Ali Jaber Alqahtani
Faculty of Medical and Health Sciences, Liwa University,UAE
Abstract Title:
Enhancing End-of-Life Care for Advanced Heart Failure Patients in Saudi Arabian Emergency Departments: Perspectives of ED Staff on Challenges
Biography:
Faculty of Medical and Health Sciences, Liwa University, PO Box 41009, Abu Dhabi,
UAE
2. The University of Queensland, Brisbane QLD 4072, Australia
1
3. Evidence Research and Clinical Trials, Planning Funding and Outcomes, Health New
Zealand, Whangarei, New Zealand
4. Department of Medical and Surgical Nursing, College of Nursing, Princess Nourah Bint
Abdulrahman University, Riyadh 13412, Saudi Arabia
Research Interests:
Background
Providing care for patients nearing the end of life who have advanced heart failure presents
significant challenges, especially in emergency settings where the primary focus is on life-saving
interventions. Exploring the perceptions of emergency department staff is essential for
identifying barriers and improving care delivery in this critical context.
Methods
A qualitative study was conducted in two hospitals in Saudi Arabia. Semi-structured interviews
were completed with thirty emergency staff. A thematic analysis was used to identify the
challenges and enablers in delivering care for patients nearing the end of life.
Results
Seven themes were identified: current practices for advanced heart failure patients,
communication barriers, inadequate training in end-of-life care, limitations in emergency
department design, heavy workloads, the influence of cultural and religious factors, and the
importance of psychological and emotional support for patients and families. The findings
highlight the need for structured training, cultural sensitivity, and improved environments to
address these challenges.
Conclusions
This study emphasizes the complexities of providing care for patients nearing the end of life in
emergency settings. Addressing gaps in communication, training, and cultural competence is
critical. Tailored strategies for Saudi Arabia’s unique context are essential to enhance care for
advanced heart failure patients.