Background: A multitude of challenges arises from the growing utilisation of peripherally inserted central catheters (PICCs), including the ability to provide timely, effective and safe insertion, which must be ensured and prioritised in patient care. A nurse-led model of care has become more prevalent as PICCs become extensively needed due to their applications. However, despite their widespread use, such intervention is yet in its inception in Saudi Arabia, and thereby, evaluating the outcomes of this service is of utmost importance to support patient safety initiatives and quality of care. Purpose: This research aims to assess the effectiveness of a nurse-led PICC placement service. Methods: A quantitative retrospective cohort design was used. The sample of this study was 333 random subsets of records on PICC insertion for adult patients between 1st April 2019 and 31st March 2023 in a tertiary medical facility in Riyadh, Saudi Arabia. Results: A nurse-led PICC service demonstrated an overall successful placement of 330 cases (99.1%), out of which 323 PICCs (97%) were successfully inserted under intra-cavitary electrocardiogram (IC-ECG) guidance, while 7 PICCs (2.1%) were successfully inserted with fluoroscopy. The overall complication rate was 2.35 occurrences per 1000 CL days, whereas the complication rate within the first 10 days after PICC insertion was 0.42 per 1000 CL days. Conclusion: A nurse-led model for PICC insertion has remarkably high success rates and low rates of complication, highlighting the pivotal role of a specialised PICC team. This service boasted a commendable track record of achieving a high rate of success in its implementation, implying that a nurse-led PICC service operates effectively to improve the patient experience by delivering timely and high-quality healthcare service.

Introduction: Burnout among nurses has emerged as a critical issue in healthcare and is gaining considerable attention due to its profound negative effects. The pervasive nature and significant effects that burnout might hold underscore the crucial need to assess this issue and its contributing factors among nurses. However, there is an evident gap in research precisely addressing this issue among nurses working in private hospitals in the Gulf Region. Objective: This study aims to assess the prevalence and associated factors of burnout among nurses at private tertiary hospitals in Saudi Arabia and the United Arab Emirates. Method: This is a cross-sectional study, and the data were collected by an electronic self-administered survey. This multicenter study involved a sample of 616 nurses and was performed in six different private tertiary care hospitals which belong to the largest private healthcare group in the Gulf Region. The Maslach Burnout Inventory—Human Services Survey was utilized to assess burnout levels. Results: The study's results revealed that the overall burnout level was 67.2%. Notably, 82.8% of the participants were identified as having high Emotional Exhaustion (EE), 56.8% for high Depersonalization (DP), and 44.6% for low Personal Accomplishment (PA). The mean score for the EE dimension was 36.79 ± 10.34, the DP dimension was 13.91 ± 6.65, and the PA dimension had a mean score of 32.37 ± 7.73. Conclusion: The conclusions revealed a significant prevalence of burnout among nurses working within the private sector in Saudi Arabia and the United Arab Emirates. This underscores the persistent problem of burnout among nurses, which necessitates targeted interventions.

Background: Psoriasis, a chronic autoimmune condition, imposes significant burdens on patients’ well-being. While corticosteroid medications are commonly used, their prolonged use presents risks. Statins, known for their immunoregulatory and anti-inflammatory properties, have emerged as potential alternatives. Previous reviews indicated that statins might improve psoriasis symptoms but showed inconsistent results and lacked meta-analyses that generated pooled effect estimates. Therefore, this study addresses this gap by providing a comprehensive overview of the impact of statins on psoriasis severity and quality of life (QoL) for patients with psoriasis. Methods: A thorough search of four electronic databases (PubMed, Cochrane Central Register of Controlled Trials, Scopus, and Science Direct) was conducted for relevant studies published before April 2024. Results: Seven studies involving 369 patients were included. This meta-analysis showed a statistically significant reduction in PASI scores at week 8 with statin treatment (MD = −1.96, 95% CI [−3.14, −0.77], p = 0.001). However, no statistically significant difference was found between statins and placebo at week 12 (MD = 0.19, 95% CI [−0.18, 0.55]). Additionally, DLQI scores indicated a significant improvement in quality of life with statins compared to placebo (MD = −3.16, 95% CI [−5.55, −0.77]). Conclusions: Statins can improve disease severity and quality of life in psoriasis patients, suggesting the potential benefits of statin therapy. However, further research is needed to determine the optimal treatment duration, address outcome heterogeneity, and explore additional benefits such as cholesterol and triglyceride reduction.

Aim: Nurse turnover presents a significant challenge globally, impacting healthcare costs, patient outcomes and quality of care. This profound issue is very alarming in Saudi Arabia, necessitating an urgent need for effective strategies to mitigate such challenges. Effective management and leadership styles have emerged as pivotal determinants influencing nurse turnover and the intention to leave the profession. This research seeks to explore the relationship between the impact of three distinct leadership styles, transformational, transactional and passive-avoidant leadership, as implemented by nurse managers and the anticipated turnover among nurses, as well as investigate the relationship between the demographic characteristics and anticipated nurse turnover. Methods: This study used a quantitative cross-sectional correlational design. Using a convenience sampling method, nurses from a tertiary governmental hospital in Makkah Province, Saudi Arabia, were included. The self-administered questionnaire consists of participant demographic inquiries, the Multifactor Leadership Questionnaire and the Anticipated Turnover Scale (ATS). Results: The study involved a total of 192 nurses. The study analysis showed a significant positive relationship between passive-avoidant leadership and the predicted nurse turnover. The proximity in mean scores of both transactional and transformational leadership styles indicated a relatively balanced prevalence of the two leadership styles among nurse managers, whereas the passive-avoidant leadership style was the least prevalent leadership style. Markedly, the data indicated that 77.6% of the participants had high ATS scores, signalling high turnover intentions. The results also revealed that two demographic variables, nationality and qualification level, have a statistically significant relationship with anticipated turnover. Conclusion: The investigation concluded that the leadership style implied by nurse managers has a significant relationship with the predicted turnover level of nurses. This study suggests fostering the growth of transformational leaders while discouraging the passive-avoidant style. Implementing targeted leadership development programmes can empower nurse managers to adopt effective leadership approaches and ultimately mitigate turnover rates.

Newly graduated nurses entering the workforce often encounter impostor phenomenon (IP), which produces feelings of intellectual phoniness and inadequacy despite personal achievements. We aimed to examine the extent of IP among newly graduated nurses entering the workforce in Saudi Arabia. This cross-sectional descriptive study was conducted via a self-administered questionnaire in three hospitals in Saudi Arabia. The collected data, including sociodemographic characteristics and the Clance Imposter Phenomenon Scale, were analyzed using descriptive statistics, t-tests, analysis of variance, and multiple regression. Among 101 participants, 16.8%, 52.5%, and 30.7% exhibited few IP characteristics, moderate IP, and frequent IP, respectively. Nurses who had less than one year of experience and those working in the obstetrics and gynecology department seemed more susceptible to IP. The emotional and professional impact of IP on early-career nurses emphasizes the importance of structured support systems, psychological interventions, and mentorship to build a more resilient and confident nursing workforce and improve patient care. Addressing IP among new nurses is essential for their retention and mental well-being, as well as for patient safety. Educators, administrators, and policymakers are encouraged to implement resilience training, peer support, and mentorship programs to help nurses navigate professional challenges with confidence, consequently enhancing individual well-being and improving the broader field of nursing.

Medical institutions have a structured program that provides residents with in-depth research training. The main aim of this study is to explore residents&