Is Reflective Practice a Useful Task for Student Nurses?

Mei Chan Chong 한국간호과학회 2009 Asian Nursing Research Vol.3 No.3

Background Reflective practices have been advocated as a method to bridge the gap between nursing theory and practice, and as a tool to develop knowledge embedded in practice. Aim The aim of this study was to examine the perceptions of student nurses towards reflective practice in their clinical practice. Methods A cross sectional descriptive survey was carried out to examine the perception of a cohort of 108 final year, pre-registration Diploma of Nursing students towards reflective practice. A structured questionnaire was used to collect the quantitative data. The questionnaire consisted of two parts; part A: perception of students towards reflective practice; and part B: issues reflected by students. Data collected were analyzed using descriptive statistics. All (n = 98) students completed the questionnaire. Results The mean score of perception to reflective practice was 4.07. Students found reflective practice useful to them with a mean score of 3.82, despite the perceived barrier to good reflective practice with a mean of 3.60. The perception on the appropriateness of reflective practice as a tool to assess was 3.47. The validity of reflective practice as an assessment tool for practical examinations was not conclusive, as the mean score was only 3.47. Conclusion The results indicated that even though some students were skeptical with reflective practice, they found it useful. The College of Nursing should review the content of reflective practice and prepare nurse educators for their role in teaching this subject more effectively. Background Reflective practices have been advocated as a method to bridge the gap between nursing theory and practice, and as a tool to develop knowledge embedded in practice. Aim The aim of this study was to examine the perceptions of student nurses towards reflective practice in their clinical practice. Methods A cross sectional descriptive survey was carried out to examine the perception of a cohort of 108 final year, pre-registration Diploma of Nursing students towards reflective practice. A structured questionnaire was used to collect the quantitative data. The questionnaire consisted of two parts; part A: perception of students towards reflective practice; and part B: issues reflected by students. Data collected were analyzed using descriptive statistics. All (n = 98) students completed the questionnaire. Results The mean score of perception to reflective practice was 4.07. Students found reflective practice useful to them with a mean score of 3.82, despite the perceived barrier to good reflective practice with a mean of 3.60. The perception on the appropriateness of reflective practice as a tool to assess was 3.47. The validity of reflective practice as an assessment tool for practical examinations was not conclusive, as the mean score was only 3.47. Conclusion The results indicated that even though some students were skeptical with reflective practice, they found it useful. The College of Nursing should review the content of reflective practice and prepare nurse educators for their role in teaching this subject more effectively.

What Influences Malaysian Nurses to Participate in Continuing Professional Education Activities?

Mei Chan Chong,Kenneth Sellick,Karen Francis,Khatijah Lim Abdullah 한국간호과학회 2011 Asian Nursing Research Vol.5 No.1

Purpose A cross sectional descriptive study, which involved government hospitals and health clinics from Peninsular Malaysia sought to identify the continuing professional education (CPE) needs and their readiness for E-learning. This paper focuses on the first phase of that study that aimed to determine the factors that influence nurses’ participation in CPE. Methods Multistage cluster sampling was used to recruit 1,000 nurses randomly from 12 hospitals and 24 health clinics from four states in Peninsular Malaysia who agreed to be involved. The respondent rate was 792 (79.2%), of which 562 (80%) had participated in CPE in the last 12 months. Results Findings suggested that updating knowledge and providing quality care are the most important factors that motivate participation in CPE, with respective means of 4.34 and 4.39. All the mean scores for educational opportunity were less than 3.0. Chi-square tests were used to test the association of demographic data and CPE participation. All demographical data were significantly associated with CPE participation,except marital status. Conclusions Implementation of mandatory CPE is considered an important measure to increase nurse’s participation in CPE. However, effective planning that takes into consideration the learning needs of nurses is recommended. [Asian Nursing Research 2011;5(1):38–47]

Deficiency of Crif1 in hair follicle stem cells retards hair growth cycle in adult mice

( Jae Kyung Lee ),( Jung-min Shin ),( Xue Mei Li ),( Jin Gwi Yoo ),( Dong-kyun Hong ),( Jin-hyup Lee ),( Chong Won Choi ),( Kyung Duck Park ),( Young Lee ),( Young-joon Seo ),( Jeung-hoon Lee ),( Chan 대한피부과학회 2018 대한피부과학회 학술발표대회집 Vol.70 No.2

Background: Hair follicle is a self-renewing organ showing cyclicity, indicating the presence of hair follicle stem cells (HFSCs). Crif1 is a mitochondrial protein which regulates the synthesis and insertion of oxidative phosphorylation polypeptides by interacting with mitoribosomal large subunit. Previous study indicates that hair morphogenesis is severely hampered in epidermal specific Crif1 knockout newborn mice (K14-Cre;Crif1fl/fl). Objectives: We investigated the effect of hair follicle stem cell-specific mitochondrial dysfunction on the hair growth cycle. Methods: We generated HFSCs inducible conditional knockout mice for Crif1 gene. Results: K15-CrePR;Crif1fl/fl showed a retarded hair growth cycle. Furthermore, during transition between telogen and anagen, the activation of HFSCs was significantly reduced in K15-CrePR;Crif1fl/fl mice. However, FACS analysis showed that the considerable amount of HFSCs were present in hair bulge region of K15-CrePR;Crif1fl/fl mice. Conclusion: These results demonstrate that mitochondrial function in HFSCs is essential for the proceeding of hair growth cycle in terms of HFSC activation, but not for maintenance of HFSCs.

A summary of the Malaysian Clinical Practice Guidelines on the management of postmenopausal osteoporosis, 2022

Terence Ing Wei Ong,Lee Ling Lim,Siew Pheng Chan,Winnie Siew Swee Chee,Alan Swee Hock Ch’ng,Elizabeth Gar Mit Chong,Premitha Damodaran,Fen Lee Hew,Luqman bin Ibrahim,Hui Min Khor,Pauline Siew Mei Lai 대한골다공증학회 2023 Osteoporosis and Sarcopenia Vol.9 No.2

Objectives: The aim of these Clinical Practice Guidelines is to provide evidence-based recommendations to assist healthcare providers in the screening, diagnosis and management of patients with postmenopausal osteoporosis (OP). Methods: A list of key clinical questions on the assessment, diagnosis and treatment of OP was formulated. A literature search using the PubMed, Medline, Cochrane Databases of Systematic Reviews, and OVID electronic databases identified all relevant articles on OP based on the key clinical questions, from 2014 onwards, to update from the 2015 edition. The articles were graded using the SIGN50 format. For each statement, studies with the highest level of evidence were used to frame the recommendation. Results: This article summarizes the diagnostic and treatment pathways for postmenopausal OP. Risk stratification of patients with OP encompasses clinical risk factors, bone mineral density measurements and FRAX risk estimates. Non-pharmacological measures including adequate calcium and vitamin D, regular exercise and falls prevention are recommended. Pharmacological measures depend on patients’ fracture risk status. Very high-risk individuals are recommended for treatment with an anabolic agent, if available, followed by an anti-resorptive agent. Alternatively, parenteral anti-resorptive agents can be used. High-risk individuals should be treated with anti-resorptive agents. In low-risk individuals, menopausal hormone replacement or selective estrogen receptor modulators can be used, if indicated. Patients should be assessed regularly to monitor treatment response and treatment adjusted, as appropriate.