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Introduction
Skills and Expertise
Current institution
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July 2013 - present
November 2011 - July 2013
June 1988 - October 1997
Publications
Publications (162)
Aim: To understand how migrant nurses perceive their needs for autonomy, competence and relatedness are satisfied and relate how these contribute to regional workplace retention.
Design: A qualitative descriptive study.
Methods: Data were collected through semistructured interviews among 17 migrant nurses employed at a hospital in regional Australi...
Introduction
The increased globalization of nurses has prompted organizations to explore innovative strategies to retain their workforce. However, due to cultural variations and increased workforce diversity, a one-size-fits-all retention strategy may not be effective.
Methodology
In this paper, we discuss nurse migration and retention to identify...
Aim
To explore migrant nurses' intrinsic and extrinsic motivations for migration and regional relocation.
Design
A qualitative descriptive study.
Methods
Semi‐structured interviews were conducted among 17 migrant nurses working in a hospital in regional Australia. Inclusion criteria were current employment as a nurse at the study site, obtaining...
Aims
To explore how Australian oncology nurses perceive and experience compassion fatigue when caring for adult cancer patients, how they mitigate compassion fatigue and identify potential interventions to address compassion fatigue.
Design
A qualitative, descriptive study.
Methods
Twenty Australian oncology nurses caring for adult cancer patient...
Aim
To provide a worked example informed by relevant literature and related studies that novice and early career researchers may use to reflect on, prepare and conduct a thoughtful and rigorous qualitative descriptive study.
Design
Methodological discussion of qualitative descriptive design.
Methods
Seminal work and recent related literature were...
Aim:
To map and explore primary research about factors related to retention, turnover and turnover intention among migrant nurses.
Background:
Understanding retention and turnover among migrant nurses is essential, especially in the context of nursing shortage. There is a range of factors motivating nurses to emigrate; however, factors related t...
Background:
Oncology nurses have frequent contact with oncology patients during their cancer journey. This long-term, recurrent contact can impact the health and well-being of the nurse through the development of compassion fatigue (CF).
Objectives:
To identify what contributes to CF and what individual, interpersonal, and organizational factors...
Background
Academic mentorship usually involves an ongoing, supportive relationship between experienced academics and research candidates, and is fundamental to establishing and nurturing scholarship and the skills for dealing with the changing demands of the academic environment. Mentoring is a valuable strategy for the development of students enr...
Rapidly ageing populations are putting a strain on healthcare due to their increasing chronic conditions and complex comorbidities. Community care is an important part of the healthcare system and community healthcare workers are under pressure to care for the growing ageing population. It is crucial to recruit healthcare workers in community care...
Objectives
Cancer survivors face multiple challenges associated with cancer and its treatments. This study aimed to examine the initial effect of the Mindfulness-Based Psychoeducation for Cancer Survivors (MindCAN) program, which emphasizes the application of mindfulness to cancer-related matters.
Methods
A single group, quasi-experimental study w...
Resilience has been documented as an essential component in managing stress. However, understanding how undergraduate students with different sociodemographic characteristics perceive resilience remains understudied. This study aimed to explore how undergraduate students in one university define and build resilience during the COVID-19 pandemic. St...
Background
Cancer survivors often experience physical and psychological symptoms that may affect their daily activities and quality of life. A mindfulness-based psychoeducation for cancer survivors, (MindCAN) program, has been established to help cancer survivors manage their physical and psychological symptoms. This study aimed to explore percepti...
Objective
To explore nurses’ perceptions of early mobilisation of patient in the adult intensive care unit.
Design and methods
An exploratory descriptive qualitative research design was used. Three focus group interviews were conducted in 2018–2019. Audiotaped interviews were transcribed verbatim and content analysis was used to extract emerging c...
There are growing interests in promoting health of patients with cancer targeting on prevention and control as there are several modifiable risk factors that can be controlled to prevent cancer such as smoking, sedentary lifestyle, and unhealthy behaviors. Once diagnosis of cancer has been determined, health promotion interventions can be targeted...
Objective: To provide an overview of what is known about the impact of COVID-19 on weight and weight-related behaviors. Methods: Systematic scoping review using the Arksey and O’Malley methodology. Results: A total of 19 out of 396 articles were included. All studies were conducted using online self-report surveys. The average age of respondents ra...
Objective:
This study aimed to ascertain levels of distress and contributing factors among parent caregivers of pediatric cancer patients in Singapore.
Methods:
In this descriptive correlational study, parental caregivers were recruited via convenience sampling during their child's inpatient admission or outpatient appointment. They were asked t...
Objectives:
The prevalence of self-immolation is significantly higher in some Middle Eastern and Central Asian Islamic countries than in Western countries. Self-immolation typically occurs among females and can be either an attempt at suicide or an act of protest. This systematic review examined the drivers and consequences of self-immolation in A...
Psychosocial risk factors, such as perceived stress, not only increase the risk of cardiovascular disease, but also act as barriers for treatment adherence and cardiac rehabilitation. In this study, we examined the predictive role of perceptions for illness to perceived stress in Iranian patients participating in a cardiac rehabilitation program. A...
Preparing healthcare students for community care has been emphasised due to the global ageing population. An instrument to measure students’ community care competency is lacking. This study aimed to develop and evaluate the psychometric properties of a new scale known as Community Care Competency Scale (CCCS) for measuring nursing students’ communi...
This study aimed to determine the efficacy of mindfulness practice on emotional state and cognitive function of community-living elderly with mild cognitive impairment. A randomized controlled trial was conducted with the experimental group undergoing a Mindfulness Awareness Program (MAP) and an active control group undergoing a Health Education Pr...
Aim
To develop and examine the effectiveness of a 4‐week mHealth program using the smartphone app Care4Heart on awareness, knowledge, perceived stress and a heart‐related lifestyle among working population in Singapore.
Design
A quasi‐experimental single group pre‐ and repeated post‐test design.
Methods
A total of 160 nonhealth‐related working ad...
Background: Cardiac arrest (CA) remains the leading cause of premature deaths. Survivors often suffer from ischaemia-reperfusion injuries, which lead to neurological damage, cognitive impairment and psychosocial problems. While most survivors have to be assessed and deemed neurologically and functionally fit enough before discharge, adequacy of cog...
Introduction: Transition from childhood to adulthood is an important and challenging period for both adolescents and their parents, particularly in societies undergoing development and change. In Iran, cultural and social change is inextricably linked to, and strongly impacts on, family units. Aim: To explore the experiences of parents and the stra...
Objective:
This study aims to understand paternal involvement within the six-month postpartum period to identify the challenges and needs of Singaporean fathers.
Design:
The study used a descriptive qualitative design.
Setting and participants:
This research is a follow-up study of 50 first-time and experienced fathers who were originally inte...
The prevention and management of a pressure injury is a nurse‐sensitive quality indicator in hospitals. Prevention and management of pressure injury practices have been found to be suboptimal despite the availability of interventions. Currently, there is a poor understanding of the mechanisms behind these interventions. The aim of the study was to...
Aim
To examine the effect of a self‐help psychoeducation program for people with coronary heart disease in Singapore.
Background
Cardiac rehabilitation has shown benefits for mitigating many cardiac risk factors and can lead to improvement in health‐related quality of life and psychological well‐being in people with heart disease. However, traditi...
In Iran, as in other nations, adolescence can be a challenging period for both parents and their children. Typically, mothers assume the main role of parenting, which can have a negative impact either directly or indirectly on paternal involvement, or conversely, play a positive role of mediation between fathers and their adolescent children. In th...
Objective:
To synthesize the evidence that explored resilience and emotional intelligence in undergraduate nursing students.
Background:
Nursing is a demanding profession that offers unique challenges. Emotional intelligence and resilience are traits that can allow nursing students to effectively respond to challenges in professional placements...
Background:
The shortage of nurses has become a global phenomenon, and methods of decreasing the attrition rate of nurses have been explored. Resilience was one of the important factors that increased the retention rate of nurses who stayed in this highly stressful profession.
Objectives:
To understand how undergraduate nursing students perceive...
Recovery‐oriented principles underpin modern‐day mental health care and are enhanced by consumer participation in decision‐making. Understanding how consumer participation can be maximized is central to promoting recovery‐oriented care. This study explored the key strategies used by mental health registered nurses and perceived by nurses to be used...
Background:
Globally more registered nurses need to be recruited to meet the needs of aging populations and increased co-morbidity. Nursing recruitment remains challenging when compared to other healthcare programs. Despite healthcare students having similar motivation in joining the healthcare industry, many did not consider nursing as a career c...
The use of drugs predominantly among Iranian men leads to health and social problems. Iran has established methadone maintenance therapy centres but there is limited research exploring the experiences of men who make use of this therapy. The aim of this qualitative study was to explore the experiences of men on methadone maintenance therapy in Urmi...
Background
With the availability of more healthcare courses and an increased intake of nursing students, education institutions are facing challenges to attract school leavers to enter nursing courses. The comparison of career choice influences and perception of nursing among healthcare students can provide information for recruitment strategies. A...
Aims and objectives:
To describe the family caregivers' caregiving experience for stroke survivors and to identify the determinants of caregiving burden over 6 months.
Background:
Sociocultural factors influence the caregiving experience in China. However, little is known about the dynamic changes occurring in Chinese caregivers' burden and its...
As the population ages, risk factors commonly shared by chronic degenerative disease can be exacerbated by behaviours and lifestyle choices. There is increasing evidence that those affected by chronic disease (and associated symptoms such as pain), depression and adverse behavioural and lifestyle patterns are at risk of substance misuse. This paper...
Aim To discuss envy and jealousy and how their positive and negative aspects among nurse academics affect the workplace. Background In nursing academia, jealousy and envy are common emotions, engendered by demands for high productivity, intense competition for limited resources, preferences for particular assignments and opportunities for promotion...
Boredom in the workplace is not uncommon, and has been discussed widely in the academic literature in relation to the associated costs to individuals and organizations. Boredom can give rise to errors, adverse patient events, and decreased productivity—costly and unnecessary outcomes for consumers, employees, and organizations alike. As a function...
Leadership behaviors and actions influence others to act, and leadership in clinical practice is an important mediator influencing patient outcomes and staff satisfaction. Indeed, positive clinical leadership has been positioned as a crucial element for transformation of health care services and has led to the development of the Practice Doctorate...
Singapore has an aging population that is projected to increase by 32% in 2100. The majority of older couples live alone. "Aging in Place" is an initiative that is widely promoted by the government, in which older people are supported to live in their own homes. In this qualitative study, we explored the perceptions of older people living with thei...
Objective
Cancer treatments cause a range of distressing symptoms that can be well managed with pharmacological and nonpharmacological interventions. Treatment-related symptom screening and management by health care professionals is required to provide appropriate guidance to help patients to complete successfully their treatment regimen and achiev...
Micromanagement refers to a management style that involves managers exercising control over team members, teams, and also organizations, particularly in relation to the minutiae or minor details of day-to-day operations. While there is no single reason why some managers may choose to micromanage, many micromanagers exhibit similar behavioral traits...
Cultures of performativity may contribute to organizational and individual arrogance. Workplace organizations have individuals who at various times will display arrogance, which may manifest in behaviours, such as an exaggerated sense of self-importance, dismissiveness of others, condescending behaviors and an impatient manner. Arrogance is not a f...
Recovery-oriented mental health services promote the principles of recovery, such as hope and optimism, and are characterized by a personalized approach to developing consumer self-determination. Nurse leaders are increasingly developing such services as social enterprises, but there is limited research on the leadership of these programs. Leading...
To develop a mHealth programme, entitled 'Care4Heart' for the working population in Singapore and thereafter examine its feasibility and effectiveness in increasing the awareness and knowledge of coronary heart disease and improving their heart-related lifestyle.
Teaching and encouraging the working population to adopt a healthier lifestyle could r...
Background & Aim: Spiritual care is an integral part of a holistic nursing care. Providing spiritual care has a positive impact on patients’ health outcomes. Although nurses understand the importance of incorporating patient’s spiritual beliefs into the care practice, understanding their spirituality before addressing the spirituality of patients i...
Aims and background:
Patients with benign prostatic hyperplasia (BPH) may receive prostatic surgery due to severe lower urinary tract symptoms (LUTS). This study aimed to investigate the health-related quality of life (HRQoL), psychological well-being, and sexual function of patients with BPH after prostatic surgery and identify the predictors of...
Physical activity is of paramount importance to enhance the quality of life of childhood cancer survivors.
The objectives of this study were to examine the sustainability, feasibility, and acceptability of an adventure-based training and health education program in changing the exercise behavior and enhancing the physical activity levels, self-effi...
Objectives:
To determine the coping styles of family caregivers of patients with esophageal cancer and examine the relationships between depression, coping styles and social support.
Methods:
A descriptive and correlational survey was conducted in three university-affiliated oncology and thoraco-cardiac surgery departments in Shiyan, China. A co...
In Australia, Primary Health Care and the mental health sector have always shared a philosophy. In 1978, Primary Health Care was first put forward as a strategy to improve "health for all." Recently, the Australian Government included mental health as a national health priority, identifying six strategies consistent with a Primary Health Care appro...
Childbirth is a unique experience in women's life. Various factors including human and non-human environment are involved in shaping the experience of childbirth.This study investigated the role of the environment on the psychological birth trauma from the perceptions of Iranian mothers. A qualitative descriptive study was conducted from September...
AimTo develop and examine the effectiveness of a home-based self-help psychoeducation programme on health-related quality of life, stress level, anxiety and depression symptoms, self-efficacy, cardiac risk factors and health service use of outpatients with coronary heart disease.Background
Hospital-based cardiac rehabilitation programmes have been...
Childbirth is one of the most vulnerable moments and the most important and memorable events in the lives of women that despite of bringing happiness, it can be associated with psychological trauma and endanger the mother and neonate health. Mothers' perception of the psychological birth trauma is a highly subjective process that depends on the cul...
To explore Australian nursing students' perceptions of spirituality, religiosity, and personal belief.
Spiritual and religious literature support the benefits to patients' physical and mental health. Nurses have an ethical obligation to understand and incorporate patient's spiritual beliefs and values into the care plan.
A cross-sectional survey wa...
Background: Cancer-related fatigue is the most common, distressing complaint reported by cancer patients and the most frequently reported long-term side effect of treatment for prostate cancer. Despite this, cancer-related fatigue has not received serious attention from health professionals or researchers, particularly in relation to men with prost...
The aim of this systematic review was to synthesize the best available evidence informing the effectiveness of non-pharmacological interventions for managing cancer-related fatigue in men treated for prostate cancer. This review considered experimental studies that included men with prostate cancer (regardless of staging, previous treatment or como...
Background:
It has been well documented that the diagnosis of cancer is psychologically devastating to both the patients and caregivers. The incidence and mortality of esophageal cancer were 20.85 and 16.24 per 100,000 persons and the sixth most commonly diagnosed cancer and the fourth main cause of cancer death in China. We surveyed patients-care...
Background:
There is growing concern about declining levels of physical activity in childhood cancer survivors. This study aimed to examine the effectiveness of an integrated adventure-based training and health education program in promoting changes in exercise behavior and enhancing the physical activity levels, self-efficacy, and quality of life...
Achieving optimal control and reduction in coronary heart disease (CHD) risks in Hong Kong (HK) remains significant and requires exploring. This article addresses the ability to reduce CHD risks among the HK Chinese.
Through secondary analysis, a qualitative descriptive design using focus group interviews and content analysis were adopted. Older an...
Research indicates that regular physical activity is associated with numerous physiological and psychological health benefits for childhood cancer survivors. A review of the literature reveals that no study has so far examined the physical activity levels and behavior of Hong Kong Chinese childhood cancer survivors, and how the cancer and its treat...
Self-determination and patient choice of end-of-life care are emphasised in palliative care. Advance care planning (ACP) is an approach to enabling patients' choices. The use of ACP has not been extensively studied in our current context. Little is known about oncology care nurses' views and the barriers they face in the implementation of ACP.
The...
Background:
Before the Chinese version of the Pediatric Quality-of-Life Inventory Cancer Module can be used to assess the multidimensional construct of quality of life among Hong Kong Chinese pediatric patients with cancer, its psychometric properties need to be further empirically tested.
Objective:
The objectives of the study were to establish...
After reading this chapter, you should be able to: • describe the rationale and processes for conducting qualitative sampling techniques • describe the main types of sampling in qualitative research and give examples of research for each type • explain the selection criteria in qualitative sampling • describe the different qualitative data collecti...
Background:
Recent advances in cancer screening and treatment have resulted in a decrease in mortality rates in children and adolescents. However, despite the improved prognosis, the course of cancer treatment continues to be a very stressful experience in the life of a child.
Objectives:
The objectives of the study were to assess the occurrence...
Purpose:
Notwithstanding the advances in medical treatment, childhood cancer survivors are at risk of adverse physical, psychological and social effects of the cancer treatment. The purpose of this study was to examine the impact of cancer and its treatments on the physical, psychological and social well-being of Hong Kong Chinese childhood cancer...
The aim of this study was to examine the predisposing factors to the quality of life of Hong Kong Chinese childhood cancer survivors. A cross-sectional study was conducted with 153 survivors (9-16 years of age) during follow-up at the oncology outpatient clinic. The study found that depressive symptoms are a strong predictor of quality of life in c...
Pressure injuries are key clinical indicators of care standard. In Australia, pressure injuries increase length of hospital stay by 4·31 and cost $285 million annually. This pilot study examined the effectiveness of sacral dressing in reducing the prevalence of pressure injuries in older, high-risk patients. A non randomised one-sample experimental...
: Research indicates that increased survival rates are accompanied by an increase in associated psychosocial problems. Whereas much of the attention has focused on the physiological care of childhood cancer survivors, the consequences of cancer and its treatments on psychosocial well-being and quality of life remain relatively underexplored.
: The...
Background:
Cancer-related fatigue is the most common, distressing complaint reported by cancer patients and the most frequently reported long-term side effect of treatment for prostate cancer. Despite this, cancer-related fatigue has not received serious attention from health professionals or researchers, particularly in relation to men with pros...
A skin tear is a traumatic wound that results from the separation of the skin layers due to shearing forces, friction or blunt trauma that affects all people. Numerous preventative measures aim to reduce the skin tears and minimise conditions that predispose the epidermis to injury. With the increasing elderly population in acute aged care, impleme...
This article is a report on psychometric testing of the Chinese version of the herth hope index.
The availability of a valid and reliable instrument that accurately measures the level of hope in patients with heart failure is crucial before any hope-enhancing interventions can be appropriately planned and evaluated. There is no such instrument for...
: There is considerable evidence demonstrating the negative effects of caregiving particularly in the areas of psychological well-being and quality of life of family caregivers of patients with cancer. However, there is little work on male caregivers' subjective experience of caring for family members with cancer, and little is known on how caregiv...
This paper is a report of a study which aimed to explore the transition experiences of graduate Registered Nurses (RN) who had previously practised as Enrolled Nurses.
The literature suggests that graduate RN who have previously practised as Enrolled Nurses (EN) have specific support needs during their first year of clinical practice.
A qualitative...
The vast majority of the increasing cancer literature on physical and psychological symptom clusters is quantitative, attempting either to model clusters through statistical techniques or to test priori clusters for their strength of relationship. Narrative symptom clusters can be particularly sensitive outcomes that can generate conceptually meani...
In Chinese society, the specific set of postnatal practices called "doing the month" constitutes an integrated set of postnatal behaviors that provides cultural and maternal protection and identity. This study examines the cultural practice of "doing the month" by Chinese mothers for two generations of matrilineal datasets. Ethnographic interviews...
The aim of this study was to investigate the perceptions of coronary heart disease among a sample of Hong Kong Chinese people.
Coronary heart disease is increasing among Chinese populations. Reducing coronary heart disease risk is highly dependant on a person's evaluation of the risks and lifestyle behaviour. However, Chinese perceptions of coronar...
This paper draws on questionnaire findings and analysis of students' comments to demonstrate the aspects of rural placements that were effective in engaging students in the learning process. It also examined how a primary health care clinical placement in Aboriginal communities can provide nursing students with a rich and varied learning experience...
The treatment of cancer is a stressful and threatening experience, particularly for children. Knowing how children cope with cancer is a crucial step toward designing appropriate psychological interventions that help them ease the burden of cancer treatment. The purpose of this study was to examine the coping strategies used by Chinese children hos...