Nursing Forum

The current nursing shortage jeopardizes the quality and safety of patient care globally. In Saudi Arabia, there are insufficient numbers of Saudi nurses to support the healthcare system, and Saudi hospitals rely heavily on expatriate nurses to meet staffing demands. The purpose of this study was to examine the effect of job satisfaction and intent to leave on the patient safety culture. The present study was carried out using a cross-sectional design. Convenience sampling method was applied, and 214 nurses participated in the study. Study was conducted in three hospitals operated by Saudi Ministry of Health in Madinah city. Three instruments were used to measure the study variables. Data were analysed using SPSS. The findings of the current research showed that the suitable work environment for the participant nurses in the current research. The findings of this study showed that nurse’s job satisfaction has a positive and significant influence on patient safety culture (β = 0.28, ). Furthermore, the results from the parsimonious regression model indicated that intentions to leave had a negative and significant effect on patient safety culture (β = −0.34, ). Based on the study findings, patient safety should be considered as a strategic priority for the senior nurses’ managers of the health system. To enhance patient safety, the current study emphasizes that nurse managers should pay attentions to factors such as job satisfaction and intent to leave to evaluating safety culture in organizations that deliver health service, especially hospitals.

Aims. To examine the self-care behaviors of Saudi patients who had cardiac surgery after hospital discharge and to investigate how much variation in self-care behavior may be attributed to patients’ basic conditioning factors (BCFs). Background. Self-care behaviors following cardiac surgery should be appropriate for the patient’s circumstances to decrease hospital readmissions and maintain good health. Design. A cross-sectional design guided this study. Orem’s Theory of Self-Care was applied as a theoretical framework. Materials & Methods. The Self-Care Behavior Scale (SCBS) was used to gather data from 150 patients who experienced cardiac surgery after they were discharged from cardiac centers in two large cities in Saudi Arabia. Results. The two self-care behaviors performed most frequently concerned taking medications as prescribed. The other three self-care behaviors frequently performed were avoiding any strain, assessing all incisions for signs of infection, and contacting a physician if any signs of infection appeared. There was a statistically significant difference between patients’ total self-care behaviors according to their BCFs. Married patients reported significantly more self-care behaviors than single patients. Patients with only valve replacement (VR) surgery performed more self-care behaviors than the coronary artery bypass graft (CABG) and VR groups. These factors positively influence (61.2%) self-care behavior and performance. Conclusion. Cardiac surgery patients showed moderate self-care behavior after being discharged from hospital. Furthermore, the results of this study showed statistically significant variation in patients' self-care behaviors based on their BCFs.

Background. Occupational stress is a phenomenon affecting people worldwide. Investigating occupational stress among immigrant worker populations will unravel some of the intricacies of this condition and its psychological effects on this population. Aim. This paper conceptually examined occupational stress within the context of immigrant workers’ mental health and offer an operational definition to aid nurse researchers, educators, and practitioners in assessing and managing patients and developing culturally appropriate interventions for this population. Design. Walker and Avant’s eight-step concept analysis is used as an organizing framework. Data Source. MEDLINE, CINAHL, OVID, PubMed, and APA Psych Info. Review Methods. Keywords job stress, immigrant work stress, occupational stress scale, immigrant work-related stress, and mental health were used. The search yielded 142 articles; 17 were selected based on the effect of work stress on mental health. Results. This analysis found that occupational stress can be attributed to communication problems, alienation, discrimination, and barriers to work-life balance can cause negative consequences among immigrants. An operational definition is also provided. Conclusion. There is a growing need to examine closely and differentiate between occupational and acculturative stress to navigate a more profound understanding of how these conditions negatively complement each other.