An Overview of Children’s Participation in Shared Decisionmaking in Healthcare Settings

@#Paediatric settings use shared decision-making, which is also known as the pinnacle of patient-centred care. Nevertheless, implementing shared decision-making is relatively challenging as it involves the triad constellation interaction (communication between parents, children and healthcare professionals). This article provided an overview of previous studies related to children’s involvement levels in health care decisions and the perception of children, healthcare professionals, and parents of children’s participation in shared decision-making. It was concluded that children were engaged minimally in decision-making and most children were involved in minor decisions instead of major decisions. Furthermore, there was a diverse participation pattern, which varied in the same child based on the circumstances.

Patient Involvement in Decision-Making of Nursing Care from the Nurses’ Perspectives

@#Introduction: High-quality care renders patients to be fully informed and involved in the decision-making process. A literature review also reveals that the involvement of patients in healthcare has been associated with improved clinical outcomes. However, it rarely happens as several studies demonstrated that patient involvement in decision-making is lacking worldwide. Hence, health professionals, especially nurses, play an important role in patient involvement in decision-making as they are mostly engaged with patients during the care plan. This study aimed to assess the nurses’ perceptions and their role on patient involvement in nursing care decision-making. Method: A cross-sectional descriptive study was conducted at one of the university hospitals in Malaysia. About 105 nurses from 3 major departments (internal medicine, general surgery, and orthopaedic) were involved in this study. The data were analysed using IBM SPSS Statistics version 25. Results: The result showed that most of the nurses agree their patient involvement in decision-making relates to their encouragement to participate as well as having opportunity and enough information to participate. However, many of the nurses believe that they have to decide for their patients. Besides, a significant association between nurses’ years of service and their perception of patient’s involvement in decision-making (p = 0.01) was noted. Similarly, there is a significant association between the nurses’ department and their preferred role with p-value of 0.001 (p < 0.05). Conclusion: This study indicates the need to further improve nurses’ awareness of the importance and benefits of patient involvement in decisions related to their nursing care.

Exposure Risk of Household Insecticide: Identification of the Knowledge, Attitude and Practice Levels among Kuantan Population, Pahang

@#Introduction: Dengue is a mosquito-borne flu-like illness which massively caused Malaysian morbidity and mortality. The prevalent of cases influenced by high humidity climate and urbanization which enhances the mosquito breeding. Thus, the utilization of household insecticide became a necessity among the urban community especially in the Kuantan city, Pahang. The insecticide is made of type 1 pyrethroids chemicals that are recognized to be safe. However, there were reported insecticide intoxication cases that suggested insufficient studies on insecticide usage and its exposure effects. Hence, the study aimed to assess the community’s knowledge, attitude and practice (KAP) level upon household insecticide and its associated factors among Kuantan’s public. Method: A cross-sectional survey was conducted among 199 respondents via a self-administered questionnaire concerning sociodemographic and KAP’s domain data was distributed and collected. Results: Most respondents had adequate KAP scores. Statistical analysis confirmed that marital status group (p = 0.047) affected knowledge singles and married person had higher knowledge score. There were significant association between females with levels of knowledge (p = 0.003) and attitude (p = 0.024). A strong positive correlation between knowledge and attitude (r = + 0.800, p = 0.010), between knowledge and practice (r = + 0.760, p = 0.010), and a good positive correlation between attitude and practice (r = + 0.740, p = 0.010). Conclusion: The finding of Kuantan public’ KAP data can be used as a reference to formulate effective health promotion intervention to reduce the insecticide exposure risk among wider public community.