Displaying publications 21 - 40 of 59 in total

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  1. Soon BC
    MyJurnal
    This article is a brief personal reflection on the ongoing development of professional education and practice in nursing. The reflection and its narratives are anecdotal and are based on the author's recent experience of teaching and working with fellow nursing lecturers in Malaysia in a nursing faculty within a local University. The author has almost 40 years career in nursing, nurse education and curriculum planning in the United Kingdom before her retirement. The study reflects on the key aspects of nursing and nurse education from her wealth of experiences while in the UK, and also highlights some positive and valuable insights gained from her brief experience in Malaysia. She also provides some reflections of the challenges that lie ahead, specifically, the emphasis on feelings and emotions in nursing, that provide the inspiration to continue with passion, dedication, and determination in our ongoing quest in the pursuit of nursing excellence for all the nurses, in practice and in education. This will hopefully and ultimately lead to a higher standard of nursing care for all patients, and continue the long journey towards the unique professional identity that we have been seeking, and that we can all proudly claim to be our own.
  2. Rusnani Ab Latif
    MyJurnal
    Introduction: The effectiveness of teaching and learning process is highly dependent on the methods and
    strategies of teaching and learning practices. As a result, nurse educator must choose and use the suitable
    method to help the nursing students to achieve the learning objective.

    Methodology: There were 218 respondents. This study consisted of two-group quasi experimental study
    with pre- and post-test design. The experimental and control groups received education using concept
    mapping and lecture method respectively. The data was analyzed using inferential and descriptive statistic.

    Results: In the pre-test, students were taught using concept mapping. These students had achievement
    mean scores of 11.23, SD=2.59 and post–test was 13.19, SD=1.71 with mean gain scores of 1.96. Students
    who were taught using lecture method had an achievement mean scores of 10.71, SD=2.23 in the pre-test
    and post-test was 12.60, SD=1.64 with mean gain scores of 1.89. The results showed an increase in grade
    achievement, the percentage pass for the experimental group increased from 95.4% in pre-test to 100% in
    the post-test. The percentage pass for control group had increased from 93.57% in pre-test increased to
    99.08% in the post-test.

    Conclusion: Student-centered learning is a teaching method that is active and can change passive to active
    learning. Findings from several reviewed studies suggest that using concept mapping can improve
    academic performance in nursing education and is a valuable teaching strategy.
  3. Norli Abd Rahman, Gim, Chan Siok
    MyJurnal
    Exercise is an important practice in leading a healthy lifestyle. However, recently the percentage of
    Malaysians who practice healthy lifestyle has decreased and the rate of overweight or obesity isincreasing.
    This study aims to explore the knowledge, attitudes and practices of exercise among nursing college
    students. Questionnaires were used as a research instrument and distributed to Kuala Terengganu Nursing
    Collage students consisting of 281 students, ranging from year 1 to year 3 in semester II. Data collection
    was carried out within two weeks. The results of this study showed that almost 66.9% of trainees chose
    aerobic exercise as their favorite exercise. This form of exercise is good for strength and durability of the
    cardiovascular. Almost 90.4% of them did exercises together with their friends. From the results, their
    coach had a relatively good level of knowledge about exercise. The majority of students have a positive
    attitude towards exercise. There is a relationship between knowledge and their value of exercise. Age is
    correlated with knowledge, meaning that the older the person the more knowledgeable they are on the
    benefits of exercise. Age and semester of study showed moderate correlation of 0.525 with awareness of
    exercises to increase stamina and strength of the body's defenses.
  4. Mazlinda, M., Ayu Sulaini, J., Suriawati, G., Mardiana, M., Zahri, M.K.
    MyJurnal
    A pressure ulcer is a common health problem, particularly among the physically limited or bedridden individuals. The most vulnerable group to suffer this condition is the elderly. The prevalence of Geriatric inpatient with pressure ulcer stage I, II, III or even IV for a month was 35.5% of the total admission. The understanding of recovery process, prevention remains the best management strategy as it improves their quality of life. This study aims to compare PU development outcomes in geriatric patients nursed on either using the Durable barrier cream (Cavillon cream) or non-pharmacological intervention alone. Using the Quasi experimental study-design, the selected participants were subjected to Cavaillon cream as well as the intervention. The assessment used were the outcome of the pressure ulcer was assessed using the measured size of the redness area. There was the statistically significant reduction in pressure ulcer size on day three compared to the size on day one among the intervention group, z value was -5.028, p
  5. Zulainah Osman, Chan, Siok Gim
    MyJurnal
    The aim of this project was to determine stress levels and to identify the main stressors that contribute to stress among Kolej Poly-Tech Mara (KPTM) nursing students during their clinical placement in order to help them overcome it. Atotal of 324 respondents undergoing training at KPTM participated in this project. The questionnaire consisting of six common stressors with 30 items using a 5-point Likert Scale was used to measure the level of stress among the respondents during their clinical placement. The data collected was examined for normal distribution, and inferential statistics such as correlations were used to seek relationships. The results indicated that the main stressors that contributed to stress among KPTM nursing students were from both environment, along with assignments and workload. There was moderate level of stress among KPTM nursing students during clinical placement and the factor that contributed to stress was due to the the possibility of making an error. Clinical placement is an essential component for nursing student's training. The practice allows nursing students the opportunity to relate the theory into practice during nursing care towards the patients. Findingsfrom this study will provide the nursing educators, clinical instructors with a meaningful understanding of the importance of clinical placement experience.
  6. Mustapha MS
    Adequate consumption of Omega-3 fatty acids are essential during pregnancy because they play an important role in the development offetal brain and retina. The rate of growth remains high during the first year of life. Omega-3 is converted inside the body into longer chain polyunsaturated fatty acids docosahexanoic acid (DHA) and eicosapentaenoic acid (EPA). DHA and EPA are primarily derived from fish and algae. DHA is essential for the growth and functional development of the brain in infants. DHA is also required for the maintenance of normal brain function in adults. The inclusion of adequate amount of DHA in the diet improved learning ability, whereas deficiencies of DHA are associated with deficits in learning. DHA is readily taken up by the brain in preference to other fatty acids. The turnover of DHA in the brain is very fast, more so than is generally realized. The visual acuity of healthy, full-term, formula-fed infants is increased when their formula includes DHA. However, health professionals and the general public in Malaysia may not be aware about the importance, sources or the quantities required for these essential fat components in foods. This review discusses the benefits of omega-3 consumption with particular emphasis during pregnancy and the first year of life. This review will also attempt to discuss sources of omega-3 fatty acids in Malaysia with the aim to achieve the recommended nutrient intakes foromega-3 fatty acids.
    Keywords: Omega 3 fatty acids, Lactation in Pregnancy, Sources of Omega-3 FA
  7. Hashairi F, Fauzi CH, Chew KS, Nik Hisamuddin NAR
    Background: Standard Precaution (SP) is a very important health issue that has not been well-emphasized. The outcome of not following the SP is a serious problem that can lead to the blood-borne infection.
    Methods: A set of self-administered anonymous questionnaire were given to all healthcare personnel in 4 selected Emergency Department (ED), hospital in Kelantan to assess the knowledge and practice of standard precaution.
    Results: Almost half of the healthcare personnel were having a good knowledge 115 (57.8%) and good practice 156 (78.4%) towards SP. For those who did not comply with SP, complained oflackoftime as the main reason (38.5%) followed by interference with their work (29.2% ). There was no significant difference between presence of Emergency Physician or not in ED with the compliance towards SP.
    Conclusion: Though majority of the healthcare personnel in ED possessed a good level of knowledge and practice towards SP, the staff compliance should be revised regularly wherever necessary to improve the precautions.
    Keywords: Standard precaution, Emergency Department, Malaysian Nurse
  8. Chin CC, Beauchamp A, Sellick K
    Background: Consistent with other countries, Malaysia suffers from a shortage of nursing faculty. In several studies it has been seen that job satisfaction has been shown to contribute to retention of nurse educators. The majority of these studies are from developed countries and were conducted over ten years ago. As a result these findings may not be relevant to contemporary Malaysia. So, the purpose of this study was to investigate the levels of job satisfaction among nurse lecturers in Malaysia.
    Methods: A total of 20 nursing colleges throughout Malaysia were selected for random sampling, of which 30% agreed to participate. The Minnesota Satisfaction Questionnaire with additional demographic and organizational characteristics questions was used to collect the data. Descriptive statistics was used to examine differences in job satisfaction between demographic and organizational variables. Spearman’s rho was used to test the relationship between each of the demographic / organizational characteristics and overall job satisfaction.
    Results: A total of 73 nurse lecturers (73% response rate) returned the completed questionnaire. The findings indicated only a moderate level of job satisfaction. There were no significant correlations between demographic or organizational variables and overall job satisfaction levels with the exception of the number of students (p = 0.017).
    Conclusions: An understanding of the factors affecting job satisfaction among nursing faculty could enhance retention and recruitment in this profession. Further research using a combination of quantitative and qualitative approaches is recommended to provide an in-depth understanding of nursing lecturers’ perceptions of job satisfaction.
    Keywords: Nurse Job Satisfaction, Nurse Lecturers, Nurse Job
  9. Chiew L, Das U
    Stroke is the most important cause of death and foremost cause for dysfunction around the globe. As a result increase in the numberof elderly population the incidence of stroke has emerged as an important public health problem. Major developments have taken place in the field of medication for the prevention and treatment of stroke during the past decade. In spite of major interventions proposed by several organizations and the government, the present scenario of the stroke management facilities is still not promising. This article intends to investigate the health care facilities present for the elderly individuals with high risk of strokereoccurrence through proper analysis of the health system in Malaysia. The objectives are to find out evidence-based, reasonably priced and endurable measures to control the recurrences of stroke and to evaluate the outcomes of these interventions. It was noticed that in Malaysia though there many amenities for stroke patients are available but reorganizing and strengthening of few aspects such as human resource by multidisciplinary input is necessary for proper management of senior stroke patients. Moreover monitoring is essential to support patients after discharge from the hospital. The ethical variations among patient with stroke recurrence and the risk factor associated with stroke is not fully understood by healthcare workers. So, this study attempts to guide the stroke patient, their families and the health care workers to prevent stroke recurrence.
    Keywords: Stroke, Stroke Interventions, Stroke in Malaysia
  10. Tan YM, Chan SG
    Caring behaviours presented by the nurses while providing care is the essence of nursing. However, operation theatre nurses must also adhere to the nursing value in social sciences and humanities to address the patient's needs. The concern of the nurses should not only be for the basic life sustaining needs but also for physiological, psychological, socio cultural and spiritual dimension ofpatient's human responses. The purposes of this study were to determine the perception regarding caring behaviours and the level of caring among the Operation theatre nurses in Hospital Universiti Sains Malaysia. In addition, there were associations when the determination between demographic variables like genders and years of experience of the nurses in relation to their caring behaviours is necessary. It isa quantitative, descriptive survey design and 95 nurses participated in the study. The revised Wolfs Caring Behaviours Inventory was used to measure the dimensions of caring. "Professional knowledge and skill" was identified to be the highest among the five dimensions of caring that was being measured. Findings show that the nurses demonstrated a high level of caring behaviours during their course of work. However, none of the demographic factors studied were significantly associated to their caring behaviours.
    Keywords: Caring attitudes, Caring behaviours, Dimensions of caring
  11. Leong SW, Chan SG
    Clinical practice is an essential component of the nursing student's training. The practice allows nursing students the opportunity to relate theory into practice during nursing care to the patients. The aim of this project was to determine perceptions of clinical placement experience with respect to clinical practice, enhancement of learning and hindrance among nursing students. A total 254 participants undergoing training at Nursing College Kubang Kerian participated in this project. They were selected using the Raosoft sample size calculator. Survey questionnaires were distributed to 80 participants from first year, 88 from second year and 86 participants from third year. The questionnaire consisting of 25 items with 5-point Likert Scale responses was used to measure nursing students' perceptions towards nurses during their clinical placement experience. In addition, demographic factors such as age groups, ethnicity, educational levels and years of training were examined. The items were pilot-tested and the Cronbach Alpha values obtained for clinical practice, enhancement of learning and hindrance consisting of 0.80, 0.80 and 0.83 respectively. The final data was analysed using both descriptive and inferential statistics. Non-parametric Kruskal Wallis was used to make comparisons where sub samples were imbalanced. The level of significance was set at 0.05. The results indicate that nursing students perceived their clinical placement positively. Perceptions towards clinical practice were significantly different between nurses based on their residential areas and years of training. The results of this study revealed that there were challenges for the nursing educators, clinical instructors and other health providers in achieving a supportive clinical environment for the nursing students.
    Keywords: Nursing, Clinical Placement, , Clinical Practice, Enhancement or Hindrance in learning
  12. Husbani Mohd Amin Rebuan, Hamidah Othman, Nurulhuda Mat Hassan, Myat Moe, Nur Qamilah Mohamad
    MyJurnal
    In Malaysia, women had breast cancer always reported at their late stage. One of the causes is due to the delay in seeking medical attention. Poor knowledge about the breast cancer is one of the factors that cause the delay. Aim: This study was designed to assess the knowledge on breast cancer symptoms and risk factors, screening method, and practice among participants. Methodology: This was a cross-sectional study done from 1st of March till 15th of March 2016 involving 89 nursing students from School of Nursing Science, Medical Faculty, University Sultan Zainal Abidin (UniSZA). Data analysis was carried out using Statistical Package for the Social Sciences (SPSS) Version 21. Results: Eighty-nine participants responded. Majority of the students (>80.0%) knew the symptoms of breast cancer and common method of screening. Less than 50.0% knew the high risk factor for developing breast carcinoma. Less than 50.0% carried out the breast self-examination. Conclusion: Students had excellent knowledge on symptoms of breast carcinoma and its screening method. Majority (>50%) of the students were still not clear about high risk factors group. Lack of breast self-examination practice among students was noted.
  13. Siti Roshaidai Mohd Arifin, Cheyne, Helen, Maxwell, Margaret
    MyJurnal
    Sociocultural contexts of motherhood have been found to have a link with postnatal depression. Malaysia has a wide-range of cultural and ethnic backgrounds that offers a wonderful chance to understand the different role of cultures and postnatal practices in relation to postnatal depression. The purpose of this paper is to discuss the link between the Malaysian healthcare system, social and cultural context, the existing health policy and postnatal depression. This paper highlights that while there are different levels of nurses who work collaboratively to manage pregnant and postnatal mothers in the maternal and child health clinic, the focus of their care is more on physical health. The international guidelines for diagnosing PND were not commonly used within the clinics, although the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) has been widely used within psychiatric setting in Malaysia. There is no formal mechanism or assessment to detect PND in the clinics. There were no guidelines found that specifically focused on the management of PND. It is questionable whether the current approaches to promote and manage maternal mental health in Malaysia have a sense of cultural-based strategies. These significant gaps call for empirical evidence that explicitly focussed on the experiences and perceptions of PND in Malaysia.
  14. Rusnani Ab Latif, Fairani Yusof, Tan, Yok Mui, Nor Suraizai Ibrahim
    MyJurnal
    Introduction: Students learn in many ways. Some students are visual learners, while others are auditory or kinesthetic learners. The purpose of the study is to identify the learning style of the students and factors that influence their learning styles. Methods: This is a descriptive study with cross-sectional design. Convenient sampling was used. In this study, a total of 51 nursing students were involved. A set of questionnaires using VARK (Visual; Auditory; Read/Write; Kinesthetic) inventory was used. Descriptive statistics and Chi-square test were use. Results: The learning styles of the respondents were mostly kinesthetic learning style and auditory learning styles which is 14(27.5%) for both, ten respondent had combinations of various styles, seven respondents had read write learning style and six respondent had visual learning style which is 13.7% and 11.8% respectively. Chi-square test shows that there was significant difference between learning style and respondents' demographic factors of previous school and number of siblings, where p-value 0.05). Conclusion: In order to achieve the goal of student learning it is important to use a combination of teaching methods and to make the classroom environment as stimulating and interactive as possible
  15. Lia Herliana, Yanti Cahyati
    MyJurnal
    Pain is a sensation that is difficult to remember. Pain exposure is a stimulus that can damage the development of the baby's brain and contribute to learning disorders and behavior in childhood. Therefore nursing intervention is needed that can reduce the pain response in infants, especially during hospital treatment. The aim of the study was to determine the effect of non-nutritive sucking (NNS) and ASI (Air Susu Ibu or Breast Milk) on oral responses to acute pain in the neonate when invasive actions were performed. The benefits of research as evidence-based practiced about administering NNS and ASI orally to pain responses in neonates when experiencing pain. The research design uses experimental nonequivalent control group before and after design. The population of all neonates admitted to Dr. Soekardjo Tasikmalaya, with a total sample of 30 respondents consisting of 15 ASI respondents and 15 respondents for the NNS group. Pain assessments instruments CRIES (Crying, Requiring an increase in oxygen, Increased vital sign, Expression, Sleeplessness) was applied. Data analysis used non parametric tests Mann Whitney and Wilcoxon. The results of the study showed no significant differences in pain response before and after the intervention (p-value 0.236). It was suggested that nurses can improve health education for parents to be able to provide breastfeeding during treatment, especially when the baby receives invasive action
  16. Salizar Mohamed Ludin
    MyJurnal
    Background: Mentoring of new staff nurses is frequently performed. Internationally researches have reported that this exercise helped the new staff to retain information better, adopt a professional conduct, and be more satisfied with their jobs. Mentoring programmes are usually conducted to encourage cooperation as well as socialisation among the new registered nurses (RNs) in specific units or organisations. Aim: This research aims to evaluate the outcome of mentorship programs based on six specific criteria and nurses' willingness to stay in the profession in hospital settings. Method: A comparative cross-sectional study designed via convenience sampling was conducted in nine hospitals using the self-administered mentorship for nurses (MNMSN) questionnaire. Findings:Atotal of 593 respondents were recruited, mostly female (87.6%), under 25 years old (84.7%), from Malay (71%) and highest nursing education of diploma level (99.2%). The predisposing factors that influence performance for pre- and post-program are 'patients assessment' (mean=4.763, S.D=0.52 and mean=4.733, S.D=0.536); 'clinical decision' (mean=4.722, S.D=0.527 and mean=4.73, S.D=0.54); 'cultural competencies' (mean=4.42, S.D=0.443 as well as mean=4.354, S.D=0.442); and 'professionalism' (mean=4.764, S.D=0.533 and mean=4.698, S.D=0.563) respectively. Each predisposing factor showed a significant correlation (strong and moderately positive). Overall result for 'willingness to stay' is significant [F, (5,585)=556.308, p
  17. Xavier, Gregory, Anselm, Su Ting, Teh, Jo Hun
    MyJurnal
    Background: Working in the healthcare industry has its effects on the female workers fecundity. Disorders of reproduction is listed as one of the top ten leading work-related diseases and injuries. The objective of this study is to observe the occurrences of adverse pregnancy outcomes among female healthcare workers in relation to their work schedules and identify the most frequent adverse pregnancy outcome. Methods: A cross-sectional study was carried out obtaining pregnancy history and work schedule in the past three years. In the present study 469 respondents were obtained; 339 healthcare and 130 non-healthcare workers reporting a total of 564 pregnancies. Results: In this study, adverse pregnancy outcomes among female healthcare workers is significantly higher than non-healthcare workers. There is no significant findings between healthcare and non-healthcare workers with respect to the types of adverse pregnancy outcomes and the work schedule. However, from the respondents' lifetime pregnancy outcome, it is found that complete miscarriage occurred most frequently at 26.7% and among healthcare workers who work on shift. Conclusion: Healthcare workers carry a higher risk to experience adverse pregnancy outcome with complete miscarriage being the most common and most of these experiences occurs among those who work on shift/on-call.
  18. Mustaffa Z, Chan SG
    MyJurnal
    The main objective of this study is to evaluate the nurses' level of burnout and identify the factors that influence it. Burnout, one such stress-related outcome, has been conceptualised as a multidimensional construct consisting of emotional exhaustion, depersonalisation and reduced personal accomplishment. Items adapted and translated from Maslach Burnout Inventory were used to collect data from 60 respondents. Among the respondents, 5.0% showed a high level of Emotional Exhaustion while 95.0% were at the moderate and mild level. Respondents with a high level of Depersonalization constitute 3.3% while 96.7% were at a moderate and mild level. Analysis show that 48.2% are at the high and moderate level for Personal Accomplishment while 51.7% is still at the lower level. Mean score for Personal Accomplishment 33.53 as oppose to Emotional Exhaustion 15.90 and Depersonalization 3.60 indicate a low level of burnout characteristic among the staff nurses. Correlation analysis suggest a significant but moderate relationship between Emotional Exhaustion and Depersonalization r = 0.62, p<0.05. A conducive working environment was suggested as a way of improving quality of health care and to hinder burnout. Keywords: Retirement, Readiness, Financial Capacity, Social Support, Preoccupation
  19. Nor Fadhilah Abdullah, Radziah Mohd Fauzi, Sakinah Harith
    MyJurnal
    Background: Having multiple kinds of health problems among metabolic syndrome patients may cause
    them stress. Life events also may worsen their stress. Negative stress affects not only their physical but also
    emotional health. Various coping styles are used in order to deal with their stress. However, not all coping
    styles can overcome their stress.

    Objectives: This study aims to explore the coping styles that have been employed by the stressed metabolic
    syndrome patients in Hospital Universiti Sains Malaysia, Malaysia.
    Method: Semi-structured interviews were conducted with the stressed metabolic syndrome patients in
    Hospital Universiti Sains Malaysia. A purposive sampling was selected among stressed respondents, as
    fifteen of them participated in this study after saturation data was reached. The qualitative data was analysed
    using content analysis and was categorized into dysfunctional, problem-focused and emotion-focused
    coping.

    Results: The themes that emerged were; self-distraction, venting, behavioural disengagement, denial and
    self-blame. These were categorized as dysfunctional coping; acceptance, religion and emotional support as
    emotion-focused coping and active coping and instrumental support which were categorized as problemfocused
    coping. Other new coping styles identified were physical intervention, avoidance and emotion
    suppression.

    Conclusion: Coping styles has direct influence on the feeling of stress. Stressed patients used many
    dysfunctional coping styles rather than other categories of coping which lead them to remain in stress. These
    data highlighted the need to educate patients about good coping styles to give them additional skills in
    managing their stress thus improving their health.
  20. Sham F, Abdul Wahab SM, Orwah NA, Ab Rahim AR, Kamarul Aizan NA
    MyJurnal
    Burnout can be conceptualized in three different aspects consisting of emotional exhaustion, depersonalization and reduced personal accomplishment. It can lead to increment of the turnover rate, absenteeism and low organizational commitment. Stress and job dissatisfaction will lead to psychological distress and burnout. Nurses are one in the health care profession that is susceptible to burnout because they are dealing with patient management and service care delivery. The aim of this study is to determine whether nurses working in Clinical Training Centre (CTC), Faculty of Medicine, University Teknologi MARA (UiTM) are experiencing burnout. A descriptive study design with convenient sampling technique using self-reported questionnaires adapted from Maslach Burnout Inventory (MBI) was conducted involving 120 of nurses in CTC. High levels of burnout were identified in 83.3% of the respondent in the area of depersonalization and 42.5% of the respondent in the area of reduced personal achievement. Marital status was significantly associated with emotional exhaustion (p
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