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AnteayerInternacionales

Saudi Women's Experiences of Sexual and Relational Changes During the Menopause Transition

ABSTRACT

Objectives

This study aims to understand Saudi women's experiences of sexual and relational changes during the menopause transition.

Design

A qualitative, Interpretative Phenomenological Analysis study.

Methods

Sixteen Saudi women aged 45–57 who had experienced natural menopause transition were purposively selected and interviewed using semi-structured interviews between December 2022 and March 2023. The interviews were recorded and transcribed verbatim. Participants were recruited from several sites, including hospitals, gender-segregated schools employing female staff, and social media channels. The data were analysed using Interpretative Phenomenological Analysis.

Results

Three group experiential themes were identified from the data. These included ‘The intimate relationship while going through menopause’, which explores women's experiences of intimate relationships shaped by biological and hormonal changes, cultural and social expectations, and psychological influences; ‘Perceived attractiveness and self-confidence’, which describes how physical signs of ageing impact women's body image and self-confidence; and ‘Managing the sexual changes during the menopause transition’, which highlights varied coping strategies and attitudes toward seeking support for sexual changes during menopause.

Conclusion

Healthcare systems in Saudi Arabia must provide comprehensive menopausal care and train nurses and healthcare providers to consider women's sexual difficulties from a biopsychosocial perspective. Raising Saudi women's awareness of menopausal and sexual issues, as well as mitigating society's stereotypes, is crucial for empowering them to seek help.

Practice Implications

Understanding how menopausal women experience sexual and relational changes during their menopause transition is crucial for nurses, as it enables them to provide appropriate care that supports both physical and emotional well-being. As nurses recognise these experiences, they can offer guidance, reduce stigma, and enhance women's quality of life.

Reporting Method

The study adhered to the Consolidated Criteria for Reporting Qualitative Research.

Patient or Public Contribution

No Patient or Public Involvement.

Network Structure and Determinants of Professional Psychological Help‐Seeking Attitudes Among Nurses: A Cross‐Sectional Analysis

ABSTRACT

Aim

To explore the factors influencing nurses' attitudes towards seeking professional psychological help using network analysis.

Design

A cross-sectional study design was employed.

Methods

In Shapingba District, Chongqing, China, a two-stage sampling method was used to select 717 nurses from primary healthcare institutions and secondary public hospitals. Data were collected through anonymous online self-report surveys from November to December 2023. Multiple validated scales were used to measure mental health literacy, social support, mental illness stigma and attitudes towards seeking professional psychological help. Network analysis was conducted in R software.

Results

The ‘Confidence in Mental Health Practitioner’ was identified as a key node in the network. Social support was positively associated with the attitude of seeking help, while mental illness stigma had a negative effect.

Conclusion

Confidence in mental health practitioners plays a key role in shaping nurses' help-seeking attitudes. Enhancing professional credibility, reducing stigma and fostering supportive environments may promote psychological help-seeking, especially in primary and secondary care settings.

Implications for the Profession and/or Patient Care

For the profession, it provides insights for developing targeted training to improve nurses' mental health. For patient care, a mentally healthy nursing workforce can enhance the quality of care.

Impact

Addressed the problem of low rates of nurses seeking professional psychological help and the complex factors involved. Main findings: Key factors influencing nurses' attitudes towards seeking help and the role of confidence in mental health practitioners. The research will impact healthcare institutions, nurses and ultimately patients, as it can guide the creation of a better working environment for nurses.

Patient or Public Contribution

No patient or public contribution.

Orchestrating Human Connection in Digital NICUs: Leadership Strategies for Technology‐Enhanced Family‐Centred Care

ABSTRACT

Aim(s)

To explore how neonatal nurse leaders sustain human-centred care while implementing digital technologies in neonatal intensive care units (NICUs).

Design

Qualitative descriptive multi-site study across four NICUs in the Eastern Region of Saudi Arabia (November 2024–May 2025), reported in accordance with COREQ.

Methods

Purposive maximum-variation sampling recruited 24 neonatal nurse leaders across leadership levels, hospital types and digital maturity stages. Semi-structured interviews were conducted in Arabic or English, transcribed, translated as needed and thematically analysed in NVivo 14 using a hybrid inductive–deductive approach. Directed content analysis of key organisational documents enabled triangulation. Trustworthiness was supported through member checking, peer debriefing, audit trail, external review and double coding of a subset of transcripts.

Results

Four interrelated strategies were identified: (1) embedding a values-based human-centred vision; (2) selecting and customising digital tools to strengthen, not replace, nurse–family connection; (3) redesigning workflows (e.g., device-free openings, protected presence time, family-inclusive portals) to preserve presence and partnership; and (4) fostering team capability and psychological safety for digital–human integration.

Conclusion

Human-centred care in digital NICUs is intentionally led and structurally engineered. The study offers a practice-ready framework that translates values into reproducible routines within complex sociotechnical systems.

Implications for the Profession and/or Patient Care

The framework supports nurse leaders in aligning digital transformation with family-centred care, protecting nurse–family presence, and enhancing safety, trust and partnership for high-risk neonates.

Impact

Addresses risks of relational erosion in digital and AI-enabled NICUs and provides transferable nurse-led strategies to sustain ethical, family-centred practice.

Reporting Method

COREQ-compliant qualitative study.

Patient or Public Contribution

No Patient or Public Contribution.

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