Malaysian Journal of Medical Research (MJMR)

A Survey-Based Approach to Streamlining Nursing Documentation Practices at Hospital Settings

Iszaid bin Idris — 2024-01-15

Introduction: The meticulous recording of patient information not only facilitates communication among healthcare providers but also plays a crucial role in maintaining patient safety. The manual nature of charting poses a risk of errors and can be time-consuming for nurses. Objective: The study aim to explore the perspective of nursing observational charts practice at Pahang’s government hospitals in 2023. Method: This is a cross-sectional survey conducted among nurses across various hospitals in 2-month duration. After randomisation, nurses meeting the inclusion and exclusion criteria were enrolled in the study. Descriptive and inferential statistics were computed to analyse the data. Result: A total of 582 nurses responded, the study found on average, 8.1 ± 2.7 SD standard charts were required during admission, and 3.0 ± 1.9 SD additional charts may required to supplement the standard charts per patient. Discussion: The study revealed that the adoption of a combined chart was associated with a 2.2 times improvement in the ease of nursing documentation practices. Conclusion: Having all relevant information in one place could reduce the need for nurses to navigate through multiple forms.

Waist Stature Ratio: A Measure of Adiposity and Body Fat Composition in Asian Indian

Arup Ratan Bandyopadhyay — 2024-01-15

Background: The imbalance between the energy ingested in food and expended can lead to obesity. It is regarded as one of the most prominent but ignored public health issues of today and threatens to inundate the health care resources through increasing clinical consequences and additionally as a financial burden. Hence, the identity of individuals with health dangers using easy, surrogate measures to estimate excess adiposity becoming very important. In this regard, the purpose of this study is to evaluate the incidence of obesity, considering commonly used obesity measures, and also to discern the best obesity predictor among the adult Bengalee females of West Bengal, India. Research Method: Participants included 210 healthy adult Bengalee women (mean age 43.06 ± 3.4 years). Following standard procedure, anthropometric measures were taken for height, weight, hip circumference, and waist circumference. Waist-to-hip and waist-to-stature ratios were then computed. A fat monitor was used to calculate body fat percentage. Results: Out of all the adiposity measures, Waist Circumference (r = 0.78, P<0.001), Hip Circumference (r = 0.74, P<0.001), and Waist Hip Ratio (r = 0.72, P<0.001), the results showed that Waist Stature Ratio had the largest positive connection (r = 0.88, P<0.001) with Percent Body fat. Conclusion: Therefore, the current study indicated that among Asian Indian middle-aged women, WSR may be the most appropriate marker for PBF.

A Case Series of Emergency Medicine Performed Bronchoscopy: A Single Centre Experience in A Tertiary Care Hospital

Gurjeet Singh a/l Harvendhar Singh — 2024-01-15

Bronchoscopy has long been regarded as a specialized procedure done in settings other than the emergency department. However recent advancements have brought to light the significance of the use of bronchoscopy in emergency medicine situations and in emergency critical care. The indications, contraindications and techniques have been well documented in recent times. This article looks at real time data on bronchoscopy performed in the emergency department in a case series format to look at on field and on site uses and data interpretation to help improve the service in the emergency setting.

Evaluation of an Emergency Physician Performed Ultrasound Guided Regional Anesthesia Service in the Emergency Department

Theysinthia Thivya Naidu a/p Rajendran Naidu — 2024-01-15

Regional anaesthesia (RA) has become a prominent component of multimodal pain management in emergency medicine (EM), and its use has increased rapidly in recent decades. The objective is to improve the effectiveness of ultrasound-guided nerve blocks performed by trained personnel, as a key element of multimodal pain management regimens in the ED.