SBBS1104_SEM JAN08/F_NS

PART A / BAHAGIAN A

INSTRUCTIONS / ARAHAN Part A contains TEN questions. Answer ALL questions. Bahagian A mengandungi SEPULUH soalan. Jawab SEMUA soalan. QUESTION / SOALAN Marks / Markah

1.

Scheduling the staff is the responsibility of the ward Head Nurse. Describe 4 issues you should consider while scheduling your staff.

(4)

Penjadualan tugas kakitangan adalah tanggungjawab ketua Jururawat. Terangkan 4 isu yang anda perlu diambilkira semasa menyediakan jadual kerja kakitangan anda.

2.

Decision making process is a vital skill that every nurse must have. Describe briefly on how decision making process can be implemented into your nursing practice.

(4)

Proses penyelesaian masalah merupakan satu kemahiran penting bagi setiap juruawat. Jelaskan dengan ringkas bagaimana proses penyelesaian masalah boleh di amalkan didalam amalan kejururawatan..

3.

Safety needs is one of the theory of Maslow`s Hierachy theory of human needs. Describe on how the organization should motivate their employees on safety needs.

(4)

Keperluan keselamatan adalah satu dari pada teori Maslow’s Hierachy of Human Needs. Terangkan bagaimana organisasi perlu menggalakkan kakitangan berkaiatan keperluan keselamatan.

1...

Explain on how Quality Improvement Process can be implemented in your nursing practice. Bincangkan kebaikan dan keburukan teori ini berkaitan dengan amalan kejururawatan. 6. (4) Teori Birokrasi adalah salah satu teori Pengurusan. (4) Terangkan empat kriteria penting yang perlu diambilkira semasa menyediakan clinical pathway sebagai panduan penjagaan pengurusan pesakit.. Discuss the advantages and disadvantages of this theory in relation to nursing pratice. .Terangkan konsep Model Functional Nursing.SBBS1104_SEM JAN08/F_NS 4. Functional Nursing Model was introduced during World War II when there was significant shortage of nurses in the United State. Describe the concept of Functional Nursing Model.. (4) Terangkan bagaimana proses pembaikan kualiti boleh diimplementasi di dalam amalan kejururawatan 2. Describe four important criteria that you should consider while formulating clinical pathway as a care delivery management tools. 5. 7. (4) Model Functional Nursing telah diperkenalkan semasa perang Dunia Kedua semasa kekurangan jururawat yang ketara di United State. Bureaucratic theory is one of the management theories.

Discuss the function of Nursing Board Malaysia in the enforcement of nursing practice in Malaysia. 9. . Describe two of the techniques in conflict resolution.. (4) Terangkan dua daripada teknik-teknik di dalam penyelesaian konflik..SBBS1104_SEM JAN08/F_NS 8. Describe four check lists that nurses should consider to make sure informed consent is taken appropriately. 10. (4) Terangkan empat senarai semak perlu ambilkira oleh jururawat bagi memastikan informed consent diambil dengan cara yang betul.. Bincangkan kebaikan dan keburukan teknik-teknik tersebut. Discuss the advantages and disadvantages of those techniques. (4) Bincangkan fungsi Lembaga Jururawat Malaysia di dalam penguasaan amalan kejururawatan di Malaysia (Total/Jumlah:40) 3.

.SBBS1104_SEM JAN08/F_NS PART B / BAHAGIAN B INSTRUCTIONS / ARAHAN Part B contains FIVE questions. QUESTION / SOALAN Marks / Markah 1. A great team accomplishes the objective of the group. Team members should know each others` strengths and weaknesses. Discuss each of the stages of Team Process: a) Forming b) Storming c) Norming d) Performing e) Adjourning (10) ii. Answer THREE questions only. “The whole is greater than the sum of parts” This statement shows the importance of an effective team building. Discuss the importance of the following components in the effective team building and give example. i.. a) Active participation b) Active plan c) Ongoing assessment and evaluation (10) 4.. and continually develop their knowledge and skills. Bahagian B mengandungi LIMA soalan. Jawab TIGA soalan sahaja.

Bincang setiap langkah Proses Kumpulan a) “Forming” b) “Storming” c) “Norming” d) “Performing” e) Adjourning” ii. 5. . Bincangkan kepentingan komponen-komponen berikut di dalam keberkesanan kerja berkumpulan dan berikan contoh..SBBS1104_SEM JAN08/F_NS “Kesemua adalah lebih baik daripada sebahagian” Kenyataan ini menunjukkan kepentingan kerja berpasukan yang berkesan. Kumpulan yang baik berupaya mencapai objektif mereka. Ahli pasukan perlu mengenali kekuatan dan kelemahan setiap ahli: dan secara berterusan membangun pengetahuan dan kemahiran mereka i. a) Penglibatan aktif b) Perancangan aktif c) Asesmen dan penilaian berterusan..

Bincang pendekatan anda bagi menyelesaikan masalah tersebut. Discuss on which approach you want to implement to overcome the problem iii.. (6) During your implementation you realized that your staff were reluctant to participate. ii. (4) (10) Proses perubahan biasanya dirancang bagi memepertingkatkan keberkesanan sesebuah organisasi. .. ii. How would you evaluate the effectiveness of change has done. i. Change Process is usually planned to improve efficiency of an organization. From your assessment you found that infection rate in your ward has increased. iii. Sebagai Jururawat Kawalan Infeksi bagaimanakah anda merancang untuk menurunkan kadar infeksi tersebut? Semasa implementasi anda dapati kakitangan kamu enggan mengambil bahagian.SBBS1104_SEM JAN08/F_NS 2. Bagaimanakah anda menilai keberkesanan perubahan yang telah berlaku? 6. i. Daripada asesmen anda dapati kadar infeksi diwad anda telah meningkat. As an Infection Control Nurse how would you plan to reduce the infection.

prevention instead of inspection and the process instead of the person.. (10) Pengurusan kualiti di dalam penjagaan kesihatan fokus kepada pelanggan bukan penjaga. (10) You are the change agent of the unit. Anda merupakan agen perubahan di dalam unit anda Anda cuba menggunakan pendekatan baru didalam jagarawatan dengan mengekalkan kualiti jagaan.. ii) Pilih satu isu di dalam kawasan klinikal anda dan hubungkait dengan proseskualiti (QI) pembaikan 7. Quality management in healthcare focuses on the customer instead of the provider. ii. i. mencegah bukan memerhati dan proses bukan individu. i) Bincangkan perbezaan diantara “Quality Assurance” dan “Quality Improvement’. You try to implement new approach on nursing care and maintain the quality of care. Choose one issue in your clinical area and relate with your Quality Improvement (QI) process.SBBS1104_SEM JAN08/F_NS 3. . Discuss the differences between Quality Assurance (QA) and Quality Improvement (QI).

You are a Nurse Manager of a new unit for stroke patients which consists of ten patients. 8.. ..SBBS1104_SEM JAN08/F_NS 4. i) What would you consider in planning for staffing for this unit? ii) Based on the above scenario choose the most appropriate model of delivery care system and explain what are the advantages and disadvantages of the model in relation to the scenario (10) (10) Anda seorang Pengurus Jururawat di sebuah unit baru bagi pesakit stroke yang mempunyai seramai 10 orang i) Apakah yang anda perlu diambilkira semasa membuat perancangan kakitangan (staffing) diunit tersebut? ii) Berdasaran senario di atas pilih satu model yang paling sesuai di dalam sistem penjagaan dan terangkan apakah kebaikan dan keburukan model tersebut berkaitan dengan scenario tersebut.

SBBS1104_SEM JAN08/F_NS 5. Luka beliau didapati besar dalam dan memerlukan wound irigation yang kerap. Her wounds are extensive and deep requiring frequent wound irrigation. Puan Aminah mengalami kebakaran radiasi peringkat ketiga di bahagian bawah abdomen. Puan Aminah complained that the procedure is the very painful. Puan Aminah mengadu mengalami sakit yang teruk semasa rawatan. ii) What is the nurse`s responsibility in assisting the patient to maintain autonomy? (10) (10) Semasa menjalani rawatan radioterapi. i) Bincangkan situasi tersebut dari segi “beneficence” dan “nonmaleficience” ii) Apakah tanggungjawab jururawat dalam membantu pesakit mengekalkan autonomi? END OF QUESTION PAPER/KERTAS SOALAN TAMAT 9 . Puan Aminah sustains third degree radiation burn to her lower abdomen. i) Discuss the situation in terms of beneficence and nonmaleficence. Beliau meminta supaya rawatan tersebut diberhentikan. Walaupun diberi ubat penahan sakit setiap kali sebelum prosedur. Despite being given pain relief before each procedure. During the course of radiotherapy. She requested for treatment to be discontinued.

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