Displaying all 4 publications

  1. Lim, Swee Geok, Yam, Siew Woan
    Introduction: Patient falls has been identified as one
    of the major issues in today’s health care despite efforts
    taken in preventing such incidents from happening
    (Cox et al., 2014). Patient falls can be prevented by
    using fall risk assessment tools such as Morse Fall Scale.
    Morse Fall Scale was implemented in the year 2014 in a
    private hospital in Malaysia but the patient fall rate did
    not decrease.

    Objective: The research objective is to determine the
    nurses’ level of knowledge and competency in the use
    of the Morse Fall Scale as an assessment tool in the
    prevention of patient falls.

    Method: A quantitative, descriptive, cross-sectional
    research design was conducted with 100 registered nurses
    from a private hospital in Selangor, Malaysia. Universal
    sampling technique was used to recruit the nurses.
    Results: The registered nurses had a moderate level
    of knowledge (M = 7.72; SD = 1.72) and competency
    (scoring Morse Fall Scale, M = 4.75; SD = 1.26;
    planning intervention, M = 13.19; SD = 1.89) in using
    the Morse Fall Scale.

    Conclusion: It is recommended that a review of the
    training programme on the use of the Morse Fall Scale
    be implemented in a more structured manner.
  2. Lim, Swee Geok, Muhamad Asyraf Muhtar
    Background: Nurses are the “front line” staff in most
    health systems and their contribution is recognised as
    essential in meeting development goals and delivering
    safe and effective care (ICN, 2007). Nurses are in high
    demand not only in developed countries but also in
    developing countries like Malaysia. However, more
    than 70% of Malaysian hospitals currently do not have
    adequate nursing staff. At least 174,000 nurses need to
    be trained by 2020 to meet WHO’s nurse-to-patient
    ratio of 1:200. The purpose of this study is to identify
    the main factors that influence the nursing students’
    decision to choose nursing as their career.

    Method: A descriptive study guided by Self
    Determination Theory was used for this study. A 29-
    item questionnaire adapted from McCabe, Nowak
    and Mullen (2005) was distributed to all students in a
    nursing college (n=117).

    Results: The five main reasons for choosing nursing
    as a career were “ability to help others”, “training was
    provided on the job”, “ability to work closely with
    people”, “parental advice”, and “accommodation was
    provided while training”. The top three main domains
    that influenced the nursing students’ decision to choose
    nursing as their career include “travel opportunities
    of nursing”, “intrinsic attraction of nursing” and
    “immediacy of support on entry to nursing”. A total of
    19 (0.2%) will not choose nursing if given a chance.
    The main reasons were “want to take another course”,
    “no time to spend with family” and “nursing is a stressful

    Conclusion: The findings of this study provided valuable
    information regarding motivating factors which attract
    the current generation to join nursing. It is of concern
    that items representing nurses’ image were not rated
  3. Lim, Swee Geok, Low, Chian Yi
    Introduction: Perioperative care is nursing care provided
    by perioperative nurses to surgical patients during the
    perioperative period. Its role is important as patients
    especially those who had undergone coronary artery
    bypass graft (CABG) surgery encounter high levels of
    psychological and physical stress.

    Objective: To determine the needs of CABG patients
    throughout the perioperative period and how well those
    needs were met.

    Methods: This is a cross sectional descriptive survey.
    A total of 88 patients who had undergone coronary
    artery bypass graft were recruited through census
    sampling. The instrument which was adapted and used
    with permission for this study was “Survey of Patient
    Needs and Experiences during the Perioperative Period’
    questionnaire (Davis et al., 2014).

    Results: The patients perceived the perioperative
    needs in the post-anaesthesia care unit area to be the
    most important (M = 2.89, SD = 0.06). Perioperative
    needs which were rated the highest for each of the
    four time periods were “Having information about the
    surgical procedure itself”, “Having your family member
    or significant other with you in the pre-surgical area
    complications”, “Being treated with respect and with
    dignity by hospital personnel” and “Having your family
    member or significant other visit you in the recovery
    room”. Overall, patients perceived their needs during
    perioperative period to be partly met (M = 2.73, SD =
    0.07) with post-anaesthesia care unit area being rated
    the highest (M = 2.81, SD = 0.06).

    Conclusion: The results of this study highlighted the
    perceived needs of patients undergoing coronary artery
    bypass graft surgery throughout their perioperative
    period. In order to improve the quality of perioperative
    care for patients, nurses need to take into consideration
    the important needs identified by the patients and
    address the items which were not meeting the needs of
    the patients.
  4. Lim, Swee Geok, Lim, Aun Cyi, Wong, Xiao Jing
    Introduction: The prevalence of cataract surgeries
    ranges from 7 to 12 million cases in 2000, 20 million
    in 2010 and an estimation of 32 million cataract
    surgeries annually by the year 2020 worldwide (WHO,
    2015). Traditionally, the healthcare providers were
    only able to give health education before the patient
    is discharged from the healthcare setting while followup
    can only be done when the patient comes for their
    follow-up. But most of the patients will remain confused
    or had forgotten about the post-operative care even
    after receiving a comprehensive discharge preparation.
    However, with the advancement of technologies in
    this modern era, nurse-led telephone follow-up can be
    considered as a tool to assist healthcare providers in the
    follow-up care in Malaysia. On the same note, a private
    eye specialist organisation with centres throughout
    Malaysia, had taken the initiative to provide telephone
    follow-up service for their patients with three main
    objectives namely, to provide pre- and post-education
    on cataract surgery, to detect early post cataract surgery
    complications as well as to minimise anxiety among
    their patients. However, till date no patient feedback
    regarding the service was conducted.

    Objective: The research objective for this study was to
    determine patient’s level of satisfaction with the nurseled
    telephone follow-up after cataract surgery at a private
    eye specialist centre in Penang.

    Method: A cross sectional quantitative descriptive study
    design was used to study ninety post cataract patients in
    a private hospital, Penang through universal sampling
    method. A validated self-developed questionnaire based
    on the three main objectives of the telephone follow-up
    service was used for this study.

    Results: Overall, the level of patient’s satisfaction with
    nurse-led telephone follow-up after cataract surgery at
    a private eye specialist centre in Penang was high (49.9
    ±4.85) especially for the health education provided
    (4.18 ±0.21) followed by the effort to detect early
    complications (4.16 ±0.12) and to minimise patients’
    anxiety level (4.16 ±0.12).
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