International Journal of Care Scholars (IJCS)
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Shift Handover Practices Among Nurses in Medical Wards: A Qualitative Interview Study
Get PDFAim: To examine the shift handover practices in various medical wards in Brunei. Objectives were to examine shift handover practices between the nurses and between shifts, to identify supports to enhance handover effectiveness and to identify barriers of effective handover. Background: Handover practices is a routine activity, and ineffective handover practise constitutes a risk to patient safety. Evidence suggests that handover effectiveness is influenced by factors such as through standardised handover practice. Design: A descriptive qualitative study using content analysis. Methods: The study involved a series of individual interviews among a sample of nurses recruited from 6 medical wards in the largest hospital in Brunei. A total of 13 nurses took part in the interview. Data were analysed with qualitative content analysis method. Results: The analysis revealed three broad themes, namely "multiple handover style", "use of handover tool" and "handover distractions". The first theme indicates that there are several handover styles used in the medical wards, which may be related to the cultural and organisational factors. The second theme illustrates the use of a tool in handover practices, and the final themes describe perceived shift handover distractions which could potentially influence the effectiveness of the handover practices. Conclusion: The evidence in the current study suggests that several aspects of the multiple shift handover practices of nurses are not always consistent with best-practice evidence. The results show that nurses need to communicate accurate and concise information, which can be easily understood by both the giver and the recipient to ensure the quality and safety of patient care.
Prevalence and Factors Associated With Cognitive Impairment Among Older People Living In Old Folk Homes, Malaysia
Get PDFIntroduction: Cognitive impairment is common among older people living in old folk homes due to several factors including the aging process and moving to unfamiliar places. The present study aimed to explore the prevalence rates and factors associated with cognitive impairment in older people living in old folk homes RACF. Methods: A cross-sectional study was conducted on 167 older people aged 60 years and over living in two old folk homes in Malaysia. A questionnaire consists of three parts; sociodemographic background, University of California, Los Angeles (UCLA) Loneliness Scale, and Elderly Cognitive Assessment Questionnaire (ECAQ) was used for data collection. Results: It was found that 49.1% of older people in this study found having cognitive impairment. There was a significant relationship between age (p = 0.02) and marital status (p = 0.02) with cognitive impairment. This study also found that there was a strong negative correlation between loneliness and cognitive impairment (r = -0.78, p = 0.001). Conclusion: The prevalence of cognitive impairment is considered high among older people living in old folk homes. Age, marital status, and loneliness were found associated with cognitive impairment among older people living in old folk homes. Future studies should emphasize these factors to reduce the risks of cognitive impairment among older people living in old folk homes
The Concept of Human Milk Donation and Milk Kinship in Islam
Get PDFBreastfeeding is the initial and the best feeding to infants after birth. Breast milk has countless benefits to children and mothers in matter of health, education, economy, social, and psychology. The aim of this paper is to generally discuss the point of brief concept of human milk donation and milk kinship in Islam. Despite this, the World Health Organization (WHO) recommends the duration of 6 months for exclusivity of breastfeeding and continues up to two years old. This is in line with the statement in Quran that mothers should breastfeed their children for two years [al Baqarah 1: 233]. However, not every mother may succeed to breastfeed their children up to two years and the infants are exposed to many risks with the introduction of infant formula milk. With that, WHO and UNICEF had made a joint statement to suggest on human milk banks development to fit infants need in appropriate situations. In Islam, breastfeeding is virtue and milk sharing practice will lead to a new milk kinship called “Rada” or “Milk-Suckling Mahram”. The milk kinship make the infants are forbidden to marriage with the donors and donors relatives. The concept of Islam would make the operation of milk bank complex, but with some precautions it is still likely that also in Muslim communities a human milk sharing initiative can be successfully established
Caring Stroke Patients with Musculoskeletal Problem: A Narrative Review
Get PDFBackground: The purpose of this paper is to narratively review the literature on caring for stroke patients with a musculoskeletal problem which involves rehabilitation of nursing and health care. Through the review, this paper addresses five questions: What are the typical difficulties of a stroke patient? What are the effects of a stroke on the musculoskeletal system? How to take care of musculoskeletal problem and pain? What is good musculoskeletal care for patients with stroke? How to take care of the musculoskeletal problem through active rehabilitation? Method: The relevant articles published between 2010-2020 were identified through searches in PubMed, Google Scholar, CINAHL, PsychInfo and by inspecting the reference list using keywords of ‘stroke’ and ‘musculoskeletal’. Result: A total of 19 selected address this topic and consequently answer the questions posed. Findings flow with the typical difficulties of a stroke patient, the effects of a stroke on the musculoskeletal system, caring for musculoskeletal problem and pain, good musculoskeletal care for patients with stroke and caring for the musculoskeletal problem through active rehabilitation. Conclusion: This paper highlights that stroke patients with the musculoskeletal problem have restricted day-to-day movement functions and needed interdisciplinary care approaches from nursing, physical and occupational therapies, and other health care professionals. Stroke patients may need a structured programme to improve the outcome of stroke rehabilitation for the musculoskeletal problem.
A Narrative Review on Modern Wound Dressing for Diabetes Mellitus Wound
Get PDFIntroduction: Diabetic foot is a wide-ranging term for foot disorders includes infection, ulceration, or destruction of deep tissue due to peripheral neuropathy and ischemia from peripheral vascular disease. Wound dressings play a significant part in the treatment of diabetic foot ulcer (DFU). Modern wound dressing which is commonly known as the moist wound dressing can be better optional than the conservative one for the DFU. Aim: This study aimed to review the available articles on modern wound dressing for diabetes mellitus wound. Method: A total of six articles were reviewed and explained under the findings and discussion part of this study. The published articles from the year 2008 onwards are included in this narrative review. Result: Overall, it is evident that using of modern wound dressing can make sure excellent wound surroundings, avoid complications, improvement of quality of life of patients and aid the healing of DFU providing that the patient’s glycemic level is controlled. Conclusion: The process of wound healing in DFU is not static and it requires an appropriate environment at each stage of the healing process. And also a reasonable approach to the selection of dressing for certain types of wounds should be clarified. However, further study needs to be carried out to prove the current finding
Ethical Reflections of Patient Adherence to Treatment Plans
Get PDFThe emerging debate on patient adherence in the clinical literature and recent attempts in medical ethics to provide lists of patient obligations indicate dissatisfaction and an implicit desire to push the moral pendulum of the patient’s responsibility back to the middle. Some ethicists believe that in healthcare, patient accountability means that patients have certain responsibilities, such as the obligation to comply with the treatment. Nonetheless, several oppose this idea, arguing that not all patients are able to accept these obligations and that those duties are not absolute. 
The Association Between Team Skills and Nursing Team Performance: A Malaysian Perspective
Get PDFObjective: Nursing team performance is essential because nurses work interdependently with others and their routines require them to create an effective synergy through collective effort. Nursing teams must be effective in order to reduce medical errors and deliver the best safe care to patients. For that reason, members must possess skills that are relevant and imperative to team functioning. This article aims to examine the association between team skills and team performance. Team performance is categorized into two dimensions; team task performance and team contextual performance. Methods: This study was done on selected nursing teams in Peninsular Malaysia. Data was collected from 1436 individual nurses and responses were aggregated to 300 teams from seven major specialist public hospitals in Peninsular Malaysia. Analysis was done via structural equation modeling using Partial Least Squares (PLS). Results: Results indicated that team skills positively relate to both dimensions of team performance. The findings of this study support previous studies which posit that team members often display team performance behaviors when they perceive that they are collectively competent in task accomplishments.
Healthcare Professionals’ Perspectives on The Provision of Sexual and Reproductive Health to Young People in Malaysia
Get PDFObjective: In Malaysia, sexual health issues among young people encompassing premarital sex, the incidence of STI including HIV/AIDS, unintended pregnancy, unsafe abortion and the practice of baby abandonment. Little is known about the provision of sexual health care for young people since it has not been examined in-depth in a Malaysian context. This study aimed to explore the perspectives of healthcare professionals who deliver sexual health services provision to young people within primary healthcare settings which included schools as part of an outreach programme. Methods: This qualitative study used a self-developed topic guide for in-depth interview with twenty-four healthcare professionals of several government health clinics in Malaysia. The aim was to understand healthcare professionals’ experiences of dealing with young people and their views on current sexual health services provision. The interview data were entered into Nvivo and analysed using thematic analysis. Results: The findings show that healthcare professionals regarded the use of the Adolescent Health Screening Form as a cornerstone for all initial interactions between and young people in health clinics. The findings also highlight the problem with an appointment system that includes lack of consultation times, privacy issues and the requirement of parental consent when dealing with unmarried young people. Conclusion: This study had recognized several facility-based obstacles that restricted sexual health services to young people in Malaysia. Their access to and the utilization of sexual health services are dependent on health care system improvement.