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All Journal Makara Journal of Health Research
Wan Puteh, Sharifa Ezat
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Perception of Lean Adoption among Emergency Department Personnel in Public Hospitals in Selangor, Malaysia Mohamad Jamil, Azizul Rahman; Abdul Manaf, Mohd Rizal; Wan Puteh, Sharifa Ezat; Balakrishnan, Kiran Ganesh
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Background: This research aims to assess the perceptions of the staff working in emergency departments in Selangor, Malaysia, regarding the adoption of lean management and identify the factors that affect their perceptions. Methods: A cross-sectional study using the Lean in Healthcare Questionnaire was conducted with 251 respondents, which consisted of doctors, nurses and medical assistants employed in three selected hospitals. Results: One-way analysis of variance (ANOVA) showed a significant difference in every domain score in accordance with the occupation category. For the domain process, a significant negative correlation was found between age and domain score (r = –0.195, p = 0.002). In particular, nurses had better perceptions of lean adoption compared with others (odds ratio [OR] = 2.44, p < 0.004). The odds of having a better perception decreased by 6.3% as the age increased (p < 0.008). Conclusions: The findings revealed that age and occupation appeared to be determinants of lean adoption perceptions among emergency department personnel. Specifically, older employees tend to have negative perceptions, while nurses have more positive perceptions. However, further research is needed to understand perceptions of lean adoption better and develop guidelines for implementing lean principles in healthcare settings.
Cross-Cultural Adaptation and Expert Opinion of Revised Trauma Quality of Life Questionnaire (RT-QoL): Malay Language Version Wan Puteh, Sharifa Ezat; Ibrahim, Shamsinar; Zulkifli, Malina; Aizuddin, Azimatun Noor; Mohd Yusoff, Hanizah
Makara Journal of Health Research Vol. 29, No. 1
Publisher : UI Scholars Hub

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Background: This study examines the cross-cultural adaptation and expert validation of the Revised Trauma Quality of Life (RT-QOL) questionnaire, translating it from English to Malay. Methods: The study employed Beaton’s adaptation guidelines and Takasaki’s framework for expert opinions, involving 51 road traffic injury patients recruited from the Emergency and Trauma Department (ED) of a public hospital in Kedah, Malaysia, from March to June 2022. Participants were contacted via telephone 30 days after their hospital visit regarding their involvement in the study. Three independent experts, comprising academicians in healthcare and emergency department clinicians, reviewed and reconciled the RT-QOL Malay translation to ensure content validity and practical usability. Results: The Malay version exhibited satisfactory internal consistency, with reliability scores between 0.68 and 0.90, similar to those of the English version. The findings indicate that the questionnaire is appropriate for larger-scale studies, providing a useful instrument for assessing trauma-specific conditions in Malaysian contexts. Conclusion: This study represents the inaugural local examination of quality of life in road traffic injury patients utilizing the RT-QOL in Malay. This study establishes a basis for future research utilizing the RT-QOL Malay version to improve the comprehension and management of trauma-related quality of life concerns in the region.
Co-Authors Abdul Manaf, Mohd Rizal Aizuddin, Azimatun Noor Balakrishnan, Kiran Ganesh Ibrahim, Shamsinar Mohamad Jamil, Azizul Rahman Mohd Yusoff, Hanizah Zulkifli, Malina