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Abstract:
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  1. Ho, Siew Eng, Tee, Sok Ching
    MyJurnal
    Introduction: Nurses are obligated to respond
    competently in the event of cardiac arrest. Nurses could
    be hesitant to intervene due to low self-efficacy in their
    ability to manage cardiac arrest patients.

    Objective: The objective of this study was to
    determine the level of nurses' perceived self-efficacy
    in cardiopulmonary resuscitation (CPR) at a private
    hospital in Kuala Lumpur.

    Method: A cross-sectional descriptive study was
    conducted with 112 respondents who fulfilled the
    inclusion criteria. A 19 item questionnaire on
    Resuscitation Self-Efficacy Scale (RSES) was adapted
    and scored using a 5-point Likert scale.

    Results: The total mean score and standard deviation
    of perceived self-efficacy score in resuscitation was (M
    = 77.68; SD ± 11.77) which indicated a high degree
    of self-efficacy among nurses. There were significant
    differences between respondents’ age groups with (t
    = -2.520; p = 0.013), unit of working (t = -4.086; p =
    0.001), real experiences in resuscitation (t = 2.532; p =
    0.013), and the number of participations in resuscitation
    (t=-6.668; p=0.001) and nurses perceived self-efficacy
    in CPR. There were also significant differences between
    respondents' years of working experience with (F
    = 7.286; p =0.001) and types of last resuscitation
    training (F= 7.088; p = 0.001). However, there was no
    significant difference between the nurses' time of their
    last resuscitation training (F = 1.225; p = 0.298) and the
    nurses perceived self-efficacy in CPR.

    Conclusion: In conclusion, nurses were deemed to possess
    a high sense of self-efficacy in CPR. This study concluded
    that nurses' age groups, years of working experience,
    unit of working, real experiences in resuscitation and
    the number of participations in resuscitation and types
    of last resuscitation training are factors contributing
    towards self-efficacy in CPR performances. However, the
    time of last resuscitation training reported no significant
    difference towards nurses' perceived self-efficacy in
    CPR. Therefore, repetitive CPR and ACLS certification
    training are pivotal in order to strengthen nurse’s self-efficacy in resuscitation and team collaboration through
    training in this private hospital.
  2. Ho, Siew Eng, Hamidah Hassan, Sanisah Saidi, Syed Zulkfli
    Medicine & Health, 2008;3(1):46-53.
    MyJurnal
    Ventilated patients who require intensive care unit (ICU) treatment may encounter unpleasant experiences. These experiences may include factual incidents and delusional memories of ICU such as dreams, hallucinations and frightening experiences. A cross sectional study using “Intensive Care Experience Questionnaire” consisted of four domains: awareness of surrounding, frightening experiences, recall of experience and satisfaction with nursing care. Forty five participants who fulfilled the inclusion criteria were recruited in this study. This study was conducted in ICU of HUKM from January to March 2006. Results showed that 20 respondents (44%) were aware of their surrounding and 31 respondents (69%) reported frightening experiences. Majority of respondents (43 respondents, 96%) reported satisfaction with the delivery of nursing care. There was positive correlation between awareness of surrounding and their abilities to recall their experiences (p
  3. Ho, Siew Eng, Gurbinder Kaur, Syed Rozaidi Wafa, Syed Zulkifli Syed Zakaria, Razali Omar
    Medicine & Health, 2006;1(1):14-19.
    MyJurnal
    Quality nursing care has a great impact on patient satisfaction. Quality nursing care is perceived by the post cardiac surgery patient, as the degree of physical, emotional and spiritual needs that have to be fulfilled while hospitalisation. The objective of this study was to identify factors in quality nursing care that determine post cardiac patient satisfaction. This single cross-sectional descriptive study using ‘NURSQUAL’ instrument consisted of four elements; technical competence, information giving, assurance and empathy to measure patient satisfaction with quality nursing care. It consisted of four research questions with 33 items to measure the four elements. Between January to March 2005, 52 post cardiac surgery patients from Institute Jantung Negara (IJN), who fulfilled the inclusion criteria were recruited for this study. There was a significant difference between technical competence, information giving, assurance and empathy with patient satisfaction with p value < 0.05. The element of assurance made the strongest statistically significant unique contribution to the prediction of patient satisfaction with a p value < 0.05.
  4. Leela Chellamuthu, Ho, Siew Eng, Joel Hoashea Munjan, Susanna Emmanuel Vijayan
    MyJurnal
    Aim: This study aims to determine the perception of adult patients towards the importance of prevention of
    coronary artery diseases (CAD) in order to raise awareness on the risk of CAD.

    Method: 80 adults between 18 - 40 years old were enrolled in the out-patient department at a private
    hospital. The awareness and perception of the importance of preventing CAD were assessed using a
    questionnaire.

    Result: The level of perception on the importance of prevention of CAD was quite good. 75% of the
    subjects (n = 60) recorded good level of perception meaning they are aware of the importance of prevention
    of CAD. 22.5% of the subjects (n = 18) recorded a satisfactory level of perception while only 2.5% of the
    subjects (n = 2) recorded a poor level of perception towards the importance of prevention of CAD. Majority
    of the subjects had good perception on importance of a balanced diet, exercise and active lifestyle.

    Conclusion: In conclusion it can be said that although people are aware of the risk posed by CAD,
    recommendations such as proper health teachings and guide lines are still required to ensure that the
    community is able to understand the risk and take preventive measure in order to reduce the risk of obtaining
    the risk of heart disease.
  5. Ho, Siew Eng, Syed Zulkifli Syed, Lexshimi RG, Raja, Hamidah Hassan, Letchmi, Santhna, Teoh, Koi Hong, et al.
    Medicine & Health, 2007;2(1):26-33.
    MyJurnal
    Percutaneous coronary intervention (PCI) is an invasive diagnostic investigation that may result in high level of anxiety and “fear of the unknown” among cardiac patients. An increment in anxiety among PCI patients will augment the level of stress and this extreme stress level will then aggravate depression. The objective of this study was to determine the incidence of anxiety and depression before and after PCI. This was a cross-sectional descriptive study. The Hospital Anxiety and Depression Scale (HADS) was used. It measured two elements, namely, the anxiety and depression levels of patients before and after PCI. This study was conducted in the cardiology wards Anggerik and Dahlia, and Day Care of the National Heart Institute, from January to February 2006.  A sample of 61 patients before and after PCI who fulfilled the inclusion criteria were recruited in this study. Of these, 40 and 38 patients before and after PCI respectively, had low anxiety levels; while, 47 and 46 patients before and after PCI respectively, had low depression levels. Anxiety and depression levels before and after PCI were not significantly correlated to socio demographic status. However, a significant correlation (p
  6. Isamil Saiboon, Ho, Siew Eng, Krishnan, Bala, Siti Norraini Ali, Noorafindi Murad, Pathnathan, Audrey, et al.
    Medicine & Health, 2008;3(1):7-13.
    MyJurnal
    Patients’ satisfaction is of critical interest to all healthcare providers. Satisfied patients are more likely to seek health care and to comply with prescribed treatment regimes. The objective of the study was to identify factors that influence patient satisfaction with Emergency Department HUKM (ED HUKM). This study was conducted at ED HUKM from January 2007 till March 2007. A convenience sample of 100 participants was recruited from triage 4. The Davis Consumer Emergency Care Satisfaction Scale (CECSS) was adopted and modified. It consists of 19 questions; used a 5 point, Likert type scale of 1 to 5 (1= completely disagree and 5= completely agree) to measure patient satisfaction with triage, health care providers caring behaviours and health teaching. Results showed that 75 participants (75%) were satisfied. There were no significant difference found between male and female patients with total CESCC scores (t=0.308, p values >0.05). Pearson product moment correlation coefficients showed a positive relationship between total and subscale patient satisfaction scores, caring scores (r=0.905, p value
  7. Ismail Mohd Saiboon, Noraliza Mohd Ariffin, Teodoro Javier Herbosa, Ahmad Khaldun Ismail, Nariman Singmamae, Shamsuriani Md Jamal, et al.
    Medicine & Health, 2007;2(2):110-116.
    MyJurnal
    Cardio-pulmonary Resuscitation (CPR) is important and should be mastered by House Officers (HO). House officers who have just completed their studies are assigned to acute medical and surgical wards. If a patient in the ward has a cardiac arrest (CA), these doctors are usually the first to attend.  Therefore an HO must be confident with CPR skills. They must be competent in performing CPR. The authors assessed 26 new HOs from Universiti Kebangsaan Malaysia Hospital (HUKM) with respect to their self-perception about CPR skills, confidence level in performing CPR and knowledge in performing CPR. Knowledge was assessed by a questionnaire. We found that 16 of 26 (61.5%) assessed themselves to have inadequate knowledge and 46.2% had no confidence in performing CPR. The mean score of the written test was 5.7 ± 1.8. Seven out of 26 (27.0%) HOs had incorrect hand placement position for CPR. Only 4 and 9 out of 26 HOs had their sternal paddle and cardiac apex paddle positions correctly placed respectively. In conclusion, knowledge, perception of skills and confidence levels of HOs on CPR are inadequate and need further assessment and improvement. Medical schools need to review their CPR curriculum in order to prepare HOs adequately to work in emergency situations.
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