International Journal of Care Scholars (IJCS)
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Undergraduate Nursing Students’ Perceptions Towards Educational Environment: A Cross-sectional Study
Get PDFObjective: Educational environment is an essential key factor of students’ academic success. A positive educational environment leads to successes, whereas a negative one would inhibit their accomplishments. However, there is still no consensus on the score of educational environments reported in the previous studies. This study aimed to determine the perceptions of the undergraduate nursing students towards their educational environment in Universiti Sains Malaysia. Methods: This cross-sectional survey was conducted between December 2016 and February 2017. The total of 118 undergraduate nursing students from Year 1 to Year 4 of academic session 2016/2017 were participated in this study. Stratified random sampling method was used to obtain the samples according to their year of study. A self-administered questionnaire, Dundee Ready Education Environment Measure (DREEM) instrument was employed and the results were analysed using IBM SPSS for Window version 22.0. Results: Out of 118 participants, 94% were females and the average age was 21.46 years (SD = 1.4). The score of DREEM obtained was 178.00/200 (M = 133.49, SD = 19.90) which corresponds to an excellent environment. The participants identified the strength of the educational environment in item 2 (The teachers are knowledgeable, M = 3.50, SD = 0.64). At the same time, the participants also identified a few items as problematic areas. Conclusion: Perceptions towards educational environment in this study were excellent. It indicated that the faculty has fulfilled their expectations of the educational environment. Despite the fact that no educational environment is perfect, efforts to further improve the educational environment should be conducted continuously for the students’ academic success. It is recommended that future studies to include nursing programs from other universities and utilise a qualitative approach to provide an in-depth data on educational environment
Intensive Care Unit Nurses’ Perceptions of the Necessity for ICU Outreach Services in Malaysia
Get PDFObjective: International studies show that ICU outreach services help to improve patients' condition and reduce both the length of hospital stays and mortality rates. However, Malaysian nurses’ perceptions of ICU outreach services and their implementation have previously remained uninvestigated. This study thus aims to uncover Malaysian nurses’ perceptions of implementing Intensive Care Unit (ICU) outreach services. Method: An exploratory mixed method was used, focusing on 47 Malaysian hospital ICU nurses, using surveys and interviews over a 2-month period in 2015. All those who met the inclusion criteria were purposively recruited into the study. Results: A total of 47 respondents completed the questionnaires. The mean years of employment was 9.72 and mean age was 33.6 years. Only seven respondents had undertaken an intensive care course and had knowledge of ICU outreach services. Years of employment and highest education level were not significantly related to awareness of ICU outreach services. Major themes emerging from the interviews included ICU outreach service benefits, ICU readmission events, and nurses’ readiness for ICU outreach services. Interview data supported the survey results consistently. Conclusion: Nurses are aware of the advantages of ICU outreach services for both nurses and patients, despite the fact that there is no official implementation of such services in Malaysia. Their appreciation of the importance of ICU outreach services, and enthusiasm to participate in a new program to improve ICU survivors’ condition and care in general wards, indicates the potential for better care in the future
Prevalence of Loneliness, Anxiety, and Depression among Older People Living in Long-Term Care: A Review
Get PDFObjective: The aim of this paper was to review prevalence rates of loneliness, anxiety, and depression among older people living in long-term care settings such as residential aged care facilities, nursing homes and assisted living facilities. Method: A systematic search of the literature was conducted using several electronic databases including Medline, CINAHL, PsycINFO, and the Cochrane library. Results: In total, 18 articles met the inclusion criteria for this review. The results indicated that the prevalence rates of loneliness (56% to 95.5%), anxiety (3.6% to 38%), and depression (11% to 85.5%) in older people living in long-term care settings are generally high. Conclusion: Further research on effective methods of reducing these symptoms is recommended
Children’s Experiences in Health Care Decisions: An Overview
Get PDFThis article attempts to provide an overview of issues related to children’s participation in decisions relating to health care. It sets the discussion in the context of current debate about children’s participation in health care decisions and explores the extent to which children want to participate in the decision. This article concludes that children mostly occupy a minimal role in communication and decisions regarding their care. The patterns of participation of children in communication and decisions are different and fluctuate between the children and within the same child throughout their hospitalisation, depending on the participating child, their preferences, and requirements at a particular time
Stroke Patients' Adherence to Nurses' Advice and Their Quality of Life After Admittance to Hospital Tengku Ampuan Afzan
Get PDFoai:ojs2.journals.iium.edu.my:article/36Objective: The objective of this study is to identify stroke patients’ adherence toward nurses’ advice and quality of life. Methodology: This was a cross-sectional study conducted at a medical ward in Hospital Tengku Ampuan Afzan, Kuantan, Pahang; it used the Quality of Life Index Stroke Version-III and Medical Outcome Study Measure of Patient Adherence. The data were collected using the purposive sampling method and were analysed using SPSS version 19. Results: A total of 54 respondents, ranging in age from 50 to 80 years old, (46.3% male and 53.7% female) with 94.4% being Malays. Returned surveys indicated that 50% of the respondents have no formal education. A total of 64.8% patients adhered to the nurss’ advice and the remaining 35.2% were non-adherents. There is a positive correlation between adherence and the quality of life. Male patients demonstrated a better adherence level compared to women (p=0.019). However, there was no association between age, race and education level with adherence. Conclusion: Healthcare professionals, such as nurses, have substantial roles in ensuring stroke patients adhere to rehabilitation guidelines with a view to maximising quality of life
Factors Predicting Paediatric Obesity Among Primary School Children in Kuantan
Get PDFObjective: This study was aimed to investigate the association of parental obesity, food habits, and physical activity levels with body mass index status and sociodemographic factors among children in Kuantan, Pahang. Method: A cross-sectional study was conducted on 300 pupils in three primary schools in Kuantan. The three schools were representative of the three major ethnicities in Malaysia, Malays, Chinese, and Indians, and the children were aged 8 to 11 years. Self-developed questionnaires were used to record sociodemographic details and anthropometric measures of both parents and children, and physical activity and food habits were measured using a Children Physical Activity Questionnaire (C-PAQ) and the Harvard Food Frequency Questionnaire (HFFQ), respectively. Data was analysed using IBM SPSS 20.0, with a binary logistic regression model then used to represent the interactions among different factors in terms of predicting childhood obesity. Results: Binary logistic regression analysis shows that parental anthropometric measures, children’s ages, levels of physical activity, and food habits are signif-icant predictors for paediatric obesity. There is also a significant association between parents’ anthropo-metric measurements and childhood obesity. Significant correlation was found between fast food con-sumption, fruit and vegetable consumption, and physical activity and body mass index in children (p˂0.05). Conclusion: The study provides evidence that parental obesity, fast food consumption, fruit and vegetables intakes, and physical activity levels have significant associations with children's body mass indices
Experiences of The Public on The Services in Emergency Department: A Qualitative Study
Get PDFObjective: The purpose of this study was to explore the experiences of the public on the services provided in the Emergency Department (ED) of Hospital Tengku Ampuan Afzan (HTAA). Methods: An exploratory, descriptive design was used to understand public experiences on the services in the ED. Ten respondents who fit the inclusion criteria were selected using purposive sampling method during their visit to the ED. They were interviewed for 30 to 45 minutes and were audio-recorded with the permission of the participants. The general meaning and the tone conveyed by the respondents were determined through coding, descriptions, and the themes that emerged. Results: Four major themes emerged from the study including waiting time, ED staff, information regarding the ED, and expectation on the ED services. Conclusion: As a result, there is a need to improve the practices in the ED and a need for an awareness program on the real functions and services of the ED
Incidence of Phlebitis Among Adult Patients with Peripheral Intravenous Catheter in an East Coast Hospital Malaysia
Get PDFObjective: This study aims to determine the incidence rate of phlebitis among patients with a peripheral intravenous catheter. Methods: An observational study was conducted in one of the hospitals in East Coast Malaysia. There were 321 data collected from patients who had a peripheral intravenous catheter in medical, gynaecology and orthopaedic wards. The incidence of phlebitis was evaluated using a modified Visual Infusion Phlebitis score checklist. Results: The incidence of phlebitis, was found out to be 36.1% (n=116/321). Most patients who developed phlebitis had visual infusion phlebitis, with a score of two (34.9%) and the rest developed phlebitis with a score of three (1.2%). Conclusion: This high incidence of phlebitis indicated a worrying outcome. Therefore, the study findings suggested that a specific guideline on post insertion management of peripheral intravenous catheter should be revised which may help in reducing more incidence of phlebitis, subsequently reduce infection in an award, and provide more safety environment in hospital and reducing cost in managing infection control
Prevalence of Irritable Bowel Syndrome and its Association with Perceived Stress Level among Nursing Students at The International Islamic University Malaysia
No full textObjective: This study aims to determine the prevalence of irritable bowel syndrome (IBS) and its association with perceived stress levels among nursing students at the International Islamic University Malaysia. Methods: A cross-sectional design was used in this study. A three-part questionnaire was used to gather data on stress levels and IBS symptoms. Part A posed questions on socio-demographic aspects. In part B, a Perceived Stress Scale was used to measure individuals’ perceived stress. Part C used a questionnaire developed by the World Gastroenterology Organisation (WGO) with the support of Danone. Results: The response rate was 85.5%: out of 200 students, 171 completed the questionnaires. According to the results, there is a significant relationship between stress levels and IBS (p = 0.006), where students who experienced moderate stress (151, 88.3%) were more exposed to IBS (60, 39.7%). There is no association between the characteristics of subjects with IBS and their level of stress (P > 0.05). Conclusion: The prevalence of IBS among the students in this study was roughly moderate. The frequency of moderate stress levels was high and there was a significant association with IBS. On the other hand, subject characteristics, e.g. smoking habits, were insignificantly associated with IBS and stress level (SL)
Socio-Demographic Factors and Quality of Life of Head and Neck Cancer Patients Before and After Treatment in the East Coast of Malaysia
Get PDFObjective: This study aimed to determine the association of socio-demographic factors and quality of life (QOL) of HNC survivors before and after treatment in Malaysia. Methods: 40 HNC patients were recruited, and assessed for their with QOL with Life Cancer Survivor (QLQ-CS) Head & Neck 35 (QLQ-H&N35) questionnaire pre-treatment and six months post-treatment. One way analysis of variance (ANOVA) and paired t-test were done to analyse the data. Results: The result shows that the QOL of HNC patients were at medium level (total mean score M= 6.22) before treatment, and reduced (total mean score M= 4.84) at 6 months after treatment) . Only health history was seen significantly associated with QOL of HNC patients, both pre and post-treatment. Post-treatment showed only marital status factor associated with QOL of HNC patients. The paired sample t-test result shows that the symptoms /problem pre-treatment (M = 255.10, SD = 20.405 )was lower than post-treatment (M = 201.80, SD = 22.025)(t (49) = 9.337; p =0.001). Conclusions: The present research suggested that the patients’ QOL is reduced after treatment (medium level). This could be due to the advancement of cancer and evidence when the health history and symptoms found significantly associated with the QOL. Thus, socio-demographic factors are very crucial factors that must be considered during patients’ assessment in improving patients’ care and optimum QOL pre and post-treatment