Vahe Kehyayan - Academia.edu (original) (raw)

Papers by Vahe Kehyayan

International Nursing Review, May 3, 2023

AimTo investigate the association between job resources, job satisfaction, and moderating effect ... more AimTo investigate the association between job resources, job satisfaction, and moderating effect of COVID‐19 anxiety and practice setting among expatriate acute care nurses in Qatar.BackgroundExpatriate nurses are more vulnerable to reduced job satisfaction. Increased COVID‐19 anxiety and reduced perceived job resources among acute care nurses impact their job satisfaction more than that of general ward nurses.MethodAn online survey was used to recruit 293 expatriate acute care nurses from four public hospitals in Qatar. Data were collected between June and October of 2021. Structural equation modeling was used for data analysis. We ensured to follow STROBE guidelines when doing this research.ResultsJob resources were a significant predictor of job satisfaction among expatriate acute care nurses (β = 0.80, 95% CI: 0.73–0.85, p < 0.001). There was no significant moderating effect of COVID‐19 anxiety (β = 0.055, 95% CI: −0.61 to 0.151, p = 0.329) or workplace setting on this relationship (χ2 = 0.077, df = 1, p = 0.781).DiscussionOur study found that the relationship between job resources and acute care nurses' job satisfaction is consistent across different workplace settings regardless of the level of COVID‐19 anxiety. This is in line with previous studies that have highlighted the importance of job resources in determining nurses' job satisfaction.ConclusionThe study emphasizes the need for sufficient job resources for improved job satisfaction among expatriate acute care nurses in Qatar, especially during the COVID‐19 pandemic.Implications for nursing policyNursing leaders must prioritize adequate resources such as staffing, proper training, and policies that increase nurse autonomy to improve job satisfaction and reduce the negative effects of dissatisfaction.

The European Journal of Psychiatry

Nursing open, Aug 21, 2022

AimThe aim of this study was to validate a job satisfaction scale among acute care nurses in the ... more AimThe aim of this study was to validate a job satisfaction scale among acute care nurses in the context of Qatar.DesignCross‐sectional correlational survey.MethodsA convenience sampling technique was used to recruit 295 acute care nurses between June 2021–September 2021. Exploratory factor analysis followed by confirmatory factor analysis was used for item reduction and convergent and discriminant validity evaluation. Pearson's correlations were conducted to evaluate the concurrent and convergent validity of the revised scale. Reliability was tested using several internal consistency indicators.ResultsA revised scale was proposed, the Acute Care Nurses Job Satisfaction Scale‐Revised (ACNJSS‐R) scale; it is composed of 13 items loaded on five factors. The composite reliability and the maximal reliability were >.7 for all factors. The study provides empirical support for the validity and reliability of the ACNJSS‐R scale.

Journal of Psychiatric Practice

Objectives: Countries worldwide implemented social and movement restrictions to contain the sprea... more Objectives: Countries worldwide implemented social and movement restrictions to contain the spread of coronavirus disease 2019 (COVID-19). Unfortunately, such restrictions have adversely impacted people’s lifestyles. The goal of this study was to assess the impact of COVID-19-related restrictive measures on substance use, sleep, and social connectedness in Qatar’s population. Methods: A web-based survey was conducted between January 2021 and February 2021 targeting adults ≥18 years of age who were residing in Qatar between March and August 2020. Results: A total of 1408 participants completed the survey. Of tobacco users in our sample, 36% reported increased tobacco use since the start of home confinement, while 41.6% of alcohol users reported decreased alcohol use. Concerning sleep, 46.1% reported an increase in average sleep duration per day (0.77 h mean increase, 95% CI: 0.66-0.88, P<0.001), and a third of participants reported poorer sleep quality. Of the participants, 39.6% ...

Preventive Medicine Reports

Background In an era of globalization, travel-related illnesses have become a focus of public ‎he... more Background In an era of globalization, travel-related illnesses have become a focus of public ‎health concern. Pretravel consultation is an effective measure for the prevention travel-related illnesses. ‎ The purpose of this study was to assess the scope of primary care physicians’ (PCP) practice of travel medicine (TM) in Qatar and its associated predictors. Methods This was a cross-sectional study design. A structured questionnaire was used to collect ‎data from all PCPs working in all 27 primary healthcare centers in Qatar.‎ Descriptive and analytic statistics were used as appropriate. ‎A multivariable logistic regression model was constructed to identify predictors of TM practice. Results Three hundred sixty-four PCPs participated in the study with a response rate of 89.2%. Most PCPs (91.1%) reported they provided pretravel consultations of which 72.7% provided < 10 consultations per month and almost half of them reported they spent between 10 and 19 minutes for pretravel con...

Journal of Epidemiology and Global Health

Objectives To assess the impact of the COVID-19-related closure of government schools in Qatar on... more Objectives To assess the impact of the COVID-19-related closure of government schools in Qatar on children and adolescents' dietary habits and physical activities and associated sociodemographic factors. Methods An analytical cross-sectional study was conducted between June and August 2022 utilizing the national electronic health records system in Qatar to extract a sampling frame of students enrolled in governmental schools, specifically targeting students in 3rd to 9th grades, stratified by sex and developmental stage. A stratified sampling technique was employed to randomly select a proportionate number of students from each stratum, and data were collected through telephone interviews with the parents of selected students. Results A total of 1546 interviews were completed by the end of the study. Of the included sample, 845 (54.7%) were between 8 and 11 years of age (middle childhood), while the rest were 12–15 years old (young teens and teenagers). Male to female ratio was ...

PLOS ONE, Mar 31, 2022

Background In an era of globalization, travel-related illnesses have become a focus of public hea... more Background In an era of globalization, travel-related illnesses have become a focus of public health concern, especially in the Arab region where travel health services are insufficient and not wellestablished. This study was conducted to assess travel vaccine and malaria chemoprophylaxis knowledge and associated predictors among primary care physicians (PCPs) in Qatar. Methods This was a cross-sectional study. A structured questionnaire was used to collect data from all physicians working at all 27 primary healthcare centers from March 1 st to May 31 st 2020. Knowledge scores were computed and a multivariable linear regression model was built to identify predictors of higher knowledge. Results A total of 364 PCPs participated (response rate of 89.2%). Participants' mean age was 44.5 (±7.8) with 59.1% being males. Their overall mean knowledge score was 9.54/16 (±3.24). Significant predictors of higher knowledge included: aged 40-49 years (1.072; 95% CI: 0.230, 1.915), had medical degree from non-Arab countries (0.748; 95% CI: 0.065, 1.432), had training in TM (1.405; 95% CI: 0.407, 2.403), and provided �10 consultations/ month (2.585; 95% CI:1.294, 3.876). Online information was the main reported resource of travel medicine consultation. Conclusions The overall PCPs' mean percentage knowledge score of travel medicine was 59.6% (±20.3). A high volume of pretravel consultation, prior training, middle age group, and medical degree from non-Arab countries were significant predictors of higher knowledge.

Frontiers in Psychiatry

BackgroundNegative attitudes toward mental illness by Health Care Professionals (HCP) have been r... more BackgroundNegative attitudes toward mental illness by Health Care Professionals (HCP) have been reported in many countries across the world. Stigmatizing attitudes by HCP can have adverse consequences on people with mental illness from delays in seeking help to decreased quality of care provided. Assessing such attitudes is an essential step in understanding such stigma and, if needed, developing and testing appropriate and culturally adapted interventions to reduce it.AimsTo assess physicians and nurses attitudes toward mental illness and to determine associated factors with different levels of stigma.MethodsA cross-sectional survey was conducted among Physicians and Nurses. The Mental Illness Clinician's Attitudes (MICA) scale was used to assess attitudes toward mental illness. MICA scores range between 1 and 6 with higher values indicating higher stigmatizing attitudes. Demographic and work related information were also gathered. Descriptive statistics along with multivariate...

Canadian Journal of Neurological Sciences, 2014

This study describes the socio-demographic and clinical profile of persons with amyotrophic later... more This study describes the socio-demographic and clinical profile of persons with amyotrophic lateral sclerosis (ALS) in home care, nursing homes and complex continuing care settings in several Canadian jurisdictions. A cross-sectional study was conducted using available Resident Assessment Instrument (RAI 2.0 and RAI Home Care) national databases from 1996- 2011. The profile of ALS patients was compared with patients without pre-specified neurological conditions. There were 2,092 ALS patients identified in these settings. Persons with ALS were more likely than those in the comparison group to suffer from health instability (25.4%) and minor to major depressive symptoms (27.2%) , to experience falls (44.0%) and weight loss (22.9%), to require extensive assistance in activities of daily living (54.9%), and to receive rehabilitation services: physical (23.9%), speech language pathology (8.9%), and occupational therapy 43.3%). The ALS population in this study are greatly affected by a nu...

Journal of Occupational & Environmental Medicine

Objectives: To explore the impact of changing work arrangements during COVID-19 on diet, physical... more Objectives: To explore the impact of changing work arrangements during COVID-19 on diet, physical activity, body weight, and sleep of Qatar's working population. Methods: A web-based survey targeting working adults who were residing in Qatar during the period of home confinement was conducted. Results: About 47% of 1061 participants reported weight gain. Higher proportions of participants reported consuming more fatty foods (P = 0.007), more sugary foods (P = 0.001), and greater increase in screen and sitting/reclining times (P < 0.001) among the work from home (WFH) group. Participants with higher adverse dietary changes score were more likely to report weight gain in both the WFH (adjusted OR 1.38, 95% CI 1.28 to 1.49), and working regularly groups (adjusted OR, 1.31, 95% CI 1.20 to 1.43) with P < 0.001. Conclusion: Qatar's working population experienced adverse lifestyle changes which were more prominent among those who shifted to WFH.

iii ACKNOWLEDGEMENT vi DEDICATION viii LIST OF FIGURES xvi LIST OF TABLES ixvi LIST OF ABBREVIATI... more iii ACKNOWLEDGEMENT vi DEDICATION viii LIST OF FIGURES xvi LIST OF TABLES ixvi LIST OF ABBREVIATIONS xix 1.0 Introduction 1 1.1 Search Strategy 4 1.2 Purpose of Study and Research Questions 5 1.3 Potential Benefits of Study 6 1.4 Overview of Study Proposal 7 2.0 Concept of Quality of Life 8 2.1 Defining Quality of Life 8 2.2 Domains of Quality of Life 13 2.3 Determinants of Quality of Life 17 2.3.1 Socio-Demographic Determinants 18 2.3.2 Health and Functioning Determinants 22 2.3.3 Psychosocial Determinants 24

Asian Pacific Journal of Cancer Prevention : APJCP, 2021

Background: In Qatar, colorectal cancer (CRC) is the second most common cancer and is projected t... more Background: In Qatar, colorectal cancer (CRC) is the second most common cancer and is projected to be more than triple by 2035. Therefore, CRC periodic screening is vitally important because early detection will improve the success of treatment. In 2016, Qatar established a population-based screening program for CRC targetting average-risk adults. This study aimed to determine the perceived barriers to undergo CRC screening in eligible adults in Qatar and the associated factors. Methods: This was a cross-sectional study of individuals aged 50-74 years who have been never screened, across six primary health centers between September 2018 and January 2019. A non-probability sampling method was used to recruit participants. Participants were interviewed using a structured questionnaire. Descriptive and analytic statistics were applied. Results: A total of 188 individuals participated in the study. The mean age of the participants was 58.3 (SD ±6.4) years. Most participants were females...

Frontiers in Public Health, 2021

Stigma impacts persons with mental illness (PWMI), their families and network of friends, the pub... more Stigma impacts persons with mental illness (PWMI), their families and network of friends, the public and health care professionals. Stigma is a major barrier for PWMI to seeking treatment, which contributes to the burden of disease, disability, and mortality. Research on stigma is relatively scant in the Middle East region and particularly in Qatar. To address stigma effectively in each culture, it is essential to study its nature in the context where the PWMI experience stigma. The purpose of this study was to assess the prevalence of internalized stigma in PWMI in Qatar. A cross-sectional study of PWMI receiving outpatient mental health services in Qatar was done. We interviewed 417 PWMI using a modified 18-item version of the short form of the Internalized Stigma of Mental Illness (ISMI) Scale. Descriptive and regression models were used to analyze the data. The Cronbach alpha for the modified 18-items ISMI was 0.87. Participants' average score on this scale was 2.07 ± 0.38 w...

Journal of Nursing Education and Practice, 2021

Background and objective: Cerebral palsy (CP) is the most common motor disability that affects tw... more Background and objective: Cerebral palsy (CP) is the most common motor disability that affects two to three children per 1000 worldwide. Caregivers are most often parents of children with CP (CCP) who are responsible for providing primary care. Caregivers of CCP face multiple challenges, such as the manifestation of the disease and difficulty in providing daily care. They also have psychological, social, financial, and informational needs. These needs may be met through participation in support groups. The objective of this paper is to identify the needs of caregivers of CCP and how participation in support groups may meet those needs. Methods: A literature review was conducted to identify relevant articles on the needs of caregivers of CCP. Eleven articles published between 2008 and 2018 on caregivers’ needs were retrieved and their quality was assessed using the Mixed Methods Appraisal Tool. The data collected were analyzed to identify key themes related to caregivers’ needs. Resu...

PLoS ONE, 2020

The following information is missing from the Funding statement: Open Access funding is provided ... more The following information is missing from the Funding statement: Open Access funding is provided by the Qatar National Library.

Background and objective: Autism spectrum disorder (ASD) is a lifelong developmental disability t... more Background and objective: Autism spectrum disorder (ASD) is a lifelong developmental disability that affects how individuals communicate and interact with others. A reliable diagnosis of ASD can be made within the first 24 months of a child’s life, but ASD is usually diagnosed late. Late diagnosis contributes to missed opportunities to provide early intervention services and improve long-term outcomes. The purpose of this project was to identify barriers to early detection and intervention of ASD faced by parents, other caregivers, and health care professionals. Methods: A literature review was conducted. CINAHL, Medline, and PsychINFO databases were used to search for relevant articles. Ten articles that met the inclusion criteria were selected and data from these articles were summarized in a data extraction table and themes were identified. Results: Five main barriers that prevent early diagnosis and intervention of children with ASD were identified. These barriers were lack of k...

Journal of Long Term Care

Residents in long-term care facilities in Canada with mental and cognitive disorders have complex... more Residents in long-term care facilities in Canada with mental and cognitive disorders have complex care needs. To meet these needs an integrated model of care is recommended. Context: The high prevalence of mental disorders in residents of long-term care (LTC) facilities raises serious concerns for facility operators and staff. These residents have multiple vulnerabilities that facility staff should have the necessary knowledge and skills to properly meet their needs. Objectives: To describe the profile of residents with mental disorders (MD) and Alzheimer's Disease and Related Dementias (ADRD) in Canadian long-term care (LTC) facilities. Findings: Seventy-six percent of residents had MD (40%) and ADRD (36%). These residents compared to those without such disorders were more likely to be cognitively impaired, manifest aggressive behavior, receive psychotropic drugs, and physically restrained, and less likely to be socially engaged. Strengths and Limitations: The large representative sample was a key strength. The findings add to the knowledge about the profile of LTC residents. The cross-sectional design of the study limits the findings to the population studied. Implications: Residents with MD and ADRD compared to those without such disorders are highly vulnerable because of their double burden of mental and physical comorbidities. Their profile may be of interest to LTC facility operators, clinicians, and policy makers about their complex care needs. Our findings raise awareness of the need for trained LTC facility staff for knowledge and skills in psychogeriatric conditions to assess, plan, and implement appropriate interventions for these residents. Coordinated and integrated models of care with access to psychogeriatric specialists such as psychiatrists or advanced practice nurses will also be of benefit to them.

Metabolism Open

Background People with Diabetes Mellitus are at high risk of encountering COVID-19 infection and ... more Background People with Diabetes Mellitus are at high risk of encountering COVID-19 infection and are more vulnerable to the negative repercussions of this infection. In this study we aimed to explore the impact of COVID-19 related home confinement measures on physical activity, dietary habits, body weight and perceived glycemic control of adults with type 2 Diabetes Mellitus (T2DM) in Qatar. Methods A cross sectional web-based survey was conducted between January and February 2021 targeting adults ≥18 years with T2DM. Results Over 40% of the participants reported unhealthy dietary changes. We found a significant increase in the sitting/reclining, and screen times. One third of the participants reported weight gain, while one fifth reported poorer glycemic control since the start of home confinement measures. We found that reporting at least one unhealthy dietary change (p < 0.001) and being a female (p = 0.002) were significantly associated with reporting greater weight gain. Participants who reported five unhealthy dietary behaviours were more than seven times more likely to perceive poorer glycemic control during home confinement measures compared to those who did not report any unhealthy changes (OR: 7.27, 95%CI 1.60–33.5, p = 0.011). Conclusion Adults with T2DM experienced adverse lifestyle changes during COVID-19 related home confinement measures. Further research is needed to investigate the persistence of such changes in the post pandemic era.