The Implementation of Friendly Hand Hygiene Project in KAUH

Healthcare workers use their hands to treat, andprovide care to those in need, but sometimes those hands causeserious infections. Healthcare associated infections (HAIs) arethe fifth leading cause of death among hospitalized patients,which emphasizes the importance of effective preventativeimplementations. Evidence shows that hand hygiene is the bestmethod to prevent HAIs. This project utilizes an action methodby uses a multi-stage process starting from combining theliterature review themes, then identifying the idealrecommendations, then to filter the most appropriaterecommendations and implement into King Abdulaziz UniversityHospital (KAUH).The literature review discusses on work overload, role modeling,internal motivation and culture that influence compliance ratesfor health care workers (HCWs) and identifies the ideal solutionsand recommendations in order to increase the compliance rates,quality of care, patients’ safety and the organization as a whole.These recommendations were utilized in implementing thisproject, which includes reminder programs by visiting alldepartments in KAUH, innovation of a code among HCWs, andcarrying out an awareness campaign. Finally, a page was createdon Facebook to ensure that continuous awareness is deliveredand friendly reminders are spread constantly. In conclusion,using a friendly reminder project was found to be effective inhelping to increase the hand hygiene compliance rate amongHCWs

Nursing Documentation Project at Teaching Hospital in KSA

The aim of the project was to examine the current practice of nursing care documentation and to identify the common errors of nursing care documentation. A prospective cross sectional method was used to evaluate nursing care documents done by the nurses. The project was carried out between January 2014 and 31 March 2014. The project phase was based on the fundamental concepts divided to three phases. Phase 1 was assessment and diagnostic, phase 2: Planning Strategy and Process, and in phase 3: Implementation, Designing tool, Continuous monitoring.First phase started with assessment to diagnose the current practice; therefore baseline auditing was conducted by development of audit tool in documentation based on policy/guidelines, development and initiation of education strategy and finally the evaluation audit conducted to assess the outcome of the project.This project gave depth attention to the standardization of nursing documentation practice and the factors that leading to variation in practice which may cause the flaws in documentation quality.  The project identified the barriers and opportunities to improve the efficiency of nursing documentation have been placed. The next stage of this project is to review the effectiveness of the method of documentation through the development and implementation of an audit tool.Alongside this, the plan is to continue regular education related to focus charting in order to fully imbibe this change into daily nursing practice.Nurses in organizations that are struggling with documentation issues can conquer it by using focus note method as it can easily be adapted to different clinical situations. This project also supported the nurses to provide legally prudent information related to patient care and nursing activities performed. There are hopes for the nursing documentation and record audit processes to be developed into electronic and systematic process and used as an aspect of a regular credentialing process in the near future. It is recommended that nursing administration should use a multidisciplinary approach to develop policies and guidelines on nursing care documentation and provide sustained continuing training opportunities for nurses on effectiveness of documentation and also aimed at putting the policy to improve daily use of standardized nursing languages

A phenomenological study: the lived experience of women with breast cancer who are receiving adjuvant therapy

Understanding women's experiences with breast cancer and adjuvant therapy is important for nurses in order to help these women deal with a number of important issues that are related to their condition and treatment. There is a growing literature on women's breast cancer experiences, but most of these studies have been done from the perspective of women living in western societies and the findings may not be appropriate to women living in Malaysia. The purpose of this study was to obtain a deeper understanding of the experience of women who are living with breast cancer and who have undergone adjuvant therapy, focusing particularly on changes in the life perspective of these women in Malaya. Using Giorgi's phenomenological method six Malaysian women who had survived breast cancer and had received adjuvant therapy were interviewed in-depth. Through data analysis seven themes were identified. These themes were: 1) Not knowing what to do; 2) The meaning of a diagnosis of breast cancer; 3) Suffering through the treatment; 4) The changing body; 5) Trying to protect others; 6) Finding strength and making changes; and 7) The importance of support. The findings are similar to other research that has been done in this area, but suggests the concern these breast cancer survivors have for others, especially close family members, may prevent them from seeking earlier diagnosis and treatment. The findings also indicate the importance of cultural beliefs on women's experiences with breast cancer. The research has implications for how nursing practice and education is carried out in Malaysia. A number of areas are recommended for further research

Integrated space in low-income housing in Kuala Lumpur

The rapid urbanization and population growth in Malaysia cause increased rural migrants and poverty in the city centre, particularly Kuala Lumpur. Therefore, the needs for affordable housing for the low-income group are crucial. However, low-income housing design is subject to guidelines and standards set by the Ministry of Housing that cause the housing unit to be fundamental and lack understanding towards the occupant’s lifestyle. Past studies have shown comparisons of spatial studies in various low-income housing layouts; however, none has identified the most integrated space utilized. Therefore, this paper investigates the value of spaces in Low-income housing in Kuala Lumpur. Using Space Syntax, this study identifies the most dominant space by looking at the integration of space. The finding of this study will determine the parameters in which improving the future Low-income housing design. This study found that entrance hall is the most dominant space followed with kitchen and living room. This paper will benefit policymakers, low-income house developers and consultants, researchers in the architecture field, and society