International Journal of Care Scholars (IJCS)
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Knowledge, Attitude, and Practice of Antibiotic Use and Resistance among Medical and Sciences Students of International Islamic University Malaysia.
No full textIntroduction: Antibiotic resistance is a significant public health concern that can affect both human and environmental health. The use of antibiotics in agriculture can contribute to the development of antibiotic-resistant bacteria, which can spread to humans through contaminated food or water. Educating the public on antibiotic resistance threats is crucial, and this can be achieved through well-informed medical and science students using practical and simple terms. Objective: The objective of this study is to assess the level of knowledge, attitude, and practice of antibiotic use among medical and sciences students of International Islamic University Malaysia. Methodology: The study was cross-sectional, and the study instrument was developed through an extensive literature search and validated by medical and science students. A pilot study was conducted to determine reliability, and data was analyzed using SPSS version 26 with descriptive and inferential statistics. Results: The study included 312 respondents, with 154 (49.2%) from the Faculty of Medicine and 159 (50.8%) from the Faculty of Science. The majority of respondents had adequate knowledge related to antibiotics. Age and faculty were associated with knowledge level, while faculty and attendance at training and workshops were associated with practice level. There were no significant associations between demographic variables (such as gender and nationality) and knowledge, attitude, and practice levels among medical and science students, except for faculty of participants. Conclusion: The students demonstrated a good understanding of antibiotic resistance, with medical students showing slightly better knowledge than science students. The study suggests conducting future studies with an interventional design to improve medical students' knowledge and attitudes towards antibiotic use and resistance
Body Mass Index and Its Association with Daytime Sleepiness and Risk of Sleep Apnea Among Adults in International Islamic University Malaysia (IIUM) Kuantan
Full text linkIntroduction: The prevalence of obesity keeps rising by the year, and Malaysia was revealed as the top country in Southeast Asia that has a high prevalence of obesity. Due to the rising obesity globally is feared that it may be associated with the increasing chance of having sleep apnea and excessive daytime sleepiness. Consequently, it may lead to poor work performance, unfortunate accidents, and premature death if not treated earlier. This research sought to identify the BMI values and their association with the risk of sleep apnea and daytime sleepiness among adults in IIUM Kuantan.
Methods: By applying convenience sampling, 143 respondents were recruited in this cross-sectional study. The Berlin questionnaire and Epworth Sleepiness Scale were used as the research instruments to determine the risk of sleep apnea and daytime sleepiness among the respondents, respectively. Ordinal Logistic Regression and Pearson correlation were used to analyse the associations.
Result: The mean (SD) BMI was 22.3 kg/m2 (4.33)- normal, and the mean score of daytime sleepiness was 9.92 (4.80)- higher than normal. Most respondents had a low risk of sleep apnea (87.4%), 5.6% showed a slightly increased risk, and 7.0% had a high risk of sleep apnea. There is a significant association between BMI and risk of sleep apnea (p<0.05), as an increase in BMI (expressed in kg/m2) is associated with an increase in the odds of having a risk of sleep apnea. There is no significant association between BMI and daytime sleepiness (p>0.05), as these variables are weakly and inversely correlated.
Conclusion: This study found a significant association between BMI and risk of sleep apnea. However, we failed to confirm the association between BMI and daytime sleepiness. Due to the lack of BMI varieties, the researcher recommends focusing on overweight and obese to get a wide variation of BMI
Integration of Soft Skills in Nursing Clinical Evaluation: A Narrative Analysis
Full text linkIntroduction: Integration of soft skills components in clinical evaluation is essential for undergraduate nursing students. However, soft skills are a prerequisite for increasing confidence in providing services to patients. As future health professionals, these students must develop a complete set of competencies that go beyond technical competence. This paper is a report of a review conducted to identify, critically analyse and synthesize the integration of soft skills components in clinical evaluation for undergraduate nursing studentsMethods: A comprehensive literature search was carried out using databases EBSCO, ProQuest Dissertation and Theses, ProQuest Nursing Journal. An inclusion and exclusion criterion were identified. A narrative review of evidence- and non-evidence-based papers was conducted, using a relevant methodological framework with additional scrutiny of secondary data sources in the latter.Results: A total of 787 papers were identified, with 43 fully sourced and 17 included in the final review. There are three themes, which also provide a comprehensive understanding of the definition of soft skills component, the importance of soft skills among nursing students, and the outcomes and implications of soft skills in clinical assessment. Conclusion: Soft skills need to be incorporated into the nursing curriculum. The integration of soft skills elements in clinical skills assessment can improve the quality of nursing graduates and improve the quality of care and safety for patients
Clinical Handover Practice in the Emergency and Trauma Department of SASMEC@IIUM: An Observational Qualitative Study.
Full text linkIntroduction: Clinical handover is a critical nature of communication between the staff, given it physicians, nurses or even the assistant medical officer. Specifically, in Emergency and Trauma Department(ETD) where turnover of patients is high in a fast-paced environment with unpredictable events, the tendency of communication failure and errors increased. In ensuring safety and efficient clinical handover practice, demands critical information that needed to be informed when communicate between the shifts or the staff. Therefore, this study mainly to identify the best way of clinical handover that would assist in better communication amongst emergency healthcare providers as well as within different departments. Objective: To examine the current shift handover practices amongst emergency staff at SASMEC@IIUM, identify the resources and supports to enhance clinical handover effectiveness and to determine the barriers and facilitators on the effectiveness of clinical handover. Methodology and Methods: A descriptive, qualitative study was conducted by selecting samples through purposive sampling technique. Nurses, physicians and assistant medical officers were selected in this study. The sample size was determined using the ‘saturation criterion’. Topic guide interview has been selected for the participants to share their opinions, suggestions, and experiences. Open-ended questions have been used to identify the participants’ perspectives towards the current practices of clinical handover in Emergency and Trauma Department of SASMEC. Data were then analysed using thematic analysis and later developed into sub-themes and themes. Findings: Six themes were identified for this study which consist of 1) learning methods of clinical handover, 2) information passed to next shift, 3) information expected to receive, 4) opinions on current handover, 5) handover effectiveness 6) suggestions for improvement. The themes described mostly on the experiences, opinions and suggestions from the healthcare professionals working in the Emergency and Trauma Department of SASMEC. Conclusion: This study found that the healthcare providers in ETD have various backgrounds of learning clinical handover, with some of them have different working experiences since they worked in other hospitals, departments, or settings previously. In addition, they also described their own experiences in handling clinical handover in ETD SASMEC, together with the factors that affect the effectiveness of the clinical handover process. Besides, the findings were also concentrated on the elements that the participants assumed may be beneficial for the improvement of clinical handover overall that could be done in future.
Keywords: Clinical handover, Practice, Emergency Department, Qualitative, Malaysi
What Nursing Students Hope from Clinical Mistakes
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Background: Nursing students are vulnerable to committing mistakes in clinical practice due to various factors. These factors include the quality of supervision received and interpersonal dynamics. This study examined students’ expectations if they make mistakes during clinical placement.
Methods: A qualitative descriptive study design was employed in this study. Purposive sampling was adopted to recruit twelve undergraduate nursing students, and semi-structured interviews were conducted between October 2022 and December 2022. A thematic analysis strategy was utilised to analyse the data.
Findings: Three themes were identified, namely: (1) The importance of supervision, (2) A dedicated clinical mentor, and (3) The value of reflective practice.
Conclusion: The study showed that most nursing students emphasised the importance of clinical supervision from experienced nurses to handle clinical mistakes effectively. The findings emphasised the crucial role of the clinical mentor’s presence during the students’ clinical tasks. Furthermore, the students also expressed the significance of the student’s continued engagement in reflective practic
The Experience of Patients with Breast Cancer at Home During Chemotherapy Treatment: A Qualitative Approach
Full text linkIntroduction: Cancer is the primary cause of death worldwide and a significant barrier to increasing life expectancy. The estimates from World Health Organization (WHO) in 2019, cancer is the first or second leading cause of death before the age of 70 in 112 of 183 countries and ranks mortality third or fourth in 23 countries. Patients with breast cancer in Malaysia have one of the lowest survival rates in the Asia-Pacific region, with a 5-year survival of only 49%, compared with up to 90% in the United States. Chemotherapy is a type of cancer treatment that uses one or more anti-cancer drugs as part of a standardized chemotherapy regimen. It may be given with a curative intent (which almost involves combinations of drugs), or it may aim to prolong life or reduce symptoms (palliative). The challenges for the patient in dealing with the side effects of the chemotherapy treatment begin while they are at home.Objective: To explore the experience of patients with breast cancer at home during chemotherapy treatment.Methods: This study employed a qualitative research design involving 20 patients with breast cancer undergoing chemotherapy treatment. The participants were recruited via purposive sampling and data were collected by semi-structured interview with recorded. The thematic analysis approach was used to analyze the data. Results: Two themes were revealed: including emotional changes and physiological changes. This theme revealed the preference described by emotional changes with the explanation of physiological changes.Conclusion: Patients with breast cancer not only experience the side effects of chemo drugs but also have to deal with the changes at home during chemotherapy treatment. There is a need for healthcare workers in Malaysia to be able to provide support, especially in terms of emotional and physiological support at home for patients with breast cancer.
Exploring COVID-19 Vaccines Hesitancy Among The Muslim Community of The East Coast Region in Malaysia
Full text linkIntroduction: The development of vaccines against SARS-COV-2 infections has marked a significant milestone in the current COVID-19 pandemic. The COVID-19 vaccines can provide a way to prevent the pandemic. Despite the high acceptance rate, Pahang, Terengganu, and Kelantan (east coast region) remain the lowest vaccination rate in Malaysia. Most of Malaysia's population in the east coast region is Muslim, but there is no study exploring this phenomenon. Objective: This study aims to understand the COVID-19 vaccine hesitancy among Malaysia's Muslim community of the east coast region. Methodology: This study used a qualitative research design study. Six participants from the east coast region of Malaysia were recruited from February until June 2022. The recruitment techniques used purposive sampling methods. In-depth interviews with participants were used on virtual platforms. Data were analyzed using thematic analysis. Findings: Three themes were identified 1) source of information; they believe rumours spread by the anti-vaccine movement or their close family 2) safety issues concern; they are scared of potential side effects of the COVID-19 vaccine, 3) self-belief; they believe self-isolation and proper diet better than vaccine intervention. Conclusion: Although 95.7 per cent of the population is wholly vaccinated, some still do not intend to take any COVID-19 vaccination in Malaysia. This study can provide data and crucial information that will help develop strategies to remove the related hesitancy and improve public uptake of the COVID-19 vaccination
Job Satisfaction and Perception Among Female Academics During COVID-19 Pandemic: A Systematic Review
Full text linkThe COVID-19 pandemic gave off a huge impact on face-to-face or physical learning and the world now is going virtual online learning and teaching until this pandemic settles. The COVID-19 epidemic has created new obstacles for employees in terms of change adaptation and job security, as well as a significant impact on employee well-being and satisfaction, especially for women. Since 2005, female enrolment in academia has continued to grow, and in many countries, females make up more than fifty per cent of the total enrolment in higher education. However, women remain underrepresented in top academic positions globally. This systematic review aimed to look for available articles related to the job satisfaction and perception of female academics before and during the COVID-19 pandemic. The PRISMA flow diagram was used to search the literature systematically, and the study's inclusion and exclusion criteria were established prior to the search. The CASP and MMAT were used to conduct the quality assessment. There are six themes emerged from 26 articles in this review and those are an overview of job satisfaction, factors that contribute to job satisfaction, gender gaps related to job satisfaction, academics perception, the mental health of academicians, and the relationship between work from home and job satisfaction. This study recommended for the faculty and university have a serial discussion about maintaining and increasing female academics’ job satisfaction. Therefore, surveys for academicians were vital to learn about their current circumstances, whether in teaching and learning or their psycho-social well-being. Although the university already provides the guidelines for online teaching, it was advisable to review the efficacy of the teaching modalities and infrastructure for the academicians