MyMedR

Missing the point: Quality-driven healthcare institutions may mistakenly disregard their role in nursing and medical education

Ahmad AM, Al-Marzouqi A, Dias JM, Saifan AR, Md Kassim N, Mohamad MN, et al.

Nurs Forum, 2022 Jan;57(1):211-214.

PMID: 34478171 DOI: 10.1111/nuf.12647

Aligned with international standards, the UAE Government and many other developing countries in the region (GCC and MENA) have started to implement strict quality improvement initiatives to develop their healthcare systems. Most of these initiatives are geared toward meeting patient satisfaction and avoiding circumstances or events that would dissatisfy patients. It is also used to measure healthcare institution performance, assess efficiency and determine their funding and reimbursement. With this emphasis on quality, it is also important for healthcare organizations to fulfill their other functions. Among the most important is performing their teaching role to prepare future healthcare professionals, and attracting and retaining healthcare professionals. These roles are also a paramount for a quality, sustained healthcare system. However, clinical educators and managers reflect on how these roles seem to be frequently missed or at least compromised while applying the quality assurance measures in the region developing countries. This reflective paper discusses this concern and suggests possible strategies that may help overcome this challenge and thus contributing to the achievement of the quality goal of the service in a more comprehensive and sustainable manner. The similarities between the UAE healthcare system and neighboring Gulf Cooperation Council and the Middle East/North African countries mean these challenges and solutions may resonate with these countries and support the implementation of effective health services in these countries as well.

Matched MeSH terms: Nursing Care*

Can the Neuman Systems Model be adapted to the Malaysian nursing context?

Shamsudin N

Int J Nurs Pract, 2002 Apr;8(2):99-105.

PMID: 11993583

Nursing in Malaysia is still developing as a profession. Issues such as using nursing conceptual models or frameworks in the delivery of nursing care have not been addressed by the majority of nurses. One reason for this has been the level of education and preparation of nurses, while another reason lies with the origins of existing nursing conceptual models. Most nursing conceptual models have their origins in North America. Their utility by nurses of different cultures and academic preparations might not be appropriate. Nursing is a social activity, an interaction between the nurse and the patient. It is carried out in a social environment within a particular culture. Conceptual models developed in one culture might not be readily implanted into another culture. This paper discusses how a conceptual model developed in North America; that is, the Neuman Systems Model, can be adapted into the Malaysian nursing context.

Matched MeSH terms: Nursing Care/organization & administration*

Working with the Boat People

Woodward W

N Z Nurs J, 1983 Sep;76(9):14-6.

PMID: 6580571

Matched MeSH terms: Nursing Care*

Community nurses' knowledge and nursing care skills on enteral nutrition: A knowledge transfer programme

Mohamed Ludin S, Mohd Nor Rudin N, Makhtar A

Enferm Clin, 2021 04;31 Suppl 2:S286-S290.

PMID: 33849182 DOI: 10.1016/j.enfcli.2020.09.017

The researcher aims to evaluate the effect of the knowledge transfer programme on community nurses' knowledge and nursing care skills on enteral nutrition in the care of critically ill survivors. In this study, the researcher used an interventional study; a pre-test and post-test for community nurses' knowledge of enteral nutrition and a post-test for nursing care skills on enteral nutrition. This programme involved community nurses currently working at community clinics under the Ministry of Health Malaysia. Pre- and post-test community nurses' knowledge of the knowledge transfer programme shows an improvement result. There was no association between the knowledge of community nurses and nursing care skills on enteral nutrition. Knowledge transfer programme enhanced community nurses' knowledge and nursing care skills on enteral nutrition care for critically ill survivors in community settings.

Matched MeSH terms: Nursing Care*

Missed nursing care in the Malaysian context: A cross-sectional study from nurses' perspective

Nahasaram ST, Ramoo V, Lee WL

J Nurs Manag, 2021 Sep;29(6):1848-1856.

PMID: 33544403 DOI: 10.1111/jonm.13281

AIM: To determine the occurrence, factors and outcome of missed nursing care from the perspective of Malaysian nurses.

BACKGROUND: Missed nursing care is an important issue in the global health care sector. However, little is known on the extent of missed nursing care in the Malaysian context and its contributing factors.

METHODS: A cross-sectional design was adopted for data collection using the MISSCARE Survey instrument. Participants comprised 364 nurses from medical and surgical wards of a large teaching hospital. Data were analysed using descriptive, binomial logistic and hierarchical regression analyses.

RESULTS: The overall occurrence of missed nursing care was 1.88 (on a scale of 1.00-5.00), which differed across 24 nursing care elements. Basic nursing care and communication-related care were the most frequently missed elements. Types of ward and labour resources were identified as contributing factors to missed nursing care (p care and nurses' intention to leave (p > .05).

CONCLUSION: The occurrence of missed nursing care was noted to be low.

IMPLICATIONS FOR NURSING MANAGEMENT: Practical strategies such as an acuity-based staffing system, close monitoring of rendered care and strengthening of teamwork are recommended to minimize missed nursing care.

Matched MeSH terms: Nursing Care*

Fulltext Public health nursing in 1Care

Jaafar S, Mohd Noh K, Suhaili MR, Kiyu A, Ong F, Wong M

Int J Public Health Res, 2011;1(Special Issue):1-8.

Public health nursingis a specialized nursing combining both nursing and public health principles with the primary focus of improving the health of the whole community rather than just an individual. Its documented history started in the 1800s and has evolved from home visiting to the varied settings that public health nurses find themselves working in as members of public health teams in clinics, schools, workplaces and government health departments.Public health nursing has been a critical component of the country’s health care system, uplifting of the health status of Malaysians and playing a dominant role in the fight against communicable diseases, and is set to face the challenges of the 21st century with public health nurses practising to the full capacity of their training in a restructured Malaysian health system – 1Care for 1Malaysia. The health sector reform allows for optimisation of scarce health care resources to deliver expansion of quality services based on needs, appropriateness, equity &allocative efficiency. The proposed model will be better than the current system, preserving the strengths of the current system but able to respond to increasing population health needs and expectations. There will be increased autonomy for healthcare providers with incentives in place for greater performance. Some of the implications of reform include allowing public- private integration, a slimmer Ministry of Health with a stronger governance role, enhancing the gatekeeping role of the primary care providers and the autonomous management of the public healthcare providers. In this restructured health system, the roles of the public health nurses are no less important than in the current one. In fact, with the increasing emphasis placed on prevention and primary care as the hub of community care with nurses as part of the primary care team delivering continuous comprehensive person-centered care,public health nurses in the future will be able to meet the challenge of refocusing on the true mission of public health: to look at the health problems of a community as a whole and work with the community in alleviating those problems by applying the nursing process to improve health, not just as providers of personal care only.

Matched MeSH terms: Nursing Care

Nurse-family interaction in Malaysian palliative care settings: a focused literature review

Namasivayam P, O Connor M, Barnett T, Lee S, Peters L

Int J Palliat Nurs, 2011 Oct;17(10):507-13.

PMID: 22068121 DOI: 10.12968/ijpn.2011.17.10.507

Palliative care in Malaysia developed in the 1990s to improve the quality of life of people with advanced cancer. Like many other countries, Malaysia faces its own challenges in providing palliative care to patients and their families. In Malaysian culture, families play a significant part in providing care to the dying. Connecting with families in patient care is therefore important. This paper reports a focused literature review evaluating studies on the care of the families of terminally ill people in palliative care environments in Malaysia.

Matched MeSH terms: Nursing Care*

Welcome to the new Silk Road

Nair HK

J Wound Care, 2019 04 01;28(Sup4):S3.

PMID: 30975065 DOI: 10.12968/jowc.2019.28.Sup4.S3

Matched MeSH terms: Nursing Care/standards*

Fulltext Nurse Level of Education, Quality of Care and Patient Safety in the Medical and Surgical Wards in Malaysian Private Hospitals: A Cross-sectional Study

Abdul Rahman H, Jarrar M, Don MS

Glob J Health Sci, 2015;7(6):331-7.

PMID: 26153190 DOI: 10.5539/gjhs.v7n6p331

Nursing knowledge and skills are required to sustain quality of care and patient safety. The numbers of nurses with Bachelor degrees in Malaysia are very limited. This study aims to predict the impact of nurse level of education on quality of care and patient safety in the medical and surgical wards in Malaysian private hospitals.

Matched MeSH terms: Nursing Care/standards*

Patients' transition in the intensive care units: concept analysis

Ludin SM, Arbon P, Parker S

Intensive Crit Care Nurs, 2013 Aug;29(4):187-92.

PMID: 23727138 DOI: 10.1016/j.iccn.2013.02.001

Adequate preparation of critically ill patients throughout their transition experience within and following discharge from the Intensive Care Unit is an important element of the nursing care process during critical illness. However, little is known about nurses' perspectives of, and engagement in, caring for critically ill patients during their transition experiences.

Matched MeSH terms: Nursing Care

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