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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KT
April 10,2020

Apr 10: The UAE reported 331 new coronavirus cases - through extensive testing - and two deaths late Thursday night.

The UAE conducted over 40,000 coronavirus tests over the past two days across various segments of society, including citizens and residents, using latest state-of-the-art-technology in line with the Ministry of Health and Prevention's plans to intensify Covid-19 screenings to contain the spread of the virus.

The Ministry also revealed that two patients suffering from Covid-19, an Asian national and an Arab, had died due to complications caused by the virus. Both of the deceased had prior chronic illnesses. The total number of deaths has now reached 14.

UAE announced on Thursday that places of worship will be closed in the country until further notice - amid the coronavirus situation. Authorities decided to extend the closure of mosques, churches and other places of worship in the UAE until further notice for the safety of community members, Wam reported. The measure has been taken to prevent the spread of Covid-19 in the country.

The decision was taken in coordination with the National Authority for Emergency and Disaster Management, the General Authority for Islamic Affairs and Endowments, federal, local religious bodies and health authorities in the state.

Residents face deportation for breaking rules

People who repeatedly flout 'stay at home' measures and endanger others' lives are inviting harsh punishments including deportation, a senior police officer has said.

"The UAE's Attorney-General has already announced the fines and punishments for breaking rules on social distancing and curfew restrictions. Repeated offenders or those who commit crimes that have a 'snowball' effect on the society will be fined, jailed and deported at the end of their term," said Col Saeed Al Hajeri, head of the Cyber Crime Department at Dubai Police, in an exclusive interview with Khaleej Times.

Al Hajeri said the Dubai police are tightening the noose against violators by resorting to 'naming and shaming' them.

The officer said 'reckless residents' will face serious consequences as they are not allowing the government to serve the people.i.  

Movement permit not to be misused

The officer said residents should not misuse the movement permit introduced by the Dubai Police and those who go out without a permit will be fined on their Emirates ID. Al Hajeri said they expect residents to be highly responsible. "Those who are exempted from taking movement permit can use the company letter to go to work but not for other purposes. You cannot fool the system by obtaining a permit for buying medicine and then going out to visit your sister or brother."

Social media as a double-edged sword

Warning people against circulating rumours and videos mocking authorities, the he said people should instead use the time to be productive or creative.

"We encourage people to use this time to learn new skills and not create scams and endanger the society. This is a difficult time and it will pass. What is more important is what you gain out of this."

Col Al Hajeri said the Dubai Police are aware that many people are using social media as a positive tool and encourage them. "We encourage that, and want people to use social media for positive messaging, to spread awareness about personal hygiene, social distancing and various precautions to be followed."

13 new drive-through coronavirus test centres open across UAE

Thirteen new drive-through testing facilities for Covid-19 have been opened across the UAE over the recent days. The Abu Dhabi Media Office on Thursday reported that under the directives of His Highness Sheikkh Mohamed bin Zayed Al Nahyan, Crown Prince of Abu Dhabi and Deputy Supreme Commander of the UAE Armed Forces, 13 additional Covid-19 drive-through testing facilities were opened in 10 days, in addition to the centre previously opened in Zayed Sports City in AbuDhabi.

According to authorities, more than 12,000 people have been tested since the centres opened .

The examination process begins by booking an appointment in advance by calling the 8001717 Estijaba centre, or through the SEHA smart application, for an initial assessment.

Priority will be given to those with symptoms, senior citizens, pregnant women and those who suffer from chronic diseases.

Precautionary examinations costs Dh370, and payment will be done electronically through the SEHA application.
 
50,000 workers to be screened in a month

A massive initiative has been launched by healthcare provider Right Health and Al Futtaim Health's HealthHub to screen 50,000 workers for Covid-19 within a month.

Out of the 58 facilities across the UAE, 33 primary health centres of the Right Health are located at the workers' accommodation areas in Jebel Ali, Sonapur and Al Qouz.

"We will be working with businesses across the UAE to ensure their workforces stay safe and healthy. It is essential that private healthcare providers do everything they can to support the government's efforts to combat the Covid-19 pandemic. The objective of this campaign is to screen as many people as possible.

Crime falls by 96% in Sharjah

A massive drop in crimes has been observed in Sharjah after the implementation of Covid-19 precautionary measures. The crime rate has declined by 96 per cent, according to the Sharjah Police. Only 48 cases were reported in the emirate during this period compared to 717 cases registered last year.

Dispose of masks, gloves safely, say police

Motorists caught throwing face masks and gloves out of their vehicle windows will be fined Dh1,000 and six black points will be registered against their driving licences, the police have warned. The Abu Dhabi Police on Thursday said some people have been throwing used masks and gloves out of the car windows, violating traffic laws. "The masks and gloves pose a threat to public health and the environment. They may have been contaminated and lead to the spread of diseases," the police said in a statement. The police also noted that adhering to precautionary measures that prevent the spread of communicable diseases is everyone's responsibility.

Medical experts explain UAE's high Covid-19 recovery and low death rates

Compared to global rates of Covid-19, the UAE has been showing very high recovery and very low death rates.

According to statistics made available on the World O Meter, the Covid-19 death rate in the UAE is only 0.5 per cent of the total 2,659 infected.
Khaleej Times reached out to UAE doctors and medical experts who have attributed this phenomenon to the UAE's high healthcare standards, the country's predominant younger population, and residents' compliance to the Stay at Home guidelines.

'UAE age structure plays a role'

However, Dr Standford said: "Although death occurs at all ages, there is a predominance of the elderly. The age structure in the UAE is completely different from most countries outside the GCC as there is a predominance of young expatriates here under work permits.
He added: "Most (expatriates) will leave the country by the age of 60. There is therefore only 1.5 per cent of residents aged 65 or more. Compare this with a country like the UK where the equivalent number is 18.2 per cent."

Early intervention

Dr Jacob Cherian, specialist internal medicine, Medcare Medical Centre Marina and medical director for Medcare Medical Centres, attributed early intervention and intensive testing as one of the main reasons for the UAE's faster recovery rates.

"Compared to other countries, the UAE adopted early intervention measures. The UAE closed schools and limited social gatherings when there were hardly any cases," he said. Compliance from residents and a relatively younger and healthier population are other reasons for the lower death rates and high recovery rates, according to Dr Jacob.

Pakistan extends suspension flight operations till April 21

The Pakistan government has extended the suspension of domestic and international flight operations in the country until April 21 in a bid to contain the coronavirus spread, said a notification issued by the Civil Aviation Authority (CAA).

In its last notification, the CAA had said that diplomatic, special/cargo flights and flights of national carrier to/from Pakistan holding special approval from the competent authority for transporting stranded passengers would be exempted from the ban.

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News Network
January 6,2020

Riyadh, Jan 6: Saudi Arabia was not consulted by its ally Washington over a US drone strike that killed a top Iranian general, an official said Sunday, as the kingdom sought to defuse soaring regional tensions.

Saudi Arabia is vulnerable to possible Iranian reprisals after Tehran vowed "revenge" following the strike on Friday that killed powerful commander Qasem Soleimani in Baghdad.

"The kingdom of Saudi Arabia was not consulted regarding the US strike," a Saudi official told AFP, requesting anonymity.

"In light of the rapid developments, the kingdom stresses the importance of exercising restraint to guard against all acts that may lead to escalation, with severe consequences," the official added.

Saudi Arabia's foreign ministry made a similar call for restraint at the weekend and King Salman emphasised the need for measures to defuse tensions in a phone call on Saturday with Iraqi President Barham Saleh.

In a separate phone call with Iraq's Prime Minister Adel Abdel Mahdi, Saudi Crown Prince Mohammed bin Salman stressed "the need to make efforts to calm the situation and de-escalate tensions", the official Saudi Press Agency reported.

The crown prince has instructed Prince Khalid bin Salman, his younger brother and deputy defence minister, to travel to Washington and London in the next few days to urge restraint, the pan-Arab Asharq al-Awsat newspaper reported.

Prince Khalid will meet White House and US defence officials, the paper said, citing unnamed sources.

The killing of Soleimani, seen as the second most powerful man in Iran, is the most dramatic escalation yet in spiralling tensions between Washington and Tehran and has prompted fears of a major conflagration in the Middle East.

US President Donald Trump, who ordered the drone strike, has warned that Washington will hit Iran "very fast and very hard" if the Islamic republic attacks American personnel or assets.

The American embassy in Riyadh on Sunday warned its citizens living close to military bases and oil and gas installations in the kingdom of a "heightened risk of missile and drone attacks".

A string of attacks blamed on Iran has caused anxiety in recent months, as Riyadh and Washington deliberated over how to react.

In particular, devastating strikes against Saudi oil installations last September led Riyadh and Abu Dhabi to adopt a more conciliatory approach aimed at avoiding confrontation with Tehran.

Analysts warn that pro-Iran groups have the capacity to carry out attacks on US bases in Gulf states as well as against shipping in the Strait of Hormuz -- the strategic waterway that Tehran could close at will.

"Expect Iranian reprisals (directly or through partner groups in Iraq, Lebanon or elsewhere) to target US partners in the region including Saudi Arabia," said Thomas Juneau, an assistant professor at the University of Ottawa.

"Given the climate in the US, where support for Saudi in the media and Congress is at an all time low, it will be difficult for Trump to commit significant resources to come to its aid."

Yemen's pro-Iran Huthi rebels, locked in a five-year conflict with a Saudi-led military coalition, have also called for swift reprisals for Soleimani's killing.

"The aggression... will not go without a response," said Huthi political council member Mohammed Al-Bukhaiti.

"How the response is going to be, when and where will be determined by Iraq and Iran, and we will stand with them as a hub for the resistance."

It was unclear if the Huthi warning was directed in part at Saudi Arabia, which has stepped up efforts to end Yemen's conflict amid a lull in Huthi attacks on the kingdom.

Saudi Arabian military commanders recently met with counterparts from "friendly countries" to formulate a new strategy to tackle the Yemeni rebels, particularly those "opposing" a political solution, according to Asharq al-Awsat.

Riyadh has said it will host a separate meeting of foreign ministers of Arab and African coastal states on Monday.

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News Network
February 5,2020

Feb 5: US President Donald Trump delivered his third State of the Union address on Tuesday, the eve of his expected impeachment acquittal in the United States Senate.

The mood in the House of Representatives reflected the divisions running across the country. Republicans cheered as Trump was introduced, with some chanting "four more years" while Democrats stood silently.

On the foreign policy front, Trump said the US is "working to end America's wars in the Middle East".

He boasted about his decision to order the killing of top Iranian Commander Qassem Soliemani. That decision escalated tensions between the US and Iran, with many fearing an outright war.

Iran retaliated by attacking two Iraqi military bases housing US troops. After Trump initially said no troops were injured, the Defense Department announced dozens of US soldiers had been diagnosed with traumatic brain injuries.

Trump also reiterated his vow to withdraw US troops from Afghanistan. When he plans to do that, however, remains unclear.

US special envoy Zalmay Khalilzad told Afghan President Ashraf Ghani earlier this week that there has not been any significant progress in his talks with the Taliban. Khalilzad said he was hopeful of reaching an understanding with the group on reduction of hostilities, but did not offer any timeframe.

Trump also touted his newly-unveiled Middle East plan, which has been vehemently rejected by Palestinians.

And he received loud applause after reminding the country that ISIL (ISIS) leader Abu Bakr al-Baghdadi was killed last year in a US military operation in Syria.

"Today, the ISIS territorial caliphate has been 100 percent destroyed, and the founder and leader of ISIS - the bloodthirsty killer Al Baghdadi - is dead!" Trump said.

Economy

Trump spent much of his speech highlighting the economy's strength, including low unemployment, stressing how it has helped blue-collar workers and the middle class, though the period of growth began under his predecessor, Barack Obama.

"In just three short years, we have shattered the mentality of American decline and we have rejected the downsizing of America's destiny. We are moving forward at a pace that was unimaginable just a short time ago, and we are never going back!" Trump declared.

And what Trump calls an unprecedented boom is, by many measures, not all that different from the solid economy he inherited from Obama. Economic growth was 2.3 percent in 2019, matching the average pace since the Great Recession ended a decade ago in the first year of Obama's eight-year presidency.

Trump stressed the new trade agreements he has negotiated, including his phase-one deal with China and the United States-Mexico-Canada agreement he signed last month.

Throughout his presidency, Trump has frequently touted his stewardship of the US economy. As recently as two weeks ago, he claimed it was in "a rather dismal state" until he and his administration turned it into a "roaring geyser of opportunity".

But the numbers do not support the "geyser" narrative. There are signs the record US economic expansion - now in its 11th year - is getting long in the tooth.

Job creation is slowing. And the US economy's modest 2.3 percent growth was well short of the 3 percent growth Trump had predicted following a $1.5 trillion tax cut package he and his fellow Republicans pushed through Congress in 2017.

Trump's trade war with China weighed on US manufacturing last year as businesses held back on investment. And while factory activity bounced back in January amid the signing of a phase-one trade deal between Washington and Beijing, US tariffs still remain in place on some $360bn of Chinese goods.

The coronavirus outbreak and the ongoing troubles for Boeing surrounding the 737 MAX could also present headwinds to growth, analysts say.

Awkward moment at awkward time

One of the big questions of the night was whether Trump would directly mention impeachment. He chose to stay away. The House impeached the president at the end of last year for abuse of power related to his dealings with Ukraine and obstruction of Congress for refusing to participate in the impeachment inquiry.

The Senate started its trial more than two weeks ago, and a final vote is scheduled for 4pm local time (21GMT) on Wednesday.

Trump shared an awkward moment with House Speaker Nancy Pelosi, who kicked off the House's impeachment inquiry in September following a whistle-blower complaint that centred on Trump's efforts to get Ukraine to launch investigations into the president's political rival.

At the start of Trump's speech on Tuesday night, it appeared Pelosi went to shake the president's hand, a gesture amid the impeachment proceedings.

The president was presenting folios to Pelosi and Vice President Mike Pence as he arrived for the evening speech when it appears she reached for the shake. At the same time, Trump turned away from her to face the audience of lawmakers gathered for the annual address.

Pelosi gave a look.

Later on Twitter, Pelosi tweeted that "Democrats will never stop extending the hand of friendship to get the job done #ForThePeople. We will work to find common ground where we can, but will stand our ground where we cannot".

After the address was over, Pelosi ripped up her copy of the speech - a move the White House criticised.

Trump is only the third president to be impeached. He has denied any wrongdoing.

While some Republicans have acknowledged Trump did something wrong, they've argued that it didn't amount to an impeachable offence. Trump is headed towards an all but certain acquittal on Wednesday in the Republican-led Senate.

Trump appeals to base

As expected, Trump also dedicated a section to "American values", discussing efforts to protect "religious liberties" and limit access to abortion as he continues to court the evangelical and conservative Christian voters who form a crucial part of his base.

He attacked the Democrats over their healthcare plans, labelling them "socialist".

He brought up his signature campaign issue - immigration, at times making untrue or misleading statements.

"Before I came into office, if you showed up illegally on our southern border and were arrested, you were simply released and allowed into our country, never to be seen again," Trump falsely. "My administration has ended catch-and-release. If you come illegally, you will now be promptly removed."

But under previous administrations, Mexicans were quickly returned back over the US-Mexico border, while others were held in detention until they were deported. Some migrants from other countries were released into the interior of the US to wait out their immigration cases.

And despite Trump's claims that all irregular migrants are now "promptly" removed, there is a one million immigration court case backlog, which means many migrants wait up to three years before a court hearing before a judge who will determine whether someone is deported. After a judge rules a migrant deported, travel papers must be obtained, which often leads to further delays.

As for ending the so-called "catch and release" policy, Trump actually expanded that policy last year during a surge in migrants, releasing thousands of migrants who flooded shelters along the border. The surge has since passed, so fewer people are being held and fewer would need to be released. But an effort by immigration officials to detain children indefinitely was blocked by a judge, so children are still released into the country.

In a gesture that left nearly everyone - including its recipient - looking dumbfounded, Trump announced he was giving right-wing radio host Rush Limbaugh the nation's highest civilian honour.

Limbaugh, who announced this week that he had advanced lung cancer, appeared stunned, his jaw visibly dropping as Trump made the announcement. Others sat in silence as first lady Melania Trump draped the medal around his neck on the spot.

"Thank you for your decades of tireless devotion to our country," Trump told Limbaugh, who often promotes conspiracy theories on his radio show.

Boycott, walkouts

At least 10 Democratic lawmakers, including some who have been attacked by the president, boycotted the address in a sign of protests.

"After much deliberation, I have decided that I will not use my presence at a state ceremony to normalise Trump's lawless conduct & subversion of the Constitution," Representative Alexandria Ocasio-Cortez said in a series of tweets announcing her decision.

Ocasio-Cortez, as well as Representative Ayanna Pressley, who also boycotted, were the subjects of racist attacks by the president last year that resulted in the House voting to condemned his comments, telling the pair and two other congresswoman of colour - Ilhan Omar and Rashida Tlaib - to "go back" to their countries. All four are US citizens.

Omar and Rashida Tlaib, the first two Muslim women in Congress, attended the address, wearing traditional Palestinian and Somali clothing.

"This is what America looks like," Omar tweeted.

Tlaib, along with some other Democratic representatives said they walked out of Trump's speech, calling it "shameless".

Dozens of other congresswomen wore white, representing the colour of women suffragettes.

Other Democrats wore red, white and blue-striped lapel pins to highlight climate change, saying Trump has rolled back environmental safeguards and given free rein to polluters.

Michigan Democratic Governor Gretchen Whitmer delivered her party's official response and drew a contrast between actions taken by Democrats and the president's rhetoric.

"It doesn't matter what the president says about the stock market," Whitmer said. "What matters is that millions of people struggle to get by or don't have enough money at the end of the month after paying for transportation, student loans, or prescription drugs."

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