Murnie Binte Osman Zaieuddin

Ms Murnie Binte Osman Zaieuddin
Nurse Clinician,
Division of Population Health & Integrated Care (PHIC), Integrated Continuing Care Services,
SingHealth

Murnie Binte Osman Zaieuddin is an experienced community nurse with over 12 years of service as a homecare nurse at Singapore General Hospital. She began her career as a nurse in 2007 in the general medical ward where she developed a strong foundation in acute care. In 2013, she transitioned into community nursing under the Transitional Home Care and, later, Hospital-to-Home (H2H) programme, focussing on supporting patients through the critical post-discharge period.

In her community role, Murnie has worked extensively with clients and caregivers to manage complex medical and social needs, helping to reduce readmissions and improve care continuity. Her work emphasises person-centered care and close collaboration with multidisciplinary teams to ensure patients can recover safely and confidently at home.

Murnie currently leads the Urgent Community Response Team (UCRT), which delivers rapid, innovative interventions that enable urgent care delivery within patients' homes. Her team's approach has significantly reduced unnecessary hospitalisations and enabled clients to remain safely in the community.

With her deep frontline experience and leadership in community care, Murnie brings valuable insights into the challenges and strategies involved in managing difficult clients outside of hospital settings.

Presentation Synopsis
HM 10 - It Takes a Village to Manage Abuse and Harassment in the Healthcare Ecosystem

Managing Difficult Clients in the Community

In the community, “difficult clients” may present with non-adherence to treatment, behavioural challenges, or limited insight into their conditions. These encounters are further compounded by the absence of immediate hospital-based support, requiring community nurses to make autonomous clinical decisions while ensuring personal safety and care continuity.

Murnie adopts a patient-centred approach grounded in clinical assessment, risk mitigation, and therapeutic communication. She also plays a key supervisory role—guiding junior nurses in managing high-risk cases, facilitating debriefs, and fostering reflective practice to build team resilience.

In this session, Murnie will share practical strategies used by community nurses to engage and manage difficult clients in resource-limited environments. She will also highlight the importance of structured supervisory support in sustaining safe and effective community care.

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