International Journal of Care Scholars (IJCS)
Not a member yet
200 research outputs found
Sort by
Designing Spouse-based Educational Intervention to Reduce Second-hand Smoke For Pregnant Women: A Study Protocol For Randomized Control Trial
No full textIntroduction: Secondhand smoke (SHS) exposure affects not only the maternal wellbeing but also unborn baby. This study aims to develop a spouse-based educational intervention to reduce SHS exposure by examining the understanding and perception of both pregnant women and their smoking spouses.
Methods: Using a sequential exploratory mixed-method research design, this study will be conducted through four phases. In the first phase, a qualitative study will be conducted to examine the understanding and perception of pregnant women and their smoking spouses regarding secondhand smoke exposure. In the second phase, the content of the educational intervention will be designed based on the outcomes of the first phase and from the literature review. Validation of the designed intervention will be conducted by experts to assess the accuracy of the contents in phase 3. After the validation, a pilot study will be conducted to measure the comprehensiveness of the module. The feasibility and effectiveness of the intervention will be measured in phase four by a pre-test and post-test study design.
Expected outcome and conclusion: The designed educational intervention module of SHS exposure can be used as a breakthrough point to empower non-smoking pregnant women to protect themselves from secondhand smoke exposure, and also to facilitate the smoking spouse to change their smoking behavior, and thus promote the smoke-free home
Knowledge and Practice of Cardiopulmonary Resuscitation (CPR) For Drowning Among Primary School Children
No full textIntroduction: Drowning is one of the cases that contribute to a high number of death cases as unintentional injury cases worldwide. The victims of this issue are higher among primary school children. Cardiopulmonary resuscitation (CPR) can be performed for drowning victims who showed an absence of breathing and pulse to regain their consciousness and their life. Furthermore, providing the knowledge and practice of CPR should not only be limited to adults but also the children including at the primary level. Objectives: This study aimed to identify knowledge and the practice of CPR for drowning victims before and after the intervention given. Methods: A pre-post interventional study design with a purposive sampling method was conducted at the primary school. The studied participants were primary school children who live near the coastal areas. Developed self-administered questionnaires and CPR educational videos were used in this study to identify the knowledge and practice of the studied participants. The data were analysed by using IBM SPSS statistics version 25.0. Results: The studied participant's ages were 10 and 11 years old. They were capable of comprehending the information delivered to them. Both knowledge and practice of CPR for drowning victims were increased after the educational video intervention was given to them. Conclusion: The findings showed that although they lacked knowledge and practice of CPR for drowning victims before the intervention, they were able to show improvements in their total score for both parts after the intervention. Educating the children as early as 10 years old regarding CPR for drowning victims was capable to be carried out in the local setting. Hence, the implementation of CPR courses in the curriculum of school children starting from the primary level may happen in the future
The Relationship Between Family Support and Stress Levels of People with Lupus at the Kupu Parahita Indonesia Foundation
Get PDFIntroduction: Systemic lupus erythematosus (SLE), also known as lupus, is a complex chronic autoimmune disease that affects the immune system and various organs of the body. The cause of this disease is unknown and many lupus patients experience stress as a result of this condition. Lupus patients rely heavily on their families for help in dealing with their illness. The purpose of this research was to determine the relationship between family support and stress levels in people with lupus at the Kupu Parahita Indonesia Foundation.
Method: The research was conducted on 92 people with lupus using a cross-sectional approach, with data collected in the single meeting. A questionnaire was used to collect data on family support and stress levels, which were then correlated using the Spearman rank correlation test with CI=95% and ?=0.05.
Results: The majority of people with lupus at the Kupu Parahita Foundation received good family support and experienced mild stress. The correlation between family support and stress levels was significant at p=0.000, indicating that the better family support provided to people with lupus, the lower the level of stress experienced by people with lupus.
Conclusion: There was a link between family support and the stress level of people with lupus at the Kupu Parahita Indonesia Foundation. Future researchers who want to study family support and stress levels should involve family members and go directly to the respondent's home to learn more about the family support provided to people with lupus
Knowledge, Practice and Needs of Caregiver in the Care of Older People: A Review
No full textCaregivers play a significant role in the care of older people. However, their knowledge, practice and needs in the care of older people have been poorly characterised. Therefore, this review was performed to provide an overview of caregivers’ knowledge, practice and needs in the care of older people. A literature search was conducted using the following electronic databases: ProQuest Health and Medical Complete, Wiley Online Library, EBSCO Host, Science Direct and Scopus. Search terms used were “older people”, “caregiver”, “knowledge”, “practice” and “needs”. Two reviewers independently screened the studies and the extracted data. A total of 117 articles were initially found using the above keywords. After using a set of criteria in the screening process, nine articles were found relevant to include in this review. This review of the articles presents a summary of (1) caregivers’ knowledge about the care of older people, (2) caregivers’ practice in the care of older people and (3) caregivers’ needs in the care of older people. The analysis reveals that most of the caregivers addressed a lack of knowledge about and poor practice in the care of older people. This review also offers important insight into the needs of caregivers. Hence, this review recommends further studies on knowledge, practice and needs in the care of older people to identify contextual challenges and provide evidence-based solutions to improve caregivers’ knowledge, practice and needs in the care of older people
The Role of The Infection Control Link Nurse in Hospital Settings: Challenges and Opportunities
Get PDFInfection prevention and control (IPC) is considered one of the most critical components in every health care organisation. Healthcare-associated infections (HCAIs) are the most frequent adverse event in health care delivery worldwide (1, 2). The consequences of HCAIs result in prolonged hospital stays, long-term disability, increased resistance of microorganisms to antimicrobials, massive additional costs for health systems, and high costs for patients and their families and even unnecessary deaths (3). However, poor compliance and lack of knowledge in infection control among healthcare workers have been identified as one of the many reasons causing healthcare-associated infections
Carers’ Perspectives on Home Medication Review by a State Hospital in Malaysia
Get PDFIntroduction: Home Medications Review (HMR) is a continuation of patient care from healthcare facilities to their home to assess patients’ pharmacotherapy by a multidisciplinary team. To improve the provision, we need to understand carers’ viewpoints of the current service. This study aims to explore the carers’ perspectives of HMR conducted by the medical outreach team (MOT) of a Malaysian hospital.
Methods: A qualitative study was conducted among primary caretakers who were involved in the HMR programme for more than six months. Subjects were recruited by purposive sampling from August to December 2019. In-depth interviews were conducted at patients’ home, until data saturation. The audio-recording were transcribed verbatim, subsequently underwent thematic analysis.
Results: Nine carers were interviewed. All participants had a limited understanding of HMR as they claimed not being adequately counselled prior to admission to the programme. The convenience of not having to go to the hospital was perceived as the major benefit of the programme. Healthcare providers were welcomed during visits. Some carers have trouble identifying allied health professionals in the MOT. There was a concern about having to collect newly add-on medications from the hospital. Some participants suggested increasing the frequency of visits and hoping for more financial aid.
Conclusion: In this study, carers’ comprehension of HMR was generally poor. All carers were satisfied with our HMR programme. However, several aspects need to be strengthened to improve patients’ wellbeing. Despite HMR being temporarily replaced by telemedicine during the current pandemic, HMR remains relevant in the post-COVID-19 era
Perceived Stress, Its Stressors and Coping Mechanism Among Nursing Students in Clinical Practice During COVID-19 Pandemic
Get PDFIntroduction: Being stressed-out and overwhelmed during the period of nursing training is the frequent complaint by nursing students due to clinical training that are very stressful. Moreover, with the COVID-19 pandemic that just happened in 2020, modification of lifestyle during the lockdown leads to psychological distress and stress especially among undergraduate nursing students. Objectives: This study aims to assess the perceived stress and coping mechanism among nursing students in clinical practice during COVID-19 pandemic.Method: A cross-sectional study was conducted among nursing students from IIUM Kuantan using online surveys. Data was interpreted in descriptive and inferential analysis using Statistical Package for the Social Sciences (SPSS) version 20. Results: Among 128 participants, the students perceived high stress levels (M = 2.06, SD = 0.66). The most common types of stressors are stress from assignments and workload (M = 2.72, SD = 0.82). Meanwhile, the most common type of coping mechanism applied by nursing students is transference (M = 2.57, SD = 0.75), while the least frequently applied by the students is avoidance (M = 1.65, SD = 0.77). The association between demographic profile such as hours of sleep and the worry of being infected with COVID-19 were significant with perceived stress levels, while being quarantined due to suspected infection or infected by COVID-19 and hours of sleep were statistically significant with coping mechanism. Furthermore, there was a positive significant association between total perceived stress and coping mechanism using the Spearman correlation. Conclusion: This study may help in planning to overcome the high stress problems among nursing students through nursing education, nursing practice and nursing research
Satisfaction on the Use of Mobility Aids Among Lower Limb Amputees and Impact on Activities of Daily Living in Selangor, Malaysia
Get PDFIntroduction: This study aims to determine the level of satisfaction on the mobility aids the dependence in activities of daily living among amputees in Bangi, Selangor.
Methods: The data was collected at Pusat Latihan Perindustrian dan Pemulihan (PLPP), Bangi in Selangor, Malaysia, on 55 lower-limb amputees using a cross-sectional design. An instrument used was adapted from Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0) and Barthel Index (BI). These two instruments were combined to evaluate the satisfaction of assistive aids used and dependence of activities daily living.
Results: Total mean score of level of satisfaction was 3.99 (95%CI=3.85–4.13) and level of dependence was 85.00 (95%CI=81.28–88.72). The Kruskal-Wallis test was conducted to evaluate the association of mobility aids used with level of satisfaction and level of dependence. The results showed there was no significant association between mobility aids used and level of satisfaction. Meanwhile there was a significant association between mobility aids used and dependence (p=0.001). Multiple linear regression test showed the combination of mobility aids used and level of satisfaction was found significantly associated with the level of dependency (p=0.024). The final analysis, when only mobility aids used was included as a single variable (without the combination with the level of satisfaction), it was found statistically associated with the level of independence while the level of satisfaction score is excluded.
Conclusion: Mobility aids used was found no significant association with the level of satisfaction however, user who used cast prosthesis as mobility aids found prothesis provided them more dependency in performing activities daily living. Despite prothesis was found as the most convenience mobility aid, users did not see it as something that can give them satisfaction. This could be because of the mobility aids that provide dependency are not cost-effective. It is recommended that users can get more options to use mobility aids that can provide them dependency, nevertheless the mobility aids must be affordable for them
Patient Trying to Tell Something Else: Severe Stress During COVID-19 Pandemic
Get PDFIdentifying mental health illness poses a dilemma, particularly the distinction between heart disease and severe stress. Without early intervention, it can be escalating into psychiatric disorder and suicide. A 44-year-old man sought cardiologist consultation for the "heart disease" symptoms. As a medical laboratory technician in charge, his commitments and extensive responsibility during the COVID-19 pandemic add to his hypertension and dyslipidaemia comorbidities. Despite non-significant investigations related to heart disease, he returned with the same intense unresolved symptoms. His Depression Anxiety Stress Scales 21-item assessment revealed severe stress. Stress management counselling includes detecting the underlying stress impacted by the COVID-19 pandemic, behavioural changes, and stress coping skills was done in 4 sessions. The 1st one-hour session was to instil positive thinking and behavioural changes of the severe underlying stress and to counsel the stress coping skills. Stress coping skill includes relaxation techniques (Deep Breathing Technique and Progressive Relaxation Method) and spiritual empowerment (Islamic Integrated Meditation). The next three counselling sessions of thirty minutes duration to heighten the stress management counselling (positive thinking, stress coping skills, spiritual empowerment) as well as to review his wellbeing and physical diseases control were done at two-week interval. At twelve-week follow-up, reassessment of stress level showed significant improvement with no similar symptoms. This case highlights the clinical complexity and diagnostic challenges in detecting mental health illness. Diagnostic acronym PROMPT with the 'PT' refers to 'Patient Trying to Tell Something Else' demonstrated; without a high index of suspicion, mental health ailment may be overlooked. This case also underlined the integration of behavioural changes, stress coping skills, and spiritual empowerment in stress management counselling