Louisa Lam

Louisa Lam
Australian Catholic University | ACU · School of Nursing Midwifery and Paramedicine

MPH, PhD

About

92
Publications
10,982
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1,973
Citations

Publications

Publications (92)
Article
Full-text available
Although the accuracy of B-type natriuretic peptide (BNP) testing for diagnosing acute decompensated heart failure has been extensively evaluated, the effect of this test on clinical outcomes remains unclear. To investigate whether BNP testing of patients presenting with acute dyspnea in the emergency department leads to fewer admissions, shorter l...
Article
It is often difficult to diagnose heart failure (HF) accurately in patients presenting with dyspnea to the emergency department (ED). This study assessed whether B-type natriuretic peptide (BNP) testing in these patients improved the accuracy of HF diagnosis. Patients presenting to the Alfred and the Northern Hospital EDs with a chief complaint of...
Article
Full-text available
B-type natriuretic peptide (BNP) is used to diagnose heart failure, but the effects of using the test on all dyspneic patients is uncertain. To assess whether BNP testing alters clinical outcomes and health services use of acutely dyspneic patients. Randomized, single-blind study. Patients were assigned to a treatment group through randomized numbe...
Article
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Studies showed healthcare professionals who are non-smokers are more likely to deliver smoking cessation advice to their patients than those who are smokers. However, healthcare professionals continue to smoke across the globe. This scoping review assessed the available data on the prevalence and predictors of smoking among healthcare professionals...
Article
Objective To evaluate the alignment of undergraduate paramedicine curricula in Australia with the RESPIGHT model, focusing on diverse aspects such as emergency response, community engagement and governance. Design Deductive thematic analysis was conducted to assess the alignment of curricula from 16 Australian universities with the RESPIGHT framew...
Article
Aim: To understand, from a nursing perspective, factors affecting the use of prophylactic dressings to prevent pressure injuries in acute hospitalised adults. Background: Pressure injury causes harm to patients and incurs significant costs to health services. Significant emphasis is placed on their prevention. Relatively recently, prophylactic d...
Article
Objective To identify and synthesize the primary evidence on the effectiveness of Protection Motivation Theory on and cardiovascular disease and diseases that are risk factors for cardiovascular disease. Method An integrative review was conducted using the Whittemore and Knafl method (2005). Results Eleven articles met the inclusion and quality a...
Article
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Introduction Advance Care Planning (ACP) refers to a process that includes Advance Care Directives (ACD) and Goals of Care (GOC), a practice widely used for over three decades. Following the findings of an audit and a cross-sectional study in 2019 and 2021 respectively, we implemented several educational and other interventional strategies aimed at...
Article
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Background The ongoing global crisis of Higher Education (HE) institutions during the post-COVID-19 pandemic period has increased the likelihood of enduring psychological stressors for staff. This study aimed to identify factors associated with job insecurity, burnout, psychological distress and coping amongst staff working at HE institutions globa...
Article
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This paper highlights key research areas within paramedicine education in Australia. Firstly, it discusses the need for a comparative analysis of accreditation standards, focusing on the recent shift towards a pre-employment model and its impact on program content, particularly the balance between theoretical and practical components. Secondly, it...
Article
Paramedicine is a constantly evolving field, with paramedic education programmes needing to be adaptable to keep up with changes in the scope of practice. Regulatory frameworks are crucial in guiding university programmes, providing students with the knowledge, skills, and professional attributes necessary to be safe and competent practitioners. Th...
Article
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Sessional academics undertake a large proportion of teaching and marking and are essential for current university structures and student success. Employment of sessional academics has primarily been driven by cost savings and flexibility in hiring practices for employers, in addition to managing academic staffing shortages. Despite the increase in...
Preprint
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Background The ongoing global crisis of Higher Education (HE) institutions during the post-COVID-19 pandemic period has increased the likelihood of enduring psychological stressors for staff. This study aimed to identify factors associated with job insecurity, burnout, psychological distress and coping amongst staff working at HE institutions globa...
Article
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Background To adequately prepare graduates for the dynamic demands of paramedic practice, adopting a contemporary educational approach is essential. This involves collaborating to identify crucial competencies through input from industry stakeholders, experienced practitioners, and discipline-specific experts. Accreditation assumes a central role w...
Article
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Objective To examine the incidence of adverse perinatal outcomes and the risk of adverse perinatal outcomes for Indian-born mothers compared to other mothers living and giving birth in Australia. Design, setting and participants This retrospective cohort study was designed to investigate all births in Australia in 2012 and those in the Monash Heal...
Preprint
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Background To ensure that graduates have the competencies required for current and evolving practices, a modern educational approach involves jointly identifying these competencies with input from industry, employees, and professionals. In this process, it is crucial to consider the role of accreditation. Accreditation plays a vital role in ensurin...
Article
Aim: To explore, identify and integrate the existing knowledge to categorise the characteristics, likelihood, and consequences of workplace incivility among newly qualified graduate registered nurses. A particular focus of this review is on the experiences of new nurses related to these negative workplace behaviours and the strategies employed by...
Preprint
Full-text available
Objective: To examine the incidence of adverse perinatal outcomes and the risk of adverse perinatal outcomes for Indian-born mothers compared to other mothers living and giving birth in Australia. Design, setting and participants: This retrospective cohort study was designed to investigate all births in Australia in 2012 and those in the Monash Hea...
Article
Aim: To identify the existing evidence on how nurse leaders promote and maintain civility amongst nurses in healthcare settings. Background: Research on managing workplace incivility in nursing, a prevalent and concerning issue worldwide, recommends nurse leaders to command cultural change through strong leadership and civility interventions. Ho...
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Aim: This review aims to identify the factors influencing the transition and retention of mental health nurses during the initial years of practice, recognise gaps in the literature and propose evidence-based strategies. Background: Mental health is a challenging specialty; recruitment, transition, and retention of mental health nurses are known...
Article
Reports an error in ""Resisting social identity threat and maintaining resilience": A qualitative study of Chinese parents following the loss of an only child" by Anni Wang, Yufang Guo, Wendy Cross, Louisa Lam, Virginia Plummer, Wen Zhang and Jingping Zhang (Psychological Trauma: Theory, Research, Practice, and Policy, Advanced Online Publication,...
Article
Aims: To explore whether perceived overqualification increases the risk of burnout, and whether transformational leadership negatively moderates this relationship. Background: Perceived overqualification might contribute to burnout and lead to poor experience of transformational leadership, and transformational leadership might be associated wit...
Article
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Background Healthcare workers (HCWs) have been impacted psychologically due to their professional responsibilities over the prolonged era of the coronavirus disease 2019 (COVID-19) pandemic. The study aimed to identify the predictors of psychological distress, fear, and coping during the COVID-19 pandemic among HCWs. Methods A cross-sectional onli...
Article
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Objective: Parents who lose an only child in China are stressed and traumatized due to social identity threat (SIT). This qualitative study aimed to interpret their experience to inform culturally and socially sensitive intervention strategies. Methods: Using a phenomenological approach, 17 bereaved parents who lost an only child were interviewed....
Article
Aim: To investigate the associations between perceived overqualification, organizational commitment and work passion of nurses. Background: Few studies have considered the effects of perceived overqualification and organizational commitment on work passion of nurses, especially in developing countries. Methods: A multicentre cross-sectional st...
Article
Background Emergency department staff awareness, access and implementation of advance care directives and goals of care documents and the related patient consent processes are important but not well understood. Methods A cross-sectional survey using purposive sampling was undertaken at a tertiary hospital’s Emergency Department from 15th March to...
Article
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The COVID-19 pandemic contributed to potential adverse effects on the mental health status of a wide range of people. This study aimed to identify factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Hong Kong. A cross-sectional online survey was conducted among general population in Hong Kong....
Article
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Background: The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Results: A total of 8,559 people participated; mean age (±SD) was 33(±13) years, 64% were females and 40% selfidentified as frontline workers. More than two-thirds (69%) experienced moderate-to-very high levels of psychological distress, which...
Article
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Objective To explore willingness and preferred ways to use HIV pre-exposure prophylaxis (PrEP), factors associated with willingness, and potential barriers to PrEP use among men who have sex with men (MSM) in Changsha, China. Design A cross-sectional survey was conducted from 25 June to 31 August 2019. Two hundred and fifty-five MSM were recruited...
Article
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Aim To explore the status of quality of life and psychological capital and analyse the different effects of psychological capital on the quality of life of cancer patients with different preferences for nurse spiritual therapeutics. Design A cross-sectional survey was used. Methods Two hundred and eight cancer patients were recruited using conven...
Article
Team communication problems have been reported to be responsible for up to 80% of medical errors in healthcare settings. Although simulation is a recognized means to learn communication skills, little is known about students’ team communication in a simulated setting. This review sought to explore what is known about undergraduate health profession...
Preprint
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Background: The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Objectives: We aimed to examine the extent and identify associated factors of psychological distress, fear of COVID-19, and coping. Methods: We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels of psycho...
Article
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As largely documented in the literature, the stark restrictions enforced worldwide in 2020 to curb the COVID-19 pandemic also curtailed the production of air pollutants to some extent. This study investigates the perception of the air pollution as assessed by individuals located in ten countries: Australia, Brazil, China, Ghana, India, Iran, Italy,...
Article
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Background College student men who have sex with men (MSM) are at high risk for HIV infection due to multiple social and behavioral factors. Consistent condom use is nationally advocated for HIV prevention. This study explored the sexual behaviors and factors associated with condom use consistency in the past six months among college student MSM fr...
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Background Voice behavior, referred to as a positive guarantee for organizational development, is influenced by several kinds of individual, collective and organizational features. However, the impact of individual competence on voice behavior is unclear. The aim of the present study was to investigate the status quo of core competence and voice be...
Article
Aims To investigate the status of spiritual care competencies among clinical nurses and their relationships with psychological capital. Background Limited knowledge is about the influence of positive personal characteristics on nurses’ spiritual care competencies. Methods A multicenter cross‐sectional study. 1717 nurses were recruited from nine s...
Article
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The restrictive measures implemented in response to the COVID-19 pandemic have triggered sudden massive changes to travel behaviors of people all around the world. This study examines the individual mobility patterns for all transport modes (walk, bicycle, motorcycle, car driven alone, car driven in company, bus, subway, tram, train, airplane) befo...
Article
Objectives: There are almost one million families who lost their only child in China, and 65.6% of them had severe and long lasting depression and needed timely psycho-intervention. This study aims to explore the relationship among resilience and its influential factors, and to compare their effect on depression. Methods: A total of 212 only-chi...
Article
Abstract Background: The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Objectives: We aimed to examine the extent and identify factors associated with psychological distress, fear of COVID-19 and coping. Methods: We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels...
Article
The implementation of shared decision‐making regarding people diagnosed with schizophrenia is limited, although it is reported to have a positive impact on improving treatment adherence, therapeutic relationships and saving medical costs. The successful implementation of it is mainly dependent on the active engagement of mental health professionals...
Article
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Aims To test a multiple mediation model of internalized stigma and caregiving burden in the relationship between severity of illness and distress among family caregivers of persons living with schizophrenia. Design This is a cross‐sectional study. Methods Data were collected from a consecutive sample of 344 Chinese family caregivers of persons li...
Article
Objective To explore the attitudes and experiences of family caregivers concerning their involvement in shared decision-making regarding people diagnosed with schizophrenia. Methods This study used a qualitative descriptive design involving face-to-face semi-structured interviews. Both convenience and purposive sampling were used to recruit family...
Article
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COVID-19 pandemic has heavily impacted the global community. To curb the viral transmission, travel restrictions have been enforced across the world. The dataset documents the mobility disruptions and the modal shifts that have occurred as a consequence of the restrictive measures implemented in ten countries: Australia, Brazil, China, Ghana, India...
Article
Shared decision-making(SDM) is related to better health outcomes in serious mental illness. It is not well addressed in non-Western cultures, for example Chinese culture. Chinese could be influenced by both paternalism and familism when making treatment decisions. However, this is unexplored. The study purpose is to explore SDM from the perspective...
Article
Background Workplace aggression in the health and care sectors is a major work health and safety and public health concern, worldwide. In Australia, rates of exposure to workplace aggression are consistent with those experienced by nurses internationally, and have not decreased over the past 35 years. Objectives To explore the experiences and pers...
Article
Full-text available
The dataset deals with the air quality perceived by citizens before and during the enforcement of COVID-19 restrictions in ten countries around the world: Australia, Brazil, China, Ghana, Italy, India, Iran, Norway, South Africa and the United States. An online survey conveniently translated into Chinese, English, Italian, Norwegian, Persian, Portu...
Article
Background Few studies have considered functions of nurses’ positive personality and behaviours on addressing their turnover intention. Aims To explore the effects of WeChat‐based “three good things” (3GT) on burnout nurses’ turnover intention and coping styles. Methods A randomised controlled trial. 73 nurses were included in the intervention gr...
Article
Introduction A brief and non‐invasive instrument that could detect distress among family caregivers (FGs) of adults diagnosed with schizophrenia was needed. The Distress Thermometer (DT) has been widely used among FGs of patients with chronic physical disease (e.g., cancer) but has never been applied among FGs of adults diagnosed with schizophrenia...
Article
Background Emergency departments routinely offer cardiopulmonary resuscitation and endotracheal intubation to patients in resuscitative states. With increasing longevity and prevalence of chronic conditions in Australia, there has been growing need to uptake and implement advance care directives and resuscitation plans. This study investigates the...
Article
Shared decision‐making is related to better health outcomes in serious mental illness. It is not well addressed in non‐Western cultures, for example Chinese culture. Chinese could be influenced by both paternalism and familism when making treatment decisions. However, this is unexplored. The study purpose is to explore shared decision‐making from p...
Article
Objective To compare consumer and mental health professionals’ (MHPs) preferences for decision-making in China and Europe. Methods This study used cross-sectional design; Chinese data were collected by questionnaires and European data were obtained from the literature. Data were analysed using T-test, One-way ANOVA and Pearson correlation coeffici...
Article
Purpose: To conduct a systematic review of randomized controlled trials to evaluate the evidence for the use of non-pharmacological depression therapies in older Chinese adults. Materials and methods: The population was individuals of Chinese extraction over the age of 60 who meet the criteria for depression. The review was conducted according t...
Article
Introduction: There is growing interest in shared decision-making in Chinese mental health services. However, few specific instruments are available to measure decision-making satisfaction and involvement. Aim: To translate and validate CDIS in a Chinese population. Methods: The translation process was completed based on the Brislin translatio...
Article
Background Little is known about the clinical impact of simulation-based education (SBE) for hospital nurses. Method Scoping review methodology was used to examine the impact of nurse SBE programs within six patient safety domains. Results Twenty-six articles described over 20 education topics. Based on Kirkpatrick's four levels of evaluation, pr...
Article
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Aim: To develop and psychometrically test the Distress Thermometer for Caregivers (DT-C) and document the distress level in primary caregivers of children and adolescents diagnosed with schizophrenia. Design: A validation diagnostic accuracy study and descriptive cross-sectional survey. Methods: DT-C was adopted based on Harverman's Distress T...
Article
Background: Few studies have valued the impact of nurses' personal strengths and positive work environment on job performance, particularly in developing countries. Aims: To evaluate the effects of a WeChat-based "Three Good Things" (3GT) on job performance and self-efficacy of clinical nurses with burnout symptoms. Methods: A randomized contr...
Article
Introduction: Shared decision making (SDM) has been broadly advocated in health services and constitutes an important component of patient centred care and relationship based care. Aim: To review available literature related to perceptions of key stakeholders about shared decision making in serious mental illness. Method: An integrative review...
Article
This quasi-experimental study aimed to evaluate the positive psychological intervention of recording three good things on alleviating nurses' burnout. Eighty-seven nurses with burnout were recruited. Nurses in the study group recorded three good things using communication tool WeChat for six months, no records were made in the control group. After...
Article
Introduction: Emergency nurses are at risk of compassion fatigue. Compassion fatigue caused by exposure to suffering may compromise the individual's personal wellbeing and reduce work efficiency. Methods: A quantitative cross-sectional survey with open responses was conducted using the Professional Quality of Life: Compassion Satisfaction and Co...
Article
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Background The changes in China’s family planning policy in recent years have led to changes in the age structure of pregnant women, and the prevalence of postpartum depression (PPD) is also on the rise. Cognitive Behaviour Training (CBT) as an effective intervention is widely used for postpartum depression. However, the shortage and health dispari...
Article
Aims and objectives To investigate the prevalence of depression in the third trimester of pregnancy and identify the related demographic risk factors. Background Antenatal depression as a disabling and treatable disease has a wide‐ranging impact on perinatal women and has received extensive attention from researchers. Design A cross‐sectional sur...
Article
Aims and objectives To identify the intention of nurses to dual practice (DP) and inform policymaking in centralised government settings. Background DP is pervasive worldwide but was not permitted in China until 2009, with a primary goal of encouraging nurses from over‐staffed health services to work additional shifts in understaffed settings. De...
Article
Background Workplace incivility is a well-documented issue of concern known to negatively impact on new graduate nurses’ confidence, which in turn may affect the quality of patient care. However, there is lack of qualitative research that solely focuses on workplace incivility experiences of new graduate registered nurses enrolled in graduate nurse...
Article
Background Workplace aggression is a major work health and safety, and public health concern. To date, there has been limited investigation of population level exposure and responses to workplace aggression from all sources, and little evidence on the experiences, reporting and support-seeking behaviour of nurses, midwives and care personnel in Aus...
Article
Abstract Background: As the number of immigrants grows, The health of Chinese immigrant women, especially their perinatal health, has gradually attracted public attention. Our review has two main purposes. First, estimate the prevalence of postpartum depressive symptoms in Chinese immigrant women, and then determine risk factors for postpartum depr...
Article
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Cardiac surgery induces severe postoperative pain and impairment of pulmonary function, increases the length of stay (LOS) in hospital, and increases mortality and morbidity; therefore, evaluation of the evidence is needed to assess the comparative benefits of different techniques of pain management, to guide clinical practice, and to identify area...
Article
Aims and objectives. To investigate burnout among nurses from Australia and China and explore the effects of resilience and turnover intention on nurse burnout between the two countries. Background. Nursing shortages and burnout have become serious problems worldwide in recent years. In both developed and developing countries, such as Australia an...
Article
Aims and objectives To investigate burnout among nurses from Australia and China and explore the effects of resilience and turnover intention on nurse burnout between the two countries. Background Nursing shortages and burnout have become serious problems worldwide in recent years. In both developed and developing countries, such as Australia and...
Article
Aims and objectives. To investigate the prevalence and extent of burnout on nurses and its association with personal resilience. Background. With the worldwide shortage of nurses, nurse burnout is considered one of the main contributing factors and has been the subject of studies in recent years. Given the well-documented high level of burnout amon...
Article
Abstract Aims To explore the state of resilience and its predictors among nurses in mainland China. Background Resilience is considered as an important ability to influence the prevention of job dissatisfaction and burnout. There are few studies on resilience in Chinese nurses, particularly investigating the predictors of resilience. Methods A cros...
Article
Across the world, hospital nurses experience a high level of burnout. Exploring biochemical markers of burnout could help to understand physiological changes and may provide useful evidence for preventing burnout symptoms. The current study included 94 female nurses from one Chinese third-level hospital. The Maslach Burnout Inventory-General Survey...
Article
Nursing students across the globe experience depressive symptoms and many interventions have been used to alleviate their depression. However, few interventions focus on students’ personal strengths and advantages. The aim of the present study was to explore the effects of an Eight-Week Group Positive PsychoTherapy (PPT) program on depression and s...
Article
Background: The use of nesiritide for the treatment of acute decompensated heart failure (ADHF) patients has been controversial due to questions raised on its comparative high cost and side effects. Earlier meta-analyses on nesiritide produced contradictory results. We aim to investigate the clinical outcomes including mortality, haemodynamic and r...
Thesis
Heart failure is a major cause of ED presentations with shortness of breath. Most patients presenting to the ED with HF are admitted to hospital(80%), leading to enormous cost and a major impact on the use of hospital beds. It is extremely difficult to diagnose and treat heart failure, particularly in the emergency care setting. In early 2000s, an...
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Background: Clopidogrel has largely replaced ticlopidine in antiplatelet therapy after coronary artery stenting because of the higher risk of blood dyscrasias with the latter agent. However, haemorrhage in this setting is not a rare event. We aimed to investigate by meta-analysis the risk of haemorrhage with ticlopidine plus aspirin versus clopidog...