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SEA-ORCHID MALAYSIA
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Activity Update - Malaysia

 January to December 2007

(click here for the 2006 Activity Update)


 

Workshops
Education and training sessions relevant to evidence-based practice (generating, appraising or using evidence) conducted under the guidance and preparation of the SEA-ORCHID team. Examples include: EBP/EBM workshops, preparing Cochrane systematic reviews, CPG appraisal and development, appraisal of RCTs and qualitative research, literature searching, using the Cochrane Library and RHL.

Date

Topic

Duration (hrs)

Who

No.

Participants

 

Ipoh Hospital / Penang Medical College

6 Feb Neonatal Jaundice SCORPIO
1
Chua Bee Sim, Tan Hai Hon, Manjit Kaur, Vikneswary
57
Staff from the Department of Paediatrics

13 Feb

Paediatric Basic Life Support (PBLS) – SCORPIO adapted teaching method

4.5

Alvin Chang, Vikneswary

22

Student nurses from Fatimah Hospital

14-15 Feb

Neonatal Resuscitation Provider (NRP) – SCORPIO adapted method of teaching

16

Alvin Chang, Vikneswary, Tan Hai Hon, Ganamani, Manjit Kaur, Prema Subramaniam, Nor Azlina

22

Doctors and nurses from O&G and Paediatric departments from private hospitals around Ipoh

2 Mar Neonatal Thermoregulation SCORPIO
1
Alvin Chang, Koh Chun Wearn, Tan Hai Hon, Manjit Kaur, Jackie Ho, Sivasangari
14
Staff from the Department of Paediatrics
20 Mar

Neonatal Thermoregulation SCORPIO

1
Tan Hai Hon, Manjit Kaur, Vikneswary
27
Staff from the Department of Paediatrics

20 Mar

Perineal Repair

2

Zabidah Mat Sidi

14

Nurses

6 Apr Neonatal Transport SCORPIO
1
Alvin Chang, Vikneswary, Tan Hai Hon, Sivasangari
7
Staff from the Department of Paediatrics
17 Apr Neonatal Transport SCORPIO
1
Vikneswary, Tan Hai Hon, Manjit Kaur
12
Staff from the Department of Paediatrics
18 Apr Evidence-based Practice Workshop
8
Alvin Chang, Jackie Ho, Japaraj, Sivasangari, Koh Chun Wearn
25
Staff from various departments
30 Apr Paediatric Basic Life Support (PBLS) – SCORPIO adapted teaching method
4.5
Alvin Chang, Vikneswary
22
Staff from the Department of Paediatrics
4 May Neonatal Infection SCORPIO
1
Alvin Chang, Yeoh Seen Hun, Tan Hai Hon, Manjit Kaur
10
Staff from the Department of Paediatrics
15 May Neonatal Infection SCORPIO
1
Yeoh Seen Hun, Tan Hai Hon, MAnjit Kaur
15
Staff from the Department of Paediatrics
1 Jun Neonatal Pain SCORPIO
1
Koh Chun Wearn, Tan Hai Hon, Vikneswary
8
Staff from the Department of Paediatrics
19 Jun Neonatal Pain SCORPIO
1
Koh Chun Wearn, Tan Hai Hon, Manjit Kaur
25
Staff from the Department of Paediatrics
26 Jun Barriers to Change Workshop in Use of Sucrose Analgesia for Neonatal Pain
5
Jacki Short, Tari Turner
20
Staff nurses in the Special Care Nursery (SCN) and Neonatal Intensive Care Unit (NICU)
26-27 Jun Behaviour Change in the NICU – A case study of Procedural Pain Management in the NICU
6
Tari Turner and Jacki Short
34

Sisters, Nurses, Medical Assistants, Midwife (from NICU and Nursery)

27 Jun Barriers to Change Workshop in Use of Sucrose Analgesia for Neonatal Pain
5
Jacki Short, Tari Turner
20
Staff nurses in the Special Care Nursery (SCN) and Neonatal Intensive Care Unit (NICU)
28 Jun Behaviour Change in the Labour Rooms
2
Sister Zabidah, Sivasangari, Tari Turner and Jacki Short
35

Labour Room Nurses and Midwives

6 Jul Communication skills SCORPIO
1
Alvin Chang, Tan Hai Hon, Vikneswary
10
Staff from the Department of Paediatrics
18 Jul Critical Appraisal Workshop

8

 

Alvin Chang, Jackie Ho, Japaraj, Sivasangari
20
Staff from various departments
25 Jul Evidence-Based Medicine lecture
1
Alvin Chang
30
Post-basic Neonatal and Midwifery student nurses of Ipoh Nursing College
7 Aug Evidence-Based Medicine lecture
1
Alvin Chang
26
Phase 3B Medical students of the Royal College of Medicine, Perak
15 Aug Communication skills SCORPIO
1
Alvin Chang, Tan Hai Hon, Manjit Kaur
22
Staff from the Department of Paediatrics
10 Sep Evidence-based Practice Workshop
8
Jackie Ho, Sivasangari, Lai Nai Ming
25
Staff from various departments in Penang Hospital and Penang Medical College
11 Sep Cochrane Systematic Review Workshop
8
Jackie Ho, Sivasangari, Lai Nai Ming,Sharifah Halimah
15
Staff from various departments in Penang Hospital and Penang Medical College
14 Sep SCORPIO - EBP
2
Sivasangari
20
Staff from the Department of Paediatrics
17 Sep SCORPIO - EBP
2
Sivasangari
20
Staff from the Department of Paediatrics
18 Sep EBP Lecture- Asking answerable questions
1.5
Jackie Ho, Sivasangari, Ahmad Shah
32
Medical Students, Penang Medical College
20 Sep EBP Lecture- Asking answerable questions
1.5
Jackie Ho, Sivasangari, Ahmad Shah
32
Medical Students, Penang Medical College
20-21 Sep Neonatal Resuscitation Provider/ Instructor Workshop 5 th Edition- SCORPIO teaching methods
14
Alvin Chang, Nor Azlina, Nalini S., Zulkifli, Vikneswary
10
Staff from the Department of Paediatrics
25 Sep EBP Lecture- Asking answerable questions
1.5
Sivasangari
32
Medical Students, Penang Medical College
27 Sep EBP Lecture- Asking answerable questions
1.5
Sivasangari
32
Medical Students, Penang Medical College
23 Oct EBP Lecture- Asking answerable questions
1.5
Sivasangari
32
Medical Students, Penang Medical College
25 Oct EBP Lecture- Asking answerable questions
1.5
Sivasangari
32
Medical Students, Penang Medical College
30 Oct EBP Lecture- Asking answerable questions
1.5
Sivasangari
32
Medical Students, Penang Medical College
Weekly EBP teaching
31 (1-hour sessions)
Japaraj Peter Robert
15 (each session)
Medical Officers, from O & G Department
Weekly EBP lecture - Continuous Nursing Education
18 (1-hour sessions)
Sivasangari, Zabidah Mat Sidi

32 (av.each session)

Staff nurses
Totals
Hours:
166.5
Participants:
1,692
 

 

Universiti Sains Malaysia, Kelantan

Feb SCORPIO
-
Tan Hai Hon
-
Sisters and nurses
Feb Cochrane work-in
-
Jackie Ho
-
Cochrane reviewers
27 Feb Library roadshow program for School of Health Sciences
-
Noraida Hassan
12
Lecturers and research assistants

Mar

SCORPIO
-
Tan Hai Hon
-
Sisters and nurses

13 Mar

EBP postgraduate medical education

-

Sivasangari

-

Postgraduate medical students

Apr

SCORPIO
-
Tan Hai Hon
-
Sisters and nurses

4 Apr

EBP postgraduate medical education

-

Sivasangari

-

Postgraduate medical students

May SCORPIO
-
Tan Hai Hon
-
Sisters and nurses
10 May

Nurse training Programme: Principles of Adult Learning and Behaviour Change

3
Jacki Short
11
Labour Room, NICU and Special Care Nursery nurses
10 May

Nurse training Programme: Learning Objectives and Needs Assessments

3
Jacki Short
11
Labour Room, NICU and Special Care Nursery nurses
11 May

Nurse training Programme: Training Methods & Developing Materials

3
Jacki Short
11
Labour Room, NICU and Special Care Nursery nurses
11 May

Nurse training Programme: Evidence-based Practice & Accessing Information

3
Sivasangari
11
Labour Room, NICU and Special Care Nursery nurses
12 May

Nurse training Programme: Assessment & Evaluation

3
Jacki Short
11
Labour Room, NICU and Special Care Nursery nurses
12 May

Nurse training Programme: Sustaining Training Skills & Review

3
Jacki Short
11
Labour Room, NICU and Special Care Nursery nurses
14 May

SEA-ORCHID Project Update & Principles of Adult Learning and Behaviour Change

2
Jacki Short
43
Nurses, doctors, assistant lecturers, sisters, matrons
17 May

SEA-ORCHID Project Update and Intro to Nurse Education Programme

2
Jacki Short
20
NICU nurses
17-20 May

Support and Nutrition in Labour

2
(4 x 30min)
Lim and Lau
36
Labour room nurses and sisters
17-20 May

Birth Positions in Labour

2
(4 x 30min)
Zura and Kenangan
36
Labour room nurses and sisters
17-20 May

Non-Pharmacological Pain Management in Labour

2
(4 x 30min)
Nazarah
36
Labour room nurses and sisters
17-20 May

General Infection Control in NICU

2
(4 x 30min)
Nik and Tengku
35
NICU nurses
17-20 May

Hand washing Policy and Procedure

2
(4 x 30min)
Siti and Che Aznu
35
NICU nurses
17-20 May

Sterile Procedures

2
(4 x 30min)
Lim and Way
35
NICU nurses
20 May

Reflective Learning Portfolio

2

Hans Van Rostenberghe

Jacki Short
41
Postgraduate medical students and lecturers
24 May Library roadshow program for Radiology Department
-
Noraida Hassan
20
Lecturers and Masters students
Jun Cochrane work-in
-
Jackie Ho
-
Cochrane reviewers
1-30 Jun

Exhibition on EBM at Hamdan Tahir Library

  • monographs, AV materials, articles, posters, exercise worksheets
-
Noraida Hassan
-
 
24 Jun Evidence-Based Medicine
-
Hans Van Rostenberghe, Noraida Hassan 38 Doctors and lecturers
29 Jul Library roadshow program for Department of Medicine
-
Noraida Hassan
10
Lecturers and Masters students
Sep Cochrane work-in
-
Jackie Ho
-
Cochrane reviewers
7 Nov Care of IV line/HUP Care
1.5
Way & Zaleha 15 NICU nurses
14 Nov Hand washing
1.5
Nik Sharimah & che Bashah 14 NICU nurses
21 Nov Nursing management of baby with phototherapy
1.5
Sakinah & Zubaidah 15 NICU nurses
28 Nov Technique on endotrachia suctioning for neonate
2
Fazilah, Nik Surnani & Jayah 16 NICU nurses
5 Dec Infection control in NICU
1.5
Tg Zuraida & Nik Sharimah 13 NICU nurses
12 Dec Nursing management / Care of baby with gastrostomy
1.5
Zainum & Nasherah 12 NICU nurses
19 Dec Nursing management / Care of baby with colostomy
1.5
Roslidah & Nasherah 15 NICU nurses
26 Dec Legality of drugs and documentation
1.5
Jayah & Way 13 NICU nurses
31 Dec Phase II hands-on training in EBM
3
Noraida Hassan 7 Librarians from Hamdan Tahir Library
Totals
Hours:
50
Participants:
583
 

 

National/Regional

18 Jun Cochrane Systematic Review Workshop
8
Jackie Ho, Sivasangari, Lai Nai Ming,Sharifah Halimah,Prema
30
Doctors from International Medical University (IMU)
6-7 Sep Neonatal Resuscitation Provider/ Instructor Workshop 5 th Edition- SCORPIO teaching methods
14
Alvin Chang, Norhayati, Zulkifli
10
Doctors and nurses of Sungai Siput Hospital
25-28 Sep Cochrane Systematic Review Workshop - Manila
24
Jackie Ho
-
Reviewers
30 Jul - 1 Aug Train the Trainers Workshop in Evidence-Based Medicine
24
Sally Green, Alvin Chang, Jackie Ho, Sivasangari, Japaraj and facilitators from the Health Technology Assessment Unit, Ministry of Health Malaysia
30
Trainers from various hospitals in Malaysia
Totals
Hours:
70
Participants:
70
 

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Meetings

Meetings of SEA-ORCHID team members with local, regional or national leaders. The purpose of these meetings is varied and may include increasing awareness of the Project, promoting networking and increasing the potential to bring about practice change.

Date

Topic

Who

 

Ipoh Hospital / Penang Medical College

3 Jan Presentation of EBP to weekly O and G Department Meeting

O & G Department doctors and nurses / Japaraj, Sivasangari, Zabidah

10 Jan Presentation of EBP to weekly O and G Department Meeting

O & G Department doctors and nurses / Japaraj, Sivasangari, Zabidah

29 Jan

Planning meeting for Neonatal Resuscitation Workshop– SCORPIO adapted method of teaching

Alvin Chang, Nor Azlina, Prema Subramaniam, Vikneswary, Tan Hai Hon, Manjit Kaur, Ganamani

25 Jun Meeting with the Dean of Penang Medical College to provide update on SEA-ORCHID project

Jackie Ho, Tari Turner, Jacki Short

26 Jun Meeting with the Head of O & G, Ipoh Hospital for update on SEA-ORCHID project and to inform about nurse education workshops Sivasangari, Tari Turner, Jacki Short
27 Jun Presentation of SEA ORCHID update to weekly O and G Department Meeting

Tari Turner, Sivasangari

13 Sep Meeting with Penang Clinical Research Centre Jackie Ho , Dr Lok
4 Dec Meeting with President of Penang Medical Ccollege (PMC), Dean of PMC, Head of Penang Clinical Research Centre, Hospital Penang, Malaysia Jackie Ho, Steve McDonald, Sivasangari

 

Universiti Sains Malaysia, Kelantan

8 Mar Meeting with library representatives and academics to promote project and give brief introduction to EBM Hans Van Rostenberghe, Noraida Hassan
18 May Meeting with curriculum committee

Hans Van Rostenberghe

24 May Meetings with Matron in Charge of Inservice Training for Nurses and Head Matron to discuss on going support of Nurse Education Program

Sr Geok Beng Tan, Jacki Short

June Meeting with chairperson of the phase I undergraduate teaching in USM to discuss practicalities of EBM input in year 1

Hans Van Rostenberghe

Nov Meeting with Head of Department of Medical Education to discuss the input of EBM in year 2 and 3 PBL’s – (meeting planned with PBL committee)

Hans Van Rostenberghe

26 Nov Meeting of Steering Committee of the Malaysian National Neonatal Registry (recommendation to use evidence-based data) Hans Van Rostenberghe
  Regular meetings w. HOD Paediatrics re interventions

Hans Van Rostenberghe

 

National meetings

Jan Meeting with local health authorities, Kelantan State Dept of Health to develop educational modules for the public Che Anuar and Hans Van Rostenberghe
25 Mar Cochrane Library accesss for all 44 O&G departments in Malaysia Wiley Publishers, Japaraj, Jackie Ho
Jan Meeting with local health authorities, Kelantan State Dept of Health to develop educational modules for the public (follow-up meeting) Hans Van Rostenberghe
31 Jul Meeting with DG Health Sally Green, Jackie Ho, Japaraj

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Additional Activities
For example, regular departmental activities (e.g. journal club, case conferences, ward rounds, etc) that have been introduced or modified to include evidence-based practice, critical appraisal, etc. Please indicate the change that has taken place and who the change has affected.

Activity

Change

Who

 

Ipoh Hospital / Penang Medical College

Ready online access to the Cochrane Library

Accessing the Cochrane Library as a source of information

Senior Consultants, Consultants, Medical Officers and Staff Nurses
Departmental Journal Clubs
  1. Use of the Cochrane Library had been incorporated in many of the articles presented
  2. Presentation of Cochrane Systematic Reviews in Journal Club
Medical Officers and Specialists
Daily ward rounds Searching for clinical questions from the medical databases during daily ward rounds Medical officers

 

Universiti Sains Malaysia

Journal club

Both in O&G and Paeds added the ‘getting into practice; component, EBM and critical apprasial

Staff in O&G and Paediatrics departments
Undergraduate teaching

Weekly with year four round up neonatal session in which one review is discussed (since July 2007)

Undergraduate medical students
Undergraduate teaching

Switched from powerpoints to case discussions, small group discussions, demonstrations, and role plays (Paediatrics)

(great feed back from students)
Undergraduate medical students
Undergraduate teaching

Evidence based sessions (O&G)

Undergraduate medical students
Clinical teaching post grads

More input on EBM

Postgraduate medical students , O&G and Paediatrics

Prepared advanced searching techniques module for The Cochrane Library (finished on November 2007)

Advanced module on Cochrane Library searching techniques now available Librarians
Prepared advanced EBM searching techniques module (finished on December 2007) Advanced module on EBM searching techniques now available Librarians

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Conference Presentations
Local, national or international conferences at which SEA-ORHCID team members presented an aspect of the SEA-ORCHID Project either as conference speaker or poster presenter

Date

Conference title and location

Title of presentation/poster

Presenter

25 Mar 14 th Annual Congress of the Perinatal Society of Malaysia, Genting Highlands, Malaysia

Evidence based practices in the care of the neonate

Alvin Chang
    EBP and management of preterm labour Japaraj R Peter
    Variation in the use of evidence based practices during pregnancy and childbirth in two Malaysian hospitals Sivasangari
29 Apr

RHL@10 meeting
Khon Kaen, Thailand

SEA-ORCHID project experience - implementing best practice

Jackie Ho
Pisake Lumbiganon
Steve McDonald
Jadsada Thinkhamrop
Bundpode Suwannachat
Ussanee Swadpanich
Detty Nurdiati
Mario Festin
Ruth Martis
Caroline Crowther

May National conference on medical sciences, Kota Bharu, Malaysia Project (3) on heel prick vs. Venipuncture Pooven (student of Hans)
31 May 17 th Malaysian Congress of Obstetrics & Gynecology (31 May-3 June 2007), Kuala Lumpur, Malaysia Evidence based practice in perinatal medicine: Are we doing enough of it? Japaraj Peter Robert
1 Jun   EBP on Fetal Blood flow studies Japaraj Peter Robert
6 Jul National Operative Obstetrics Seminar (5 – 6 July 2007), Seremban, Negeri Sembilan (Total participants - 100 doctors and midwives) EBP on Management of PPH Japaraj Peter Robert
29 Jul Annual Congress of The Malaysian Ultrasound Society (28 – 29 July 2007) Kuala Lumpur, Malaysia (Total participants - 100 doctors ) EBP on placenta previa accreta Japaraj Peter Robert
8 Aug National Seminar on Critical Care in Obstetrics (7 – 8 August 2007), Pulau Pinang. (Total participants - 150 doctors and midwives) EBP on Obstetric collapse Japaraj Peter Robert
18 Aug Advanced Level Obstetric Ultrasound Course (17 – 19 August 2007), Kuching, Sarawak (Total participants - 60 doctors and midwives) EBP on use of antenatal ultrasound Japaraj Peter Robert
22 Sep The 20th Asian and Oceanic Congress of Obstetrics and Gynecology (21 – 25 September 2007), Tokyo, Japan (Total participants - 600 doctors) Evidence Based Use of Fetal Doppler Japaraj Peter Robert
8 Oct Second annual congress of the Asian Society for Paediatric Research Project (3) on heel prick vs. Venipuncture (travel award) Pooven (student of Hans)

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