Journal articles: 'Nursing Brunei'

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Bujang, Amal Rashidah, Mursidi Ali, and Yusrita Zolkefli. "Working As Male Nurses In Brunei: A Qualitative Study." INTERNATIONAL JOURNAL OF CARE SCHOLARS 3, no. 2 (July 31, 2020): 33–40. http://dx.doi.org/10.31436/ijcs.v3i2.153.

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Objective: To explore the views and experiences of male nurses in nursing as a profession in Brunei Darussalam. The objectives of the study were to explore the perception of male nurses in Brunei about the nursing profession, to examine motivation to become nurses and to explore the challenges that they have encountered in the profession. Background: More men are now choosing the profession, given the growth of health care needs. Evidence suggests that there are obstacles and barriers to men's career choices of being nurses. Design: A descriptive qualitative study using content analysis. Methods: A descriptive, qualitative approach was used to gain valuable insight into male nurses' views on nursing as a career. Using purposive sampling, a total of 11 male nurses from two state hospitals in Brunei were individually interviewed. Participants were interviewed for between 45-60 minutes and were audio-recorded with prior consent. Recorded interviews were transcribed, coded manually and subsequently thematically analysed. Results: The analysis revealed three broad themes, namely 'making the career choice', 'working as male nurses' and 'being in the profession'. The first theme indicates the nurses' initial perception of the profession. The second one describes the nurses' experiences once they enter the profession. The final theme illustrates how nurses perceived the challenges of being in the profession. Conclusion: The evidence in the current study suggests although men's entry into nursing is slow and gender disparity continues to affect the profession, the results in this study indicate that, for male nurses, the motivational factors outnumber the barriers to entry. Overall, male nurses reported being positive with their career choice.

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Zolkefli, Yusrita. "Negotiated ethical responsibility: Bruneian nurses’ ethical concerns in nursing practice." Nursing Ethics 26, no. 7-8 (November 15, 2018): 1992–2005. http://dx.doi.org/10.1177/0969733018809797.

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Background: There has been wide interest shown in the manner in which ethical dimensions in nursing practice are approached and addressed. As a result, a number of ethical decision-making models have been developed to tackle these problems. However, this study argued that the ethical dimensions of nursing practice are still not clearly understood and responded to in Brunei. Research aim: To explore how Bruneian nurses define ethical concerns they meet in everyday practice in the medical surgical wards of three Brunei hospitals. Research design: A qualitative study was employed. Interviews were conducted with 28 practising and administrative nurses of three hospitals. Interview data were analysed via a constant comparative method. Ethical consideration: The study’s protocol was reviewed and approved by the Ethical Committee of the School of Health in Social Science at the University of Edinburgh and the Medical Health Research Ethics Committee of the Ministry of Health, Brunei. Findings: The nurses described three ethical dimensions in their practice, namely: ‘nurse at work‘ which illustrates the ethical dimensions within the work environment; ‘nurse and doctor’ which elucidates the ethical dimensions in the nurse and doctor relationship; and ‘nurse and patient’ which further examines ethical aspects in patient care. Nurses responded to the ethical dimensions in the ward setting with the aim of avoiding the conflict and maintaining ward harmony. Discussion: The data provide new insights into how nurses respond to ethical dimension in the ward settings where it puts strong emphasis on the nurses’ understanding of responsibility placed upon them as professional nurses. Conclusion: With these findings, it is recommended that further support is needed for nurses to be aware of the ethical dimension in their practice and to respond to ethical concerns accordingly.

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Rahman, Hanif Abdul, Asma' Hatsanee, Nurmarinah Aqilah Menjeni, Zainatul Ashiqin Salleh, Ramlah Abdul Hamid, and Mursidi Ali. "Perceived sleep quality: a comparison between hospital nurses and student nurses." British Journal of Nursing 31, no. 11 (June 9, 2022): 578–88. http://dx.doi.org/10.12968/bjon.2022.31.11.578.

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Background: The prevalence of poor sleep quality is high among nurses, and affects them physically and psychologically as well as organisational functioning. However, evidence on equipping student nurses with good sleep practices that could mitigate poor sleep as they transition into the nursing workforce is lacking. Aim: This study compared the prevalence and quality of good sleep among hospital nurses and student nurses. Methods: A descriptive cross-sectional study of 130 hospital nurses and 130 student nurses in Brunei was carried out. Sleep quality was assessed using the Pittsburgh Sleep Quality index. Multiple logistic regression was applied. Results: Hospital nurses were 4.29 times more likely to experience poor sleep than student nurses. Those who were overweight were 2.35 times more likely to have poor sleep quality than those with a healthy weight. Although students had significantly good sleep latency, needing less time to fall asleep, they experienced significantly more sleep disturbances, shorter sleep duration and less sleep efficiency. Conclusion: The prevalence of poor sleep quality among nurses in Brunei is higher than global estimates. Stakeholders such as nursing leaders, nursing educators and healthcare policymakers should prepare student nurses and help existing nurses by formulating strategies to promote working schedules and rosters that minimise circadian disruption.

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Zolkefli, Yusrita. "Nursing ethics education in Brunei Darussalam – Where are we today?" Belitung Nursing Journal 7, no. 1 (February 22, 2021): 55–56. http://dx.doi.org/10.33546/bnj.1265.

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Muhammad Wafiuddin Wa’ie, Illyana Rashidah, David Koh Soo Quee, Shahrimawati H. Sharbini, Salmah H. Mohd Noor, Ramlah Kisut, Nik AA Tuah, Hanif Abdul Rahman, Nurolaini Kifli, Mas Rina Wati H. Abdul Hamid, and Khadizah H. Abdul-Mumin. "Practice of Postpartum Warming Among Mothers in Brunei." Journal of Transcultural Nursing 31, no. 6 (April 21, 2020): 576–81. http://dx.doi.org/10.1177/1043659620914713.

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Introduction: Postpartum warming is widely practiced among women in Asian countries despite unsubstantiated health claims. This study aimed to identify sources of knowledge and explore the practices of postpartum warming among mothers in Brunei. Methods: A cross-sectional study using a self-administered questionnaire was conducted on 124 mothers who had experience in postpartum warming. Results: Coal was commonly used for heat. Main source of knowledge came from family members. Older women had significantly lower intention to perform the practice in future pregnancies. Women who lived in nuclear families practiced it to a significantly higher frequency compared with those living in extended families. Discussion: Women still practice warming to adhere with family expectations and traditions although noticeable changes have been observed as society modernizes. It still poses a risk of carbon monoxide poisoning and fire hazard from burning coal. Future studies should focus on health and safety aspects to provide evidence on the actual health benefits and ameliorate risk factors.

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Teo, Yan Choo, Asnah Hj Yusuf, Wen Pei Alice Lim, Nur Basirah Ghazali, Hanif Abd Rahman, Naing Lin, and David Koh. "Validation of DASS-21 among nursing and midwifery students in Brunei." Journal of Public Health 27, no. 3 (June 25, 2018): 387–91. http://dx.doi.org/10.1007/s10389-018-0947-z.

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Julaini, Nurul Nazurah, Hamidun Sanif, and Yusrita Zolkefli. "Community Nurses' Perception of Factors Influencing Knowledge and Understanding of Code of Ethics and Professional Conduct." INTERNATIONAL JOURNAL OF CARE SCHOLARS 4, Supp1 (December 9, 2021): 79–85. http://dx.doi.org/10.31436/ijcs.v4isupp1.200.

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Background: Nurses play a significant role in health care and have the most direct contact with patients, making them the most likely to encounter ethical questions regularly. Therefore, their knowledge and understanding of the code of ethics and professional conduct are essential. In Brunei Darussalam, these codes were developed in 2010 by the Nursing Board for Brunei, Ministry of Health. However, factors influencing nurses' knowledge and understanding of these codes have not yet been studied. Objectives: The purpose of this study was to examine community nurses' perception of factors influencing knowledge and understanding of the codes. Methods: A qualitative research approach was used as the study design. The data were collected through individual and group semi-structured interviews and analysed using the qualitative thematic analysis method. This study was conducted on community nurses who hold managerial responsibility in four health centres in Brunei. Findings: Three factors were identified to influence Bruneian nurses' knowledge and understanding of the codes. These factors were "a lack of reinforcement", "nurses' attitude", and "work environment". Conclusion: The knowledge of the codes by community nurses is deemed to be adequate. The findings, however, highlight the need for nurses to have an enhanced understanding of the codes.

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Zolkefli, Yusrita. "Moral Courage and the Role of Nursing Education." Malaysian Journal of Nursing 13, no. 04 (2022): 10–11. http://dx.doi.org/10.31674/mjn.2022.v13i04.002.

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In mid-December 2019, an ethics colloquium on moral courage was conducted, which prompted considerable interest among the clinical nurses in Suri Seri Begawan Hospital, the second-largest hospital in Brunei. The question and answer session reflected the sense of vulnerability that nurses might encounter in their daily practice. To be morally courageous, it appears that one has to be ready to accept the possible price of speaking up or raising concern about questionable and poor practices within the workplace settings. Overall, the session ensued in a meaningful and intriguing discussion, particularly when courage was regarded through a narrow and sceptical lens. As educators, there is a striking need for greater clarity on the role of nursing education in teaching moral courage and the long-standing challenges involved in ensuring that future nurses hold this value in realising good ethical practices.

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Layak, Hamyzan, Deeni Rudita Idris, and Yusrita Zolkefli. "Caring experiences of male nursing students: A qualitative study." INTERNATIONAL JOURNAL OF CARE SCHOLARS 4, no. 2 (July 31, 2021): 49–55. http://dx.doi.org/10.31436/ijcs.v4i2.199.

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Background: Caring, nursing, and the female gender role are all strongly linked. However, the number of male nurses is expanding globally. This occurrence calls into question the caring experiences of men in the nursing context. Objective: The purpose of the study was to explore views of caring in nursing among male nursing students in Brunei Darussalam. Methods: An exploratory, qualitative design was used to analyse the students' insights on the meaning of caring. Eighteen students who fit the inclusion criteria were invited using a purposive sampling method. There was two individual interviews (n=2) and four focus groups discussion (n=4), and it was audio-recorded with the consent of the students. These interviews were coded and thematically analysed. Results: Three themes have emerged from the data analysis: (1) Caring is about giving holistic care (2) Perceived challenges of exhibiting caring (3) Overcoming the challenges of exhibiting caring. Conclusion: The findings show that caring in the context of holistic care is consistent with earlier research. The study has strengthened our understanding of the profession's view of male student nurses. However, more research into the impact of male students' roles and images on nursing practice could better understand their challenges.

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van Eekelen, A., H. Stokvis-Brantsma, M. Frolich, A. H. Smelt, and H. Stokvis. "Prevalence of glucose intolerance among Malays in Brunei." Diabetes Care 23, no. 9 (September 1, 2000): 1435–36. http://dx.doi.org/10.2337/diacare.23.9.1435.

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Abdul Razak, Razileyana, Norhalizawaty Abdul Razak, and Yusrita Zolkefli. "Community Nurse Managers’ Views of Incompetent Nursing Practice: An Interview Study." INTERNATIONAL JOURNAL OF CARE SCHOLARS 4, Supp1 (December 9, 2021): 86–92. http://dx.doi.org/10.31436/ijcs.v4isupp1.204.

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Introduction: Nurses' professional competence is a key factor for the quality of nursing practice, as the competence level directly influences the patient’s safety. A lack of competence among nurses raises several concerns and thus contributes to adverse effects of patient outcomes. These concerns, particularly how nurse managers understand and address incompetent practices, have not been thoroughly explored in the local context. Objective: The purpose of the study was to explore nurse managers' views of incompetent nursing practice in a community healthcare setting. Methods: A descriptive qualitative research was conducted in one single district in Brunei Darussalam with a purposive sample of nine community nurse managers from six healthcare centres. Data collection was by audio recorded of in-depth interviews. These interviews were coded and thematically analysed. Findings: The study participants discussed their perspectives on incompetent practice, the reasons for incompetence, and nurse managers' reactions to incompetence. Conclusion: The findings show that the standard views of 'incompetent' meant were elusive and inconsistent among nurse managers. Such inconsistency resulted in poor identification and management of ethical issues. Therefore, to ensure consistency, a clear view and understanding of what constitutes incompetent nursing practice must be established.

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Haji Matarsat, Hajah Marlita, Hanif Abdul Rahman, and Khadizah Abdul-Mumin. "Work-family conflict, health status and job satisfaction among nurses." British Journal of Nursing 30, no. 1 (January 14, 2021): 54–58. http://dx.doi.org/10.12968/bjon.2021.30.1.54.

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Objective: Research studies have demonstrated that nurses face difficulty balancing family roles and responsibilities with work. This study aimed to explore the relationship between work-family conflict and health status and job satisfaction among nurses. Methods: This was a cross-sectional study of 426 nurses working in high-dependency and general settings in a large referral hospital in Brunei Darussalam. Results: Work-family conflict inversely affects health status and job satisfaction for nurses working in high-dependency and general settings. However, general nurses experienced higher work-family conflict albeit better job satisfaction and health status compared to high-dependency nurses. Older, single and non-smoker nurses reported higher job satisfaction. Conclusion: This study further informs healthcare and nursing administrators and policymakers, who should foster effective strategies and interventions to support the balance of nurses' work and family life.

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Burnard, Philip, Deborah Edwards, Kim Bennett, Hjh Thaibah, Valerie Tothova, Donia Baldacchino, Petrit Bara, and Jetona Mytevelli. "A comparative, longitudinal study of stress in student nurses in five countries: Albania, Brunei, the Czech Republic, Malta and Wales." Nurse Education Today 28, no. 2 (February 2008): 134–45. http://dx.doi.org/10.1016/j.nedt.2007.04.002.

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Rosli, Nurfadhillah Awang, Hajah Norashikin Hj Md Sofian, Fakhira Hj Md Saiful, and Yusrita Zolkefli. "NURSES' PERCEPTIONS OF THE RESPONSIBILITY OF PATIENTS WITH DIABETES MELLITUS: A VIGNETTE STUDY." Malaysian Journal of Nursing 13, no. 03 (2022): 19–25. http://dx.doi.org/10.31674/mjn.2022.v13i03.003.

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Background: Patients' duties and responsibilities, including lifestyle modifications as a preventive measure, have been brought into question as a result of lifestyle-related diseases such as diabetes mellitus. As the importance of patient autonomy rises, it becomes increasingly important for patients to assume responsibility for their health care. However, little is known about how patient responsibility embedded into diabetic mellitus patients, raising concerns about nurses ability to understand these responsibilities. Aim: The focus of the research was to examine nurses’ behaviour in the medical wards of RIPAS Hospital in Brunei Darussalam with regard to diabetic patients' responsibilities and how this influenced patient treatment outcomes. Methods: Data was collected using vignettes with nine nurses from the medical wards in a descriptive qualitative approach. Results: Three themes developed from the data analysis, namely initial feelings toward diabetic patients, the impact of patient responsibilities, and the importance of caring in nursing care. Conclusion: It is recognised that nurses view patient responsibilities differently in response to the unique needs of diabetic patients, necessitating a patient-centred approach to support such responsibilities.

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Alhaji, Mohammed Mohammed, Alice Lai, Lin Naing, and Nik Ani Tuah. "Self-Reported Skin Disorders Among Health Care Workers." Workplace Health & Safety 67, no. 6 (September 17, 2018): 294–301. http://dx.doi.org/10.1177/2165079918795958.

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This study aimed to estimate the point prevalence and 1-year period prevalence of skin disorder symptoms (SDS) among health care workers (HCWs) and to explore the possible risk factors. A random sample of 400 HCWs from 13 government health centers in Brunei Darussalam self-administered an adapted Nordic Occupational Skin Questionnaire (NOSQ-2002/SHORT). The point and 1-year prevalence of SDS were 12% and 19%, respectively. Having a history of SDS before the current job, exposure to SDS-exacerbating materials at the workplace, and having clinical roles were correlated for both prevalence estimates. Frequent handwashing and moderate use of latex gloves were associated with higher risk of SDS at 1-year. Female HCWs were more likely to report SDS. In multivariate analyses, only contact with SDS-exacerbating materials at the workplace, prejob SDS, and moderate glove usage were significant predictors of SDS.

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Dewi, Ni Kadek Ayu Cintya, Ni Luh Putu Thrisna Dewi, Ni Made Nopita Wati, Diah Prihatiningsih, and Putu Gede Subhaktiyasa. "The Influence of Gayatri Mantra & Emotional Freedom Technique (GEFT) towards Mood Disorders Nurse Students in Thesis Compilation." Healthy-Mu Journal 5, no. 1 (April 22, 2022): 6–12. http://dx.doi.org/10.35747/hmj.v5i1.35.

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Thesis preparation results in students experiencing difficulties that cause psychological conditions that are distressed, causing emotional disorders such as mood disorders. Mood disorders can be bad for students and cause students to postpone their thesis. Efforts are made to overcome mood disorders when compiling thesis is to apply GEFT. GEFT is a merger between Gayatri Mantra and Emotional Freedom Technique (EFT). GEFT is done by chanting the Gayatri Mantra and giving a light knock on the body's 12 energy pathways called the energy meridians. The purpose of this study is to know the influence of GEFT towards mood disorders nurse students in thesis compilation. This research is quantitative with a quasi experiment research design pre and post with control group design. The sampling technique is purposive sampling with a total sample of 32 respondents divided into 2 groups the treatment group and the control group. Data were collected using The Brunel Mood Scale (BRUMS) questionnaire. Data analysis uses the Wilxocon Signed Rank Test and the Mann Whitney Test. The results showed the value of p value in the treatment group = 0.003 which means that there was an influence of GEFT on mood disorders of nursing students in preparing their thesis, whereas in the control group there was no difference with the value of p value = 0.317. Changes in students mood disorders after being given GEFT due to a combination of spiritual spells with techniques that support the effectiveness of GEFT.

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Winter, J. Alan, and Eugene C. Goldfield. "Caregiver-Child Interaction in the Development of Self: The Contributions of Vygotsky, Bruner, and Kaye to Mead's Theory." Symbolic Interaction 14, no. 4 (November 1991): 433–47. http://dx.doi.org/10.1525/si.1991.14.4.433.

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"University Fellowship for Nursing Educator in Brunei Darussalam." Journal of Advanced Nursing 22, no. 2 (August 1995): 205. http://dx.doi.org/10.1046/j.1365-2648.1995.22020202-24.x.

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Hj Abdul Aziz, Amal Atiqah Hamizah, Khadizah H. Abdul-Mumin, and Hanif Abdul Rahman. "Willingness of university nursing students to volunteer during the COVID-19 pandemic in Brunei Darussalam." Belitung Nursing Journal, July 16, 2021. http://dx.doi.org/10.33546/bnj.1518.

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Background: Volunteering among nursing students has become a valuable resource during an outbreak to help alleviate the strain in nursing staff shortages. However, evidence of willingness to volunteer is scarce, particularly in Asian countries.Objective: To study Bruneian university nursing students’ willingness to volunteer during a pandemic in Brunei. Methods: An online cross-sectional study was conducted at Universiti Brunei Darussalam from January to February 2021. A self-administered questionnaire was used to measure willingness factors, including motivational factors, barriers, enablers, and level of agreement to volunteer during the COVID-19 pandemic. Sub-group inferential analysis was applied. Results: 72 participants were included in this study. 75.0% of whom were willing to volunteer during the COVID-19 pandemic. Factors that influenced the willingness of nursing students to volunteer were marital status (p <0.001), year of study (p <0.001), altruism (p <0.001), personal safety (p <0.001), and knowledge level (p <0.001). Conclusion: Nursing students are an invaluable resource, and they are highly willing to be part of disaster management. Training and planning should prepare the nursing students for disaster or pandemic readiness and integrated them into the undergraduate nursing curriculum. Align with this, safety aspects of nursing students during volunteering should also be considered, including the provision of childcare assistance, sufficient personal protective equipment, vaccination, and prophylaxis to the volunteers.

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"International profile of children’s nursing rides high in brunei." Paediatric Nursing 8, no. 10 (December 1, 1996): 4. http://dx.doi.org/10.7748/paed.8.10.4.s3.

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Zolkefli, Yusrita. "Nursing ethics education in Brunei Darussalam – Where are we today?" Belitung Nursing Journal, January 11, 2021. http://dx.doi.org/10.33546/bnj.1265.

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"First International Nursing Conference in Brunei Darussalam, 6-9 November 1994." Journal of Advanced Nursing 20, no. 2 (August 1994): 207. http://dx.doi.org/10.1046/j.1365-2648.1994.20020207.x.

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Ramli, Nur Raihan, Hjh Siti Nor'ainah Hj Mohd Noor, and Yusrita Zolkefli. "Resilience among nurses working in paediatric wards in Brunei Darussalam: A qualitative study." Belitung Nursing Journal, September 15, 2021. http://dx.doi.org/10.33546/bnj.1667.

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Background: Resilience has become highly relevant for nurses working to avoid the negative impact of stress and maximise the positive benefits. Objective: This study aimed to explore and describe experiences of resilience among nurses when they first started working in paediatric wards. Methods: A qualitative, interpretive descriptive approach was used to guide the study. Purposive sampling was employed to recruit 8 participants, which proved sufficient to achieve theoretical saturation. Semi-structured individual interviews were conducted in 2020 and audio recorded. An inductive analytic approach was utilised. Results: Three overarching themes arose from the analysis: (1) The transition period (2) Gaining the trust of others (3) Having a positive mindset. Conclusion: This study found that nurses used multiple strategies of resilience in order to cope with workplace stress when they first began the transition period. However, as they become familiar with the workplace and gain the trust of others, this factor enables nurses to have a positive outlook toward job setbacks.

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Jais, Fatin Afiqah, Teo Yan Choo, Hasnan Kahan, Shanti Shahbudin, Khadizah H. Abdul-Mumin, and Hanif Abdul Rahman. "Psychosocial factors and burnout among oncology nurses in Brunei Darussalam: A pilot study." Belitung Nursing Journal, August 9, 2021. http://dx.doi.org/10.33546/bnj.1519.

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Background: Existing evidence showed that adverse psychosocial factors contribute to burnout in oncology nurses and impose profound implications to nursing practice. Due to the complexity of this relationship, more studies are still needed.Objective: To investigate the prevalence and relationship between burnout and psychosocial factors among oncology nurses. Methods: A descriptive cross-sectional study design was conducted in 2018 using the Maslach Burnout Inventory and the Copenhagen Psychosocial Questionnaire to measure burnout and psychosocial factors, respectively. Descriptive and multivariate regression using maximum likelihood procedures were used for analysis. Results: Out of three burnout variables, emotional exhaustion demonstrated a highly significant relationship towards psychosocial factors, particularly quality of leadership (p <0.001), justice and respect (p <0.001), and rewards (p <0.001) – congruent to a high prevalence of emotional exhaustion reported. Conclusion: Improvement in leadership quality, rewards, justice and respect could minimise emotional exhaustion among oncology nurses. These findings further inform management and policymakers to target these specific psychosocial factors in addition to using other interventions to counter the harmful effects of burnout. A positive psychosocial workplace would consequently decrease the risk of nurses’ intention to leave, reduce nurse shortages, and increase the quality of patient care.

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Haji Kassim, Karmayunika Khamsiah, Mas Salina Haji Md Safar, Agong Lupat, and Yusrita Zolkefli. "Mental health nurses’ views of ward readmission: A focus group study in Brunei Darussalam." Belitung Nursing Journal, August 25, 2021. http://dx.doi.org/10.33546/bnj.1666.

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Background: Readmission becomes inevitable with the vast development of mental health services worldwide and the challenges faced by mental health services. This readmission is often caused by a relapse from an illness whereby the psychiatric patient needs nursing care. Objective: This study aimed to explore psychiatric nurses’ perceptions of reasons for readmission and nurses’ further role in reducing readmission. Methods: In this descriptive qualitative study, thematic analysis of five focus group discussions (n= 24 nurses) in one psychiatric department in Brunei Darussalam was identified through purposive sampling. Results: The nurses perceived the role of family and non-adherence to medication as a significant reason for psychiatric readmission. Simultaneously, nurses viewed that it was necessary to implement systematicchoeducation to strengthen the role of family and community service support to curb readmission rates. Conclusion: The phenomenon of mental health readmission impacts psychiatric nurses due to many stressful challenges with nurses wishing to respond personally, humanely and professionally. These challenges require suitable interventions, such as debriefing to ensure that nurses continuously strive to deliver quality care to psychiatric readmission patients.

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Trivedi, Ashish, Maria Fontelera, and Alice Lai. "SARS-COV-2 Screening of Health Care Workers in Brunei Darussalam." Workplace Health & Safety, February 3, 2022, 216507992110628. http://dx.doi.org/10.1177/21650799211062802.

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Background: Health care workers (HCWs) are at high risk of COVID-19 infection; therefore, screening is recommended for early detection and management to break the chain of transmission. Globally, multiple strategies have been utilized for the screening of HCWs. This article reports and evaluates an active surveillance and screening strategy for severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) among HCWs following work or nonwork exposures in Brunei Darussalam to prevent health care–associated COVID-19 transmission. Methods: In March 2020, the Ministry of Health through the Occupational Health Division adopted an active screening strategy for symptomatic and asymptomatic HCWs, which involved symptom screening, risk assessment, SARS-COV-2 testing, and management following work/nonwork exposure and recent overseas travel, and those with influenza-like illness (ILI) symptoms. Screening frequency was based on the HCWs’ symptoms and exposure, with the intent to evaluate all possible sources of exposure. Findings: As of December 31, 2020, 821 HCWs were screened, of which 632 (77%) had ILI symptoms and 14 (1.7%) had high-risk occupational exposure. Reverse transcription polymerase chain reaction (RT-PCR) swab testing was carried out on 577 (70.3%) HCWs, with the highest proportion of swabs done on doctors (85.1%; p < .01) due to their workplace exposure (34.3%) and overseas travel (38.7%). Conclusion: By July 2021, Brunei Darussalam had recorded zero cases of COVID-19 among HCWs from occupational exposure. Our strategy of active screening for SARS-COV-2 RT-PCR testing since early in the outbreak has proven to be successful, in combination with infection control practices and public health measures, in the prevention of occupational transmission, thereby facilitating early return to work for HCWs with low-risk exposure and without symptoms.

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Sidek, Syazwana Mohd, Sofiah Marup, and Yusrita Zolkefli. "Nurses’ view of the nature of the support given to parents in the neonatal intensive care unit." Belitung Nursing Journal, September 23, 2021. http://dx.doi.org/10.33546/bnj.1668.

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Background: Most parents of Neonatal intensive care unit (NICU) babies often expressed dissatisfaction with the nursing care in NICU because of their unaddressed needs, resulting in emotional strain. This raises an essential question of how NICU nurses provide support for the parents. However, this can be relatively challenging in the NICU setting. Objective: To explore nurses’ views on the nature of parental support provided in NICU settings in Brunei Darussalam. Methods: This study employed a qualitative research approach conducted in 2020. Ten nurses were individually interviewed in semi-structured interviews. The data were analysed using thematic analysis. Results: Three broad themes were identified, namely: (1) Emotional and informational support (2) Keeping the support going (3) Seeking help from others. The data provide insights into how nurses provide emotional and informational support to parents in the NICU setting. Challenges were encountered in providing support and were addressed through the involvement of the doctors and emotional support continuity by nursing colleagues. Conclusion: This paper describes two critical supports given to the parents in the NICU setting and the challenges that underline these supports and proposes strategies used by nurses to help the parents. The balance needed between work demand and parental support is highlighted. In order to give more robust parental support, ongoing interactions with doctors and nursing colleagues are required.

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Kisut, Ramlah, Hajah Dayang Jamilah Haji Awang Sulaiman, Hanif Abdul Rahman, and Khadizah H. Abdul-Mumin. "Competency assessment for community health nurses: a focus group expert panel discussion." BMC Nursing 21, no. 1 (May 30, 2022). http://dx.doi.org/10.1186/s12912-022-00898-y.

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Abstract Background General Practice setting in the Primary Health Care Services are the utmost visited by the public. It is important that the nurses’ competencies in this area be assessed to ensure provision of safe and quality services. Aim/objective To explore perceptions and experiences of competencies assessment tool for community health nurses working at the General Practice setting in the Primary Health Care Services. Methods An exploratory qualitative study utilizing focus group discussions were conducted on purposive sample of 12 officers with expertise in competency assessment and community health nursing from higher nursing education institutions, the Nursing Training and Development Centre, the Nursing Board and the Community Health Nursing Services in Brunei Darussalam. The existing competencies assessment tool was revised, the participants were divided into two groups of expert panel review team and two focus group discussions were held with each team. The focus group discussions encompassed components and methods of assessment; methods of grading; and overall organization and structure of the revised competency assessment tool. Findings Four themes emerged: 1) International equivalent core competencies components; 2) Multi-methods approach to assessment; 3) Definitive guidelines as framework for assessment; and 4) Understanding and acceptability of the competency assessment tool. Conclusions/implications to practice The expert panel reviews provide practical input that were inculcated in the preliminary developed competencies assessment tool. Identification of eligible assessors were recommended based on standardized criteria, and socialization and training held to set direction and guidance for implementing the utilization of the competencies assessment tool. Further studies are deemed important to critically evaluate and validate the preliminary competencies assessment tool for development of a more robust assessment instrument.

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Hj Emran, Siti Norhayati, and Yusrita Zolkefli. "Nephrology nurses’ views in giving a dietary recommendation for dialysis patients: An interview study." Belitung Nursing Journal, September 7, 2021. http://dx.doi.org/10.33546/bnj.1669.

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Background: Nutrition in dialysis patients plays an essential role in their life. Diet in dialysis patients are catered individually and applied according to the situation of the patients. A dietary recommendation is vital to dialysis patients, and nephrology nurses help patients understand the reasoning behind the dietary restrictions enforced. Objective: This paper aimed to explore nephrology nurses’ views in giving dietary recommendations for dialysis patients. Methods: In this descriptive qualitative study, one focus group discussion (n = eight nurses) and four individual interviews in one Renal Centre in Brunei Darussalam was conducted through purposive sampling. This interview took place between October 2020 and December 2020. Results: Three major themes were identified: (1) Approaches in giving dietary information, (2) Getting patients to follow a diet plan, and (3) Negotiating with patients. Conclusion: The importance of nephrology nurses in improving patient care, particularly in providing dietary recommendations to dialysis patients, cannot be overstated. They adopted different approaches, including negotiating with patients and using available resources to ensure that patients followed the dietary recommendations. However, they believe their current method and strategy for offering dietary recommendations to dialysis patients could be improved.

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"First International Nursing Conference held at the International Convention Centre, Brunei Darussalam, 6-9 November 1994, on the theme 'Education for Caring'." Journal of Advanced Nursing 21, no. 3 (March 1995): 618–21. http://dx.doi.org/10.1111/j.1365-2648.1995.tb02748.x.

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Hasan, Ali Alshikh, and Sunil Kumar Ambrammal. "healthcare system: Policies and performance in India and ASEAN countries." International journal of health sciences, July 20, 2022, 9960–80. http://dx.doi.org/10.53730/ijhs.v6ns4.10877.

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People seek health because it helps them achieve and maintain happiness. The length of life (longevity) and the quality of life are characteristics that can describe health.A well-functioning health system is predicated on having skilled and motivated health professionals, a well-maintained infrastructure, and a consistent supply of medications and technology, supported by enough financing, solid health plans, and evidence- based policies. Every nation, regardless of its public, private, or mixed health care system, confronts barriers and challenges with consideration to quality, quantity, delivery, and cost of services.The amount of economic growth and the political framework in existence determine how health care systems differ from country to country. Southeast Asia has a tremendous social, economic, and political diversity within countries. Brunei, Singapore, Malaysia, Thailand, the Philippines, Indonesia, Vietnam, Laos, Cambodia, and Myanmar are the ten countries that make up this region.The area comprises countries ranging from economic powerhouses like Singapore to impoverished economies like Laos, Cambodia, and Myanmar is home to more than half a billion people.Although cross-country comparisons between health systems in high-income countries are common, this study was carried out to compare India with Southeast Asian countries (ASEAN), focusing on the performance of the healthcare system across all dimensions.

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Molist-Brunet, N., D. Sevilla-Sánchez, J. González-Bueno, V. Garcia-Sánchez, L. A. Segura-Martín, C. Codina-Jané, and J. Espaulella-Panicot. "Therapeutic optimization through goal-oriented prescription in nursing homes." International Journal of Clinical Pharmacy, November 28, 2020. http://dx.doi.org/10.1007/s11096-020-01206-x.

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AbstractBackground People living in nursing homes are highly vulnerable and frail. Polypharmacy and inappropriate prescription (IP) are also common problems. Objectives The objectives of the study are (i) to study the baseline situation and calculate the frailty index (FI) of the residents, (ii) to assess the results of routine clinical practice to do a pharmacotherapy review (patient-centred prescription (PCP) model) (Molist Brunet et al., Eur Geriatr Med. 2015;6:565–9) and (iii) to study the relationship between IP and frailty, functional dependence, advanced dementia and end-of-life situation. Setting Two nursing homes in the same geographical area in Catalonia (Spain). Method This was a prospective, descriptive and observational study of elderly nursing home residents. Each patient’s treatment was analysed by applying the PCP model, which centres therapeutic decisions on the patient’s global assessment and individual therapeutic goal. Main outcome measure Prevalence of polypharmacy and IP. Results 103 patients were included. They were characterized by high multimorbidity and frailty. Up to 59.2% were totally dependent. At least one IP was identified in 92.2% of residents. Prior to the pharmacological review, the mean number of chronic medications prescribed per resident was 6.63 (SD 2.93) and after this review it was 4.97 (SD 2.88). Polypharmacy decreased from 72.55% to 52.94% and excessive polypharmacy fell from 18.62% to 5.88%.The highest prevalence of IP was detected in people with a higher FI, in those identified as end-of-life, and also in more highly dependent residents (p < 0.05). Conclusions People who live in nursing homes have an advanced frailty. Establishing individualized therapeutic objectives with the application of the PCP model enabled to detect 92.2% of IP. People who are frailer, are functionally more dependent and those who are end-of-life are prescribed with inappropriate medication more frequently.

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Ferreira, Tadeu Sartini, Clarice Zinato Moreira, James Guo, and Franco Noce. "Effects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses." Revista da Escola de Enfermagem da USP 51 (2017). http://dx.doi.org/10.1590/s1980-220x2016033203202.

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Abstract OBJECTIVE To assess the effect of a 12-hour shift on mood states and sleepiness at the beginning and end of the shift. METHOD Quantitative, cross-sectional and descriptive study.It was conducted with 70 neonatal intensive care unit nurses. The Brunel Mood Scale (BRUMS), Karolinska Sleepiness Scale (KSS), and a socio-demographic profile questionnaire were administered. RESULTS When the KSS and BRUMS scores were compared at the beginning of the shift associations were found with previous sleep quality (p ≤ 0.01), and quality of life (p ≤ 0.05). Statistical significant effects on BRUMS scores were also associated with previous sleep quality, quality of life, liquid ingestion, healthy diet, marital status, and shift work stress. When the beginning and end of the shift were compared, different KSS scores were seen in the group of all nurses and in the night shift one. Significant vigor and fatigue scores were observed within shift groups. CONCLUSION A good night’s sleep has positive effects on the individual`s mood states both at the beginning and the end of the shift. The self-perception of a good quality of life also positively influenced KSS and BRUMS scores at the beginning and end of the shift. Proper liquid ingestion led to better KSS and BRUMS scores.

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Journal articles on the topic 'Nursing Brunei'

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