International Journal of Care Scholars (IJCS)
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Educating parents on ‘Speaking up for hand hygiene’ in PICU: Perceptions and barriers
Get PDFBackground: Hand hygiene is fundamental approach to prevent and control spread of infection. Many measures available to enhance compliance to hand hygiene, yet little is known of ‘speaking up for hand hygiene’ initiative among parents and nurses especially in paediatric intensive care unit (PICU). Aim: To assess parents’ and nurses’ perceptions on ‘speaking up for hand hygiene’ in the prevention of ventilator-associated pneumonia (VAP) in a PICU. Methods: We revised evidence-based information related to VAP preventative strategies for a PICU population and updated education materials for staff and families using the ‘Speaking up for Hand Hygiene’ initiative. Parents of children receiving mechanical ventilation were provided with education on hand hygiene. Parents and staff groups were invited to participate in a survey exploring their confidence with this initiative. Results: Parents (78.9%) and nurses (91.2%) agreed the initiative would increase hand hygiene practice. Parents (94.5%) would welcome being reminded about hand hygiene but only 68.4% of parents were willing to remind nurses and 78.9% to remind other PICU staff. Nurses (88.2%) reported being willing to remind parents and other PICU staff and 88.2% indicated that they would welcome being reminded about hand hygiene from parents and 94.1% from other PICU staff. Conclusion: Parents of children receiving mechanical ventilation and PICU nursing staff perceived ‘Speaking up for hand hygiene’ as an important initiative. There are, however factors that contribute to a reluctance to prompt hand hygiene that require further research
Perceived Stress Level and Its Stressors Among Malaysian Undergraduate Nursing Students During COVID-19 Pandemic
Get PDFIntroduction: As COVID-19 Pandemic hit across the globe, the closure of higher institutions and the shifting to online platform has become the stress factors related to learning activities for the nursing students. Hence, this study was conducted among Malaysian undergraduate nursing students to determine the level of perceived stress and to examine the relationship between the stressors and the perceived stress level. Methods: This is a cross-sectional study using convenience sampling conducted among undergraduate nursing students in one public university in Malaysia. The study participants (n=201) had been recruited by distributing an online survey which was consisted of three parts; socio-demographic characteristics, stressor factors, and Perceived Stress Score (PSS-10). Results: Majority of the respondents had moderate stress (n=154, 76.6%) with the total mean PSS-10 was 21.29 (SD=±5.57). Significant differences in PSS-10 score were found in terms of level of study, satisfaction in nursing study, current living location, and negative life events (p<0.05). Conclusion: The results from the study indicated that most of the undergraduate nursing students had moderate stress and it is associated with level of study, satisfaction in nursing study, current living location and the present of negative life events. This finding could inform the nursing lecturers and the Malaysian educational institutions for establishing a mechanism of identification and support system for the nursing students associated with the stressors
Qualitative Research Approach for The Conceptual Understanding of Spirituality for Healthcare Service Users: A Methodological Guide
Get PDFThis is a methodological paper which addresses the need to conceptualize the characteristics of spirituality from the perspective of healthcare service users by using qualitative approach. The need to provide a conception of spirituality as derived from empirical data lead to the justification of choice for the constructivist grounded theory over other qualitative methodologies. This paper highlights the subjective nature of spirituality that suits with the symbolic interactionist and interpretivist as philosophical paradigm underpin such approach in qualitative inquiry. The implication of applying qualitative approach and constructivist grounded theory is that the empirical work may portray the contextual nature of spirituality for the population of interest, especially when it is arguable non-applicable to global context.
Smartphone Usage Among Malaysian Undergraduate Nursing Students During Clinical Placement
Get PDFIntroduction: Smartphone has become one of the basic needs for each person in daily life especially in health care setting. It acts as medium for the healthcare providers to communicate through e-mail, access information regarding the disease and drug information as well as managing their schedule. The adoption of smartphone had given the positive impact on nursing students in clinical learning experiences. However, as the number in utilizing it increases, it may expose the healthcare providers to risk of violation of patient privacy and confidentiality as well affecting their professionalism. Objectives: This study was aimed to examine the smartphone usage among undergraduate nursing students during clinical placement. Method: A cross-sectional descriptive study was conducted at one of the university in Malaysia. Purposive sampling method was used to select the sample and 202 participants were involved in this study. The data was analysed using IBM SPSS Statistics 20. Result: The result showed that majority of the nursing students in this study (82.7%) have used smartphone during their work hours in clinical practice. They mainly used the smartphone for work-related purposes including searching for information on drugs, patients’ medical or health condition, patient care and patient education materials as well as communicating with their teammates. Yet, there were students who used smartphone for non-work-related activities such as online shopping, checking or posting status on social media and playing online games as well as communicating with friends and family
Working As Male Nurses In Brunei: A Qualitative Study
Get PDFObjective: To explore the views and experiences of male nurses in nursing as a profession in Brunei Darussalam. The objectives of the study were to explore the perception of male nurses in Brunei about the nursing profession, to examine motivation to become nurses and to explore the challenges that they have encountered in the profession. Background: More men are now choosing the profession, given the growth of health care needs. Evidence suggests that there are obstacles and barriers to men's career choices of being nurses. Design: A descriptive qualitative study using content analysis. Methods: A descriptive, qualitative approach was used to gain valuable insight into male nurses' views on nursing as a career. Using purposive sampling, a total of 11 male nurses from two state hospitals in Brunei were individually interviewed. Participants were interviewed for between 45-60 minutes and were audio-recorded with prior consent. Recorded interviews were transcribed, coded manually and subsequently thematically analysed. Results: The analysis revealed three broad themes, namely 'making the career choice', 'working as male nurses' and 'being in the profession'. The first theme indicates the nurses' initial perception of the profession. The second one describes the nurses' experiences once they enter the profession. The final theme illustrates how nurses perceived the challenges of being in the profession. Conclusion: The evidence in the current study suggests although men's entry into nursing is slow and gender disparity continues to affect the profession, the results in this study indicate that, for male nurses, the motivational factors outnumber the barriers to entry. Overall, male nurses reported being positive with their career choice.
A Review on Knowledge of Diabetes and Practice of Medication Adherence Among People Living With Diabetes Mellitus
Get PDFIntroduction: The prevalence of diabetes among adults is increasing globally in the 21st century. However, the knowledge of diabetes and practice of medication adherence among people living with diabetes mellitus are still questionable. Aims: This literature review aimed to look for the literature that related to the level of knowledge about diabetes and its correlation with medication adherence among people living with diabetes mellitus. Methods: The studies included in this review were identified through a search of Proquest, ClinicalKey for Nursing, CINAHL and Ovid databases. The published articles from year 2010 onwards are included in this study. Results: A total of 18 articles were analysed in this review. It was found that having good or poor knowledge of diabetes does not guarantee their health-seeking practice of medication adherence. It was also reported that some of the factors that have been found to predict the level of knowledge and their practices include their sociodemographic characteristic. Conclusion: Therefore, the findings of this review giving alarm about future interventions and study in this particular area.
The Existence of Advocacy among Nurses Within Nursing Documentation in Malaysia: An Exploratory Study
Get PDFNursing documentation is vital to nursing care in hospitals. Literature suggests nursing documentation that contains evidence nursing care which has been planned and implemented have a significant relationship with nurses’ practice, particularly regarding the existence of advocacy. Despite the significance of nursing documentation in nursing practice, no study has been conducted and published on this crucial aspect of nursing practice, particularly in Malaysia. Hence, a qualitative design is utilised to explore how nurses in Malaysia demonstrate the element of advocacy in the context of their nursing documentation. A total of forty semi-structured interviews were conducted with nurses involved in completing the nursing documentation. Thematic analysis was used to identify categories and themes in nurses’ perceptions about the existence of advocacy in their documentation. Findings highlight that the nurses could comprehend and acknowledge the existence of advocacy within their documentation. These findings are likely to suggest to highlight the advocative roles of nursing documentation in nursing practice, besides the significance of education to improve advocacy among nurses in Malaysia
Association between Pesticide Exposure and Childhood Leukaemia: A Systematic Literature Review of Epidemiological Studies
Get PDFIntroduction: Cancer is the leading cause of death for children and adolescents globally with 300,000 children aged 0-19 are diagnosed with cancer every year, mainly leukaemia, lymphomas and brain cancers. Like other causes of cancer, the difficulty arises because of multi-factorial aetiologies involving the interaction between genetic factors as well as environmental exposures. Aims: This study aimed to analyse published studies on the relationship between childhood leukaemia and exposures to pesticides. Methods: The search on the literature database Ovid-MEDLINE search strategy was conducted for the period from 1995 to 2014. The quality of non-randomised studies was assessed by using Newcastle Ottawa Scale (NOS). Results: Six studies investigated the relationship related to parental residential exposure and one study, showed an association between childhood leukaemia and maternal exposure. Two studies investigated the relationship to maternal residential exposure. Two studies reported an association between childhood leukaemia and parental occupational exposure. One study showed a positive association out of two studies that evaluated the association related to parental occupational and residential exposure. This review provides evidence of weak to modest association between childhood leukaemia and pesticides exposure in most of the studies. Conclusion: Most studies showed an association; however, the causation remains unexplained because of limitations such as potential bias, faulty study design and sample frame, lack of statistical power and also ascertainment of exposure.
Are We Wash Our Hands Enough? The Blessing of COVID-19
Get PDFHand hygiene is inexpensive, safe and cornerstone for infection prevention. This practice became more important especially with the novel coronavirus (2019-nCoV) COVID-19 outbreak. This paper highlighted hand hygiene as one of the key weapons in the prevention of COVID-19 spread. It also reflects the hand hygiene practices and promotions in the workplace such as in healthcare settings and for the public in relation to COVID-19 prevention.
Knowledge, Attitude and Practice on Sexual Health among Students of Centre for Foundation Studies
Get PDFIntroduction: Sexual health is not merely just avoiding infectious disease or unwanted pregnancy, but it isbroader issue that required serious attention. People with sexually transmitted infection or unwantedpregnancy also have the chances to be sexually healthy. In order to be sexually healthy, ones must recognizethe sexual rights that we share, having the access to get the sexual health education, and able tocommunicate with the healthcare providers regarding the issues of sexual health and empowered toprevent sexually transmitted disease and unwanted pregnancy. Aims: This study aims to determine thelevel of knowledge, attitudes, and practices on sexual health among the students of centre for foundationstudies (CFS). Method: A cross-sectional study was conducted among 320 participants by using a closeended question. Result: The results showed that, there were high level of knowledge on sexual healthamong CFS students with excellent understandings on non-permissible premarital sexual intercoursedisplayed by their non-experience confessions. Conclusion: This study findings can be used for future todevelop intervention in order to decrease the sexual health problems by enlightening the students on properknowledge, attitude and practice on sexual health