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Introduction
Current institution
Publications
Publications (288)
Aim
To examine the perceptions of nurses receiving the Ontological Coaching among Nurses (OCN) intervention in Singapore.
Design
Descriptive qualitative.
Methods
Convenience sampling was used to recruit 34 nurses who received OCN intervention and three coaches who provided the intervention. Written informed consent was obtained, and semi‐structur...
Background
Mobile app–based interventions are viable methods of delivering perinatal care support to parents. A mobile app–based intervention entitled Parentbot–a Digital Healthcare Assistant (PDA) was developed and evaluated via a randomized controlled trial. PDA aimed to provide informational, socioemotional, and psychological support to parents...
Background
The transition to motherhood can be stressful. Music‐based intervention can help alleviate stress. However, it is underexplored in this field.
Objective
We aimed to consolidate and synthesize findings on the available evidence of music‐based interventions and maternal mental health among women with healthy term infants in the postpartum...
To explore the experiences of mothers of children hospitalized in the Pediatric Intensive Care Unit (PICU) and the factors influencing their involvement in Singapore.Convenience sampling was used to recruit mothers of children aged 0 to 18 years old hospitalized in a PICU for at least 48 h from a public tertiary hospital in Singapore from September...
Background/Objectives: Fathers have been largely understudied in feeding research, as most studies have focused on mothers. This study aims to explore the relationship between paternal feeding practices and child eating behaviors. Methods: This study employed a cross-sectional observational design. Fathers (n = 114) completed one-off self-reported...
Aim
To investigate the incidence and the factors associated with paternal postpartum depression amongst new fathers in Singapore.
Design
A prospective repeated measures study was conducted from September 2023 to March 2024.
Methods
A total of 200 fathers aged 21 years and above who had a neonate born at full term and no serious health events for...
Aim
To consolidate and appraise available evidence on the experiences and perceptions of male nurses and male midwives facing discrimination.
Design
Qualitative systematic review. This review was informed by the Preferred Reporting Items for Systematic Review and Meta‐Analyses (PRISMA).
Methods
The Critical Appraisal Skills Program checklist was...
Nurses are susceptible to burnout, making it crucial for them to engage in self‐care. This review consolidated the experiences of nurses regarding self‐care. Seven electronic databases were searched from inception till October 2024: PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus, and ProQuest Dissertations and Theses Global. The enhancing...
Indonesian adolescents face an increased risk of developing mental health conditions such as depression and anxiety, largely due to insufficient mental health literacy and awareness. This lack of knowledge often leads to delayed recognition and treatment. To address this, the present descriptive qualitative study explores Indonesian adolescents' pe...
Aims
This study aims to identify factors associated with mental health literacy (mental health knowledge and attitudes towards mental health and help‐seeking behaviours), depression and anxiety amongst adolescents, and test the hypothesised model by examining the interrelationships between these outcomes.
Design
Cross‐sectional descriptive quantit...
Adolescents are susceptible to developing depression and anxiety, and educational interventions could improve their mental well‐being. This systematic review aimed to evaluate the effectiveness of universal educational prevention interventions in improving mental health literacy, depression, and anxiety among adolescents. Eight electronic databases...
Background
In academic medicine, the lack of gender equity hinders the career progression of women academics. This can often affect scientific productivity and widen the gender gap that exists in this field. As such, this study aimed to understand how full-time faculty members in academic medicine perceive the climate for women academics and identi...
The needs of well siblings of children with chronic pediatric conditions (CPCs) are often overlooked as parents tend to direct their attention toward the child with CPC. This highlights the need to explore the experiences of these siblings to better inform the implementation of healthcare services. To consolidate the most up-to-date qualitative evi...
Background: Universal community engagement interventions can address childhood obesity. Objectives: This review aimed to evaluate the effectiveness of these interventions in improving body mass index (BMI) (primary outcome) as well as dietary choices and activity levels (secondary outcomes) among children and adolescents. Methods: Eight electronic...
Aim
This study aimed to review studies exploring the experiences and perceptions of healthcare students and providers regarding their personal choices for elective female fertility preservation and their recommendations of the same to patients.
Design/Methods
Employing Pluye and Hong's convergent qualitative synthesis approach, a mixed‐studies rev...
Attending health appointments is important for the paediatric population, as it allows for earlier detection of health issues and subsequent necessary treatments. It also ensures timely immunisations while also allowing patients or their parents to raise health concerns. Hence, it is crucial to take steps to ensure that such medical appointments ar...
Background
Many mothers experience poor psychological outcomes during their perinatal period. The presence of depression and anxiety has a significant adverse impact on the mother's health and the infant's development.
Aim
This review aimed to examine the effectiveness of peer support interventions in improving depression, anxiety, and perceived s...
Aim
To explore the experiences, expectations and needs of mothers from low socioeconomic status at 3 months postpartum.
Design
Descriptive qualitative.
Methods
Mothers aged 21 years old and above, from low socioeconomic status (monthly household income is less than Singapore Dollar [SGD] $4300), and irrespective of their parity were invited to pa...
This review aims to consolidate and appraise evidence exploring the caregiver burden of parents of children with mental disorders. A mixed‐studies review structure was adopted and six electronic databases (PubMed, CINAHL, PsycINFO, Embase, Scopus and ProQuest Dissertations and Theses Global) were searched from each database's inception date until S...
Background
Experiential education, particularly through game‐based approaches, has gained recognition for effectively addressing the myriad challenges faced by expectant parents.
Aim
To consolidate and synthesize the available evidence regarding expectant parents' experiences of game‐based perinatal education.
Design
A mixed studies review.
Data...
Aim
To explore the factors influencing help‐seeking behaviours amongst mothers with low socioeconomic status at pregnancy, 1 month postpartum and 3 months postpartum.
Methods
A prospective cohort study was conducted from September 2022 to August 2023. A total of 209 mothers aged 21 years and above, with low socioeconomic status and irrespective of...
Aims
To consolidate adolescents' perspectives regarding various aspects of sleep and offer insights to promote healthier sleep habits during their critical developmental years.
Methods/Data Sources
Six electronic databases (PubMed, CINAHL, Embase, Scopus, PsycINFO and Web of Science) were searched from their inception dates to June 2023. Data were...
This review aims to comprehensively consolidate and synthesize the existing body of empirical research on the perceptions and experiences of healthcare professionals, trainees, and students concerning microaggression interactions within diverse clinical settings. The review protocol was registered with the international prospective register of syst...
Background: Becoming a father is a stressful transition period for men, presenting numerous challenges from caring for their newborns to navigating changes in family dynamics. Recently, cultural expectations have shifted, transforming the role of the father from primarily being a breadwinner to being more actively involved in parenting. There is gr...
BACKGROUND
Mobile app–based interventions are viable methods of delivering perinatal care support to parents. A mobile app–based intervention entitled Parentbot–a Digital Healthcare Assistant (PDA) was developed and evaluated via a randomized controlled trial. PDA aimed to provide informational, socioemotional, and psychological support to parents...
To develop and assess the preliminary effectiveness of Ontological Coaching Intervention for nursing undergraduates. Design: A pilot randomized controlled trial with a two-group pre-test and post-test followed by process-evaluation qualitative interviews. An Ontological Coaching Intervention was developed through an integration of prior literature...
Despite proven efficacy, fatherhood interventions face challenges in attracting and retaining participants. This qualitative systematic review aims to inform the future design of fatherhood interventions by consolidating and synthesizing the evidence around fathers' experiences with interventions aimed at enhancing their involvement and relationshi...
Background
Parents experience many challenges during the perinatal period. Mobile app–based interventions and chatbots show promise in delivering health care support for parents during the perinatal period.
Objective
This descriptive qualitative process evaluation study aims to explore the perinatal experiences of parents in Singapore, as well as...
Background: Pre-hospital care in Malaysia mostly consisted of Assistant Medical Officers (AMOs) and nurses played a big role in minimizing the consequences of the injuries by conducting a good assessment and executing the correct clinical treatment on scene before reaching the hospital. However, there is no structured training and competency progra...
Background
Postpartum depression (PPD) is highly prevalent and plagues a significant proportion of parents. Postpartum depression also exerts various negative consequences on infant development and parent-infant relationships. Social support is identified as an important factor influencing many parental predictors, and may affect the development of...
Exposure to trauma elevates the risk of illness in women, resulting in increased healthcare costs. The trauma-informed care approach seeks to enhance patient engagement and promote more effective recovery for those with a history of psychological trauma. This qualitative systematic review aims to synthesize evidence related to the experiences of wo...
Introduction
Preconception care is the provision of behavioural, social or biomedical interventions to women and couples prior to conception. To date, preconception research has primarily focused on maternal health, despite the male partner’s contribution before birth to both short-term and long-term child outcomes. The objectives of the reviews ar...
Aim
To explore the experiences, expectations and needs of mothers from low‐socioeconomic status at 1 month postpartum.
Design
Descriptive qualitative.
Methods
Mothers from low‐socioeconomic status and irrespective of their parity were invited to participate in one‐to‐one interviews at 1 month postpartum. Semi‐structured interviews were conducted...
The Stanford Biodesign needs-centric framework can guide healthcare innovators to successfully adopt the ‘Identify, Invent and Implement’ framework and develop new healthcare innovations products to address patients’ needs. This scoping review explored the application of the Stanford Biodesign framework for healthcare innovation training and the de...
Introduction: Children from low-income (LI) families
often suffer from poor health, with sub-optimal health
practices. This cross-sectional study examined the
differences in health habits and health-related quality
of life (HRQoL) of LI preschool children compared
to non-low-income preschool peers (PPG).
Method: Using data from the social-health Ci...
Background
The Breastfeeding Self-Efficacy Scale and its short-form were developed in Canada and have been used internationally among numerous maternal populations. However, the psychometric properties of the scales have not been reviewed to confirm their appropriateness in measuring breastfeeding self-efficacy in culturally diverse populations. Th...
Aim
To examine the effectiveness of educational interventions in reducing stigma among healthcare professionals and students towards people with mental illness.
Design
A systematic review and meta‐analysis of randomized controlled trials (RCTs) and cluster RCTs.
Data Sources
Articles published from database inception to October 2023 were systemat...
BACKGROUND
Parents experience many challenges during the perinatal period. Mobile app–based interventions and chatbots show promise in delivering health care support for parents during the perinatal period.
OBJECTIVE
This descriptive qualitative process evaluation study aims to explore the perinatal experiences of parents in Singapore, as well as...
Background
Postnatal mental health problems (PMHPs) are prevalent and negatively affect mothers, children, and society. International and local guidelines recommend that Singapore primary care physicians (PCP) screen, assess, and manage mothers with PMHPs. However, little is known about their experiences and views.
Methods
We conducted semi-struct...
Gen Zers are immensely family-oriented, valuing the connections they have with their parents and siblings. Growing up, Gen Zers were often supervised by their caregivers and grew up becoming more reliant on the attachment figures in their lives. In turn, they often have significant influence on their families, especially in terms of finance- and ed...
Resilience training has beneficial effects on the ability of undergraduate students to withstand adversity and stress.
However, there are inconsistencies in the content and delivery approaches for resilience training. Given the increasing shifts towards computer‐assisted instruction, there is a need to develop and evaluate innovative approaches fo...
Background
Siblings of children requiring palliative care are often forgotten and overlooked, as the focus tends to be on the ill child and their parents. Limited knowledge of non-bereaved siblings’ perspectives makes it challenging to provide appropriate support for them. A review of existing literature is thus needed to better understand the expe...
Aim
The aim of this study was to systematically consolidate evidence on perspectives and thoughts of women living with HIV regarding the peer support they have encountered during pregnancy and after childbirth.
Design
Mixed studies systematic review.
Data Sources
PubMed, EMBASE, Cochrane, PsycINFO, CINAHL, Scopus and ProQuest were sourced from 19...
Aim
To consolidate healthcare professionals' insights about waterbirths and water immersion during labour.
Design
Mixed studies review.
Data Sources
Seven electronic databases were searched from their inception dates till June 2023: PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus, ProQuest Dissertations and Theses Global.
Methods
The Pr...
Domestic violence against men poses a significant threat to men’s health and well-being and is increasingly being recognized as a public health issue. Unfortunately, men who are victims often struggle to disclose and report their abusive experiences. This review aims to examine and consolidate the evidence regarding the barriers to and facilitators...
This paper provides a comprehensive analysis of Southeast Asian countries' responses to the COVID-19 pandemic, particularly focusing on Malaysia, Singapore, Thailand, the Philippines, Indonesia, and Myanmar. The primary objective is to explore how the pandemic has evolved in these nations, how the respective healthcare delivery systems responded, a...
Aim
Consolidate and synthesize evidence on working nurse‐parent experiences of parenthood.
Background
Demands in healthcare strain the workforce, causing burnout and high turnover rates, especially among nurses. Balancing work and family responsibilites is even more challenging for nurse‐parents.
Introduction
Nursing is highly stressful, and the...
Este artículo presenta los resultados de una encuesta realizada a 1.346 estudiantes universitarios de la generación Z en España, sobre sus actitudes hacia cinco tendencias globales: el medio ambiente, la globalización, la inmigración, el feminismo y el capitalismo. Analizamos las diferencias de opinión según el género, la edad y el área de conocimi...
Background
Normal physiologic birth has been shown to result in optimal maternal–infant outcomes, but the concept of physiologic birth is continually evolving. Midwives play an important role in advocating for normal physiologic birth; however, their perceptions of what this approach entails have not been systematically appraised.
Objective
In thi...
Background
Online peer support is a useful source of support for parents during the perinatal period, associated with improved psychological outcomes. Past research has found that peer support providers themselves gain from providing peer support as well, making it mutually beneficial. As current maternity care services are insufficient to meet the...
Background
Many infertile couples undergo assisted reproductive technology (ART) to increase pregnancy chances, with many of them experiencing psychosocial distress. Although research has been performed on women's experiences of ART, there is limited focus on men.
Objective
This systematic review consolidated and synthesized men's experiences with...
Community‐based family‐focused interventions can offer support to families of children with chronic health conditions. This review aimed to evaluate the effectiveness of community‐based family‐focused interventions in improving family functioning, disease knowledge, and child health outcomes among families of children with chronic health conditions...
Background:
Extensive literature has shown the effectiveness of cognitive behavioral therapy in treating perinatal depression, but little is known about the effectiveness of its technology-based version.
Aim:
The aim of this review was to examine the effectiveness of technology-based cognitive behavioral therapy in reducing depressive and anxiet...
Objective:
To understand the perceptions of primiparous women recently diagnosed with Gestational Diabetes Mellitus (GDM) in Singapore.
Design:
A descriptive qualitative study design.
Setting:
An outpatient women's health clinic in a tertiary hospital in Singapore.
Participants:
Twelve English-speaking primiparous women (aged 27-44 years old...
Objectives:
To evaluate the effectiveness of home-based interventions in improving loneliness and social connectedness (primary outcomes), and depressive symptoms (secondary outcome) among older adults.
Methods:
Eight electronic databases were searched from inception dates to February 2022. Meta-analyses were conducted using a random-effect mode...
Objectives:
The review aims to synthesize and consolidate the factors and situations in which student nurses experience moral distress during their clinical practice and its potential implications for patient care and outcomes.
Design:
A qualitative systematic review.
Data sources:
The articles were sourced from PubMed, Embase, CINAHL, Scopus,...
Background:
The experiences of COVID-19 patients admitted to Virtual Wards and their caregivers are underexplored in Asian communities. A COVID-19 Virtual Ward (CVW) was recently established in Singapore.
Aim:
This study aims to describe the experiences of high-risk COVID-19 patients admitted to a Virtual Ward and their caregivers in a multi-rac...
Objective:
This study aimed to describe the current situation of evidence-based practice (EBP) among undergraduate nursing students in Thailand.
Methods:
A cross-sectional study was conducted. A convenience sample of 470 third- and fourth-year undergraduate nursing students from five public universities across Thailand participated in this study...
Objective:
To describe the development procedure of a mobile application-based parenting support program with integrated chatbot features entitled Parentbot - a Digital healthcare Assistant (PDA) for multi-racial Singaporean parents across the perinatal period.
Methods:
The PDA development process was guided by the combined information systems r...
Background:
Screentime (ST) has been increasingly pervasive in young children. Evidence suggests positive and negative effects of ST on children's development. Parents play a crucial role in influencing their children's ST. There is limited research consolidating the parental perceptions related to children's ST. This review consolidates the evide...
Domestic violence (DV) can persist and escalate post-separation. However, little focus has been given to children exposed to DV during this period. This review aims to consolidate the available evidence on children's post-separation experiences with DV caused by their fathers. A qualitative systematic review was carried out. Six electronic database...
Background
During the COVID-19 pandemic, pregnant women were identified as a high-risk and vulnerable group. To reduce risk of transmission, maternity healthcare services were modified to limit exposure but maintain services for pregnant women. However, the change in hospital practice may have compromised quality maternal care standards. Therefore,...
Oxytocin (OT) plays a pivotal role in early parent–child relationship formation and bonding that is critical for the social, cognitive, and emotional development of the child. Therefore, this systematic review aims to consolidate all available evidence regarding the associations of parental OT concentration levels with parenting behavior and bondin...
Background:
Previous studies have investigated the various effects of parenting on infant developmental outcomes. In particular, parental stress and social support have been found to significantly affect the growth of the newborn. Although many parents today use mobile apps to obtain more support in parenting and perinatal care, few studies have e...
Background
Documentation of the voices of nurses provided valuable insight and a greater understanding of the nursing experience in Singapore.
Aim
To record nurses’ experiences of journey of nursing profession in the acute care setting in Singapore from the early days of formalisation of nursing education to today’s practice as a profession with v...
Introduction
Chatbots, which are also known as conversational or virtual agents, are digital programs that can interact with humans using voice, text, or animation. They have shown promise in providing preconception, pregnancy, and postpartum care. This review aims to consolidate the insights of parents and parents‐to‐be in using chatbots to improv...
Background: Infertile individuals desire support, as they are highly vulnerable to multi-dimensional distress. However, support from family, friends and professionals have been found to be inadequate for their needs. Online peer support communities are avenues where infertile individuals come together virtually to share experiences and provide peer...
Aims and objectives:
To examine and consolidate literature on the experiences and decision-making of parents following a screen positive result for a potential fetal anomaly and/or diagnosis of an actual anomaly in a previous pregnancy.
Background:
Prenatal screening consists of any diagnostic modality that is aimed at acquiring information abou...
Background
Adjusting to new or additional parenting responsibilities increases stress and affects parental well-being. Existing research has highlighted both parents’ desire to receive more support. It has also been found that receiving sufficient social support enhances parenting outcomes. With the increasing popularity of mobile health apps, a Su...
Effective communication skills in nursing are necessary for high-quality nursing care, but given the decline in nursing students' attitudes and their low self-confidence in effective communication with patients, a participatory and experiential training method is needed. Therefore, a virtual counseling application was developed using artificial int...
Background
Even when maternity care facilities are available, some women will choose to give birth unassisted by a professional (freebirth). This became more apparent during the pandemic of coronavirus disease 2019 (COVID‐19), as women were increasingly concerned they would contract the virus in health care facilities. Several studies have identifi...
Background
Sleep apnea (SA) is a prevalent chronic disease with significant morbidity that negatively impacts a patient’s perception of health and quality of life (QoL).
Objective
This review synthesized qualitative evidence on the experiences of patients living with SA to understand the disease’s impacts on QoL.
Methods
We performed a systematic...
Adolescents are particularly vulnerable to poor sexual health outcomes such as sexually transmitted diseases, sexually transmitted infections, human immunodeficiency virus, and unintended pregnancy. While school-based sexual health education (SBSHE) can address adolescents’ needs, they are often insufficient. Hence, their perception of SBSHE should...
Aims:
The aims of this systematic review were to obtain a comprehensive understanding of healthcare workers' experiences who were subjected to workplace violence in the home care environment and identify their specific support needs.
Background:
Workplace violence toward healthcare workers has been a prevalent and ongoing issue. With the expansi...
Objective
To explore the effect of donor human milk usage on the emotional experience of mothers with premature infants in a multiracial Asian population.
Design
A qualitative descriptive study. Semistructured individual interviews were audio-recorded, transcribed and analysed using Braun and Clarke’s process of thematic analysis.
Setting and pat...
Background:
The transition experience of newly graduated registered nurses is highly stressful and associated with high attrition rates.
Objectives and design:
This qualitative systematic review aims to consolidate the available evidence on the experiences of newly graduated registered nurses' role transition from nursing students to registered...
Aim
To consolidate the evidence around the experiences of nursing undergraduates and faculty members navigating through remote and online education during the COVID-19 pandemic.
Background
The Coronavirus disease 2019 caused by the SARS-CoV-2 Virus (COVID-19) has placed massive pressure on healthcare, economic and education systems globally. Restr...