Chang Woan Ching has completed her Master degree in 2014 from Open University Malaysia. She is the nursing lecturer of International Medical University, a premier medical educational organisation. She has published several papers in nursing journals and has been supervising more than 20 students in research.
Nurses in haemodialysis centres often have to face the death of patients under their care. The literature revealed a lack of study exploring attitudes of nurses towards death for patient on haemodialysis from Malaysia perspective. This study aims to investigate how Malaysian nurses feel about death and to explore relationship between their death attitudes and demographic variables. A convenience sample (n=58) was engaged from three haemodialysis centres in Klang Valley where data were collected using the Death Attitude Profile- Revised (DAP-R) questionnaires. A quantitative survey was employed using the Death Acceptance Model as a theoretical framework. The findings revealed that majority participants reported having a neutral acceptance attitude towards death (M=5.4, SD=0.69). This implied a moderately positive attitude among nurses in haemodialysis where they perceived and accept death as an integral part of life. Significant predictors of age (p=0.015), race (p=0.005) and years of working experience (p=0.025) were identified to be associated with death attitude. Perceived avoidance (fear of death, death avoidance and escape acceptance) identified in this study are important to facilitate renal nurses to understand their own feelings and tolerance about death for patients. This study indicated a need to improve death attitude by providing support in developing effective strategy for nurses caring for dying patients.
Fernan N. Torreno, is a Filipino Nurse-Midwife and Academician is currently working as a Part-Time Clinical Instructor of Urdaneta City University-School of Midwifery. He is holding positions as Secretary of the University Health Watch, Secretary of the University OJT and Internship Office. Mr. Torreno completed his Master of Arts in Nursing, Major in Nursing Administration at Lyceum-Northwestern University, and currently studying for hid Doctor of Philosophy, Major in Science Education. He plans to pursue a Doctor of Naturopathy or Juris Doctor after finishing his Ph.D. He is also a former Senior Emergency Room Staff Nurse in the State of Libya.
This study assessed the Citizens’ Satisfaction Index on the Health Services of the Local Government Unit of Binalonan, Pangasinan. The descriptive, quantitative cross-sectional method of research was employed with the use of survey questionnaire as the main data-gathering instrument. Slovin’s Formula was used to determine the sample size. Frequencies and percentage distributions were used to present the descriptive characteristics of the respondents, while a Pearson r correlation was employed to determine significant relationships. The respondents composed of 395 registered voters with ages 41 and above, mostly females, married, high school graduates, Roman Catholic and residing for 21-30 years, employed as professionals within the barangays with monthly incomes of Php15, 100 and above, majority suffered an illness for the past 12 months and pneumonia topped among other diseases. Results revealed Low Awareness (31.33) and Availment (39.20) net scores on the health services, Fair for Satisfaction net score (59.77) and High for the Importance net score (70.77). There was a positive association between Level of Awareness and Level of Availment. (r=0.827) but a negative significant relationship between Importance and Satisfaction (r=-0.945) and Importance and Availment (r=-0.946). Majority of the respondents are not aware of the health services provided by the local government unit. The type of job and monthly income of the respondents affect their availment of health services. The proposed measures should be observed and implemented for the purpose of improving the level of awareness and availment of health services by the people of Binalonan, Pangasinan. Due to the limitations of the study, findings cannot be claimed to be definite, hence, similar studies focusing on health services should be conducted to include other categories under health which are not included in this study.