Journal articles on the topic 'Nurse and patient Malaysia'
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Haladin, Nur’ain Balqis, Noor Aireen Ibrahim, and Yasmin Hanafi Zaid. "Patient-Friendly Information Giving in HIV Counselling through the Use of Metaphors." LSP International Journal 9, no. 2 (December 26, 2022): 27–39. http://dx.doi.org/10.11113/lspi.v9.19138.
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HIV counselling is a method of communication between patients and certified HIV nurse counsellors to discuss and help patients deal with HIV-related issues. Despite the training received by these nurses, communicating HIV-related issues remains a difficult task in Malaysia. Due to lack of research examining information giving in HIV counselling in Malaysia, this study investigated both the challenges and the strategies in providing information to HIV patients. Twenty-four audio recordings of actual HIV counselling sessions were gathered and six focus group discussions with HIV nurse counsellors from three government hospitals in Malaysia were recorded. The discourse analysis of revealed a prominent use of metaphors as part of information giving strategies to overcome the challenges faced by HIV nurse counsellors when communicating with HIV patients. The metaphors were embedded in HIV nurse counsellors’ information giving to HIV patients and their spouse/family as a way to represent some medical jargons pertaining to HIV. Since the HIV patients came from different educational background, it would be much easier for them to understand HIV-related information giving through the use of metaphors. Therefore, the acknowledgement and integration of metaphors can be an amazingly valuable tool for HIV nurse counsellors especially in managing the communication challenges during HIV counselling. It is hoped that the findings provided in this study will serve as a basis for integrating metaphors into counselling practices.
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Mbambe, Ikome Otto, and Radha Maniam. "NURSE-PATIENT COMMUNICATION BARRIERS AS PERCEIVED BY ADULT IN-PATIENTS AND NURSES IN A PRIVATE HOSPITAL IN MALAYSIA." Volume-10 : Issue 1, July, 2018 10, no. 1 (July 15, 2018): 71–76. http://dx.doi.org/10.31674/mjn.2018.v10i01.010.
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Background: Effective and skilful communication is crucial and an important element in the quality of nursing care. This enables nurses to assess patients' needs and provide them with the appropriate physical care, emotional support, knowledge transfer and exchange of information. However, nurses find it difficult to communicate effectively and therapeutically with their patients. Aim: To identify the nurses’ and adult inpatients’ perceptions of barriers to effective nurse-patient communication. Methodology: A descriptive study was used to collect data from nurses (n=40) and adult inpatient (n=63) in multidisciplinary wards in a private hospital in Malaysia. Two sets of self-administered questionnaire for the two different groups of participants, the patients and nurses were used. Data were analysed using the SPSS version 20.0. Results: Nurses and adult in patient perceived heavy workload, dialect and negative attitudes towards nurses as main barriers that hinders effective communication among nurses and patients. Conclusion: Communication places an important part in patients’ satisfaction of care and the ability of the nurse to provided patient centred care. Nurses should take in to account those communication barriers that affect the patients and be confident enough to take the first step to initiate communication and be able to handle patients’ dynamic emotions.
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Sook Fern Yeo, Cheng Ling Tan, and Yen Nee Goh. "Obstetrics Patient Loyalty: A Study of Malaysian Private Hospitals." global journal al thaqafah SI (February 28, 2022): 55–63. http://dx.doi.org/10.7187/gjatsi022022-6.
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The purpose of this study is to examine the path of obstetrics service quality and patient loyalty. The service quality encompasses doctors’ knowledge, nurse professionalism, diagnostic procedures, perceived price and healthscape. This study is found to be of interest because there have been limited studies conducted in Malaysia concerning patient loyalty for obstetrics services in private hospitals. The sample size comprises 419 patients from ten private hospitals in five states of Peninsular Malaysia. Data were collected and analysed using Structural Equation Modeling (SEM). The results indicate that diagnostic procedures, doctor’s knowledge and perceived price, have a significant positive relationship with patient loyalty. In contrast, nurses’ professionalism and healthscape had no significant impact on patient loyalty. Further, the Importance-Performance Matrix Analysis (IPMA) results contribute as an insight for the management to overcome and improve on identified areas with low performance. The findings of this study are endorsed by the IPMA that the importance and performance of diagnostic procedures are high in contributing to patient loyalty for the obstetrics service in Malaysia.
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Wei Chern, Ang. "Healthcare Professionals’ Experiences on Interdisciplinary Collaboration in a Medical Department of a Malaysian General Hospital." Medicine & Health 16, no. 1 (June 28, 2021): 246–55. http://dx.doi.org/10.17576/mh.2021.1601.20.
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Healthcare professionals (HCPs) in all healthcare facilities including public hospitals in Malaysia need to cooperate to meet the diverse healthcare demands. To date, there has yet detailed research on this collaboration in Malaysia. This study aimed to explore interdisciplinary collaboration in the Medical Department (wards and clinics) of a state hospital. Four focus group discussions (FGDs) were held. A medical specialist, medical officer, nurse manager/charge nurse, staff nurse, senior and junior clinical pharmacists were all present at each FGD. Purposive sampling was used to recruit participants (nomination by heads of department). FGDs were performed in English, but responses in Malay were accepted and translated into English. All FGDs were audio-recorded, transcribed, and analysed thematically. In the theme of role clarity, most participants opined that the doctors led in patient management, while the nurses were in charge of monitoring, ambulating and drug administration. However, some participants were unfamiliar with the role of pharmacists. The majority believed that effective collaboration did exist, but insufficient. Weak communication skills, lack of communication, personnel and time were obstacles to effective collaboration. Regular discussions between different disciplines can encourage interprofessional collaboration. Despite doctors acknowledging pharmacists' Medication Therapy Adherence Clinic (MTAC) services, and nurses' human immunodeficiency virus (HIV) counselling and diabetic education services, some nurses and pharmacists were unaware of each other's services. To avoid conflicting tasks and human resource wastage, each HCP's services should be actively promoted among other HCPs.
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Jarrar, Mu’taman, Mohammad Al-Bsheish, Badr K. Aldhmadi, Waleed Albaker, Ahmed Meri, Mohammed Dauwed, and Mohd Sobri Minai. "Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness." Healthcare 9, no. 11 (November 18, 2021): 1578. http://dx.doi.org/10.3390/healthcare9111578.
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This study aims to explore the potential mediation role of person-centeredness between the effects of the work environment and nurse reported quality and patient safety. A quantitative cross-sectional survey collected data from 1055 nurses, working in medical and surgical units, in twelve Malaysian private hospitals. The data collection used structured questionnaires. The Hayes macro explored the mediation effect of person-centeredness between the associations of work environment dimensions and care outcomes, controlling nurses’ demographics and practice characteristics. A total of 652 nurses responded completely to the survey (61.8% response rate). About 47.7% of nurses worked 7-h shifts, and 37.0% were assigned more than 15 patients. Higher workload was associated with unfavorable outcomes. Nurses working in 12-h shifts reported a lower work environment rating (3.46 ± 0.41, p < 0.01) and person-centered care (3.55 ± 0.35, p < 0.01). Nurses assigned to more than 15 patients were less likely to report a favorable practice environment (3.53 ± 0.41, p < 0.05), perceived lower person-centered care (3.61 ± 0.36, p < 0.01), and rated lower patient safety (3.54 ± 0.62, p < 0.05). Person-centeredness mediates the effect of nurse work environment dimensions on quality and patient safety. Medical and surgical nurses, working in a healthy environment, had a high level of person-centeredness, which, in turn, positively affected the reported outcomes. The function of person-centeredness was to complement the effects of the nurse work environment on care outcomes. Improving the nurse work environment (task-oriented) with a high level of person-centeredness (patient-oriented) was a mechanism through which future initiatives could improve nursing care and prevent patient harm.
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Mary Beth, Mini Rani, and Suzisurainie Binti Yaacob. "Relationship between nurse to patient ratio and nurses’ satisfaction among registered nurses working in a selected private hospital, malaysia." International Journal of Current Advanced Research 6, no. 3 (March 28, 2017): 2741–44. http://dx.doi.org/10.24327/ijcar.2017.2744.0094.
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Sundar, A., N. A. A. Rahmin, C. Y. Chen, and M. A. Nazihah. "Simulated annealing approach for outpatient scheduling in a haemodialysis unit." Mathematical Modeling and Computing 9, no. 4 (2022): 860–70. http://dx.doi.org/10.23939/mmc2022.04.860.
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National Renal Registry Malaysia has reported that the dialysis treatment demand among chronic kidney and end-stage kidney disease patients rises yearly. However, available haemodialysis (HD) units have limited facilities to meet the current and increasing demand. This leads to congestion, long waiting times, and an increase in the duration of treatment (DOT) among HD patients during their treatment sessions. Two essential factors in providing optimal treatment plans are outpatient scheduling and nurse assignment. Therefore, the objectives of this study are to minimise patients' total DOT, including the waiting time for pre-dialysis and post-dialysis sessions, which also includes determining the amount of patient flow in an HD unit. Regarding the first objective, we include simulated annealing (SA) into our simple heuristics (SH) in the patient scheduling optimisation model. Here, the initial solution obtained from the method can be improved. The backtracking heuristic (BH) is then applied to the nurse assignment problem, where at least two nurses are needed for each dialysis patient. The results show that the solutions obtained for outpatient scheduling by SA are efficient and have significantly reduced the computational time compared with the SH, even when considering more patients on the waiting list. As for total DOT, we obtain the optimum value compared to the average DOT values for both 3-hour and 4-hour sessions. Besides, a discrete-event simulation (DES) experiment of patient flow in an HD unit was performed by gradual variations in patient arrival rates, λ, to avoid congestion in the system. DES has the potential to accommodate emergency patients that seek HD treatment without causing much disruption to the system.
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Abdullah, Madihah Binti, Titih Huriah, Arianti Arianti, and Rosnani Binti Sarkasi. "Nurse’s Roles in Patient-Family Decision Making for Palliative Patients in Indonesia and Malaysia." Open Access Macedonian Journal of Medical Sciences 9, T4 (February 20, 2021): 6–17. http://dx.doi.org/10.3889/oamjms.2021.5594.
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BACKGROUND: The limited palliative care services can affect the late in palliative care management, such as late in decision making. Decision making is one of the crucial processes that every patient with life-threatening health life-limiting illness needs to overcome. Nurses can be the third party between the patients and physicians in helping them with decision making.
AIM: The aim of this study was to explore the differences perspectives of palliative care decision making for palliative patients and families in Indonesia and Malaysia.
METHODOLOGY: The study design used qualitative method with the phenomenology approach. The sample size of this study was 12 participants from two different study settings. They were three palliative nurses and three physicians from each country, selected by purposive sampling. The study was carried out at PKU Muhammadiyah Yogyakarta Hospital and Tuanku Fauziah Hospital Kangar, Perlis, Malaysia. Data collection used in-depth interview. The interpretative phenomenology analysis was used to analyze the data.
RESULTS: There were differences in the perspectives of palliative care services in Indonesia and Malaysia based on the culture form each of the countries. Nurses played a supportive role in ensuring that the care delivered to the patients and families were effective and efficient. Lack of staff was one of the challenges for Indonesia and Malaysia palliative care services need to face.
CONCLUSION: Three themes emerged from the collected data; there were views on palliative care, nurses’ supportive roles, and limited resources. To encounter the challenges and difficulties that interrupt the care delivery to the patients, nurses need to improve knowledge about palliative and their skills.
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Kragelund Nielsen, Karoline, Michael Calopietro, Toh Peng Yeow, Tahir bin Aris, and Ulla Bjerre-Christensen. "PERCEPTIONS AND ABILITIES RELATED TO PATIENT ENGAGEMENT IN DIABETES CARE AMONG PRIMARY HEALTHCARE PROVIDERS IN MALAYSIA: A QUALITATIVE STUDY." Malaysian Journal of Public Health Medicine 20, no. 2 (October 1, 2020): 207–14. http://dx.doi.org/10.37268/mjphm/vol.20/no.2/art.280.
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Malaysia seeks to transform its public healthcare sector to manage the growing number of people with diabetes. Patient engagement is a critical clinical competency for healthcare providers treating people with diabetes. In this study, we investigate the perceptions of and ability to practice patient engagement among doctors and nurses working in Malaysia’s primary healthcare system. Semi-structured interviews were conducted with nine non-specialist doctors and ten nurses working in primary healthcare clinics. Further, 12 key informants with specialist knowledge about diabetes care and the healthcare system in Malaysia were interviewed. The interviews were analyzed using qualitative content analysis. Three main themes emerged: 1) understanding barriers to self-care and treatment, 2) perceived training needs and skills within patient engagement and empowerment, and 3) challenges to the practice of patient engagement. A range of barriers was identified in healthcare providers’ ability to practice patient engagement. Future efforts should seek to improve competencies within patient engagement, identification of especially psychosocial barriers to self-care and empowerment. Yet, available manpower and time also influence whether patient engagement is practiced.
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Majid, Norhaini. "The Practice of Patient Education among Public Hospital Nurses in Malaysia." Environment-Behaviour Proceedings Journal 5, no. 15 (December 25, 2020): 131–37. http://dx.doi.org/10.21834/ebpj.v5i15.2476.
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Patient education is the process of influencing patient behaviour with using a combination method such as teaching, counselling and behaviour modification techniques to increasing the knowledge and maintain or improve health. Patient education is one way of communication between patient and nurses, which provides the necessary knowledge for enhancing patient care and potentially affecting their health outcomes. By doing the exploration on the current patient education practice, the study perhaps to overcome the issue of hospital readmission and patient able to manage their activities of daily living after receiving effective patient education. The study aims to investigate the perception and practice of patient education among nurses in one of the public hospital in Malaysia. The objective of this study was to identify the perception and factors influencing the practice of patient education among public hospital nurses. Stratified Random Sampling was used for the sampling technique. A total of 246 staff nurses were involved in this study. A self-administered questionnaire was used in this study for obtained data. Statistical Package for the Social Sciences (SPSS) for Windows, version 21 was used to analyse the data. The study revealed that most of the nurses perceived patient education as a high priority in nursing care and it was nursing responsibility to provide patient education. Findings indicated that lack of time, inadequate staffing and lack of knowledge were significant factors that influenced the practice of patient education. Years of working experience among the nurses was found to be significantly associated with priority for patient teaching. In conclusion, public hospital nurses were having a positive attitude towards patient education but could not practice completely. In order to enhance patient education, a more strategy is required to address inadequate staffing, lack of time, and lack of knowledge. This study needs to be extended into further research in order to enhance the nurses’ roles as patient educators. Keywords: Patient education, nurses, practice eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5i15.2476.
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Md Ariffin, Mohd Farhan, Khadher Ahmad, Muhammad Ikhlas Rosele, and Mohamad Zaim Isamail. "[Islamic Alternative Medical Center in Malaysia: Nurse Perception of Jin Application in Treatment] Pusat Perubatan Alternatif Islam di Malaysia: Persepsi Perawat Terhadap Aplikasi Jin dalam Rawatan." Jurnal Islam dan Masyarakat Kontemporari 9 (February 10, 2015): 43–63. http://dx.doi.org/10.37231/jimk.2015.9.0.83.
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In the current development, it is found that the growth of alternative treatment centers based on "Islamic treatment" is growing in line with the development of mainstream technology. The question is, what is the reality and significance of Islamic treatment institutions in Malaysia despite its rapid growth? Therefore, this article tries to reveal the reality and scenario of the development of Islamic treatment centers in Malaysia for the consideration of all parties. Islamic treatment centers in Malaysia do have the potential to be developed and even able to transcend national borders. This can be proven when the demand for treatment services based on "tibb nabawi" is getting more attention. However, after the growth of the Islamic treatment center, there were also heard complaints, ridicule and cynical tone towards the Islamic treatment center, either from patients or nurses of the same age. Many claim that certain treatment centers still practice the genie element in treatment. Not to be outdone, many patients and even Islamic medical practitioners themselves claim that there are still elements of the use of jinn in Islamic treatment. So, what is the view of the founders of Islamic medical institutions in Malaysia regarding the use of jinn in treatment? Through a study at seventy (70) Islamic treatment centers in Malaysia through a project under the University of Malaya research grant in December 2012 to June 2013 numbered UMRG 419-12 HNE Al-Quran & Al-Sunnah Alternative Treatment Center: A Malaysian study, researchers have conclude various useful inputs starting with the background of the nurse or founder as well as the background of the Islamic treatment institution in Malaysia itself. The views of the founders of the Islamic treatment center on the use of jinn are also included in order to be a medium of knowledge of members of the community as a whole to be used as a guide in assessing the credibility and integrity of Islamic treatment centers in Malaysia.
Dalam perkembangan semasa kini, didapati pertumbuhan pusat rawatan alternatif berteraskan “rawatan Islam” semakin berkembang sejajar dengan perkembangan teknologi arus perdana. Persoalannya, apakah realiti dan signifikan institusi rawatan Islam di Malaysia di sebalik pertumbuhannya yang pesat? Justeru, artikel ini cuba mendedahkan tentang realiti dan senario perkembangan pusat rawatan Islam di Malaysia untuk renungan semua pihak. Pusat rawatan Islam di Malaysia sememangnya memiliki potensi untuk dikembangkan bahkan mampu melangkaui sempadan negara. Hal ini boleh dibuktikan apabila permintaan terhadap khidmat rawatan berasaskan “tibb nabawi” kian mendapat perhatian. Namun, setelah berkembangnya pusat rawatan Islam, terdengar pula di telinga rungutan, cemuhan dan nada sinis terhadap pusat rawatan Islam, sama ada dari pesakit atau perawat seangkatan. Banyak pihak yang mendakwa pusat rawatan tertentu masih mengamalkan unsur jin dalam rawatan. Tidak kalah juga ramai pesakit bahkan pengamal perubatan Islam sendiri yang mendakwa masih terdapat unsur-unsur penggunaan jin dalam rawatan Islam. Jadi, apakah pandangan para pengasas institusi rawatan Islam di Malaysia berkaitan penggunaan jin dalam rawatan? Melalui kajian di tujuh puluh (70) pusat rawatan Islam di Malaysia melalui projek di bawah geran penyelidikan Universiti Malaya pada Disember 2012 hingga Jun 2013 bernombor UMRG 419-12 HNE Pusat Rawatan Alternatif Berteraskan Al-Quran & Al-Sunnah: Kajian Malaysia, pengkaji telah menyimpulkan pelbagai input berguna bermula dengan latar belakang perawat atau pengasas serta latar belakang institusi rawatan Islam di Malaysia itu sendiri. Pandangan pengasas pusat rawatan Islam tentang penggunaan jin turut dimuatkan agar dapat menjadi medium ilmu pengetahuan anggota masyarakat seluruhnya untuk dijadikan panduan dalam menilai kredibiliti dan integriti pusat rawatan Islam di Malaysia.
Kata Kunci: Latar Belakang, Pengasas, Pusat Rawatan Islam, Pandangan, Jin.
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Taib, Nur Aishah, Tania Islam, Ranjit Kaur, and Suhaida Mushtaffa. "Treatment Information and Navigation Program for New Patients With Breast Cancer in Malaysia." Journal of Global Oncology 4, Supplement 3 (October 2018): 45s. http://dx.doi.org/10.1200/jgo.18.10530.
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Purpose Advancements in medical treatment with wider treatment options have made breast cancer (BC) care more complex. Short consultation time with physicians, patient fears, and poor coping skills at the time of diagnosis may affect a patient’s decision, causing treatment delays and nonadherence. The main reasons for advanced BC presentation in Malaysia are a delay in making a treatment decision and poor breast health literacy on the disease and its treatment outcomes. To address this gap, we developed an audio-visual tool on multimodal treatments; adverse effects; navigating admission, discharge, and follow-up; and advice on diet and exercise to maintain a healthy lifestyle during the survivorship period in layperson language in Malay, Mandarin, and English. This study aims to assess its effectiveness in improving patient knowledge and satisfaction. Methods A pilot study of 50 patients found that patients needed face-to-face interaction to watch the video. Hence, a breast care nurse–led orientation was developed. A self-administered pre- and postsurvey in 246 patients with newly diagnosed breast cancer in University Malaya Medical Centre was performed to evaluate expectations, satisfactions, and knowledge. We scored the results with the following Likert scale terms: 0 means no knowledge and 4 means a great degree of knowledge. Scoring was done pre- and postintervention. A Wilcoxon matched paired signed rank test was used in the analysis. Results Among 246 patients who received the intervention, 79.3% (n = 197) found that the video met or exceeded their expectations, and 80.2% found the video effective in broadening their perspective on BC treatments. One hundred seventy-one patients (69.2%) rated the video as highly meeting their expectations. There were significant improvements in knowledge of treatment options for BC (mean scores 0.93 v 2.97 for pre- and postintervention; P < .001). Similar findings were found in different types of operations for BC; admission procedures; and information on chemotherapy, radiotherapy, hormone therapy, and alternative medicine. Knowledge scores for healthy diet, physical activity after treatment, and care of the arm were observed ( P < .001). Conclusion Video-based information on treatments and navigating care through a breast care nurse–led service effectively improved patients’ knowledge and satisfaction. This approach can be used to educate patients with cancer in a middle-resource setting. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST The following represents disclosure information provided by authors of this manuscript. All relationships are considered compensated. Relationships are self-held unless noted. I = Immediate Family Member, Inst = My Institution. Relationships may not relate to the subject matter of this manuscript. For more information about ASCO's conflict of interest policy, please refer to www.asco.org/rwc or ascopubs.org/jco/site/ifc . No COIs from the authors.
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Karim, Jalina, Amirun Hani Farhan Abdul Majid, Nurul Fazira Mohd Rashdan, Mohd Nasri Awang Besar, and Mohamad Nurman Yaman. "Nursing Students’ Satisfaction towards Clinical Learning Environment (CLE) in Universiti Kebangsaan Malaysia Medical Centre." Education in Medicine Journal 12, no. 4 (December 30, 2020): 1–8. http://dx.doi.org/10.21315/eimj2020.12.4.1.
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In the previous studies, it was found that many nursing students have the highest satisfaction towards clinical learning environment (CLE). CLE has an impact on nursing students in preparing them in terms of knowledge and providing quality care for patients. The objective of this study was to determine the level of satisfaction among nursing students in the Universiti Kebangsaan Malaysia Medical Centre (UKMMC) towards CLE. A purposive sampling technique was used in quantitative and cross-sectional descriptive design. Ninety-three of Year 1 to Year 4 nursing students participated by answering modified self-reported Clinical Learning Environment, Supervision and Nurse Teacher (CLES + T) scale questionnaire. The questionnaire consisted of three sections; sociodemographic, clinical placement and five dimensions of satisfaction towards CLE (pedagogical atmosphere, leadership style of the head nurse, premises of nursing in the ward, preceptor relationship and role of the preceptor). In medical ward, 51.6% of nursing students had high satisfaction towards CLE and 48.4% reported to have low satisfaction. Whereas for surgical, orthopaedic, homecare and critical area wards reported to have 50% for both high and low satisfaction towards CLE. The relationship between year of study, gender and level of satisfaction towards CLE among nursing students in UKMMC were statistically not significant (p = 0.715, p = 0.139). Among the five dimensions of satisfaction towards CLE, leadership style of the head nurse was the highest (72.0%) and the lowest (30.1%) was from pedagogical atmosphere. This study showed that regardless of specific clinical placement for the nursing students, their satisfaction towards CLE were almost similar and the leadership style of the head nurse had the highest impact. Perhaps, the impact of involvement of the head nurse in the clinical teaching should be explored further in the future.
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Jaganathan, M., N. H. Zainal, N. Rajaram, T. Soo Hwang, and M. Y. Abdul Wahab. "The Feasibility and Performance of the Patient Navigation Programme in Improving Breast Cancer Care in Malaysia." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 95s. http://dx.doi.org/10.1200/jgo.18.59500.
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Background: Breast cancer is the most common cancer in Malaysia and it is anticipated that incidence will increase by 49% from 2012 to 2025. Unfortunately, survival remains poor because of late presentation and poor adherence to evidence-based medicine. Barriers to early presentation include inadequate knowledge about the disease, financial issues, negative influence of relatives and perceived poor quality of care and services in state-run hospitals. Poor adherence to treatment is also a common struggle, and is further exacerbated by the use of traditional, alternative healing methods. While patient navigation (PN) programs have been shown to improve breast cancer outcomes in the US, its implementation and performance in low and middle income countries is not well studied. Aim: We sought to determine the impact of a PN program in reducing treatment delays and improving adherence to treatment and patient satisfaction, as well as to evaluate the barriers faced by women seeking breast cancer care in Malaysia. Methods: We established a nurse-led patient navigation center at a secondary government hospital in Klang. This clinical team involved the surgery, pathology, radiology and nursing departments and provided patient-centered care, including patient tracking and call reminder systems, family counseling, health education and decision aids. The community team involved a Patient Navigator Program Coordinator and a Community Navigator. We compared treatment delays and adherence to treatment between navigated patients and patients registered in the year prior to the PN program. We used Student t-tests and Pearson χ2 or Fisher's Exact tests to compare timeliness between navigated patients and patients registered in the year prior. Results: Of the 136 Malaysian women enrolled in the PNP in 2015, 48.9% were diagnosed with advanced disease (stage 3 or 4). Women with advance disease had a lower median monthly household income compared with women with early disease (USD $350 vs $540, P = 0.023). Women with advance disease were also less likely to have personal transportation to the hospital (36.4% vs 56.5%, P = 0.048). Compared with the year before PN, more navigated patients underwent mammography within 7 days of their first visit (96.4% vs 74.4%, P < 0.001) and received their diagnosis within 14 days of their first visit (80.0% vs 58.5%, P < 0.001). The proportion of women who met timeliness to treatment initiation was similar for navigated patients and patients in the year prior. The proportion of defaulters were marginally lesser among navigated patients compared with the year prior (4.4% vs 11.5%, P = 0.048). Conclusion: We found that integrating PN within a breast clinic of a middle income country is feasible, and in the long run, could improve outcomes for breast cancer patients. Long-term follow-up is needed to assess the impact of the PN program on improving treatment completion and survival.
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Wan Ismail, Wan Marina, Norhaini Majid, and Ariani Fatmawati. "Nurses’ Attitudes and Preferences towards usage of Electronic Medical Records." Environment-Behaviour Proceedings Journal 7, no. 21 (September 30, 2022): 481–87. http://dx.doi.org/10.21834/ebpj.v7i21.3579.
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Electronic Medical records document the treatment plan and patient care. This study intends to identify trained nurses' reception toward using EMR in the wards. A non-experimental cross-sectional survey covered the multi-discipline area. A stratified random sampling method in which the population in this research consisted of n= 138 trained nurses. Results found that the trained nurses tended to document the data at the nurse's station compared to the bedside entry. It's also shown that the demographics variable significantly correlated with attitude domains. Hence with the research results, it is envisaged to benefit the nurses and organization and hopefully can become the catalyst for the Ministry of Health in further improving and elevating the system throughout all hospitals in Malaysia. Keywords: Attitude, Electronic medical record, Nurses, Preferences eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v7i21.3579
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Ling, Kui Siang, and Azlina Yusuf. "Work-Related Stress and Turnover Intention during Covid-19 among Nurses in Hospital Universiti Sains Malaysia." Asian Journal of Medicine and Biomedicine 6, S1 (November 12, 2022): 119–20. http://dx.doi.org/10.37231/ajmb.2022.6.s1.554.
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The outbreak of COVID-19 had significantly impacted the healthcare system, placing it under tremendous strain. Nurses were shown to have suffered the impact of the pandemic, suggested traumatization and estimated a mass turnover intention among nurses globally due to the pandemic [1]. The objective of this cross-sectional study is to assess the prevalence of work-related stress and turnover intention among nurses in the Hospital Universiti Sains Malaysia (Hospital USM). This hospital is a teaching hospital with 830 beds that offers various specialties recognized as Hybrid COVID Hospital in managing patients.
This study utilized multi-stage sampling. The population was stratified into three strata which were, Medical-Surgical wards, Specialty wards (Pediatric, Obstetrics and Gynecology), and Critical Care wards. Next, the wards were selected through a simple random method. The nurses from the selected wards who follow inclusion criteria; nurses with grade U29 or U32 (KUP) with at least one year of working experience [2] were invited to join the study. A total of 365 nurses participated in this study by answering a self-administered questionnaire through Google Forms sent to them. The questionnaire included three parts; Part A sociodemographic data, Part B Nurse Stress Index (NSI) with scoring ranging from 30-150 and Part C Turnover Intention Scale (TIS-6) with a scoring of 9-18[3]. The NSI is categorized into four categories: 30-60= no pressure, 61-90= very little pressure, 91-120= moderate pressure and 121-150=extreme pressure[3]. As for TIS-6, a score <18 indicates a desire to stay whereas ≥18 indicates a desire to leave [3].
The collected data were analyzed using SPSS version 26.0. Sociodemographic characteristics, the prevalence of work-related stress and turnover intention were analyzed descriptively. Pearson correlation test was used to analyze the correlation between work-related stress and turnover intention. Nearly half of the nurses experienced little (40.8%) to moderate (42.5%) level of work-related stress however 73.3% of the nurses reported that they did not have the intention to leave (Table 1 and Table 2). The mean score of work-related stress and turnover intention showed that the nurses were in a moderate level of stress (90.78), with low turnover intention (16.42). Next, the findings showed a significant and positive correlation between work-related stress and turnover intention (r= 0.559, p< 0.001) (Table 3).
This study found that work-related stress was significant among nurses although the data were collected towards the end of the pandemic approaching endemic phase. This could be explained by the uncertainty of the disease which was among the factors that could contribute to stress among frontliners [4]. Although the stress level is significant, the nurses in this study have low intention to leave. This could be possibly due to the job security working in government sector as this study was done in a semi-government hospital where the nurses receives benefits and securities such as salary remuneration and pension scheme[5]. Findings of the study shows a positive correlation between work-related stress and turnover intention. It is known that prolonged stress causes negative impact towards the physical and mental health of nurses, subsequently being the contributing factor towards turnover intention[6].
Nevertheless, this study implies that healthcare personnel should be alert regarding the issues and consequences related to work-related stress and turnover intention. Appropriate strategies or recommendations should be done to improve nurses’ satisfaction and addressing issues related that surround the nursing practice environment to improve the quality of work life among nurses and thus, improve the quality of care delivered and patient safety, thus retaining highly skilled nurses.
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Chong, Agnes Shu Sze, Ahmad Mahadir, Alias Hamidah, Iqbal Hussain Rizuana, Lateh Afifi, and Caryn Mei Hsien Chan. "Exploring the beliefs of caregivers about the caregiving experiences of children with acute lymphoblastic leukemia in Malaysia." Belitung Nursing Journal 8, no. 3 (June 28, 2022): 204–12. http://dx.doi.org/10.33546/bnj.2083.
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Background: Cancer is one of the major leading causes of childhood death, and the most common type is acute lymphoblastic leukemia. The survival rate has increased in recent years; however, the long patient trajectory may trigger psychological distress among caregivers as they play an active role in ensuring that the child’s basic needs are met. Being in a patient-focused system, the needs of caregivers may be neglected. Objective: This study aimed to explore the caregivers' beliefs on children with acute lymphoblastic leukemia caregiving experiences in order to promote their well-being. Methods: Caregivers from thirteen families of children with acute lymphoblastic leukemia participated in this phenomenological study. NVivo 12 was used for the thematic analysis of the data. Consolidated criteria for reporting qualitative research (COREQ) were used in this study. Results: Overall, five main themes for caregivers’ beliefs were identified from their responses: 1) dietary intake with emphasis on its importance in aiding recovery and its potential influence on cancer complications, 2) childcare which emphasized the need to be strong and self-sacrifice, 3) treatment which reflected the use of home or natural remedies and caregivers’ negative perception towards chemotherapy, 4) causes of cancer believed to be linked to early childcare choices on food, beverage, and stress imposed on the child, and 5) source of beliefs that included doctors, online platforms, personal encounters and information on food labels. Conclusion: Caregivers’ beliefs are varied and nuanced, formed in a multicultural social background of Malaysia. These findings provide knowledge for future supportive cancer care for patients, their caregivers, and the treatment outcome in the Malaysian context. Nurses, who play an essential role between healthcare professionals and patients and/or their caregivers, can be empowered to provide psychological support, early detection of psychological distress, and exploration of caregiver beliefs, given that the number of clinical psychologists in Malaysia is lacking, and there is greater preference for care to be provided by doctors or nurses.
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Paneerselvam, Aletha, Nurul Izzah Abdul Samad, Norliza Hussin, and Nurul Ainun Hamzah. "The Overview of Job Stress and Patient Safety Culture among Nurses in the East Coast Teaching Hospital, Malaysia." Asian Journal of Medicine and Biomedicine 6, S1 (November 4, 2022): 37–38. http://dx.doi.org/10.37231/ajmb.2022.6.s1.517.
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Patient safety is attributed to the responsibility of each component that exists in the healthcare system in an organization. Accidents may happen based on as a result of lack of attention, mistaken perception, or improper cognition or attention such as distraction [1]. Nurses are considered to carry high job stress, and low sleep quality problems due to uneven working shifts compared to other occupations [2]. Nurses are often associated with overwhelming workloads and busy schedules, and this situation could compromise their work performance and patient safety [3].
This study aims to determine the prevalence of job stress and the patient safety culture among the nurses in the East Coast Teaching Hospital, Malaysia. There were 188 nurses who were randomly selected and agreed to participate in this study. The assessment was conducted using validated questionnaires, comprised of Expanded Nursing Stress Scales and Safety Attitude Questionnaire. The data were analyzed using descriptive analysis and Pearson’s correlation test.
The study showed that 61.5% of the respondents suffered mild job stress, while 1.4% experienced severe job stress (Table 1). More than half of the respondents (74.1%) gave negative responses towards patient safety culture at their workplace showing their low awareness on patient safety culture (Table 2). Stress recognition factor (80.4%) was reported as the main factor for the negative response on patient safety culture among respondents. There was a significant inverse linear relationship between job stress and patient safety culture (r=-0.338, p<0.001).
The result revealed that the majority of the nurses enrolled in this study experienced unsatisfactory patient safety culture levels. Most of the respondents expressed appreciation for their job, however, several other domains received less positive responses. The overall patient safety culture can be improved by providing measures to correspond with the stress factors experience by the nurses.
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Ahmed, Selim, Noor Hazilah Abd Manaf, and Rafikul Islam. "Measuring quality performance between public and private hospitals in Malaysia." International Journal of Quality and Service Sciences 9, no. 2 (June 19, 2017): 218–28. http://dx.doi.org/10.1108/ijqss-02-2017-0015.
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Purpose This study aims to measure quality performance of the Malaysian hospitals based on eight items, namely, progress of quality management, medical service cost, reduce errors in medical services, patient waiting time, reduce waste in processes, patient complaint, employee job satisfaction and patient satisfaction. Mainly, it identifies difference or conformance between public and private hospitals on quality performance. Design/methodology/approach This study distributed 1,007 self-administered survey questionnaires to the hospital staff (i.e. doctors, nurses, pharmacists and medical laboratory technologists), resulting in 438 useful responses (43.5 per cent response rate). Research data were analysed based on descriptive analysis and independent samples’ t-tests using SPSS version 23. Findings The findings of this study indicate that there are significant differences between public and private hospital staff on progress of quality improvement process, patient satisfaction and cost of the medical services. Private hospital staff believed that their hospital’s quality management process and patient satisfaction has been improved over the past years compared to public hospital. However, private hospital staff does not perceive their medical service cost has been reduced over the past years compared to public hospital. Research limitations/implications This research focused solely on quality performance of the Malaysian health sector and, thus, the results might not be applicable to other countries. Originality/value Present research findings provide guidelines for enhancing quality performance in Malaysian public and private healthcare sectors and other countries.
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Chew, Chii-Chii, Arvinder-Singh HS, Nor Ros Hanidah Abd Manak, Nurmunirah Azlan, Akthirah Baina Raida Haron, Sabariah Husin, Suzila Abdullah, et al. "Medication administration errors reporting by Neonatal Intensive Care Nurses in Malaysia: A nationwide study." Malaysian Journal of Paediatrics and Child Health 28, no. 2 (December 4, 2022): 5–12. http://dx.doi.org/10.51407/mjpch.v28i2.179.
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Aim: To determine the willingness and barriers of Neonatal Intensive Care Unit (NICU)-based nurses in Malaysian hospitals in reporting medication errors. Background: Reporting incidents is important in improving patients’ safety and developing a healthy culture of learning from mistakes. Method: Three self-developed scenarios, ranging from mild, moderate to severe medication administration errors, were used to identify nurses’ willingness to report an error. A validated questionnaire assessing barriers to reporting errors was adapted. The sample size calculated was 139. All 22 NICUs in government-funded hospitals were approached. Nurses were randomly recruited and given a URL to access the online questionnaire. Results: Of 182 nurses from 15 hospitals who participated, 91.2% (n=166) were willing to report medication errors and patient safety was the main concern to report it. Among the nurses (n=16, 8.8%) who chose not to report medication errors, they were worried about getting into trouble (87.5%), information being shared with managers (56.3%), disciplinary actions and medico-legal issues (50.0%). Conclusion: Most NICU nurses were willing to report a medication error, and the barriers to the minority of them not reporting should be given attention. Implications: Reassurance by the managers for not penalizing the nurses who report an error should be emphasized in the incident reporting policy.
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Islam, T., S. Musthaffa, S. M. Hoong, F. Harun, A. Hassan, S. Jamaris, N. Abdullah Din, et al. "Effectiveness of Breast Care Nurse Led Video Orientation Programme on Information and Navigation for Newly Diagnosed Breast Cancer Patients at University Malaya Medical Center, Malaysia." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 110s. http://dx.doi.org/10.1200/jgo.18.60500.
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Background: Advancement in medical treatment with wider treatment options have made breast cancer (BC) care more complex. Short consultation time with physicians, treatment complexities, patients' fears and poor coping skills at the time of diagnosis may affect patient´s decision that cause treatment delays and nonadherence. Main reasons for advance BC presentation in Malaysia are delay in taking treatment decision and poor breast health literacy on disease and treatment outcomes may contribute to nonadherence to treatments. To address this knowledge gap, a breast care nurse (BCN) led orientation video for new patients to navigate them through complex multimodal treatment processes. This audio-visual educational tool address multimodal treatments and its side effects and in addition navigating admission, discharge and follow-up, advice on diet and exercise to maintain a healthy life style during survivorship period was developed in layperson language in Malay, Mandarin and English. Aim: To assess the effectiveness of BCN led video orientation on the improvement of patient knowledge and satisfaction. Methods: A pilot study was carried out in 50 patients to assess the effectiveness of the video, and found that patients needed a face to face interaction to watch the video. Hence, a BCN led orientation was developed to use the video. A self-administered pre- and postsurvey on 246 newly diagnosed breast cancer patients in University Malaya Medical Center (UMMC) was performed to evaluate expectations, satisfactions and knowledge (a Likert scale response using items 4 number scale was used, 0 means “no knowledge” and 4 means “a great degree of knowledge”). The scoring was done before and after the video orientation was done. A Wilcoxon matched-paired signed-rank test was perform to analyze the changes in the scoring. Results: Among 247 patients, who received the BCN led video orientation program, 79.3% (n= 197) found that the video met or exceeded their expectations. 23.9% (n=59) and 56.3% (139) consecutively found the video very effective and effective in broadening their perspective on BC treatments. And 171 (69.2%) of them overall rated the video highly met their expectations. There were significant improvement in knowledge for treatment options for BC, mean scores (M=0.93 versus M=2.97) before and after watching the video ( P < 0.001). Similar findings were found in different types of operation for BC; procedure for admission in UMMC, information on chemotherapy; radiotherapy; hormone therapy and alternative medicine for BC. It also showed improved knowledge scores for healthy diet; physical activity after treatments and care of the arm after operation ( P < 0.001). Conclusion: Video-based information on treatments and navigating care through a BCN led service had effectively improved patients' knowledge and satisfaction. This approach can be used to educate cancer patients in a middle resource setting.
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Ruslan, Rusila, Sanisah Saidi, and Mohd Said Nurumal. "“Hear Me Out, Please…”: The Experience of the Novice Critical Care Nurse When Embarking in the Critical Care Areas." INTERNATIONAL JOURNAL OF CARE SCHOLARS 5, no. 2 (July 31, 2022): 118–25. http://dx.doi.org/10.31436/ijcs.v5i2.116.
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Introduction: The readiness of novice critical care nurses (NCCN) to perform efficiently has been doubted globally. Studies have reported that novice nurses have issues with their confidence and competence in handling critical patients in ICU. Their lack of confidence and competence may promote more harm to the patient’s condition study aim is to explore the experience of novice critical care nurses when embarking in critical care areas.Methods: This study was carried out using a general qualitative design. Data were collected through an in-depth interview in exploring NCCN experiences, challenges, and needs while working in the critical care setting. They were recruited from a teaching hospital located in East Coast Malaysia. Data were organised and analysed manually using the thematic analysis approach. Finding: A total of 20 participants was recruited for the study. The majority of the participants are Malay, female, and graduated with Diploma in Nursing from Malaysia. The study reported three main themes; (1) Handling complex patients (2) Familiarised with the equipment and environment, and (3) Mixed feelings during the transition. Themes revealed in the study have proposed that NCCN is eager for support when embarking in the areas.Conclusion: Acknowledge the struggle faced by the NCCN may seem small to others. But it can free up some space in their mind to continue the growth expected and needed from them. Therefore, it could be beneficial to the health setting and patients’ care.
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Syed Mokhtar, Sharifah Mardhiah, Ashikin Atan, and Lee Siew Pien. "Patient Involvement in Decision-Making of Nursing Care from the Nurses’ Perspectives." JULY ISSUE 18, no. 4 (July 1, 2022): 156–62. http://dx.doi.org/10.47836//mjmhs18.4.22.
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Introduction: High-quality care renders patients to be fully informed and involved in the decision-making process. A literature review also reveals that the involvement of patients in healthcare has been associated with improved clinical outcomes. However, it rarely happens as several studies demonstrated that patient involvement in decision-making is lacking worldwide. Hence, health professionals, especially nurses, play an important role in patient involvement in decision-making as they are mostly engaged with patients during the care plan. This study aimed to assess the nurses’ perceptions and their role on patient involvement in nursing care decision-making. Method: A cross-sectional descriptive study was conducted at one of the university hospitals in Malaysia. About 105 nurses from 3 major departments (internal medicine, general surgery, and orthopaedic) were involved in this study. The data were analysed using IBM SPSS Statistics version 25. Results: The result showed that most of the nurses agree their patient involvement in decision-making relates to their encouragement to participate as well as having opportunity and enough information to participate. However, many of the nurses believe that they have to decide for their patients. Besides, a significant association between nurses’ years of service and their perception of patient’s involvement in decision-making (p = 0.01) was noted. Similarly, there is a significant association between the nurses’ department and their preferred role with p-value of 0.001 (p < 0.05). Conclusion: This study indicates the need to further improve nurses’ awareness of the importance and benefits of patient involvement in decisions related to their nursing care.
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Hafidzah Halim, Faiqah, Nor Aimuni Md Rashid, Nur Farahin Mohd Johari, and Muhammad Amirul Hazim Abdul Rahman. "Decentralized Children's Immunization Record Management System for Private Healthcare in Malaysia Using IPFS and Blockchain." JOIV : International Journal on Informatics Visualization 6, no. 4 (December 31, 2022): 890. http://dx.doi.org/10.30630/joiv.6.4.1264.
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In Malaysia, private healthcare providers keep computerized records of vaccination data, including personal information, diagnostic results, and vaccine prescriptions. However, such sensitive information is commonly stored using a centralized storage paradigm which subsequently brings about the issue of maintaining user privacy. Concerning this, unauthorized access to crucial information such as identity details and ailments that a patient is suffering from, as well as the misuse of patients' data and medical reports, are common threats to user's (patient) privacy. To overcome this problem, the researchers suggest leveraging IPFS (Interplanetary File System) and blockchain technology to create a decentralized children's immunization record management system. While respecting patient privacy, the proposed system also allows authorized entities, such as healthcare professionals, and provides easy access to medical data (e.g., doctors and nurses). The proposed decentralized system integrates IPFS, blockchain, and AES cryptography to ensure consistency, integrity, and accessibility. A permission Ethereum blockchain allows hospitals and patients within private healthcare providers to connect. We utilized a combination of symmetric and asymmetric key encryption to provide secure storage and selective records access. The proposed system was analyzed using Wireshark to evaluate the overall system's performance in terms of integrity and accessibility while sharing patient records. This project aims to provide automated system keeper using autonomous agents collaboratively with the role of blockchain for further enhancement.
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Ismail, Muhamad Al Muizz, Nor Marini Ibrahim, and Muhammad Kamil Che Hasan. "What Do Our Nurses Know about Managing Patient with Permanent Pacemakers?" Jurnal Ners 15, no. 2 (August 19, 2020): 157. http://dx.doi.org/10.20473/jn.v15i2.18925.
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Introduction: The number of patients with pacemaker implant is increasing in the health services sector in Malaysia, which requires nurses to have expertise in patient care with pacemaker implantation. Therefore, this study was conducted to analyse the level of knowledge among nurses regarding the management of patients with pacemaker implantation.Methods: A cross-sectional study was conducted through purposive sampling among all nurses working at the critical care unit, intensive care unit, cardiac rehabilitation ward, investigation clinical laboratory, and non-invasive clinical laboratory in a public hospital in Kelantan. A questionnaire consisted of demographic data and nurses’ knowledge was distributed. Data were analysed for descriptive analysis and using Pearson correlation test.Results: Results from all respondents (n=70), show 48.6 % of the respondents had moderate knowledge about patient management with pacemaker implantation, 32.9 % had a low level of knowledge and only 13.6% had high knowledge regarding management of patient with pacemaker implantation. There is a significant difference between the level of knowledge and demographic data, that is between the level of education (p=0.027), age (p=0.011) and length of service (p=0.015). There is no significant relationship between knowledge and demographic data, such as gender (p=0.481), marital status (p=0.315), and post-basic (p=0.067).Conclusion: Level of knowledge among nurses about the management of patient with pacemaker implantation is low to moderate. Additional education and exposure among nurses are needed to enhance the knowledge of nurses and improve the quality of care among patients with pacemaker implant.
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Komari, Nurul, and Fariastuti Djafar. "Effect of healthcare workers’ personalities on health service quality: A case study of hospitals on the Malaysia-Indonesia border." Problems and Perspectives in Management 21, no. 1 (January 25, 2023): 69–82. http://dx.doi.org/10.21511/ppm.21(1).2023.07.
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The personality of healthcare workers, including doctors, nurses, and any employee who directly provide supportive services to a patient, is vital in health service quality, contributing to the hospital’s brand image. Malaysia has successfully built that brand image attracting many Indonesians to have health treatment in this country. This study aims to examine the effect of healthcare workers’ personalities on health service quality at Malaysian hospitals. The study adopted the Big Five Traits and SERVQUAL models to measure healthcare workers’ personalities and health service quality. One hundred respondents from the families in West Kalimantan, Indonesia, who had health treatment in Malaysia, were selected to respond to the statements based on a Likert scale. The regression model was employed in data analysis in which the healthcare worker’s personality was an independent variable, and health service quality was a dependent variable. The regression test results show that agreeableness and emotional stability positively and significantly influenced health service quality at the 5% level, with each coefficient of 0.332 and 0.701. Due to less varied responses, conscientiousness, extraversion, and openness to experience did not significantly influence health service quality. That was supported by the high average index of health workers’ personalities (4.14) and hospital services (4.27), indicating that the respondents agreed with healthcare workers’ excellent personalities and health service quality in Malaysia. Each indicator in healthcare workers’ personalities also significantly correlated with each indicator in health service quality. Acknowledgment The authors thank the Faculty of Economics and Business, Tanjungpura University, for funding this study.
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Khairuddin, Nurul Nadzirah, and Salmi Ab Aziz. "Relative Caregivers’ Satisfaction towards Nursing Care of Neuro Patients in Hospital Universiti Sains Malaysia (USM)." Asian Journal of Medicine and Biomedicine 6, S1 (November 10, 2022): 197–200. http://dx.doi.org/10.37231/ajmb.2022.6.s1.585.
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Over the past decade, the provision of medical care had received increased attention in the general critical care community [1]. In the neurointensive care unit (neuro ICU), it is important to build a good rapport with their family member as the patient unable to decide for themselves. Assessing relative satisfaction level toward nursing care of neuro patients provides a way to determine whether the nursing care goals were attained. Directly measuring this in patients in the neuro ICU is difficult because of their clinical status. Thus, relative (surrogate) satisfaction is used as a proxy measure [3].
The satisfaction survey, Family Satisfaction-ICU (FS-ICU), has been thoroughly validated in the general critical care population [2]. The survey has been used in many countries which helped in improving the satisfaction of care of the relative caregivers with nursing care [4]. The assessment of the level of satisfaction among relative caregivers towards nursing care is important to enhance the decision-making for the patients. The current study aimed to assess the level of satisfaction among relative caregivers towards nursing care of neuro patients and to determine the relationship between the satisfaction among relative caregivers towards nursing care and decision-making related to patient care in neuro ICU, Hospital USM.
The study was conducted in the neuro ICU ward, Hospital USM. A cross-sectional study was conducted among 80 respondents using the Malay version of the Family Satisfaction Intensive Care Unit (FS-ICU) questionnaire. The statistical analysis was conducted using descriptive statistics and the Pearson correlation test. There are three items to measure the satisfaction level among relative caregivers towards nursing care which are concern and quality of care toward patients; the service and efforts in meeting their needs; and skills, care, and the atmosphere in the ICU. These items were given the score of 1-5 (very dissatisfied) and 6-10 (very satisfied).
In this study, a total of 80 patients’ relatives were included. The sociodemographic characteristics and the frequency of distribution among participants and their percentage were shown in Table 1. The items for service and effort in meeting their needs (Question 1-6) showed the highest mean score, 9.21 (SD=0.58). Next, the concern and quality of care towards patients (Question 7-12) stated a mean score of 9.20 (SD=0.56), and the items for skills, care, and the atmosphere in the ICU (Question 13-18) stated a mean score of 8.71 (SD=0.71). Taken together, the relative caregivers were satisfied with the treatment and care for the patient. The scores of a single item of the FS-ICU were presented in Table 2. There was a significant correlation between the satisfaction level among relative caregivers towards nursing care and decision-making related to patient care in the neuro ICU, Hospital USM (r = 0.805, p < 0.001) (Table 3).
A previous study reported a significant improvement in client satisfaction scores when a proper education of staff and the development of good strategies for addressing the concerns of family members were applied [5]. Furthermore, the delivery of nursing care was improved by identifying the right communication technique for patients’ care with their relatives [5]. The nurses also created an awareness of good communication with patients’ family members to reduce their anxiety regarding patients’ current progress of treatment [5]. In general, collaboration in deciding has been promoted to incorporate patient and family preferences into the customized treatment plan for an individual [6]. Taken together, a high satisfaction level with the collaboration in decision-making shown in this study might use to enhance the opportunity to improve the satisfaction level among relative caregivers in the ICU.
In conclusion, relative caregivers’ satisfaction has become an important measurement in improving the quality of care for patients in neuro ICU wards. They are expecting the nurses to give the best quality of care to their family members’ despite being unable to express their wishes, lack of knowledge, and fear. Hence, nurses play a major role in understanding the relatives’ concerns and needs in determining the best decision-making for the patients.
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Tan, Ngiap Chuan, Agnes Koong Ying Leng, Ian Phoon Kwong Yun, Sinead Wang Zhen, Muthulakshmi Paulpandi, Yew Kong Lee, John Furler, Josip Car, and Chirk Jenn Ng. "Cultural adaptation of a patient decision-aid for insulin therapy." BMJ Open 10, no. 3 (March 2020): e033791. http://dx.doi.org/10.1136/bmjopen-2019-033791.
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IntroductionPatient decision-aids (PDAs) support patients in selecting evidence-based treatment options. PDA is useful only if the user understands the content to make personalised decisions. Cultural adaptation is a process of adjusting health messages so that the information is accurate, relevant and understandable to users from a different population. A PDA has been developed to assist Malaysian patients with secondary drug failure to initiate insulin therapy to control their type 2 diabetes mellitus (T2DM). Likewise, patients with T2DM in neighbouring Singapore face similar barriers in commencing insulin treatment, which a PDA may facilitate decision-making in selecting personalised therapy.ObjectiveThe study aimed to explore the views and perceptions of Singaporean primary care providers on the Malaysia PDA to initiate insulin therapy and described the cultural adaptation process used in the design and development of a new PDA, which would be trialled in a Singapore primary healthcare institution.MethodQualitative research method was deployed to conduct one-to-one in-depth interviews of the healthcare providers at the trial site (SingHealth Polyclinics—SHP), including six primary care physicians and four nurses to gather their views and feedbacks on the Malaysian PDA. The interviews were transcribed, audited and analysed (standard content analysis) to identify themes relating to the content, layout, concerns of the original PDA and suggestions to the design of the new SHP PDA.ResultsCultural adaptation of the new PDA includes change to the overall design, graphics (including pictograms), presentation styles, additional contextualised content (personalisation, subheadings, cost and treatment option), modified phrasing of the subtitles and concerns (choice of words) relevant to the new users.ConclusionA PDA on insulin therapy underwent cultural adaptation before its implementation in another population in a neighbouring country. Its relevance and effectiveness will be evaluated in future research.
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Ludin, Salizar Mohamed, and Nur Arina Arsyad. "The Clinical Learning Environment of Intensive Care Unit as Perceived by International Islamic University Malaysia (IIUM) Undergraduate Nursing Students." INTERNATIONAL JOURNAL OF CARE SCHOLARS 4, no. 1 (January 31, 2021): 29–35. http://dx.doi.org/10.31436/ijcs.v4i1.165.
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Background: Clinical learning environment (CLE) is an environment in which any person who could influence the care of a patient learns. The CLE affects the effectiveness of clinical practicum that is a significant part of the nursing curriculum. However, there are limited studies that focus on the CLE of the Intensive Care Unit (ICU). Objectives: To assess the nursing students’ perception of the clinical learning environment of ICU, and to determine the associated socio-demographic characteristic with the clinical learning environment of ICU. Methods: A cross-sectional study was conducted via purposive sampling at Kulliyyah of Nursing, IIUM Kuantan. The Adopted Students Evaluation of Clinical Education Environment (SECEE) version 3 questionnaire was used to assess the students’ perception of CLE of ICU within three subscales (instructor facilitation of learning (IFL), preceptor/staff nurse facilitation of learning (PFL) and learning opportunities (LO)). Results: A total of 141 nursing students participated in this study. Based on the mean score, the students have a positive perception of the CLE of ICU (79.41%). The subscale IFL was the most positively perceived (84.44%) followed by subscale LO (77.49%) and subscale PFL (75.64%). There was a significant difference seen for subscale LO between gender (p-value=0.008), male students gave a higher score compared to the female student. A significant mean difference was also found for subscale IFL between years of study (p-value=0.002), suggesting that the senior student had a more positive score compared to their junior. No association was found between students’ age and duration of clinical practicum in ICU with the CLE score. Conclusion: The nursing students’ perception of the CLE of ICU is positive. However, the score for subscale PFL is the lowest compared to another subscale. Hence, the nursing faculty should work together with the ward management to enhance the role and engagement of staff nurses in students learning. By doing this, the CLE of ICU will get better and eventually improve the clinical learning outcome.
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Jarrar, Mu'taman Khalil, Hamzah Abdul Rahman, Abdulaziz M. Sebiany, Mahdi S. AbuMadini, Hj Masnawaty S, and Christopher Amalraj. "Nursing Duty Hours’ Length and the Perceived Outcomes of Care." Global Journal of Health Science 10, no. 4 (February 26, 2018): 1. http://dx.doi.org/10.5539/gjhs.v10n4p1.
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BACKGROUND & OBJECTIVE: Working long shifts are associated with fatigue, medical errors and poor outcomes of care. However, there is a lack of guide that can provide policy-makers the optimal duty length in the Malaysian hospitals. The study aims to investigate the impact of nursing duty hours’ length on the quality and safety of care delivered in the “Medical-Surgical Wards” in Malaysia.METHOD: Cross-sectional study was carried out on 12 private hospitals. Data was collected, through questionnaires, from 652 nurses (61.8 % response rate). Stratified random sampling was used in the study. Regression analyses were conducted to explore the impact of the nursing duty hours’ length on the care quality and safety.FINDINGS: The length of nurses’ duty hours is not significantly affecting care quality (F = 1.27 and P value = 0.28) and patient safety (F = 1.81 and P value = 0.13), at p<0.05 significance level.CONCLUSION: Nurse working in hospitals with 10-hours night shift had perceived poor quality (B=-0.11, t=-1.64, p=0.10); and unsafe care (B=-0.17, t=-2.40, p=0.02). Policy makers in Malaysian hospitals can benefit from the study by restructuring duty hours’ length in their hospital.
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Baharudin, Ayuni Asma', and Mohd Said Nurumal. "An Intensive Care Nurse Narrative of Spiritual Care During COVID-19." INTERNATIONAL JOURNAL OF CARE SCHOLARS 5, no. 2 (July 31, 2022): 112–17. http://dx.doi.org/10.31436/ijcs.v5i2.259.
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Introduction: The intensive care management during the pandemic of COVID-19 is highly critical. The provision of spiritual care to the patients and their family members is important but challenging to be accomplished during this time. This article attempts to provide a view of an intensive care nurse’s experience of spiritual care during the COVID-19 pandemic.Methods: Interview was conducted with a nurse who worked in an intensive care unit (ICU) of a tertiary government hospital in Malaysia. It is a part of a larger qualitative study investigating the perceptions of ICU clinicians in providing spiritual care in the ICU. A thematic analysis was utilized in identifying emergent themes that would be significant in context of intensive care COVID-19 management. Results: There were two emergent themes that were identified from the nurse’s reflection – Keeping faith, and Blessed outcomes.Conclusion: This reflective account of a nurse providing spiritual care in the ICU may give insights for a better COVID-19 management. Further research is needed to explore the use of reflective practice in the spiritual care education and training. Further studies should also include the experience of the patients, the families as well as the professionals in the ICU to develop a concise model of spirituality and spiritual care in the ICU context, particularly during the pandemic of COVID-19.
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Ismail, Leena, Norimah Ishak, and Normah Othman. "Malaysian Civilian Nurses in Military Hospitals." Malaysian Journal of Social Sciences and Humanities (MJSSH) 7, no. 3 (March 10, 2022): e001402. http://dx.doi.org/10.47405/mjssh.v7i3.1402.
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A job satisfaction study among civilian nurses was conducted in 3 Military Hospitals in Malaysia. A Participant convenient sample of n=172 was selected for statistical analysis and the response rate was 63.7 %. Responsibility, Staff Relation, Opportunity to Develop and Patient Care were domains identified that had high level of job satisfaction. Staff Relation domain was significant with the highest P- value among demographic data. The dataset was not distributed normally as the distribution was skewed left. The findings of the study revealed that there was significant positive relationship that showed general satisfaction among the domains. From the study it could be concluded that there was the influence of general satisfaction with all the reviewed elements. There was correlation with each other by 45% as indicated by the R2 value in the regression test.
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Nurumal, Mohd Said, Najwatul Madihah Sabran, Siti Hazariah Abdul Hamid, and Muhammad Kamil Che Hasan. "Nurses’ Awareness on Patient Safety Culture in A Newly Established University Hospital." Jurnal Keperawatan Indonesia 23, no. 2 (July 30, 2020): 119–27. http://dx.doi.org/10.7454/jki.v23i2.1088.
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As a vital part of patient care delivery, patient safety culture contributes to the quality of care provided by nurses. Safe patient care is positively linked to the attitudes of nurses. This study aimed to assess the perception of nurses working in a newly established teaching hospital. A cross-sectional study involving 194 nurses from three different units was conducted by using a 24-item Hospital Survey of Patient Safety Culture. Data on gender, working unit, age, years of working, and attendance in workshops on patient safety were also collected. The majority of the nurses had a positive total score of patient safety culture. The lowest score was 76 (63%), and the highest score was 120 (96%). The awareness on patient safety culture significantly differed between gender, years of working, and working units. Post-hoc comparisons using Tukey’s HSD test yielded a significant difference between nurses from critical care units and those from medical and surgical units. The mean score and total positive score on awareness on patient safety culture of the former were higher than those of the latter. Overall, the majority of the staff nurses in International Islamic University Malaysia Medical Center had a positive total score on awareness on patient safety culture. Awareness on patient safety, which is considered crucial worldwide, should be enhanced to influence the development of a positive patient safety culture within hospitals. This implementation would directly develop high-quality care to patients and positively impact health organizations.Abstrak Kesadaran Perawat terhadap Budaya Keselamatan Pasien di Rumah Sakit Universitas yang Baru Dibangun. Sebagai bagian penting dari pemberian perawatan pasien, budaya keselamatan pasien berkontribusi pada kualitas perawatan yang diberikan oleh perawat. Perawatan pasien yang aman secara positif terkait dengan sikap perawat. Penelitian ini bertujuan untuk menilai persepsi perawat yang bekerja di rumah sakit pendidikan yang baru dibangun. Sebuah studi cross-sectional yang melibatkan 194 perawat dari tiga unit yang berbeda dilakukan dengan menggunakan Survei Rumah Sakit Budaya Keselamatan Pasien. Data tentang jenis kelamin, unit kerja, usia, tahun kerja, dan kehadiran dalam lokakarya tentang keselamatan pasien juga dikumpulkan. Mayoritas perawat memiliki skor total positif dari budaya keselamatan pasien. Skor terendah adalah 76 (63%), dan skor tertinggi adalah 120 (96%). Kesadaran tentang budaya keselamatan pasien berbeda secara signifikan antara jenis kelamin, tahun kerja, dan unit kerja. Perbandingan post-hoc menggunakan uji HSD Tukey menghasilkan perbedaan yang signifikan antara perawat dari unit perawatan kritis dan mereka dari unit medis dan bedah. Skor rata-rata dan skor total positif pada kesadaran tentang budaya keselamatan pasien dari yang pertama lebih tinggi daripada yang terakhir. Secara keseluruhan, mayoritas staf perawat di International Islamic University Malaysia Medical Center memiliki skor total positif pada kesadaran tentang budaya keselamatan pasien. Kesadaran akan keselamatan pasien, yang dianggap penting di seluruh dunia, harus ditingkatkan untuk memengaruhi perkembangan budaya keselamatan pasien yang positif di rumah sakit. Implementasi ini secara langsung akan mengembangkan perawatan berkualitas tinggi kepada pasien dan berdampak positif bagi organisasi kesehatan.Kata Kunci: budaya, perawat, keselamatan pasien, rumah sakit
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Katherason, Supaletchimi Gopal, Lin Naing, Kamarudin Jaalam, Nik Abdullah Nik Mohamad, Kavita Bhojwani, Najah Dato' Seri Hj Harussani, and Asma Ismail. "Hand decontamination practices and the appropriate use of gloves in two adult intensive care units in Malaysia." Journal of Infection in Developing Countries 4, no. 02 (December 28, 2009): 118–23. http://dx.doi.org/10.3855/jidc.593.
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Background: Hand decontamination is a critical infection control practice in the prevention of nosocomial infection. This study was conducted to observe the hand hygiene practices of nurses and doctors in two intensive care units (ICUs) in Malaysia. Methodology: Staff members were observed during patient contacts, and their hand washing techniques and hand hygiene practices were monitored. Five contact periods were observed for staff members while they cared for their assigned patients. Hand hygiene practices before and after patient contacts were categorized as clean uncontaminated, clean recontaminated, new gloves, and unchanged contaminated gloves. Compliance to hand-washing steps and time taken for hand washing were analyzed. Appropriate use of gloves based on CDC criteria also was assessed. Results: Compliance to hand hygiene practices was 70% before each patient contact. Staff members did not completely adhere to the hand-washing steps. The average time taken to wash hands was 20 seconds, and the necessary steps (rubbing palm over dorsum; rubbing fingers interlaced, and rotational rubbing of thumbs) were practiced minimally by all staff. Hand washing protocol was generally followed by all staff (100%). Alcohol hand rubs were available but were used moderately (60%); when used, staff members did not wait for the alcohol to dry. Only 4% of staff changed contaminated gloves between patients. Conclusions: Hand hygiene compliance by ICU staff members needs to be improved. Improving adherence to correct hand hygiene techniques will require effective education programs and behavioral modification techniques. Moreover, hand hygiene guidelines must be incorporated into new staff orientation programs and the continuing education curriculum in the two hospitals studied.
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Alias, Anati Liyana, and Salizar Mohamed Ludin. "Knowledge, Attitudes and Practice of Nurses in Assessing Patients using Early Warning Sign (EWS) Scoring in a teaching hospital in Kuantan Pahang, Malaysia." INTERNATIONAL JOURNAL OF CARE SCHOLARS 4, Supp1 (December 9, 2021): 48–57. http://dx.doi.org/10.31436/ijcs.v4isupp1.218.
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Introduction: Early Warning Sign (EWS) is a tool made up of vital signs chart and scoring to detect any changes in patient so that immediate and appropriate care can be further determined and provided. The objectives of the study are to assess the level of knowledge, attitudes, and practice of nurses in assessing patient using EWS scoring and to identify association between socio-demographic with knowledge, attitudes, and practice, as well as to determine the associations between knowledge with attitudes, attitudes with practice and knowledge of nurses in assessing patient using EWS scoring. Methods: A quantitative cross- sectional study with convenience sampling study was conducted on 132 nurses from medical, surgical and orthopedics wards in Sultan Ahmad Shah Medical Centre (SASMEC) from November 2020 until January 2021. Printed questionnaires were distributed to the nurses in English language. The questionnaire consisted of two parts. Part A was about socio-demographic data (area and on years of nursing practice, & service, area of practice, educational level, as well as whether holding post-basic/ advance course certificate, attending life support training and ICU outreach participant). Part B was about knowledge, attitudes, and practices of EWS. Data analysis was interpreted in descriptive and inferential analysis using Statistical Package for the Social Sciences (SPSS) version 20.0. Results: A total of 108 respondents involved in the study represents 82% response rate. Majority of respondents scored low in knowledge questions with grade F (n=106, 98.3%). One respondent scored grade D, correctly answering 8 over 13 questions (62%). Only one respondent obtained grade B with 85% score. Based on the result, there are more participants (n=58, 53.7%) achieving good attitudes while respondents with poor attitudes were (n=50, 46.3%). Moreover, 59 respondents (54.6%) have higher practice level than mean score, indicating good EWS practice. The remaining 49 respondents (45.4%) scored below the mean score cut off point indicating poor practice. The mean values are different depending on working areas in terms of attitudes and practice. The association between attitudes and practice (r= 0.641, p-value<0.01) is confirmed having a positive and strong correlation. Conclusion: The study revealed that despite having poor knowledge on EWS, the nurses have demonstrated good attitudes and practice in detecting patients’ progressive deteriorating conditions; thus, confirming that there are associations in area of practice with attitudes and practice. The results also shows that there is a significant difference between attitudes and practice of nurses in assessing patient using EWS with (p- value< 0.05).
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Yong, C. J., L. L. Hong, K. Y. Lee, I. Krishnasamy, N. H. Binti Nasir, P. Gravitt, Y. K. Lee, and Y. L. Woo. "Healthcare Providers´ Views on Cervical Screening: A Qualitative Study of Barriers to Cervical Screening in Malaysia." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 214s. http://dx.doi.org/10.1200/jgo.18.86300.
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Background: Cervical cancer is the third most common cancer affecting Malaysian women despite being highly preventable through screening. A national cervical cancer screening program has been established since 1969 to ensure early detection of cervical cancer. Nonetheless, the prevalence of cervical cancer in Malaysia remains high. Malaysia has been offering Pap tests for free in community health clinics since 1995, however only 47.3% of women have been screened. It has also been reported that nearly 40% of patients with cervical cancer presented at advanced stages of the disease. Government community healthcare professionals are the main stakeholders in the national cervical screening program. Therefore, understanding these healthcare professionals’ perspective of barriers associated with underutilization of cervical cancer screening is key to increase overall screening uptake. Aim: This study aimed to explore healthcare professionals’ views on perceived barriers to cervical screening in Malaysia. Methods: Qualitative in-depth semistructured interviews were carried out with 44 primary healthcare professionals consisting of family medicine specialists (N = 5), medical officers (N = 9), matrons and nurses (N = 20), laboratory technician (N = 5), registration staff and IT technicians (N = 5) involved in the cervical screening program at 5 different urban government healthcare clinics in Petaling district. The interviews were transcribed verbatim and analyzed using a thematic analysis approach. Results: Themes emerged were individual and system barriers. Individual barriers include knowledge/risk perception (lack of knowledge and awareness of cervical screening, low perceived risk), distress (Pap test is embarrassing or painful, previous negative Pap test experience and fear of a cancer diagnosis) and coping skills (remembering the appointment, managing responsibilities such as getting child care/elder care/coverage at work, ability to get transportation), social-cultural barrier (family support); while system barriers highlight the long waiting time for cervical screening, poor documentation, no national call-recall system, patient overload, lack of resources and manpower, lack of educational materials and problems with opportunistic screening. Conclusion: Sustainable screening interventions require approaches that address and resolve both individual and system barriers, such as exploring new methods and delivery of cervical screening, and providing education for the public and healthcare providers.
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Ludin, Dr Salizar Mohamed, and Nur Ainun Athirah Bajuri. "NURSES’ PERCEPTION ON PATIENT SAFETY CULTURE IN CRITICAL CARE AREA AT A TERTIARY HOSPITAL IN PAHANG, MALAYSIA." Malaysian Journal of Nursing 11, no. 4 (April 1, 2020): 78–84. http://dx.doi.org/10.31674/mjn.2020.v11i04.008.
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Leong KaWen, Areen Natasha Azizol Rozaimie, Faris Aiman Sarifulnizam, Tan Rong Sheng, NurKamilahMustapha, Roszita Ibrahim, Hayati Binti Kadir @Shahar, and Aniza I. "MEDICAL PERSONNEL PERCEPTION ON SAFETY ATTITUDE IN A TERTIARY TEACHING HOSPITAL IN MALAYSIA." Malaysian Journal of Public Health Medicine 22, no. 2 (August 20, 2022): 187–96. http://dx.doi.org/10.37268/mjphm/vol.22/no.2/art.1573.
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Evaluation of the perception of safety attitudes among physicians and nurses in hospitals is important to ensure optimum patient care. The objectives are to assess the perception of medical personnel on safety attitudes at their workplace and to measure the correlation between domains and factors studied. A cross-sectional study involving 160 physicians and 304 nurses is conducted at a teaching hospital. A validated Safety Attitudes Questionnaire (SAQ) consisting of 6 domains is used to measure the perception of medical personnel on safety attitude at their workplace. The Mann-Whitney test was performed for the comparison of the mean scores between two categorical variables and Spearman’s correlation coefficient was used to evaluate the relationship between two numerical variables in terms of strength and direction. Job satisfaction (73.4 ± 17.6) and management perception (56.1 ± 12.9) domains recorded the highest and lowest mean scores respectively. Doctors showed the highest perceived positive attitudes towards stress identification (57.5%) whereas perception of management (9.4%) has the lowest score, and the nurses showed the highest perceived positive attitudes towards job satisfaction (74.3%), and a low score of perception of management (10.9%). Overall, climate safety and stress recognition domains showed significant correlations with age, level of education, years in specialty, and history of attending safety training. The study results indicated that the medical personnel had low positive safety attitudes towards the management perceptions domain. However, they reported a high level of job satisfaction domain. It is imperative for the management team to take the necessary steps to ensure the personnel develops a positive safety attitude.
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Rasudin, Nur Syahmina, Muhammad Akmal Izan Ahmad, Nooraini Hussain, and Mohd Shaharudin Shah Che Hamah. "Validating the Press Ganey Questionnaire (Bahasa Melayu version)." International Journal of Health Care Quality Assurance 32, no. 3 (April 15, 2019): 653–58. http://dx.doi.org/10.1108/ijhcqa-07-2018-0169.
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Purpose The purpose of this paper is to validate the Press Ganey Questionnaire (PGQ) (Bahasa Melayu version) using Hospital Universiti Sains Malaysia (HUSM) patients. Design/methodology/approach This cross-sectional study comprised 252 patients visiting HUSM. Patients were selected using the convenience sampling method. The PGQ (Bahasa Melayu version) had three main factors: during your visit; your care provider and overall assessment. Data were analyzed using the structural equation modeling. Findings The exploratory factor analysis resulted in item reduction from 21 to 17, which contained four factors with eigenvalues greater than 1. Meanwhile, confirmatory factor analysis results showed that data fitted the model: χ2/df at 1.764, comparative fit index at 0.952, Tucker–Lewis index at 0.941 and root mean square error of approximation at 0.073. The average variance extracted value for the four factors was greater than 0.50, which indicated that PGQ convergent validity was met. Overall, PGQ produced good reliability with composite reliability score equals to 0.966. Four factors were reclassified as “during your registration,” “hospital staff attitude,” “doctor’s attitude” and “overall assessment.” Research limitations/implications Patient satisfaction is an important and frequently used indicator for measuring healthcare quality; hence, a validated and reliable instrument is important for measuring patient satisfaction that leads to healthcare service quality assessment. Practical implications Validated PGQ provides some useful information for doctors, medical assistants, nurses and staff in the emergency department to help them become more prominent and efficient in their role as healthcare providers. Social implications Validated PGQ will help healthcare providers to deliver the best and exceptional care toward emergency patient, and thus improve their quality of work life. The findings in this study can be used as a guide or as baseline data for further research in this area. Originality/value The PQG (Bahasa Melayu version) was confirmed as a reliable and valid instrument for measuring patient satisfaction. This research is the first PGQ validation study in Southeast Asia, specifically focusing on Malaysian respondents.
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Mat Saruan, Nur Adibah, Hanizah Mohd Yusoff, Mohd Fadhli Mohd Fauzi, Sharifa Ezat Wan Puteh, and Rosnawati Muhamad Robat. "Unplanned Absenteeism: The Role of Workplace and Non-Workplace Stressors." International Journal of Environmental Research and Public Health 17, no. 17 (August 24, 2020): 6132. http://dx.doi.org/10.3390/ijerph17176132.
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Unplanned absenteeism (UA), which includes medically certified leave (MC) or emergency leave (EL), among nurses may disturb the work performance of their team and disrupt the quality of patient care. Currently, there is limited study in Malaysia that examines the role of stressors in determining absenteeism among nurses. Therefore, apart from estimating the prevalence and the reasons of UA among nurses in Malaysia, this study aims to determine its stressor-related determinants. A cross-sectional study was conducted among 697 randomly sampled nurses working in Selangor, Malaysia. Most of them were female (97.3%), married (83.4%), and working in shifts (64.4%) in hospital settings (64.3%). In the past year, the prevalence of ever taking MC and EL were 49.1% and 48.4%, respectively. The mean frequency of MC and EL were 1.80 (SD = 1.593) and 1.92 (SD = 1.272) times, respectively. Meanwhile, the mean duration of MC and EL were 4.24 (SD = 10.355) and 2.39 (SD = 1.966) days, respectively. The most common reason for MC and EL was unspecified fever (39.2%) and child sickness (51.9%), respectively. The stressor-related determinants of durations of MC were inadequate preparation at the workplace (Adj.b = −1.065) and conflict with doctors (adjusted regression coefficient (Adj.b) = 0.491). On the other hand, the stressor-related determinants of durations of EL were conflict with spouse (Adj.b = 0.536), sexual conflict (Adj.b = −0.435), no babysitter (Adj.b = 0.440), inadequate preparation at workplace (Adj.b = 0.257), lack of staff support (Adj.b = −0.190) and conflict with doctors (Adj.b = −0.112). The stressor-related determinants of the frequency of MC were conflicts over household tasks (Adj.b = −0.261), no time with family (Adj.b = 0.257), dangerous surroundings (Adj.b = 0.734), conflict with close friends (Adj.b = −0.467), and death and dying (Adj.b = 0.051). In contrast, the stressor-related determinants of frequency of EL were not enough money (Adj.b = −0.334), conflicts with spouse (Adj.b = 0.383), pressure from relatives (Adj.b = 0.207), and inadequate preparation (Adj.b = 0.090). In conclusion, apart from the considerably high prevalence of unplanned absenteeism and its varying frequency, duration and reasons, there is no clear distinction in the role between workplace and non-workplace stressors in determining MC or EL among nurses in Malaysia; thus, preventive measures that target both type of stressors are warranted. Future studies should consider longitudinal design and mixed-method approaches using a comprehensive model of absenteeism.
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Hong, L. L., J. C. Yong, K. Y. Lee, N. H. Binti Nasir, P. Gravitt, Y. K. Lee, and Y. L. Woo. "Understanding Barriers to Cervical Screening Follow-Up and Treatment Compliance in Malaysia: A Qualitative Study of Provider Perspectives." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 214s. http://dx.doi.org/10.1200/jgo.18.86200.
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Background: Cervical cancer is a leading cause of women mortality in Malaysia. In Malaysia, system of care remain fragmented despite the increased uptake of cervical screening. Thus, it is important to better understand factors that affect loss to follow-up and treatment along the care continuum. The ability of a patient to attend a cervical screening clinic, to return for possible treatment, and to return to clinic for follow-up evaluation (“the patient factor”) is a major component to the success of a screening program. Women diagnosed with early or local (stage 1) cervical cancer have a 92% chance of survival 5 years after diagnosis whereas survival rates decrease to 17% for women with late cancer diagnoses. Due to this, a better understanding of barriers to cervical cancer treatment can inform initiatives to address therapeutic delays, which is vitally important to providing optimal care. Aim: To explore, from the perspectives of healthcare professionals, the perceived barriers of cervical screening follow-up and treatment compliance in Malaysia. Methods: In-depth semistructured interviews with 45 government health clinic staffs comprise of clinicians, nurses, front desk staffs, medical laboratory technicians and IT support engineers were conducted from 5 government health clinics in Petaling District. Qualitative content analysis through an inductive approach was used to identify barriers of cervical cancer care continuum and treatment compliance in public health clinics settings. Results: Participants identified various potential barriers to seeking follow-up care and treatment after receiving a positive Pap test results or invalid test results at 2 levels: the structural level, and the patient level. Long waiting time, lack of transport to healthcare providers, fear of treatment, poor documentation, absence of cervical screening registry, as well as unsystematic referral or treatment procedures are some of the major reasons affecting follow-up and treatment compliance. Conclusion: The results highlight the need of structural and personal interventions that eliminate barriers to follow-up and treatment compliance along the care continuum.
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Rahim, Mohamad Hazni Abd, Mohd Ismail Ibrahim, Siti Suraiya Md Noor, and Norhana Mohamed Fadzil. "Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast Malaysia." International Journal of Environmental Research and Public Health 18, no. 2 (January 7, 2021): 409. http://dx.doi.org/10.3390/ijerph18020409.
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Background: Hand hygiene (HH) is the simplest and most effective way to reduce the incidence of healthcare-associated infections (HCAIs). Methods: This cross-sectional study aimed to determine factors associated with self-reported HH performance among nurses at Kelantan tertiary care hospitals. A sample of 438 registered nurses was selected through a stratified random sampling method. Self-reported HH performance was assessed using a validated WHO self-administered HH knowledge and perception questionnaire for healthcare workers. Results: A multiple linear regression analysis was performed to identify the predictors. The factors that significantly predicted self-reported HH performance among nurses included perception score (beta coefficient (β) = 0.260; 95% CI: 0.200, 0.417; p < 0.001), pediatric department (β = −0.104; 95% CI: −9.335, −2.467; p < 0.001), and orthopedic department (β = −5.957; 95% CI: −9.539, −0.720; p < 0.023), adjusted R2 = 0.102; p < 0.001. Nurses with a strong perception and belief in HH were more likely to have better HH performance. Compared to pediatric and orthopedic, surgical departments were associated with better self-reported HH performance. Conclusions: This study showed the importance of factors that could improve the intervention’s performance in HH strategy. Lack of perception and HH program intervention in departments engaged in patient care could lead to poor HH practices, thus increasing HCAIs and antimicrobial resistance (AMR).
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Stroke Conference 2020, Malaysia. "MSC virtual e-abstract (CPP-04)." Journal Of Cardiovascular, Neurovascular & Stroke 2, no. 2 (October 30, 2020): 22–28. http://dx.doi.org/10.32896/cvns.v2n2.22-28.
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Profiling of functional and disability status in locked-in syndrome (lis) patients using international classification of functioning, disability and health (icf) brief core set for stroke in Hospital Rehabilitasi Cheras (HRC).
Long term care journey of stroke survivors with mild impairment living in the community: A mixed method research.
Hemiplegic migraine, a rare stroke mimic: A case report.
More than just sleepiness: A case report on significant hypersomnolence as a ‘not-to-miss’ sign of top of basilar syndrome.
Case study: Rehabilitation challenges of a patient with left hemineglect after a right middle cerebral artery territory infarct.
Nurse-led activities to increase activity and facilitate recovery amongst individuals with stroke in an inpatient rehabilitation setting.
Neurologists versus non-neurologists thrombolysis (nnt) stroke study: Intravenous thrombolytic for adults with acute ischaemic stroke in malaysian primary stroke centres versus acute stroke ready hospitals: comparison of service efficiency and patients' clinical outcomes.
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Mohd Nasurdin, Aizzat, Cheng Ling Tan, and Sabrina Naseer Khan. "Can high performance work practices and satisfaction predict job performance?An examination of the Malaysian private health-care sector." International Journal of Quality and Service Sciences 12, no. 4 (November 30, 2020): 521–40. http://dx.doi.org/10.1108/ijqss-06-2019-0090.
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Purpose This paper aims to examine the effects of high-performance work practices (HPWPs) (participation, training and compensation) on nurses’ job performance (task and contextual) through the mediating role of job satisfaction. As nurses form the bulk of health-care professionals, their performance at work is crucial in determining patient satisfaction regarding care quality. HPWPs have been recognized as having the ability to affect employees’ work attitudes and behaviours positively. Specifically, these practices foster job performance. Design/methodology/approach Self-administered questionnaires were used to collect the survey data on 639 staff nurses working in large private hospitals in Malaysia. Data were subsequently analysed using the partial least squares method. Findings The findings indicate that job satisfaction serves to mediate the relationships between the three HPWPs (participation, training and compensation) and the two dimensions of job performance (task performance and contextual performance). Research limitations/implications First, as all variables were measured using self-reports, a common-method bias could exist (Podsakoff et al., 2003). Hence, future researchers may want to combine self-assessments and supervisory or peer assessment to improve the validity of the outcomes. Second, the cross-sectional nature of this study limits our ability to make causal inferences. Bias could happen because the study examined both exogenous and endogenous variables at the same time. Thus, a longitudinal approach taken in the future could cross-validate the current findings and provide additional support regarding the causality of the HPWPs-job performance relationship. Third, the data were collected from staff nurses working in large private hospitals in Peninsular Malaysia. Thus, one should be careful to generalize the findings to different health-care professional groups and organizations. Practical implications From the practical perspective, it is evident from the findings that as job satisfaction is able to enhance job performance and given the need for nurses to provide quality health-care services, private hospital authorities concerned with encouraging greater job performance among their nursing workforce need to provide adequate support to their employees. This could be achieved through the implementation of HPWPs. Perceptions of the extent of a hospital’s HPWPs in terms of participation, training and compensation, have significant and positive effects on nurses’ level of job satisfaction. Therefore, it would be worthwhile for private hospitals to encourage more opportunities for nurses to participate in decision-making regarding their work. In addition, frequent training activities will be able to enhance nurses’ knowledge, skills and abilities, resulting in greater satisfaction Originality/value To the best of the authors’ knowledge, this is the first attempt to investigate the effects of HPWPs on nurses’ job performance in the Malaysian private health-care context. As studies using Eastern samples are relatively limited, the findings from this study would serve to expand the extant literature from a cross-cultural perspective.
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Rahimi, Aisyah Mohd, Intan Nurdin, Shahrina Ismail, and Azira Khalil. "Malaysian Nurses’ Knowledge of Radiation Protection: A Cross-Sectional Study." Radiology Research and Practice 2021 (August 4, 2021): 1–8. http://dx.doi.org/10.1155/2021/5566654.
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Radiology is a vital diagnostic tool for multiple disorders that plays an essential role in the healthcare sector. Nurses are majorly involved in a healthcare setting by accompanying patients during the examination. Thus, nurses tend to be exposed during inward X-ray examination, requiring them to keep up with radiation use safety. However, nurses’ competence in radiation is still a concept that has not been well studied in Malaysia. The study aimed to define the level of usage understanding and radiation protection among Malaysian nurses. In this research, a cross-sectional survey was conducted among 395 nurses working in hospitals, clinics, and other healthcare sectors in Malaysia. The survey is based on the developed Healthcare Professional Knowledge of Radiation Protection (HPKRP) scale, distributed via the online Google Forms. SPSS version 25.0 (IBM Corporation) was used to analyze the data in this study. Malaysian nurses reported the highest knowledge level in radiation protection with a mean of 6.03 ± 2.59. The second highest is safe ionizing radiation guidelines with 5.83 ± 2.77, but low knowledge levels in radiation physics and radiation usage principle (4.69 ± 2.49). Therefore, healthcare facilities should strengthen the training standards for all nurses working with or exposed to radiation.
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Woo, Y. L., N. H. Nasir, J. Kanapathy, and Z. Mohd Said. "A Study Utilizing Mobile E-Health and Self-Acquired Cervical Screening in Health Clinics." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 213s. http://dx.doi.org/10.1200/jgo.18.85700.
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Background: Malaysia continues to have a high incidence of cervical cancer with a relatively high mortality rate due to late presentation. Pilot Project R.O.S.E was a cross-sectional study to assess acceptability, feasibility and reach of a cervical screening strategy that utilizes self-collected, point-of-care HPV testing in primary care settings. Within this study, mobile SMS technology was used to register patients into a cervical screening registry and to deliver the HPV test results. Aim: To assess the feasibility, acceptability, advantages and limitations of the use of mobile SMS technology to deliver HPV screening test results. Methods: Invitation for cervical screening was offered to women aged 30 to 65 years who are presenting to these clinics for care, or accompanying another individual. Upon agreeing to do the test, the nurse registered the woman's details and mobile number. A mobile phone verification SMS is triggered at this point. HPV results were delivered to women via mobile SMS within 3 working days. Phone-based surveys were conducted on randomly selected screened positives and screened negative women to ascertain acceptability of the screening and the usage of mobile technology. Results: Ninety percent of participants received their SMS results without any hitches. Ten percent of participants experienced problems with receiving their results SMS. Further investigations revealed that there were various reasons for message delivery failure. Posttest surveys revealed that majority of participants were satisfied with the use of mobile technology to receive HPV screening test results. Conclusion: This study suggests that the use of mobile SMS technology for delivery of HPV screening test results is feasible and acceptable. However, measures should be taken to overcome technology related failures. The findings of this implementation research may help to inform the design of future mobile SMS technology usage within health settings in Malaysia.
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Abusafia, Ali H., Zakira Mamat, Nur Syahmina Rasudin, Mujahid Bakar, and Rohani Ismail. "Spiritual Care Competence among Malaysian Staff Nurses." Nurse Media Journal of Nursing 11, no. 1 (February 22, 2021): 1–9. http://dx.doi.org/10.14710/nmjn.v11i1.34757.
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Background: Perceptions and levels of understanding of spiritual care vary among nurses, which may affect their competency to meet the patient’s spiritual needs. Therefore, determining nurses' perception of spiritual care is the first important step in addressing the spiritual needs of patients, and may also help nursing management in developing spiritual care education and training programs.Purpose: This study aimed to assess the competence of Malaysian nurses toward providing spiritual care and identify the relationship between nurses’ spiritual care competence and their sociodemographic factors. Methods: This study employed a cross-sectional design to assess nurses' competence in spiritual care by using a simple random sampling method which involved 271 staff nurses from a public hospital in Northeast of Peninsular Malaysia. Spiritual care competence scale in Bahasa Malaysia version was used for data collection. Data analysis was performed using descriptive (frequency, percent, mean, standard deviation) and inferential (Chi-square and Pearson’s correlation test) statistics.Results: This study showed that 69.7% of staff nurses had an average level of competence toward providing spiritual care for the patients (M=95.44, SD=4.34). The highest mean difference among the domains was personal support and patients counseling (MD=5.789), while the lowest mean difference was assessment and implementation of spiritual care (MD=1.258). Furthermore, there was no significant relationship between spiritual care competence and sociodemographic factors (gender, age, marital status, educational level, nurses' experience, race, religion, and previous participation in training spiritual care programs).Conclusion: The majority of nurses have an average level of competence toward providing spiritual care. There is no significant relationship between nurses’ spiritual care competence and sociodemographic factors.
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Mohd Nasurdin, Aizzat, Cheng Ling Tan, and Sabrina Nazeer Khan. "EMPATHY AND COMPETENCY AS PREDICTORS OF NURSES' JOB PERFORMANCE: AN EMPIRICAL EVIDENCE FROM MALAYSIAN PUBLIC HOSPITALS." Malaysian Journal of Public Health Medicine 22, no. 1 (April 28, 2022): 173–81. http://dx.doi.org/10.37268/mjphm/vol.22/no.1/art.1320.
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Nurses act as customer-contact employees who are responsible for providing round-the-clock service to patients. Their empathy and competency skills have a significant impact on the quality of services provided to patients. The purpose of this study is to examine the role of empathy and competency in determining task performance and contextual performance of public hospital nurses in Malaysia. A survey using self-administered questionnaires was used to collect data from a sample of 354 staff nurses working in Malaysian public hospitals. Hypotheses were tested using the partial least square technique. Findings indicated that empathy has a positive relationship with task performance but not with contextual performance. Competency, however, has a positive relationship with task performance and contextual performance respectively. Empathy and competency are essential elements in predicting both task performance and contextual performance. The findings of this study highlighted the importance of empathy and competency in improving job performance among nurses in Malaysian public hospitals.
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Jaganathan, Maheswari, Dhiauddin Hai, Nur Hidayati Zainal, Nadia Rajaram, Mohamed Yusof, and Soo-Hwang Teo. "Breast Cancer Patient Navigation Program in a Resource-Constrained Health Care Setting in Asia." Journal of Global Oncology 3, no. 2_suppl (April 2017): 6s. http://dx.doi.org/10.1200/jgo.2017.009563.
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Abstract 23 Background: Breast cancer incidence is rapidly increasing in Asia as a result of changes in life expectancy and lifestyle factors. In Malaysia, incidence is expected to double in the next decade and survival is poor (50% to 75%) because of late presentation and poor adherence to treatment. This burden is greater for women in underserved communities, but few studies have examined systematic approaches to reduce late presentation and poor treatment adherence. We sought to determine whether a patient navigation program (PNP) could be a community-based solution to improve outcomes of patients with breast cancer, particularly in a resource-constrained setting. Methods: PNP was implemented in a secondary hospital that serves a suburban area near Kuala Lumpur. A decision aid, which incorporated local key messages, was developed. Nurses and community workers in the program received skills training in navigation, communications, patient management, and resource identification and utilization. Data were retrieved from baseline questionnaires and a patient tracking system and was analyzed by using descriptive statistics. Results: In the first year of the program, 225 women were served, of whom 137 were patients with breast cancer. Compared with the prior year, more patients in the PNP received diagnoses within 14 days of their first visit (67.7% v 62.4%; P = .516) and had surgery within 28 days from diagnosis (68.4% v 61.3%; P = .487). There were also fewer reported patients who experienced default in the PNP (4.4% v 6.6%; P = .797). Conclusion: This 1-year evaluation showed that patient navigation is feasible in a resource-constrained setting, but longer follow-up is required to determine the impact on outcomes. Moving forward, we seek to increase the efficiency of patient navigation by increasing access to palliative care and improving interdepartment coordination and patient tracking systems. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST Maheswari Jaganathan No relationship to disclose Dhiauddin Hai No relationship to disclose Nur Hidayati Zainal No relationship to disclose Nadia Rajaram No relationship to disclose Mohamed Yusof No relationship to disclose Soo-Hwang Teo Honoraria: AstraZeneca Consulting or Advisory Role: AstraZeneca Speakers' Bureau: AstraZeneca Research Funding: AstraZeneca Travel, Accommodations, Expenses: AstraZeneca
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Rashid, Nurulizwa, and Samer Ali Al-shami. "Factors of Services Quality that Influence Patient Loyalty at Muslim Friendly Hospital: A Malaysian Perspective." Asia Social Issues 15, no. 6 (August 3, 2022): 254429. http://dx.doi.org/10.48048/asi.2022.254429.
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Malaysia’s healthcare industry’s demand is increasing, especially in Islamic medical care, and continues to be growing with chances for improvement and innovation in diagnoses and medical treatment. Even though a window of an opportunity is rapidly growing, the medical care quality offered to patients in Malaysia’s Muslim-friendly hospital remains inadequate because of unarticulated patient needs. The objective of this investigation is to measure service quality factor’s towards patient loyalty in Malaysia’s Muslim-friendly healthcare sector. 260 survey questionnaires were distributed between inpatients and outpatients. All patients must receive services of at least one day at hospital in Kumpulan Berhad Johor (KPJ). 250 surveys were received and analyzed using SPSS 25. On one hand, patients at KPJ are not really aware about the doctors and nurses Islamic knowledge for medical practices since the majority of respondents are from a younger generation. Furthermore, Malaysian healthcare services face some problems in Muslim-friendly hospital medical treatment principles because of multi-cultural religion and various medical personnel religious backgrounds. Research findings provide an insight for SERVQUAL model and practical implication of Muslim friendly hospital.