Papers by Khatijah L Abdullah
International Journal of Social Psychiatry
Background: Schizophrenia is one of the most complicated psychiatric disorders, and, although med... more Background: Schizophrenia is one of the most complicated psychiatric disorders, and, although medication therapy continues to be the core treatment for schizophrenia, there is a need for psychotherapy that helps in providing patients comprehensive mental health care. Psychoeducation is one of the most recognized psychosocial interventions specific to schizophrenia. Further knowledge about the impact of this type of intervention on patients diagnosed with schizophrenia needs to be acquired. Aim: This review aimed to explore the effects of psychoeducational interventions on improving outcome measures for patients diagnosed with schizophrenia. Methods: The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guideline was used in this systematic review. Two reviewers were involved in screening articles for inclusion and in the data extraction process. The selected studies were assessed for quality using the ‘Consolidated Standards of Reporting Trial (CONSORT)’ che...
The Journal of Continuing Education in Nursing
ritical thinking has been defined in various ways in the literature. Robert and Petersen (2013) d... more ritical thinking has been defined in various ways in the literature. Robert and Petersen (2013) defined critical thinking as comprising logical reasoning, strategic cognition, and decisiveness that is vital in various types of decision making. Despite the various definitions of critical thinking, there is an underlying consensus that critical thinking is purposeful thinking that involves reflective reasoning prior to deriving a conclusion, which leads to a clinical decision (Lee, Abdullah, Subramanian, Bachmann, & Ong, 2017). The health care domain has become more complex and challenging following the rapid growth in information technology, shrinking resources, and cost constraints (Hooper, 2014). For nurses to function effectively in today's health care environment, they must cultivate stronger critical thinking skills that will enable them to filter and synthesize information competently and become experts in solving individualized and contextual specific problems (Azizi-Fini, Hajibagheri, & Adib-Hajbaghery, 2015). In fact, critical thinking skills have a significant positive relationship with nursing competence and are perhaps the most distinguishing attribute of an expert nurse (Chang, Chang, Kuo, Yang, & Chou, 2011
Family Medicine and Community Health
ObjectiveThe aim of this study was to analyse the factors associated with the intention of Indone... more ObjectiveThe aim of this study was to analyse the factors associated with the intention of Indonesian nursing students to work in rural areas.DesignThis was a cross-sectional study. The instrument used was a self-developed questionnaire consisting of 13 questions.The data were analysed using the χ2 statistics test and binary logistic regression with a level of significance <0.05.SettingThe study was conducted at a public nursing school located in urban Surabaya, East Java, Indonesia, in December 2017.ParticipantsA total of 714 nursing students from four different programmes were involved.ResultsThis study found that almost 60% of nursing students were reluctant to work in rural areas. Of the three variables which were significant in the χ2 analysis, only two were significant following the logistic regression test, namely the class programmes of undergraduate regulars (OR=2.274; 95% CI 1.326 to 3.900), profession regulars (OR=2.262; 95% CI 1.110 to 4.607) and rural place of origin...
Journal of Obstetric, Gynecologic & Neonatal Nursing
Objective: To identify the efficacy and safety of the use of various cost‐effective reflective ma... more Objective: To identify the efficacy and safety of the use of various cost‐effective reflective materials around phototherapy units to reduce the duration of phototherapy and hasten the reduction of bilirubin among neonates with physiologic jaundice. Data Sources: A systematic review of randomized controlled trials identified from searches in the Cumulative Index to Nursing and Allied Health Literature, ScienceDirect, Embase, and the Cochrane Library with the use of keywords, MeSH terms, operators, and the review of reference lists of retrieved articles. Study Selection: From a total of 186 studies initially screened, five were eventually included in this analysis. Data Extraction: Two authors independently reviewed each study with a standard template. Review parameters included the quality of each study based on the Physiotherapy Evidence Database scale and the Consolidated Standards of Reporting Trials guidelines. Data Synthesis: All studies were generalizable and were rated as high quality on the Physiotherapy Evidence Database scale; one study scored 8 points, and the other four scored 6 points each. The reflective materials used in these studies included the following: white 100% cotton cloths (one study), white plastic covers (two studies), underpads (one study), and silver fabric cloth (one study). Pooled analysis of three studies indicated that reflective materials significantly reduced the duration of phototherapy with a large effect size of 0.82 (p = .04). Pooled analysis of another three studies indicated that the mean decrease of the total serum bilirubin 4 hours after the initiation of phototherapy was significantly greater when reflective materials were added (mean difference of 11.39 &mgr;mol/L, 95% confidence interval [2.26, 20.52 &mgr;mol/L], p = .01). Conclusion: The addition of reflective materials to phototherapy units may be therapeutic for neonates with physiologic jaundice.
International Journal of Disaster Risk Reduction
Abstract Disaster, whether natural or man-made, is an unpredictable event that occurs worldwide a... more Abstract Disaster, whether natural or man-made, is an unpredictable event that occurs worldwide and may cause untold damage to the environment and its occupants. In the aftermath, deployment of volunteer workers into disaster zone is a necessary part of the effort to provide relief to disaster victims. Hence, the objective of this study is to explore the experiences of disaster relief volunteers in Malaysia who has served in disaster relief efforts. Ten participants from among doctors and nurses who have worked as disaster relief volunteers were purposively selected for qualitative in-depth interviews. The data gathered during the interviews were analyzed using thematic analysis. Five main themes emerged in the data analysis process, namely, Limited Resources, Reactions, Support, Preparation and Gratification. The theme reveals the challenges faced by the participants and the toll taken on their psychological, emotional, and physical wellbeing. It also reveals the factors that could lessen the toll. In conclusion, we find it imperative for volunteer organizations, employers, and health bodies alike to recognize the need revealed in this study in order to provide the necessary support to prevent the possible damaging effect of disaster relief works on volunteers.
MDM Policy & Practice
Objective. To explore and compare the influences of individual-level cultural values and personal... more Objective. To explore and compare the influences of individual-level cultural values and personal attitudinal values on the desire for medical information and self-involvement in decision making in Australia and China. Methods. A total of 288 and 291 middle-aged adults from Australia and China, respectively, completed an online survey examining cultural and personal values, and their desired level of self-influence on medical decision making. Structural equation modeling was used to test 15 hypotheses relating to the effects of cultural and personal antecedents on the individual desire for influence over medical decision making. Results. Similar factors in both Australia and China (total variance explained: Australia 29%; China 35%) predicted desire for medical information, with interdependence (unstandardized path coefficient βAustralia = 0.102, P = 0.014; βChina = 0.215, P = 0.001), independence (βAustralia = 0.244, P < 0.001; βChina = 0.123, P = 0.037), and health locus of con...
International Journal Of Community Medicine And Public Health
Background: The process of caring for a schizophrenic client creates a stressful situation;…
International Journal of Integrated Care
Background: The literature review on the implementation of care pathways is very diverse, there a... more Background: The literature review on the implementation of care pathways is very diverse, there are active implementation and passive implementation. Therefore, the best strategy of implementation of the care pathway is still unclear. Objective: This literature review aimed to identify the component of the development and implementation of the care pathway. Methods: The research was conducted on five research databases. To optimize the research strategy, keywords used were identified via the medical subject headings (Mesh terms), their synonyms, and using operators such as truncation, wildcard, and Boolean operators. For quantitative studies, JBI Meta-Analysis of Statistics Assessment and Review Instrument (MAStARI) was utilized to assess the quality of studies. Furthermore, the quality assessment of qualitative studies was based on JBI Qualitative Assessment and Review Instrument (QARI). Results: The search revealed 1015 articles. Of these, 11 articles met the inclusion criteria for this review. One randomized controlled trial was reported. The majority of these articles reported baseline and post-implementation pathway. The studies emerged from the United Kingdom, the United States, Singapore, the Netherlands, Canada, and Australia. The implementation process is completed through four phases. The planning phase assesses the current practice and determines whether the provided health care is in compliance with the guidelines, a crucial step before implementing care pathways. The reviewed studies reported different methods: site visiting, preaudit chart, structured questionnaire. The design phase begins with the selection of an appropriate clinical condition, then an agreement about the components of care pathways which based on the questionnaire and Delphi. The majority of reviewed studies reported that the implementation phase is based on the education of staff. However, specific details related to the education sessions of the care pathways were not discussed. Finally, the evaluation phase was used audit charts, questionnaire and focus group. Inadequate reliability and validity of the questionnaire were noted. Conclusions: Existing data demonstrate there is agreement on four mean phases when applying care pathways, however, there are still a diversity of key factors of each phase.
Journal of Psychosocial Rehabilitation and Mental Health
Journal of Clinical Nursing
AIM AND OBJECTIVES To determine the prevalence of psychological distress and its association with... more AIM AND OBJECTIVES To determine the prevalence of psychological distress and its association with job satisfaction among nurses in a teaching hospital in Malaysia. BACKGROUND Nurses constitute the majority of health care workers, and, compared to other professions, nursing profession is highly stressful, and, hence, a cause of anxiety and depression. This may affect nurses' job satisfaction. METHOD Using self-administered questionnaires; depression, anxiety, and stress scale (DASS-21), and Job Satisfaction Scale for Nurses (JSS), a cross-sectional study of 932 nurses from the inpatient departments of a teaching hospital was conducted in December 2017. Descriptive analyses and multiple logistic regressions were used for the analysis. The STROBE guideline was used in this study. RESULTS The overall prevalence of psychological distress was 41%. The prevalence of stress, anxiety, and depression were 14.4%, 39.3%, and 18.8%, respectively. It was found that single and widowed nurses had a higher level of stress, anxiety and depression compared to married nurses. In addition, nurses of age 26-30 years had a higher level of depression than nurses in other age groups. Also, nurses who worked in the paediatric departments had a higher level of depression compared to nurses in other departments. The majority of the nurses were satisfied with their job at 92.0%. Those nurses who were not satisfied were found to be significantly associated with a high level of stress and depression. CONCLUSION This study revealed that the level of stress, anxiety, and depression is high. Stress and depression were found to be associated with nurses' low job satisfaction. RELEVANCE TO CLINICAL PRACTICE Stress and depression can affect nurses job satisfaction, it is important for nursing managers to institute strategies to address this issue. This article is protected by copyright. All rights reserved.
Family Medicine and Community Health, 2019
The aim of this study was to analyse the factors associated with the intention of Indonesian nurs... more The aim of this study was to analyse the factors associated with the intention of Indonesian nursing students to work in rural areas. This was a cross-sectional study. The instrument used was a self-developed questionnaire consisting of 13 questions. The data were analysed using the χ 2 statistics test and binary logistic regression with a level of significance <0.05. The study was conducted at a public nursing school located in urban Surabaya, East Java, Indonesia, in December 2017. A total of 714 nursing students from four different programmes were involved. This study found that almost 60% of nursing students were reluctant to work in rural areas. Of the three variables which were significant in the χ 2 analysis, only two were significant following the logistic regression test, namely the class programmes of undergraduate regulars (OR=2.274; 95% CI 1.326 to 3.900), profession regulars (OR=2.262; 95% CI 1.110 to 4.607) and rural place of origin (OR=1.405; 95% CI 1.036 to 1.906)...
International Journal of Nursing Practice
To investigate semantic equivalence between two translated versions of the heart quality of life ... more To investigate semantic equivalence between two translated versions of the heart quality of life (HeartQoL) questionnaire produced by the forward-backward and dual-panel methods. The forward-backward and dual-panel versions of HeartQoL were self-administered among 60 participants who met the inclusion criteria of being a native Bahasa Malaysia-speaking Malay, aged 18 and older, having an indexed diagnosis of ischaemic heart disease and being cognitively fit. The administration sequence of the two versions was randomized. Additionally, three sociolinguists, who were blinded to translation processes and survey findings, rated the translated versions against the source version on three aspects of semantic equivalence. Textual content in both translated versions was considerably similar (n = 9/14 items, ≈64%). The overall results from weighted kappa, raw agreement, intraclass correlations, and Wilcoxon signed-rank as well as experts&amp;amp;#39; ratings were confirmative of semantic equivalence between the forward-backward and dual-panel versions of the HeartQoL. However, some mixed findings were indicative of potential gaps in both translated versions against the source version. Both the forward-backward and dual-panel methods produced semantically equivalent versions of HeartQoL; but translation alone is insufficient to narrow the subtle gaps caused by differences in culture and linguistic style.
British Journal of Nursing
atient advocacy is not a new role for nurses, or a new obligation for the nursing profession. The... more atient advocacy is not a new role for nurses, or a new obligation for the nursing profession. The role of a patient advocate is an ethical ideal for professional nurses based on the notion that nurses provide continuity of care, and therefore have a greater intimacy with the patient (Matthews, 2012). This is an ideal that is supported and endorsed by numerous international nursing
Nurse Education Today
BACKGROUND Peer learning experiences have been reported in previous qualitative studies, however ... more BACKGROUND Peer learning experiences have been reported in previous qualitative studies, however individual findings could limit practical leverage due to small sample size. Thus it is necessary to integrate invaluable findings from various qualitative studies to consider appropriateness and acceptability of peer learning in professional nurse education. OBJECTIVE To identify and synthesize qualitative evidence of peer learning experiences of undergraduate nursing students so as to understand their perceptions on peer learning experiences. DESIGN A qualitative systematic review was conducted in accordance with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement. DATA SOURCES Database searching was conducted on electronic databases such as Cumulative Index to Nursing and Allied Health Literature (CINAHL), Science Direct, and MEDLINE that published from 2007 to 2017. REVIEW METHODS Qualitative studies were appraised using the Critical Appraisal Skills Programme (CASP). Thematic analysis was used to analyse the data using line by line coding, organising coding into descriptive themes, and interpreting further to generate new insights. RESULTS Six studies were included in this review. The most common themes identified were integrated into two new insights including personal development and professional development. CONCLUSION This review has revealed that peer learning experiences contribute to the learning process of undergraduate nursing students in preparing them to become professional nurses through personal development and professional development.
Journal of clinical nursing, Jan 5, 2018
To investigate the effectiveness of a structured nursing intervention program on maternal stress ... more To investigate the effectiveness of a structured nursing intervention program on maternal stress and NICU-related maternal ability after the admission of premature infants to a neonatal intensive care unit (NICU). Mothers of premature infants may face stress having premature infants, and their infants may be admitted to the NICU for a few weeks or months. The mothers' experience of stress would be worse if they have low knowledge and poor NICU-related maternal ability. Mothers of infants admitted to the NICU require well-planned interventions to cope with psychological matters arising after an infant hospitalisation. Quasi-experimental design. A total of 216 mothers were consecutively assigned to control and intervention groups. Each group consisted of 108 mothers. The mothers in both groups received questionnaire concerning maternal stress and NICU-related ability during their first visit to NICU (within 48 hr of admission). A structured nursing intervention was implemented for...
BMC family practice, Jan 23, 2018
Evidence-Based Medicine (EBM) integrates best available evidence from literature and patients'... more Evidence-Based Medicine (EBM) integrates best available evidence from literature and patients' values, which then informs clinical decision making. However, there is a lack of validated instruments to assess the knowledge, practice and barriers of primary care physicians in the implementation of EBM. This study aimed to develop and validate an Evidence-Based Medicine Questionnaire (EBMQ) in Malaysia. The EBMQ was developed based on a qualitative study, literature review and an expert panel. Face and content validity was verified by the expert panel and piloted among 10 participants. Primary care physicians with or without EBM training who could understand English were recruited from December 2015 to January 2016. The EBMQ was administered at baseline and two weeks later. A higher score indicates better knowledge, better practice of EBM and less barriers towards the implementation of EBM. We hypothesized that the EBMQ would have three domains: knowledge, practice and barriers. Th...
Journal of Pediatric Nursing
BMJ open, May 9, 2017
To investigate whether the use of apatient decision aid (PDA) for insulin initiation fulfils its ... more To investigate whether the use of apatient decision aid (PDA) for insulin initiation fulfils its purpose of facilitating patient-centred decision-making through identifying how doctors and patients interact when using the PDA during primary care consultations. Conversation analysis of seven single cases of audio-recorded/video-recorded consultations between doctors and patients with type 2 diabetes, using a PDA on starting insulin. Primary care in three healthcare settings: (1) one private clinic; (2) two public community clinics and (3) one primary care clinic in a public university hospital, in Negeri Sembilan and the Klang Valley in Malaysia. Clinicians and seven patients with type 2 diabetes to whom insulin had been recommended. Purposive sampling was used to select a sample high in variance across healthcare settings, participant demographics and perspectives on insulin. Interaction between doctors and patients in a clinical consultation involving the use of a PDA about startin...
Medical decision making : an international journal of the Society for Medical Decision Making, 2017
Research suggests that desired family involvement (FI) in medical decision making may depend on c... more Research suggests that desired family involvement (FI) in medical decision making may depend on cultural values. Unfortunately, the field lacks cross-cultural studies that test this assumption. As a result, providers may be guided by incomplete information or cultural biases rather than patient preferences. Researchers developed 6 culturally relevant disease scenarios varying from low to high medical seriousness. Quota samples of approximately 290 middle-aged urban residents in Australia, China, Malaysia, India, South Korea, Thailand, and the USA completed an online survey that examined desired levels of FI and identified individual difference predictors in each country. All reliability coefficients were acceptable. Regression models met standard assumptions. The strongest finding across all 7 countries was that those who desired higher self-involvement (SI) in medical decision making also wanted lower FI. On the other hand, respondents who valued relational-interdependence tended t...
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Papers by Khatijah L Abdullah