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Timing of return to work and women's breastfeeding practices in urban Malaysia: A qualitative study

Sulaiman Z, Liamputtong P, Amir LH

Health Soc Care Community, 2018 01;26(1):48-55.
PMID: 28560792 DOI: 10.1111/hsc.12460

Nearly half of the working population in Malaysia are women, and with only a short period of maternity leave, they may struggle to achieve the recommended 6 months of exclusive breastfeeding. The aim of this paper was to explore the relationship between the timing of return to work and beliefs and breastfeeding practices among women in urban Malaysia. A qualitative inquiry based on a phenomenological framework and multiple methods was used: face-to-face interview, participant diary and researcher field notes. Data collection took place in Penang and the Klang Valley, Malaysia, from March to September 2011. Eligible participants were purposely identified at randomly selected recruitment sites. A thematic analysis method was used to develop the typologies and categories of the findings. A total of 40 working women with a mean age of 32 years (SD 3.4) were interviewed and 15 participated in the diary writing. Most women (75%) returned to work between 2 and 3 months. Only 10% returned to work 4 months or later postpartum, and 15% had an early return to work (defined here as less than 2 months). The women fell into three groups: Passionate women with a strong determination to breastfeed, who exclusively breastfed for 6 months; Ambivalent women, who commenced breastfeeding but were unable to sustain this after returning to work; and Equivalent women, who perceived formula feeding as equally nutritious as breast milk. Although longer maternity leave was very important for Ambivalent women to maintain breastfeeding, it was not as important for the Equivalent or Passionate women. In conclusion, returning earlier was not an absolute barrier to continuing breastfeeding. Instead, a woman's beliefs and perceptions of breastfeeding were more important than the timing of her return to work in determining her ability to maintain breastfeeding or breast milk feeding.

Matched MeSH terms: Workplace/psychology
Fulltext Pen and paper based observational method to assess postural problems: a review

Sukadarin, E.H., Deros, B.M., Nawi, N.S.M., Rambely, A.S., Bakar, S.A., Tamrin, S.B.M.

Malaysian Journal of Public Health Medicine, 2016;16(20):78-83.
MyJurnal

Posture is one of the most important factor that need to be considered in any postural analysis. Awkward, extreme,
and repetitive postures can increase the risk of musculoskeletal disorders (MSDs). As observational methods are more
widely used than instrumentation-based methods to assess postural problems, this study reviews and assesses the
scientific literature of observational methods and focused on pen and paper based specifically. In order to identify the
published methods, a list of English or Malay articles dating as far back as 1990 was compiled from PubMed, Science
Direct and Google Scholar. The keywords were ergo*, posture*, method*, observational*, postural problems*, pen and
paper*, posture analysis*, indirect* and macro-ergo*. In addition, a secondary search was also performed using
bibliography of retrieved articles so that additional papers for conducting review and evaluations can be collected. A
total of 121 articles that assessed postural problems in working activities were found. However, after intensive
screening process only 6 articles were selected to be further analyzed. Posture of upper arms/shoulder, lower arms/
elbow, wrist, neck, back/trunk and leg were highlighted in this study. The limitations and the strengths of the
published pen and paper based observational method focusing on those postures were also discussed. The finding of
this review will benefit researchers in the process of understanding unsafe posture in workplace. It could also provide
to researcher on how to improve the current pen and paper based observational method for assessing postural
problems.

Matched MeSH terms: Workplace
Fulltext Development of physical workload and heat stress questionnaire for construction industry in Malaysia

Solehan Imran Shariffudin, Jafri Mohd. Rohani, Mohd Firdaus Mohd Taib, Roseni Abd. Aziz

Journal of Occupational Safety and Health, 2016;13(2):93-97.
MyJurnal

Geographically, Malaysia is situated in the equatorial region, thus having a climate of hot and humid throughout the
year. Effect of heat stress and physical work load at construction industry need to be investigated because of the high number of
accidents. Thus, perception of physical workload and heat stress by the construction workers in Malaysia needed to be investigated
and documented. The aim of this paper is to establish a set of questionnaires containing the item generation regarding on physical
workload and the heat stress perception of construction workers. Physical workload factors such as fatigue, risks, concentration,
work rhythm, responsibility, satisfaction, and autonomy are inserted as the items in assessing the physical workload. While heat
stress are assessed using heat risk factors such as temperature, humidity, heat radiation, air movement, workload, clothing and
acclimatisation. A questionnaire has been developed resulted from various reviewing of literatures on physical workload and heat
stress and better suited to the Malaysia working environment.

Matched MeSH terms: Workplace
Fulltext A study of occupational noise exposure among public transportation workers in Malaysia

Siti Norhafiza Abd Razak, Nurul Hazwani Mohd Yusoff, Farah Hana Mukhtar, Norsehah Abdul Karim, Noor Hasyimah Abu Rahim

Journal of Occupational Safety and Health, 2015;12(1):69-72.
MyJurnal

Working for a minimum of 8 hours, 6 days a week might have exposed the workers of public transportation to
high noise risks. However, occupational exposures in their workplace have not been adequately characterized and
identified. Assessment of occupational noise exposure among workers at five public transportation stations was made
using Sound Level Meter and through questionnaire survey. The data obtained was combined to estimate the work
shift exposure level and health impacts to the workers by using statistical analysis. The respondents participated in the
survey to identify the symptoms of noise-induced hearing loss and other health-related problems. Results of the study
indicated that occupational noise exposure among workers for Mean Continuous Equivalent Level, Leq= 76.17 dB(A)
presents small risks of developing a hearing disability. Some of the workers show symptoms of noise-induced hearing
loss and are annoyed by the sources of noise present at the public transportation.

Matched MeSH terms: Workplace
Fulltext Are our healthcare workers well protected during COVID-19? learning from current experiences and challenges

Siti Munira Yasin,, Kamarulzaman Muzaini, Ely Zarina Samsudin, Mohamad Ikhsan Selamat, Zaliha Ismail

Journal of Clinical and Health Sciences, 2020;5(2):4-18.
MyJurnal

The outbreak of novel coronavirus disease 2019 (COVID-19) has been declared a Public
Health Emergency of International Concern by the World Health Organization. The incidence
of this pandemic continues to rise, with 40,665,438 confirmed cases and 1,121,843 deaths
worldwide by 21 October 2020. During this public health crisis, healthcare workers are at the
frontline of the COVID-19 outbreak response, and as such are at risk of being infected and
developing job burnout while in the line of duty. This study reviews the history of COVID-19
outbreak, infection control measures in hospitals during COVID-19 outbreak, healthcare
workers’ risk of infection and other health effects from battling COVID-19, and challenges and
recommendations for protecting healthcare workers during this pandemic. At present,
healthcare workers are every country’s most valuable resources, and their safety must thus
be ensured. Strong medical leadership, clear pandemic planning, policies and protocols,
continuous educational training, adequate provision of personal protective equipment,
psychological support, and the provision of food, rest, and family support for healthcare
workers would augment a climate of safety in the workplace, ensure their wellbeing, and
improve their capacity to battle this ongoing pandemic.

Matched MeSH terms: Workplace
Fulltext Bioaerosol levels in indoor air of animal house and hospital laboratories; a comparison with library and administrative offices

Siti Marwanis Anua, Nur Fatin Haris, Nurzafirah Mazlan

Malaysian Journal of Medicine and Health Sciences, 2020;16(101):94-100.
MyJurnal

Introduction: This study reported the concentration of bacterial and fungal bioaerosol at an animal house and hospi- tal laboratories with the aim to compare the concentration levels at library and administrative offices. The bioaerosol levels between mid-shift (afternoon) were also compared to the concentration measured during pre-shift (morning). Methods: The NIOSH 0800 method utilising microbiological air sampler collecting airborne bacterial and fungal samples via impaction technique on Nutrient agar (NA) and Sabouraud Dextrouse agar (SDA) as culture medium, respectively. Sampling was done twice daily; before (pre-shift) and during working (mid-shift) hour. Results: The highest bacteria and fungi concentration was recorded at the animal house with median concentration of 2477 CFU/ m3 (IQR=121-2477) and 791 CFU/m3 (IQR = 379-2081), respectively. Higher-risked workplaces such as animal house and hospital laboratories have significantly higher bioaerosol concentrations compared to control workplaces such as library and administrative offices (p

Matched MeSH terms: Workplace
Fulltext A survey on safety awareness among quarry workers at East Cost Malaysia

Siti Hajar Abdul Aziz

Journal of Occupational Safety and Health, 2015;12(1):51-54.
MyJurnal

Lack of safety awareness among quarry workers caused a number of accidents in quarry industries. The objective
of this study is to gauge the awareness level towards safety among quarry workers. A questionnaire was distributed
randomly among quarry workers in Pahang, Terengganu and Kelantan. The questionnaire consists of 6 questions
regarding safety at workplace. Results revealed that 56.9% of the respondents agreed and totally agreed for the health
and safety suggestions made to be given consideration and used. As many as 79.3% respondents admitted that they
obeyed all the safety rules stated at the workplace and 86.3% respondents said that they always focused and gave
full attention while completing their task. A high percentage of 88% of the respondents agreed for all accidents
to be reported to responsible persons while 77.6% respondents agreed for all personal protective equipment to be
used suitable with the task given and 86.2% respondents answered that they performed their task following the safe
operation procedures provided by the company.

Matched MeSH terms: Workplace
Fulltext Factors associated with attitude and practice in disaster management among critical care nurses in the east coast hospitals of Malaysia: a cross-sectional study

Siti Aminah Ismail, ZakiraMamat @ Mohamed, Nik Hisamuddin Nik Ab. Rahman, Nur Syahmina Rasudin

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):6-0.
MyJurnal

Introduction: The east coast hospitals of Malaysia are regularly stricken by flood disaster and nurses make up the majority of frontline responders in disaster. So, they should equip themselves with knowledge and skills related to disaster management. The objective of this study was to explore the factors associated with attitude and practice in disaster management among critical care nurses in the east coast hospitals of Malaysia. Methods: This was a quanti- tative study with a descriptive cross-sectional study design that were involved 250 critical care nurses from the east coast hospitals of Malaysia by used stratified random sampling method. Data were collected by using a validated questionnaire. Multiple logistic regression analysis was used to determine the factors associated with attitude and practice in disaster management. Results: A majority of the critical care nurses had a positive attitude (92.4%, n=231) and adequate practice (80%, n= 200) in disaster management. Among the selected factors studied, attending disaster training/ education was significantly associated with attitude (AOR 4.23, 95% CI: 1.474, 12.144, p = 0.007) and practice (AOR 4.203, 95% CI: 2.102, 8.402, p = 0.000). Disaster response experience had a significant association with practice (AOR 2.697, 95% CI: 1.122, 6.479, p = 0.027) but no significant association with attitude. Level of education, years of service and workplace showed no significant association with attitude and practice in disaster management. Conclusion: This study revealed that disaster training/ education was one of the factors that would ensure positive attitude and adequate practice in disaster management among critical care nurses in the east coast hospitals of Malaysia. Therefore, it is recommended for disaster management programme to be included in continu- ing education training for critical care nurses to ensure them to be well-prepared and respond competently when disaster happen.

Matched MeSH terms: Workplace
Fulltext Morning boost on individuals' psychophysiological wellbeing indicators with supportive, dynamic lighting in windowless open-plan workplace in Malaysia

Sithravel R, Ibrahim R, Lye MS, Perimal EK, Ibrahim N, Dahlan ND

PLoS One, 2018;13(11):e0207488.
PMID: 30496193 DOI: 10.1371/journal.pone.0207488

Workplace architectural lighting conditions that are biologically dim during the day are causing healthy individuals to experience light-induced health and performance-related problems. Dynamic lighting was reported beneficial in supporting individuals' psychological behavior and physiological responses during work period in Europe. It has yet to be investigated in workplaces with minimal/no natural daylight contribution in tropical Malaysia. Hence, an exploratory experimental study was initiated in an experimental windowless open-plan workplace in Universiti Putra Malaysia, Serdang. The aim was to identify dynamic lighting configurations that were more supportive of a morning boosting effect than the control constant lighting, to support dayshift individuals' psychophysiological wellbeing indicators during the peak morning work period. The immediate impact of a 2-hour morning exposure to overhead white LED (6500 K) with different horizontal illuminance levels and oscillations (lighting patterns) were investigated on physiological indicator limited to urinary 6-sulfatoxymelatonin, and psychological indicators for alertness, mood, visual comfort, cognitive and visual task performance. Not all of the investigated dynamic lighting configurations were supportive of a morning boost. Only configurations 500increased to750 and 500increased to1000 lx therapeutically supported most of the indicators. Both these configurations suppressed urinary 6-sulfatoxymelatonin, and improved alertness, cognitive performance, positive affect, and visual comfort better than 'visit 1: 500constant500' lx (control). The increasing oscillation was observed more beneficial for the morning boost in tropical Malaysia, which is in reverse to that specified in the human rhythmic dynamic lighting protocol developed by researchers from the Netherlands for application during winter. The findings from this study present the feasibility of dynamic architectural lighting acting as an environmental therapeutic solution in supporting the individuals' psychophysiological wellbeing indicators in windowless open-plan workplace in tropical Malaysia. Further investigations on the two prospective configurations are recommended to determine the better supportive one for the morning boosting effect in Malaysia.

Matched MeSH terms: Workplace*
The need of industrial and organizational psychologist in Malaysia

Shukran Abdul Rahman

Journal of Occupational Safety and Health, 2004;1(2):64-73.
MyJurnal

Psychology has been well-accepted for application in virtually all aspects of human activities, including making a living. Thus, the objective of this paper is to introduce the application of psychology at workplaces. Specifically this paper addresses the importance of the profession of Industrial and Organizational Psychologist in the increasingly advanced and industrious society of Malaysia. It highlights the areas that the professional cares for, as well as its roles and positions in the view of the nation’s needs. Besides that, this paper also stresses the essential issues that Industrial and Organizational Psychologist practicing in Malaysia should consider. In short, this paper advocates the need of having professionals to look into the well-being of individuals contributing towards making Malaysia a developed nation.

Matched MeSH terms: Workplace
Fulltext Avoiding medication errors through effective communication in healthcare environment

Shitu, Zayyanu, Isyaku Hassan, Aung, Myat Moe Thwe, Musa, Rabiu Muazu, Tuan Hairulnizam Tuan Kamaruzaman

Movement Health & Exercise, 2018;7(1):115-128.
MyJurnal

One of the major problems causing medication errors is ineffective
communication between patients and health personnel. This paper discusses
the communication issues in the healthcare environment and how
medication errors can be avoided through effective communication. An
internet-based search was conducted to locate relevant articles published
between 2004 and 2017. Only articles that touch upon communication and
health-related issues were selected. Online sources such as PubMed,
ScienceDirect, and Google Scholar were utilized. The importance of good
communication practices for effective health and improved patient safety in
hospital settings has been highlighted. It is evident from this review that
poor communication most frequent causes adverse effects, delay in
treatment, medication errors, and wrong-site surgery. The major
communication issues in healthcare environment include language barriers,
the medium of communication, physical setting, and social setting.
Healthcare workers tend to use technical language in the workplace because
they consider the tone of communication to be always professional. It has
been established that knowledge on professional-patient communication is
essential and valuable in improving therapeutic outcomes. Patients need
knowledge and support in order to be able and motivated to undergo
medicine therapy. Health practitioners need to take responsibility for
demanding and creating an environment where high-quality healthcare
counselling is routinely practiced. To promote safe and effective practice in hospitals and avoid medication errors, clinicians should adhere to teamwork
and effective communication with the patients. There is a need for designing
strategies such as effective communication and teamwork amongst
healthcare professionals, which can consequently influence the quality of
healthcare services and patient outcomes.

Matched MeSH terms: Workplace
Facilitating Mindful Safety Practices among First Line Workers in Chinese Petroleum Industry through Safety Management Practices and Safety Motivation

Shi H, Mohamed Zainal SR

Int J Occup Saf Ergon, 2021 Mar 11.
PMID: 33704011 DOI: 10.1080/10803548.2021.1902672

Petroleum Industry belongs to the high-risk industry and operates under the social technical system. Therefore, safety behavior of employees need to be paid high attention. Thus, six dimensions of safety management practices are identified as independent variables to predict a special component of common safety behavior-mindful safety practices in Chinese Petroleum Industry. HRO (High Reliability Organization) theory is adopted as the underpinning theory. 255 first line workers from a Chinese petroleum company participated in this survey. The results reveal that safety training and safety communication and feedbacks are positively related to safety motivation. Moreover, workers' involvement and safety promotion policy have direct and positive impacts on mindful safety practices. Further, safety motivation is found to play a mediating role in the prediction of mindful safety practices in Chinese Petroleum Industry. These findings give new insights for petroleum companies on how to promote mindful safety practices in the workplace.

Matched MeSH terms: Workplace
Fulltext Stress and its associated factors amongst ward nurses in a public Hospital Kuala Lumpur

Sharifah Zainiyah, S.Y., Afiq, I.M., Chow, C.Y., Siti Sara, D.

Malaysian Journal of Public Health Medicine, 2011;11(1):78-85.
MyJurnal

Occupational stress exists in all professions, but the nursing profession appears to experience more stress at work compared to other health care workers. Stressful conditions at the workplace may cause the high turnover and burnout among nurses. This study objective was to determine the level of stress and its associated factors among in-patient ward nurses. A cross sectional study using the stratified random sampling method was carried out among 114 staff nurses from 5 different departments in a public hospital in Kuala Lumpur. Respondents were requested to complete a single set of validated and self-administered questionnaire, the Depression, Anxiety, Stress Scale (DASS) . Data was analysed using SPSS 17. In general, the prevalence of stress at the department of Medicine was found to be higher compared to other departments studied. There was also a statistical significant relationship between the prevalence of stress and types of department (p 0.05). In conclusion, stress had no significant association with sociodemographic factors (age, marital status and financial status) and working environment except for type of department nurses work in. There might be some other possible confounders that have a bigger potential in becoming stressors compared to those independent variables in this study.

Matched MeSH terms: Workplace
Fulltext Effects of stretching exercise training and ergonomic modifications on musculoskeletal discomforts of office workers: a randomized controlled trial

Shariat A, Cleland JA, Danaee M, Kargarfard M, Sangelaji B, Tamrin SBM

Braz J Phys Ther, 2018;22(2):144-153.
PMID: 28939263 DOI: 10.1016/j.bjpt.2017.09.003

OBJECTIVE: To evaluate the effectiveness of exercise, ergonomic modification, and a combination of training exercise and ergonomic modification on the scores of pain in office workers with neck, shoulders, and lower back pain.
METHODS: Participants (N=142) in this randomized controlled trial were office workers aged 20-50 years old with neck, shoulders, and lower back pain. They were randomly assigned to either the ergonomic modification group, the exercise group, the combined exercise and ergonomic modification group, or the control group (no-treatment). The exercise training group performed a series of stretching exercises, while the ergonomic group received some modification in the working place. Outcome measures were assessed by the Cornell Musculoskeletal Disorders Questionnaire at baseline, after 2, 4, and 6 months of intervention.
RESULTS: There was significant differences in pain scores for neck (MD -10.55; 95%CI -14.36 to -6.74), right shoulder (MD -12.17; 95%CI -16.87 to -7.47), left shoulder (MD -11.1; 95%CI -15.1 to -7.09) and lower back (MD -7.8; 95%CI -11.08 to -4.53) between the exercise and control groups. Also, significant differences were seen in pain scores for neck (MD -9.99; 95%CI -13.63 to -6.36), right shoulder (MD -11.12; 95%CI -15.59 to -6.65), left shoulder (MD -10.67; 95%CI -14.49 to -6.85) and lower back (MD -6.87; 95%CI -10 to -3.74) between the combined exercise and ergonomic modification and control groups. The significant improvement from month 4 to 6, was only seen in exercise group (p<0.05).
CONCLUSION: To have a long term effective on MSDs, physical therapists and occupational therapists should use stretching exercises in their treatment programs rather than solely rely on ergonomic modification.
CLINICAL TRIAL ID: NCT02874950 - https://www.clinicaltrials.gov/ct2/show/NCT02874950.

Matched MeSH terms: Workplace
Fulltext Trends of disability among workers in Malaysia: case study on SOCSO’scontributors

Shamshimah Samsuddin, Noriszura Ismail

Jurnal Sains Kesihatan Malaysia, 2018;16(1):87-94.
MyJurnal

Occupational injury is an issue that needs to be considered in reducing the problems of disability and death in the
workplace. Healthy and high-productivity workers are one of the important factors that are important to the economic
growth of a country. This study aims to identify the trend of disability for employees covered by the Employment Injury
Scheme under the Social Security Organization Malaysia (SOCSO) for the years 2009-2013. Based on the descriptive
analysis, 80% of the total numbers of workers who suffer injury or death in the workplace are male employees. In
addition, workers aged 25 and above are more prone to injury and death associated with work. The results showed that
socio-demographic factors such as gender and age, as well as level of disability are several important factors that need
to be considered in identifying the trend of disability among employees.

Matched MeSH terms: Workplace
Fulltext Barriers towards Sun Exposure and Strategies to Overcome These Barriers in Female Indoor Workers with Insufficient Vitamin D: A Qualitative Approach

Shahudin NN, Sameeha MJ, Mat Ludin AF, Manaf ZA, Chin KY, Jamil NA

Nutrients, 2020 Sep 30;12(10).
PMID: 33007799 DOI: 10.3390/nu12102994

The prevalence of vitamin D insufficiency is significant even in tropical countries such as Malaysia. Sun exposure is the primary source of vitamin D for most people due to limited intakes of food containing vitamin D and supplements. This study explored the perception of barriers towards sun exposure and strategies to overcome these barriers among vitamin D insufficient women workers in Kuala Lumpur, Malaysia. Twenty-five female indoor workers with serum 25-hydroxyvitamin D < 50 nmol/L participated in seven focus group discussions (FGDs). Barriers towards sun exposure were lack of accurate knowledge of vitamin D, health concern towards sun exposure, time constraints, desire to have fair and beautiful skin, sedentary lifestyle, indoor workplace, weather, lack of social support, living arrangement, safety concerns, and religious or cultural practices. The improvement strategies were classified into lifestyle changes and workplace opportunity for sun exposure. Public education on safe sun exposure to produce an optimal level of vitamin D is necessary. Future studies should evaluate the effectiveness of sunlight exposure program at workplace for the high-risk vitamin D deficiency group.

Matched MeSH terms: Workplace
Fulltext Overview of statutory inspection enforcement for certificated machinery by licensed person

Shahronizam Noordin, Yuzainie Yusoff, Noorhasimah Awang, Siti Nurani Haji Hassan, Zulfadhli Suhaili, Samuri Mohd Mussim, et al.

Journal of Occupational Safety and Health, 2015;12(2):31-40.
MyJurnal

Licensed person is a third party who was awarded a license to perform statutory inspection for certificated
machinery under the provision of section 40 (1A), Factories and Machinery Act (Amendment) (FMA) 2006. The
objectives of the study is to identify issues related to statutory inspection in Malaysia and to make comparisons with
respect to the statutory inspection by Licensed Person adopted by other countries. The enforcement of Licensed
Person in Malaysia is still in not yet implemented although Section 40 (1A) in FMA (Revision) 2006 regulating on
Licensed Person had been introduced on 2006 and compared with other countries especially our neighboring country
Singapore. Based on the DOSH inspection data analysis, the main issues relating to statutory inspection in Malaysia
is the increment in backlog cases due to lack of number officers compare to the number of registered certificated
machineries in Malaysia. As a conclusion, the implementation of Licensed Person is crucial in Malaysia to reduce the
work and financial burden of Department of Occupational Safety and Health (DOSH) officer in enforcing FMA 1967
and also to improve the quality of statutory inspection for the safety in workplace.

Matched MeSH terms: Workplace
Fulltext Task Integrated Objective Structured Clinical Examination (TIOSCE): A modified version of OSCE

Shahid Hassan

Education in Medicine Journal, 2012;4(1):115-128.
MyJurnal

The impact of good assessment in medical education depends on how appropriately the tools measure the clinical performance and how reliable, valid and feasible they are to achieve the logical decision. The traditional methods of clinical examination using long and short cases and orals are often argued for its subjectivity, low reliability and inadequate context specificity. Oral test though comparatively more valid due to its face-to-face questions are considered less reliable for problems of unstandardized questions, inconsistent marking and lack of sufficient testing time. Development of an “objective structured clinical examination” (OSCE) was sought as a solution to these problems. But the fragmented representation of the context in a number of stations in OSCE makes it less authentic for an integrated judgment of performance. Yet another method to thought of, was the workplace-based assessment (WPBA) but it takes a snapshot as a predefined attribute of a more complex integrated assessment such as long case. However due to the problem of feasibility it is less likely that high stakes examination as summative assessment will ever be able to attain workplace-based assessment such as Mini-CEX and DOPS. A TOACS (task oriented assessment of clinical skills) format currently used in high stakes fellowship examination in one of the center and claimed to have more active role for examiners was analyzed and compared with OSCE. Author however, did not find a difference except the difference of acronyms of the two formats. Both have multiple, fragmented static or interactive stations of 5-10 minutes duration with or without examiners, patients or exhibits and a marking scheme comprising of checklist or global rating. In the backdrop of this context a new assessment format named the ‘task integrated objective structured clinical examination” or TIOSCE modified from OSCE is currently developed in School of Medical Sciences (SMS) at USM. However, it is a different version of OSCE in which though the principle concept is the same as that of an OSCE, the continuum of clinical skill’s work up of the same patient’s is followed through to test multiple short attributes of clinical competences. As it retains most of the favorable features, TIOSCE also addresses some of the odds features of OSCE.

Matched MeSH terms: Workplace
Fulltext Faculty development: DOPS as workplace-based assessment

Shahid Hassan

Education in Medicine Journal, 2011;3(1):32-43.
MyJurnal

Background: In order to achieve the desired performance of graduates a number of traditional evaluation exercises have been practiced to assess their competence as medical students. Many of these assessments are done in a controlled environment and mostly reflect on tests of competence than performance. Mini-CEX or direct observed procedural skills (DOPS) are the real performance-based assessment of clinical skills. Increased opportunity for observation and just-in-time feedback from the role model superiors produce a positive educational impact on students learning. This also provides trainees with formative assessment to monitor their learning objectives. However, to implement assessment strategies with Mini-CEX or DOPS needs to develop institution’s clear policy for a different teaching and learning culture of workplace based assessment. It also needs to develop user friendly rating form, checklist, elaboration of clinical competence and its attributes and procedural guidelines for practice. A precise role of these tools in the assessment of postgraduate program must be established before practicing them to evaluate and monitor trainee’s progress.
Objective: To determine DOPS for its acceptability and feasibility as a method of formative assessment of clinical skills in postgraduate program of Otolaryngology and Head-Neck Surgery.
Method: A total of 25 trainees were assessed for DOPS by 8 supervisors in this 12-weeks pilot study. A faculty development program for faculty members and trainees was run for DOPS. Trainees were advised to undertake at least one DOPS encounter out of 42 shortlisted procedures. Assessors were asked to mark trainees by completing a rating form using a checklist developed for each procedure. Trainees and assessors were asked to endorse their opinion on feasibility and acceptance of DOPS for practice of formative assessment in future. Data was analyzed to determine feasibility and acceptability of DOPS in assessment program. Result: Faculty development and trainees orientation in DOPS were found satisfactory for its acceptance and feasible for its practice. Trainees were mostly assessed in outpatient clinical setting. Majority reported higher rating of satisfaction by assessors and trainees. Among clinical skills higher rating was received in procedural skills performed by the senior trainees. Conclusion: DOPS was found feasible for practice of formative assessment of trainees in postgraduate program of Otolaryngology and Head-Neck Surgery in School of Medical Sciences (SMS) at Universiti Sains Malaysia (USM). It was well accepted by the trainees to help monitor their quality of procedural skills as self-directed learning.

Matched MeSH terms: Workplace
Fulltext PRELIMINARY STUDY ON E-HAILING DRIVERS NEEDS IN ENGLISH LANGUAGE LEARNING FOR THE PURPOSE OF SUCCESSFUL COMMUNICATION IN TOURISM INDUSTRY

Shahazwan Mat Yusoff, Anwar Farhan Mohamad Marzaini, Siti Maftuhah Damio

Journal of Academia Universiti Teknologi MARA Negeri Sembilan, 2021;9(1):14-20.
MyJurnal

E-hailing apps Grab and Uber have become household names, particularly among urbanites over these five years. Overall the consumer response to e-hailing services in Malaysia has been positive, with The Land Public Transport Commission (SPAD) reporting that 80% of consumers prefer e-hailing over taxis. As such, many believe the availability of e-hailing services will help to boost demand, and raise property prices and rentals and help the tourism sector in locations where they are available. As the demand grows, and tourists around the globe keep rising, the means of communication plays a vital role. Hence, this article explores the Grab drivers’ needs in English language learning for the purpose of successful communication in working environment. The needs are categorised into three elements: needs of English language at workplace, problems in English language usage, and preferences in learning English. A case study was carried out among 50 Grab drivers in Kuala Lumpur. The analysis of responses to the needs in English language learning among Grab drivers is hoped to fashion English language course or the syllabus to the e- hailing drivers.

Matched MeSH terms: Workplace

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