-Sectional Study.

PURPOSE: The aim of this study was to assess the perception of health care providers about the COVID-19 and its vaccine in Saudi Arabia. PATIENTS AND METHODS: In this study, we used a quantitative, cross-sectional and descriptive design. We recruited healthcare providers (HCPs) from social media platforms such as WhatsApp, Facebook, Twitter and emails that was distributed from March 15, 2021, to April 14, 2021. Chi-square tests were used to compare categorized data between health care workers. RESULTS: A total of 390 health care providers from different regions of the country began the online survey. A total of 298 respondents (77.8%) accepted the COVID-19 vaccine, whereas 85 (22.2%) HCP disapproved. There was a significant difference in the degree of acceptance of COVID-19 immunization among health care providers (P<0.001). Moreover, the results showed 200 females (52.63%) were more likely to accept the COVID-19 immunization; 97 (25.5%) males were planning on getting one as soon as possible. CONCLUSION: As shown in the results, 77.8% of health care providers agreed to receive the vaccine. Since COVID-19 is still ongoing, we must increase the number of HCPs who get vaccinated. In addition, a comprehensive immunization campaign is necessary to achieve maximum acceptance by the general public.