Teaching in the School in Hospital (SiH) in Malaysia: A Literature Review of Challenges and Pedagogical Approaches

Authors

  • Muhammad Al Afiq Amiruddin
  • Talhah Ajmain @ Jima'ain
  • Kamarulzaman Abdul Ghani
  • Siti Nurjanah Mastor Mustafa
  • Kasmaizun Enuni Mohd Sarji
  • Siti Aisyah Johan
  • Nurazmallail Marni
  • Sara Mohamed Al Ali

Keywords:

School in Hospital (SiH); inclusive education; hospital pedagogy; teaching strategies; student well-being

Abstract

The School in Hospital (SiH) initiative in Malaysia aims to ensure educational continuity and promote student well-being for those undergoing long-term medical treatment. Despite its significance, the SiH programme faces multiple challenges that compromise the quality of teaching and learning. These include limited instructional time, emotionally vulnerable learners, inadequate teacher training and the absence of conventional classroom environments. This literature review synthesises 35 selected studies retrieved from Scopus, Google Scholar, and ResearchGate, with additional references used to enrich and support the discussion. The findings highlight that adaptive, student-centred pedagogical approaches such as edutainment, needs-based learning, self-directed strategies and the teacher as facilitator model enhance both student engagement and emotional resilience. The review is framed by Social Cognitive Theory and grounded in the principles of inclusive education, with an emphasis on teacher self-efficacy and psychosocial support. Although several promising strategies have been identified, the study underscores the urgent need for structured professional development, greater integration of technology and a context-specific pedagogical framework tailored to hospital-based education. This paper offers valuable insights for policymakers, educators and healthcareeducation stakeholders to improve the quality, consistency and equity of teaching and learning within Malaysian hospital settings.

https://doi.org/10.26803/ijlter.24.6.21

References

Almazroui, K. (2023). Learning as the best medicine: Proposal for SMART schooling for hospitalized children. Heliyon, 9(6), e16845. https://doi.org/10.1016/j.heliyon.2023.e1684

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.

Barnett, T., Goldfeld, S., & Kelaher, M. (2020). Evaluating the effectiveness of education support programs for hospitalized students with chronic health conditions: Protocol for a feasibility study of a controlled trial. Continuity in Education, 1(1), 126–135. https://doi.org/10.5334/cie.10

Beauchamp, M. R., Crawford, K. L., & Jackson, B. (2019). Social cognitive theory and physical activity: Mechanisms of behavior change, critique, and legacy. Psychology of Sport and Exercise, 42, 110–117. https://doi.org/10.1016/j.psychsport.2018.11.009

Department for Education UK. (2017). Children missing education: Statutory guidance for local authorities. https://www.gov.uk/government/publications/children-missing-education

Feiyue, Z. (2022). Edutainment methods in the learning process: Quickly, fun and satisfying. International Journal of Environment Engineering and Education, 4(1), 19–26. https://doi.org/10.55151/ijeedu.v4i1.41

Hasim, Z., Barnard, R., Mohtar, T. M. T., & Maarof, N. (2016). The role of the facilitator in language teaching: Student teachers’ conceptualizations in Malaysia. New Zealand Studies in Applied Linguistics, 22(1), 21. http://search.informit.com.au/fullText;dn=154335345157267;res=IELHSS

Higgins, J. P. T., & Green, S. (Eds.). (2009). Cochrane handbook for systematic reviews of interventions (Version 5.0.1). The Cochrane Collaboration. Retrieved September 10, 2010, from https://handbook-5-1.cochrane.org/

Inthanon, W., & Wised, S. (2024). Tailoring Education: A Comprehensive Review of Personalized Learning Approaches Based on Individual Strengths, Needs, Skills, and Interests. Journal of Education and Learning Reviews, 1(5), 35-46.

Jian, M. (2023). Personalized learning through AI. International Journal of Educational Technology, 15(2), 45–60. https://www.researchgate.net/publication/376814707_Personalized_learning_through_AI

Kaffenberger, C. J. (2006). School reentry for students with a chronic illness: A role for professional school counselors. Professional School Counseling, 9(3), 223–230. https://doi.org/10.1177/2156759X0500900307

Lockspeiser, T. M., & Kaul, P. (2016). Using individualized learning plans to facilitate learner-centered teaching. Journal of Pediatric and Adolescent Gynecology, 29(3), 214–217. https://doi.org/10.1016/j.jpag.2015.11.010

Mega Rahmawati, & Suryadi, E. (2019). Teacher as facilitator in 21st-century learning. International Journal of Education and Research, 7(3), 15–24.

Ministry of Education Malaysia. (2025). Lokasi Sekolah dalam Hospital di Malaysia. https://www.moe.gov.my/index.php/lokasi-sdh-di-malaysia

Mirari, K. (2022). The effectiveness of adaptive learning systems in personalized education. Journal of Education Review Provision, 2(3), 107-115.

Nagandran, S., Abdullah, M. A. K., & Ibrahim, M. A. (2021). The level of teacher’s preparedness for teaching and assessing children at a hospital-based school in Peninsular Malaysia. https://www.researchgate.net/publication/356538585

Nagandran, S., Hassan, A., Majid, N. A., Hassan, N. C., Salim, S. S., & Mustakim, S. S. (2021). The level of teacher’s preparedness for teaching and assessing children at a Hospital-Based school in peninsular Malaysia. International Journal of Human Resource Studies, 11(4S), 225. https://doi.org/10.5296/ijhrs.v11i4s.19250

Norhidani Buyong & Norasmah Othman. (2018). Pelaksanaan Pengajaran dan Pembelajaran dalam Program Sekolah Dalam Hospital. Jurnal Pendidikan Malaysia 43(1)(2018): 11-16. http://dx.doi.org/10.17576/JPEN-2018-43.01-02

Omar, A. (2018). Biblioterapi kaedah didik hibur memotivasikan kanak-kanak sekolah dalam hospital. Jurnal Pendidikan Awal Kanak-Kanak Kebangsaan, 7, 59–69. https://ejournal.upsi.edu.my/index.php/JPAK/article/view/2071

Palacios Zumba, E. M., Herrera Toledo, M. J., Villacrés Correa, M. F., Jácome Achi, S. S., Moreta Maldonado, P. A., Vélez Monrroy, S. G., & Posso Pacheco, R. J. (2024). Classrooms in hospitals as spaces of opportunity towards inclusive education. Community and Interculturality in Dialogue, 4, 130. https://doi.org/10.56294/cid2024130

Panse, P., Verma, R., Bhayal, D. K., & Agrawal, A. (2018). An edutainment approach to enhance teaching–learning process. In International Conference on Advanced Computing Networking and Informatics (pp. 595–604). Springer. https://doi.org/10.1007/978-981-10-8639-7_60

Peng, Z. (2023). The role of the teacher in modern education. International Journal of Education and Humanities, 8, 117-118. 10.54097/ijeh.v8i2.7758.

Phin, J. Y., & Yasin, M. H. M. (2019). Sekolah dalam hospital: Isu, cabaran dan implikasi pelaksanaannya. Journal of Education and Social Sciences, 12(2), 43–49.

Rahmawati, M., & Suryadi, E. (2019). Guru sebagai fasilitator dan efektivitas belajar siswa. Jurnal Pendidikan Manajemen Perkantoran, 4(2), 93–100.

Sakr, A., & Abdullah, T. (2024). Virtual, augmented reality and learning analytics impact on learners, and educators: A systematic review. Education and Information Technologies, 29, 19913–19962. https://doi.org/10.1007/s10639-024-12602-5

Salman, Y. M. (2018). The Role of Edutainment in Classroom Teaching. Journal of Tikrit University for Humanities, 25(3), 1-36.

Santoso, S. (2018). Penerapan konsep edutainment dalam pembelajaran di pendidikan anak usia dini (PAUD). INOPENDAS: Jurnal Ilmiah Kependidikan, 1(1).

Sell, K. A., Amella, E. J., Mueller, M., Andrews, J. O., & Wachs, J. E. (2016). Use of social cognitive theory to assess salient clinical research in chronic disease self-management for older adults: An integrative review. Open Journal of Nursing, 6(2), 213–228. https://doi.org/10.4236/ojn.2016.62021

Shaw, S. R., & McCabe, P. C. (2008). Hospital-to-school transition for children with chronic illness: Meeting the new challenges of an evolving health care system. Psychology in the Schools, 45(1), 74–87. https://doi.org/10.1002/pits.20274

Thies, K. M. (1999). Identifying the educational implications of chronic illness in school children. Journal of School Health, 69(10), 392–397.

Tierney, S., Mamas, M., Skelton, D., Woods, S., Rutter, M. K., Gibson, M. & Deaton, C. (2011). What can we learn from patients with heart failure about exercise adherence? A systematic review of qualitative papers. Health Psychology, 30(4), 401.

Wong, P. C., Vuong, L. C., & Liu, K. (2017). Personalized learning: From neurogenetics of behaviors to designing optimal language training. Neuropsychologia, 98, 192-200.

Zakaria, A. A., Di, L. Y., & Yunus, M. M. (2017). 21st century education in teaching English as a second language (Esl) in Malaysia. In Prosiding Seminar Serantau (Vol. 8, pp. 382-390). Universiti Kebangsaan Malaysia, Fakulti Pendidikan.

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Published

2025-06-30

How to Cite

Amiruddin, M. A. A., Jima’ain, T. A. @ ., Ghani, K. A. ., Mustafa, S. N. M. ., Sarji, K. E. M. ., Johan, S. A. ., Marni, N. ., & Ali, S. M. A. . (2025). Teaching in the School in Hospital (SiH) in Malaysia: A Literature Review of Challenges and Pedagogical Approaches. International Journal of Learning, Teaching and Educational Research, 24(6), 456–470. Retrieved from https://ijlter.myres.net/index.php/ijlter/article/view/2361

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