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...

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

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

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

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. 5.SBBS1104_SEM JAN08/F_NS “Kesemua adalah lebih baik daripada sebahagian” Kenyataan ini menunjukkan kepentingan kerja berpasukan yang berkesan. a) Penglibatan aktif b) Perancangan aktif c) Asesmen dan penilaian berterusan. Bincangkan kepentingan komponen-komponen berikut di dalam keberkesanan kerja berkumpulan dan berikan contoh. Bincang setiap langkah Proses Kumpulan a) “Forming” b) “Storming” c) “Norming” d) “Performing” e) Adjourning” ii...

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

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

8. 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.. You are a Nurse Manager of a new unit for stroke patients which consists of ten patients.SBBS1104_SEM JAN08/F_NS 4.. .

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

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