The profession of Nursing has taken a huge leap forward both during the time of Florence Nightingale to
today's modern age. This article sheds light on the journey of nursing, from its humble roots to Nightingale's
contributions and the various breakthroughs of the present along with a focus on the pros and cons as well as
the strengths and weaknesses of Nursing in both Nightingale's and today's time. Various aspects in both time
periods are considered in this article along with a note that emphasizes on the contemplation rather than
outperformance in the field of Nursing in both time periods.
The article review was to identify, discuss, explore, critically analyze and evaluate the scenario of Human ImmunodeficiencyVirus (HIV) among women in nursing perspective taking into account global perspective. The current aim is to reduce the number of HIV globally, especially among women. Acquired immune deficiency syndrome (AIDS) is considered as a disease state of hopelessness and imminent death. HIV and AIDS status demotivate the women emotionally in physical, social, and emotional perspectives. HIV-positive women portray of AIDS is deeply discrediting; with physical failure, moral failure, and social ostracism.
This article define and discuss the issue of plagiarism by nursing students either in academic or clinical settings. It describes and explore the scenario of plagiarism among nursing students and implications for the qualification of the students. Currently, prevention is required to avoid negative culture in nursing education due to plagiarism.
Introduction: Birth weight is the single most important factor which determines infant morbidity and
mortality. Birth weight of the newborn is believed to be influenced by several factors. Therefore, it is
important to understand the possible factors that influence birth weight.
Methodology: The respondents were 230 postnatal mothers who participated in this study. A selfadministered
questionnaire was used for interviewing the postnatal mothers. One Way Analysis of
Variance (ANOVA), Chi-square tests and the independent t-test were used. Statistically significant data
were those that had a p- value < 0.05.
Results: The mean birth weight was 3080.02±400.61g. The incidence of low birth weight (LBW) was
12.6%. By using One-Way ANOVAtest, the factors that were found to be significantly associated with birth
Socio-cultural poses as the enabler and barrier in breastfeeding practice. A review of published literature
was conducted and a total of 25 articles were reviewed to seek the answer: How religious belief and
sociocultural influence breastfeeding practice? Published articles were identified through electronic
searches of PubMed/MEDLINE, Scopus, Google scholars and IIUM Repository within timeframe of 2011
to 2017. Through this searching, three key themes were identified: religious views on breastfeeding,
sociocultural perspectives and challenges. A comprehensive understanding on religious recommendation
and cultural influence would benefit in the reconstruction of breastfeeding promotion and education
Advanced nursing practice involves higher level of knowledge and skills of nurses to perform autonomous practice in clinical settings in order to meet the needs of individuals, families and communities. Advanced practice in nursing is also known as adjusting boundaries for future practice, pioneering and developing new roles of nurses in clinical practice, research and education. Advanced practice of nursing in the developed countries are recognized with different nomenclatures such as advanced nurse practitioner, clinical nurse specialist, specialized nurse practitioner, nurse practitioner, certified nurse practitioner and advanced practice registered nurse. Malaysia is one of the pioneering Asian countries to introduce clinical nurse specialist in hospital settings, which is a stepping stone for the development of advanced nursing practice.
Keywords: Nurses in Malaysia, Clinical Nurse Practitioner, Advanced Nurse Practice
The evolution of nursing profession and education has taken its pace over the past years. Therefore, with the changes in nursing education over the years, the level of professional socialization among the students has become an area of interest. The objectives of this pilot study were to explore and compare the level of professional socialization between the diploma and degree nursing students (ﬁrst year and ﬁnal year) using the measuring tool of NPVS-R as well as to identify the demographic variables related to the level of professional socialization among the nursing students. From this pilot study, it was found that there was no signiﬁcant difference in the level of professional socialization between the diploma and degree nursing students (p = 0.133). With regards to the demographic variables related to the level of professional socialization, signiﬁcant difference was found only for the variable of father's educational level (p = 0 .035).
Keywords: Professional Socialization, Diploma and Degree Nursing Students, Nursing Education
This study sought to investigate understanding of obesity among registered nurse e-PJJ student semester 9 UiTM in Puncak Alam, in Selangor, Malaysia. A survey research design was used for the study. 100 nurses were randomly selected from 130 nurses in e-PJJ student semester 9. Study of this population was done by systematic sampling. The target groups for this study are matrons, sisters and staff nurses. 100% nurses showed understanding of obesity. Eating habits of the nurses contributed to this obesity. It was recommended among others, that nurses should practice theoretical knowledge base and the need to more opportunities for physical activities at hospital sites was emphasized.
Keywords: Obesity, Registered Nurses, Knowledge and attitude
Low back pain is a common occupational health issue especially among nurses that leads to suffering, disability and days of work lost that affect the continuity and quality of patients care. This study aims to determine prevalence of low back pain among registered nurse at Surgical Unit in RPZ II Hospital and identify the associated factors. It is a cross-sectional study that used a self-administered questionnaire to collect the data among a convenience sample of 60 nurses. Data was analyzed using Pearson Chi-Square. Majority of them were aged 31 to 40 years (53.3%), Malays (91.5%), married (84.6%), had working experience from 11 to 15 years (50.8%), had formal manual handling training (64.9%) and are overweight(58.3%). The prevalence of low back pain was 63.8%. The study revealed statistical significance for race (p=0.002), number of patients they have to handle (p=0.005), satisfaction with working environment (p=0.007) and emotional and social problems (p=0.007, p=0.038, respectively).
Effective and skilful communication is crucial and an important element in the quality of nursing care. This enables nurses to assess patients' needs and provide them with the appropriate physical care, emotional support, knowledge transfer and exchange of information. However, nurses find it difficult to communicate effectively and therapeutically with their patients. Aim: To identify the nurses' and adult inpatients' perceptions of barriers to effective nurse-patient communication. Methodology: A descriptive study was used to collect data from nurses (n=40) and adult inpatient (n=63) in multidisciplinary wards in a private hospital in Malaysia. Two sets of self-administered questionnaire for the two different groups of participants, the patients and nurses were used. Data were analysed using the SPSS version 20.0. Results: Nurses and adult in patient perceived heavy workload, dialect and negative attitudes towards nurses as main barriers that hinders effective communication among nurses and patients. Conclusion: Communication places an important part in patients' satisfaction of care and the ability of the nurse to provided patient centred care. Nurses should take in to account those communication barriers that affect the patients and be confident enough to take the first step to initiate communication and be able to handle patients' dynamic emotions.
This case study illustrates an ongoing therapeutic dilemma which continues to place the patient's welfare at risk. The safety predicament is associated with the transfusion of blood or their products to the correct patient. Predictably, healthcare scholars declare that when clinical practice is ineffective, a “theory-practice gap” is typically responsible. Within this paradigm there is often a gap between theoretical knowledge and its application in clinical practice. Most of the evidence relating to the non-integration of theory and practice makes the premise that environmental factors will influence learning and practice outcomes, hence the "gap". However, it is the author's belief, that to "bridge the gap" between theory and practice an additional component called “Ethics” must be appreciated. This introduces a new concept “theory-practice-ethics gap” which must be considered when reviewing some of the unacceptable appalling outcomes in health care practice
Purpose:The aim of this study was to investigate the relationship between workplace mindfulness, cognition, emotion, behaviour and psychology on job performance. In addition, age was tested as the moderating factor on the relationship between workplace mindfulness, cognition, emotion, behaviour and psychology on job performance. Method: The research was conducted on nurses working in Malaysian government hospitals among 127 respondents were chosen. Data was collected from the respondents using a structured questionnaire. The data were analysed with factor analysis, reliability test and multiple regression analysis. Results: Results indicated that only workplace mindfulness, cognition and behaviour had a positive significant influence on job performance. Age moderated the relationship between the cognition, behaviour and psychology positively and significantly on job performance. Contribution: The Malaysian government hospital management is suggested to focus on these three factors in order to overcome job performance issue among nurses.
This paper aims to review the literature with regards to the family caregivers of severe traumatic brain injury survivors and their needs for care at home. The search started by finding the relevant keywords from EBSCOhost: MeSH database. There were many related studies found by searching the following multiple databases. They are from Evidence Based Medicine (EBM) reviews @ Ovid, Journal @ Ovid Full text, Medline with Full text via EBSCOhost, CINAHL Plus with Full Text, Science Direct, and Google scholars' articles. The search terms were limited to publications ranging from 2010 to 2016. Several points were highlighted regarding the needs of family caregivers who had been taking care of traumatic brain injury survivors. It also provided information on the needs of family caregivers in terms of care, traumatic brain injury, TBI survivor complications, family caregiver's burden, caregiver challenges and the impact of traumatic brain injury to family caregiver's quality of life. Overall, the study shows that family caregivers face significant challenges toward care of TBI survivors. The review highlighted the support needed from the family caregivers, and other important facts about severe traumatic brain injury in order to understand the condition. Further research should focus on rehabilitation efforts on traumatic brain injury survivors.
Thyroid disorders could be broadly categorised into benign and malignant diseases. Approaches for the
management of benign and malignant thyroid disorders have been well documented including the treatment
using radioactive iodine (RAI). RAI has long been used to treat hyperthyroidism and well differentiated
thyroid cancer. Nevertheless, there are various factors that may influence the outcome of RAI treatment
including matters related to patient preparations. Thus, healthcare personnel play an important role in
assisting patients to make the necessary preparations. This article aims to give nurses and clinicians of
various specialities an insight into the overview of RAI treatment for thyroid disorders particularly in
Malaysia and further discusses the issues related to preparations of patients.
Nurses play a key role in caring for the mentally ill and in rehabilitating them after an episode of illness. The nurses' attitude towards a patient is generally considered to be one of the basic factors contributing to the administration of total therapeutic nursing care. The purpose of this study was to examine whether attitudes towards mental patients improve after psychiatric attachment as well as the relationship between attitudes to psychiatry and intention to pursue psychiatry as a career. The study was conducted on sixty nursing students of fifth semester at the Kolej Kejururawatan Kubang Kerian, Kelantan who are doing their psychiatric postings in Hospital Raja Perempuan Zainab II, Kota Bharu. The sampling technique for this study was convenient sampling. The instrument used for this study surveyed questionnaire developed by Brenda Happell (Happell, 2008). This quasi-experimental study measured changes in students' attitudes and satisfaction with clinical experience following a placement in mental health nursing. The questionnaire was administered to the nursing students on the first and last day of their psychiatric clinical placement session. The findings suggested that clinical experience during psychiatric clinical posting can positively influence attitudes, preparedness for practice and the popularity of mental health nursing. Satisfaction with clinical experience was also high. The findings of this study suggest that clinical postings had positive effects on nursing students' attitudes towards psychiatric patients and confidence in this field of practice.
Study site: Hospital Raja Perempuan Zainab II, Kota Bharu
Excellence in academic and practical skills is the main goal of most nursing educators. It is a tool to measure the level of success of the nurse educators. Concept mapping care plan is related to the expectation that today's nursing students must master a constantly expanding body of knowledge and apply complex skills in rapidly changing environment. Concept mapping care plan was developed by researcher and validated by ten expert panels using three rounds of Delphi technique. It was used to evaluate academic performance of nursing students at clinical practice. Concept mapping care plan is a good assessment tool to nursing educators to prepare nursing students for better critical thinking and expected to function effectively after graduation. The goal of concept mapping care plan as a teaching strategy during the clinical practices, help the students to integrate the knowledge from theory and implementing this knowledge in the clinical setting. Researcher believes that concept mapping care plan can be as a replacement of nursing process that have been practiced before in the clinical setting. In addition, through concept mapping care plan provides an opportunity for students to broaden their knowledge and become more creative.
This article is a brief personal reflection on the ongoing development of professional education and practice in nursing. The reflection and its narratives are anecdotal and are based on the author's recent experience of teaching and working with fellow nursing lecturers in Malaysia in a nursing faculty within a local University. The author has almost 40 years career in nursing, nurse education and curriculum planning in the United Kingdom before her retirement. The study reflects on the key aspects of nursing and nurse education from her wealth of experiences while in the UK, and also highlights some positive and valuable insights gained from her brief experience in Malaysia. She also provides some reflections of the challenges that lie ahead, specifically, the emphasis on feelings and emotions in nursing, that provide the inspiration to continue with passion, dedication, and determination in our ongoing quest in the pursuit of nursing excellence for all the nurses, in practice and in education. This will hopefully and ultimately lead to a higher standard of nursing care for all patients, and continue the long journey towards the unique professional identity that we have been seeking, and that we can all proudly claim to be our own.
Introduction: The effectiveness of teaching and learning process is highly dependent on the methods and
strategies of teaching and learning practices. As a result, nurse educator must choose and use the suitable
method to help the nursing students to achieve the learning objective.
Methodology: There were 218 respondents. This study consisted of two-group quasi experimental study
with pre- and post-test design. The experimental and control groups received education using concept
mapping and lecture method respectively. The data was analyzed using inferential and descriptive statistic.
Results: In the pre-test, students were taught using concept mapping. These students had achievement
mean scores of 11.23, SD=2.59 and post–test was 13.19, SD=1.71 with mean gain scores of 1.96. Students
who were taught using lecture method had an achievement mean scores of 10.71, SD=2.23 in the pre-test
and post-test was 12.60, SD=1.64 with mean gain scores of 1.89. The results showed an increase in grade
achievement, the percentage pass for the experimental group increased from 95.4% in pre-test to 100% in
the post-test. The percentage pass for control group had increased from 93.57% in pre-test increased to
99.08% in the post-test.
Conclusion: Student-centered learning is a teaching method that is active and can change passive to active
learning. Findings from several reviewed studies suggest that using concept mapping can improve
academic performance in nursing education and is a valuable teaching strategy.
Exercise is an important practice in leading a healthy lifestyle. However, recently the percentage of
Malaysians who practice healthy lifestyle has decreased and the rate of overweight or obesity isincreasing.
This study aims to explore the knowledge, attitudes and practices of exercise among nursing college
students. Questionnaires were used as a research instrument and distributed to Kuala Terengganu Nursing
Collage students consisting of 281 students, ranging from year 1 to year 3 in semester II. Data collection
was carried out within two weeks. The results of this study showed that almost 66.9% of trainees chose
aerobic exercise as their favorite exercise. This form of exercise is good for strength and durability of the
cardiovascular. Almost 90.4% of them did exercises together with their friends. From the results, their
coach had a relatively good level of knowledge about exercise. The majority of students have a positive
attitude towards exercise. There is a relationship between knowledge and their value of exercise. Age is
correlated with knowledge, meaning that the older the person the more knowledgeable they are on the
benefits of exercise. Age and semester of study showed moderate correlation of 0.525 with awareness of
exercises to increase stamina and strength of the body's defenses.
A pressure ulcer is a common health problem, particularly among the physically limited or bedridden individuals. The most vulnerable group to suffer this condition is the elderly. The prevalence of Geriatric inpatient with pressure ulcer stage I, II, III or even IV for a month was 35.5% of the total admission. The understanding of recovery process, prevention remains the best management strategy as it improves their quality of life. This study aims to compare PU development outcomes in geriatric patients nursed on either using the Durable barrier cream (Cavillon cream) or non-pharmacological intervention alone. Using the Quasi experimental study-design, the selected participants were subjected to Cavaillon cream as well as the intervention. The assessment used were the outcome of the pressure ulcer was assessed using the measured size of the redness area. There was the statistically significant reduction in pressure ulcer size on day three compared to the size on day one among the intervention group, z value was -5.028, p