The rationale for reluctance towards PEG feeding observed in this regions was explained by lack of education, knowledge, communication, team work, and financial support. Future studies should assess the effects of educational programmes among HCPs and changes in policies to promote affordability on the utilization of PEG feeding in this region.
Background
Stroke is one of the top 10 leading diseases worldwide, with high mortality and morbidity rates. There is an incomplete understanding of the various types of self-efficacy involved in the prevention of recurrent stroke, and one of them is medication-taking self-efficacy.
Objective
This study aimed to explore the fundamental needs and barriers of medication-taking self-efficacy in poststroke patients in Malaysia.
Methods
We performed in-depth individual interviews with poststroke patients (N=10) from the Outpatient Neurology Clinic, Hospital Kuala Lumpur. All interviews were transcribed verbatim, and an inductive thematic analysis was performed on the data collected from the interviews.
Results
Two key themes were identified: (1) self-efficacy in taking the effort to understand stroke and its preventative treatment for recurrent stroke and (2) self-efficacy in taking prescribed medication to prevent stroke. Patients needed to be proactive in seeking reliable information about stroke and the perceived benefits of preventative treatment for stroke. The discussion was focused on eliciting the needs and barriers related to medication-taking self-efficacy. Patients needed to develop independence and self-reliance to overcome barriers such as dependency and low motivation. External factors such as limited information resources, low perceived severity, poor social environment, and poor communication add to the challenges of poststroke patients to improve their self-efficacy of managing their medications.
Conclusions
The study identified potential key findings related to the needs of patients in a localized setting, which are also related to several health behavioral concepts and constructs, indicating the importance of overcoming barriers to improve the quality of life in poststroke patients. We anticipate that the results will be taken into consideration for future personalized patient education interventions.
Background
Every individual deserved to have good death. Good death is ‘peaceful and dignified’ without unnecessary suffering of dying. Nursing perspective of ‘a good death’ is centred in the ability to provide comfort to all involved. Even though many studies have highlighted nurses' perspectives on end-of-life-care, this is the first study conducted among Malaysian nurses'.
Aim
This study aims to investigate palliative nurses' knowledge and perception on end-of-life-care, death and dying.
Methods
A survey was conducted using questionnaire among 177 palliative nurses working in a urban hospital,
Results
Majority of the respondents (75%) had good knowledge on end of life care but have poor perception on end-of-life- care (57%), experiences towards moment of death (56%) and experience at the end-of-life (86%). Only 31 (15.5%) scored good perception on the overall care. The χ2 statistic showed a significant relationship between age and work experience with nurses and perception on end-of-life- care at p value of <0.05.
Discussion
Although efforts are being made to improve nurses knowledge on end of life care, practicing nurses still lack of knowledge in providing end-of-life -care and the study findings shows poor perception on end of life care, death and dying. One of the reasons could be due to lack of experience with majority of nurses have less than 1 year experience and below 30 years old.
Conclusion
Continued practice development is needed in improving end- of- life- care.
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