Translation, cross-cultural adaptation and validation of the revised-skin management needs assessment checklist questionnaire in Malay language

Pressure injury (PI) related knowledge can be used as an outcome indicator of a PI education program. In Malaysia, no scale has been translated and validated for measuring PI-related knowledge among patients with a PI. The purpose of this study was to cross-culturally adapt, translate and determine the validity and reliability of the Malay version of the revised-Skin Management Need Assessment Checklist (revised-SMnac). The instrument was initially written in English and translated into the Malay language. The internal consistency, construct validity, and test-retest reliability were examined after the item and scale's cross-cultural equivalence and content validity were evaluated. Construct validity was determined through the administration of the instrument amongst 170 hospitalised patients with a PI. Content validity index (CVI) was further determined through validation by a panel of five wound care experts. The instrument's stability was determined by the test-retest model with a two-week interval. The content validity of the item-CVI (I-CVI) was >79%, indicating that all 17-items were appropriate, while the scale-CVI (S-CVI) of >0.83 indicated an acceptable scale. The Cronbach's Alpha was .994 indicated good internal consistency. Test-retest showed a good intra-class correlation coefficient, ICC = 0.955 with 95% CI [0.992–0.996]. The Malay version of the revised-SMnac demonstrated to be a valid and reliable tool to measure PI-related knowledge among the Malay-speaking patient population in Malaysia. The tool is recommended for use to measure the effectiveness of education programs related to PI care in future studies

Kangaroo Mother Care in Improving Thermoregulation of Premature Babies During the COVID-19 Pandemic: A Case Report

Premature babies lose four times more heat than those with sufficient birth weight. Moreover, their body temperature regulation center does not function properly. This study aimed to investigate Kangaroo Mother Care's effect in increasing premature babies' thermoregulation during the COVID-19 pandemic at Hospital A in Malang City, Indonesia. This study was a case report with data from follow-up checks on premature babies discharged from the hospital. The Kangaroo Mother Care method, carried out by the mother, increased the thermoregulation of premature babies' temperature by 0.2ᴼC compared to the father. It was because women have a slightly higher body temperature than men. The comfortable body temperature for women was 2.5ᴼC higher than for men. Men had a lower body mass of fat, so it took an average longer time for metabolism. The Kangaroo Mother Care procedure, especially when done by the mother, can increase the body temperature of premature babies by conduction

The psychometric properties test of the Malay version of the endometriosis health profile-30

Abstract Objectives: To validate and determine the psychometric properties of the Malay version of the endometriosis health profile-30 (EHP-30) by confirmatory factor analysis. Methods: A cross-sectional study was carried out in the main city of Malaysia at a tertiary teaching hospital between January to April 2021. A total of 218 women diagnosed with endometriosis symptoms were recruited using the universal sampling method to answer the questionnaire. Results: The revised Malay version of the EHP-30 with 28 items demonstrated that the factor loading of the 28 items had an acceptable value range between 0.60-0.90. The model fit was acceptable after the inclusion of 28 items correlated errors of the root mean square of error approximation: 0.072, 90% confidence interval: [0.065-0.080], comparative fit index (0.939), Tucker-Lewis index (0.932), and Chi-square/degrees of Freedom (2.135). The Cronbach's alpha ranged from 0.89-0.97. Concurrent validity for the composite reliability was between 0.88-0.96, while the average variance extracted was between 0.65-0.74. Conclusion: This revised Malay version of the EHP-30 is a reliable and valid tool that can be used for the next study

マレーシアの看護教育：看護課程の発展と特徴

　近年，マレーシアの看護教育において，大学のカリキュラム構成に大きな変化が起きている．マレーシアにおける看護教育の進捗状況を研究するために，われわれは，高等教育省看護教育タスクフォースから出版されている「2020 年に向けたマレーシアの看護教育の発展」という論文を用いた．さらに，マラヤ大学看護学科の学士および修士課程のカリキュラムを分析した．2010 年では，看護師の大部分は単科大学や大学の3 年制の教育課程を受けたデイプロマ卒業生であった．看護実践の質を向上させるために，高等教育省は看護教育をデイプロマ課程から大学4 年制の学士課程に移行すべきことを提唱した．2020 年には，高等教育省は看護学士号を有する看護師の多くが臨床で働くことを目指した．高等教育省は専門看護師，看護師長，および看護管理者などの地位は修士課程を修了した看護師に提供されるべきであると提言している．マラヤ大学の看護学科において，学士課程および修士課程の看護教育が急速な進歩を見せていることが分かった．学士課程では，根拠のある看護を実践できる看護師を養成することが目的である．また，マラヤ大学の学部カリキュラムでは，イスラムおよびアジア文明論，民族関係論，および起業家精神文化論などの科目を含んでおり，それらはマレーシアの多民族社会を反映している．修士課程では，看護学研究が主要な構成要素である．また，大学院は看護の分野に関係する研究を行った院生に博士号（Ph.D）を授与している．問題解決型学習，学生中心の教育，根拠のある実践などはマレーシアの看護教育における核心的な論題である．また，看護の専門職性および自律性はマレーシアにおける専門的な看護実践のために大切な論点である

Symptom burden and quality of life in cam and non-cam users among breast cancer patients during chemotherapy / Chui Ping Lei

Patients often use complementary and alternative medicine (CAM) to manage their side-effects and symptoms as well as to enhance their quality of life (QOL), although little empirical data exists to support CAM use. The objective of this study was to assess the pattern of CAM use among breast cancer patients undergoing chemotherapy and to examine its association with symptom burden and QOL. A cross-sectional study was conducted at two outpatient chemotherapy centres. A total of 546 patients completed the questionnaire on their usage of three categories of CAM: mind-body practices (MBPs), natural products (NPs) and traditional medicine (TM). Symptom burden was measured using the Side Effect Burden Scale. QOL was evaluated based on the EORTC QLQ-C30 and EORTC QLQ-BR23 questionnaires. A total of 70.7% (n = 386) reported using some form of CAM, while 29.3% (n = 160) were non-CAM users. The odds of CAM use among patients who postponed their chemotherapy schedule was 5.71 times higher compared to patients who adhered to their chemotherapy schedule. The odds for CAM use among patients with average monthly household incomes above RM 3000 was 3.41 times higher compared to patients whose monthly household income was RM 3000 or below. The odds of CAM use among patients with tertiary education was 2.31 times higher compared to patients with primary or lower educational levels. The odds of CAM use among patients with advanced stage breast cancer was 1.86 times higher compared to patients with early stage breast cancer. The main reason for using MBPs, NPs and TM was to improve emotional well-being (92.0%), recommendation by others (70.4%) and to assist in treating cancer (84.6%) respectively. A total of 26% of the NPs users and 40% of the TM users reported using NPs and TM to cure their cancer. The most popular CAM modality was MBP (n=342), followed by NP (n=299), and TM (n=129). There were no significant differences in the total symptom burden score between CAM users (40.39± 2.61) and non-CAM users (36.93±3.21). Among CAM users, MBP-NP-TM users (47.44±4.12) reported significantly higher total symptom burden scores than MBPs users (34.09±4.43). The odds of having high total symptom burden among the MBP-NP-TM users were 12.9 times higher compared to MBP users. There was no significant difference in overall QOL between CAM users (62.95 ±2.38) and non-CAM users (64.52±2.94), and among MBP (60.17±4.10), MBP-NP (63.80±3.04) and MBP-NP-TM (64.83±3.82) users. The odds of having high global health status scores among patients with low total symptom burden scores was 28.89 times higher compared to patients with high total symptom burden scores. The use of CAM-modality was not significantly associated with high global health status scores (p=0.71). CAM use was common among breast cancer patients and made no difference on patients’ total symptoms burden and QOL. MBP use was associated with lower total symptom burden and this was in turn associated with high QOL. MBP usage was however not associated with high QOL. An open discussion with breast cancer patients using CAM during chemotherapy is essential

Complementary and Alternative Medicine Use and Symptom Burden in Women Undergoing Chemotherapy for Breast Cancer in Malaysia

Background: Complementary and alternative medicine (CAM) is commonly used for cancer- and chemotherapy-related symptoms. Nurses are likely to encounter many CAM users in their practice. Objective: The aims of this study were to assess CAM use and examine the symptom burden of CAM and non-CAM users among patients with breast cancer who are undergoing chemotherapy. Methods: A CAM use questionnaire and the Side-Effect Burden Scale were administered to 546 patients. Complementary and alternative medicine use was categorized as mind-body practices (MBPs), natural products (NPs), or traditional medicine (TM). Results: We identified 386 CAM users (70.7%) in this study. The CAM users reported a higher marginal mean total symptom burden score (40.39 ± 2.6) than non-CAM users (36.93 ± 3.21), although this difference was not statistically significant (P =.09). Triple-modality (MBP-NP-TM) CAM users had a significantly higher marginal mean total symptom burden score (47.44 ± 4.12) than single-modality (MBP) users (34.09 ± 4.43). The risk of having a high total symptom burden score was 12.9-fold higher among the MBP-NP-TM users than among the MBP users. Conclusions: Complementary and alternative medicine use is common among Malaysian patients who are undergoing chemotherapy for breast cancer. However, CAM and non-CAM users reported similar symptom burdens, although single-modality use of MBP is likely associated with a lower symptom burden. Implications for Practice: Nurses should keep abreast of current developments and trends in CAM use. Understanding CAM use and the related symptom burden will allow nurses to initiate open discussion and guide their patients in seeking additional information or referrals for a particular therapy

Systematic review of patient education for pressure injury: Evidence to guide practice

Background: Pressure injuries (PIs) are generally regarded as predictable and preventable. Therefore, providing appropriate care for PI prevention and its management is vital. Patient education is a significant component of the PI international guideline recommended strategy in preventing PIs. Despite the availability of evidence supporting patient education, consensus regarding the effect of patient education on knowledge, patient participation, wound healing progress, and quality of life is still lacking. Aims: The main aim was to systematically evaluate the available evidence regarding the effectiveness of structured patient education on their knowledge, participation, wound healing, and quality of life. Methods: The search strategy retrieved studies published between 2009 and 2021 in English across PubMed, MEDLINE, CINAHL, ProQuest, and Cochrane Library. Adult participants aged 18 years and above were included. Randomized controlled trials, quasi-experimental, and interventional studies were all included in this review. Three independent reviewers assessed the methodological quality of the studies, prior to critical appraisal, using standardized tools, that is, the Joanna Briggs Institute checklist for randomized and non-randomized studies. A narrative synthesis was conducted. Results: A total of eight studies (466 participants) were included in this review. Available evidence indicated improved patient knowledge, participation, and quality of life with structured patient education. However, there was insufficient high-quality evidence to conclude the effect on wound healing. Linking Evidence to Action: Structured patient education for PI was deemed to help improve patients' knowledge, participation, and quality of life. More rigorous trials are needed for the effect on wound healing progress. Thus, future educational interventions should include wound care components that describe the patient's role in promoting wound healing. A well-structured patient education program protocol is crucial to ensure the educational intervention was measurable in its effectiveness and reproducibility

Maternal Kangaroo care education program in the neonatal intensive care unit improved mothers' perceptions, knowledge, perceived barriers and stress relates to premature infant

Abstract Aim To assess the effectiveness of the maternal kangaroo care education programme over 1 month and 3 months on the mother's perception, knowledge, perceived barriers and stress. Design A quasi‐experimental and longitudinal study was conducted among mothers with premature infants. Methods Forty‐eight mother‐infant dyads were enrolled per arm in the control and experimental groups. The control group received standard routine care, while the experimental group received a maternal kangaroo care education program. Data were collected through self‐administered Kangaroo Care Questionnaires. Chi‐square, the general linear model and repeated measures ANOVA were used to analyse data. Results The demographics are a majority of Malay mothers with multipara, a caesarean delivery with prematurity. At 3 months post‐intervention, the experimental group reported a significant reduction in stress, a positive perception and good knowledge towards kangaroo care implementation. The mothers' perceived barriers towards kangaroo care significantly decreased after 3 months in the experimental group

Awareness of lifestyle-related cancer risk factors and health promoting behaviours among nurses in Malaysia

Aims and objectives: To assess the awareness of lifestyle-related cancer risk factors and health-promoting behaviors among nurses in Malaysia. Background: The essence of nursing is caring. Nurses are known for taking care of others at the cost of their own health. Lack of self-care among nurses can lead to compassion fatigue, errors on the job, personal health problems and general disdain for life. The nurses' self-care starts with the awareness of modifiable health risk factors and their behaviors in promoting health. Design: A descriptive cross-sectional design. Methods: A total of 357 participants completed the questionnaire in a tertiary referral hospital. The awareness of cancer risk factors was measured based on twenty-nine established lifestyle factors. The health-promoting behaviors were evaluated by the Health-Promoting Lifestyle Profile II. Results: Almost half of the participants are overweight and obese. Awareness among the six clearly established lifestyle-related cancer risk factors showed alcohol gamering the highest number of participants, followed by cured meats, overweight, high red meat diets, low vegetables, and fruit diets, and insufficient physical activity. 37.7% and 47.4% of the participants reported low and moderate levels of health-promoting behavior respectively. The highest mean score reported in the spiritual growth subscale and the lowest in the physical activity subscale. Conclusion: Lifestyle-related cancer risk factors such as overweight, high red meat diets, low vegetables/fruit diets, and insufficient physical activity were not prioritized by the nurses. Although almost half of the nurses reported moderate levels of health-promoting behavior, it is worth noting that the nurses reported of the physical activity subscale to be the least. Relevance to clinical practice: The findings have provided a useful insight into the current health behaviors of nurses and may serve well as an important indicator as to where education and supportive services should target their focus