International journal of nursing studies
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Saudi Arabia is a developing country with a tremendous potential for growth and development. In an attempt to endorse Primary Health Care (PHC) concepts, it abolished all its former dispensaries and maternal and child health centers, and amalgamated their services into health centers that deliver PHC services. This expansion in centers development created a need for evaluation to assess the extent at which the new objectives are being achieved. ⋯ Three centers were chosen purposefully and the consumers of the respective centers were interviewed as to their satisfaction with the services provided. The results show that there was a discrepancy between the findings obtained from the centers' resources evaluation and those derived from the satisfaction portion. It is recommended that the Saudi Ministry of Health would upgrade its centers' resources, and that more studies would be conducted in the other centers of the country.
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A qualitative study was undertaken to describe how parents and nurses respond to hospitalized young children experiencing pain from surgical interventions. Participant observation was used to identify care behaviours and the care context within which the children experienced, and caregivers witnessed, post-operative pain. Interviews with parents, nurses, and children were also conducted during the observation periods and prior to discharge to augment the observational data. ⋯ Nurses primarily provided technical care, used limited pain assessment approaches, and were not able to adequately alleviate the children's pain. Factors, strategies, and feelings associated with these care behaviours are described. The most salient recommendations arising from these findings are that nurses: (a) be provided with education about pain assessment and management, and (b) be empowered by policies that allow them to sensitively and effectively respond to children in pain.