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Nurses' experiences of provision of discharge education to heart failure patients in a tertiary hospital in Saudi Arabia
Thesis (MNur)--Stellenbosch University, 2025.
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| Format: | Thesis |
| Language: | English |
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Stellenbosch : Stellenbosch University
2026
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| _version_ | 1867613910664740864 |
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| access_status_str | Open Access |
| author | Rabele, Lirontso Margaret |
| author2 | Anthonie, Ramona |
| author_browse | Anthonie, Ramona Rabele, Lirontso Margaret |
| author_facet | Anthonie, Ramona Rabele, Lirontso Margaret |
| author_sort | Rabele, Lirontso Margaret |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MNur)--Stellenbosch University, 2025. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/134786 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:43:39.397Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2026 |
| publishDateRange | 2026 |
| publishDateSort | 2026 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/134786 Nurses' experiences of provision of discharge education to heart failure patients in a tertiary hospital in Saudi Arabia Rabele, Lirontso Margaret Anthonie, Ramona Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery. Heart Failure -- Patients -- Education -- Saudi Arabia Patient education -- Nursing -- Saudi Arabia Health services accessibility -- Saudi Arabia Communication in medicine -- Saudi Arabia Religion and medicine -- Saudi Arabia Transcultural nursing -- Saudi Arabia UCTD Thesis (MNur)--Stellenbosch University, 2025. Rabele, L. M. 2025. Nurses' experiences of provision of discharge education to heart failure patients in a tertiary hospital in Saudi Arabia. Unpublished masters thesis. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/6bb70853-df9e-43fd-b698-27367085ba13 ENGLISH SUMMARY: Effective discharge education for heart failure patients is critical in promoting self-care, reducing hospital readmissions, and improving quality of life. Nurses play a vital role in delivering educational support to patients with heart failure; however, they face challenges that influence the comprehensive offering of patient education, especially in multicultural settings such as Saudi Arabia. This study aimed to explore and describe nurses’ experiences in providing discharge education to patients with heart failure in a tertiary hospital in Saudi Arabia. The study objectives were to: • Explore nurses’ experiences of providing discharge education to heart failure patients in a tertiary hospital in Saudi Arabia. • Explore nurses’ understanding of their roles and responsibilities in providing discharge education to patients with heart failure. • Describe the barriers nurses encounter when providing discharge education to heart failure patients. Methods: A qualitative explorative-descriptive design was employed. The target population included registered nurses employed at a tertiary hospital in Saudi Arabia. A sample of n = 10 was drawn from a total population of N = 77, using purposive sampling. Data was obtained through individual interviews, using a semi-structured interview guide. A pilot interview was conducted using a semi-structured interview guide, based on the study's objectives. Findings from the pilot interview were incorporated into the primary research to prevent the loss of any valuable information. The data were analysed using Braun and Clarke’s (2012) steps for thematic data analysis. The trustworthiness of the study was assured by adherence to Lincoln and Guba’s (1995) criteria of credibility, confirmability, transferability, and dependability. All ethical principles were met. Results: Five themes emerged from the data analysis: nursing practice and collaboration, patient care and education, family dynamics, and challenges to effective patient care and documentation practices. The study's findings indicated that nurses were dissatisfied with their work environment, particularly regarding staff shortages, a heavy workload, and time constraints. As a result, nurses were unable to provide adequate education to patients with heart failure before discharge. Cultural and religious beliefs significantly influenced patients' perceptions of illness, medication, diet, and their interactions with healthcare teams. Patients with low health literacy or those who do not speak English had difficulty understanding instructions. Despite various challenges, including staff shortages, language barriers, and cultural differences, nurses remain essential in delivering vital discharge education to patients with heart failure, thereby promoting self-care, and reducing the risk of readmission. AFRIKAANSE OPSOMMING: Doeltreffende ontslagopvoeding vir hartversakingpasiente is van kritieke belang om selfsorg te bevorder, heropnames in die hospitaal te verminder en lewensgehalte te verbeter. Verpleegkundiges speel 'n belangrike rol in die lewering van opvoedkundige ondersteuning aan pasiente met hartversaking; hulle staar egter uitdagings in die gesig wat die omvattende aanbod van pasientopleiding beinvloed, veral in multikulturele omgewings soos Saoedi-Arabie. Die doel van die studie was om verpleegkundiges se ervarings in die verskaffing van ontslagopvoeding aan hartversakingpasiente in 'n tersiere hospitaal in Saoedi-Arabie te ondersoek en te beskryf. Die doelwitte van die studie was om: • Verpleegsters se ervarings met die verskaffing van ontslagopvoeding aan hartversakingpasiente in 'n tersiere hospitaal in Saoedi-Arabie te ondersoek. • Verpleegsters se begrip van hul rolle en verantwoordelikhede in die verskaffing van ontslagopvoeding aan hartversakingpasiente te ondersoek. • Die hindernisse te beskryf wat verpleegsters teekom wanneer hulle ontslagopvoeding aan hartversakingpasiente verskaf. Metodes: 'n Kwalitatiewe, verkennende, beskrywende ontwerp is gebruik. Die teikenpopulasie het geregistreerde verpleegkundiges ingesluit wat by 'n tersiere hospitaal in Saoedi-Arabie werksaam is. 'n Steekproefgrootte van n=10 is getrek uit 'n totale populasie van N=77, met behulp van doelgerigte steekproefneming. Data is verkry deur middel van individuele onderhoude, met behulp van 'n semi-gestruktureerde onderhoudgids. 'n Loodsonderhoud is gevoer met behulp van 'n semi-gestruktureerde onderhoudgids, gebaseer op die doelwitte van die studie. Bevindinge van die loodsonderhoud is in die hoofstudie ingesluit om die verlies van enige inligting te vermy. Data is geanaliseer met behulp van Braun en Clarke (2012) se stappe vir tematiese dataanalise. Betroubaarheid van die studie is verseker deur nakoming van Lincoln en Guba (1995) se kriteria van geloofwaardigheid, bevestigbaarheid, oordraagbaarheid en betroubaarheid. Alle etiese beginsels is nagekom. Resultate: Vyf temas het uit die data-analise na vore gekom, naamlik verpleegpraktyk en samewerking, pasientsorg en -opvoeding, gesinsdinamika, uitdagings vir effektiewe pasientsorg en dokumentasiepraktyke. Die bevindinge van die studie het aangedui dat verpleegkundiges ontevrede was met hul werksomgewing rakende personeeltekorte, 'n swaar werkslading en tydsbeperkings. Gevolglik kon verpleegkundiges nie voldoende ontslagopvoeding oor hartversaking verskaf nie. Kulturele en godsdienstige oortuigings het pasiente se persepsies van siekte, medikasie, dieet en gesondheidsorgspanne beinvloed. Pasiente met lae gesondheidsgeletterdheid of nie-Engelse pasiente het probleme ondervind om instruksies te verstaan. Ten spyte van verskeie uitdagings, insluitend personeeltekorte, taalhindernisse en kulturele verskille, bly verpleegkundiges noodsaaklik om belangrike ontslagopvoeding aan hartversakingpasiente te lewer, waardeur selfsorg bevorder word en die waarskynlikheid van heropname verminder word. Masters 2026-01-07T14:10:02Z 2026-01-07T14:10:02Z 2025-12 Thesis https://scholar.sun.ac.za/handle/10019.1/134786 en Stellenbosch University xii, 125 pages ; includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Heart Failure -- Patients -- Education -- Saudi Arabia Patient education -- Nursing -- Saudi Arabia Health services accessibility -- Saudi Arabia Communication in medicine -- Saudi Arabia Religion and medicine -- Saudi Arabia Transcultural nursing -- Saudi Arabia UCTD Rabele, Lirontso Margaret Nurses' experiences of provision of discharge education to heart failure patients in a tertiary hospital in Saudi Arabia |
| title | Nurses' experiences of provision of discharge education to heart failure patients in a tertiary hospital in Saudi Arabia |
| title_full | Nurses' experiences of provision of discharge education to heart failure patients in a tertiary hospital in Saudi Arabia |
| title_fullStr | Nurses' experiences of provision of discharge education to heart failure patients in a tertiary hospital in Saudi Arabia |
| title_full_unstemmed | Nurses' experiences of provision of discharge education to heart failure patients in a tertiary hospital in Saudi Arabia |
| title_short | Nurses' experiences of provision of discharge education to heart failure patients in a tertiary hospital in Saudi Arabia |
| title_sort | nurses experiences of provision of discharge education to heart failure patients in a tertiary hospital in saudi arabia |
| topic | Heart Failure -- Patients -- Education -- Saudi Arabia Patient education -- Nursing -- Saudi Arabia Health services accessibility -- Saudi Arabia Communication in medicine -- Saudi Arabia Religion and medicine -- Saudi Arabia Transcultural nursing -- Saudi Arabia UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/134786 |
| work_keys_str_mv | AT rabelelirontsomargaret nursesexperiencesofprovisionofdischargeeducationtoheartfailurepatientsinatertiaryhospitalinsaudiarabia |