Journal of Malaysian Nurses Association ( JOMNA )



The Journal of Malaysian Nurses Association (JOMNA) Guideline For Authors

Title : SMOKING CESSATION INTERVENTION AMONG ACUTE CORONARY SYNDROME PATIENTS
Authors :
  1. Hanida Hani Mokhtar, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia
  2. Chong Mei Chan, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia
  3. Rasnah Abdul Rahman, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia
  4. Aini Ahmad, Faculty of Nursing & Allied Health Sciences, Open University Malaysia

Abstract

:

Background: Smokers with Acute Coronary Syndrome (ACS) are often unable to quit smoking without assistance. The effort to maintain their self-efficacy while quitting smoking is also challenged by their withdrawal symptoms. Thus, smoking cessation intervention with pharmacotherapy at a hospital based quit smoking clinic, is aimed at sustaining support for such patients following hospital discharge.

Objective: To examine the effect of smoking cessation intervention with pharmacotherapy on patients’ smoking cessation rate, self-efficacy in quitting, and on their management of withdrawal symptoms.

Keywords: smoking cessation, cessation intervention, acute coronary syndrome. .

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Title : Nurse Managers’ Perceptions Related To Their Leaderships And Management In Tertiary Teaching Hospital In Malaysia
Authors :
  1. Raudzah Mohd Ariffin, Hospital USM, Health Campus, Universiti Sains Malaysia
  2. Tan Beng Geok, Hospital USM, Health Campus, Universiti Sains Malaysia
  3. Lai Sue Yi, Kota Bharu Medical Center, Kota Bharu
  4. Soon Lean Keng, School of Health Sciences, Health Campus, Universiti Sains Malaysia

Abstract

:

The purpose of this study was to determine the nurse managers’ perceptions related to leaderships and management in a tertiary teaching hospital in Malaysia. A cross-sectional study design was conducted on a randomly selected sample of nurse managers (n=152) using a structured self-administered questionnaire. The findings confirmed that nurse managers’ perception of leadership behaviors were significantly related to their perceptions of workplace empowerment structures, access to opportunity, information, support and resources, formal and informal power; and their perceptions of empowerment and autonomy. It can be concluded that improvements in supportive environment in healthcare is needed to make the successful nurse leadership and management possible as part of multi-professional cooperation.

Keywords: Nurse managers, perceptions, leaderships, management, Malaysia .

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Title : The Effect of Educational Intervention on Intensive Care Nurses’ knowledge and practicewith regard to Enteral Feeding administration
Authors :
  1. Samira Khorsandi, MSc Candidate Nursing Science Department, Faculty of Medicine, University Malaya, Kuala Lumpur 59600, Malaysia
  2. Dr Chong Mei Chan, PhD, MSc, BSc, RN Nursing Science Department, Faculty of Medicine, University Malaya, Kuala Lumpur 59600, Malaysia
  3. Puan Surindar Kaur Surat Singh, MSc, BSc, RN Nursing Science Department, Faculty of Medicine, University Malaya, Kuala Lumpur 59600, Malaysia
  4. Dr Aini Ahmad,PhD, MEd, BSc, RN Nursing Science Department, Faculty of Medicine, University Malaya, Kuala Lumpur 59600, Malaysia
  5. Dr Pathmawathi Subramaniam, PhD, MSc, BSc, RN Nursing Science Department, Faculty of Medicine, University Malaya, Kuala Lumpur 59600, Malaysia
  6. Dr Wong Kang Kwong, MBBS, MSc Anaes Anesthesiology Department, Faculty of Medicine, University Malaya, Kuala Lumpur 59600, Malaysia

Abstract

:

Purpose: The purpose of this study was toevaluate the effectiveness of an educational intervention program on the knowledge and practice of Intensive Care Nurses with regard to Enteral Feeding administration.

Methods: In this Quasi-Experimental study of one group of subjects, pre-test and post-test design was used and the data was compared pre- and post-intervention. Sixty-five ICU nurses in the Intensive Care Unit responded to a questionnaire, with a response rate 91.4%. Observations of ICU nurses’ practice were carried outafter the implementation of educational intervention for all ICU staff nurses.

Results:Before the study was carried out, the nurses revealed that theirprimary source of knowledge was consultation with their colleagues. Comparison of nurses’ knowledge scores before and after the implementation of educational intervention revealed significant differences in the level of knowledge, which increased significantly after participation in the educational program.Observation of nurses’ practice also revealed improvements in Enteral Feeding administration after the implementation of educational intervention using evidence-based guidelines. No significant association was found between the nurses’ knowledge level and demographic characteristics such as age, education level and working experience.

Conclusions:The results of this study indicate that a structured educational program on evidence-based Enteral Feeding guidelines has a significant, positive effect on nurses’ knowledge and improves their practices. The educational program in this studysignificantly increased the Intensive Care Nurses’ knowledge andpractice scoreson Enteral Feeding administration in the Intensive Care Unit.

Key Words:Enteral Feeding, Intensive Care Unit, Evidence-based EF guideline,nursing knowledge,nursing practice.
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Title : RISK ASSESSMENT AND RESPONSES TO DETERIORATING PATIENTS: NURSES AND JUNIOR DOCTORS’ KNOWLEDGE, ATTITUDES AND PRACTICE (KAP) IN THE EAST COAST MALAYSIA
Authors :
    Principal Author
  1. Salizar Mohamed Ludin
    Contributing Author(s)
  1. Rusila Ruslan
  2. Br. Sinan Al-Mahmood
  3. Mohd Basri Mat Nor

Abstract

:

Background: Nurses and junior doctors play an important role in providing care to patients, therefore their knowledge, attitudes and practice in assessing such patients are crucial to patient outcomes. Lately, concern about the incidence of deteriorating patientshas increased, especially in the ward setting. High numbers of intensive care unit admissions are due to the transfer of deteriorating patients from medical wards.

Purpose:To determine nurses’ and junior doctors’ knowledge, attitude an pratice in  of assessment and treatment of deteriorating patients in medical wards, and their attitude toward,assessment of, and care practice with these patients.

Method: A cross-sectional survey was used to collect data among nurses and junior doctors (n=191)in medical wards in three Malaysian East Coast hospitalsin 2015. Data was analyzed using SPSS 22.0 for descriptive and inferential analysis.

Findings:The study had a 79.5% response rate. Nurses and junior doctors perceived a good attitude and practice in assessing deteriorating patients. However, poor knowledge on assessing deteriorating patients found. Age was associated with KAP in relation to assessing deteriorating patients, and knowledge of emergency pharmacotherapy.

Conclusion: Nurses’ and junior doctors’lack of knowledge about emergency pharmacotherapy and assessing deteriorating patients,despite demonsratinggood practice and a good attitude, must be addressed. There is a need for educational strategies to ensure that nurses and junior doctors have commensurate levels of theoretical and practice knowledge.

Keywords: risk assessment, patients’ deterioration, nurses’ knowledge, junior doctors’ knowledge, emergency pharmacotherapy.
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