dhuha wazqar | King AbdulAziz University (KAU) Jeddah, Saudi Arabia (original) (raw)
Papers by dhuha wazqar
Journal of Nursing Management
Healthcare
The concept of quality of nursing care can vary across healthcare organizations, and many differe... more The concept of quality of nursing care can vary across healthcare organizations, and many different factors may affect the quality of nursing care as perceived by nurses. Measuring satisfaction with quality of nursing care from the nurse’s perspective is important as a valid and reliable indicator of care quality. The purpose of this study was to measure the psychometric properties of a researcher-developed instrument measuring nurse satisfaction with quality of care. A sample of 200 nurses was randomly selected from three different cities in Saudi Arabia and surveyed with the Nurse Satisfaction with Quality of Care Scale, which is a self-administrated five-item scale. Exploratory factor analysis, confirmatory factor analysis, and internal consistency analysis were conducted to assess aspects of the validity and reliability of the instrument. The results of exploratory factor analysis supported a one-factor structure that consisted of the five items. Confirmatory factor analysis res...
Palliative and Supportive Care
Objectives A lack of confidence among oncology nurses might be problematic when providing palliat... more Objectives A lack of confidence among oncology nurses might be problematic when providing palliative care. No valid and reliable tool is currently available in Saudi Arabia to assess oncology nurses’ confidence in providing palliative care. This study aims to explain the process of translation, adaptation, and validation of the Palliative Care Self-Efficacy Scale (PCSS) to support its use in the Saudi context. Methods This was a methodological study of translation, cultural adaptation, and content validation of PCSS. The process of translation and adaptation was conducted according to the World Health Organization guidelines, including forward and backward translations, an expert panel review, and pretesting and cognitive interviewing, resulting in a final version. Two independent bilingual oncology nurses familiar with palliative care terminology translated the PCSS from English to Modern Standard Arabic. Next, the concise PCSS translation developed from the 2 translations was back...
Journal of Professional Nursing
Aim: To determine the effects of interventional follow-up phone calls on the quality of life in a... more Aim: To determine the effects of interventional follow-up phone calls on the quality of life in adult patients with heart failure. Design: Quasi‐experimental with a one-group pretest-posttest. Methods: This study was conducted on 26 patients with heart failure from an internationally recognized healthcare organization in Saudi Arabia. Data were collected by sociodemographic and clinical survey and Minnesota Living with Heart Failure Questionnaire. Paired t-test, independent t-test, and correlations were performed using SPSS version 25. Results: A statistically significant difference was found between the pre‐intervention and post‐intervention mean scores of the total quality of life scale and all the subscales of physical, emotional/psychological, and socio-economic. The participants' overall quality of life increased significantly after the intervention. Interventional follow-up phone calls were found to be effective in improving the quality of life of patients. By providing em...
This study, which used a cross-sectional correlational design, aimed to assess the levels of fear... more This study, which used a cross-sectional correlational design, aimed to assess the levels of fear and health anxiety and to investigate their predictors during the current outbreak of COVID-19 in immunocompromised and chronic disease patients in Saudi Arabia. Sociodemographic and clinical data, fear of COVID-19, and health anxiety measurements were collected by online surveys. Univariate and multiple linear regression analysis was used to identify predictors.
Scandinavian Journal of Caring Sciences, 2019
AIM This study was conducted to investigate the relationships between caregiving stress, mental h... more AIM This study was conducted to investigate the relationships between caregiving stress, mental health and physical health in family caregivers of adult patients with cancer at a University Teaching Hospital in Jeddah city, Saudi Arabia. METHODS A cross-sectional correlational study was carried out with a convenience sample of 160 family caregivers of adult patients with cancer. Data were collected using a self-administered questionnaire including the Modified Caregiver Strain Index, the DUKE Health Profile and sociodemographic items. The data were analysed using the Statistical Package for the Social Sciences (SPSS). Descriptive and inferential statistics and correlations were performed. RESULTS Participants experienced a certain level of caregiving stress (M = 9.01, SD = 5.645). Many factors were found to be correlated to higher caregiving stress in this study. Caregiving stress showed significant moderate negative correlations with mental and physical health (p < 0.01). Statistically significant differences were found between age, gender, nationality, education, monthly income, and caregiving stress or DUKE Health Profile scores (p < 0.05). CONCLUSIONS Caregiving stress affects family caregivers' mental and physical health. Such stress can disrupt the caregiving performance of family caregivers. Discovering the causes of caregiving stress among the family caregivers of adult patients with cancer may help to determine the main elements affecting patient care and can assist oncology nurses in providing support and services to caregivers. Educational strategies/intervention programs in the hospitals may be required to reduce caregiving stress levels and improve the health and well-being of family caregivers of adult patients with cancer.
The number of patients with cancer and cancer survivors have increased globally, due to the incre... more The number of patients with cancer and cancer survivors have increased globally, due to the increase in the complexity and intensity of cancer treatment modalities. This increase in intensity cause suffering in patients with cancer who experience these kinds of treatment. The purpose of this article was to conduct a concept analysis on suffering through analyzing the existing literature. Suffering needs to be defined and examined by qualitative oncology nursing research to provide a precise, complete picture of the nature and possibility of suffering in patients with cancer. Knowledge of how these patients experience suffering would facilitate oncology nurses to create interventions to avoid or reduce this suffering. Overall, this concept is relevant to nursing and further studies should use this concept in generating knowledge about understanding and reducing suffering among patients with cancer. Cultural differences need to be examined in a large more diverse sample size to ensure...
Purpose: Urinary catheterization is one of the most common procedures performed in hospitals espe... more Purpose: Urinary catheterization is one of the most common procedures performed in hospitals especially in intensive care units. The urinary catheter is considered as a single biggest risk factor for acquired urinary tract infections (UTIs), and more than 80% of all acquired UTIs are attributable to catheter use. The purpose of this study was to assess nurses' knowledge and practices toward prevention ofCAUTI at King Abdulaziz University Hospital (KAAUH). Materials and method: A cross-section, correlational study was conducted with a convenience sample of 137 nurses recruited from medical and intensive care units at KAAUH in Jeddah, Saudi Arabia. Knowledge and Practices Questionnaire was completed by participants. It included two parts: Part I: Socio-Demographic Questionnaire. Part II: Level of Knowledge and Extent of Practices Questionnaire. Data collection was carried out from November 2017 to January 2018. Data were analyzed using the SPSS version 22. Findings: The study find...
Journal of Nursing Research, 2019
International Journal of Nursing Sciences, 2017
Journal of Diabetes Nursing, 2012
Policy, Politics, & Nursing Practice, 2011
I recently read an article written by Dr. Eileen Sullivan-Marx, “Directions for the Development o... more I recently read an article written by Dr. Eileen Sullivan-Marx, “Directions for the Development of Nursing Knowledge,” published in the August 2006 issue of Policy, Politics and Nursing Practice. In the article, Dr. Sullivan-Marx did an impressive job outlining several ways to move forward in the development of nursing knowledge. Being a PhD nursing student, I recognize the importance of developing the body of nursing knowledge that helps to inform nursing practice, and distinguishes it as a profession and not a subtype of medicine. Also, I hold a profound admiration for the author’s interest and excitement for nursing that is reflected between the article’s lines. However, there are some points regarding interdisciplinary approaches to nursing knowledge development that I would like to discuss. Based on the literature, it is obvious that tomorrow’s nurse scientists are encouraged to embrace interdisciplinary research (McBride, 2010; Rosenfeld, 1992; Sullivan-Marx, 2006). Moreover, there is increasing awareness that understanding clinical problems, preventing infections, living with a chronic health problem, and customizing behavioral interventions through innovative utilization of information technology, require interdisciplinary research (Andrews et al., 2009; Knafl, & Grey, 2008; Loeb, Penrod, Kolanowski, Hupcey, & Kopenhaver, 2008). However, I believe several problems hinder the potential of interdisciplinary collaboration as a source of nursing knowledge development. There is evidence that health care professionals do not know how to carry out critical conversations with each other. One study reported that 78% of nurses and other health care professionals found it difficult to confront physicians about some imperative clinical issues (Maxfield, Grenny, McMillan, Patterson, & Switzler, 2005). Some argue that nurses have long been the data collectors and coordinators for physician scientists, so that nurses are welcome as assistants, but not fundamentally regarded as true collaborators in developing the science (McBride, 2010). It seems that it is not always obvious to doctors that nurses look at patients and their families through a different lens, and therefore, have their own research questions and problems. Most scientific disciplines, including Medicine, are based on masculine epistemology and knowledge, which stress the principles of objective rationality, reductive description, and dichotomous partitioning between the social and natural worlds (Rhoten, & Pfirman, 2007). But on the other hand, nursing as a feminist epistemology is centered on the notions of effectual rationality, subjectivity, and holism, thus allowing for a diversity of ideas and truths (Fehr, 2004). The perceptions of collaboration are not the same for health care professionals such as doctors and nurses, with the former regarding themselves as much more collaborative than the latter believe to be the case (Broome, 2007). It is obvious, based on research, there are currently many practicing health sciences researchers who have not been trained with the knowledge and skills to collaborate with other disciplines. While these skills are illustrated in the literature as a central core capability for interdisciplinary research, there are no recognized continuing professional education programs intended to developing them (Allen, Penn, & Nora, 2006). Moreover, exploring and understanding the language used by different disciplines is a challenging process. Health care professionals trained in a discipline learn to talk a particular language and implement the analytical and methodological constructs that have collected in that discipline (Kuhn, 2000; Orchard, Curran, & Kabene, 2005; Somerville, & Rapport, 2000). According to Clark (1997), the development of both uniqueness and manner of practice in health care professions is based on a process of socialization in which knowledge, expertise, language, values, responsibilities and thoughts related to the particular professionals’ practice are obtained. This constitutes a form of professional socialization that is an essential element of the professional education, but it can also create barriers to interdisciplinary research (Kuhn, 2000; Orchard et al., 2005). So, this problem must be solved before true interdisciplinary collaboration can happen. Therefore, interdisciplinary research is not easily realized in the actual situations because of too many practical challenges and problems. The differences between many health professions’ knowledge, methodology, language, and values seem to be deeper than commonly thought. Because of these barriers, I argue that interdisciplinary research does little to move nursing forward as a science and to advance our nursing uniqueness, and may even raise confusion because nurses are not ready to collaborate. On this context, true interdisciplinary research is unrealistic and still has a long way to go before it is a viable way for nursing knowledge…
Job strain is reported to affect coping strategies and work performance among nurses, thus compro... more Job strain is reported to affect coping strategies and work performance among nurses, thus compromising oncology nursing care and placing patients’ lives at risk. A review of the literature has revealed that although a great deal of research has been conducted internationally about job strain, coping strategies, and work performance in nurses, very little of this research has included oncology nurses in the Kingdom of Saudi Arabia. A predictive, correlational cross-sectional study was conducted with 241 oncology nurses from five hospitals to explore the possible mediating effects of coping strategies on the relationship between job strain and work performance. A survey instrument, based on pre-existing standardized tools, including demographic and work items, was used. The data were analyzed using Statistical Package for the Social Sciences (SPSS 22) and AMOS 21.0 software package. Structural equation modeling was used to test the study model that proposed a mediating effect for cop...
Journal of Clinical Nursing
PLOS ONE
Coronavirus disease 2019 (COVID-19) infection has become a clinical threat to healthy people as w... more Coronavirus disease 2019 (COVID-19) infection has become a clinical threat to healthy people as well as immunocompromised patients and those with pre-existing chronic diseases around the world. This study, which used a cross-sectional correlational design, aimed to assess the levels of fear and health anxiety and to investigate their predictors during the current outbreak of COVID-19 in immunocompromised and chronic disease patients in Saudi Arabia. Sociodemographic and clinical data, fear of COVID-19, and health anxiety measurements were collected by online surveys from June 15 to July 15, 2020. Univariate and multiple linear regression analysis was used to identify predictors. A total of 1,030 patients in 13 provinces in Saudi Arabia completed the questionnaire. A significant number of patients with chronic diseases experienced considerable levels of fear and anxiety during the COVID-19 outbreak. It was found that 21.44% of participants met the criteria for anxiety cases, and 19.4...
Journal of Nursing Management
Healthcare
The concept of quality of nursing care can vary across healthcare organizations, and many differe... more The concept of quality of nursing care can vary across healthcare organizations, and many different factors may affect the quality of nursing care as perceived by nurses. Measuring satisfaction with quality of nursing care from the nurse’s perspective is important as a valid and reliable indicator of care quality. The purpose of this study was to measure the psychometric properties of a researcher-developed instrument measuring nurse satisfaction with quality of care. A sample of 200 nurses was randomly selected from three different cities in Saudi Arabia and surveyed with the Nurse Satisfaction with Quality of Care Scale, which is a self-administrated five-item scale. Exploratory factor analysis, confirmatory factor analysis, and internal consistency analysis were conducted to assess aspects of the validity and reliability of the instrument. The results of exploratory factor analysis supported a one-factor structure that consisted of the five items. Confirmatory factor analysis res...
Palliative and Supportive Care
Objectives A lack of confidence among oncology nurses might be problematic when providing palliat... more Objectives A lack of confidence among oncology nurses might be problematic when providing palliative care. No valid and reliable tool is currently available in Saudi Arabia to assess oncology nurses’ confidence in providing palliative care. This study aims to explain the process of translation, adaptation, and validation of the Palliative Care Self-Efficacy Scale (PCSS) to support its use in the Saudi context. Methods This was a methodological study of translation, cultural adaptation, and content validation of PCSS. The process of translation and adaptation was conducted according to the World Health Organization guidelines, including forward and backward translations, an expert panel review, and pretesting and cognitive interviewing, resulting in a final version. Two independent bilingual oncology nurses familiar with palliative care terminology translated the PCSS from English to Modern Standard Arabic. Next, the concise PCSS translation developed from the 2 translations was back...
Journal of Professional Nursing
Aim: To determine the effects of interventional follow-up phone calls on the quality of life in a... more Aim: To determine the effects of interventional follow-up phone calls on the quality of life in adult patients with heart failure. Design: Quasi‐experimental with a one-group pretest-posttest. Methods: This study was conducted on 26 patients with heart failure from an internationally recognized healthcare organization in Saudi Arabia. Data were collected by sociodemographic and clinical survey and Minnesota Living with Heart Failure Questionnaire. Paired t-test, independent t-test, and correlations were performed using SPSS version 25. Results: A statistically significant difference was found between the pre‐intervention and post‐intervention mean scores of the total quality of life scale and all the subscales of physical, emotional/psychological, and socio-economic. The participants' overall quality of life increased significantly after the intervention. Interventional follow-up phone calls were found to be effective in improving the quality of life of patients. By providing em...
This study, which used a cross-sectional correlational design, aimed to assess the levels of fear... more This study, which used a cross-sectional correlational design, aimed to assess the levels of fear and health anxiety and to investigate their predictors during the current outbreak of COVID-19 in immunocompromised and chronic disease patients in Saudi Arabia. Sociodemographic and clinical data, fear of COVID-19, and health anxiety measurements were collected by online surveys. Univariate and multiple linear regression analysis was used to identify predictors.
Scandinavian Journal of Caring Sciences, 2019
AIM This study was conducted to investigate the relationships between caregiving stress, mental h... more AIM This study was conducted to investigate the relationships between caregiving stress, mental health and physical health in family caregivers of adult patients with cancer at a University Teaching Hospital in Jeddah city, Saudi Arabia. METHODS A cross-sectional correlational study was carried out with a convenience sample of 160 family caregivers of adult patients with cancer. Data were collected using a self-administered questionnaire including the Modified Caregiver Strain Index, the DUKE Health Profile and sociodemographic items. The data were analysed using the Statistical Package for the Social Sciences (SPSS). Descriptive and inferential statistics and correlations were performed. RESULTS Participants experienced a certain level of caregiving stress (M = 9.01, SD = 5.645). Many factors were found to be correlated to higher caregiving stress in this study. Caregiving stress showed significant moderate negative correlations with mental and physical health (p < 0.01). Statistically significant differences were found between age, gender, nationality, education, monthly income, and caregiving stress or DUKE Health Profile scores (p < 0.05). CONCLUSIONS Caregiving stress affects family caregivers' mental and physical health. Such stress can disrupt the caregiving performance of family caregivers. Discovering the causes of caregiving stress among the family caregivers of adult patients with cancer may help to determine the main elements affecting patient care and can assist oncology nurses in providing support and services to caregivers. Educational strategies/intervention programs in the hospitals may be required to reduce caregiving stress levels and improve the health and well-being of family caregivers of adult patients with cancer.
The number of patients with cancer and cancer survivors have increased globally, due to the incre... more The number of patients with cancer and cancer survivors have increased globally, due to the increase in the complexity and intensity of cancer treatment modalities. This increase in intensity cause suffering in patients with cancer who experience these kinds of treatment. The purpose of this article was to conduct a concept analysis on suffering through analyzing the existing literature. Suffering needs to be defined and examined by qualitative oncology nursing research to provide a precise, complete picture of the nature and possibility of suffering in patients with cancer. Knowledge of how these patients experience suffering would facilitate oncology nurses to create interventions to avoid or reduce this suffering. Overall, this concept is relevant to nursing and further studies should use this concept in generating knowledge about understanding and reducing suffering among patients with cancer. Cultural differences need to be examined in a large more diverse sample size to ensure...
Purpose: Urinary catheterization is one of the most common procedures performed in hospitals espe... more Purpose: Urinary catheterization is one of the most common procedures performed in hospitals especially in intensive care units. The urinary catheter is considered as a single biggest risk factor for acquired urinary tract infections (UTIs), and more than 80% of all acquired UTIs are attributable to catheter use. The purpose of this study was to assess nurses' knowledge and practices toward prevention ofCAUTI at King Abdulaziz University Hospital (KAAUH). Materials and method: A cross-section, correlational study was conducted with a convenience sample of 137 nurses recruited from medical and intensive care units at KAAUH in Jeddah, Saudi Arabia. Knowledge and Practices Questionnaire was completed by participants. It included two parts: Part I: Socio-Demographic Questionnaire. Part II: Level of Knowledge and Extent of Practices Questionnaire. Data collection was carried out from November 2017 to January 2018. Data were analyzed using the SPSS version 22. Findings: The study find...
Journal of Nursing Research, 2019
International Journal of Nursing Sciences, 2017
Journal of Diabetes Nursing, 2012
Policy, Politics, & Nursing Practice, 2011
I recently read an article written by Dr. Eileen Sullivan-Marx, “Directions for the Development o... more I recently read an article written by Dr. Eileen Sullivan-Marx, “Directions for the Development of Nursing Knowledge,” published in the August 2006 issue of Policy, Politics and Nursing Practice. In the article, Dr. Sullivan-Marx did an impressive job outlining several ways to move forward in the development of nursing knowledge. Being a PhD nursing student, I recognize the importance of developing the body of nursing knowledge that helps to inform nursing practice, and distinguishes it as a profession and not a subtype of medicine. Also, I hold a profound admiration for the author’s interest and excitement for nursing that is reflected between the article’s lines. However, there are some points regarding interdisciplinary approaches to nursing knowledge development that I would like to discuss. Based on the literature, it is obvious that tomorrow’s nurse scientists are encouraged to embrace interdisciplinary research (McBride, 2010; Rosenfeld, 1992; Sullivan-Marx, 2006). Moreover, there is increasing awareness that understanding clinical problems, preventing infections, living with a chronic health problem, and customizing behavioral interventions through innovative utilization of information technology, require interdisciplinary research (Andrews et al., 2009; Knafl, & Grey, 2008; Loeb, Penrod, Kolanowski, Hupcey, & Kopenhaver, 2008). However, I believe several problems hinder the potential of interdisciplinary collaboration as a source of nursing knowledge development. There is evidence that health care professionals do not know how to carry out critical conversations with each other. One study reported that 78% of nurses and other health care professionals found it difficult to confront physicians about some imperative clinical issues (Maxfield, Grenny, McMillan, Patterson, & Switzler, 2005). Some argue that nurses have long been the data collectors and coordinators for physician scientists, so that nurses are welcome as assistants, but not fundamentally regarded as true collaborators in developing the science (McBride, 2010). It seems that it is not always obvious to doctors that nurses look at patients and their families through a different lens, and therefore, have their own research questions and problems. Most scientific disciplines, including Medicine, are based on masculine epistemology and knowledge, which stress the principles of objective rationality, reductive description, and dichotomous partitioning between the social and natural worlds (Rhoten, & Pfirman, 2007). But on the other hand, nursing as a feminist epistemology is centered on the notions of effectual rationality, subjectivity, and holism, thus allowing for a diversity of ideas and truths (Fehr, 2004). The perceptions of collaboration are not the same for health care professionals such as doctors and nurses, with the former regarding themselves as much more collaborative than the latter believe to be the case (Broome, 2007). It is obvious, based on research, there are currently many practicing health sciences researchers who have not been trained with the knowledge and skills to collaborate with other disciplines. While these skills are illustrated in the literature as a central core capability for interdisciplinary research, there are no recognized continuing professional education programs intended to developing them (Allen, Penn, & Nora, 2006). Moreover, exploring and understanding the language used by different disciplines is a challenging process. Health care professionals trained in a discipline learn to talk a particular language and implement the analytical and methodological constructs that have collected in that discipline (Kuhn, 2000; Orchard, Curran, & Kabene, 2005; Somerville, & Rapport, 2000). According to Clark (1997), the development of both uniqueness and manner of practice in health care professions is based on a process of socialization in which knowledge, expertise, language, values, responsibilities and thoughts related to the particular professionals’ practice are obtained. This constitutes a form of professional socialization that is an essential element of the professional education, but it can also create barriers to interdisciplinary research (Kuhn, 2000; Orchard et al., 2005). So, this problem must be solved before true interdisciplinary collaboration can happen. Therefore, interdisciplinary research is not easily realized in the actual situations because of too many practical challenges and problems. The differences between many health professions’ knowledge, methodology, language, and values seem to be deeper than commonly thought. Because of these barriers, I argue that interdisciplinary research does little to move nursing forward as a science and to advance our nursing uniqueness, and may even raise confusion because nurses are not ready to collaborate. On this context, true interdisciplinary research is unrealistic and still has a long way to go before it is a viable way for nursing knowledge…
Job strain is reported to affect coping strategies and work performance among nurses, thus compro... more Job strain is reported to affect coping strategies and work performance among nurses, thus compromising oncology nursing care and placing patients’ lives at risk. A review of the literature has revealed that although a great deal of research has been conducted internationally about job strain, coping strategies, and work performance in nurses, very little of this research has included oncology nurses in the Kingdom of Saudi Arabia. A predictive, correlational cross-sectional study was conducted with 241 oncology nurses from five hospitals to explore the possible mediating effects of coping strategies on the relationship between job strain and work performance. A survey instrument, based on pre-existing standardized tools, including demographic and work items, was used. The data were analyzed using Statistical Package for the Social Sciences (SPSS 22) and AMOS 21.0 software package. Structural equation modeling was used to test the study model that proposed a mediating effect for cop...
Journal of Clinical Nursing
PLOS ONE
Coronavirus disease 2019 (COVID-19) infection has become a clinical threat to healthy people as w... more Coronavirus disease 2019 (COVID-19) infection has become a clinical threat to healthy people as well as immunocompromised patients and those with pre-existing chronic diseases around the world. This study, which used a cross-sectional correlational design, aimed to assess the levels of fear and health anxiety and to investigate their predictors during the current outbreak of COVID-19 in immunocompromised and chronic disease patients in Saudi Arabia. Sociodemographic and clinical data, fear of COVID-19, and health anxiety measurements were collected by online surveys from June 15 to July 15, 2020. Univariate and multiple linear regression analysis was used to identify predictors. A total of 1,030 patients in 13 provinces in Saudi Arabia completed the questionnaire. A significant number of patients with chronic diseases experienced considerable levels of fear and anxiety during the COVID-19 outbreak. It was found that 21.44% of participants met the criteria for anxiety cases, and 19.4...