Displaying publications 1 - 20 of 35 in total

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  1. Making the case for the Malaysian Medical Association-Junior Doctors Network (MMA-JDN): A report and memorandum of the 2022 MMA-JDN International Conference
    Goh ZNL, Selvaratnam S, SCoRe Investigators
    Med J Malaysia, 2023 Jan;78(1):124-125.
    PMID: 36715202
    The Malaysian Medical Association-Junior Doctors Network (MMA-JDN) was recently formed via constitutional amendments during the 62nd Annual General Meeting of the Malaysian Medical Association held in 2022. MMA-JDN subsequently went on to organise its first international conference held from 4th to 6th November 2022. This paper documents the rationale behind the establishment of this new section in MMA and the timeline of its formation, reports on the aforementioned conference, as well as lays down the future direction of MMA-JDN.
    Matched MeSH terms: Medical Staff, Hospital*
  2. Fulltext A New Approach to Body Donation for Medical Education: The Silent Mentor Programme
    Saw A
    Malays Orthop J, 2018 Jul;12(2):68-72.
    PMID: 30112135 MyJurnal DOI: 10.5704/MOJ.1807.015
    Cadaveric dissection is an integral component of medical education. There had been concerns about negative impact on medical students exposed to deceased donors before their clinical years, but most studies reported overall positive outcome following this form of teaching. Due to reducing number of body donations in most parts of the world, many institutions are adopting alternative models especially for the teaching of gross anatomy. A new body donation programme that incorporate humanistic values in the procurement process was initiated by Tsu Chi University of Taiwan in 1996. Early observations following teaching with the so-called "silent mentors" noted less negative emotional impact on the students. With increasing number of body donation following the initiation of the silent mentor programme as reported in some regions, we will be able to continue the time-honoured cadaveric dissection for anatomy teaching, at the same time promoting humanistic values on junior doctors.
    Matched MeSH terms: Medical Staff, Hospital
  3. Fulltext Phonophobia and hyperacusis: practical points from a case report
    Asha'ari ZA, Mat Zain N, Razali A
    Malays J Med Sci, 2010 Jan;17(1):49-51.
    PMID: 22135526 MyJurnal
    Phonophobia and hyperacusis are two separate but closely related symptoms that are often mistakenly used in clinical practice as the same entity. Here we present a case report to highlight the distinguishing features of both and discuss the steps of management in these conditions. It is vital for the attending doctors to recognise hyperacusis and phonophobia as different entities to manage them successfully.
    Matched MeSH terms: Medical Staff, Hospital
  4. Fulltext Effects of coaching supervision, mentoring supervision and abusive supervision on talent development among trainee doctors in public hospitals: moderating role of clinical learning environment
    Subramaniam A, Silong AD, Uli J, Ismail IA
    BMC Med Educ, 2015;15:129.
    PMID: 26268222 DOI: 10.1186/s12909-015-0407-1
    Effective talent development requires robust supervision. However, the effects of supervisory styles (coaching, mentoring and abusive supervision) on talent development and the moderating effects of clinical learning environment in the relationship between supervisory styles and talent development among public hospital trainee doctors have not been thoroughly researched. In this study, we aim to achieve the following, (1) identify the extent to which supervisory styles (coaching, mentoring and abusive supervision) can facilitate talent development among trainee doctors in public hospital and (2) examine whether coaching, mentoring and abusive supervision are moderated by clinical learning environment in predicting talent development among trainee doctors in public hospital.
    Matched MeSH terms: Medical Staff, Hospital/education*; Medical Staff, Hospital/organization & administration; Medical Staff, Hospital/psychology
  5. Fulltext Deteriorating patients and risk assessment among nurses and junior doctors: a review
    Ludin, S.M., Ruslan, R., Mat Nor, M.B.
    International Medical Journal Malaysia, 2018;17(1):153-162.
    MyJurnal
    The presence of nurses and junior doctors in the ward environment are crucial, especially in detecting
    deteriorating patients. However, there is consistent evidence that warning signs may not always be
    identified or acted upon. This paper aimed to analyse the incidence of deteriorating patients, and the
    concept of risk assessment of these patients by nurses and junior doctors in general ward, through a review
    on relevant literature. An extensive literature search was conducted through online research databases, i.e. CINAHL, MEDLINE (Ovid), Science Direct and ProQuest. Professional journals were hand searched for relevant literature based on reference lists and citations made in key publications, and attempts were also made to obtain any relevant grey literature (unpublished materials). A total of eleven papers which focused on patient’s assessment, response to deteriorating patients and knowledge in medication, and a guideline were reviewed. Most of the studies were carried out in the United Kingdom (n=4), followed by Australia (n=2), Sweden (n=2), the Netherlands (n=1) and Taiwan (n=1). Meanwhile, among these studies, the chosen research designs include, qualitative (n=6), quantitative (n=3) and systematic review (n=1). This review concluded that nurses and junior doctors in general ward have a lack of knowledge in risk assessment of deteriorating patients.
    Matched MeSH terms: Medical Staff, Hospital
  6. Fulltext A comparison between the effectiveness of a gamified approach with the conventional approach in point-of-care ultrasonographic training
    Lai AKH, Noor Azhar AMB, Bustam AB, Tiong XT, Chan HC, Ahmad RB, et al.
    BMC Med Educ, 2020 Aug 12;20(1):263.
    PMID: 32787921 DOI: 10.1186/s12909-020-02173-7
    BACKGROUND: Although gamification increases user engagement, its effectiveness in point-of-care ultrasonographic training has yet to be fully established. This study was conducted with the primary outcome of evaluating its effectiveness in point-of-care ultrasonographic training as compared to conventional approach.

    METHODS: Participants consisting of junior doctors were randomized into either the (1) gamified or the (2) conventional educational approach for ultrasonographic training.

    RESULTS: A total of 31 junior doctors participated in this study (16 participants in gamified arm, 15 in the conventional arm after one participant from the conventional arm dropped out due to work commitment). Two-way mixed ANOVA test showed that there was no statistically significant interaction between the types of educational approach and time of testing (pre-test, post-test, 2 months post-training) for both theoretical knowledge score and practical skills score, with F(2, 58) = 39.6, p 

    Matched MeSH terms: Medical Staff, Hospital
  7. Confidence level in performing clinical procedures among medical officers in nonspecialist government hospitals in Penang, Malaysia
    Othman MS, Merican H, Lee YF, Ch'ng KS, Thurairatnam D
    Asia Pac J Public Health, 2015 Mar;27(2):NP2093-100.
    PMID: 23695541 DOI: 10.1177/1010539513489136
    A prospective cross-sectional study was conducted at 3 government hospitals over 6 months to evaluate the confidence level of medical officers (MOs) to perform clinical procedure in nonspecialist government hospitals in Penang. An anonymous self-administered questionnaire in English was designed based on the elective and emergency procedures stated in the houseman training logbook. The questionnaire was distributed to the MOs from Penang State Health Department through the respective hospital directors and returned to Penang State Health Department on completion. The results showed that there was statistically significant difference between those who had undergone 12 months and 24 months as houseman in performing both elective and emergency procedures. MOs who had spent 24 months as housemen expressed higher confidence level than those who had only 12 months of experience. We also found that the confidence level was statistically and significantly influenced by visiting specialist and working together with cooperative experienced paramedics.
    Matched MeSH terms: Medical Staff, Hospital/psychology*
  8. Fulltext Attitudes of Malaysian general hospital staff towards patients with mental illness and diabetes
    Minas H, Zamzam R, Midin M, Cohen A
    BMC Public Health, 2011;11:317.
    PMID: 21569613 DOI: 10.1186/1471-2458-11-317
    The context of the study is the increased assessment and treatment of persons with mental illness in general hospital settings by general health staff, as the move away from mental hospitals gathers pace in low and middle income countries. The purpose of the study was to examine whether general attitudes of hospital staff towards persons with mental illness, and extent of mental health training and clinical experience, are associated with different attitudes and behaviours towards a patient with mental illness than towards a patients with a general health problem - diabetes.
    Matched MeSH terms: Medical Staff, Hospital/psychology*
  9. External factors in hospital information system (HIS) adoption model: a case on Malaysia
    Lee HW, Ramayah T, Zakaria N
    J Med Syst, 2012 Aug;36(4):2129-40.
    PMID: 21384267 DOI: 10.1007/s10916-011-9675-4
    Studies related to healthcare ICT integration in Malaysia are relatively little, thus this paper provide a literature review of the integration of information and communication technologies (ICT) in the healthcare sector in Malaysia through the hospital information system (HIS). Our study emphasized on secondary data to investigate the factors related to ICT integration in healthcare through HIS. Therefore this paper aimed to gather an in depth understanding of issues related to HIS adoption, and contributing in fostering HIS adoption in Malaysia and other countries. This paper provides a direction for future research to study the correlation of factors affecting HIS adoption. Finally a research model is proposed using current adoption theories and external factors from human, technology, and organization perspectives.
    Matched MeSH terms: Medical Staff, Hospital/psychology
  10. Fulltext Needlestick injury among medical personnel in Accident and Emergency Department of two teaching hospitals
    Ng YW, Hassim IN
    Med J Malaysia, 2007 Mar;62(1):9-12.
    PMID: 17682562
    Needlestick injury has been recognized as one of the occupational hazards which results in transmission of bloodborne pathogens. A cross-sectional study was carried out among 136 health care workers in the Accident and Emergency Department of two teaching hospitals from August to November 2003 to determine the prevalence of cases and episodes of needlestick injury. In addition, this study also assessed the level of knowledge of blood-borne diseases and Universal Precautions, risk perception on the practice of Universal Precautions and to find out factors contributing to needlestick injury. Prevalence of needlestick injury among the health care workers in the two hospitals were found to be 31.6% (N = 43) and 52.9% (N = 87) respectively. Among different job categories, medical assistants appeared to face the highest risk of needlestick injury. Factors associated with needlestick injury included shorter tenure in one's job (p < 0.05). Findings of this study support the hypothesis that health care workers are at risk of needlestick injury while performing procedures on patients. Therefore, comprehensive infection control strategies should be applied to effectively reduce the risk of needlestick injury.
    Matched MeSH terms: Medical Staff, Hospital*
  11. Fulltext Intention to adopt clinical decision support systems in a developing country: effect of physician's perceived professional autonomy, involvement and belief: a cross-sectional study
    Sambasivan M, Esmaeilzadeh P, Kumar N, Nezakati H
    BMC Med Inform Decis Mak, 2012;12:142.
    PMID: 23216866 DOI: 10.1186/1472-6947-12-142
    Computer-based clinical decision support systems (CDSS) are regarded as a key element to enhance decision-making in a healthcare environment to improve the quality of medical care delivery. The concern of having new CDSS unused is still one of the biggest issues in developing countries for the developers and implementers of clinical IT systems. The main objectives of this study are to determine whether (1) the physician's perceived professional autonomy, (2) involvement in the decision to implement CDSS and (3) the belief that CDSS will improve job performance increase the intention to adopt CDSS. Four hypotheses were formulated and tested.
    Matched MeSH terms: Medical Staff, Hospital/psychology*
  12. Fulltext Change in infection control practices and awareness of hospital medical staff in the aftermath of SARS
    Loh LC, Chelliah A, Ang TH, Ali AM
    Med J Malaysia, 2004 Dec;59(5):659-64.
    PMID: 15889569 MyJurnal
    Severe Acute Respiratory Syndrome (SARS) epidemic illustrated the crucial role of infection surveillance and control measures in the combat of any highly transmissible disease. We conducted an interview survey of 121 medical staff 145 doctors, 46 staff nurses and 30 medical assistants) in a state hospital in Malaysia three months after the end of SARS epidemic (from October to December 2003). Staff was grouped according to those directly involved in the care of suspected SARS patients [S+ group n=41] and those who were not [S- group; n=80]. On hand washing following sneezing, coughing and touching patients, the proportions of medical staff that reported an increase after the SARS crisis were 22.3%, 16.5% and 45.5% respectively. On wearing masks, gloves, and aprons when meeting potentially infectious patients, the proportions that reported an increase were 39.7%, 47.1% and 32.2% respectively. Significantly more staff in S+ than S- group reported these increases. Sixty percent of staff was aware of changes in hospital infection control policies after SARS; 93.4% was aware of notifying procedures, and 81.8% was aware of whom to notify in the hospital. Regarding infection isolation ward, Infectious Control Nurse and Infection Control Committee Chairman in the hospital, the proportions of staff that could correctly name them were 39.7%, 38.3% and 15.7% respectively. Significantly more in S+ than S- group could do so. However, more than half the staff claimed ignorance on the knowledge of infection isolation ward (56.2%), Infection Control Nurse (57.9%) and Chairman (65.3%). Our findings demonstrated that SARS crisis had some positive impact on the infection control practices and awareness of medical staff especially on those with direct SARS involvement. Implications for future control of infectious diseases are obvious.
    Matched MeSH terms: Medical Staff, Hospital/psychology*
  13. Indirect effect of management support on users' compliance behaviour towards information security policies
    Humaidi N, Balakrishnan V
    Health Inf Manag, 2018 Jan;47(1):17-27.
    PMID: 28537207 DOI: 10.1177/1833358317700255
    BACKGROUND: Health information systems are innovative products designed to improve the delivery of effective healthcare, but they are also vulnerable to breaches of information security, including unauthorised access, use, disclosure, disruption, modification or destruction, and duplication of passwords. Greater openness and multi-connectedness between heterogeneous stakeholders within health networks increase the security risk.

    OBJECTIVE: The focus of this research was on the indirect effects of management support (MS) on user compliance behaviour (UCB) towards information security policies (ISPs) among health professionals in selected Malaysian public hospitals. The aim was to identify significant factors and provide a clearer understanding of the nature of compliance behaviour in the health sector environment.

    METHOD: Using a survey design and stratified random sampling method, self-administered questionnaires were distributed to 454 healthcare professionals in three hospitals. Drawing on theories of planned behaviour, perceived behavioural control (self-efficacy (SE) and MS components) and the trust factor, an information system security policies compliance model was developed to test three related constructs (MS, SE and perceived trust (PT)) and their relationship to UCB towards ISPs.

    RESULTS: Results showed a 52.8% variation in UCB through significant factors. Partial least squares structural equation modelling demonstrated that all factors were significant and that MS had an indirect effect on UCB through both PT and SE among respondents to this study.

    CONCLUSION: The research model based on the theory of planned behaviour in combination with other human and organisational factors has made a useful contribution towards explaining compliance behaviour in relation to organisational ISPs, with trust being the most significant factor. In adopting a multidimensional approach to management-user interactions via multidisciplinary concepts and theories to evaluate the association between the integrated management-user values and the nature of compliance towards ISPs among selected health professionals, this study has made a unique contribution to the literature.

    Matched MeSH terms: Medical Staff, Hospital/psychology
  14. Feels Not Right Stabbing a Child
    Goh ZNL, Khoo EJ
    Acad Pediatr, 2018 07;18(5):481-482.
    PMID: 29331344 DOI: 10.1016/j.acap.2018.01.001
    Matched MeSH terms: Medical Staff, Hospital/psychology*
  15. Fulltext Infectiousness with respect to HBV of medical staff and patients in the General Hospital, Kuala Lumpur
    Ton SH, Lopez CG, Cheong KS, Noriah R
    Singapore Med J, 1984 Aug;25(4):244-6.
    PMID: 6505725
    The infectiousness with regard to HBV Infection of staff and patients in various units of the General Hospital, Kuala Lumpur
    was assessed. It was found that all units, with the exception of the obstetric unit, were equally high risk areas. At least 50% of the patients in all these units had one or more of the markers. Among the medical staff, the anaesthetists had the highest
    incidence of HBV markers (100%) while medical officers who had worked for three years or more were more likely to have to
    have the HBV markers. The degree of infectiousness of the nurses In HDU and ICU/OT was found to be similar.
    Matched MeSH terms: Medical Staff, Hospital*
  16. Cross-cultural adaptation and reliability of pediatric sleep questionnaire in assessment of sleep-disordered breathing in the Malay speaking population
    Hasniah AL, Jamalludin AR, Norrashidah AW, Norzila MZ, Asiah K, Anida AR, et al.
    World J Pediatr, 2012 Feb;8(1):38-42.
    PMID: 22105571 DOI: 10.1007/s12519-011-0279-3
    Sleep-disordered breathing (SDB) is common but often underdiagnosed in children. The Pediatric Sleep Questionnaire developed by University of Michigan, USA (English UM PSQ) has high sensitivity and specificity in identifying children with sleep-disordered breathing. This study aimed to translate and adapt the English UM PSQ into Malay language as a screening tool to assess SDB among the Malay speaking population. The second objective was to determine the psychometric measurements of the translated UM PSQ (Malay UM PSQ).
    Matched MeSH terms: Medical Staff, Hospital/statistics & numerical data
  17. Fulltext Pain issues from the palliative perspective: a survey among doctors in Hospital Melaka
    Taye GAWC
    Med J Malaysia, 2006 Oct;61(4):405-9.
    PMID: 17243516
    This survey was intended to gauge the management of pain in palliative cancer patients by the doctors in Melaka Hospital. It also sought to identify possible barriers to adequate pain management among doctors and gauge their response to the adequacy of medical school teaching on cancer pain issues. A 39 item survey was used to cover the issues involved. Overall, the doctors displayed a lack of systematic approach to cancer pain management with inadequate knowledge of analgesia handling. Medical school exposure to cancer pain issues was lacking. Formulation of accepted clinical practice guidelines and new education strategies can improve cancer pain management.
    Matched MeSH terms: Medical Staff, Hospital/education*
  18. Fulltext Turn-around-time of radiographs in a neonatal intensive care unit
    Rohana J, Boo NY, Yong SC, Ong LC
    Med J Malaysia, 2005 Aug;60(3):338-44.
    PMID: 16379189 MyJurnal
    A quality assurance study was carried out prospectively in two phases at the Neonatal Intensive Care Unit (NICU) of Hospital Universiti Kebangsaan Malaysia. The objectives of the study were to determine the turn-around-time (TAT) of radiographs requested for infants undergoing intensive care treatment in the NICU and the effects of a standard operating procedure introduced based on initial findings of first phase of the study on subsequent TAT. The TAT was defined as the time taken for the radiograph to be ready for viewing after the attending doctor had requested for it to be done on an infant. During phase one of the study, none of the requested radiographs was ready to be viewed by the doctors within the standard TAT of 45 minutes. The problems identified were ward staffs delay in sending request forms to the radiology department, radiographers' delay in shooting and processing the films, and delay by NICU porter in collecting the processed films. Based on these findings, a standard operating procedure (SOP) was drawn up jointly by the staff of NICU and Department of Radiology. During phase two of the study conducted at one month after implementation of the SOP, there was a reduction of TAT by 50%. However, only 3 (4.3%) of the radiographs achieved the standard TAT. The main problems identified during phase two were delay in sending request forms and in collecting processed radiographs by the porter system. The dismal TAT of radiographs in NICU was related primarily to human behaviour. Besides continuous staff education, replacement of the porter system with electronic system may improve the TAT.
    Keywords: Turn-around time, radiographs, neonatal intensive care unit, standard operating procedure, Kuala Lumpur
    Matched MeSH terms: Medical Staff, Hospital/standards
  19. A case study evaluation of a Critical Care Information System adoption using the socio-technical and fit approach
    Yusof MM
    Int J Med Inform, 2015 Jul;84(7):486-99.
    PMID: 25881560 DOI: 10.1016/j.ijmedinf.2015.03.001
    Clinical information systems have long been used in intensive care units but reports on their adoption and benefits are limited. This study evaluated a Critical Care Information System implementation.
    Matched MeSH terms: Medical Staff, Hospital/statistics & numerical data*
  20. The association between psychological strains and life satisfaction: Evidence from medical staff in China
    Zhao S, Zhang J, Liu Y, Ji H, Lew B
    J Affect Disord, 2020 01 01;260:105-110.
    PMID: 31494361 DOI: 10.1016/j.jad.2019.09.006
    BACKGROUND: Previous research on the relationship between life satisfaction and its influencing factors has mainly focused on the work domain. Psychological strains, which result from these stress-related outcomes, have not been paid enough attention to explain how it correlates negatively with life satisfaction.

    METHOD: A cross-sectional study was conducted, using questionnaires sent to selected medical staff in a public hospital in Shandong, China (N = 1012). Multiple regression analysis was used to investigate how psychological strains influencing life satisfactions among medical staff.

    RESULTS: The findings indicate that aspiration strain and deprivation strain have significantly negative impact on medical staff's life satisfaction even with other variables controlled for. Weekly working hour was a significant predictor for life satisfaction. Family factors, such as marital status and kids in the family as well as social support were important factors in influencing individuals' life satisfaction.

    CONCLUSION: The current study highlights the negative associations between aspiration strain, deprivation strain and life satisfaction. The result underlines the importance of actions taken to prevent and combat psychological strains. It also provides some evidence for policy makers to improve the work environment for medical staff, such as reduce weekly working hours and enhance social support in order to increase medical staff's life satisfaction.

    Matched MeSH terms: Medical Staff, Hospital/psychology*
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