Cultura

The Culture Of Supportive Healthcare Practice: Interprofessional Contributions Of Dental Assistants And Nursing Specialists In Saudi Clinical Settings

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Reham Mohammed Bafayad, Sanaa Saeed Alqhtani, Waad Hatem Zamzami, Farah Ali Asiri, Abdulaziz Saeed Alqarni
Afrah Mohammed Alhadri, Najma Yahia Asiri, Rola Qasem Ahmad Alsail, Rahaf Saud Almarshad, Bushra Ali khuzaee

Abstract

Supportive healthcare practice has increasingly been recognized as a fundamental component of quality, safety, and patient-centered care. Beyond its clinical and operational dimensions, supportive practice reflects a cultural system shaped by professional values, organizational norms, and interprofessional relationships. This narrative review explores the culture of supportive healthcare practice through an analytical examination of interprofessional contributions made by dental assistants and nursing specialists within Saudi clinical settings.

Drawing on international and Saudi-focused literature, the review synthesizes evidence on how organizational culture, professional hierarchy, and sociocultural norms influence collaboration, role recognition, and patient-centered outcomes. The findings highlight that dental assistants and nursing specialists play pivotal yet often underrecognized roles in care coordination, patient communication, emotional support, and quality enhancement. When these roles are supported through inclusive leadership, interprofessional education, and organizational recognition, supportive healthcare practice contributes significantly to improved patient experience, workforce well-being, and healthcare quality.

Within the Saudi context, cultural values such as collectivism, respect for authority, and institutional loyalty shape both opportunities and challenges for interprofessional support. The review concludes that embedding supportive healthcare practice into organizational culture—rather than treating it as an informal expectation—is essential for sustaining collaborative care and aligning healthcare delivery with national transformation goals. Cultural and organizational recommendations are proposed to strengthen interprofessional support and promote humane, ethical, and collaborative healthcare systems.

Keywords : Supportive healthcare practice; Healthcare culture; Interprofessional collaboration; Dental assistants; Nursing specialists; Patient-centered care; Organizational culture; Saudi Arabia; Narrative review.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty