Seema Nasser - Academia.edu (original) (raw)
Papers by Seema Nasser
Research Square (Research Square), Dec 10, 2023
First, I would like to thank Allah for everything. Then I know I would not have been able to comp... more First, I would like to thank Allah for everything. Then I know I would not have been able to complete this program without the endless love, support, and encouragement from my family. My parents for their constant believe belief in me and all their encouragement. My father, for always simplifying things and looking at life with a positive perspective. Our phone calls always left me relaxed, decreased my stress, and gave me hope to see the light at the end of the tunnel. My mother for making me the person I've become today. I owe you this PhD degree, I can never thank you enough. I hope it shows that her hard work in raising me as a single mom, taking care of me, and teaching me life and career lessons has paid off. For my grandmother, Smirah for love and devotion, endless prayers, and for sending goodies from overseas oversees. I thank my grandfathers, Fouad and Omer. I wish you were both here with me to celebrate my success. I hope I made you both proud of me. My father in-law, Ibrahim, for his love, caring, and treating me like his daughter, for always believing in me, and always asking about me. My husband, words cannot express how thankful I am for your patience, support, love, encouragement, and believing in me always and forever. My children, thank you for keeping me grounded. Alibrahim my first biggest gift in life, you resembled my strength through the process in earning my degree. You kept pushing me to do better in school, yet balance being a better parent, and you have indirectly taught me time management. "Thank you"! For, Abdulrahman, you were my second biggest gift in life. You resembled hope and helped preserve my sanity, which kept me going to earn my degree. iv I would also like to acknowledge the people that have made this dissertation possible. I would first like to thank and acknowledge King Saud University-College of Nursing, for granting me an 8 years' of scholarship to complete both my Masters in nursing and PhD degree in nursing. I would also like to thank the Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) Initiative at University of California, San Francisco, which is a participating site for the TBI Endpoints Development Initiative, sponsored by the Department of Defense. They granted me access to their data, which made earning my degree possible. Thanks to all of the faculty at Loyola University Chicago, Marcella Niehoff School of Nursing during my first two years, who nurtured me and taught with passion. I appreciate the role you played in my education and development as a nurse researcher. I would like to especially thank the members of my committee: Dr. Herbert Mathews, Dr. Karen Saban, and Dr. Dina Tell. This process and work was continually improved through your expertise and guidance with such a diverse unique committee. I appreciate your time and service. Dr. Linda Janusek, my dissertation chair, was the most instrumental in the completion of this dissertation. Dr. Janusek has spent countless hours in the past six years mentoring me and teaching me the world of nursing and psychoneuroimmunology research. For that, I am forever thankful and grateful. To my PhD colleagues and friends. I appreciate your support and encouragement. Our end of semester dinners, and phone conversations always empowered me to move forward. I want to thank Kinder Care, my children's daycare, their director and teachers for taking good care of my kids, and making it possible for a mother of two under-two to earn her PhD in nursing and follow her dream. I would also like to thank Dr. Sawsan my undergraduate director, she inspired me from day one in my nursing career, to continue with graduate school. I also would like to thank my undergraduate professors, professor Rosemary. For my dearest parents, Mohammed and Soha; my cherished grandmother, Samirah; my beloved husband, Luay, and my precious children, Alibrahim and Abdulrahman. vi TABLE OF CONTENTS ACKNOWLEDGMENTS iii LIST OF TABLES x LIST OF FIGURES xii
Saudi critical care journal, 2023
Background: Moral distress (MD) was first defined as a situation in which one knows the right thi... more Background: Moral distress (MD) was first defined as a situation in which one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action. This can be even more challenging within the critical care context as critical the care context imposes physical, emotional, and cognitive stressors on critical care nurses. Methodology: A descriptive quantitative approach was followed, and the critical care units of two tertiary hospitals in two provinces in Saudi Arabia were included in the study, yielding a cluster sample size of 361 critical care nurses. Data were collected using the MD Scale-Revised, for which reliability and validity have been established. Results: The mean total MD experienced by respondents was 77.15 ± 58.32, representing a low level of MD. The statement that nurses indicated as causing the most distress was "follow the family's wishes to continue life support even though I believe it is not in the best interest of the patient" with 5.98 ± 5.04. Furthermore, 17.5% (n = 63) of nurses had considered leaving their positions because of MD. MD was the highest in the Emergency department with 102.12 ± 70.59; as experience increased by 1 year, the MD score increased by 11.56. Conclusion: When dealing with issues related to futile care, critical care nurses experience MD. Therefore, future research is required to develop appropriate interventions with which to address critical care-related MD.
Saudi critical care journal, 2023
Background: Moral distress (MD) was first defined as a situation in which one knows the right thi... more Background: Moral distress (MD) was first defined as a situation in which one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action. This can be even more challenging within the critical care context as critical the care context imposes physical, emotional, and cognitive stressors on critical care nurses. Methodology: A descriptive quantitative approach was followed, and the critical care units of two tertiary hospitals in two provinces in Saudi Arabia were included in the study, yielding a cluster sample size of 361 critical care nurses. Data were collected using the MD Scale-Revised, for which reliability and validity have been established. Results: The mean total MD experienced by respondents was 77.15 ± 58.32, representing a low level of MD. The statement that nurses indicated as causing the most distress was "follow the family's wishes to continue life support even though I believe it is not in the best interest of the patient" with 5.98 ± 5.04. Furthermore, 17.5% (n = 63) of nurses had considered leaving their positions because of MD. MD was the highest in the Emergency department with 102.12 ± 70.59; as experience increased by 1 year, the MD score increased by 11.56. Conclusion: When dealing with issues related to futile care, critical care nurses experience MD. Therefore, future research is required to develop appropriate interventions with which to address critical care-related MD.
First, I would like to thank Allah for everything. Then I know I would not have been able to comp... more First, I would like to thank Allah for everything. Then I know I would not have been able to complete this program without the endless love, support, and encouragement from my family. My parents for their constant believe belief in me and all their encouragement. My father, for always simplifying things and looking at life with a positive perspective. Our phone calls always left me relaxed, decreased my stress, and gave me hope to see the light at the end of the tunnel. My mother for making me the person I've become today. I owe you this PhD degree, I can never thank you enough. I hope it shows that her hard work in raising me as a single mom, taking care of me, and teaching me life and career lessons has paid off. For my grandmother, Smirah for love and devotion, endless prayers, and for sending goodies from overseas oversees. I thank my grandfathers, Fouad and Omer. I wish you were both here with me to celebrate my success. I hope I made you both proud of me. My father in-law, Ibrahim, for his love, caring, and treating me like his daughter, for always believing in me, and always asking about me. My husband, words cannot express how thankful I am for your patience, support, love, encouragement, and believing in me always and forever. My children, thank you for keeping me grounded. Alibrahim my first biggest gift in life, you resembled my strength through the process in earning my degree. You kept pushing me to do better in school, yet balance being a better parent, and you have indirectly taught me time management. "Thank you"! For, Abdulrahman, you were my second biggest gift in life. You resembled hope and helped preserve my sanity, which kept me going to earn my degree. iv I would also like to acknowledge the people that have made this dissertation possible. I would first like to thank and acknowledge King Saud University-College of Nursing, for granting me an 8 years' of scholarship to complete both my Masters in nursing and PhD degree in nursing. I would also like to thank the Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) Initiative at University of California, San Francisco, which is a participating site for the TBI Endpoints Development Initiative, sponsored by the Department of Defense. They granted me access to their data, which made earning my degree possible. Thanks to all of the faculty at Loyola University Chicago, Marcella Niehoff School of Nursing during my first two years, who nurtured me and taught with passion. I appreciate the role you played in my education and development as a nurse researcher. I would like to especially thank the members of my committee: Dr. Herbert Mathews, Dr. Karen Saban, and Dr. Dina Tell. This process and work was continually improved through your expertise and guidance with such a diverse unique committee. I appreciate your time and service. Dr. Linda Janusek, my dissertation chair, was the most instrumental in the completion of this dissertation. Dr. Janusek has spent countless hours in the past six years mentoring me and teaching me the world of nursing and psychoneuroimmunology research. For that, I am forever thankful and grateful. To my PhD colleagues and friends. I appreciate your support and encouragement. Our end of semester dinners, and phone conversations always empowered me to move forward. I want to thank Kinder Care, my children's daycare, their director and teachers for taking good care of my kids, and making it possible for a mother of two under-two to earn her PhD in nursing and follow her dream. I would also like to thank Dr. Sawsan my undergraduate director, she inspired me from day one in my nursing career, to continue with graduate school. I also would like to thank my undergraduate professors, professor Rosemary. For my dearest parents, Mohammed and Soha; my cherished grandmother, Samirah; my beloved husband, Luay, and my precious children, Alibrahim and Abdulrahman. vi TABLE OF CONTENTS ACKNOWLEDGMENTS iii LIST OF TABLES x LIST OF FIGURES xii
Research Square (Research Square), Dec 10, 2023
First, I would like to thank Allah for everything. Then I know I would not have been able to comp... more First, I would like to thank Allah for everything. Then I know I would not have been able to complete this program without the endless love, support, and encouragement from my family. My parents for their constant believe belief in me and all their encouragement. My father, for always simplifying things and looking at life with a positive perspective. Our phone calls always left me relaxed, decreased my stress, and gave me hope to see the light at the end of the tunnel. My mother for making me the person I've become today. I owe you this PhD degree, I can never thank you enough. I hope it shows that her hard work in raising me as a single mom, taking care of me, and teaching me life and career lessons has paid off. For my grandmother, Smirah for love and devotion, endless prayers, and for sending goodies from overseas oversees. I thank my grandfathers, Fouad and Omer. I wish you were both here with me to celebrate my success. I hope I made you both proud of me. My father in-law, Ibrahim, for his love, caring, and treating me like his daughter, for always believing in me, and always asking about me. My husband, words cannot express how thankful I am for your patience, support, love, encouragement, and believing in me always and forever. My children, thank you for keeping me grounded. Alibrahim my first biggest gift in life, you resembled my strength through the process in earning my degree. You kept pushing me to do better in school, yet balance being a better parent, and you have indirectly taught me time management. "Thank you"! For, Abdulrahman, you were my second biggest gift in life. You resembled hope and helped preserve my sanity, which kept me going to earn my degree. iv I would also like to acknowledge the people that have made this dissertation possible. I would first like to thank and acknowledge King Saud University-College of Nursing, for granting me an 8 years' of scholarship to complete both my Masters in nursing and PhD degree in nursing. I would also like to thank the Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) Initiative at University of California, San Francisco, which is a participating site for the TBI Endpoints Development Initiative, sponsored by the Department of Defense. They granted me access to their data, which made earning my degree possible. Thanks to all of the faculty at Loyola University Chicago, Marcella Niehoff School of Nursing during my first two years, who nurtured me and taught with passion. I appreciate the role you played in my education and development as a nurse researcher. I would like to especially thank the members of my committee: Dr. Herbert Mathews, Dr. Karen Saban, and Dr. Dina Tell. This process and work was continually improved through your expertise and guidance with such a diverse unique committee. I appreciate your time and service. Dr. Linda Janusek, my dissertation chair, was the most instrumental in the completion of this dissertation. Dr. Janusek has spent countless hours in the past six years mentoring me and teaching me the world of nursing and psychoneuroimmunology research. For that, I am forever thankful and grateful. To my PhD colleagues and friends. I appreciate your support and encouragement. Our end of semester dinners, and phone conversations always empowered me to move forward. I want to thank Kinder Care, my children's daycare, their director and teachers for taking good care of my kids, and making it possible for a mother of two under-two to earn her PhD in nursing and follow her dream. I would also like to thank Dr. Sawsan my undergraduate director, she inspired me from day one in my nursing career, to continue with graduate school. I also would like to thank my undergraduate professors, professor Rosemary. For my dearest parents, Mohammed and Soha; my cherished grandmother, Samirah; my beloved husband, Luay, and my precious children, Alibrahim and Abdulrahman. vi TABLE OF CONTENTS ACKNOWLEDGMENTS iii LIST OF TABLES x LIST OF FIGURES xii
Saudi critical care journal, 2023
Background: Moral distress (MD) was first defined as a situation in which one knows the right thi... more Background: Moral distress (MD) was first defined as a situation in which one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action. This can be even more challenging within the critical care context as critical the care context imposes physical, emotional, and cognitive stressors on critical care nurses. Methodology: A descriptive quantitative approach was followed, and the critical care units of two tertiary hospitals in two provinces in Saudi Arabia were included in the study, yielding a cluster sample size of 361 critical care nurses. Data were collected using the MD Scale-Revised, for which reliability and validity have been established. Results: The mean total MD experienced by respondents was 77.15 ± 58.32, representing a low level of MD. The statement that nurses indicated as causing the most distress was "follow the family's wishes to continue life support even though I believe it is not in the best interest of the patient" with 5.98 ± 5.04. Furthermore, 17.5% (n = 63) of nurses had considered leaving their positions because of MD. MD was the highest in the Emergency department with 102.12 ± 70.59; as experience increased by 1 year, the MD score increased by 11.56. Conclusion: When dealing with issues related to futile care, critical care nurses experience MD. Therefore, future research is required to develop appropriate interventions with which to address critical care-related MD.
Saudi critical care journal, 2023
Background: Moral distress (MD) was first defined as a situation in which one knows the right thi... more Background: Moral distress (MD) was first defined as a situation in which one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action. This can be even more challenging within the critical care context as critical the care context imposes physical, emotional, and cognitive stressors on critical care nurses. Methodology: A descriptive quantitative approach was followed, and the critical care units of two tertiary hospitals in two provinces in Saudi Arabia were included in the study, yielding a cluster sample size of 361 critical care nurses. Data were collected using the MD Scale-Revised, for which reliability and validity have been established. Results: The mean total MD experienced by respondents was 77.15 ± 58.32, representing a low level of MD. The statement that nurses indicated as causing the most distress was "follow the family's wishes to continue life support even though I believe it is not in the best interest of the patient" with 5.98 ± 5.04. Furthermore, 17.5% (n = 63) of nurses had considered leaving their positions because of MD. MD was the highest in the Emergency department with 102.12 ± 70.59; as experience increased by 1 year, the MD score increased by 11.56. Conclusion: When dealing with issues related to futile care, critical care nurses experience MD. Therefore, future research is required to develop appropriate interventions with which to address critical care-related MD.
First, I would like to thank Allah for everything. Then I know I would not have been able to comp... more First, I would like to thank Allah for everything. Then I know I would not have been able to complete this program without the endless love, support, and encouragement from my family. My parents for their constant believe belief in me and all their encouragement. My father, for always simplifying things and looking at life with a positive perspective. Our phone calls always left me relaxed, decreased my stress, and gave me hope to see the light at the end of the tunnel. My mother for making me the person I've become today. I owe you this PhD degree, I can never thank you enough. I hope it shows that her hard work in raising me as a single mom, taking care of me, and teaching me life and career lessons has paid off. For my grandmother, Smirah for love and devotion, endless prayers, and for sending goodies from overseas oversees. I thank my grandfathers, Fouad and Omer. I wish you were both here with me to celebrate my success. I hope I made you both proud of me. My father in-law, Ibrahim, for his love, caring, and treating me like his daughter, for always believing in me, and always asking about me. My husband, words cannot express how thankful I am for your patience, support, love, encouragement, and believing in me always and forever. My children, thank you for keeping me grounded. Alibrahim my first biggest gift in life, you resembled my strength through the process in earning my degree. You kept pushing me to do better in school, yet balance being a better parent, and you have indirectly taught me time management. "Thank you"! For, Abdulrahman, you were my second biggest gift in life. You resembled hope and helped preserve my sanity, which kept me going to earn my degree. iv I would also like to acknowledge the people that have made this dissertation possible. I would first like to thank and acknowledge King Saud University-College of Nursing, for granting me an 8 years' of scholarship to complete both my Masters in nursing and PhD degree in nursing. I would also like to thank the Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) Initiative at University of California, San Francisco, which is a participating site for the TBI Endpoints Development Initiative, sponsored by the Department of Defense. They granted me access to their data, which made earning my degree possible. Thanks to all of the faculty at Loyola University Chicago, Marcella Niehoff School of Nursing during my first two years, who nurtured me and taught with passion. I appreciate the role you played in my education and development as a nurse researcher. I would like to especially thank the members of my committee: Dr. Herbert Mathews, Dr. Karen Saban, and Dr. Dina Tell. This process and work was continually improved through your expertise and guidance with such a diverse unique committee. I appreciate your time and service. Dr. Linda Janusek, my dissertation chair, was the most instrumental in the completion of this dissertation. Dr. Janusek has spent countless hours in the past six years mentoring me and teaching me the world of nursing and psychoneuroimmunology research. For that, I am forever thankful and grateful. To my PhD colleagues and friends. I appreciate your support and encouragement. Our end of semester dinners, and phone conversations always empowered me to move forward. I want to thank Kinder Care, my children's daycare, their director and teachers for taking good care of my kids, and making it possible for a mother of two under-two to earn her PhD in nursing and follow her dream. I would also like to thank Dr. Sawsan my undergraduate director, she inspired me from day one in my nursing career, to continue with graduate school. I also would like to thank my undergraduate professors, professor Rosemary. For my dearest parents, Mohammed and Soha; my cherished grandmother, Samirah; my beloved husband, Luay, and my precious children, Alibrahim and Abdulrahman. vi TABLE OF CONTENTS ACKNOWLEDGMENTS iii LIST OF TABLES x LIST OF FIGURES xii