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Fulltext Health promotion perspectives on vaccine hesitancy; who, what and how?

Mohd Nazir Mohd Nazori, Rohani Ismail, Nur Syahmina Rasudin

Malaysian Journal of Medicine and Health Sciences, 2019;15(104):87-87.
MyJurnal

Introduction: Vaccine hesitancy is “to delay in acceptance or refusal of vaccination despite availability of vacci-nation services. Vaccine hesitancy is complex and context specific, varying across time, place and vaccines...”. National vaccination data showed presence of hesitancy and the potential for others to develop hesitancy. An over-view of vaccine hesitancy is needed to organise our understanding and to focus our efforts in health promotion. The objectives of this review were to (1) describe the scope of vaccine hesitancy involving target population, theoretical developments and practical implications and (2) to identify potential research avenues for health promotion in Ma-laysia. Methods: Scoping review methodology was used. Search strategy utilised keywords for publications from the year 2000 onwards with a focus on local parental vaccine hesitancy. Literature review focused on global theoretical development and analysis were done on local empirical findings. Results: Theoretical developments have led to the Vaccine Hesitancy Determinant Matrix (VHDM) describing factors within three themes: “vaccine/vaccination-specif-ic issues”, “individual or group influence” and “contextual influence”. Parents can be classified into ‘unquestioning acceptor’, ‘cautious acceptor’, ‘hesitant’, ‘late or selective vaccinator’ and the ‘refuser’ of all vaccines. Globally, various mode of interventions has been explored. However, there was a disproportionate focus on knowledge, at-titude and practice research among local parents. There were only two local interventional studies that have been published. Conclusion: There is a dearth of interventional studies locally. Each of the parental groups outlined needs a tailored approach to combat vaccine hesitancy. Global interventional research showed a multitude of approaches towards educational intervention that local researchers should capitalise on developing strategies, techniques and modules for the local population.
Fulltext The spiritual care competence scale: a confirmatory study of the Malay language version

Ali H Abusafia, Zakira Mamat Mohamed, Nur Syahmina Rasudin, Mujahid Bakar, Rohani Ismail

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):9-0.
MyJurnal

Introduction: Measuring the competence of nurses in spiritual care and their ability to provide spiritual care is im- portant and check the validity and reliability of the instrument is recommended in the literature. Thus, the aim of this study was to validate the translation of the spiritual care competence (SCC) scale to the Malay language version. Methods: Data were collected from staff nurses at the hospital Universiti Sains Malaysia. A total of 270 nurses par- ticipated in the study (female: 92.6%, male: 7.4%), with the mean age of 35 years (SD = 8.4). Spiritual care compe- tence was assessed with the 27-item SCC-M. Standard forward–backward translation was performed to translate the English version of the SCC into the Malay version (SCC-M). All the participants completed the SCC-M. Results: The initial measurement models tested (6-factor models) did not result in a good fit to the data. Subsequent investigation of the confirmatory factor analysis (CFA) results recommended some modifications, including adding correlations between the item residuals within the same latent variable. These modifications resulted in acceptable fit indices for the 6-factor model (RMSEA = .050, CFI = .900, TLI = .885, SRMR = .065). The final measurement models comprised all 27 SCC-M items, which had significant factor loadings of more than .40. The composite reliability was .696-.853 for 6-factors model. These results suggest that the subscales in 6-factor SCC-M model are unique, the factors do not overlap much, and each factor explains different variance than the other factors. Conclusions: The translated version of the SCC-M was valid and reliable for assessing the level of spiritual care competence among hospital nurses in Malaysia.
Fulltext The Effectiveness of Breastfeeding Intervention on Breastfeeding Exclusivity and Duration among Primiparous Mothers in Hospital Universiti Sains Malaysia

Rosuzeita F, Che Rabiaah M, Rohani I, Mohd Shukri O

Malays J Med Sci, 2018 Feb;25(1):53-66.
PMID: 29599635 MyJurnal DOI: 10.21315/mjms2018.25.1.7

Background: In Malaysia, the rates of mothers practising breastfeeding exclusively among babies at six months of age still do not achieve the Global Nutritional Targets 2025 which is 50%.
Objective: To determine the effectiveness of breastfeeding intervention in improving breastfeeding outcomes.
Method: A quasi-experimental design was used involving a purposive sample of 96 primigravidas (intervention group (IG) = 48, control group (CG) = 48) recruited at Hospital USM. Data were collected using the Breastfeeding Assessment Questionnaire. Mothers in IG received the current usual care and two hours of an additional education programme on breastfeeding, breastfeeding booklet, notes from the module, and postnatal breastfeeding support in the first week of postpartum. Mothers in CG received the current usual care only. The mothers were assessed on the first and sixth week and then the fourth and sixth month of postpartum.
Results: The results indicated that there was a statistically significant difference between the groups on the fourth month postpartum (X2= 5.671,P= 0.017) in practicing full breastfeeding. The breastfeeding duration rates of the IG were longer than those of the CG. However, the results showed only two follow-up weeks that were significant (week 6,X2= 5.414,P= 0.020, month 4,X2= 7.515,P= 0.006). There was a statistically significant difference between IG and CG as determined by one-way ANCOVA on the breastfeeding duration after controlling age and occupation, F (3, 82) = 6.7,P= 0.011. The test revealed that the breastfeeding duration among IG was significantly higher (20.80 ± 6.31) compared to CG (16.98 ± 8.97).
Conclusions: Breastfeeding intervention can effectively increase breastfeeding duration and exclusivity outcomes among primiparous mothers.

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