AsSalam lama saya.tidak menulis..

LAWATAN KE KOREA 16-23 JUN SEMPENA ICN 2015

-Tiada pekerja asing di korea -Tandas di sini tidak perlu bayaran -Mereka 'Friendly' dgn pelanggan atau pelancong di sini -Apartment di sini bagus dan bangunannya menarik perhatian pelancong -Sistem 'train' mereka teratur dan senang difahami kata kunci utk memahami sistem mereka adalah (open your eyes and your mind) 'TRAIN' mereka habis pada jam 12 malam -Negara korea ini sangat bersih dan pekerja mereka tidak menerima 'tips' -Rombongan kami seramai 22 orang -Kami sampai di korea pada 1 ramadhan -conference kami diadakan di Coex Bersebelahan dengan bangunan World Trade Center & Coex Artium (SMTOWN) -pada hari pertama kami berada di seoul,korea kami pergi ke Namdaemun Market & Dongdaemun -19 jun pada jam 6 ptg terdapat opening ceremony yang dirasmikan oleh Presiden Korea dan telah disiarkan di seluruh korea dan beberapa negara -sesiapa yang tidak mengikuti conference mereka berjalan di kawasan Gangnam-Gu -beberapa orang mengikuti guide manakala yang lain jalan sendiri -terdapat HELLO KITTY CAFE yang terletak di Hapjeong -Harga tiket Cabel Car Namsan Tower : adult = 6 000 won- 8 500 won -Kami selalu menaiki subway line number 2, Line 4 dan Line 9 kerana hotel kami (Gangnam Residence Hotel) terletak di Gangnam subway Line 9

Refleksi lawatan ke Bumi Aotearoa (New Zealand) 7April hingga 22April 2014

Salam mesra dan salam sejahtera. Kali ni saya ingin berkongsi pengalamana lawatan yang telah saya lalui sempena menghadiri Graduasi anak bongsu saya Muhammad Faizi diUniversiti Canterbary New Zealand baru baru ini.There is nothing related on my field but just my observations during the recent visit. 1.Airport yang mesra pelanggan, banyak tempat duduk untuk pelanggan, play ground untuk kanak kanak. 2Re pack Lugage dan facility untuk disable dan senior citizen. Boleh diberikan 5 bintang. Lawatan ke Queenstown satu pengalaman yang menarik. cantik dan bersempenan pula ada lawatan Princess /Duke Harry ke sana. Lagi hebat persediaan mereka. Beberapa aktiviti diatur sempena lawatan VVIP ini. Sungguh pun hujan dan agak sejuk cuaca 5C ianya tidak mematahkan semangat penduduk disitu menunggu kerabat diraja UK ini. 3. Majlis Graduasi anak saya di Dewan Besar yang boleh memuat hampir 3000 orang berjalan lancar. Tiket jemputan ditulis dalam kad jelas 120ptg masuk para jemputan tetapi selepas 145 dibuka kapada orang ramai. FOC Tiket satu orang graduan 3 orang jemputan. Didewan terdapat 33 bendera dari negara luar dikibarkan dalam dewan yang melambangkan terdapat 33 negara dari pelajar asing selain drp NZ. 4.10 Program dipamerkan melalui Banner yang dibezakan melalui warna masing masing. Contohnya Engineering warna Ungu dan merah Komputer. 5. Semasa aturcara drp awal hingga akhir tiada MC . Acara berjalan satu persatu ikut dlm Buku Programme. 6. Graduan bila ambil scholl baru letakkan cap/hood dikepala . 7. Dua selingan lagu yesterday dan Now the HOUR 8. Semua hadirin menyanyi bersama lagu National Anthem mereka. 9. Lagu University dinyanyikan awal semua faculty dan graduan, dipamerkan discreen layar. 10.Tepukan berterusan semasa menerima Scholl. Akhiri sekali tepukan gemuruh drp ibubapa waris kepada semua graduan dan pulang dengan protocal keluar Dewan saperti lain lain upacara graduasi diMalaysia.

Simulation Centre for the Practical skills.

Saya ingin bertanya pendapat semua Jururawat senior danJunior pandangan yang terbaik dalam pelaksanaan Simulation Centre ini. Boleh kah ini menjadi kenyataan dan satu pembelajaran yang efektif bagi latihan kejururawatan dan lain lain Paramedik diMalaysia.

A challenging task in Nursing

I feel very unhappy by reading this article. (NST-9February2010). The writer did not understand the meaning of nursing. Nurses are the back bone of the health care delivery system. No one can specify the most valuable side of the coin. I think all the health team members are vital to health care delivery. Doctors alone cannot deliver the health care. They are the part of the medical team. Each and every one contribution is very important to the success of the health care sector.

The writer says the doctor assess and admits the patient. Who is going to take care of the patient afterwards? Compare to all the other professional’s nurses are the one who is taking care of the client for 24 hrs. Nursing is not only providing the hygienic care. Hygienic care is the one part of her role. She is meant for delivering the health care as whole. Nurses are educated to take care of the person as whole. They are not focused towards only the client physical illness; they are with the client to take care of them psychologically, socially and spiritually (Holistic nursing care). Nurses are educated to bring the connectivity between the body, Mind and spirit. We can have a clear idea of nursing from the following definition by international council of nursing, “Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles.”
The function of the nurse is very clear based on Virginia Henderson’s definition of Nursing (1966),The unique function of the nurse is to assist the individual, sick or well, in performance of those activities contributing to health or its recovery (or peaceful death) that he/she would perform unaided if he/she had the necessary strength, will or knowledge. And to do this in such a way as to help him/her gain independence as rapidly as possible. She has given the following 14 components as the basic component of basic Nursing care.
1. Breathe normally.
2. Eat and drink adequately.
3. Eliminate body waste.
4. Move and maintain desirable postures.
5. Sleep and rest.
6. Select suitable clothes dress and undress.
7. Maintain body temperature within normal range by adjusting clothing and
modifying the environment.
8. Keep the body clean and well groomed and protects the integument.
9. Avoid changes in the environment and avoid injuring others.
10. Communicate with others expressing emotions, needs, fears, or opinions.
11. Worship according to one s faith.
12. Work in such a way that there is a sense of accomplishment.
13. Play or participate in various forms of recreation.
14. Learn, discover, or satisfy the curiosity that leads to normal development
and health and use of the available health facilities.
Is it agreeable that bathing, cleaning and making bed are the lower ranking jobs? How we can perceive a mother doing these things for her baby? Nursing is not starting from somewhere else. It starts from your own mother. Hygienic care is not the low grading job. There are lot of observations can be made during the hygienic care. I feel so sad my friend: You do not know what are all the observations can be made during hygienic care? (Bed sore, wound healing , fluid retention and problems in elimination)
Nurses are scientifically plans the nursing care based on the nursing process. Nursing process is a systematic method of providing nursing care. It provides framework for planning and implementing the nursing care. Nursing process consists of five steps, Assessment, diagnosis, planning, implementation and evaluation. This is the example of best independent approach for the nurse by using three skills , cognitive, technical and soft skills. The center of attention of the medical diagnosis is on the client illness. Contrary to a nursing diagnosis which focuses on the person and their physiological and/or psychological response to the illness. Medical problems are considered to be the important one in the medical diagnosis. The medical diagnosis is formulated based on the medical illness. But the nursing diagnosis varies from it. It focuses on the client present and potential problems. A Nursing Diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable in delivering the patient care.
Doctors formulate the medical diagnoses to treat medical problems; as nurses, we then care for the person behind that illness. The center of attention of the nursing diagnosis is varies from the medical diagnosis, example the medical diagnosis – Asthma, the nursing diagnosis is ineffective airway clearance to ineffective coping, Impaired nutritional status, Sleep disturbance and fear and anxiety. The medical practitioner can diagnose and plan the treatment of the medical diagnosis. Nursing care is focused on positioning, oxygen administration suctioning. This is the independent care which she can perform autonomously.
Nursing diagnosis identifies the situations the nurses are licensed and qualified to treat. Medical diagnosis identifies the situations the doctors are licensed and qualified to treat. Nursing has its own professional boundaries. This helps them avoid getting into the others job. These margins are drawn by the nursing council /Nursing Board or the nursing authorities. This limits the working role of the nurse. So the nurses are functioning according the rules and regulations of the nursing Board /council.
The people with in the small circle, does not understand what is happening in the rest of the world. Same way my friend does not know the world level changes and development on the nursing profession. Many advanced roles are taken by the Nurses in western countries. This has been well perceived by the public and doctors.Nurse Practitioner, Nurse Clinician, Nurse Anaesthetist and Nurse Advocate are the some of the challenging roles are taken by the nurses. The nurses in these advanced roles are assessing and diagnosing the patient. Many of the nurses in western countries are prescribing the medications also. Malaysia is also moving towards the better change on the nursing profession. The time is not so longer. I hope with in a shorter period of time we also can expect greater changes in Malaysia also.
Every profession possess its own responsibility and roles. Nursing profession also has unique responsibilities, roles and Skill. It would be very long list to categorise it. It has countless specialities, opportunities and the career pathways.
There are tremendous changes in the view of the public also. The numbers of admission to the nursing colleges are greatly increasing. Without the good opinion and attitude of the public how is it possible?
Due to this broad scope, the job opportunities are increasing day by day. They have vast opportunities. Malaysian nurses are in highly demand by the gulf countries. They give a great contribution to boosting up of the economy of the country.
Many nursing theorists and researchers have been developed all over the world. They have contributed greatly to the client care improvement. The nurses can voice out and bring out the scientific changes through the nursing journals. Nursing journals are playing a vital role in communicating the nursing research papers. Some of the research has shown that the nurses are significantly better in performing hand hygiene and infection control than doctors.
There are many evidences available that nursing research has been started long back. Florence Nightingale is founder of modern nursing. She has used the scientific principles in taking care of the sick. There are many nursing leaders given much contribution to the development of the profession.
Approximately 60 percent of the hospital work force is by the nurses. It is very important to understand the necessity of the hospital workforce. In Malaysia, there are number of institution have started with Master and Doctorate programmes for the nurses. It shows new pathway and specialisation for the nurses.
In some occasions the junior doctors are learning from the senior nurses. It is not wise to argue who is the frontline in delivering the health care. We have to in one line towards the betterment of the health care sector and the client welfare. The trend of the world is changing to the greater extent. The new emerging concept is collaborative working. No one is superior or inferior. All the department are necessary for providing successful care.
Nurses are with the human at the time of birth as well as at the end of life. So I feel this is more blessed profession. I am more proud to be the part of this profession. Healthcare is a complex area that requires collaborative learning and shared experiences and ideas, and the medical profession need to ensure they value nurses’ knowledge and expertise.
Doctor’s produces doctors and the nurses produce nurses,
Competitions between the professions are unhealthy,
We should welcome the collaborative working.

Jururawat Glokal dan 1 Malaysia - Bahagian2

Awalnya pembangunan dalam kejururawatan di Malaysia agak perlahan dan karier kejururawatan kurang diminati kerana pandangan status yang rendah dan jadi anggapan suruhan doktor sahaja. Ini kerana mereka tidak faham akan konsep kejururawatan itu sendiri. Saya petik definasi kejururawatan sebagai berikut mengenai “Professional Nursing” - The unique function of the nurse is to assist the individual sick/well, in the performance of those activities contributing to health / it’s recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. (Virginia Henderson 1966)

Pada waktu ini tenaga pengajar terdiri dari pengajar yang berasal dari British.
Dan ada sebahagian daripada India. Disamping itu pembelajaran adalah berdasarkan “BLOCK SYSTEM” dan perlantikan ke jawatan ini
dilaksanakan secara “ job on training” dan dilakukan oleh Penyelia Jururawat dan Ketua Jururawat di tempat berkenaan. Tetapi selepas perang dunia ke 2, ramai wanita Malaysia mulai menyertai bidang ini diatas sebab keselamatan, dengan itu banyak sekolah jururawat ( waktu dahulu ), kini dikenali sebagai Kolej Kejururawatan dibuka selaras dengan wujudnya kurikulum latihan untuk 3 tahun dan 4 bulan. Sijil Asas Kejururawatan di perkenalkan dan dianugerah kepada jururawat yang layak.

Pada masa dahulu juga, peranan jururawat adalah untuk memastikan kelancaran tugasan doktor dan mereka dianggap sebagai tulang belakang kejayaan sesuatu operasi perubatan. Sayangnya kehebatan kerjaya itu kurang dihebahkan, tidak diperkatakan seperti bidang lain, menyebabkan tidak ramai menyedari kerjaya kejururawatan iaitu sekadar memberikan suntikan kepada pesakit dan membersihkan kekotoran selepas selesai pembedahan.
Tahun 80 an kerajaan menukar sistem pengajian kepada bahasa Malaysia. Bagaimanapun, pada 1990 – 2000 perubahan dalam karier ini telah berlaku yang menaikkan imej profesion kejururawatan, antara perubahan nya adalah seperti berikut : -
Pembelajaran kejururawatan dipertingkatkan dari diploma ke ijazah. Sistem pengajian dikembalikan kedalam bahasa Inggeris dan bahan rujukan pengajian lebih tertumpu kepada bahasa inggeris. Kaedah pengajaran adalah secara dua hala seperti : case study, reflection, Problem base learning, system mentor-mentee diperkenalkan , learning contract dan pendidikan jarak jauh juga dilaksanakan.
Sejarah dan perkembangan profesion kejururawatan memberi pengenalan kepada perkembangan asas Sains Kesihatan dan profesion ini. Ia nya merangkumi falsafah, peranan profesional, sejarah perkembangan profesion-profesion di bidang ini pada peringkat kebangasaan dan antarabangsa dalam perubahan sistem penjagaan kesihatan di Malaysia mengikut keperluan masyarakat pada masa kini.
Kini, program Kejururawatan ini telah dirancang khusus untuk melahirkan graduan jururawat profesional yang kompeten, penyayang, ‘humane’, dan mengamalkan ‘safe practice’ semasa merawat. Pelajar yang mengikuti program ini akan memperolehi pengetahuan dan kemahiran dalam bidang Sains Kejururawatan Sains Kesihatan dan Sains Perlakuan bagi menjalankan perawatan apabila mereka ditempatkan di latihan klinikal atau semasa bertugas nanti.
Manakala, matlamat program ijazah kejururawatan adalah untuk memupuk graduan supaya lebih komited bagi mempertingkatkan kerjaya melalui pembelajaran sepanjang hayat (life long self-directed learning). Kemahiran penyelidikan asas dalam program ijazah membolehkan mereka memanfaatkan hasil kajian dalam meningkatkan kualiti perawatan. Justeru itu para jururawat perlu diperkaya dengan kemahiran-kemahiran baru agar dapat mengisi tuntutan pesakit kini dan cabaran masa hadapan. Dalam erti kata lain jururawat yang lebih matang dan berdaya saing
Dengan perededaran zaman menuju teknologi baru, pemikiran graduate kejururawatan juga perlu diubah. Persepsi jururawat alaf baru juga perlu diubah menjadi lebih luas dan terbuka. Dan pada zaman ini, kita dapat melihat Kolej Kejururawatan tempatan dan swasta telah banyak ditubuhkan ibarat cendawan tumbuh. Ramai ibu bapa yang menghantar anak-anak mereka ke kolej tersebut kerana menurut satu kajian, kerjaya jururawat pada zaman sekarang adalah kerjaya on demand yang paling ramai samada di dalam dan luar negara. Gaji yang ditawarkan juga tinggi dan ditambah dengan elaun kritikal yang mereka terima. Ini juga dibuktikan melalui website ( Top ten salary worldwide). Terdapat dalam website jika diikuti setengah doktor doktor di Filipina menukar profession mereka kepada jururawat kerana ingin mendapat peluang bekerja di USA.
Sebenarnya masih ramai lagi yang kurang tahu peluang pekerjaan sebagai jururawat lebih terjamin berbanding bidang-bidang lain. Kerjaya ini menerima gaji permulaan yang lumayan, termasuk pelbagai elaun dan insentif. Malah, jururawat juga berpeluang untuk melanjutkan pengajian ke peringkat ijazah sehingga ke doktor falsafah.
Itulah kelebihan jurusan kejururawatan ini dan yang berkenaan pula bagi mereka yang lulus tidak ada graduan yang menganggur, sebaliknya belum tamat pengajian sudah ada institusi kesihatan yang menghantar borang tawaran memohon pelantikan untuk jawatan jururawat bagi hospital yang berkenaan. Peluang kenaikan pangkat yang sentiasa meningkat dan permintaan yang semakin tinggi dalam bidang ini menjadikan ia pilihan terbaik untuk anda yang bercita-cita tinggi, lebih-lebih lagi dalam keadaan negara ketandusan jururawat. Sebagai peringatan telah ditetapkan ratio negara maju WHO penanda arasnya adalah 1:200 tetapi sekarang masih lagi 1:375 (Lembaga Jururawat- 2009) Justeru itu pengeluaran jururawat harus ditambah setiap tahun dan jumlah yang ingin dicapai adalah seramai hampir 9000 setiap tahun.

Kini peranan mereka bukan hanya sebagai orang tengah antara doktor, pesakit dan keluarga . malahan jururawat turut memberi nasihat, mendidik pesakit dan keluarga mereka berkaitan isu-isu penjagaan kesihatan. Dengan ini, jururawat perlu melangkah kehadapan dan bergerak jauh daripada tugas tradisi hanya menjaga pesakit dan mempelajari ilmu berkaitan penjagaan pesakit sejajar dengan perkembangan penjagaan kesihatan terkini. Keperluan inovasi dalam penjagaan kesihatan adalah perlu di negara membangun seperti Malaysia. Cabaran-cabaran berkaitan jagaan kesihatan tidak mungkin dapat ditangani tanpa membangunkan pemikiran kritis untuk mengatasi masalah-masalah dan menyediakan pelan penjagaan yang efektif. Bak kata Perdana Menteri kita baru-baru ini, “Business is not as usual.” Jadi, kita semua perlu berfikir luar dari kotak atau ruang lingkup dan meningkatkan kreativiti untuk menghasilkan inovasi yang dapat membantu kerja harian atau rutin tugas jururawat. Banyak kreativiti yang boleh dilaksanakan. Ini lah gagasan kemerdekaan yang dicari dan kemerdekaan ertinya perjuangan harus diteruskan.
Sehubungan itu, pebelajaran berterusan sepanjang hayat dan pemikiran kritis dalam amalan klinikal patutlah menjadi norma di dalam sistem penjagaan kesihatan kita. Dengan kemajuan yang pesat dalam peralatan dan teknologi perubatan, jururawat di masa kini perlu mengendalikan peralatan berteknologi tinggi dan mengaplikasikan teknik-teknik klinikal baru dan produk farmaseutikal baru. Di samping itu, jururawat- bekerja 24 jam sehari di semua peringkat perkhidmatan dengan pelbagai jenis pesakit, keluarga, masyarakat, kakitangan penjagaan kesihatan dan kakitangan dalam sektor-sektor lain. Oleh yang demikian, jururawat berada dalam keadaan istimewa untuk menyediakan penyelesaian yang ‘creative’ dan berinovasi yang boleh mewujudkan perbezaan sebenar dalam kehidupan harian pesakit-pesakit, pertubuhan-pertubuhan, masyarakat dan ‘profession’ kejururawatan itu sendiri. Sehubunngan dengan itu, jururawat menghadapi masa depan yang mencabar tetapi penuh dengan peluang-peluang baru didalam dan luar negara, maka inilah diistilahkan sebagai jururawat ’Glokal”. Ini semua dapat digapai sekira nya profeseyen ini terus berkembang dari diploma sehingga lah ke peringkat doktor falsafah.