Young Saudi nurses struggle with expectations versus reality of the job

March 23, 2017

Jeddah, Mar 23: Young Saudi nurses have difficulties reconciling their expectations working in a hospital with the reality of long hours, intense work and social and family pressures.

SaudiTwo Saudi nurses presented a study they conducted on intern nurses and the difficulties they face during their internship, which sometimes lead young women to leave the nursing profession.

Noof Janbi and Lama Alsini are Saudi nurses-to-be currently completing their internship at King Faisal Specialist Hospital and Research Center (KFSHRC) in Jeddah. Janbi is studying at King Saud bin Abdulaziz University for Health Science, and Alsini studies at Jeddah’s King Abdulaziz University. Both are members of the Saudi Nursing Pioneers Committee.

Their study, “The Journey Between Ideal and Actual: Experiences of Intern Nurses ‘Becoming’ as They Transition into Clinical Interdisciplinary,” focuses on five nursing students from King Abdulaziz University and eight from King Saud University. Their subjects completed five months of nursing internship.

New nurses, the study concluded, still struggle with uncertainty and fear due to their perceived reality between ideal and actual in exploring the qualitative literature. New interns experience turbulent emotions before clinical placements and their perceptions of the “actual” clinical placements shows that they are “not belonging.”

Despite the changes that have emerged on the Saudi society, nursing as a profession still faces negative perceptions from Saudi society, which, sometimes leads some nursing interns to withdraw from the field. Twelve-hour shifts may not be easy to accept either by the nurse’s family. In some cases, Saudi nurses are deprived from marriage or get divorced.

“Some of the interns had difficulties in separating from their role as students to interns, which is a totally different role,” co-author Janbi told Arab News. “Also, difficulties in adjusting with the new hosptial envioronment and working hours (was a problem).”

One intern, who spoke on the condition that she would not be identified, told Arab News that “before the internship, unfortuately, my expectations were high. However, I was shocked at the beginning that I, as a student holding a baccalaureate degree, don’t participate in the developoment of a treatment plan or rehabilitation of the patient.”

Janbi and Alsini relied their experiences for part of the study, which addressed emotional rediscovering, identity adjusting, competence and boundaries.

The study’s findings showed that new nurses still suffer from identifying between the ideal and actual perceived reality, which can cause an emotional roller coaster and make them give up nursing.

Janbi and Alsini recommended in-depth orientation and explanations to new nurses and emotional support for the interns to avoid emotional instability.

The study’s authors also recommended educational programs on how to deal with nursing interns, starting gradually with the duties (new nurses can start working eight hours, then 10 hours and later can achieve the 12-hour shift) to reduce physical exhaustion and help cope better. The study also recommended that help should be provided to nurse managers to plan improved clinical and educational practices of a nurse intern by having a better understanding of the expectations verses the actual experience of the job.

“I am sure the international guests would agree with me, that these are presentations (done by Saudi health professionals) that should not be just kept in Saudi Arabia,” said Dr. Mustafa Bodrick, a fulltime consultant in nursing education and practice at the Saudi Commission for Health Specialties. “I think that they should look into international conferences. These ladies should go and speak and fly the flag and show what Saudi nurses are actually doing in this part of the world to contribute to the global advancement of nursing.”

Bodrick invited the two authors to the Saudi Commission for Health Specialties to present their paper in order to be taken into consideration.

Bodrick asked for a copy of the paper. He said he believes that “there is a moral obligation to pass this research on to all the deans in the Kingdom of Saudi Arabia.”

He said the Saudi Commission for Health Specialties’ intention is to partner with Janbi and Alsini as to how to respond to their recommendations.

“In Islam, we talk about intentions and actions – we should not only talk about intentions, but actions have to follow,” Bodrick said.

The paper will be submitted to the Saudi Commission for Health Specialties to be published in its journal.

Nursing is a difficult field, said Dr. Rosemarie Lawrence an acting education coordinator and intern coordinator for King Faisal Specialist Hospital and Research Center in Jeddah.

“When I first started in this country many, many years ago, there was a stigma attached to nursing, as if nursing had no place, no belonging, but things have changed,” she said.

Many people now realize that nursing is an amazing field of a career.

“Saudi nurses are growing and they started believing in themselves. They do not have to be great; they just need to believe in themselves, because once they do, that way growth comes. ”

From a Saudi nurses’ perspective, nurses in the Kingdom try their best to improve the image of nursing as a profession in the country.

“We support them through involving them to be part of the organizing committee of this international symposium, to put them in the right direction,” said Amna Hamzah Al-Shelali an education coordinator in the Nursing Development and Saudization Department at KFSHRC.

Al-Shelali told Arab News that King Faisal Specialist Hospital is planning to have an advanced nursing diploma in October 2017. “This comes within our responsibility to developed and support our Saudi nurses to be in a very specialized area like oncology – as cancer, according to statistics, is No. 1 disease in the Kingdom. So we are trying to develop them in this specialty.

“As you saw today, there were educators, coordinators, nurses and undergraduates from Jeddah and Riyadh interacting and exchanging experiences. We are trying to link and think as to how to improve and have a lead, not only in Saudi Arabia, but regionally and internationally. So proudly, I say that we are in the front,” Al-Shelali said.

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News Network
March 24,2020

Mar 24: Saudi Arabia has recorded its first death from the coronavirus in a 51-year-old Afghani resident, Health Ministry spokesman Mohammed Abdelali told a televised news conference on Tuesday.

The man's health deteriorated quickly after reporting to a hospital emergency room in the city of Medina and he died on Monday night, Abdelali said.

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Arab News
March 9,2020

Dubai, Mar 9: The eyes of the world will be on the oil markets when the big trading hubs in Europe and North America open following the end of the deal between Saudi Arabia and Russia that has helped to sustain crude at relatively high levels for the past three years.

There were big falls on Friday when ministers from the Organization of the Petroleum Exporting Countries (OPEC) failed to get a deal with non-OPEC members — the so-called OPEC+ — to extend output agreements. Brent oil was down nearly 10 percent at $45.27 going into the western weekend.

Saudi Aramco took immediate action to cut prices after the OPEC+ collapse, offering big discounts for crude deliveries from next month, when the current output restrictions end.

According to a notification sent to customers by Saudi Aramco, seen by Arab News, the Kingdom’s oil giant will cut between $4 and $8 per barrel, with the biggest discounts being offered to buyers in northwest Europe and the US.

Roger Diwan, an oil analyst at consultancy IHS Market, said: “We are likely to see the lowest oil prices of the past 20 years in the next quarter.”

West Texas Intermediate, the US oil benchmark, fell to $28.27 in November 2001.

The move raises the possibility of a “crude war” between the three biggest oil blocs — the US, Russia and the Arabian Gulf. Some analysts believe the American shale industry is more vulnerable to low prices than either the Russians or the Saudis.

Robin Mills, head of the Qamar consultancy, told Arab News: “I don’t think this was premeditated but Saudi Arabia has clearly swung quickly into action to put the Russians under pressure. But the Russians, with low debt and a flexible exchange rate, can cope with a few months of low prices.”

The boom in US shale has made the country the biggest oil producer in the world, but with high financing costs. Lower global prices would put a lot of shale companies out of business.

On the other hand, American motorists, and President Donald Trump, would be pleased to see lower fuel prices in an election year.

In Moscow, one prominent financier with ties to the Kingdom played down the long-term significance of the Vienna fallout.

Kirill Dmitriev, chief executive of the Russian Direct Investment Fund, told Arab News: “Saudi Arabia is our strategic partner, and cooperation between our two countries will continue in all areas. We will also continue to work within the framework of the Russia-Saudi Economic Council.”

One Russian official, who asked not to be named, added: “There is a good relationship between Alexander Novak, Russian energy minister, and his Saudi counterpart Prince Abdul Aziz bin Salman, and I am sure they will continue talking to each other less formally.”

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News Network
May 7,2020

Dubai, May 7: As India begins the world’s largest evacuation mission by repatriating its overseas citizens stranded due to COVID-19, as many as 354 of them from the UAE will fly into their home country in the first two flights to Kerala today.

An Air India Express flight, which is scheduled to take off from Abu Dhabi to Kochi at 4.15 pm is the first flight, which will be followed by a Dubai-Kozhikode flight of the same airline at 5.10pm. The Indian missions in the UAE finalised the list of passengers, who were chosen based on the compelling reasons they submitted while registering their names.

Selection criteria

These include pregnant women and their accompanying family members in some instances, people with medical emergencies, workers and housemaids in distress, families with cancelled visas, bereaved family members who couldn’t attend funerals back home, a few students and stranded visitors and tourists including two brothers who got stranded in Dubai International Airport for 50 days, the missions said.

Short-listing the first passengers from among a database of more than 200,000 applicants, who include around 6,500 pregnant women, has been a mammoth task which posed several challenges for the missions, Neeraj Agrawal, Consul Press, Information and Culture at the Indian Consulate in Dubai told Gulf News.

He said the consulate set up an operations room in a tie-up with community volunteers from Kerala Muslim Cultural Centre, Indian Association Ajman, AKCAF Task Force, the BAPS Mandir, Indian People’s Forum, and Tamil Ladies’ Sangam.

 “We are trying to accommodate as many deserving people as possible. We expect the understanding of the people. It has been very difficult to sort out everyone’s urgency.”

“We cannot do a lottery system in this and we had to make sub- categories to ensure there is a mix of people with different types of urgencies.”

“Though we want to give priority to pregnant women, it is practically not possible and not good for the health and safety of the applicants to allot a lot of them on the same flight.”

He said 11 pregnant women have been issued tickets on the Dubai-Kozhikode flight.

“That is the threshold we can allow on a flight.”

Volunteer support

The consul appreciated the support of the volunteers in finalising the flight manifest.

“But our response ratio was very less. Many people whose names came up on top of the list were not willing to go on the first flights.”

Due to various constraints like this and sometimes the details of accompanying persons not readily being available, he said the mission was not able to quickly reach out to who might be really in need.

“However, we have given due consideration to people who got in touch with us with their emergency needs. At the time of issuing tickets, we had about 20 such cases.”

He said the Consul General of India in Dubai Vipul led the entire operation and Pankaj Bodkhe, consul, education, was in charge of the Dubai flight.

A big challenge

“It has been a big challenge. Our only concern is that despite our best efforts, sometimes people with more compelling reasons might have got left out on the first flights because of the volume of people who have reached out to us.”

Since there is a chance that some passengers with tickets might not be allowed to fly if they fail the medical screening including blood tests to check antibodies for COVID-19, he said some applicants in the waiting list have been asked to be on standby at the airport.

People with emergencies wishing to fly to other destinations also could not be included, he pointed out.

“We had to ask them to wait. We are unable to send them to other destinations. We can see their desperation. We feel sorry and desperate.”

He said the government is trying to add more flights to un-chartered destinations and a new flight from Dubai to Kannur has been added on May 12.

Passengers of today’s flights have been urged to reach the airport four to five hours prior to departure to facilitate the medical screening.

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