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Malaysian nurses’ knowledge and attitudes regarding BRCA genetic testing Liu, Kien Ting; Wan Rosli, Wan Rosilawati; Yusuf, Azlina; Lean Keng, Soon
Belitung Nursing Journal Vol. 7 No. 6 (2021): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1802

Abstract

Background: Breast cancer genetic (BRCA) testing for cancer susceptibility is an emerging technology in medicine. Objective: This study assessed the knowledge and attitude of nurses regarding BRCA genetic testing in a tertiary teaching hospital in Malaysia. Methods: A descriptive cross-sectional study was conducted among 150 nurses using a simple random sampling technique in a tertiary teaching hospital in northeast peninsular Malaysia. Data were collected using a self-administered questionnaire consisting of socio-demographic data, assessing nurses’ knowledge and attitude regarding BRCA genetic testing. Fisher exact test analysis was used to determine the association between socio-demographic characteristics with knowledge and attitude level. In addition, the overall knowledge and attitude were analysed using the sum score of each outcome based on Bloom’s cut-off point. Results: Of the 150 nurses, 66.7% had high knowledge level about BRCA genetic testing, and 58% were positive towards genetic testing. The participants’ mean age was 28.9 years (SD = 6.70). Years of working experience (p = 0.014) significantly influenced knowledge level on BRCA genetic testing, whereas speciality working experience (p <0.001) significantly influenced BRCA genetic testing attitudes. Conclusions: The results show that most nurses have adequate knowledge of BRCA genetic testing. However, their attitude could be termed negative. Therefore, targeted education programs on BRCA genetic testing and risk are needed to improve the knowledge and attitude of nurses and, ultimately, can educate the women and increase health-seeking behaviour among eligible women.
Leadership Styles in Managing Change Among Healthcare Professionals: A Systematic Literature Review Noor, Norizun Mohd; Ahmad, Azimah; Lean Keng, Soon
Pancasakti Journal Of Public Health Science And Research Vol 5 No 3 (2025): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v5i3.2014

Abstract

Leadership styles critically shape healthcare professionals’ readiness for organizational change, yet the evidence on which styles most effectively reduce resistance remains fragmented. Following PRISMA 2020 guidelines, we used the PICO framework to develop search strategies. Searches (January 2020–March 2024) were conducted in SCOPUS, Web of Science, Google Scholar, ProQuest, CINAHL, Medline, EMBASE (OVID), and Cochrane, limited to English-language empirical studies. Search terms included leadership, change, and resistance to change. Data were synthesized using content analysis. From 1,263 records, 10 studies met the inclusion criteria. Quantitative synthesis showed 70% supported transformational leadership as most effective, with idealized influence, inspirational motivation, and intellectual stimulation enhancing change readiness. 20% favored democratic/participative leadership for improving communication and shared decision-making. 10% endorsed transactional leadership, effective in structured change requiring clear performance metrics and contingent rewards. Across all studies, leadership style influenced employee attitudes, willingness to change, and resistance levels. Transformational leadership predominates in reducing resistance and fostering readiness, though democratic and transactional approaches may suit specific contexts. Findings highlight the need for adaptive, context-sensitive leadership strategies to optimize change outcomes.