A comprehensive systematic assessment was conducted in May 2014. We radically searched digital databases ISI Web of Knowledge, Science Direct, PubMed and Cochrane relationship from January 2000 via March 2014. The seek terms used were cultural change, language difference, boundaries, fitness care employees, fitness body of workers, and Saudi Arabia. Grey literature was played King Saud University Central Library employing digital database and reference list of included articles were scanned for additional reports. The electronic search was achieved in session with a number of specialists and supplemented by a couple of databases. We blanketed experiences if they met case look at solution following criteria: 1 awareness on complications or areas of concern as they relate to cultural and language transformations; 2 awareness on boundaries in pleasant of care of case study solution health body of workers in Saudi Arabia; and three experiences completed with various designs and strategy of analysis case control reviews or go sectional stories and evaluate reports.