The paper “ How Culture Impacts HR Management Quality and Service Delivery of Saudi Arabia Health Care System” is an excellent example of the literature review on health sciences. A global reality of cultural diversity is emerging with regard to the use of human resources in healthcare environments (Luna 1998, p. 9). Nurses are increasingly finding themselves in situations where they have to provide care to people who belong to culturally and educationally diverse backgrounds. In order for the healthcare provided to be culturally competent, diversity should be molded into professional respect and collaboration. Up to this day, healthcare in Saudi Arabia has been offered largely by foreign professionals, most of who come from non-Arabic speaking countries (Luna 1998, p.
12). Many strategies have been enforced in order to try and educate expatriate non-Saudi doctors on how to offer their services in a culturally competent manner. One of the frameworks for attaining cultural competency in Saudi Arabia is Leininger’ s transcultural theory of healthcare provision. This theory has already been proven to be of utmost relevance in different hospital settings where there are more than 40 different nationalities being represented in the workforce (Luna1998, p.
12). In such a context, there is always a real potential for cultural conflicts among staff members. Healthcare professionals who are very new to Saudi Arabia are often introduced to new cultural dimensions of health care provision. These new dimensions relate closely to the country’ s patient modes as well as matters of living and working together within a culturally strict environment. Transcultural nursing remains a major component of every professional nursing practice model that purports to offer visionary perspectives for nursing care.
Within such a practice model, different transcultural healthcare principles are used as a guide to education, nursing research and clinical practice. Moreover, Leininger's theory aims at grasping a very comprehensive view of professional and generic health systems. It also seeks to identify different ethical issues that confront nurses in transcultural settings.
Al-Ahmadi, H, 2009, ‘Factors affecting performance of hospital nurses in Riyadh
Region, Saudi Arabia’, International Journal of Health Care Quality Assurance, Vol. 22,
No. 1, pp.40 – 54.
Al-Ahmadi, H, 2005 ‘Quality of primary health care in Saudi Arabia: a comprehensive
review’ International journal of Quality in Healthcare’, Vol. 17, No. 4, pp. 331-346
Alahmadi, H, 2009, ‘Assessment of patient safety culture in Saudi Arabian hospitals’,
Vol. 10, No. 11, pp. 141-165.
Al-Shahri, M. 2002, ‘Culturally Sensitive Caring for Saudi Patients’ Journal of
Transcultural Nursing, Vol. 13 No. 2, pp. 133-138.
Bhuian, S, 1993, ‘Expatriate Turnover Tendencies in Saudi Arabia: An Empirical
Examination’, International Journal of Organizational Analysis, Vol. 4, No. 4, pp.393 –
Ballal, S, 2002, ‘Occupational health in Saudi Arabia’ State of the Art Reviews, Vol. 17,
No. 3, pp. 491-507.
Bozionelos, N, 2009, ‘Expatriation outside the boundaries of the multinational
corporation: A study with expatriate nurses in Saudi Arabia’, Human Resource
Management, Vol. 48, No. 1, pp. 111–134.
Brown, C, 2003, ‘Expatriate health-care workers and maintenance of standards of
practice factors affecting service delivery in Saudi Arabia’, International Journal of
Health Care Quality Assurance, Vol. 16, No. 7, pp.347 – 353.
El-Gilany, A, 2009, ‘Violence against Primary Health Care Workers in Al-Hassa, Saudi
Arabia’ Journal of Interpersonal Violence, Vol. 2, No. 5, pp. 1-6.
Gallagher, E, 1985, ‘Health services and the political culture of Saudi Arabia’ Social
Science & Medicine, Vol. 21, No. 3, pp. 251-262.
Luna, L, 1998, ‘Culturally Competent Health Care: A Challenge for Nurses in Saudi
Arabia’, Journal of Transcultural Nursing, Vol. 9, No. 2, pp. 8-14.
Mebrouk, J, 2010, ‘Perception of nursing care: Views of Saudi Arabian female nurses’
Contemporary Nurse, Vol. 12, No. 5, pp. 149 - 161
Miller-Rosser, K. & Chapman, Y., 2006, ‘Historical, Cultural, and Contemporary
Influences on the Status of Women in Nursing in Saudi Arabia’ Vol.11, No. 3, pp. 125-
Walston, S, 2010 ‘Factors affecting the climate of hospital patient safety: A study of
hospitals in Saudi Arabia’, International Journal of Health Care Quality Assurance, Vol.
23 I, No. 1, pp.35 – 50.