Seema M Nasser - Profile on Academia.edu (original) (raw)

Papers by Seema M Nasser

Research paper thumbnail of Prevalence of hypertension and associated factors: a cross-sectional study in Riyadh, Saudi Arabia

Background Hypertension is a chronic condition that represents a global burden across the world. ... more Background Hypertension is a chronic condition that represents a global burden across the world. The burden of hypertension is found to be particularly high in Middle Eastern countries such as Saudi Arabia. This study was undertaken to measure the prevalence of hypertension and its associated factors. An assessment of the impact of hypertension is required to alleviate/reduce the comorbidities and complications associated with hypertension in Saudi Arabia. Materials and methods A cross-sectional survey was conducted among 14,239 individuals in Saudi Arabia. A valid and reliable questionnaire was administered after randomly selecting study participants from 48 primary healthcare centers. Univariate analysis was performed to investigate the relationship between independent variables and hypertension. P-values less than 0.05 were considered significant. Multivariate logistic regression was used to establish the major associated factors of hypertension among Saudi citizens. A 95% confidence interval (CI) was presented for each of the adjusted odds ratios (AORs). pressure in this study. The findings of this study suggest that researchers and policymakers should target modifiable risk factors to reduce the burden of hypertension among Saudi residents.

Research paper thumbnail of Current status, challenges, and future career pathways of diploma-prepared nurses from the stakeholders’ perspective: a qualitative study

Background The global shortage of nurses is a pressing issue affecting healthcare quality and pat... more Background The global shortage of nurses is a pressing issue affecting healthcare quality and patient outcomes. Nurse turnover is driven by work-related stress, and job dissatisfaction is persistent. In Saudi Arabia, many diplomaprepared nurses need more bridging programs to convert their diplomas into bachelor's degrees. Educational and organizational issues can limit the provision of quality nursing care. Differences in educational preparation influence nurses' interpretations of patient safety and their roles within healthcare systems. Addressing the need for more policies and regulations regarding nurse turnover and the retention of diploma-prepared nurses is crucial. Thus, a comprehensive exploration of barriers and incentives for diploma-prepared nurses to complete their Bachelor of Science in Nursing (BSN) can lead to transformative institutional strategies, such as tuition compensation and clinicalacademic collaborations. This study aims to fill this gap by understanding the current challenges, future trends, and solutions from stakeholders' perspectives and developing tailored career pathways for diploma-prepared Nurses from the stakeholders' perspective. Thus, it contributes to policy development and improved healthcare delivery and fosters a promising future for healthcare. Methods This qualitative study employed a thematic analysis and grounded theory methodology as we delved into stakeholders' perspectives to generate a substantive framework for overcoming obstacles and cultivating tailored career pathways for diploma-prepared nurses. A purposive sampling technique was used to choose participants, ensuring their rich, relevant, and diverse information based on their expertise, experience, and ability to provide valuable insights. Data were collected using one-on-one semi-structured questions for in-depth interviews. Results Our findings revealed key concepts that were evident in the data. These concepts formed three main themes and several subthemes essential to understanding the current status of, challenges faced by, and career pathways for diploma-prepared nurses. The three main themes have emerged, and core categories have emerged under each theme accordingly. The results generated a practical framework, offering tangible solutions to overcome challenges and develop career pathways for diploma-prepared nurses. Conclusions The findings significantly affect policy development and healthcare delivery improvement. This suggests the need for policies that support diploma-prepared nurses in completing their BSN and the development of tailored career pathways that align with their educational background and career goals and the Kingdom's 2030 Vision.

Research paper thumbnail of Evaluating Interprofessional Education Readiness and Perceptions Among Health Professions Students

Inter-professional learning (IPL) or more broadly Inter-professional Education (IPE) refer to a p... more Inter-professional learning (IPL) or more broadly Inter-professional Education (IPE) refer to a pedagogical approach that involves creating a learning experience where students from different professions learn about, from, and with each other. IPE is crucial for preparing health professionals to offer patient-centered care as part of an interdisciplinary team. This study aims to assess the readiness for IPL among students from different health professions colleges at King Saud bin Abdulaziz University for Health Sciences. Methods: A cross-sectional design was conducted for this study, with a total of 476 undergraduate students from College of Medicine, College of Nursing, and College of Applied Medical Sciences. By using quota sampling, the readiness for interprofessional learning scale (RIPLS) was used to assess the student's readiness for interprofessional learning. Results: The overall mean score of RIPLS for the students participating was 76.20, with the highest mean score in teamwork and collaboration at 39.73. The lowest mean score was in roles and responsibility at 8.45. The professional identity subscale had a mean score of 26.85. A significant difference in professional identity was found between students in applied medical sciences, nursing, and medicine colleges. Conclusion: The study reveals that undergraduate students have positive attitudes towards interprofessional education, which can enhance their engagement in developing competencies necessary for effective contribution to interprofessional healthcare teams. High readiness among medical, nursing, and applied medical sciences students allows for the Introduction of IPL.

Research paper thumbnail of Perception of Health and Its Predictors Among Saudis at Primary Healthcare Settings in Riyadh: Insights from a Cross-Sectional Survey

future epidemiological studies incorporating qualitative dimensions to explore why these individu... more future epidemiological studies incorporating qualitative dimensions to explore why these individuals with specific risk profiles perceive their health as worse than others.

Research paper thumbnail of Caregiver burden, perceived stress, and social support among parents of chronically Ill children in Saudi Arabia

Background Children with chronic illnesses pose a significant burden on parents who are directly ... more Background Children with chronic illnesses pose a significant burden on parents who are directly involved in caregiving. Despite the high prevalence of chronic illnesses among children in Saudi Arabia, no study has examined caregiver burden and other related factors in the Saudi Population. Thus, this study determined the levels of caregiver burden, perceived social support, and perceived stress and their association among parents who provide care to their child with a chronic illness. Methods A cross-sectional design was used for this study. Data were collected through an online survey using standardized scales from parents who had at least one child suffering from a chronic illness or disability for more than 12 months and requiring continuous medical treatment. Results A total of 206 parents reported mild-to-moderate levels of caregiver burden, moderate levels of perceived stress, and high levels of perceived social support. Furthermore, perceived social support was significantly correlated with caregiver burden (rho =-0.36, p < 0.01) and perceived stress (rho =-0.45, p < 0.01), and caregiver burden was significantly associated with perceived stress (rho = 0.65, p < 0.01). Conclusions Study findings suggest that social support could play a pivotal role in designing intervention programs to mitigate the stress caused by the caregiver burden. This insight underscores the urgent need for policymakers to develop psychosocial interventions and targeted programs for caregivers of children with chronic illnesses.

Research paper thumbnail of Behavioral Symptoms, Functional and Cognitive Recovery Post-Mild Traumatic Brain Injury

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 paper thumbnail of The presence of moral distress among critical care nurses in Saudi Arabia

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.

Research paper thumbnail of Prevalence of hypertension and associated factors: a cross-sectional study in Riyadh, Saudi Arabia

Background Hypertension is a chronic condition that represents a global burden across the world. ... more Background Hypertension is a chronic condition that represents a global burden across the world. The burden of hypertension is found to be particularly high in Middle Eastern countries such as Saudi Arabia. This study was undertaken to measure the prevalence of hypertension and its associated factors. An assessment of the impact of hypertension is required to alleviate/reduce the comorbidities and complications associated with hypertension in Saudi Arabia. Materials and methods A cross-sectional survey was conducted among 14,239 individuals in Saudi Arabia. A valid and reliable questionnaire was administered after randomly selecting study participants from 48 primary healthcare centers. Univariate analysis was performed to investigate the relationship between independent variables and hypertension. P-values less than 0.05 were considered significant. Multivariate logistic regression was used to establish the major associated factors of hypertension among Saudi citizens. A 95% confidence interval (CI) was presented for each of the adjusted odds ratios (AORs). pressure in this study. The findings of this study suggest that researchers and policymakers should target modifiable risk factors to reduce the burden of hypertension among Saudi residents.

Research paper thumbnail of Current status, challenges, and future career pathways of diploma-prepared nurses from the stakeholders’ perspective: a qualitative study

Background The global shortage of nurses is a pressing issue affecting healthcare quality and pat... more Background The global shortage of nurses is a pressing issue affecting healthcare quality and patient outcomes. Nurse turnover is driven by work-related stress, and job dissatisfaction is persistent. In Saudi Arabia, many diplomaprepared nurses need more bridging programs to convert their diplomas into bachelor's degrees. Educational and organizational issues can limit the provision of quality nursing care. Differences in educational preparation influence nurses' interpretations of patient safety and their roles within healthcare systems. Addressing the need for more policies and regulations regarding nurse turnover and the retention of diploma-prepared nurses is crucial. Thus, a comprehensive exploration of barriers and incentives for diploma-prepared nurses to complete their Bachelor of Science in Nursing (BSN) can lead to transformative institutional strategies, such as tuition compensation and clinicalacademic collaborations. This study aims to fill this gap by understanding the current challenges, future trends, and solutions from stakeholders' perspectives and developing tailored career pathways for diploma-prepared Nurses from the stakeholders' perspective. Thus, it contributes to policy development and improved healthcare delivery and fosters a promising future for healthcare. Methods This qualitative study employed a thematic analysis and grounded theory methodology as we delved into stakeholders' perspectives to generate a substantive framework for overcoming obstacles and cultivating tailored career pathways for diploma-prepared nurses. A purposive sampling technique was used to choose participants, ensuring their rich, relevant, and diverse information based on their expertise, experience, and ability to provide valuable insights. Data were collected using one-on-one semi-structured questions for in-depth interviews. Results Our findings revealed key concepts that were evident in the data. These concepts formed three main themes and several subthemes essential to understanding the current status of, challenges faced by, and career pathways for diploma-prepared nurses. The three main themes have emerged, and core categories have emerged under each theme accordingly. The results generated a practical framework, offering tangible solutions to overcome challenges and develop career pathways for diploma-prepared nurses. Conclusions The findings significantly affect policy development and healthcare delivery improvement. This suggests the need for policies that support diploma-prepared nurses in completing their BSN and the development of tailored career pathways that align with their educational background and career goals and the Kingdom's 2030 Vision.

Research paper thumbnail of Evaluating Interprofessional Education Readiness and Perceptions Among Health Professions Students

Inter-professional learning (IPL) or more broadly Inter-professional Education (IPE) refer to a p... more Inter-professional learning (IPL) or more broadly Inter-professional Education (IPE) refer to a pedagogical approach that involves creating a learning experience where students from different professions learn about, from, and with each other. IPE is crucial for preparing health professionals to offer patient-centered care as part of an interdisciplinary team. This study aims to assess the readiness for IPL among students from different health professions colleges at King Saud bin Abdulaziz University for Health Sciences. Methods: A cross-sectional design was conducted for this study, with a total of 476 undergraduate students from College of Medicine, College of Nursing, and College of Applied Medical Sciences. By using quota sampling, the readiness for interprofessional learning scale (RIPLS) was used to assess the student's readiness for interprofessional learning. Results: The overall mean score of RIPLS for the students participating was 76.20, with the highest mean score in teamwork and collaboration at 39.73. The lowest mean score was in roles and responsibility at 8.45. The professional identity subscale had a mean score of 26.85. A significant difference in professional identity was found between students in applied medical sciences, nursing, and medicine colleges. Conclusion: The study reveals that undergraduate students have positive attitudes towards interprofessional education, which can enhance their engagement in developing competencies necessary for effective contribution to interprofessional healthcare teams. High readiness among medical, nursing, and applied medical sciences students allows for the Introduction of IPL.

Research paper thumbnail of Perception of Health and Its Predictors Among Saudis at Primary Healthcare Settings in Riyadh: Insights from a Cross-Sectional Survey

future epidemiological studies incorporating qualitative dimensions to explore why these individu... more future epidemiological studies incorporating qualitative dimensions to explore why these individuals with specific risk profiles perceive their health as worse than others.

Research paper thumbnail of Caregiver burden, perceived stress, and social support among parents of chronically Ill children in Saudi Arabia

Background Children with chronic illnesses pose a significant burden on parents who are directly ... more Background Children with chronic illnesses pose a significant burden on parents who are directly involved in caregiving. Despite the high prevalence of chronic illnesses among children in Saudi Arabia, no study has examined caregiver burden and other related factors in the Saudi Population. Thus, this study determined the levels of caregiver burden, perceived social support, and perceived stress and their association among parents who provide care to their child with a chronic illness. Methods A cross-sectional design was used for this study. Data were collected through an online survey using standardized scales from parents who had at least one child suffering from a chronic illness or disability for more than 12 months and requiring continuous medical treatment. Results A total of 206 parents reported mild-to-moderate levels of caregiver burden, moderate levels of perceived stress, and high levels of perceived social support. Furthermore, perceived social support was significantly correlated with caregiver burden (rho =-0.36, p < 0.01) and perceived stress (rho =-0.45, p < 0.01), and caregiver burden was significantly associated with perceived stress (rho = 0.65, p < 0.01). Conclusions Study findings suggest that social support could play a pivotal role in designing intervention programs to mitigate the stress caused by the caregiver burden. This insight underscores the urgent need for policymakers to develop psychosocial interventions and targeted programs for caregivers of children with chronic illnesses.

Research paper thumbnail of Behavioral Symptoms, Functional and Cognitive Recovery Post-Mild Traumatic Brain Injury

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 paper thumbnail of The presence of moral distress among critical care nurses in Saudi Arabia

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.