Kesan inkontinens urin terhadap Kualiti hidup warga emas di pondok Agama lubok tapah, Pasir Mas, Kelantan

Latar belakang kajian:- lnkontinens urin {IU) merupakan masalah kesihatan yang lazim dialami oleh warga emas dalam masyarakat moden pada masa kini. Prevalen IU dalam kalangan warga emas adalah berbeza bagi komuniti yang berlainan. Terdapat pelbagai kesan negatif terhadap kualiti hid up yang disebabkan oleh kejadian IU. Objektif kajian ini untuk mengkaji kesan keterukan IU terhadap kualiti hidup warga emas di Pondok Agama Lubok Tapah, Pasir Mas, Kelantan. Metodologi:- Kajian dilakukan secara keratan lintang melalui kaedah persampelan kesenangan. Seramai 120 orang responden ditemuramah secara bersemuka berdasarkan borang soal selidik daripada King's Health Questionnaire (KHQ). Data dianalisis menggunakan Statistical Package for Social Science (SPSS) versi 12.0. Keputusan:- Secara keseluruhannya, prevalen IU dalam kalangan warga emas yang berumur 60 tahun dan ke atas ialah 43°/o. Min umur responden ialah 72.9 tahun (80=7.24). Semua responden yang mengalami IU terdiri daripada warga emas wanita yang telah berkahwin. Majoriti responden 46.2%, melaporkan telah mengalami IU antara 1-5 tahun, 30.8% mengalaminya antara 1-12 bulan, 17.3o/o mengalaminya melebihi 5 tahun dan 5. 7o/o tidak pasti. Keputusan juga menunjukkan 67o/o respond en mengalami IU pada tahap ringan, 29% pada tahap sederhana dan 4% pada tahap teruk. Analisis menunjukkan tiada perkaitan yang signifikan antara faktor umur dengan kejadian IU. Bagi domain kualiti hidup, didapati terdapat perkaitan yang signifikan antara tahap keterukan 1 U terhadap domain fungsi dan domain tidur/tenaga sahaja. Kebanyakan respond en mempercayai bahawa IU adalah sebahagian daripada proses penuaan dan mereka boleh menyesuaikan diri dengan keadaan tersebut. Kesimpulan:- IU didapati dialami hampir sebahagian besar daripada warga emas yang terlibat dalam kajian ini. Kebanyakan mereka mengalami IU pada tahap ringan. Keterukan IU yang dialami tidak mempengaruhi kualiti hidup mereka kecuali bagi domain fungsi dan domain tidur/tenaga

Motivation factors and barriers for continuing higher education among diploma-holding nurses: a qualitative study

Background: Continuing higher education is essential for nurses to adapt to the evolving landscape of healthcare. Higher education is the next level in the academic ladder for nurses seeking a bachelor’s or postgraduate degree, such as a master’s or Ph.D. Nurses pursuing higher education are known to improve educational, research, administrative, and patient outcomes. Furthermore, the need for nurses to pursue further education in order to advance their profession is becoming increasingly pressing due to the rapid advancements in health care and therapies. Aim: To explore the motivational factors and barriers for continuing higher education among diploma holding nurses in Malaysia. Method: A qualitative study was conducted among 9 diploma-holding nurses in Malaysia. Semi-structured interviewed were used to collect data from August to October 2023. All interviews were recorded, translated, and transcribed. Thematic analysis was applied to the transcriptions for a comprehensive examination of the gathered data. Result: Six themes identified related to motivating factors; 1) significant others, 2) self-motivation 3) reputation of the nursing profession, 4) career improvement, 5) sponsorship, and 6) availability of course while five themes associated with barriers; 1) limited opportunity in the nursing system, 2) age and experiences, 3) financial constraint, 4) family responsibility, and 5) limited access to educational resource. Conclusion: Nurses are highly motivated to pursue higher education at least to degree level for many reasons but they face some barriers that restrict them from continuing higher education. Therefore, it is important as health treatments and care evolve, the motivation to advance the nursing profession through higher education becomes increasingly important for nurses

A narrative study of Malaysian women with breast cancer sharing their experiences

Diagnostic pathway is important period for early detection of breast cancer to improve its prognosis. In developed country such as England had introduced faster diagnosis standard to ensure that patients should receive a definitive diagnosis or ruling out of cancer within 28 days of referral. However, there is lack of evidence regarding the patients with breast cancer’s experiences during the diagnostic interval in Malaysia. This study aims to explore what happened to the women during the diagnostic phase before they were diagnosed with breast cancer. 14 participants were recruited from two government hospitals using purposeful sampling. The participants took part in in-depth, face-to-face, one-time, and audio-recorded interviews. All the interviews were subsequently transcribed verbatim and analysed using narrative analysis. Four themes were identified regarding the diagnostic phase: 1) Women who has suspected having breast cancer; 2) Women who experienced false reassurance; 3) Woman who experienced delayed referral; and 4) Women who experienced unconfirmed investigation results. The findings in this study suggest that alert symptoms may prompt immediate action from doctors. However, unexpected delayed may happened due to healthcare workers and system itself. Therefore, healthcare workers should actively refer patients with alert symptoms and actively follow-up patients with non-alert symptoms in the community. Continuing education for healthcare workers might be necessary to improve diagnostic and referral procedures

An exploration of family members’ roles in the context of breast cancer: A narrative study in Malaysia

Introduction: Breast cancer is a significant health problem that affects patients and their family members. Family members are often key to supporting the patient. However, there is an inadequate understanding of the role of female breast cancer patients’ family members in Malaysia. This study aimed to explore the roles of family members of female breast cancer patients from symptom appraisal until the patient treatment commences. Methods: Snowball sampling was applied and 14 participants were recruited through the nomination of the female breast cancer patients. The participants took part in in-depth, face-to-face, and audio-recorded one-time interviews. All of the interviews were subsequently transcribed verbatim and analysed using narrative analysis. Results: Five themes were identified with regard to the roles of family members: 1) confirming breast changes; 2) managing personal emotions; 3) seeking the information; 4) seeking alternative forms of treatment; and 5) advocating for conventional treatment. Conclusion: This study discovered that family members play an important role in the journey of women with breast cancer from the time an abnormality is discovered to the time the patient receives treatment. During this time, many of them suppressed their emotions in order to focus on the women suffering from breast cancer. Healthcare professionals working with breast cancer should recognise and support the key role of family members in supporting women to get treatment. It is important to take a proactive approach in recognising the early signs of stress for family members and, when appropriate, offering them additional sources of support

Impact, effectiveness and satisfaction of online learning among undergraduate students during the Covid-19 pandemic

Introduction: Physical distancing measures to safeguard against airborne virus transmission during the Covid-19 pandemic has heightened the need for online teaching and learning methods as alternatives to conventional face-to-face classrooms. While online learning has become commonplace in developed countries prior to the pandemic, local institutions of higher learning while less ubiquitous, were in fact gaining momentum towards adopting more online teaching and learningmethods. Curb measures implemented by the local authorities during the pandemic had inadvertently left educators with little choice but to adopt online learning to continue engaging their students in learning. Objective: To determine the impact, effectiveness, and level of satisfaction of online learning during the Covid-19 pandemic among university students. Methods: A quantitative cross-sectional study with convenience sampling study was conducted among 349 students in one of a public university in Malaysia. Data was gathered using an online questionnaire that was disseminated to students via Google Form. The data was analysed with SPSS version 24 using descriptive statistics, Independent T-test and One-Way Anova. Results: Majority of the respondents felt that online learning did not affect their study and learning performance. They also felt satisfied with the usage of online learning during Covid-19 pandemic. There were no significant association between gender, age, year of study, university program, living in or out campus and experience of online learning before lockdown with the satisfaction level (p>0.05). Conclusion: Online learning does not impact the students’ academic performance during the Covid19 pandemic. Students also reported that online learning is suitable, effective, and they felt satisfied with the usage of online learning. Therefore, online learning could be considered as a useful and practical tool for teaching and learning delivery during Covid-19 among undergraduate university students

Learning styles and online learning satisfaction of University students during COVID-19 pandemic

Background: Learning styles can be defined as factors, behaviours, and attitudes that aid the learning process. It benefits students as it allows a better understanding of the lesson. Purpose: This study aims to identify the learning styles and satisfaction of online learning of health sciences-based students at the International Islamic University Malaysia during the COVID-19 pandemic. Methods: A quantitative cross-sectional study with convenience sampling was conducted among 260 students from April to June 2022. Data were gathered using Google Forms and a self-administered questionnaire, available in English and distributed to the Kulliyyah of Nursing, Kulliyyah of Allied Health Science, Kulliyyah of Pharmacy, Kulliyyah of Medicine, and Kulliyyah of Dentistry students. The questionnaire was adopted and adapted from two sets of questionnaires, i.e., two sets from the Felder and Soloman Index Learning Styles and one set of satisfaction questionnaires from Aritino (2008). Data analysis was done using SPSS version 26.0. Results: Most respondents chose the visual, sensing, and sequential learning styles, while an almost balanced proportion chose activist-reflective. Most of them have high levels of satisfaction with online learning. Conclusion: Students prefer the Visual, Sensing, and Sequential learning styles and have high levels of online learning satisfaction

Infection prevention and control compliance among nurses and nursing students during COVID-19 in Malaysia

The Malaysian COVID-19 hospital admission rate and the intensive care wards usage are now declining as the health service system enters a stage of recovery in the endemic phase. This study aimed to explore the barriers to and facilitators of infection prevention and control (IPC) compliance among staff nurses and nursing students and to observe their IPC compliance when attending to the patients in the respective wards. Qualitative study using indepth interviews was conducted with staff nurses and the nursing students as primary data collection methods and supported with direct observation in the wards. A total of 21 staff nurses and 14 undergraduate nursing students from multiple wards were purposively sampled from April to December 2022. Data were analyzed using thematic analysis in Nvivo software. Four key themes were emerged in this study such as the partcipants i) Narrating IPC compliance; ii) IPC compliance adherence; iii) Perceived barriers for noncompliance to IPC; iv) Empowering staff nurses and nursing students on IPC compliance. The study findings served as key evidence for the hospital top management and the nursing faculty in planning the strategies to improve the IPC training and monitoring by empowering staff nurses and nursing students at their teaching hospitals

Exploring the experiences of healthcare workers in delivering spiritual care to patients in shari’ah compliance hospital

Spiritual care is an integral component of healthcare workers’ roles, encompassing the recognition and addressing of patients’ spiritual needs, as well as providing support for their emotional and psychological well-being. Moreover, facilitating connections to resources or support systems that align with patients’ beliefs and values is paramount. Despite its importance, there is currently a scarcity of literature on healthcare workers’ experiences in delivering spiritual care. This study aimed to explore the experiences of healthcare workers in delivering spiritual care to patients in a hospital. A qualitative study was conducted among healthcare workers at a Shari’ah Compliance Hospital in Malaysia. A semi-structured interview was used to collect data from May 2023 until November 2023. All interviews were recorded, transcribed, and analysed using thematic analysis. Ten participants with diverse backgrounds agreed to take part in the study. Two main themes emerged from the analysis: 1) patient's response, and 2) spiritual concerns. The findings shed light on the varied experiences of healthcare workers when delivering spiritual care to patients within a hospital setting. This study revealed that healthcare workers were going through different experiences in delivering spiritual care. These findings have important implications for healthcare practice, highlighting the need for ongoing education and training in spiritual care competencies for healthcare workers. Addressing the spiritual needs of patients is crucial for providing holistic and patient-centered care

Utilisation of artificial intelligence in nursing care - gap from an islamic perspective: a bibliometric review

The integration of artificial intelligence (AI) into nursing care within healthcare settings is on the rise, promising significant benefits for patients. The objective of this study is to investigate the current trends and analyse their evidence on this topic. This study utilised the Scopus database to identify and compile comprehensive information from English-language articles on AI in nursing care. Through bibliometric indicators, the study conducted a quali-quantitative analysis to examine the growth rate of publications and subject areas and identified the most active countries, institutions, journals, and authors. Visual cooperation network maps for countries, organisations, authors, citations, keywords, and other pertinent aspects were generated and analysed using VOSviewer and the Bibliometrix R-package. The search identified 223 non- duplicated articles. Fewer publications were noted between 1985 and 2015, which increased notably in subsequent years, excluding 2019. The United States emerged as the most dominant country, with the Journal of Nursing Management and the Journal of Robotic and Mechatronics being the top productive journals. This bibliometric analysis not only offers a comprehensive overview to assist researchers in understanding important articles, journals, and potential collaborators in the field of AI related to nursing care but also analyses the historical evolution, and identifies hot spots, and predicts future trends in the research topic

Malaysian women and family members’ narratives of their breast cancer decision-making experiences

Breast cancer is one of the most prevalent cancers among women worldwide. Disharmony and imbalance can be created in the lives of women diagnosed with breast cancer as well as in those of their family members. They may face many decisions related to breast cancer, including on disclosure and treatment, and on their own lifestyle and career. The decision-making experiences might be different across nations. Previous research literature has tended to focus on specific aspects of decision-making regarding breast cancer, but no study has sought to recruit women with all stages of breast cancer (together with their family members) with the aim of providing an understanding of their decisions. Little is understood regarding this issue and how the process takes place among Malaysian women with breast cancer and their family members. The purpose of this study is to explore the decision-making experiences of Malaysian women and their family members, focusing on the time between first realising that something is abnormal in the breast and the women undergoing their first conventional treatment in hospital