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Papers by Regie Tumala

Research paper thumbnail of Sociodemographic Determinants, Health Conditions, and Mental Status as Predictors of the Functional Status of Older Saudi People

Journal of Ageing and Longevity

The increasing population of Saudi elderly demands adequate assessment of their functional health... more The increasing population of Saudi elderly demands adequate assessment of their functional health status and mental status to improve their health and quality of life. This study aimed to determine the functional status of older Saudi people in performing basic activities of daily living (ADLs) and instrumental activities of daily living (IADLs) and its influencing factors. This quantitative, descriptive-correlational study surveyed a total of 203 participants using the Mini-Mental State Examination, Katz Index of ADL, and Lawton IADL. Overall, the participants had moderate cognitive impairment and were able to perform basic ADLs and IADLs independently, but they needed assistance in doing housework. Functional status was sensitive to their sociodemographic characteristics, presence of health problems, and mental status. Mental status, education, employment, marital status, and source of support were significantly associated with their ability to perform basic ADLs and IADLs. This s...

Research paper thumbnail of The association between self-reported workload and perceptions of patient safety culture: a study of intensive care unit nurses

Journal of clinical nursing, 2021

AIM AND OBJECTIVE This study aimed to examine the association between workload and patient safety... more AIM AND OBJECTIVE This study aimed to examine the association between workload and patient safety culture (PSC) among intensive care unit (ICU) nurses. BACKGROUND ICU nurses play a vital role in promoting patient safety and are essential indicators in any healthcare system including ICUs. Research studies focusing on the relationship between nursing workload and PSC among ICU nurses are limited. DESIGN Descriptive-correlational design. METHODS The study participants involved 380 ICU nurses at two hospitals in Riyadh, Saudi Arabia. Data were collected between February 2019 and April 2019, and were analyzed using SPSS v.22 statistical software. This study was guided by the STROBE checklist. RESULTS The results showed that ICU nurses have high positive perceptions in the following PSC subscales: teamwork within units, organizational learning-continuous improvement, frequency of events reported, feedback and communication about error, management support for patient safety, teamwork acro...

Research paper thumbnail of Helicobacter pylori Infection: Comparison of Knowledge between Health Science and Non-Health Science University Students

International Journal of Environmental Research and Public Health, 2021

Background: Helicobacter pylori (H. pylori), an important human pathogen, is classified as a huma... more Background: Helicobacter pylori (H. pylori), an important human pathogen, is classified as a human carcinogen. It is known to cause dyspepsia, peptic ulcers, and gastric cancer. Awareness regarding H. pylori infections in Saudi Arabia awaits investigation to reduce or even eliminate the infection that would ease the substantial burden of managing H. pylori among both malignant and non-malignant diseases. Aims: The study aims were to (1) assess the knowledge of H. pylori infection, testing, and management among undergraduate students in Saudi Arabia and (2) compare the H. pylori knowledge among health science and non-health science students. Methods: This study involved a cross-sectional online survey among 334 undergraduate students in health science and non-health science colleges at King Saud University, Saudi Arabia, using a valid and reliable author-developed survey. The survey had two sections: the socio-demographic factors and knowledge items regarding H. pylori. Data were col...

Research paper thumbnail of Infection Control Practices of Saudi Baccalaureate Nursing Students During Clinical Training

Background: Stringent adherence to standard precautions (SPs) by nursing students (NSs) is of par... more Background: Stringent adherence to standard precautions (SPs) by nursing students (NSs) is of paramount importance in every patient contact during clinical placements. Thus, this study aimed to evaluate the rate and predictors of SPs compliance among NSs in Saudi Arabia. Methodology: A convenience sample of 493 NSs was surveyed in this cross-sectional, self-reported study using a valid and reliable Compliance with Standard Precaution Scale Arabic version (CSPS-A). Results: The overall compliance rate was 56.8%. NSs reported highest compliance in putting used sharp articles into sharps boxes, while the lowest compliance was in disposing sharps box only when full. Significant differences in compliance were observed when participants were grouped according to their demographic characteristics in terms of sex, stream of study and academic level. Sex and stream of study were found as predictors of SPs compliance. Remarkably, months in clinical placement negatively affected SPs compliance...

Research paper thumbnail of Enhancing Culturally Competent Nursing Care in Saudi Arabia

Journal of cultural diversity, 2017

This study examined the cultural competence of expatriate nurses using self-reported individual a... more This study examined the cultural competence of expatriate nurses using self-reported individual assessment tool, and evaluated if there was an improvement after the educational training provided by nurse educators. Utilizing the Individual Assessment of Cultural Competence tool, questionnaires were administered to nurses (n=584) before the educational training and six months thereafter. A response rate of 90% was obtained. The data revealed that there was no significant difference between pre-test mean score and post-test mean score, (p-value=0.488). However, nurses' self-reported cultural competence was improved, (mean post-test gain = 0.020). Nurses'cultural competence was enhanced through the designed educational training program.

Research paper thumbnail of Predictors of nursing students’ intention to receive COVID‐19 vaccination: A multi‐university study in Saudi Arabia

Journal of Advanced Nursing

Abstract Aims This study examined the predictors of student nurses’ intention to vaccinate agains... more Abstract Aims This study examined the predictors of student nurses’ intention to vaccinate against COVID‐19. We measured the nursing students’ risk perceptions, anxiety, fears and beliefs on COVID‐19 vaccine; attitudes towards it and vaccine literacy (VL). Design This study is a multi‐university study utilizing the quantitative, cross‐sectional and predictive approach. Methods Using convenience sampling (n = 1170), we surveyed 10 Saudi universities from November 26, 2020, to December 31, 2020. Forward stepwise multinomial logistic regression was performed in identifying the factors predicting student nurses’ intention to vaccinate against COVID‐19. Results The overall mean in the risk perception, anxiety and fear was 9.59 (SD = 2.82, possible range = 1–15), 3.95 (SD = 4.77, possible range = 0–20) and 18.17 (SD = 6.65, possible range = 7–35) respectively. They also reported a mean of 29.90 (SD = 6.56, possible range = 8–40) on COVID‐19 belief. COVID‐19 positive and negative attitudes mean score was 3.64 (SD = 0.92) and 2.72 (SD = 0.90) in a 1–4 range of scores respectively. The functional and interactive‐critical COVID‐19 VL of the students were at moderate levels. More than half of the respondents (55.9%) intended to be vaccinated against COVID‐19, 17.6% did not intend to do so and 26.5% were unsure. High‐risk perceptions, low levels of COVID‐19 anxiety, positive beliefs and attitudes towards COVID‐19 vaccine, and high levels of interactive‐critical COVID‐19 VL were significant predictors of student nurses’ intentions to vaccinate against COVID‐19. Conclusion Policymakers could consider the factors identified in this study and why the students did not intend to receive the vaccine in planning a nationwide vaccination program. The colleges of nursing could also utilize the findings in developing educational programs that aim to improve VL and beliefs and attitudes towards COVID‐19 vaccine.

Research paper thumbnail of Knowledge and Perception of Registered Nurses Regarding the Scope of Practice of Speech-Language Pathologists

International Journal of Environmental Research and Public Health

Objective: To assess the knowledge and perception of registered nurses regarding the scope of pra... more Objective: To assess the knowledge and perception of registered nurses regarding the scope of practice of speech-language pathologists (SLP) in Saudi Arabia. Background: Interdisciplinary collaboration is vital between the SLP and nurses due to the complex care needed by patients with speech problems. Methods: A total of 294 registered nurses were surveyed utilizing the Knowledge and Perception of Speech-Language Pathologists questionnaire. Descriptive statistics and tests for differences and relationships were performed. Results: The findings revealed that nursing respondents had an overall good understanding of the value and scope of practice of the SLP. However, they frequently and wrongly responded to scenarios concerning patients who suffered from Alzheimer’s dementia, laryngeal cancer, traumatic brain injury, and stroke. Conclusions: It is vital for nurses to understand the value, role, and scope of practice of the SLP. Further educational nursing interventions and training ar...

Research paper thumbnail of Professional quality of life and caring behaviours among clinical nurses during the COVID‐19 pandemic

Journal of Clinical Nursing

Aims and Objectives To investigate the professional quality of life and caring behaviours among c... more Aims and Objectives To investigate the professional quality of life and caring behaviours among clinical nurses in Saudi Arabia during the COVID‐19 pandemic. We also examined the influence of the nurses’ socio‐demographic and professional characteristics on the professional quality of life. Moreover, the study examined the influence of professional quality of life on caring behaviour among the nurses amid the COVID‐19 pandemic. Background Caring is the core of the nursing profession and considered the heart of the humanistic clinical nursing practice. However, the work nature of the clinical nurses, especially during the COVID‐19 pandemic, continues to challenge their professional quality of life and caring behaviours. The factors influencing the professional quality of life and caring behaviours of clinical nurses have not been extensively explored. Design Cross‐sectional, descriptive study. Methods A purposive sample of 375 clinical nurses in three academic medical centres in Saudi Arabia were surveyed using the professional quality of life version 5 and the short‐form 24‐item Caring Behavior Inventory from May–August 2020. A standard multiple regression analysis was performed to investigate the predictors of the professional quality of life and caring behaviour. This study adhered to the recommendations of the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Results The majority of the respondents reported average level of compassion satisfaction (57.9%), burnout (54.4%) and secondary traumatic stress (66.9%) in the professional quality of life domains. The result also showed highest degree of caring in terms of ‘assurance of human presence’ while lowest in the ‘knowledge and skills’ in four subscales of caring behaviour. The following variables significantly predicted compassion satisfaction: education, area of assignment and position. Age, education and religion were identified as significant predictors of burnout while religion, nationality and position were significant predictors of secondary traumatic stress. Positive and negative domains of professional quality of life influenced the caring behaviours among clinical nurses. Conclusions Based on the results of the study, clinical nurses exhibited moderate level of professional quality of life and correlates to their caring behaviours. Moreover, clinical nurses’ demographic characteristics predicted their professional quality of life and caring behaviours. Relevance to clinical practice The importance of ensuring good professional quality of life and caring behaviour among clinical nurses during the COVID‐19 pandemic is underscored. Nursing leaders can utilise this baseline evidence and apply programmes for clinical nurses to tackle professional quality of life issues and enhance caring behaviours.

Research paper thumbnail of Mental Health Literacy Scale Arabic Version: A Validation Study Among Saudi University Students

Frontiers in Psychiatry

Mental health problems significantly affect students' university education. However, studies ... more Mental health problems significantly affect students' university education. However, studies about mental health literacy (MHL) among Saudi university students are very limited. The two-fold objective of this study was to validate an Arabic version of the Mental Health Literacy Scale (MHLS) and assess the MHL of university students. The study participants involved 339 female students. Psychometric evaluation of the MHLS–Arabic version was conducted, and correlation and regression analyses were performed. The scale was successfully cross culturally adapted and found to be valid and reliable. The highest MHL indicator was the students' perception of confidence in using a computer or telephone to inquire about mental illness data. Conversely, the lowest MHL indicator was the student's disagreement with the notion that mental infirmity is not an actual medical challenge. Marital status, college attended, and academic level were found to have statistically significant effects...

Research paper thumbnail of Self‐compassion influences the caring behaviour and compassion competence among saudi nursing students: A multi‐university study

Nursing Open

This is an open access article under the terms of the Creative Commons Attribution License, which... more This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Research paper thumbnail of Nursing Students' Perceptions, Knowledge, and Preventive Behaviors Toward COVID-19: A Multi-University Study

Frontiers in Public Health

Background: Knowledge, perception, and preventive behavior should be considered in the planning o... more Background: Knowledge, perception, and preventive behavior should be considered in the planning of effective educational interventions for the coronavirus disease of 2019 (COVID-19) pandemic and in increasing awareness about the health risks brought about by this disease. This research aimed to assess knowledge, perceptions, and preventive behavior toward the COVID-19 infection among student nurses.Methods: The study has quantitative, descriptive, and cross-sectional design. A convenience sample of 1,226 student nurses from seven universities in Saudi Arabia was surveyed from March 22 to April 4, 2020. A four-part online survey on demographic characteristics, perceptions, knowledge, and preventive behavior of Saudi student nurses was carried out.Results: Nearly all students were aware of the outbreak (99.2%), and most of them received information on COVID-19 primarily from social media (71.0%). Over three-fourths of the students were confident that the government (89.1%) and Ministr...

Research paper thumbnail of Nursing Students’ Knowledge, Competence, and Attitudes toward Vital Signs Monitoring during Clinical Practice

Journal of Clinical Nursing

AIM AND OBJECTIVE This study assessed the perceived knowledge and competence, and the attitude of... more AIM AND OBJECTIVE This study assessed the perceived knowledge and competence, and the attitude of Saudi nursing students toward vital signs monitoring for detecting patient deterioration during clinical rotation. It also examined the predictors of students' attitudes. BACKGROUND One of the most important uses of vital signs monitoring is the early detection of deterioration. Vital signs monitoring is one of the most frequently assigned tasks to students during clinical rotation. However, the attitudes of nursing students toward vital signs monitoring for detecting clinical deterioration remain unexplored. DESIGN Quantitative, cross-sectional design. METHOD A convenience sample of 529 baccalaureate nursing students in two universities in Saudi Arabia was surveyed using the V-scale from October 2019 to December 2019. A multivariate multiple regression was implemented to examine the multivariate effect of the predictor variables on the five subscales of the V-scale. This study adhered to the STROBE checklist. RESULTS The overall attitudes of the students toward VS monitoring can be interpreted as poor to modest. The highest mean was reported in the subscale "communication". The subscales "workload," "key indicators," and "technology" received low mean scores. The university, age, gender, academic year level, and perceived knowledge had significant multivariate effects on the five subscales of the V-scale. CONCLUSIONS The Saudi nursing students had poor attitudes toward vital signs monitoring, specifically toward the use of technology in vital signs monitoring, the workload associated with vital signs monitoring, and vital signs as key indicators of patient deterioration. RELEVANCE TO CLINICAL PRACTICE The findings reveal the need to improve the curricular content and training of nursing students regarding vital signs and the physiological indicators of clinical deterioration. This study also identified areas that require improvement to ensure positive attitudes among students.

Research paper thumbnail of Quality of Life Among Breast and Colon Cancer Patients Before and After First-Cycle Chemotherapy

Journal of Holistic Nursing

Purpose: This study aimed to compare the functioning, symptoms, and quality of life (QoL) of pati... more Purpose: This study aimed to compare the functioning, symptoms, and quality of life (QoL) of patients with breast or colon cancer before and after their first-cycle (FC) chemotherapy. Design: One-group pretest/posttest design. Method: The study utilized the standardized Arabic-translated Quality of Life Questionnaire Version 3 from the European Organization for Research and Treatment of Cancer in measuring the functioning, symptoms, and QoL of 120 Saudi patients diagnosed with breast or colon cancer. Dependent t test was used in analyzing the presence of significant differences in mean scores before and after chemotherapy with periods ranging from 14 days to 21 days following the treatment protocol. Results: The findings revealed significant differences in the functioning, symptoms, and QoL among patients with breast or colon cancer before and after FC chemotherapy ( p < .001). Baseline scores showed higher physical, role, emotional, cognitive, and social functioning; lesser symp...

Research paper thumbnail of Perceptions of Competence About Evidence-Based Practice Among Saudi Baccalaureate Nursing Students: A Cross-Sectional Survey

Nursing Science Quarterly

For more than 30 years, research utilization has been described in the literature, which predated... more For more than 30 years, research utilization has been described in the literature, which predated the heightened interest and demand for using best research evidence in nursing practice. Fernandez, Tran, Ramjan, Ho, and Gill identified evidence-based practice (EBP) as a methodical approach for using the best research evidence when making clinical judgments, together with patient preference and clinical experience. Furthermore, EBP was defined as the use of evidence-based knowledge in the clinical situations, and its usage should be one of the most important educational objectives in nursing education as well as one of the important skills for registered nurses worldwide. In nursing education, students must be taught to appreciate the importance of utilizing best evidence in their nursing practice, especially during their clinical time in the healthcare setting. It is hoped that if they appreciate EBP that when they become nurses, they will play an important role in the decision-maki...

Research paper thumbnail of The Compassion Competence Scale Arabic version: A validation study among student nurses and interns in Saudi Arabia

International Journal of Nursing Practice

AIM The aim of this study is to assess the validity and reliability of the Compassion Competence ... more AIM The aim of this study is to assess the validity and reliability of the Compassion Competence Scale Arabic version for Saudi nursing students and interns. BACKGROUND Compassion is an essential element of quality health care in which training nursing students to deliver compassionate care is important. Assessment of compassion competence of Arabic-speaking nursing students requires a valid and reliable tool. DESIGN This is a descriptive and cross-sectional study. METHODS This investigation was conducted from April to May 2019 in two universities in Saudi Arabia involving nursing students and interns. Cultural adaptation was performed using a forward-backward translation method. Content validity and construct validity through exploratory factor analysis were established. Internal consistency, stability and reliability were also determined for the scale. RESULTS The Arabic version has an excellent content validity. The exploratory factor analysis supported a three-factor solution that accounts for 50.62% of the scale's variance. The Cronbach's alpha of the scale was 0.806, whereas the Cronbach's alpha of the subscales ranged from 0.739 to 0.797. The intraclass correlation coefficient of the two-week test-retest scores was 0.84. The university, gender, year level and family type predicted the students' compassion competence. CONCLUSION The Arabic version can be used to measure Arabic-speaking nursing students' compassion competence in clinical areas.

Research paper thumbnail of Assessment of nursing students perceptions of their training hospital's infection prevention climate: A multi-university study in Saudi Arabia

Nurse Education Today

Background: The risk of acquiring and spreading infection must be minimized in nursing students b... more Background: The risk of acquiring and spreading infection must be minimized in nursing students because they are exposed to healthcare-associated infections during clinical training. To achieve this goal, students should be knowledgeable and competent in infection control practice before proceeding to their training hospitals. Objectives: This study assessed the nursing students' perception of the infection prevention climate in training hospitals in Saudi Arabia. It also examined the predictors of the students' perceptions. Design: A quantitative, cross-sectional design was used. Methods: This investigation was part of a large study conducted in six Saudi universities. A total of 829 Saudi nursing students were included in this study. Data were collected using the Leading Culture of Quality in Infection Prevention scale and analyzed using descriptive and inferential statistics. Ethical approval was obtained from the King Saud University, and permission was given by the administration of each participating university. Results: The overall perception of nursing students indicated a modest infection prevention climate. Prioritization of quality and improvement orientation was rated as the highest dimensions, whereas psychological safety and supportive environment were the lowest. The nursing students in University F had the poorest perceptions among the six universities. The predictors of nursing student perception of their training hospitals' infection prevention climates were the university where they studied, their age, and participation in infection prevention seminars. Conclusions: This article describes nursing students' perception of the infection prevention climate of their training hospitals in Saudi Arabia. Results may provide a unique theoretical underpinning on the perception and factors that effect an infection prevention climate. Thereby, previous knowledge and literature may be expanded. Results can be used as a guide in establishing clinical policies in efforts toward improving the infection prevention climate. 1. Introduction Recently, healthcare-associated infections (HAIs) have become one of the most common, curable, and preventable complications in healthcare settings (Ivan et al., 2017). Across the globe, infection prevention climate is a widely accepted element of patient safety and daily

Research paper thumbnail of A multi-university assessment of patient safety competence during clinical training among baccalaureate nursing students: A cross-sectional study

Journal of Clinical Nursing

AIMS AND OBJECTIVES To assess the perceived patient safety competence during clinical training of... more AIMS AND OBJECTIVES To assess the perceived patient safety competence during clinical training of Saudi nursing students. BACKGROUND Ensuring safety in healthcare settings requires improvements in the educational and clinical practice of professionals. Experts stressed that shared patient safety culture must be of primary importance; they also emphasised the resolute need for theoretically driven research approaches for patient safety competence in healthcare organisations and educational institutions. DESIGN Descriptive, cross-sectional design. METHODS This study was conducted in six government universities in Saudi Arabia. A sample of 829 nursing students was surveyed using the health professional education in patient safety survey. Descriptive and inferential statistics were used to analyse the data. The study adhered to the STROBE guideline for cross-sectional studies (See Supporting Information Appendix S1). RESULTS The percentage of agreement on the items of the health professional education in patient safety survey ranged from 61.5%-76.5%. The dimension "understanding human and environmental factors" received the highest perceived competence, whereas the dimension "working in teams" received the lowest competence. Significant differences in students' patient safety competence from different universities were reported. Male students perceived their competence in "working in teams" higher than the female students. Students in their internship year had significantly higher levels of competence in all the six dimensions of the health professional education in patient safety survey than students in the third- and fourth-year levels. CONCLUSIONS Saudi nursing students have positive perceptions towards their patient safety competencies. Significant differences were found in the patient safety competence of nursing students between universities, gender and year of study. RELEVANCE TO CLINICAL PRACTICE The results provide valuable insights and guidance for improving the patient safety competence of nursing students. The findings can be used to guide the creation of policies and interventions that may ensure the continuous development of patient safety competence of nursing students as they navigate the clinical area.

Research paper thumbnail of Health promoting lifestyle of university students in Saudi Arabia: a cross-sectional assessment

BMC public health, Jan 5, 2018

College is a critical time where students are more prone to engage in risky health behaviors know... more College is a critical time where students are more prone to engage in risky health behaviors known to negatively affect well-being, such as physical inactivity, stress, and poor dietary habits. A health promoting lifestyle is an important determinant of health status and is recognized as a major factor for the maintenance and improvement of health. This study was designed to assess the health-promoting lifestyle of students in health colleges and non-health colleges in Saudi Arabia. A total of 1656 students participated in this descriptive cross-sectional study. Data gathering was conducted from November 2016 to February 2017 at King Saud University. Participating students completed a self-reported questionnaire that included questions regarding their demographic characteristics and their health-promoting behaviors. The majority of participants were females (70.4%), 20% of the participants were overweight and 11.3%, were obese. The analysis showed that there was a significant differ...

Research paper thumbnail of Challenges in the Clinical Environment: The Saudi Student Nurses’ Experience

Education Research International

Previous studies showed that student nurses faced difficulties in clinical practice; thus, this s... more Previous studies showed that student nurses faced difficulties in clinical practice; thus, this study examined the clinical challenges encountered by Saudi nationals and the implications to learning outcomes using the descriptive cross-sectional approach. The study was conducted in nursing college in a university in Riyadh, Saudi Arabia. The survey questionnaires were completed by 220 conveniently selected student nurses who were enrolled in Bachelor’s Degree in Nursing from the academic level 5 to 8. Data analysis was done through the Statistical Package for the Social Sciences version 23. Clinical evaluation was perceived as the most common challenge, whereas competency development as the least. Significant associations were found between age and evaluation, academic level and competency development, and grade point average and learning outcomes. Nursing competency development significantly varied with civil status and stream of study. Students in the Regular Nursing Program faced...

Research paper thumbnail of Perceptions of confidence among Saudi nursing interns during internship program: a cross-sectional study

Annals of Saudi medicine

Saudi nursing students are trained in theoretical and clinical nursing competencies for four year... more Saudi nursing students are trained in theoretical and clinical nursing competencies for four years before transition to newly graduated nurses through a one-year internship program. The transition period is crucial as nursing students have low confidence without adequate clinical experience. Validate and culturally adapt the Arabic version of the Self-Efficacy for Clinical Evaluation Scale (SECS) and explore nursing interns perceived confidence (self-efficacy). Cross-sectional. Four public tertiary training hospitals in Riyadh, Saudi Arabia. A survey was conducted among nursing interns. Validity, reliability, and the cultural relevance of the Arabic-translated instrument was determined. Tests for differences and correlations were undertaken. Perceived self-efficacy and impor.tance of learning objectives. 300 Saudi nursing interns. The Arabic version of SECS was successfully adapted cross-culturally and was valid. Reliability tests showed Cronbach's a=.95 for confidence and Cronb...

Research paper thumbnail of Sociodemographic Determinants, Health Conditions, and Mental Status as Predictors of the Functional Status of Older Saudi People

Journal of Ageing and Longevity

The increasing population of Saudi elderly demands adequate assessment of their functional health... more The increasing population of Saudi elderly demands adequate assessment of their functional health status and mental status to improve their health and quality of life. This study aimed to determine the functional status of older Saudi people in performing basic activities of daily living (ADLs) and instrumental activities of daily living (IADLs) and its influencing factors. This quantitative, descriptive-correlational study surveyed a total of 203 participants using the Mini-Mental State Examination, Katz Index of ADL, and Lawton IADL. Overall, the participants had moderate cognitive impairment and were able to perform basic ADLs and IADLs independently, but they needed assistance in doing housework. Functional status was sensitive to their sociodemographic characteristics, presence of health problems, and mental status. Mental status, education, employment, marital status, and source of support were significantly associated with their ability to perform basic ADLs and IADLs. This s...

Research paper thumbnail of The association between self-reported workload and perceptions of patient safety culture: a study of intensive care unit nurses

Journal of clinical nursing, 2021

AIM AND OBJECTIVE This study aimed to examine the association between workload and patient safety... more AIM AND OBJECTIVE This study aimed to examine the association between workload and patient safety culture (PSC) among intensive care unit (ICU) nurses. BACKGROUND ICU nurses play a vital role in promoting patient safety and are essential indicators in any healthcare system including ICUs. Research studies focusing on the relationship between nursing workload and PSC among ICU nurses are limited. DESIGN Descriptive-correlational design. METHODS The study participants involved 380 ICU nurses at two hospitals in Riyadh, Saudi Arabia. Data were collected between February 2019 and April 2019, and were analyzed using SPSS v.22 statistical software. This study was guided by the STROBE checklist. RESULTS The results showed that ICU nurses have high positive perceptions in the following PSC subscales: teamwork within units, organizational learning-continuous improvement, frequency of events reported, feedback and communication about error, management support for patient safety, teamwork acro...

Research paper thumbnail of Helicobacter pylori Infection: Comparison of Knowledge between Health Science and Non-Health Science University Students

International Journal of Environmental Research and Public Health, 2021

Background: Helicobacter pylori (H. pylori), an important human pathogen, is classified as a huma... more Background: Helicobacter pylori (H. pylori), an important human pathogen, is classified as a human carcinogen. It is known to cause dyspepsia, peptic ulcers, and gastric cancer. Awareness regarding H. pylori infections in Saudi Arabia awaits investigation to reduce or even eliminate the infection that would ease the substantial burden of managing H. pylori among both malignant and non-malignant diseases. Aims: The study aims were to (1) assess the knowledge of H. pylori infection, testing, and management among undergraduate students in Saudi Arabia and (2) compare the H. pylori knowledge among health science and non-health science students. Methods: This study involved a cross-sectional online survey among 334 undergraduate students in health science and non-health science colleges at King Saud University, Saudi Arabia, using a valid and reliable author-developed survey. The survey had two sections: the socio-demographic factors and knowledge items regarding H. pylori. Data were col...

Research paper thumbnail of Infection Control Practices of Saudi Baccalaureate Nursing Students During Clinical Training

Background: Stringent adherence to standard precautions (SPs) by nursing students (NSs) is of par... more Background: Stringent adherence to standard precautions (SPs) by nursing students (NSs) is of paramount importance in every patient contact during clinical placements. Thus, this study aimed to evaluate the rate and predictors of SPs compliance among NSs in Saudi Arabia. Methodology: A convenience sample of 493 NSs was surveyed in this cross-sectional, self-reported study using a valid and reliable Compliance with Standard Precaution Scale Arabic version (CSPS-A). Results: The overall compliance rate was 56.8%. NSs reported highest compliance in putting used sharp articles into sharps boxes, while the lowest compliance was in disposing sharps box only when full. Significant differences in compliance were observed when participants were grouped according to their demographic characteristics in terms of sex, stream of study and academic level. Sex and stream of study were found as predictors of SPs compliance. Remarkably, months in clinical placement negatively affected SPs compliance...

Research paper thumbnail of Enhancing Culturally Competent Nursing Care in Saudi Arabia

Journal of cultural diversity, 2017

This study examined the cultural competence of expatriate nurses using self-reported individual a... more This study examined the cultural competence of expatriate nurses using self-reported individual assessment tool, and evaluated if there was an improvement after the educational training provided by nurse educators. Utilizing the Individual Assessment of Cultural Competence tool, questionnaires were administered to nurses (n=584) before the educational training and six months thereafter. A response rate of 90% was obtained. The data revealed that there was no significant difference between pre-test mean score and post-test mean score, (p-value=0.488). However, nurses' self-reported cultural competence was improved, (mean post-test gain = 0.020). Nurses'cultural competence was enhanced through the designed educational training program.

Research paper thumbnail of Predictors of nursing students’ intention to receive COVID‐19 vaccination: A multi‐university study in Saudi Arabia

Journal of Advanced Nursing

Abstract Aims This study examined the predictors of student nurses’ intention to vaccinate agains... more Abstract Aims This study examined the predictors of student nurses’ intention to vaccinate against COVID‐19. We measured the nursing students’ risk perceptions, anxiety, fears and beliefs on COVID‐19 vaccine; attitudes towards it and vaccine literacy (VL). Design This study is a multi‐university study utilizing the quantitative, cross‐sectional and predictive approach. Methods Using convenience sampling (n = 1170), we surveyed 10 Saudi universities from November 26, 2020, to December 31, 2020. Forward stepwise multinomial logistic regression was performed in identifying the factors predicting student nurses’ intention to vaccinate against COVID‐19. Results The overall mean in the risk perception, anxiety and fear was 9.59 (SD = 2.82, possible range = 1–15), 3.95 (SD = 4.77, possible range = 0–20) and 18.17 (SD = 6.65, possible range = 7–35) respectively. They also reported a mean of 29.90 (SD = 6.56, possible range = 8–40) on COVID‐19 belief. COVID‐19 positive and negative attitudes mean score was 3.64 (SD = 0.92) and 2.72 (SD = 0.90) in a 1–4 range of scores respectively. The functional and interactive‐critical COVID‐19 VL of the students were at moderate levels. More than half of the respondents (55.9%) intended to be vaccinated against COVID‐19, 17.6% did not intend to do so and 26.5% were unsure. High‐risk perceptions, low levels of COVID‐19 anxiety, positive beliefs and attitudes towards COVID‐19 vaccine, and high levels of interactive‐critical COVID‐19 VL were significant predictors of student nurses’ intentions to vaccinate against COVID‐19. Conclusion Policymakers could consider the factors identified in this study and why the students did not intend to receive the vaccine in planning a nationwide vaccination program. The colleges of nursing could also utilize the findings in developing educational programs that aim to improve VL and beliefs and attitudes towards COVID‐19 vaccine.

Research paper thumbnail of Knowledge and Perception of Registered Nurses Regarding the Scope of Practice of Speech-Language Pathologists

International Journal of Environmental Research and Public Health

Objective: To assess the knowledge and perception of registered nurses regarding the scope of pra... more Objective: To assess the knowledge and perception of registered nurses regarding the scope of practice of speech-language pathologists (SLP) in Saudi Arabia. Background: Interdisciplinary collaboration is vital between the SLP and nurses due to the complex care needed by patients with speech problems. Methods: A total of 294 registered nurses were surveyed utilizing the Knowledge and Perception of Speech-Language Pathologists questionnaire. Descriptive statistics and tests for differences and relationships were performed. Results: The findings revealed that nursing respondents had an overall good understanding of the value and scope of practice of the SLP. However, they frequently and wrongly responded to scenarios concerning patients who suffered from Alzheimer’s dementia, laryngeal cancer, traumatic brain injury, and stroke. Conclusions: It is vital for nurses to understand the value, role, and scope of practice of the SLP. Further educational nursing interventions and training ar...

Research paper thumbnail of Professional quality of life and caring behaviours among clinical nurses during the COVID‐19 pandemic

Journal of Clinical Nursing

Aims and Objectives To investigate the professional quality of life and caring behaviours among c... more Aims and Objectives To investigate the professional quality of life and caring behaviours among clinical nurses in Saudi Arabia during the COVID‐19 pandemic. We also examined the influence of the nurses’ socio‐demographic and professional characteristics on the professional quality of life. Moreover, the study examined the influence of professional quality of life on caring behaviour among the nurses amid the COVID‐19 pandemic. Background Caring is the core of the nursing profession and considered the heart of the humanistic clinical nursing practice. However, the work nature of the clinical nurses, especially during the COVID‐19 pandemic, continues to challenge their professional quality of life and caring behaviours. The factors influencing the professional quality of life and caring behaviours of clinical nurses have not been extensively explored. Design Cross‐sectional, descriptive study. Methods A purposive sample of 375 clinical nurses in three academic medical centres in Saudi Arabia were surveyed using the professional quality of life version 5 and the short‐form 24‐item Caring Behavior Inventory from May–August 2020. A standard multiple regression analysis was performed to investigate the predictors of the professional quality of life and caring behaviour. This study adhered to the recommendations of the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Results The majority of the respondents reported average level of compassion satisfaction (57.9%), burnout (54.4%) and secondary traumatic stress (66.9%) in the professional quality of life domains. The result also showed highest degree of caring in terms of ‘assurance of human presence’ while lowest in the ‘knowledge and skills’ in four subscales of caring behaviour. The following variables significantly predicted compassion satisfaction: education, area of assignment and position. Age, education and religion were identified as significant predictors of burnout while religion, nationality and position were significant predictors of secondary traumatic stress. Positive and negative domains of professional quality of life influenced the caring behaviours among clinical nurses. Conclusions Based on the results of the study, clinical nurses exhibited moderate level of professional quality of life and correlates to their caring behaviours. Moreover, clinical nurses’ demographic characteristics predicted their professional quality of life and caring behaviours. Relevance to clinical practice The importance of ensuring good professional quality of life and caring behaviour among clinical nurses during the COVID‐19 pandemic is underscored. Nursing leaders can utilise this baseline evidence and apply programmes for clinical nurses to tackle professional quality of life issues and enhance caring behaviours.

Research paper thumbnail of Mental Health Literacy Scale Arabic Version: A Validation Study Among Saudi University Students

Frontiers in Psychiatry

Mental health problems significantly affect students' university education. However, studies ... more Mental health problems significantly affect students' university education. However, studies about mental health literacy (MHL) among Saudi university students are very limited. The two-fold objective of this study was to validate an Arabic version of the Mental Health Literacy Scale (MHLS) and assess the MHL of university students. The study participants involved 339 female students. Psychometric evaluation of the MHLS–Arabic version was conducted, and correlation and regression analyses were performed. The scale was successfully cross culturally adapted and found to be valid and reliable. The highest MHL indicator was the students' perception of confidence in using a computer or telephone to inquire about mental illness data. Conversely, the lowest MHL indicator was the student's disagreement with the notion that mental infirmity is not an actual medical challenge. Marital status, college attended, and academic level were found to have statistically significant effects...

Research paper thumbnail of Self‐compassion influences the caring behaviour and compassion competence among saudi nursing students: A multi‐university study

Nursing Open

This is an open access article under the terms of the Creative Commons Attribution License, which... more This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Research paper thumbnail of Nursing Students' Perceptions, Knowledge, and Preventive Behaviors Toward COVID-19: A Multi-University Study

Frontiers in Public Health

Background: Knowledge, perception, and preventive behavior should be considered in the planning o... more Background: Knowledge, perception, and preventive behavior should be considered in the planning of effective educational interventions for the coronavirus disease of 2019 (COVID-19) pandemic and in increasing awareness about the health risks brought about by this disease. This research aimed to assess knowledge, perceptions, and preventive behavior toward the COVID-19 infection among student nurses.Methods: The study has quantitative, descriptive, and cross-sectional design. A convenience sample of 1,226 student nurses from seven universities in Saudi Arabia was surveyed from March 22 to April 4, 2020. A four-part online survey on demographic characteristics, perceptions, knowledge, and preventive behavior of Saudi student nurses was carried out.Results: Nearly all students were aware of the outbreak (99.2%), and most of them received information on COVID-19 primarily from social media (71.0%). Over three-fourths of the students were confident that the government (89.1%) and Ministr...

Research paper thumbnail of Nursing Students’ Knowledge, Competence, and Attitudes toward Vital Signs Monitoring during Clinical Practice

Journal of Clinical Nursing

AIM AND OBJECTIVE This study assessed the perceived knowledge and competence, and the attitude of... more AIM AND OBJECTIVE This study assessed the perceived knowledge and competence, and the attitude of Saudi nursing students toward vital signs monitoring for detecting patient deterioration during clinical rotation. It also examined the predictors of students' attitudes. BACKGROUND One of the most important uses of vital signs monitoring is the early detection of deterioration. Vital signs monitoring is one of the most frequently assigned tasks to students during clinical rotation. However, the attitudes of nursing students toward vital signs monitoring for detecting clinical deterioration remain unexplored. DESIGN Quantitative, cross-sectional design. METHOD A convenience sample of 529 baccalaureate nursing students in two universities in Saudi Arabia was surveyed using the V-scale from October 2019 to December 2019. A multivariate multiple regression was implemented to examine the multivariate effect of the predictor variables on the five subscales of the V-scale. This study adhered to the STROBE checklist. RESULTS The overall attitudes of the students toward VS monitoring can be interpreted as poor to modest. The highest mean was reported in the subscale "communication". The subscales "workload," "key indicators," and "technology" received low mean scores. The university, age, gender, academic year level, and perceived knowledge had significant multivariate effects on the five subscales of the V-scale. CONCLUSIONS The Saudi nursing students had poor attitudes toward vital signs monitoring, specifically toward the use of technology in vital signs monitoring, the workload associated with vital signs monitoring, and vital signs as key indicators of patient deterioration. RELEVANCE TO CLINICAL PRACTICE The findings reveal the need to improve the curricular content and training of nursing students regarding vital signs and the physiological indicators of clinical deterioration. This study also identified areas that require improvement to ensure positive attitudes among students.

Research paper thumbnail of Quality of Life Among Breast and Colon Cancer Patients Before and After First-Cycle Chemotherapy

Journal of Holistic Nursing

Purpose: This study aimed to compare the functioning, symptoms, and quality of life (QoL) of pati... more Purpose: This study aimed to compare the functioning, symptoms, and quality of life (QoL) of patients with breast or colon cancer before and after their first-cycle (FC) chemotherapy. Design: One-group pretest/posttest design. Method: The study utilized the standardized Arabic-translated Quality of Life Questionnaire Version 3 from the European Organization for Research and Treatment of Cancer in measuring the functioning, symptoms, and QoL of 120 Saudi patients diagnosed with breast or colon cancer. Dependent t test was used in analyzing the presence of significant differences in mean scores before and after chemotherapy with periods ranging from 14 days to 21 days following the treatment protocol. Results: The findings revealed significant differences in the functioning, symptoms, and QoL among patients with breast or colon cancer before and after FC chemotherapy ( p < .001). Baseline scores showed higher physical, role, emotional, cognitive, and social functioning; lesser symp...

Research paper thumbnail of Perceptions of Competence About Evidence-Based Practice Among Saudi Baccalaureate Nursing Students: A Cross-Sectional Survey

Nursing Science Quarterly

For more than 30 years, research utilization has been described in the literature, which predated... more For more than 30 years, research utilization has been described in the literature, which predated the heightened interest and demand for using best research evidence in nursing practice. Fernandez, Tran, Ramjan, Ho, and Gill identified evidence-based practice (EBP) as a methodical approach for using the best research evidence when making clinical judgments, together with patient preference and clinical experience. Furthermore, EBP was defined as the use of evidence-based knowledge in the clinical situations, and its usage should be one of the most important educational objectives in nursing education as well as one of the important skills for registered nurses worldwide. In nursing education, students must be taught to appreciate the importance of utilizing best evidence in their nursing practice, especially during their clinical time in the healthcare setting. It is hoped that if they appreciate EBP that when they become nurses, they will play an important role in the decision-maki...

Research paper thumbnail of The Compassion Competence Scale Arabic version: A validation study among student nurses and interns in Saudi Arabia

International Journal of Nursing Practice

AIM The aim of this study is to assess the validity and reliability of the Compassion Competence ... more AIM The aim of this study is to assess the validity and reliability of the Compassion Competence Scale Arabic version for Saudi nursing students and interns. BACKGROUND Compassion is an essential element of quality health care in which training nursing students to deliver compassionate care is important. Assessment of compassion competence of Arabic-speaking nursing students requires a valid and reliable tool. DESIGN This is a descriptive and cross-sectional study. METHODS This investigation was conducted from April to May 2019 in two universities in Saudi Arabia involving nursing students and interns. Cultural adaptation was performed using a forward-backward translation method. Content validity and construct validity through exploratory factor analysis were established. Internal consistency, stability and reliability were also determined for the scale. RESULTS The Arabic version has an excellent content validity. The exploratory factor analysis supported a three-factor solution that accounts for 50.62% of the scale's variance. The Cronbach's alpha of the scale was 0.806, whereas the Cronbach's alpha of the subscales ranged from 0.739 to 0.797. The intraclass correlation coefficient of the two-week test-retest scores was 0.84. The university, gender, year level and family type predicted the students' compassion competence. CONCLUSION The Arabic version can be used to measure Arabic-speaking nursing students' compassion competence in clinical areas.

Research paper thumbnail of Assessment of nursing students perceptions of their training hospital's infection prevention climate: A multi-university study in Saudi Arabia

Nurse Education Today

Background: The risk of acquiring and spreading infection must be minimized in nursing students b... more Background: The risk of acquiring and spreading infection must be minimized in nursing students because they are exposed to healthcare-associated infections during clinical training. To achieve this goal, students should be knowledgeable and competent in infection control practice before proceeding to their training hospitals. Objectives: This study assessed the nursing students' perception of the infection prevention climate in training hospitals in Saudi Arabia. It also examined the predictors of the students' perceptions. Design: A quantitative, cross-sectional design was used. Methods: This investigation was part of a large study conducted in six Saudi universities. A total of 829 Saudi nursing students were included in this study. Data were collected using the Leading Culture of Quality in Infection Prevention scale and analyzed using descriptive and inferential statistics. Ethical approval was obtained from the King Saud University, and permission was given by the administration of each participating university. Results: The overall perception of nursing students indicated a modest infection prevention climate. Prioritization of quality and improvement orientation was rated as the highest dimensions, whereas psychological safety and supportive environment were the lowest. The nursing students in University F had the poorest perceptions among the six universities. The predictors of nursing student perception of their training hospitals' infection prevention climates were the university where they studied, their age, and participation in infection prevention seminars. Conclusions: This article describes nursing students' perception of the infection prevention climate of their training hospitals in Saudi Arabia. Results may provide a unique theoretical underpinning on the perception and factors that effect an infection prevention climate. Thereby, previous knowledge and literature may be expanded. Results can be used as a guide in establishing clinical policies in efforts toward improving the infection prevention climate. 1. Introduction Recently, healthcare-associated infections (HAIs) have become one of the most common, curable, and preventable complications in healthcare settings (Ivan et al., 2017). Across the globe, infection prevention climate is a widely accepted element of patient safety and daily

Research paper thumbnail of A multi-university assessment of patient safety competence during clinical training among baccalaureate nursing students: A cross-sectional study

Journal of Clinical Nursing

AIMS AND OBJECTIVES To assess the perceived patient safety competence during clinical training of... more AIMS AND OBJECTIVES To assess the perceived patient safety competence during clinical training of Saudi nursing students. BACKGROUND Ensuring safety in healthcare settings requires improvements in the educational and clinical practice of professionals. Experts stressed that shared patient safety culture must be of primary importance; they also emphasised the resolute need for theoretically driven research approaches for patient safety competence in healthcare organisations and educational institutions. DESIGN Descriptive, cross-sectional design. METHODS This study was conducted in six government universities in Saudi Arabia. A sample of 829 nursing students was surveyed using the health professional education in patient safety survey. Descriptive and inferential statistics were used to analyse the data. The study adhered to the STROBE guideline for cross-sectional studies (See Supporting Information Appendix S1). RESULTS The percentage of agreement on the items of the health professional education in patient safety survey ranged from 61.5%-76.5%. The dimension "understanding human and environmental factors" received the highest perceived competence, whereas the dimension "working in teams" received the lowest competence. Significant differences in students' patient safety competence from different universities were reported. Male students perceived their competence in "working in teams" higher than the female students. Students in their internship year had significantly higher levels of competence in all the six dimensions of the health professional education in patient safety survey than students in the third- and fourth-year levels. CONCLUSIONS Saudi nursing students have positive perceptions towards their patient safety competencies. Significant differences were found in the patient safety competence of nursing students between universities, gender and year of study. RELEVANCE TO CLINICAL PRACTICE The results provide valuable insights and guidance for improving the patient safety competence of nursing students. The findings can be used to guide the creation of policies and interventions that may ensure the continuous development of patient safety competence of nursing students as they navigate the clinical area.

Research paper thumbnail of Health promoting lifestyle of university students in Saudi Arabia: a cross-sectional assessment

BMC public health, Jan 5, 2018

College is a critical time where students are more prone to engage in risky health behaviors know... more College is a critical time where students are more prone to engage in risky health behaviors known to negatively affect well-being, such as physical inactivity, stress, and poor dietary habits. A health promoting lifestyle is an important determinant of health status and is recognized as a major factor for the maintenance and improvement of health. This study was designed to assess the health-promoting lifestyle of students in health colleges and non-health colleges in Saudi Arabia. A total of 1656 students participated in this descriptive cross-sectional study. Data gathering was conducted from November 2016 to February 2017 at King Saud University. Participating students completed a self-reported questionnaire that included questions regarding their demographic characteristics and their health-promoting behaviors. The majority of participants were females (70.4%), 20% of the participants were overweight and 11.3%, were obese. The analysis showed that there was a significant differ...

Research paper thumbnail of Challenges in the Clinical Environment: The Saudi Student Nurses’ Experience

Education Research International

Previous studies showed that student nurses faced difficulties in clinical practice; thus, this s... more Previous studies showed that student nurses faced difficulties in clinical practice; thus, this study examined the clinical challenges encountered by Saudi nationals and the implications to learning outcomes using the descriptive cross-sectional approach. The study was conducted in nursing college in a university in Riyadh, Saudi Arabia. The survey questionnaires were completed by 220 conveniently selected student nurses who were enrolled in Bachelor’s Degree in Nursing from the academic level 5 to 8. Data analysis was done through the Statistical Package for the Social Sciences version 23. Clinical evaluation was perceived as the most common challenge, whereas competency development as the least. Significant associations were found between age and evaluation, academic level and competency development, and grade point average and learning outcomes. Nursing competency development significantly varied with civil status and stream of study. Students in the Regular Nursing Program faced...

Research paper thumbnail of Perceptions of confidence among Saudi nursing interns during internship program: a cross-sectional study

Annals of Saudi medicine

Saudi nursing students are trained in theoretical and clinical nursing competencies for four year... more Saudi nursing students are trained in theoretical and clinical nursing competencies for four years before transition to newly graduated nurses through a one-year internship program. The transition period is crucial as nursing students have low confidence without adequate clinical experience. Validate and culturally adapt the Arabic version of the Self-Efficacy for Clinical Evaluation Scale (SECS) and explore nursing interns perceived confidence (self-efficacy). Cross-sectional. Four public tertiary training hospitals in Riyadh, Saudi Arabia. A survey was conducted among nursing interns. Validity, reliability, and the cultural relevance of the Arabic-translated instrument was determined. Tests for differences and correlations were undertaken. Perceived self-efficacy and impor.tance of learning objectives. 300 Saudi nursing interns. The Arabic version of SECS was successfully adapted cross-culturally and was valid. Reliability tests showed Cronbach's a=.95 for confidence and Cronb...