Dental radiographic examinations involve low radiation doses with minimal biological risks; however, these low doses can accumulate over time, leading to potential risks. It is essential for all medical personnel, including dentists, to have an adequate understanding of the risks associated with interventional radiation exposure and the most effective strategies for personal protection. A cross-sectional survey was conducted among dental professionals unit using a 30-item questionnaire distributed via a Google form link. Multiple logistic regression to identify significant predictors of good interventional radiation knowledge. A total of 158 dental professionals took part, with a mean age of 34.7 (SD = 8.23). The females make up 50.6% and males 49.4%. Over half of the respondents indicated either never using the ionizing machine (29.1%) or using it daily (27.8%) and agreed that its use is necessary (62.0%). Only 8.9% correctly identified the annual normal background radiation exposure. Most participants reported that sufficient protective equipment is available for use with such machinery (67.1%). In addition, increasing age (AOR = 1.08, P -value = .027), having a PhD degree (AOR = 4.83, P -value = .008), and having more than 10 years of work experience (AOR = 3.03, P -value = .029) significantly predict basic knowledge of radiation exposure and usage. The findings highlight a mixed level of awareness and practice among dental professionals regarding radiation exposure and the use of ionizing machines. While a majority recognize the necessity of such equipment and report the availability of protective measures, a substantial portion lack accurate knowledge about radiation exposure limits. Importantly, increased age, higher academic qualifications, and longer work experience are significant predictors of better basic knowledge. These results emphasize the need for targeted educational interventions and continuous professional development programs to enhance radiation safety awareness across all experience levels in dental practice.
Emergency departments (EDs) face sustained demand and diagnostic uncertainty that can undermine consistency, safety, and patient experience. In Saudi Arabia, rapid modernization, multilingual populations, and multinational nursing teams highlight the need for standardized frameworks. HIRAID (History, Infection risk, Red flags, Assessment, Interventions, Diagnostics, with ongoing communication and reassessment) is a validated emergency nursing framework with limited evidence outside Australia. We conducted a cross-sectional study guided by the RE-AIM framework from October 2024 to February 2025 using bilingual surveys in multiple Riyadh EDs. Primary outcomes were nursing confidence in decision-making and patient satisfaction; secondary outcomes included safety protocol adherence, communication quality, and waiting times. The cross-sectional design limits causal inference, and findings may not generalize beyond Riyadh. Nurses trained in HIRAID reported higher confidence and safety protocol adherence than untrained peers. Patients cared for by HIRAID-trained nurses reported greater satisfaction, improved communication, and shorter waiting times. HIRAID implementation in Saudi EDs was associated with improved nurse competencies and patient experience. Despite design and regional limitations, findings support integration of HIRAID into nursing education, documentation, and quality governance, and justify larger longitudinal and multi-center evaluations. Not applicable.
Purpose: This study aimed to explore the lived experiences of Saudi female nurses working in mixed-gender healthcare environments and understand how they navigate professional identity while managing cultural expectations in Saudi Arabia’s evolving healthcare landscape. Methods: A descriptive phenomenological qualitative study grounded in symbolic interactionism was conducted using in-depth semi-structured interviews with 20 Saudi female nurses working in mixed-gender healthcare settings in Riyadh. Interviews were conducted in Arabic and systematically translated using forward–backward translation protocols. Data were analyzed using Colaizzi’s phenomenological analysis framework to identify essential themes and meanings. Trustworthiness was established through credibility, dependability, confirmability, and transferability strategies, including member checking with 6 participants, peer debriefing, and comprehensive audit trails. Results: Four major themes emerged: (1) Reconciling Traditional Values with Professional Duties, (2) Negotiating Gender Dynamics in Clinical Practice, (3) Developing Professional Identity Amid Cultural Tensions, and (4) Organizational Support and Environmental Adaptation. Participants demonstrated remarkable resilience in balancing cultural expectations with professional responsibilities while developing sophisticated coping strategies. Conclusions: Saudi female nurses actively construct their professional identities while navigating complex cultural landscapes. The study reveals the need for organizational policies that support cultural sensitivity while promoting professional growth and gender equality in healthcare settings. These findings may inform healthcare workforce development in other Islamic and culturally transitioning contexts.
Background: Peritoneal dialysis (PD) depends on patients’ self-management abilities, supported by nursing interventions that extend beyond technical skills to include psychosocial and educational domains. Evidence from Saudi Arabia on how these behaviors relate to clinical and quality-of-life outcomes remains limited. Aim: To assess self-management behaviors among adult PD patients, examine their associations with clinical and quality-of-life outcomes, and explore the mediating role of emotional well-being, with implications for nursing practice. Methods: A descriptive cross-sectional study was conducted among 158 adult PD patients at King Saud University-affiliated centers in Riyadh. Validated Arabic versions of the Chronic Illness Self-Management Scale and KDQOL-SF were administered. Clinical indicators were extracted from medical records. Data were analyzed using descriptive statistics, t-tests, multivariate linear regression, and mediation analysis. Results: Technical skills achieved the highest self-management scores (mean 3.78 ± 0.62), while emotional coping was lowest (mean 2.71 ± 0.69). Participants with higher self-management had fewer hospitalizations (0.9 ± 0.5 vs. 1.6 ± 0.8, p = 0.01), higher serum albumin (3.60 ± 0.56 vs. 3.44 ± 0.61 g/dL, p = 0.04), and better emotional well-being (60.1 ± 14.9 vs. 55.3 ± 12.4, p = 0.03) than their counterparts. Educational level (β = 0.208, p = 0.001) and emotional well-being (β = 0.197, p = 0.001) were independent predictors of self-management, with partial mediation by emotional well-being (indirect β = 0.062, p = 0.004). Conclusions/Clinical Implications: Optimizing nursing support for PD patients requires moving beyond technical instruction to address health literacy, emotional resilience, and culturally sensitive education. Nurse-led interventions integrating psychosocial support with skill-building may enhance self-management, reduce hospitalizations, and improve quality of life in PD populations.
Background: Cultural sensitivity during intrapartum care is a critical determinant of maternal satisfaction and quality of care, particularly in multicultural settings. In Saudi Arabia, the diversity of birthing women underscores the need for midwives to provide culturally competent, respectful, and individualized care. Objective: To assess women’s perceptions of midwives’ cultural sensitivity during intrapartum care in Riyadh, Saudi Arabia, and identify demographic factors influencing these perceptions. Methods: A quantitative cross-sectional study was conducted using a validated cultural sensitivity questionnaire. Data were collected online through purposive sampling from women who had given birth in the past 12 months. Descriptive statistics summarized participant characteristics and perception scores, while inferential tests examined associations between perceptions and demographic variables. Results: women reported moderate to high perceptions of cultural sensitivity. Age and nationality significantly influenced perception scores (p < 0.05). While communication and respect for religious practices scored highest, areas such as shared decision making and language-concordant support were identified as needing improvement. Conclusions: Women in Riyadh often perceive midwives as culturally sensitive; however, gaps remain in communication and involvement in decision making. Training programs that strengthen midwives’ cultural competence—especially in language services and patient engagement—could enhance the intrapartum experience.