1,720,965 research outputs found

    Factors Affecting Intention To Stay Among Nursing Staff At Selected Private Hospitals

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    Many factors in the healthcare industry affect the nurse's work, but some major factors influence them to leave the organisation. Nurse retention is one of the major challenges faced by the healthcare industry, due to which the turnover rate of nurses increases. The healthcare industry is growing daily and needs more nurses, but due to the exhausting labour and challenging work, most people leave the industry early and look for better opportunities. This study aimed to determine the factors affecting nursing retention and turnover in a selectedprivate hospital in Selangor, Malaysia. This descriptive, cross-sectional quantitative study involved 133 nursing staff through a self-administered survey questionnaire to know the respondents' viewpoints; the participants gave mixed responses about staying and leaving the organisation. However, from their statements, it is clear that they wanted the industry to improve the training and development process, work-life balance and reward and recognition policy. The high turnover rate of nurses will cause detrimental effects on patient care if nurses' lack of training and development influence nurses to leave the organisation (Abstract by author

    Perceived challenges in open and distance learning among nursing students of Open University Malaysia: A descriptive analysis

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    Open and distance learning (ODL), a structured learning whereby the students and instructors are separated by time and place, is currently the popular trend among working adults across the nation. From higher nursing education perspective, it must be made accessible, affordable and flexible to allow the nurses to cope with the demands and pressure of busy work and family commitments that give rise to several challenges. Hence, the main objective of this study is to examine perceived challenges in ODL among undergraduate nursing students of Open University Malaysia (OUM). The study employed quantitative approach by using close-ended questionnaires. A convenience samples of registered nurses (RNs) undertaking Bachelor of Nursing Sciences (BNS) programme (n = 81) completed the face-to-face questionnaires. Data analysis using descriptive statistics collected from 81 respondents from five OUM learning centres. The perceived areas of challenges were grouped into: perceptions of ODL for continuing education; perceived challenges facing ODL students; instructional related challenges; and institutional related challenges. Surprisingly, the findings indicate that BNS students are facing only some extent of challenges in their learning particularly within their own circles with perceived challenge highest on financial constraints (54.3%). However, they demonstrate positive perception of ODL for continuing education with the majority (70.4%) agreeing that it is relevant with current teaching-learning strategy. There is no obvious indication of perceived challenges instigates from instructional and institutional factors as the majority disagree (51.9%) that they are facing unhelpful course information and lack of direction; and (46.9%) disagree lack / delayed of important information, respectively. Above all, the findings address students’ concerns in improving student experiences, and enhanced instructional and institutional contributions that marked the achievement of ODL outcomes. In essence, this study has shed some light into challenges faced by ODL nursing students and the strategies to further ameliorate the implementation of ODL. (Abstract by authors

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Factors Affecting Intention to Stay Among Nursing Staff at Selected Private Hospitals

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    Many factors in the healthcare industry affect the nurse's work, but some major factors influence them to leave the organisation. Nurse retention is one of the major challenges faced by the healthcare industry, due to which the turnover rate of nurses increases. The healthcare industry is growing daily and needs more nurses, but due to the exhausting labour and challenging work, most people leave the industry early and look for better opportunities. This study aimed to determine the factors affecting nursing retention and turnover in a selected private hospital in Selangor, Malaysia. This descriptive, cross-sectional quantitative study involved 133 nursing staff through a self-administered survey questionnaire to know the respondents' viewpoints; the participants gave mixed responses about staying and leaving the organisation. However, from their statements, it is clear that they wanted the industry to improve the training and development process, work-life balance and reward and recognition policy. The high turnover rate of nurses will cause detrimental effects on patient care if nurses' lack of training and development influence nurses to leave the organisation. Â

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Knowledge, Attitude and Practices of Standard Precaution among Nurses in Middle-East Hospital

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    Introduction: Staff nurses are exposed to many blood and other fluids in the course of their day to day activities in Intensive Care Unit. Purpose of this survey is to assess the level of knowledge, attitudes and practices of standard precaution among nurses in Intensive Care unit, in Middle East Hospital. Method: This was a cross-sectional study and undertaken among nurses by self-administered and anonymous questionnaire that randomly selected in Intensive Care Unit, Middle East Hospital. Results: Female nurses accounted for majority of the respondents which covered 66.7% (n = 44) while male nurses make up around 33.3% (n = 22) of the nursing workforce in the study. 53% (n = 35) of the respondents reported not having any basic exposure or training in infection control practices, while the other 47% (n = 31) respondents received their training or basic exposure in infection control practices. Majority of the participants had high level of knowledge. Conclusion: In accordance to the self-reported questionnaires, 77% (n = 51) of the respondents practice good practices of standard precaution. The knowledge, attitude and compliance among ICU nurses in the middle-east hospital towards standard precaution was adequate

    Simulated Patients’ Experience towards Simulated Patient-Based Simulation Session: A Qualitative Study

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    Background: Simulated Patient (SP) is defined as a layperson that simulates to portray the role of a patient with health-related conditions. International Medical University (IMU) has been utilizing SP for more than 10 years, however, the SP's experience toward the SP-based simulation session yet to be explored, the aim of the study was to explore the SP's experience toward the SP-based simulation session. Methods: Total of 6 participants recruited for a focused group interview, with the inclusive criteria of participated at least an SP-based simulation session. The interviewer used a list of guide question to explore both the positive and negative experience of the SP-based simulation session. A combination of manual and computer software Program was used for data management and analysis. Manual transcribing and coding technique was used for data analysis, while Qualitative Data Analysis (QDA) was used for data management and additional analysis. Results: Three main themes and eleven sub-themes have emerged. The first theme was Effective learning session, with the sub-themes of Student learning attitude, Treated as real patient, Standardization among lecturer, Appropriate respond to student and Focused learning outcome; second theme was Motivation, with the sub-themes of Respect, Feedback, and Caring; the third theme was Preparation prior to class, with the sub-themes of Clear instruction, Role-play, and Script. Conclusions: SPs perceived that lecturers should pay attention to the students’ learning outcome and fully utilize SPs for teaching. Besides that, SPs wished to be treated as a real patient due to the lecturer who treated the SPs as they are real patient gave students a mind-set that the learners were actually dealing with a patient with real conditions. SPs supposed that another role of the lecturer was well-prepared the SPs prior to the actual sessions. SPs expressed that students who took the session seriously, well-preparation before the classes, active participation during the sessions and proactive attitude encouraged realistic portrayal of the character. While SP role was memorizing a series of information needed for the scenario, prepare mentally for portrayal certain emotional as well as physical symptoms. Lecturer, SP as well as student influence a successful SP-based simulation session. (Abstract by authors

    Effectiveness of Virgin Coconut Oil Application in Non-Therapeutic Pain Management of Infants by Using NPASS Pain Score as Parameter: An Integrative Review

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    Background: There has been greater emphasis in recent years on the effectiveness of non-pharmacological interventions in soothing infants and reducing pain perception in preterm infants in neonatal intensive care units (NICUs). While approaches ranging from swaddling, breastfeeding, to sensory stimulation have encountered limitations in their effectiveness and practical application across different settings; Virgin Coconut Oil (VCO) has concurrently emerged as a potential non-therapeutic remedy for pain management in infants, thanks to its unique composition. Researchers are investigating its safety and effectiveness as an alternative pain management option for neonates. To answer the following questions: (i) can virgin coconut oil effectively help improve skin dryness and irritation in infants? and (ii) how does the effectiveness of virgin coconut oil compare to standard care in neonatal pain management? Methods: A search of the existing literature was done on online databases using keywords to narrow down the articles. Results: Based on the selection criteria, 24 articles were selected to be included in this paper. Three main points can be observed that is on: (i) the properties of VCO in skin barrier function and preventing infection; (ii) recommendations for the use of VCO in infant skin care; and (iii) in pain management of neonates. Conclusion: There is a gap in the literature for how the pain management of infants and the success of VCO in managing skin conditions in neonates can be further studied to develop standards in managing non-therapeutic pain among infants

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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