SEA ORCHID Project

SEA-ORCHID MALAYSIA
Malaysia Home
Activity Updates
Staff
Getting Involved

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

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

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	Use of the Cochrane Library had been incorporated in many of the articles presented 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

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)