https://journals.iium.edu.my/ijcs/index.php/ijcs/issue/feed INTERNATIONAL JOURNAL OF CARE SCHOLARS 2022-08-15T09:49:46+08:00 Editor ijcs@iium.edu.my Open Journal Systems <p style="text-align: justify;">The International Journal of Care Scholars (IJCS) is the official journal of the Kulliyyah (Faculty) of Nursing, International Islamic University Malaysia. IJCS will publish original research articles and case reports as well as review articles in all related areas on the care of individual, family and community. Our expertise and interest, including the topics related to nursing care, medical care, collaborative care, transdisciplinary care, patient and healthcare provider education. It also covers management and ethics issues related to individual, family and community care. This is an open access journal, which implies that the user or his/her institution can access all of the content for free. Users may read, download, copy, distribute, print, search, or link to the full texts of the articles for any lawful purpose without seeking permission from the publisher or author. IJCS is indexed in Google Scholar and MyJurnal. <strong>ISSN: 2600-898X</strong></p> https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/250 Compassion Fatigue in Nurse Educators 2022-08-15T09:48:13+08:00 Latifah Jehloh latifah.j@pnu.ac.th Yusrita Zolkefli yusrita.zolkefli@ubd.edu.bn 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/226 The 24-Hour Nursing Ward Report: Concern and Way Forward 2022-08-15T09:49:44+08:00 Dayang Hajijah Awang Abdul Harris 18M1318@ubd.edu.bn Yusrita Zolkefli yusrita.zolkefli@ubd.edu.bn 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/252 Knowledge, Awareness and Practice on Dietary Management Among Patients with Urolithiasis: A Scoping Review 2022-08-15T09:48:09+08:00 Siti Noorkhairina Sowtali sitinoorkhairina@iium.edu.my Nur Fadhlin Farhanah Mohamed Faizal fadhlinfarhanah97@gmail.com Aini Shazwani Baharudin ainishazwani14@gmail.com <p>Urolithiasis or kidney stone has strong association with lifestyle. The pattern of recurrent episodes reported is alarming and if left untreated will lead to serious conditions such as cancer or ablative surgical intervention. Therefore, this scoping review was performed to provide an overview on knowledge, awareness and practice (KAP) of dietary management among patients with urolithiasis. Published studies within 2010 until 2020 on KAP among urolithiasis patients globally and Malaysia were searched through five databases including ProQuest Health and Medical Complete, Wiley Online Library, EBSCO Host, Science Direct and Scopus. The quality appraisal was performed using Freestyle Critical Appraisal. Two of the authors involved in screening the relevant literature while the supervisor involved in peer checking the appraisal performed. A total of eight publications; five original studies and three review papers were obtained but none was from Malaysia. Only five were reviewed systematically on the basis of its completeness for quantitative synthesis on design, population, methodology and instrumentation. The scope of interest was awareness of urolithiasis, knowledge on risk factors, sign and symptoms, treatment and preventive measure, as well as the relationship between urolithiasis and socio-demographic background. The findings highlighted an association between socio-demographic background such as age, gender, education level, income status, literacy level towards KAP among urolithiasis patients on dietary management. Lifestyle pattern such as food intake and weight management were crucial to prevent recurrent episode Proper dietary management was an early intervention to prevent recurrent episodes of urolithiasis. Health education efforts may be helpful to increase awareness and knowledge among patients and this need to be performed by multidisciplinary effort.</p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/240 Attitudes and Beliefs of Nursing Students Towards Sexual Health Care 2022-08-15T09:48:43+08:00 Nur Aida Ab Rashid nuraidarashid89@gmail.com Norfadzilah Ahmad fadzilah_hmd@iium.edu.my Aniawanis Makhtar aniawanis@iium.edu.my <p><strong>Introduction:</strong> Sexual health care refers to assessing sexual health, identifying the risks, and providing appropriate counselling related to sexuality. It is essential to have competency related to this care to prevent under-treated patient and further complications. This study aims to explore attitudes and beliefs among undergraduate nursing students at International Islamic University Malaysia (IIUM) Kuantan, Pahang toward sexual health care and its association with socio-demographic characteristics.</p> <p><strong>Methods:</strong> A descriptive quantitative cross-sectional study with a convenience sampling was conducted among 239 students from March to May 2021. Data were gathered by using Google Forms questionnaires and distributed to all undergraduate nursing students through WhatsApp. The questionnaires were available in three parts: socio-demographic, students’ characteristics, and Sexual Attitude and Belief Survey (SABS). Data analysis was done by using SPSS version 20.0.</p> <p><strong>Results:</strong> The majority of nursing students have moderate attitudes and beliefs in delivering sexual health care and Age group was significantly associated with SABS score (<em>p</em>&lt;0.05).</p> <p><strong>Conclusion:</strong> Although most nursing students have sufficient knowledge related to sexual health, they still feel uncomfortable and unable to diagnose patients with sexual problems.</p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/228 Designing Spouse-based Educational Intervention to Reduce Second-hand Smoke For Pregnant Women: A Study Protocol For Randomized Control Trial 2022-08-15T09:49:37+08:00 Siti Hajar Mohamed Zain shajar@iium.edu.my Siti Roshaidai Mohd Arifin roshaidai@iium.edu.my Hanida Hani Mokhtar hanidahani@iium.edu.my Mohd Said Nurumal mohdsaid@iium.edu.my Mohamad Che' Man mohdcheman@iium.edu.my <p><strong>Introduction:</strong> Secondhand smoke (SHS) exposure affects not only the maternal wellbeing but also unborn baby. This study aims to develop a spouse-based educational intervention to reduce SHS exposure by examining the understanding and perception of both pregnant women and their smoking spouses.</p> <p><strong>Methods:</strong> Using a sequential exploratory mixed-method research design, this study will be conducted through four phases. In the first phase, a qualitative study will be conducted to examine the understanding and perception of pregnant women and their smoking spouses regarding secondhand smoke exposure. In the second phase, the content of the educational intervention will be designed based on the outcomes of the first phase and from the literature review. Validation of the designed intervention will be conducted by experts to assess the accuracy of the contents in phase 3. After the validation, a pilot study will be conducted to measure the comprehensiveness of the module. The feasibility and effectiveness of the intervention will be measured in phase four by a pre-test and post-test study design.</p> <p><strong>Expected outcome and</strong> <strong>conclusion:</strong> The designed educational intervention module of SHS exposure can be used as a breakthrough point to empower non-smoking pregnant women to protect themselves from secondhand smoke exposure, and also to facilitate the smoking spouse to change their smoking behavior, and thus promote the smoke-free home.</p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/230 Involvement and Barriers Towards Provision of Health Promotion Activities Among Nurses in Kuantan, Pahang 2022-08-15T09:49:32+08:00 Farah Hanun Ahmad Sabri hanunsabri09@gmail.com Aniawanis Makhtar aniawanis@iium.edu.my <p><strong>Background:</strong> Nurses make up the single largest healthcare professional group in the Malaysian healthcare system. As frontline healthcare providers, they promote healthy lifestyles to patients and families. Nevertheless, the nurses encounter many barriers towards their involvement in providing health promotion activities. The aim of this study was to explore the nurses’ involvement and barriers towards the provision of health promotion activities. <br /><strong>Methods:</strong> A cross-sectional study was carried out in selected community health clinics in Kuantan, Pahang. It involved 168 nurses who were selected using convenience sampling. The study used a self-administered questionnaire that contained a section on demographic characteristics, the nurses’ involvement and barriers towards the provision of health promotion activities questionnaire. <br /><strong>Results:</strong> The results of this study show that the participants were involved in health promotion activities. Immunisation, weight management counselling, family planning, diabetes counselling, nutritional activity and physical activity were the performance items most frequently cited by the participants in terms of involvement. Meanwhile, lack of time was the most frequently cited barrier item affecting involvement.<br /><strong>Conclusions:</strong> In terms of continuing professional development and lifelong learning, the study provides valuable information for formulating strategies to offer training opportunities and continual support available in increasing nurses' involvement in health promotion activities. </p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/241 Knowledge and Attitude of Nursing Students Towards Mentoring Program in Kulliyyah of Nursing, International Islamic University Malaysia (IIUM) 2022-08-15T09:48:38+08:00 Salizar Mohamed Ludin msalizar@iium.edu.my Fatin Eliya Roshaimi fatineliyaaa@gmail.com <p><strong>Introduction:</strong> Mentoring is one of the important elements in education as it includes orientation to enhance the tutors’ role, integrating into the education community, teaching and leadership development, scholarship, and service skills. Despite the positive feedbacks and comments on mentoring program, the knowledge and attitude of students towards any problems faced are still unknown or unclear. Thus, this study aims to investigate the knowledge and attitude among nursing students on mentoring program in Kulliyyah of Nursing in IIUM Kuantan. <br /><strong>Methods:</strong> A quantitative cross- sectional study with convenience sampling was conducted on 188 undergraduate nursing students between October to December 2020. Data were collected via online platform (google form) invited through WhatsApp or email. The questionnaires consist of sociodemographic profile, knowledge, and attitude towards mentoring program. <br /><strong>Results:</strong> Most students age between 22 to 23 years old (59.5%). Students mainly perceived good knowledge and positive attitude towards mentoring program. There were no association seen between sociodemographic profile and knowledge towards mentoring program (gender p=0.120; age p=0.165; year of study p=0.188) and attitude to mentoring program (gender p=0.241; age p=0.442; year of study p=0.720). However, there was a correlation between knowledge and attitude of nursing students towards mentoring program in Kulliyyah of Nursing (p&lt;0.05). <br /><strong>Conclusion:</strong> The study revealed there were no effect of sociodemographic profile on knowledge and attitude, however demonstrated of association between their knowledge and attitudes to mentoring program. Thus, the study basically showed that by having a good knowledge on the program, they will tend to have good attitudes and involved in the program accordingly. This finding further implied that more awareness on mentoring program should be executed to boost the student knowledge and attitude. Further research should be explored to look onto students’ needs and how to assist the student through mentoring.</p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/246 Knowledge and Practice of Cardiopulmonary Resuscitation (CPR) For Drowning Among Primary School Children 2022-08-15T09:48:26+08:00 Thandar Soe Sumaiyah Jamaludin sumaiyah@iium.edu.my Mohd Said Nurumal mohdsaid@iium.edu.my Muhammad Kamil Che Hasan mkamil@iium.edu.my Mohd Khairul Zul Hasymi Firdaus zulhasyimi@iium.edu.my Nor Hikemar A Rahman mkhairulzh@gmail.com <p><strong>Introduction:</strong> Drowning is one of the cases that contribute to a high number of death cases as unintentional injury cases worldwide. The victims of this issue are higher among primary school children. Cardiopulmonary resuscitation (CPR) can be performed for drowning victims who showed an absence of breathing and pulse to regain their consciousness and their life. Furthermore, providing the knowledge and practice of CPR should not only be limited to adults but also the children including at the primary level. <br /><strong>Objectives:</strong> This study aimed to identify knowledge and the practice of CPR for drowning victims before and after the intervention given. <br />Methods: A pre-post interventional study design with a purposive sampling method was conducted at the primary school. The studied participants were primary school children who live near the coastal areas. Developed self-administered questionnaires and CPR educational videos were used in this study to identify the knowledge and practice of the studied participants. The data were analysed by using IBM SPSS statistics version 25.0. <br /><strong>Results:</strong> The studied participant's ages were 10 and 11 years old. They were capable of comprehending the information delivered to them. Both knowledge and practice of CPR for drowning victims were increased after the educational video intervention was given to them. <br /><strong>Conclusion:</strong> The findings showed that although they lacked knowledge and practice of CPR for drowning victims before the intervention, they were able to show improvements in their total score for both parts after the intervention. Educating the children as early as 10 years old regarding CPR for drowning victims was capable to be carried out in the local setting. Hence, the implementation of CPR courses in the curriculum of school children starting from the primary level may happen in the future.</p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/249 Knowledge Level on Breast Cancer and Breast Self-Examination (BSE) Practice Among Female University Students 2022-08-15T09:48:17+08:00 Nurhazirah Zainul Azlan nurhazirah@iium.edu.my Amiratul Adibah Azhar angahadibah@gmail.com Mohd Azri Abd. Jalil azrijalil@iium.edu.my <p><strong>Introduction:</strong> Breast cancer is the most common cancer affecting women in Malaysia and therefore, it is important to recognize the early signs and symptoms of breast cancer. In addition, breast self?examination (BSE) also has been suggested as a valuable technique for the early diagnosis of breast cancer. Therefore, this study aimed to assess the level of knowledge on breast cancer and breast self-examination (BSE); and determine the practice of BSE among female student in International Islamic University Malaysia (IIUM), Kuantan, Pahang. <br /><strong>Methods:</strong> A quantitative cross-sectional study with stratified random sampling method was conducted among 245 female students in IIUM Kuantan Campus, from April to May 2021. Data were gathered by using Google Forms platform which was available in English Language and were distributed to female undergraduate students. The questionnaire was adapted from three sets of questionnaires, Nimir et al., (2014), Erdem and Toktas (2016) and Tewabe and Mekuria (2019). Data analysis was done by using SPSS version 23.0. <br /><strong>Results:</strong> Majority of the participants (98.0%) have high knowledge regarding the knowledge on risk factors, signs and symptoms of breast cancer and breast self-examination (BSE). The result also showed that 31.0% participants never performed BSE. Most of them reported that the reasons that they do not perform BSE are due to lack of knowledge (35.1%), forgetfulness (33.9%) and negligence (21.6%). Around 36.3% participants reported that they do not know the technique that use to perform BSE.<br /><strong>Conclusion:</strong> Participants having high knowledge on breast cancer and BSE; however, the practice of BSE is still lacking. Therefore, BSE need to be more educate and promote its practice among young women for early detection of breast cancer and its prevention. </p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/245 Knowledge Level on the Association Between Body Mass Index (BMI), Menstrual Cycle and Lifestyle Patterns in Contributing the Development of Polycystic Ovarian Syndrome (PCOS) Among Female University Students 2022-08-15T09:48:31+08:00 Nurhazirah Zainul Azlan nurhazirah@iium.edu.my Siti Zulaika Bustaman zulaika.bustaman@live.iium.edu.my Redzuan Nul Hakim Abdul Razak redzuan@iium.edu.my <p><strong>Introduction:</strong> Polycystic ovarian syndrome (PCOS) is a heterogeneous endocrine disorder characterized by anovulation, hyperandrogenism, infertility and metabolic dysfunction, that affect ladies in their adolescent period until menopause, specifically at reproductive age. The objective of this study was to determine the knowledge level of PCOS and the association between BMI, menstrual cycle and lifestyle pattern in contributing the development of PCOS and its relationship with sociodemographic characteristics among female students at International Islamic University Malaysia (IIUM), Kuantan, Pahang. <br /><strong>Methods:</strong> A quantitative cross-sectional study using convenience sampling method was conducted among 245 female undergraduate students of IIUM Kuantan Campus, from April to May of 2021. Data were collected using Google Forms platform and a quantitative questionnaire which was available in English Language and distributed to all female undergraduate students in the campus. The set of questionnaires were taken from a research paper by Thomas et al. (2018). Data analysis was done by using SPSS version 21.0. <br /><strong>Results:</strong> The majority of the participants have above-average knowledge level regarding PCOS and its association with BMI, menstrual cycle and lifestyle pattern (58.0%). The mean score on knowledge on the association between BMI and development of PCOS significantly different in between kulliyyah and year of study, with Kulliyyah of Medicine and students from Year 5 are higher compared to other Kulliyyah and year of study, respectively. For the association between menstrual cycle and development of PCOS, the mean score on knowledge is differed significantly across year of study. The mean score on knowledge on the association between lifestyle pattern and development of PCOS differed significantly across kulliyyah with Kulliyyah of Allied Health Science are higher compared to other kulliyyah.<br /><strong>Conclusion:</strong> Female undergraduate students have above-average knowledge regarding PCOS and its association with BMI, menstrual cycle, and lifestyle patterns.</p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/238 Knowledge on Coronavirus Disease (COVID-19) and Practice of COVID-19 Prevention Among Students in the Health Campus 2022-08-15T09:49:26+08:00 Nurul Atikah Nuraini Canti nurulatikahcanti@gmail.com Norhasmah Mohd Zain hasmahmz@usm.my Hasni Embong ehasni@usm.my <p><strong>Introduction:</strong> Knowledge of COVID-19 and the practices towards the prevention of COVID-19 are crucial especially among health sciences students who are required to do a clinical placement at a hospital. This study aimed to assess the knowledge on COVID-19 and practice of COVID-19 prevention among university students.</p> <p><strong>Methods:</strong> A cross-sectional study was conducted via a web-based survey. A total of 273 students of the medical, dental and health sciences programs were invited to participate in this study using stratified random sampling methods. A set of questionnaires developed by WHO training material for identification, prevention, response, and control of COVID-19 was used.</p> <p><strong>Results:</strong> Most of the respondents were fourth year students (37.4%) age of 22 years old. The mean of total knowledge score was 23.14 ± 1.50. The overall mean score for the practice towards prevention of COVID-19 was 30.06 ± 3.03. The findings revealed that 71.1% students had good knowledge while 28.9% of them had poor knowledge regarding COVID-19. Half (58.6%) of the students have good practice and 41.4% had poor practice of COVID-19 prevention. There is no significant correlation of knowledge on COVID-19 and the practice of COVID-19 prevention.</p> <p><strong>Conclusion:</strong> This study emphasizes the need for continuous education and a regular reminder to the student population involved in the clinical area regarding infectious disease prevention.</p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/244 Perceived Stress, Its Stressors and Coping Mechanism Among Nursing Students in Clinical Practice During COVID-19 Pandemic 2022-08-15T09:48:35+08:00 Salizar Mohamed Ludin msalizar@iium.edu.my Putri Amira Noor Azman putriamiranoorazman98@gmail.com <p><strong>Introduction:</strong> Being stressed-out and overwhelmed during the period of nursing training is the frequent complaint by nursing students due to clinical training that are very stressful. Moreover, with the COVID-19 pandemic that just happened in 2020, modification of lifestyle during the lockdown leads to psychological distress and stress especially among undergraduate nursing students. Objectives: This study aims to assess the perceived stress and coping mechanism among nursing students in clinical practice during COVID-19 pandemic.<br /><strong>Method:</strong> A cross-sectional study was conducted among nursing students from IIUM Kuantan using online surveys. Data was interpreted in descriptive and inferential analysis using Statistical Package for the Social Sciences (SPSS) version 20. <br /><strong>Results:</strong> Among 128 participants, the students perceived high stress levels (M = 2.06, SD = 0.66). The most common types of stressors are stress from assignments and workload (M = 2.72, SD = 0.82). Meanwhile, the most common type of coping mechanism applied by nursing students is transference (M = 2.57, SD = 0.75), while the least frequently applied by the students is avoidance (M = 1.65, SD = 0.77). The association between demographic profile such as hours of sleep and the worry of being infected with COVID-19 were significant with perceived stress levels, while being quarantined due to suspected infection or infected by COVID-19 and hours of sleep were statistically significant with coping mechanism. Furthermore, there was a positive significant association between total perceived stress and coping mechanism using the Spearman correlation. <br /><strong>Conclusion:</strong> This study may help in planning to overcome the high stress problems among nursing students through nursing education, nursing practice and nursing research. </p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/247 The Association Between Emotional Labour and Emotional Exhaustion Among Undergraduate Nursing Students During Clinical Posting 2022-08-15T09:48:21+08:00 Salizar Mohamed Ludin msalizar@iium.edu.my Nurul Assyikin Asri assyikinasri98@gmail.com <p><strong>Introduction:</strong> Nursing students with lesser experience and training are likely to react negatively to emotional labour and are at higher risk for deterioration of psychological well-being and increase emotional exhaustion due to accumulated stress. This study aims to determine the level and association between emotional labour and emotional exhaustion among undergraduate nursing students during clinical posting. <br /><strong>Methods:</strong> A cross-sectional study was conducted among undergraduate nursing students in a public University in Malaysia using online surveys. The Nurse Emotional Labour Scale (NELS) consist of 15 items and scored the response using the 5-point Likert scale was used to measure the level of emotional labour. Meanwhile, emotional exhaustion was measured using 9 items Emotional Exhaustion subscale of Maslach Burnout Inventory. <br /><strong>Results:</strong> A total of 155 students (81.3% female and 18.7 % male) responded to the study. The level of emotional labour among nursing students were found to be moderate with a mean score of 20.26 and most students used genuine acting. More students engaged in deep acting (Mean = 11.30) compared to surface acting (Mean = 8.97). A high level of emotional exhaustion was identified in 14.2% of the students. Clinical posting experience and emotional exhaustion were found to be associated. Posting in the operation theatre and labour room leads to emotional exhaustion. There was positive significant association between emotional labour and emotional exhaustion of the students. <br /><strong>Conclusion:</strong> Overall, it can be concluded that emotional exhaustion during clinical posting is related to emotional labour. Thus, measures in dealing with emotional labour such as effective coping strategies and stress prevention can be encouraged. Close monitoring and support from the clinical teachers should be strengthened so that early assistance can be delivered to the needy students. Also, steps in the arrangement of the clinical posting should be employed to make it student friendly and interesting clinical learning. Further research from the clinical teachers’ perspective should be done so that early assessment of students’ performance or any emotional issues that arise can be monitored and detected early.</p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/259 An Intensive Care Nurse Narrative of Spiritual Care During COVID-19 2022-08-15T09:48:51+08:00 Ayuni Asma' Baharudin ayunibaharudin@gmail.com Mohd. Said Nurumal mohdsaid@iium.edu.my <p><strong>Introduction:</strong> The intensive care management during the pandemic of COVID-19 is highly critical. The provision of spiritual care to the patients and their family members is important but challenging to be accomplished during this time. This article attempts to provide a view of an intensive care nurse’s experience of spiritual care during the COVID-19 pandemic.<br /><strong>Methods:</strong> Interview was conducted with a nurse who worked in an intensive care unit (ICU) of a tertiary government hospital in Malaysia. It is a part of a larger qualitative study investigating the perceptions of ICU clinicians in providing spiritual care in the ICU. A thematic analysis was utilized in identifying emergent themes that would be significant in context of intensive care COVID-19 management. <br /><strong>Results:</strong> There were two emergent themes that were identified from the nurse’s reflection – Keeping faith, and Blessed outcomes.<br /><strong>Conclusion:</strong> This reflective account of a nurse providing spiritual care in the ICU may give insights for a better COVID-19 management. Further research is needed to explore the use of reflective practice in the spiritual care education and training. Further studies should also include the experience of the patients, the families as well as the professionals in the ICU to develop a concise model of spirituality and spiritual care in the ICU context, particularly during the pandemic of COVID-19. </p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/116 “Hear Me Out, Please…”: The Experience of the Novice Critical Care Nurse When Embarking in the Critical Care Areas 2022-08-15T09:49:46+08:00 Rusila Ruslan rusilaruslan@iium.edu.my Sanisah Saidi sanisahsaidi@iium.edu.my Mohd Said Nurumal mohdsaid@iium.edu.my <p><strong>Introduction:</strong> The readiness of novice critical care nurses (NCCN) to perform efficiently has been doubted globally. Studies have reported that novice nurses have issues with their confidence and competence in handling critical patients in ICU. Their lack of confidence and competence may promote more harm to the patient’s condition study aim is to explore the experience of novice critical care nurses when embarking in critical care areas.<br /><strong>Methods:</strong> This study was carried out using a general qualitative design. Data were collected through an in-depth interview in exploring NCCN experiences, challenges, and needs while working in the critical care setting. They were recruited from a teaching hospital located in East Coast Malaysia. Data were organised and analysed manually using the thematic analysis approach. <br /><strong>Finding:</strong> A total of 20 participants was recruited for the study. The majority of the participants are Malay, female, and graduated with Diploma in Nursing from Malaysia. The study reported three main themes; (1) Handling complex patients (2) Familiarised with the equipment and environment, and (3) Mixed feelings during the transition. Themes revealed in the study have proposed that NCCN is eager for support when embarking in the areas.<br /><strong>Conclusion:</strong> Acknowledge the struggle faced by the NCCN may seem small to others. But it can free up some space in their mind to continue the growth expected and needed from them. Therefore, it could be beneficial to the health setting and patients’ care. </p> 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/253 Moral Challenges in Nursing Practices 2022-08-15T09:48:05+08:00 Mohamad Firdaus Mohamad Ismail firdausismail@iium.edu.my Siti Zuhaidah Shahadan sitizuhaidah@iium.edu.my 2022-07-31T00:00:00+08:00 Copyright (c) 2022 INTERNATIONAL JOURNAL OF CARE SCHOLARS