Background: Nurses working in palliative and end-of-life care settings face significant emotional challenges due to the demanding nature of their profession. This study aimed to explore the emotional resilience of these nurses, understanding the factors that contribute to their resilience, the impact on their professional well-being and performance, and strategies to enhance resilience. Methods: A qualitative study was conducted involving 15 registered nurses from various healthcare facilities in Riyadh, Saudi Arabia. Data were collected through semi-structured interviews, document analysis, and observational data. Thematic analysis was employed to identify recurring themes. Results: The study identified three key themes: Emotional Challenges and Resilience-Building, Support Systems and Resources for Resilience, and Professional Growth and Fulfillment as Resilience Factors. The findings revealed the emotional toll of patient suffering, highlighting resilience-building strategies, such as peer support, mindfulness, and reflective practices. Support systems, including workplace support, organizational resources, and mentorship, were identified as crucial for fostering resilience. Professional growth, a sense of purpose, and recognition emerged as factors contributing to resilience. Conclusions: This study underscores the importance of emotional resilience for nurses in palliative and end-of-life care settings. Healthcare organizations can enhance resilience by implementing resilience training, providing counseling services, fostering a supportive culture, and offering professional development opportunities. Addressing the emotional needs of nurses is vital for their well-being and the delivery of compassionate care.

Background: Patient satisfaction and loyalty are essential indicators of healthcare quality, directly impacting patient outcomes and the long-term success of healthcare facilities. Despite the growing importance of patient-centered care in Saudi Arabia, there is limited research exploring the factors that influence patient satisfaction and loyalty, particularly in the Riyadh region. Aim: This study aims to identify the key factors influencing patient satisfaction and loyalty among Saudi patients attending public and private healthcare facilities in the Riyadh region. The study focuses on how healthcare service quality, communication, and demographic factors contribute to patient satisfaction and loyalty. Methods: A cross-sectional study was conducted with a sample of 350 Saudi patients from 10 healthcare facilities in Riyadh. Data were collected using the Patient Satisfaction Questionnaire (PSQ-18) and the Patient Loyalty Questionnaire (PLQ). Descriptive statistics, Pearson correlation, and multiple linear regression were employed to identify predictors of patient satisfaction and loyalty. Results: Significant predictors of patient satisfaction included general satisfaction (β = 0.48, p < 0.001), communication (β = 0.35, p < 0.001), and the frequency of healthcare visits (β = 0.13, p = 0.011). Private healthcare facilities had higher satisfaction (p < 0.001) and loyalty scores (p < 0.001) compared to public facilities. Patient loyalty was strongly predicted by general satisfaction (β = 0.55, p < 0.001) and communication (β = 0.42, p < 0.001). Conclusions: Communication quality and patient satisfaction are key drivers of patient loyalty in Saudi healthcare facilities. Private facilities outperform public ones in patient satisfaction and loyalty. These findings emphasize the need for healthcare providers to enhance communication and service quality to foster patient loyalty. Tailored approaches to meet the diverse needs of patients, particularly in terms of education and visit frequency, are crucial for improving healthcare outcomes in Saudi Arabia.

Compassion satisfaction, the pleasure gained from assisting others in their recovery from trauma, can help reduce the effects of burnout and secondary traumatic stress. As such, nurses’ job satisfaction can be increased by increasing compassion satisfaction and decreasing compassion fatigue. This study examined the incidence of compassion fatigue and other influencing variables, such as compassion satisfaction, burnout, and secondary traumatic stress, among Saudi nurses. This was a cross-sectional study using convenience sampling. Participants comprised 177 registered nurses from various nursing departments. Data collection included the Professional Quality of Life Scale based on lifestyle, demographic details, and occupation-related questions. The averages of scores for the variables, compassion satisfaction, burnout, and secondary traumatic stress, were recorded (37.1 ± 7.4, 25.7 ± 7.5, and 26.7 ± 6.4). Participants aged 36 or older comprised a negative factor for compassion satisfaction, while years of nursing experience and higher job satisfaction were favorable predictors. Together, these three variables accounted for 30.3% of the overall variation. Low job satisfaction and poor sleep negatively affected burnout, accounting for 39.8% of the total variance. The results offer insights into identifying the risks of compassion fatigue in nurses and help design strategies to address burnout and secondary traumatic stress while enhancing their compassion satisfaction levels.

Evidence-based practice (EBP) is widely acknowledged as a foundation for safe, high-quality nursing care. Despite institutional support and training initiatives, the integration of EBP into daily clinical practice remains inconsistent, particularly in tertiary healthcare settings. Organizational culture plays a critical role in shaping nurses’ engagement with evidence, yet its influence remains underexplored in Middle Eastern contexts. This study explored how organizational culture affects EBP adoption among nurses in tertiary hospitals in Riyadh, Saudi Arabia. A qualitative study using a phenomenological design was conducted between January and March 2025. Semi-structured interviews were carried out with 20 registered nurses from three tertiary hospitals. Participants were purposively sampled for diversity in roles and departments. Data were analyzed thematically using Braun and Clarke’s six-phase framework. Four key themes emerged: (1) Culture of Hierarchy and Silence, where leadership distance suppressed nurse agency; (2) Inconsistent EBP Messaging, reflecting a gap between institutional rhetoric and practice; (3) Peer Influence and Informal Norms, showing how unit-level cultures shaped EBP behaviors; and (4) Agency, Identity, and Professional Growth, highlighting nurses’ resilience and internal motivation to apply evidence despite systemic barriers. Organizational culture significantly influences nurses’ EBP adoption. Hierarchical norms, symbolic compliance, and inconsistent leadership engagement hinder implementation, while peer support and professional agency act as enablers. Cultural and relational change strategies are needed alongside technical training to promote EBP in tertiary settings.

Background/Objectives: The rapid adoption of telehealth services has been significantly accelerated by the need for accessible healthcare solutions, especially among older adults. However, the utilization of telehealth remains limited in many regions, including Saudi Arabia. This study aims to identify the barriers and facilitators influencing telehealth adoption among older adults in Riyadh. Methods: A qualitative phenomenological approach was employed, involving semi-structured interviews with 25 participants aged 60 and above. Thematic analysis was utilized to analyze the data, allowing for the identification of key themes related to participants’ experiences with telehealth services. Results: Four main themes emerged from the analysis: access to technology and connectivity, attitudes toward telehealth, support systems, and institutional and policy factors. Participants reported challenges such as low digital literacy and unreliable Internet access, along with the need for trust in healthcare providers. Family support and the desire for training resources were highlighted as important facilitators of telehealth utilization. Conclusions: The findings indicate that addressing barriers such as digital literacy and connectivity is crucial for enhancing telehealth utilization among older adults. Implementing strategies that promote education, strengthen support systems, and improve policy frameworks is essential for facilitating greater engagement with telehealth services in this demographic.

Oncology nursing involves intense emotional demands, requiring nurses to balance complex clinical responsibilities with empathetic, patient-centered communication (PCC). Burnout among oncology nurses is associated with diminished communication quality, while emotional intelligence (EI) has emerged as a potential protective factor. However, limited research has explored how EI interacts with burnout to influence PCC, particularly in Middle Eastern healthcare settings. A cross-sectional study was conducted among 172 oncology nurses in three tertiary hospitals in Riyadh, Saudi Arabia. Participants completed Arabic versions of the Schutte Self-Report Emotional Intelligence Test, the Copenhagen Burnout Inventory, and the Patient-Centered Communication Questionnaire. Data were analyzed using descriptive statistics, Pearson correlation, multiple linear regression, and moderation analysis via PROCESS macro. EI was positively associated with PCC (r = 0.45, p < 0.001) and negatively associated with personal (r = − 0.41), work-related (r = − 0.38), and client-related burnout (r = − 0.33) (all p < 0.001). In the regression model, EI significantly predicted higher PCC (B = 0.26, p = 0.001), while personal (B = − 0.32, p = 0.004) and work-related burnout (B = − 0.23, p = 0.011) predicted lower PCC. Client-related burnout showed a non-significant trend (B = − 0.18, p = 0.076). The model explained 37.3% of the variance in PCC (F(4,167) = 24.2, p < 0.001, R² = 0.373). EI significantly moderated the effects of all three burnout dimensions on PCC, suggesting a buffering effect. EI plays a critical role in reducing the negative impact of burnout on PCC among oncology nurses. Integrating EI development into professional training and wellness initiatives may enhance both communication quality and nurse well-being in emotionally demanding care settings.