Understanding Evidence-Based Practice (EBP) And Nursing Researchby Dr. Soon Lean Keng, PhD, MMID, RN, RM School of Health Sciences Universiti Sains Malaysia Malaysia
EBP is referred to a problem solving approach to clinical decision making that incorporates a search for the best and latest evidence, clinical expertise and assessment, and patient preference values within a context of caring. All evidence has its value and the contributions of healthcare provder and patients remain equally important. Therefore, EBP helps to carry out your decision making process in a systematic and visible way which can be clearly communicated to others. The outcome from EBP is that this can increase the quality of the decision, reduce the possibility of errors and disagreement and increase the likelihood of new practices being implemented as all evidence is context specific (Ruland 2010). This process also can help clarify evidence needs and enable other practitioners to find and assess evidence.
In this challenging environment in healthcare practice, nursing research is needed to generate new knowledge and advance nursing science, evaluate existing practice and services, and provide evidence that will inform nursing education, practice, research and management. Research is directed toward understanding the fundamental mechanisms that affect the ability of individuals, families and communities to maintain or enhance optimum function and minimise the negative effects of illness. Nursing research should also be directed toward the outcomes of nursing interventions, so as to assure the quality and cost effectiveness of nursing care. Nursing research also encourages knowledge of policies and systems that effectively and efficiently deliver nursing care; awareness of the profession and its historical development; understanding of ethical guidelines for the delivery of the nursing services; and, knowledge of systems that effectively prepare nurses to fulfill the profession's current and future social mandate (INDKit 2012).
Malaysian Midwives’ Views On Postnatal Depression
Soon Lean Keng British Journal of Midwifery 13(2): 78 - 86 (Feb 2005)
Postnatal depression (PND) although, not psychotic in nature has an insidious onset, and is a serious disorder that progresses imperceptibly. It may then affect the quality of life of mothers and threatens the psychological and healthy functions of the mother, infant and of the entire family. The aim of this descriptive study was to explore the views held by midwives at the Hospital Universiti Sains Malaysia (HUSM) about postnatal depression (PND). Fifty-seven midwives from the Maternity Units at HUSM were surveyed and their knowledge and perception of PND analyzed. More than 50% of midwives confused PND with postnatal ‘blues’or women not adjusting to life after giving birth. More than 17% of midwives said that PND health education and awareness programmes were important for midwives. The results of this study suggest areas of concern, in particularly, those that relate to the lack of knowledge of PND among the midwives in the HUSM and in Malaysia. Midwives are purportedly able to detect abnormal conditions in mothers as advocated by the Malaysian Midwives Act (1966), fulfilling the role designated by the midwifery profession. Including PND content in midwifery training could help midwives to be more able to identify mothers at risk of, or experiencing this condition.
PROCEEDINGS OF THE 2012
QUALITY IN POSTGRADUATE RESEARCH CONFERENCE
April 17-19, 2012
ANNALS OF MICROSCOPY - Vol 7, April 2007
|Figure 1. Digital photomicrograph of a used resterilized post inserted fetal electrode. Note the pale brownish coloured ‘biofilm ’ indentation and a fetal hair follicle remaining on the surface spiral turning tip.|
|Figure 2: VPSEM photomicrograph showing a serrated tip of a reused fetal electrode. Some mucosal tags are also present. Magnification 89x at working distance 5mm.|