Lilly Mary Lazarus; Chong Mei Chan; Vimala Ramoo; Noor Azmi Mat Adenan; Karuthan Chinna; Law Foong Li; Samira Mohajer
Volume 25, Issue 8 , 2023
Abstract
Background: Poor self-perineal care (SPC) by new mothers due to inadequate knowledge can result in perineal pain and poor wound healing outcome.
Objectives: This study aimed to evaluate the effectiveness of self-perineal care education on knowledge and practice among primigravida mothers in Malaysia.
Methods: ...
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Background: Poor self-perineal care (SPC) by new mothers due to inadequate knowledge can result in perineal pain and poor wound healing outcome.
Objectives: This study aimed to evaluate the effectiveness of self-perineal care education on knowledge and practice among primigravida mothers in Malaysia.
Methods: This quasi-experimental study was conducted in two public tertiary care hospitals from September 2019 to March 2020. In total, 125 mothers were recruited using consecutive sampling procedures from two tertiary care hospitals. The intervention group consisted of 62 mothers who received SPC education supplemented by the mobile app, while the other 63 mothers in the control group received only routine hospital care. The knowledge of mothers regarding SPC was assessed at 32 to 33 weeks of gestation and then at 4 h post-delivery. The mothers of both groups reported their perineal care practices on Day 1, Day 3, Day 5, and Day 7 post-childbirth using the SPC education mobile app.
Results: There was no significant difference in the SPC knowledge scores between the two groups at baseline (P=0.155). Post-analysis showed a significant increase in the SPC knowledge score in the intervention group (P<0.001) but not in the control group (P=0.133). At all-time points, the mothers in the intervention group performed better SPC practice than those in the control group (P<0.001). There were significant associations between changes in knowledge and practice on all four days (P<0.001).
Conclusion: The increased knowledge of SPC was significantly associated with improved SPC practice among the primipara mothers postnatally.
Lilly Mary Lazarus; Mei Chan Chong; Vimala Ramoo; Noor Azmi Bin Mat Adenan; Karuthan Chinna; Samira Mohajer
Volume 24, Issue 10 , 2022
Abstract
Background: Pain and wound dehiscence cause physical and emotional traumas, impacting the mothers' quality of life, mental health, and maternal-child bonding.
Objectives: The present study aimed to examine the effect of self-perineal care (SPC) education on episiotomy pain scores and wound healing outcomes.
Methods: ...
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Background: Pain and wound dehiscence cause physical and emotional traumas, impacting the mothers' quality of life, mental health, and maternal-child bonding.
Objectives: The present study aimed to examine the effect of self-perineal care (SPC) education on episiotomy pain scores and wound healing outcomes.
Methods: A quasi-experimental design was used in this study. In the third trimester, 125 primigravida mothers attended the antenatal clinic and were assigned to a SPC education group (n=62) and a control group (n=63). The intervention group received two phases of SPC education apart from the study hospital's routine care, and the mothers in the control group received only routine care. The primigravida mothers in the treatment group were provided SPC education content on their smartphones using the "SPCE" mobile application. Mothers in both groups self-reported their episiotomy pain score and wound healing outcome over 7 days post-childbirth using this mobile application.
Results: The overall pain and REEDA scores (redness, oedema, ecchymosis, discharge, approximation) were significantly lower in the intervention group than in the control group for the first 7-days post-delivery with P < 0.001 except for 4 h of baseline observation. For each activity of daily living, the scores were lower in the intervention group for the 7 days post-delivery.
Conclusion: Self-perineal care education positively reduced episiotomy pain scores and enhanced wound healing outcomes. This study empowered the primigravida mothers to take responsibility for their health by involving in a self-care education program.
Kuah Lee Peng; Tang Li Yoong; Ng Chin Jerk; Samira Mohajer; Mohammad Namazi Nia
Volume 24, Issue 8 , 2022
Abstract
Background: The Ottawa Decisional Conflict Scale (ODCS) is one of the initiatives developed to determine the information about the patient's decision and the factor that influence the decision made. Therefore, a systematic and structured process of decision-making can express the difficult action to ...
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Background: The Ottawa Decisional Conflict Scale (ODCS) is one of the initiatives developed to determine the information about the patient's decision and the factor that influence the decision made. Therefore, a systematic and structured process of decision-making can express the difficult action to be taken by patients.
Objectives: This study aimed to evaluate the psychometric properties of the Malaysian version of ODCS among cardiovascular patients undergoing major surgery.
Methods: This study used the forward-backward translation method to develop an instrument that enabled Malaysians to know about this variable. Therefore, the researcher decided to make a transcultural adaptation and evaluate the decision-making of the Malaysia version of the ODCS, which seeks information about decision-making and the factors that influence the choices made. This study was conducted from January 2015 to July 2016 through a convincing sampling of 520 cardiovascular patients who need to undergo major surgery with a focus on decision-making regarding the diseases.
Results: The results obtained on the reliability tests showed good internal consistency for all items (Cronbach ?=0.914-0.917). From the analysis, the Kaiser-Meyer-Olkin Measure of Sampling Adequacy was 0.886, while the significant value of Bartlett's Test of Sphericity was P<0.001. Therefore, the analysis concluded that the data were appropriate for principal component analysis.
Conclusion: The psychometric properties of the Malaysian version of the ODCS are considered appropriate to be administered to patients who need to undergo cardiac surgery. Patients' provision of information was able to decrease decisional conflict among them with cardiovascular disease.
Thalwaththe Gedara Nadeeka Shayamalie Gunarathne; Tang Li Yoong; Khatijah Lim Abdullah; Nishantha Nanayakkara; Lim Soo Kun; Samira Mohajer
Volume 24, Issue 6 , 2022
Abstract
Context: Stress is a common comorbid disorder among hemodialysis patients, and diverse factors contribute to stress perception in such individuals. Although numerous findings have been consistent across the literature, there has been a lack of consensus on which factor is the most influential on stress ...
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Context: Stress is a common comorbid disorder among hemodialysis patients, and diverse factors contribute to stress perception in such individuals. Although numerous findings have been consistent across the literature, there has been a lack of consensus on which factor is the most influential on stress perception. This systematic review aimed to provide an executive review on factors contributing to stress perception among hemodialysis patients.
Evidence Acquisition: A detailed search was carried out on Cumulative Index to Nursing and Allied Health Literature, PubMed, EBESCOhost, Google Scholar, Medline, and Web of Science databases. Rigorous search narrowed to 16 observational studies (n=3,567 participants) on factors determining stress perception among hemodialysis patients. Preferred Reporting Items for Systematic Reviews and Meta-Analysis guideline was incorporated. The selected 16 articles were used in the qualitative synthesis.
Results: Stressors were grouped as biological, psychological/behavioral, or social/environmental factors. It was revealed that the effects of socio-demographic factors on stress perception were scarce and inconsistent, while fatigue and itching were distressing biological factors. Limitations on time and place on vacation, limitation of food and fluid are psychological stressors and decrease in social life with substantial economic burden were enlightened as social stressors.
Conclusion: Multidisciplinary factors were found for stress perception among hemodialysis patients. Nursing care plans should address the holistic nature of stress with appropriate nursing interventions. Although this review adopted the strict selection criteria, it remains difficult to conclude determinants due to methodological drawbacks. Therefore, future research in this scope is highly appreciated with prospective longitudinal nature to produce solid clinical conclusions.
Samira Mohajer; Li Yoong Tang; Mei Chan Chong; Mahmoud Danaee; Seyyed Reza Mazlum; Nasser Bagheri
Volume 24, Issue 5 , 2022
Abstract
Background: Geriatric nursing is professional holistic care that requires special attention and the development of professional competence. No valid and reliable tool exists to evaluate professional geriatric competencies (PGC) of nursing students in professional practice which remains a debatable issue ...
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Background: Geriatric nursing is professional holistic care that requires special attention and the development of professional competence. No valid and reliable tool exists to evaluate professional geriatric competencies (PGC) of nursing students in professional practice which remains a debatable issue in nursing education. Therefore, the present study was conducted to fill data scarcity.
Objectives: The present study aimed to develop a Geriatric Nursing-Specific Mini-CEX (GN-Specific Mini-CEX) tool to evaluate the professional geriatric competencies of internship nursing students.
Methods: The present study is descriptive observational quantitative with a cross-sectional design. The Geriatric Nursing-Specific Mini-CEX tool was developed in seven skill domains and 40 items based on the core competencies of geriatric nursing, published literature, and expert opinions. Delphi method was applied to evaluate the face and content validity, and reliability was determined using Cronbach's alpha test through a pilot test. The modified tool was scored between 1 to 9 in each item of skill domains with a total score of 40 to 360. Higher scores indicate a higher professional geriatric competence for nursing students. Then, 160 internship undergraduate nursing students were selected by convenience sampling from Mashhad University of Medical Sciences (MUMS) as one of the major medical sciences universities of Iran ,in January 2020. One-day workshop of evaluators was held in two sessions and the professional geriatric competencies of students were evaluated by implementing case studies. The results were analyzed with inter-rater reliability and descriptive statistics.
Results: ICC values for seven components of geriatric nursing-specific Mini-CEX ranged from 0.639 to 0.919, indicating an acceptable level of reliability for this scale. The mean score of overall geriatric competence was (M= 6.12, SD=.33), which indicated that the geriatric competencies of students enrolled in the study were at a satisfactory moderate level. The highest and the lowest mean scores were observed in history taking /communication (M= 6.71, SD=.71) and physical examination skills (M= 4.99, SD=.67), respectively.
Conclusion: The results of this study indicate the feasibility of using new developed geriatric nursing-specific Mini-CEX tool to evaluate the professional geriatric competencies of nursing students through implementing case studies in professional clinical settings. The data obtained from the present study could be useful for nursing education to evaluate and redesign a curriculum for integrative core geriatric competencies as a process of quality improvement.
Zatul Himmah Mokhtar; Li Ping Wong; Mei Chan Chong; Abdulaziz Mansoor Al Raimi; Latifa Yahya Al Ajeel; Samira Mohajer
Volume 23, Issue 12 , 2021
Abstract
Background: Communication between cancer patients and healthcare providers plays a vital role in providing a better quality of life for cancer patients. However, it remains a debatable issue in society.
Objectives: This study aimed to determine the quality of communication (QOC) between cancer patients ...
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Background: Communication between cancer patients and healthcare providers plays a vital role in providing a better quality of life for cancer patients. However, it remains a debatable issue in society.
Objectives: This study aimed to determine the quality of communication (QOC) between cancer patients and doctors and its associated factors.
Methods: This cross-sectional study was performed on a total of 600 cancer patients in the oncology clinic admitted to the oncology ward. A 19-item QOC questionnaire was administered on patients, along with measuring how patients rate the quality of this communication about end-of-life care to improve communication between doctors and their patients.
Results: The cancer patients rated their doctors highly at "Including your loved ones in decisions about your illness and treatment", "Caring about you as a person", and "Answering all your questions". The areas that cancer patients rated relatively low included "Most doctors do not discuss how long the cancer patients might live" and "What dying might be like". The mean score for the overall doctor's QOC was obtained at 8.23±0.74. This indicated that the level of doctor communication was close to very good communication. The following factors contributed remarkably on the scores of QOC with doctors: being 71 years old and above, holding secondary school qualifications, being diploma/degree holder, working for the government, private sector, factory, or estate, and being self-employed, being diagnosed with cancer for more than 1 year, lacking monthly income, and not staying with family.
Conclusion The results of the study showed that socio-demographic factors of cancer patients, including age, education level, employment status, working sector, illness duration, and income, could affect communication, most of the time, negatively. This issue should be taken seriously for the improvement of the care of cancer patients.
Samira Mohajer; Li Yoong Tang; Mei Chan Chong; Mahmoud Danaee; Seyyed Reza Mazlum; Nasser Bagheri
Volume 23, Issue 12 , 2021
Abstract
Background: Professional self-concept (PSC) is an important issue concerning the nursing profession and is reflected as the key concept in nursing professionalism. Although previous studies investigated this concept and its related factors among nursing students, their results showed no consensus.
Objectives: ...
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Background: Professional self-concept (PSC) is an important issue concerning the nursing profession and is reflected as the key concept in nursing professionalism. Although previous studies investigated this concept and its related factors among nursing students, their results showed no consensus.
Objectives: This study aimed to assess PSCs among senior nursing students and examine their relationship with gender and Grade Point Average (GPA).
Methods: This cross-sectional study included 157 nursing students selected by a convenience sampling among senior nursing students in the seventh semester in January 2020 at Mashhad University of Medical Sciences, Mashhad, Iran. The data were collected using Cowin's 36-item Nursing Professional Self-Concept questionnaire, which measures nursing self-concept in six dimensions.
Results: Undergraduate nursing students were 22-24 years old (22.58±98). Moreover, two-thirds of the students were female (66%) and married (71%). The nursing students reported a total mean score of PSC to be 161.1±3.27. The highest mean score of the PSC dimensions belonged to communication (27.7±1.17), and the lowest mean score was observed for self-esteem (25.52±1.06). In addition, there was no significant difference among gender, total PSC, and its dimensions, and there was no relationship with GPA, except for the staff relations (r=-0.198, P<0.05) and leadership (r=-0.210, P<0.05), which showed a negative and significant correlation; however, the correlation coefficients were not strong (P<0.3).
Conclusion: Due to a moderate level of total PSC and the lowest dimensions in self-esteem among nursing students, it is recommended that nursing students' PSC and its dimensions, specifically in self-esteem, be taken into account, which can boost their nursing professionalism.
