Cluster Hospital Initiative (CHI) in Malaysia is a hospital merger exercise to establish an integrated network of specialist and non-specialist hospitals. The resource sharing, services realignment, and better care coordination from this integration have been shown to improve operational efficiency and quality of care from the providers’ perspective. However, there are very limited studies which focus on the effects of hospital merger on patients. Therefore, this study aims to explore patients’ and caregivers’ experiences of CHI. A qualitative study using purposive sampling was conducted from July to August 2017 at the three pilot sites. Semi-structured in-depth interviews were conducted with 85 patients and caregivers who received healthcare services before and after CHI. Interviews were audio-recorded and transcribed verbatim. Data were analysed using thematic text analysis. Three main themes transpired from the analysis were changes in healthcare service delivery, time spent on healthcare-related activities, and financial implications. Firstly, participants were generally satisfied with the increased access to specialist services, better quality of care, and upgraded equipment and facilities. Secondly, many participants experienced a shorter waiting time and reduced travelling time after CHI. Thirdly, CHI led to financial savings for the participants in terms of reduced out-of-pocket expenditure and productivity loss. This study demonstrated that the implementation of CHI appeared to be well-received by the patients. The expected benefits brought on by hospital mergers were also acknowledged by the study participants. A follow-up study is recommended due to the short duration of CHI implementation and low awareness about the initiative among patients.
Background:The Malaysian nurses encounter many barriers in their involvement in clinical research [and also in research utilization (RU)]. Objective: This cross-sectional survey utilized a self-administered questionnaire within a study population of the Malaysian nurses working in a government hospital to determine the level of involvement of nurses in clinical research at Hospital Putrajaya from May to August 2015, which led to an assessment of the level of association between a list of pre-specified demographic and job-related characteristics and the involvement of nurses in clinical research, in order to identify any plausible factors which might have an association with either facilitating or hindering these nurses from their involvement in clinical research. Methods: After having prepared and validated the self-administered questionnaires for this study, they were then distributed to a total of 406 nurses working in Hospital Putrajaya. This self-administered questionnaire was specifically designed to achieve the objectives of this study which aimed to collect the baseline socio-demographic information of the respondents, and also information pertaining to their nursing practice and their participation in activities that were related to nursing research. Results: This study had provided some valuable insights into several plausible factors that were associated with the low level of involvement of Malaysian nurses in clinical research. Conclusion: The study provides valuable information for formulating strategies to increase nurses' participation in research activities at Hospital Putrajaya by providing more research training opportunities and enhancing the level of awareness and increasing the accessibility to these resources by the nurses.
The Food Safety and Quality Division (FSQD) in Malaysia is the competent authority tasked with ensuring food safety throughout the food supply chain within the country. Despite implementing various regulations toward improving food hygiene standards in Malaysia, outbreaks of food poisoning cases continued to occur in Malaysia. This cross-sectional study was designed to explore the occurrence of food poisoning incidents in Malaysia, within the Pahang state, from 2013 to 2018 via both reported passive case detection (PCD) and active case detection (ACD) food poisoning incidents. Upon detecting all the food poisoning cases using both PCD and ACD, the people identified to have suffered from food poisoning underwent a structured interview for investigators to elicit all relevant information about the food poisoning incident. Results showed that in Pahang, the number of reported episodes fluctuated from 2013 until 2018, with an average of 21 food poisoning episodes occurring yearly, reaching a maximum in August and a minimum in May. Furthermore, Kuantan, being the state capital, had reported an exceptionally high total number of reported incidents of food poisoning with a total of 48 episodes over six years from 2013 to 2018, while Kuala Lipis had only one incident reported during the same period (which was reported in 2016). Finally, this study concluded that adequate measures must always be taken to minimise the occurrence of food poisoning, especially when preparing foods in large quantities.
Purpose The purpose of this paper is to understand how digital media technologies can enhance offender rehabilitation in correctional institutions. Design/methodology/approach A qualitative approach was adopted for this study involving young prisoners who had been incarcerated for at least six months. In total, 16 participants who fulfilled the criteria of listening to at least 30 of the podcasts were eventually selected for face-to-face interview. Findings This study focuses on how the radio podcast impacted the rehabilitation process of the 16 young inmates. From data collected through the interviews, three major themes emerged from the study, namely, reflective thinking, increased motivation to change and structured routines. The participants highlighted how these factors are essential in moving them towards successful rehabilitation upon their release. Research limitations/implications A convenient sample was used as there was a lack of a more diverse sample to better represent the prison population in Singapore. The number of participants who took part in the study were limited and only young inmates. Thus, the outcome of the research may not be directly applicable to the general prison population. Another issue is that media has short-lived effects and does not encourage persistent learning, it would be prudent to explore other options that can complement the radio podcasts. Originality/value The study indicated that the use of digital media technology can effectively aid the rehabilitation of offenders in Singapore. It enhanced work efficiency since fewer resources were required as inmates can have podcast access within their cells. The content of the podcasts complements the overall framework of rehabilitation for young inmates when they are serving their sentences in the institutions.
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