Saudi Arabia

The Arabian Peninsula was under the influence of the Ottoman Empire from 1517 until its collapse in 1918. During this time, three attempts were made to establish a Saudi state, the last of which began in 1902 and ended with the unification of the third Saudi State in 1932. During this period, three Saudi States were formed. The first Saudi State was established in 1745 when the al-Diriyah Agreement was introduced. This landmark agreement was achieved when Imam Mohammed Ibn Saud formed an alliance with Sheikh Mohammed Ibn Abdul Wahhab, a religious and rebellious man who advocated for the pure interpretation of Islamic principles. This alliance enabled Ibn Saud to govern the state, but he left the religious and cultural aspects of the society under the authority of Ibn Abdul Wahhab. As a result, throughout centuries, the religious establishment has greatly influenced the affairs of all three Saudi States. However, following the seizure of the Grand Mosque by religious zealots in 1979, Saudi Arabia underwent changes that radicalized the religious establishment, causing myriad detrimental effects for Saudi women. Oppressed by the weight of unfair laws and obstacles, Saudi women challenged the status quo and fought for equal rights through various methods. While King Abdullah al-Saud introduced some reforms, more significant change was still to come. After King Abdullah’s death, King Salman and his son Mohammed Bin Salman—the Crown Prince and Prime Minster—initiated a series of sweeping reforms under the Vision 2030 initiative to empower women, diversify the economy, and modernize the Kingdom of Saudi. Some key aspects of these reforms were abolishing the Male Guardianship System and removing the ban on women’s driving.

Background: Almost seven million persons in Saudi Arabia are diagnosed with Type 2 Diabetes Mellitus (T2DM). Lack of knowledge regarding T2DM among Saudi caregivers may impact T2DM management and disease outcomes, yet established educational programs for their caregivers are scant. There is a need to discover T2DM informal caregivers’ knowledge and its relation to patients' T2DM management, prior to designing educational interventions.
Purpose: The purpose of this quantitative, correlational study was to measure disease knowledge among informal caregivers for patients with T2DM in Saudi Arabia, and to compare findings to the patient-health status presented by HbA1C level. This study was conceptualized within nursing caring science, using Nursing as Caring Theory (Boykin & Schoenhofer, 2001), and the Individual and Family Self-Management Theory (Ryan & Sawin, 2009).

There are two types of stigmas: self-stigma and public stigma. The focus of this dissertation was public stigma. The public stigma encountered by persons with Alzheimer’s Disease (AD) contributes to the isolation of families due to the effort made by AD caregivers to adjust to social challenges (Abojabel & Warner, 2019). According to the Saudi Alzheimer’s Disease Association (2022), there are 130 thousand documented cases of AD, which comprised 9% of the aged population. The severity of stigmas can vary across cultures because stigmas of disease are connected to cultural norms (Corrigan, 2014). Most studies conducted in Saudi Arabia have assessed public stigma regarding mental illnesses, but no study has been found regarding public stigma within the AD scope. Population-based approaches that attempt to clarify stigma level prevalence in representative samples are important to develop methods to address these disparities and ensure equitable access to health care within the population's cultural context.
The aim of this study was to 1) identify the relationship between public stigma and the level of AD knowledge among the Saudi population and 2) identify the potential factors that were associated with public stigma and AD knowledge levels among Saudi community members, within the context of a caring science perspective using critical caring theory and specific-situation theory.

Adverse childhood experiences (ACEs), involving abuse, neglect, and violence exposure, have been connected to undesirable physical and mental health consequences across the life span. With regards to the range of factors that moderates the impact of ACEs on life course health, resilience is suggested as a quality that can lead to better health and quality of life outcomes. The purpose of the study was to examine the relationship between adult-reported ACEs, resilience, and mental and physical health in Saudi Arabia. The study was a predictive/correlational design. A total of 328 participants completed the online questionnaire through (Qualtrics). The independent variables were ACEs and resilience while the dependent variable was physical and mental health. The variables were measured by: 1) The ACE International Questionnaire (ACE-IQ). 2) The Physical and Mental Health Checklist. 3) The Connor-Davidson Resilience Scale -25 (CD-RISC-25). Descriptive statics showed that 97% of participants were medically diagnosed with some health illnesses and they were under the age of 45 years old.

The purpose of this study is to examine the influence of technology perception and caring nurse-patient interactions on patient safety culture from the perception of critical care nurses in Saudi Arabia and to assess the mediating role of compassion fatigue on the relationship between technology perception and patient safety culture and between caring nurse-patient interactions and patient safety culture. A cross-sectional study was conducted in July and August 2022, in three hospitals located in the eastern province of Saudi Arabia. A convenience, purposive sample of critical care nurses who provides direct care to patients in critical care units, stepdown, and emergency departments were recruited. one hundred and eighty-three nurse participated in this study with an overall response rate of 51.69%. Nurse participants completed the Survey of Patient Safety Culture for Hospitals, the Technological Influences Questionnaire subscale of the Caring Attributes, Professional Self-Concept, and Technological Influences scale, the Caring Nurse-Patient Interactions scale, and the Compassion Fatigue subscale from the ProQOL scale which contained the Secondary Traumatic Stress and Burnout subscales. Descriptive statistics and a linear regression model were used to analyze the research data. A significant relationship was found between technology perception and patient safety culture and between caring nurse patient interaction and patient safety culture. There is no significant mediating role of the Secondary Traumatic Stress on the relationship between technology perception and patient safety culture and between caring nurse patient interaction and patient safety culture. The burnout has a full mediating effect on the relationship between technology perception and patient safety culture and a partial mediating effect on the relationship between caring nurse patient interaction and patient safety culture. The research findings have established the foundation of the relationship between nursing caring factors (perception of technology and caring nurse-patient interaction) and patient safety culture. However, more research is needed to understand the direct effect of these relationships on patient outcomes.

Global research on family caregivers’ experiences with individuals who have serious mental illnesses has increased in different cultures. However, less research has been conducted on caregivers’ experiences within cultural contexts by using transcultural theory. Further, limited studies explored family caregivers’ lived experiences of people with serious mental illnesses in Saudi Arabia. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of family caregivers of persons with serious mental illnesses in Saudi Arabia in a home environment. Guided by Ray’s (2016) Transcultural Caring Dynamics in Nursing and Health-Care Model and Diekelmann’s seven-stage analysis, this study interpreted the meaning of the family caregivers’ lived experiences for individuals with serious mental illness within Saudi Arabia. Data were collected through in-depth interviews and demographic data with participants. Participants included 10 males and 5 females, who ranged in age from 24 to 53 years. Fourteen of the participants were siblings. The meaning of families’ lived experiences was interpreted as a multidimensional process within Saudi culture in the constitutive pattern of the dynamic of an endless cycle of care. Three relational themes and 11 sub-themes were categorized to capture the multidimensional nature of the phenomenon: (a) development of caring experiences (formation of knowledge and Allah/spirituality); (b) living culture values and beliefs (societal views, caregivers’ beliefs and attitudes, caregiver in family, impact of social media, caregiver as financially supportive, and mental health care services); and (c) meaning of care ( being available, expressing love, and being present). This study's findings offer implications for nursing education, nursing practice, health policy, and future research recommendations.

Stroke is a major health problem in Saudi Arabia that impacts the health outcomes of adults and elderly persons. No matter its severity, stroke is a stressful life event not only for the survivors but their family caregivers as well. Uncertainty is one of the major problems facing family caregivers caring for persons with a stroke. Uncertainty affects overall health outcomes and the quality of life of family caregivers caring for persons with strokes. Current research has not yet identified the meaning of the uncertainty of family caregivers of persons with strokes during hospitalization in Saudi Arabia. The purpose of this study was to gain an in-depth understanding of the meaning of uncertainty experienced by family caregivers of persons in the hospital who have survived strokes.
This study used a phenomenological design. Data were collected through in-depth face-to-face and online semi-structured interviews with 15 family caregivers using openended questions. Participants were recruited from inpatient medical units and stroke care units in multi acute care hospitals in Saudi Arabia. The interviews were recorded, transcribed verbatim, translated, and analyzed using the hermeneutic phenomenological unitary caring research method. NVivo software (Version 12) was used to manage the qualitative data.

The Middle East is a culturally and historically rich region. Its' most pervasive characteristics are tied to the nomadic tribal tradition from which it emerged. A statistical analysis of development patterns highlights that nomadic ties are the most significant variable in determining the democratic tendency of states. In this case nomadism is statistically linked with authoritarianism. An examination of Middle Eastern nomadic practices shows that there are numerous cultural norms derived from nomadism that continue to permeate the political landscape of the Modern Middle East. The state of Saudi Arabia has been, and continues to be, the subject of continued academic misinterpretation as one model after another fails to understand the state. A simple reality is that the political culture of Saudi Arabia is crafted from its nomadic precursors, and the state is predisposed towards, from what has been labeled to be authoritarianism.