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 Recently there’s been talk about the Malaysian Nursing Board phasing out the Diploma in Nursing programme. As a result, soon all future nursing students that want to practice the profession in the country has to complete a four-year degree (Bachelor of Science in Nursing). 

 Many parties have been very vocal about this, citing that many nurses cannot afford the extra costs it takes to study for four years instead of the usual two for a diploma. Some students get into nursing for that reason; it offers a quick pathway to work in a respectable profession, without the added burden of a pre-university programme after completion of secondary school. 

 While I understand that some nurses have to support their families ASAP, I’m here to argue that there is a hidden benefit to all nurses being required to do their degree in order to be registered practitioners. 

 That benefit is the extra 2-4 years of age that nurses have upon graduation. 

 Older… Wiser? 

 A few days ago there was news of a 19-year old girl who will become the  youngest medical doctor in Malaysia  this year. The prodigy completed her secondary education at the age of 14, enrolling straight into an Australian pre-U programme, followed by medical school. 

 While I applaud her achievements (it is nothing to make light of), for the rest of us entering the healthcare workforce at 19 is not the best of ideas. 

 A doctor fresh out of medical school at the age of 25 is six years older than 19, and will have six years of extra life experiences that will make him or her relate better to patients. 

 The healthcare line, as we all know, is riddled with a lot of challenges and difficulties that are difficult to teach in training colleges. There are unexpected obstacles from patients, their relatives, and colleagues that are difficult to circumnavigate without emotional maturity. When these are not handled well they lead to burnouts and depression. 

 Forcing the degree programme for nurses rather than diploma grants student nurses extra time to prepare themselves. Most of the time, maturity comes with age. Being a nurse (or a doctor for that matter) is an arduous endeavor in itself. There will be times when you have to react to difficult situations requiring you to make a choice. Maturity grants the wisdom to make the right ones. 

 
 The healthcare line, as we all know, is riddled with a lot of challenges and difficulties that are difficult to teach in training colleges. 
 

 Being sure about oneself 

 As a patient, you would want nurses or doctors who are sure of themselves for your treatment. You want those who believe in what they do and believe in the importance of their work. Not the reluctant ones. 

 It is common for healthcare practitioners to leave the profession within the first 5 years of working. An extra few years of study provides the extra time to contemplate on whether this career path is really for them or not. This creates better rounded nurses and doctors. 

 Better clinicians 

 Better rounded nurses and doctors, who can find the balance between their personal growth and career, make for better clinicians. They are more likely to innovate and push medicine forward. This is why countries like the US and Sweden require prospective medical school students to have a Bachelor’s degree beforehand. These countries have the most number of medical innovations in history. 

 Removal of bad habits 

 
 Better rounded nurses and doctors make for better clinicians. 
 

 For nurses, making BSN degrees mandatory in order to be registered means an addition 4-5 years of study; 1-2 years for a pre-university course (like STPM) and another 4 years for the degree. Contrast this with immediately hopping on the diploma programme for two years after school. 

 The work involved to obtain a degree is very hard. It can only be done by being mentally sound, organized, and effective. These habits are not necessarily attained in school. 

 An older nursing graduate has more time to become a better, organized person; to know her strong points, faults, breaking points, things she cannot do, and learn how to deal with them knowing that a harder road lies ahead.

Making The Case For Longer Studies

Recently there’s been talk about the Malaysian Nursing Board phasing out the Diploma in Nursing programme. As a result, soon all future nursing students that want to practice the profession in the country has to complete a four-year...

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  This week we managed to get in touch with Nejlika (pronounced neh-lika) Confinement Care Centre. They provide confinement services for mothers with newborn babies. Established in 2014, Nejlika is committed to providing the best and safest form of care for the newborns’ first 28 days, and for the mothers’ recoveries.  

  What really got us interested with Nejlika was their practice in bringing confinement, which is a traditional concept in post-natal care, into modern times by using scientific methods of observation and critical analysis.  

  Nejlika is currently hiring for post-natal care nurses.  See the job posting page here for more details .  

 
  Can you describe what your institution provides?  

 Nejlika Confinement Centre provides confinement care for post-natal mothers and newborn babies. 

 We assess the health conditions of the mother and baby, monitoring them daily. We provide professional and scientific feeding, nursing care, and early intellectual development for the baby. For the mother we have uniquely customized meals that are both healthy and delicious. These efforts do a lot to promote healing. 

  How did this place come about?  

 We first saw that there was a market demand for confinement centers in the Klang Valley. We saw that in places like Penang or Johor there are already a substantial amount. But a lot of them are sort of like household business. They hire non-medical professionals for treatment. So we set up this place in 2014. 

 The founders of this centre are all from the healthcare industry. The first 28 days of a newborn will be the most critical stage of a baby’s life. Although confinement is a traditional concept of post-natal care, we bring in present, scientific methods to bring this practice to modern times. 

 New parents or non-professionals are not able to take care of the newborn baby and mother as well as trained nurses and physicians. We aim to provide the best quality service, comfortable living environment, nutritious meals and warm family surroundings to help both the mother and newborn navigate this crucial period of their lives. 

  I saw on your Facebook you have many customers; even non-malaysians. What do you do to attract people to come here?  

 To be honest we don’t really go out to promote the centre. So far it’s all been through word of mouth, maybe a bit of Facebook postings. 

  How do you convince someone who is pregnant to use your services, rather than carry out traditional confinement at home?  

 Usually after the customer knows about us, they will call to inquire. This is before they give birth. So we arrange a 1-to-1 appointment with them. So during this appointment period we explain to them what is the service that we provide, and the philosophy behind our service. 

 Over here, our center advocates breast-feeding, and we have a certified infant massage instructor. We promote early brain development for the baby through the infant massages. 

  What makes you different from the other confinement centres?  

 First of all we are one of the pioneers here, so we are very experienced in specialized confinement care. Also, one of our founders is the only person in Malaysia with twin certificates specialized in confinement care from Taiwan. She purposely went to Taiwan to obtain this certification, not just once but twice. 

 At the same time we engage the service of chinese traditional medicine practitioners. Although we advocate scientific and modern confinement care, we also incorporate the traditional care to bring a well-rounded care to the mother and baby. 

 In Traditional Chinese Medicine, we believe the body constitution of humans can be divided into nine types. Different type of body constitution will require different forms of nutrition or medication. Our chef will prepare the personalized herbal tonic soup for each post-natal mother upon advice by our chinese medicine practitioner for greater rejuvenation.  

 Not many other confinement care provide this service. 

  Can we talk about the food you serve here? They look great! Do you have an in-house cook?  

 We have a special cook. We put out an ad in the newspaper, and managed to get one with training for confinement cooking. We advocate healthy and nourishing foods that aids the mothers’ recovery. 

 Everything that comes into contact with the mothers and babies have to be clean, healthy, and promote recovery. This includes the furniture, beds, food, even the air in the centre as well. 

  How many staff members do you now have?  

 We have 10 nurses, 2 maids, 2 chefs and 1 assistant to help us run the operation. 

 As for now, there are not many customers. It is a bit of a low season. Usually there are more births from late July-early August til the end of the year. 

  To staff: What do you do to make your staff happy and enjoy working here?  

 We feel happy because we enjoy what we do. It’s a slower pace than hospitals, and we love to look after babies. 

  What’s the hiring process like? Who decides on the hire?  

 Advertising on newspaper, platforms online, recommendations of current nurses. More so on the EQ. 

 We advertise in the newspapers, online platforms such as MIMS Career, and word of mouth. Very often we get new hires based on the recommendations of nurses currently working here. 

  What kind of people do you look for when you hire staff?  

 We need staff who are passionate about care for post-natal mothers and infant babies. Post-partum depression is very real, so nurses here have to be very aware of the telltale signs of it. They need to have high EQ to be able to console and advise mothers suffering through post-partum depression and help guide them out of it. 

 We also look out for staff who have high patience levels. Dealing with babies can sometimes prove to be a frustrating task. 

  What cool pieces of technology do you have in this centre?  

 We have a  bilirubinometer ; it is a device that measures the level of bilirubin in the babies to detect jaundice. If jaundice is determined to be present in the baby, we bring in a “jaundice phototherapy” machine and treat the infant until bilirubin levels drop to normal levels. We are the first confinement centre to provide this service. It avoids the hassle of going to the hospital, which can be very strenuous on both mother and newborn. 

 Also, to really avoid cross-contaminations we sterilize the rooms with a  UV light emitter . UV light destroys germs and bacteria. 

 On the other side of the  light spectrum , we use Infrared light emitters to promote healing of mothers’ wounds, especially ones after C-sections. 

 Finally, we have a baby swimming pool! Therapy done in the pool promotes brain development. 

  What does the future look like for Nejlika Confinement Care Centre?  

 Obviously we want to expand. That is the only way a business can grow. 

 We have moved from single storey to double storey within three years. We’re looking to set up branches in other places, in order to provide service to customers not within reach of us right now.

Institution Highlight: Nejlika Confinement Centre

This week we managed to get in touch with Nejlika (pronounced neh-lika) Confinement Care Centre. They provide confinement services for mothers with newborn babies. Established in 2014, Nejlika is committed to providing the best and safest form...

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 Introduction 

 Community health is the focus of the health of a population of a community group, rather than on individuals. It is a very distinct field of medicine and nursing, and therefore must be taught in a separate school of public or community health. 

 The health of a community in the current socio-economic climate poses many challenges that need to be overcome. There are many work opportunities that offer different kinds of responsibilities and skills that healthcare professionals are encouraged to look into. 

   

 In history, there are a few diseases that have caused a big impact to the world; such diseases include smallpox, polio, measles and mumps. Whilst largely eradicated today, these were debilitating diseases that caused the death of millions, often in a very short span of time. Their eradication is due to large movements by governing bodies to curb these diseases by education and clinical methods to promote mass immunities. More recently, outbreaks like dengue, malaria, and HIV/AIDS continue to pose a threat to the health and well-being of local communities. 

 Community health has caused a lot of good even in non-medical sectors. Mandatory schooling was put into place after it was found that the industrial revolution workplace was detrimental to their well-being. The science of epidemiology (the study of diseases) came about after efforts to understand cholera were being propagated by the British. Also, stronger health and safety standards for foods brought about a remarked interest in wholesome foods for the European population. 

 Why is it important? 

 Herd immunity contains the spread of contagious diseases. It is the basis on which community health (or public health, depending on which region of the world you’re from) is formed upon. 

 Herd immunity is a concept in which most members of the community are protected against that disease because there is little opportunity for an outbreak. 

 Vaccines are used extensively in this; influenza, measles, mumps, rotavirus, and several dangerous pneumococcal strains are kept at bay due to herd immunizations. These debilitating diseases are extremely dangerous when left to infect a large community. It can cause losses of life, economic downturns, and even social upheaval. 

   

 There is a growing anti-science and anti-vaccination movement that is seriously undoing all the work physicians, researchers, and epidemiologists have done. These people are averse to any form of scientific and health information that they put their communities at risk because they shun vaccinations and community health practices. 

 A major part of community health lies in the communication of healthcare. When the anti-vaccine crowd refuse to immunize their children, it puts their children and the children of others at risk of conntagions that would normally be of no issue. This fracture in the community is enough to bring back long-eradicated bugs into modern society. It is a major issue to address amongst community health practitioners, doctors, and nurses. 

 How does the work look like? 

 Community health is divided into three: primary, secondary, and tertiary. While loosely related, they all have differing lines of work, responsibility, and career progression. 

 Primary 

 Primary community healthcare focuses on the individual. These are interventions like  hand-washing, personal hygiene, immunization, circumcision, diet , and so on. 

 Health communication is key in this area. One can be a nurse, but when working in primary he/she can be a speaker to communicate these practices to the public. 

 Secondary 

 This concerns the  environment . The draining of puddles to prevent mosquito breeding, spraying of insecticides to avoid disease vectors like cockroaches , and clearing of rubbish to address rat populations are all part of this. 

 Tertiary 

 Tertiary healthcare consists of  clinical interventions . Things like rehydration, surgery, and so on. 

 How to work in community health? 

 Your options are pretty wide. You can check out the public, education, private, and non-profit sectors. 

 In the public sector, institutes like IMR (Institute of Medical Research) work closely with the Ministry of Health (KKM) to deploy methods in increasing the health and wellness of Malaysians as a population. Recently they are doing extensive work combating childhood obesity with they  myBFF (My Body is Fit and Fabulous) program . 

 The education sector will be rife of opportunities for clinicians who wish to work in a non-clinical setting. Universities, schools and colleges are potential work areas. 

 The private sector has a lot of companies waiting to get into the healthcare industry as a business. Our company  MIMS  provides timely information to educate the public and healthcare professionals on latest issues on healthcare. Also we provide a drug information service that physicians and consumers can search any time, anywhere. 

 Non-profit organizations like MAKNA (National Cancer Council Malaysia), or NKF (National Kidney Foundation) hire employees with a clinical background to help them raise awareness of the diseases or patients that they focus on. They constantly look out for people to help them with communication, treatments, and financing. 

 Career Progression 

 Search about these points below to know more about your potential career paths: 

 
	 Biostatistics programs 
	 Environmental health and science programs 
	 Social behavioral programs 
	 Epidemiology programs 
	 health services and administration programs 
 

 Search for high-paying nursing jobs on  MIMS Career . Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are heavily screened to prevent scams and mistrustful behavior.

Career Highlight: Community Health

Introduction Community health is the focus of the health of a population of a community group, rather than on individuals. It is a very distinct field of medicine and nursing, and therefore must be taught in a separate school of public or...

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About Us

MIMS is a trusted source of knowledge for healthcare practitioners in the Asia Pacific region. By facilitating knowledge exchange across the healthcare sector, we aim to empower communities to make better decisions. With more than 50 years of experience, MIMS has developed deep connections with professionals and institutions in the sector.

MIMS Career is built on that network, leveraging it into an all-in-one portal for employment screening and job recruiting solutions. We are focused on delivering a high quality platform to match healthcare professionals with employers. Our team is dedicated to serving both job seekers and job posters throughout all countries where our services are available.