200 research outputs found

    Mothers' experiences of their babies' transfer to a regional neonatal unit

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    Pre-hospital emergency medical service response time phenomenon in Klang Valley: an answer for the society

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    This qualitative descriptive study, underpinned by naturalistic inquiry, explored the prehospital emergency medical service response time in Klang Valley by providing an in-depth information of the phenomenon. In this study, various levels of health care personnel participated in focus group discussion and semi-structured interview. The staff members consisted of many levels of category from the lower ranks up to the higher level administrative officers. Content analysis was employed in analysing all data. Every one of the key informants was aware of the importance of making immediate responses to each ambulance call received. They shared their thoughts, experiences, and challenges in achieving the ideal response time in line with international recommendations. There were five categories of issues that emerged and challenges that arose from delays in response time, namely, 1) insufficient key information; 2) inconsistent information leading to delayed arrival of ambulance; 3) traffic condition causing delay in ambulance speed; 4) lack of resources contributing to an increase in workload; and, 5) unassertiveness in the attitude of members of staff. The findings have provided an answer to the society with regard to the current pre-hospital emergency medical service issues related to delay in the service delivered. Thus, policy makers and pre-hospital health care service providers should develop a strategic action plan by focusing on these findings to reduce the response time of ambulance call

    Care demands on mothers caring for a child with Down syndrome: Malaysian (Sarawak) mothers’ perspectives

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    This paper examines the experiences of mothers caring for a child with Down syndrome in the Malaysian (Sarawak) context. Qualitative interviews were conducted with 26 biological mothers of children with Down syndrome aged 18 years and below. They were accessed through selected child health clinics, community-based rehabilitation centres and schools using purposive sampling within two regions in Sarawak, one of the two Borneo States of Malaysia. Major themes emerging within the context of care demands were children’s health, developmental delays, daily needs and behavior issues. The insights obtained into the care demands experienced by mothers of children with Down syndrome have several implications for practice by care professionals

    Factors influencing professional values among Indonesian undergraduate nursing students

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    Background: Undergraduate nursing students are required to acquire professional values during professional nurse education to provide safe and high quality patient care. However, there was no documentation in professional values among Indonesian undergraduate nursing students and the factors influencing its development. Purpose: The purpose of this study was to determine professional values among Indonesian undergraduate nursing students and examine the relationship between students’ demographic factors and professional values. Design: A cross-sectional study using convenience sampling was applied to recruit 391 Indonesian undergraduate nursing students. The 26 items of Nurses Professional Values Scale Revision (NPVS-R) with five dimensions was employed to collect data. Descriptive and inferential statistics, independent samples t-test were applied to analyse and interpret data. Results: The result showed that the total score of nurse professional values was high (95.80 ± 12.93). The most important professional value dimension was caring, while activism was the least important values. The NPVS-R total score had a significant association with length of professional clinical practice of the students (p < .05). Conclusion: Nurse educators need to consider the integration of professional values when developing nursing curriculum, in order to ensure that the students develop their own understanding of these values and their importance in practice. © 2019 Elsevier Lt

    Effect of turning vs. supine position under phototherapy on neonates with hyperbilirubinemia: a systematic review

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    Aims and objectives. To determine the most effective position jaundiced neonates should assume during phototherapy from appraised randomised controlled trials. Background. Many local hospitals still alternate positions of jaundiced neonates receiving phototherapy despite the safe infant sleeping protocol of placing them supine. Design. A systematic review was conducted. Methods. Databases that included Cumulative Index to Nursing and Allied Health Literature, ScienceDirect, Embase and The Cochrane Library were used. Randomized controlled trials published in English language that evaluate the best position for healthy jaundiced neonates aged day 1 to 14 under phototherapy were searched. In addition, any positioning done every 2–3 hours during phototherapy with the outcome measures being bilirubin reduction and duration of phototherapy were also searched and included (n = 5). Physiotherapy Evidence Database scale was adopted for quality assessment. All processes were conducted by both reviewers independently. Discrepancies were resolved by a third reviewer. Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guideline were utilised. Out of 20 papers, five were included for qualitative synthesis. Data extraction was based on the template (participants, study designs etcetera) agreed by both authors. Results. All five studies possessed external validity. One paper scored 7, three scored 5 while one scored 3. Four of these studies reported no difference in bilirubin reduction and duration of phototherapy. Only one study reported a significant drop in serum bilirubin and shorter duration of phototherapy in the supine group. Conclusion. It has been proved that keeping the jaundiced newborns in the supine position throughout phototherapy is as effective as turning them periodically based on the appraised studies

    Parental Impact of Cultural Values on the Uptake of Human Papillomavirus (HPV) Vaccination by Their Daughters: A Protocol of Qualitative Meta-synthesis

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    The aim of this systematic review is to explore how parents’ perspectives on the human papillomavirus (HPV) vaccination are influenced by their cultural values, specifically with regard to their daughters. Adolescent girls are generally the primary targets for HPV vaccination and, in the majority of countries, parents/legal guardians have overall authority on this issue. However, it appears that cultural values could prove a powerful indicator in the parental choices that affect the uptake of HPV vaccination, which therefore needs to be carefully considered. Thus, exploring parents’ views is critical in improving HPV vaccination coverage. Methods: A systematic literature search will be conducted using CINAHL, PsycINFO, EMBASE, PubMed and Science Direct to identify eligible studies published in the English language. Two reviewers will select the studies independently and the quality of the studies will be evaluated using the Critical Appraisal Skills Program (CASP) checklists. Thematic synthesis methods will be used to report themes specific to cultural values. Discussion: It is predicted that the results of the proposed review will be beneficial to identify and understand the culturally-related facilitators and barriers to the HPV vaccination of young women, as they are central to the HPV vaccination programme. Once concerns raised by parents are understood more fully, relevant interventions can be developed to address these concerns. This information is also crucial to the development of strategies to optimise HPV vaccine coverage among this population group by policy makers. Malaysian Journal of Medicine and Health Sciences (2024) 20(2): 379-384. doi:10.47836/mjmhs.20.2.4

    The Impact of Structured Kangaroo Care Education on Premature Infants&rsquo; Weight Gain, Breastfeeding and Length of Hospitalization in Malaysia

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    Sharmiza Samsudin,1,2 Ping Lei Chui,1 Azanna Ahmad Kamar,3 Khatijah Lim Abdullah,4,5 Chye Wah Yu,2 Zainah Mohamed5 1Department of Nursing Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia; 2Faculty of Allied Health Professions, AIMST University, Bedong, Malaysia; 3Department of Paediatrics, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia; 4Department of Nursing, School of Medical and Life Sciences, Sunway University, Subang Jaya, Malaysia; 5Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bangi, MalaysiaCorrespondence: Ping Lei Chui, Department of Nursing Science, Faculty of Medicine, University Malaya, Kuala Lumpur, Federal Territory of Kuala Lumpur, 50603, Malaysia, Tel +60127128893, Email [email protected]: Kangaroo care is a complementary humanistic intervention based on a family-centered care model. This study investigated the effects of a locally contextualized, structured kangaroo care education program on weight gain, breastfeeding rate and length of hospitalization for premature infants.Patients and Methods: This longitudinal quasi-experimental study with pre- and post-intervention design involved 96 infants born between 28 and 37 weeks of gestation for three months, and was carried out at a neonatal intensive care unit in Malaysia. The experimental group received a structured education program and careful monitoring of their kangaroo care practices, while the control group received routine care without a structured education program. The institutional review board approved the study design and registered at ClinicalTrials.gov (NCT04926402).Results: The kangaroo care hours performed by mothers at baseline in the experimental and control group was 4.12 and 0.55 hours per week, respectively. At three months post-discharge, the experimental group had significantly higher weight gain, higher breastfeeding rates and shorter lengths of hospitalization than the control group.Conclusion: A locally contextualized and structured kangaroo care education program is effective in the performance of kangaroo care. One hour per day of kangaroo care is positively associated with an extended period of breastfeeding, improved weight gain and shorter hospitalization of premature infants.Keywords: premature infant, structured program, kangaroo mother care, length of hospital stay, body weight, breastfeedin

    High Responsivity and Response Speed Single‐Layer Mixed‐Cation Lead Mixed‐Halide Perovskite Photodetectors Based on Nanogap Electrodes Manufactured on Large‐Area Rigid and Flexible Substrates

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    Adv. Funct. Mater. 2019, 29, 1901371 In the initially published version of this article, the name of Akmaral Seitkhan was omitted from the final authors list. The correct author list is as follows: Dimitra G. Georgiadou,* Yen-Hung Lin, Jongchul Lim, Sinclair Ratnasingham, Akmaral Seitkhan, Martyn A. McLachlan, Henry J. Snaith, and Thomas D. Anthopoulos* The respective updated author affiliations are as follows: Dr. D. G. Georgiadou, Prof. T. D. Anthopoulos Department of Physics and Centre for Plastic Electronics Blackett Laboratory Imperial College London Exhibition Road, London SW7 2BW, UK E-mail: [email protected]; [email protected] Dr. D. G. Georgiadou, S. Ratnasingham, Dr. M. A. McLachlan Department of Materials and Centre for Plastic Electronics Imperial College London Prince Consort Road, London SW7 2BP, UK Dr. Y.-H. Lin, Dr. J. Lim, Prof. H. J. Snaith Department of Physics University of Oxford Clarendon Laboratory Parks Road, Oxford OX1 3PU, UK A. Seitkhan, Prof. T. D. Anthopoulos Division of Physical Sciences and Engineering King Abdullah University of Science and Technology (KAUST) Thuwal 23955–6900, Saudi Arabia The authors apologize for any inconvenience this error may have caused.</p
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