Background: In Malaysia the percentage of diploma registered nurses outnumber the percentage of degree registered nurses. Internationally, most registered nurses earn associate degrees or bachelor’s degrees in nursing. Malaysia is in the pipeline of ensuring that its registered nurses are professionally qualified with nursing degree by year 2020. Registered nurses with diploma qualification are feeling the pressure to upgrade their qualification to degree. There are concerns as to why these nurses are not pursuing their post registration nursing degree. Objective: To determine factors that are deterring the registered nurses of a private hospital in Penang from pursuing the post registered nursing degree. Methods: This descriptive study utilised a convenient sample of 150 registered nurses from Lam Wah Ee Hospital in Penang. The instrument of this study was developed based on literature search and the conceptual framework of Force Fields Analysis developed by Kurt Lewin in 1952. Results: The deterring factors for registered nurses not pursuing post registration nursing degree from this hospital were determined through negative mean score, which was valued at less than 2.5. The top 3 deterring factors identified were: high educational cost, with a score of 1.92; financial commitment, with a score of 2.22 and time constraints and high workload, with a score of 2.27. Conclusions: High educational cost, financial commitment, time constraint and high workload were the main factors deterring the registered nurses from this hospital from pursuing their post registration nursing degree. Thus it is timely for the organisational management to consider workable measures to assist and motivate their nurses to upgrade themselves with nursing degree in line with Malaysia’s vision to meet the increasing challenges and complex needs in the care of clients in health services.
Regulation on occupational safety and health in Malaysia had evolved from the prescriptive Factory and Machinery Act (1967) to a self-regulated Occupational Safety and Health Act (1994). However, from the authors’ observation the high standards of occupational safety and health culture that surpass the legal requirement were not widely practiced by small and medium enterprises (SMEs). The two main objectives of this study are: first, to identify and determine the level of conformity; and second, to investigate the reasons of nonconformity to Occupational Safety and Health Act (1994) regulation in SMEs involved the chemical industry sub-sectors. The survey questionnaire was distributed to 150 SMEs in chemical industry sub-sectors. Forty one of the survey questionnaires were completed and returned, giving a response rate of 27.3% for the survey. The survey results revealed that an overwhelming majority (92.7%) of the respondents from SMEs are likely not conforming to the basic requirement of Occupational Safety and Health Act (1994). In addition to this, the survey also found that only 3.1% of the management personnel can be considered competent in terms of knowledge, skill and ability in carrying out occupational safety and health regulation within their respective organization. While, 96.9% of the respondents that participated in the survey can be considered not competent. The authors hope the result of this survey could assist the relevant authorities in formulating a better policy and strategy for implementing occupational safety and health in SMEs involved in chemical industry sub-sectors.
Ameloblastoma is a slow growing benign tumour of the jaw and patients usually present late after the tumour achieved considerable size to cause facial disfigurement. Diagnosis mainly from tissue biopsy and characteristic findings on plain X-rays does assist in differentiating between types of ameloblastoma. The challenges in the management of this tumour are to provide complete excision as recurrence may occur in incomplete removal and also to reconstruct the bony defect in order to give reasonable cosmetic and functional outcome to the patient.
Pain is infl uenced by multiple factors including personal experience, psychological, sociocultural and situational factors. Failure to recognise pain will lead to poor patient management and deleterious effect on the patients wellbeing. Assessing pain in paediatric and cognitively compromised patients remains a challenge. Pain assessment in these groups of patients depends on the observers assessment and studies have shown the discrepancy between the observers assessment and patients verbal report. A specifi c and accurate tool is required to assist in the pain assessment. Although there are assessment tools available using behaviour scoring system and physiological indicators, none of the tool demonstrates its superiority than the others. Biochemical indicators such as stress hormones are frequently measured and used in con-junction with verbal reports; however they are non specifi c to pain and are increased in infl ammation, haemodynamic and emotional changes. The association between immunological indicators e.g. IL-1 , IL-6, IL- 8 and clinical pain has been shown, however; the defi nite correlation of the changes in the indicators and the level of pain is still unclear and may require further investigation.
This voluntary, anonymous questionnaire survey was performed to assess the willingness of Basic Life Support (BLS) participants to perform bystander cardiopulmonary resuscitation (CPR). A total of 55 dental students and 73 school teachers were assessed on their willingness to perform bystander CPR after completion of their BLS training. In general, only 29.0% of the total 128 participants said that they would offer to perform CPR under any cardiac arrest condition and 69.0% said that they would just offer to call the ambulance but they would not offer to perform CPR. When analyzed separately, only 16.4% of school teachers said that they would perform CPR as compared to 45.5% of dental students (p < 0.001). Knowing how to perform CPR does not necessarily translate into willingness to perform CPR.
To date, there has been no systematic research that investigates the rural community awareness and attitudes towards pandemic influenza H1N1 and its prevention measures in the context of Sarawak. There is also no systematic study about whether the initiatives to educate the public undertaken by the government and other agencies have empowered the rural communities to practice an effective self-care within the context of community, that assist to curb the potential spread of this disease. Our research aims to address these limitations. In this paper, we report a survey finding about the awareness and attitudes of the Serian community with regard to this area of research interest. We also investigate the relevant sources of information that the community relies on in understanding about the influenza and how it can spread. Overall, the outcomes of the survey reveal that a majority of our respondents has a relatively low level of knowledge and awareness particularly about the characteristics of the illness and how H1N1 virus can transmit. With regard to prevention measures, a majority of them reported good understanding and awareness about the effective self-care practices that can help to curb the potential spread of the influenza. The top five sources to obtain information about the influenza were: information from family, relatives, friends or neighbours; radio; TV; newspapers; and government health talk seminar or campaigns. The research outcomes can offer pragmatic contributions that can benefit the health campaigners and policy makers.
The 2004 Banda Aceh earthquake and ensuing Andaman mega tsunami that killed a quarter million people worldwide is a wake-up call to many. Active research was initiated in Universiti Sains Malaysia (USM) immediately after the infamous event with the aims to help develop human capacity and resources, and to mitigate any future earthquake and tsunami. The Disaster Research Nexus (DRN) was formed recently within the School of Civil Engineering, USM, to facilitate active collaborative research on earthquakes and tsunamis, as well as on other natural disasters, such as landslides. This paper begins with an introduction to DRN. This is followed by a description of some research achievements undertaken by DRN staff. A concise exposition on the tsunami simulation model TUNA developed by the authors and its application to the 2004 Andaman tsunami are given to illustrate the capability of TUNA. The role of mangrove in reducing the impact of tsunami is then modelled. Tsunami may inundate coastal plain with large quantity of saline water, changing the salinity regimes in the soil and inducing vegetative succession changes. A model called MANHAM was developed to simulate the salinity changes and its associated vegetative evolution to assist in the rehabilitation of vegetation destroyed by tsunami. Meanwhile, an earthquake risk analysis for the Upper Pandas Dam in Sabah is then presented, and this is followed by a model estimation of tsunami forces on the coastal structures. The main objective of this paper is to reach out to research scientists and onsite risk reduction professionals to collaborate towards the development of a vibrant research culture to face future natural disasters such as earthquakes and tsunamis. It is hoped that DRN will move forward to further enhance active collaborations with other research and operational institutions worldwide towards developing earthquake and tsunami resilient communities.
Introduction: Tobacco smoking kills and estimated six million lives annually worldwide of which include 10,000 Malaysian lives. Twenty three per cent of Malaysian adults smoke however, similar prevalence is not known among the mentally ill. Those with mental illness often have higher prevalence rates and greater disability due to smoking. This commentary aims to update the mental health community in Malaysia on the on-going efforts made locally to assist the national tobacco control agenda. Methods: A brief report of recent updates is provided for this article. Results and Conclusion: Three major significant activities are reported, all of which will move the tobacco control agenda within psychiatry forward. These activities will allow psychiatry be in a better position to align tobacco control activities for the mentally ill
together with the general population.