Vivien Xi Wu

National University of Singapore | NUS · Alice Lee Centre for Nursing Studies

Objectives: This review evaluated the best available evidence concerning the effectiveness of photobiomodulation compared to oral cryotherapy in oral-mucositis prevention among patients with hematological stem cell transplantation (HSCT) receiving chemo-conditioning. Data sources: An extensive search for published and unpublished studies was con...

Background Sleep disordered breathing (SDB) is an under-recognised independent risk factor and a potential consequence of stroke. We systematically reviewed and meta-analysed the effectiveness of positive airway pressure (PAP) therapy in improving post-stroke outcomes. Methods We searched CENTRAL, Embase, PubMed, CINAHL, PsycINFO, Scopus, ProQuest...

Anxiety is reported to be common and serious among men who have sex with men (MSM). A growing number of researchers focus on MSM’s anxiety and reported their severity, while the estimate results vary substantially between studies. The objective of this study is to evaluate the pooled prevalence of anxiety or anxiety disorders among MSM worldwide. T...

Background: Chronically ill older patients are often vulnerable to detrimental health outcomes and have increased risk of preventable readmission. Tele-transitions of care interventions utilizing telecommunications and surveillance technologies help monitor patients' conditions after discharge to prevent negative health outcomes. Objectives: Thi...

Polypharmacy is a prevalent issue in older adults, associated with a wide range of adverse health outcomes, amplified in those with frailty. This review aims to synthesize current literature on the prevalence and health outcomes of polypharmacy and hyperpolypharmacy in older adults with frailty. A systematic search was carried out within ten databa...

Lactic acid bacteria (LAB) fermented foods are reported to have potential in managing glycemic control. This systematic review aimed to evaluate the effectiveness of LAB-fermented foods on improving glycemic control in adults with prediabetics or type 2 diabetes mellitus (T2DM). Randomized controlled trials (RCTs) on LAB fermentation-related foods...

Background: Peer feedback (PF) has attracted much attention in health profession education with growing evidence on its benefits. However, it lacks a proper framework to guide its operation, which raises concerns about its quality in nursing education. Purpose: To compare the effects of a 3-phase PF versus faculty feedback (FF) on students' refl...

Objective: To delineate the mortality trends of malignant tumors, heart disease and cerebrovascular disease in China. Methods: The crude mortality from 2003 to 2019 was derived from the China Health Statistical Yearbook, and the mortality rates were analyzed through joinpoint regression supplemented by descriptive statistics and χ2 tests. Results:...

Aims To map the nursing skills required for different types of disasters. Design This was a scoping review of research studies conducted between July and August 2021. We conducted a systematic literature search of nine electronic databases from inception till July 2021, and an updated search was done in April 2022. This review is based on the meth...

Context The prevalence of age-related cognitive decline has been on the rise as the global population age, putting the independence and quality of life of elderly at risk. Anthocyanin, as a subclass of dietary flavonoids, may have a beneficial impact on cognitive outcomes. Objectives To examine the effects of dietary anthocyanin supplementation on...

Background The reform in health professions education requires the focus to shift from fact memorization to exploring, analyzing, assimilating, and synthesizing information to promote active and collaborative learning. Peer teaching is one of the educational strategies. Aims This review aimed to explore and synthesize quantitative evidence to dete...

Background: Previous studies have predominantly focused on the needs of persons with aphasia (PWA), after a stroke diagnosis. However, aphasia is found to cause communication challenges in persons with stroke and their family caregivers as a unit. Evidence is inconclusive about the communication patterns of both persons with aphasia and their fami...

Aims To evaluate the effectiveness of technology-based interventions in reducing psychological morbidities such as depressive symptomology, anxiety, burden and improving quality of life and self-efficacy in informal caregivers of stroke survivors. Design A systematic review and meta-analysis. Data Sources An extensive search was systematically un...

Aim: To summarise the psychological impacts of social isolation amongst older adults during COVID-19 and review the benefits and limitations of online interventions used to combat social isolation. Design: A scoping review was performed. Data sources: A systematic search was performed from October 2020 to January 2021 in seven electronic datab...

Nurse preceptors are key stakeholders in providing quality clinical education. The study aims to explore the perspectives of nurse preceptors on a Web-based clinical pedagogy program and clinical teaching. A descriptive qualitative design was adopted. The program was made accessible to the nurse preceptors who were assigned nursing students from Ju...

Objectives This study aimed to synthesise the best available evidence on the effectiveness of education interventions to teach evidence-based practice (EBP) on nurse-related and patient-related outcomes. Design This is a systematic review and meta-analytic paper. Data sources Published and unpublished studies in English were searched from 10 data...

Objectives To examine the effect of aerobic and resistant exercise intervention on inflammaging in middle-aged and older adults with type 2 diabetes mellitus (T2DM) using inflammatory cytokines, such as interleukin (IL)-1 β, IL-6, tumor necrosis factor-α (TNF-α), and C-reactive protein (CRP) as biomarkers. Design Systematic review and meta-analysi...

Objective To examine the effectiveness of a web-based clinical pedagogy program on nurse preceptors’ clinical teaching competency, self-efficacy, and attitudes toward web-based learning in comparison to face-to-face course. Background Preceptorship is a dynamic educational process that requires designing, and implementing various teaching strategi...

Background The COVID-19 pandemic has changed our daily lives. Most of the working adults adopted the work-from-home arrangement while students shifted to home-based learning. Being confined together allows families to foster stronger bonds. On the other hand, the on-going pandemic could have negative impacts on family relationships. The COVID-19 ou...

Background Poor management of type 2 diabetes mellitus may affect individuals’ physical and emotional health. Access to ongoing psychosocial interventions through technological platforms may potentially minimise diabetes complications and improve health-related outcomes. However, little is known about the effectiveness of such interventions on diab...

Purpose This systematic review and meta-analysis aims to synthesise the evidence of the effectiveness of self-management interventions with action-taking components in improving self-efficacy, health-related quality of life, basic and instrumental activities of daily living, and depression for adult stroke survivors. Materials and methods Nine ele...

Aims This study aimed to identify the predicting factors of quality of life (QoL) from a set of psychosocial, sociodemographic and clinical variables amongst older adults in a long-term care setting. Design A cross-sectional, descriptive correlational study. Method The study was conducted in a nursing home and a day care centre from July to Decem...

This study aimed to explore supportive needs of caregivers when caring for patients with chronic illness during hospitalization. A descriptive qualitative study was conducted at a tertiary hospital and purposive sampling was used to recruit 13 participants. Eligibility criteria included primary caregivers of patients with chronic illness. Data were...

Core cerebrospinal fluid (CSF) biomarkers (Aβ42, T-tau, P-tau) were included as supporting diagnostic criteria for Alzheimer’s Disease (AD), but they lack the power to predict AD progression. On the other hand, a new biomarker CSF Neurogranin (Ng) has been shown to predict cognitive decline. This systematic review aims to synthesise the prognostic...

https://www.jamda.com/article/S1525-8610(21)00823-9/fulltext Aims and Objectives: To investigate the prevalence, risk factors and impact of DSD in hospitalised older adults. Background: DSD occurs when delirium is present comorbidly in pre-existing dementia. Dementia is the leading risk factor for delirium, however risk factors for delirium in de...

Background Various technologies to provide long-term care have been developed in the last decade due to the shortage of caregivers in Japan. However, care technologies are not widely used in long-term care, and the reasons for the lack of acceptance of care technologies are poorly understood. Objectives To identify the factors associated with the...

Background: Chronic diseases may impact older adults' health outcomes, health care costs, and quality of life. Self-management is expected to encourage individuals to make autonomous decisions, adhere to treatment plans, deal with emotional and social consequences, and provide choices for healthy lifestyle. New eHealth solutions significantly incr...

Background : Mild cognitive impairment is an age-related cognitive disorder which is associated with frequent memory lapses, impaired judgement, and progressive functional decline. If untreated early, 39.2% of people with mild cognitive impairment could progress to develop dementia. However, there are currently no approved pharmacological intervent...

Objective This study aimed to synthesize the best available evidence regarding the effectiveness of non-pharmacological interventions on body mass index (BMI), body dissatisfaction, depression and anxiety among individuals with anorexia nervosa (AN). Methods Published studies in English were searched using seven databases (such as PubMed). Grey li...

Population ageing resulting from declining fertility and extended life expectancy has been occurring rapidly throughout the world. Older adults are faced with multiple physical, psychological and social changes that challenge their sense of self and capacity for healthy ageing. Intergenerational programmes (IGP) in communities have been developed t...

Aim To examine the literature on Traditional Chinese Medicine (TCM) used in the treatment, prevention and supportive care in patients with COVID‐19. Design A narrative review was performed. Data Sources A systematic and comprehensive search was conducted on both Chinese and English electronic databases: China National Knowledge Infrastructure, Wa...

Evaluation and cultivation of clinical competence in undergraduate nursing students are essential in nursing education. Self-efficacy and good clinical learning environments are expected to have a positive influence on the clinical competence of undergraduate nursing students, but few studies have focused on the relationships among clinical compete...

The increase in life expectancy and emphasis on self-reliance for older adults are global phenomena. As such, living healthily in the community is considered a viable means of promoting successful and active aging. Existing knowledge indicates the prevalence of health illiteracy among the older population and the impact of poor health literacy on h...

BACKGROUND Heart failure (HF) is a major public health problem that places a significant disease burden on society. Self-care is important in the management of HF because it averts disease progression and reduces the number of hospitalizations. Effective nursing interventions promote HF self-care. OBJECTIVE This study aims to explore participants’...

Background Heart failure (HF) is a major public health problem that places a significant disease burden on society. Self-care is important in the management of HF because it averts disease progression and reduces the number of hospitalizations. Effective nursing interventions promote HF self-care. Objective This study aims to explore participants’...

Background Falls in older adults result in serious, life-limiting consequences. An increasing number of fall prevention interventions have used technology to reduce the number of falls in community-dwelling adults. Various types of e-interventions are being tested in clinical trials and in the community. These include telehealth, exergames, cogniti...

The chapter provides a description of the first stage of an SoTL project consisting of an interdisciplinary research collaboration between nursing disciplinary experts from the Alice Lee Centre for Nursing Studies (ALCNS) and academic literacy experts from the Centre for English Language Communication (CELC) at the National University of Singapore...

E-print available: https://www.tandfonline.com/eprint/HD4FAPTKUDR5JKQSU8ZZ/full?target=10.1080/02602938.2020.1855414 This paper reports on an interdisciplinary pedagogical research project involving academic literacy experts and lecturers at a School of Nursing. Specifically, the paper focuses on the development of a data-driven analytical rubric t...

Background Aging is one of the most important public health issues. The World Health Organization (WHO) expects the number of older adults aged 65 and above to triple from 2010 to 2050. A major challenge would be to consider how functional ability and quality of life could be enhanced in older age. Reminiscence-based interventions are widely report...

Objectives This review aimed to examine available evidence concerning the effectiveness of psychosocial interventions in improving memory, executive function, depression and activities of daily living (ADL) in older adults with MCI. Methods Eight electronic databases were used to conduct a comprehensive literature search for published and unpublis...

Background: Due to the shift to an older population worldwide and an increased need for 24-hours care, finding new and alternative approaches to increase wellbeing among nursing home (NH) residents is highly warranted. To guide clinical practice in boosting wellbeing among NH residents, knowledge about nurse-patient interaction (NPI), inter- (ST1)...

Healthcare systems are evolving to meet the demands of an ageing population whereby the provision of health care services in the community has increased to alleviate the burden faced by acute care health facilities. As the result, the number of community nurses are expected to increase in order to meet the demand. Several studies have identified th...

Social capital is a collective characteristic of communities that determines the health and well-being of populations. There is ample evidence supporting the link between social capital and health; however, less is known about the relationship between social capital and health communication behaviors. Our study aimed to investigate the relationship...

Background As an integral part of simulation, debriefing helps learners to construct knowledge through reflecting, internalizing, and relating. Video-assisted debriefing (VAD) adds audio-visual captures and reviews to support traditional verbal debriefing (VD), but evidence evaluating its educational effects has been mixed, with limited attention f...

Background Clinical nursing education provides opportunities for students to learn in multiple patient care settings, receive appropriate guidance, and foster the development of clinical competence and professionalism. Nurse preceptors guide students to integrate theory into practice, teach clinical skills, assess clinical competencies, and enhance...

Background: The nursing-home population is at a high risk of declined wellbeing and quality-of-life. Finding approaches to increase wellbeing among older adults in nursing-homes is highly warranted. Responding to this need, the approach framed ‘Joy-of-Life-Nursing-Homes’ (JoLNH) was developed in Norway. Aim: To investigate the association between...

Aim: To systematically review the effectiveness of vinegar consumption in improving glycemic control in adults with type 2 diabetes mellitus. Design: A systematic review and meta-analysis. Review sources: The CINAHL, Excerpta Medica database (EMBASE), Medline, PubMed, Scopus and Cochrane databases were searched in April 2019. Interventional st...

The chapter provides a description of the first stage of an SoTL project consisting of an interdisciplinary research collaboration between nursing disciplinary experts from the Alice Lee Centre for Nursing Studies (ALCNS) and academic literacy experts from the Centre for English Language Communication (CELC) at the National University of Singapore...

Aims: To systematically review the evidence and determine the effectiveness of cognitive behavior therapy-based multicomponent interventions on fear of falling and falls among community-dwelling older adults who are at risk of falling. Design: A systematic review and meta-analysis. Data sources: Six electronic databases, including CENTRAL, CIN...

Aim: To identify the characteristics that may be predictive of development of risk of skin tears among hospitalized older adults in Singapore. Background: Skin tears are wounds that are partial or full-thickness separation of skin layers, which are common in older adults. Skin tears can result from shearing, friction, and/or blunt force. Skin te...

Background: Tele-coaching has been used by nurses as one of the accessible and sustainable interventions for individuals with type 2 diabetes mellitus. However, evidence has been lacking to demonstrate its effectiveness in mitigating the related cardiovascular risk factors. Aims: To systematically evaluate the effectiveness of nurse-led tele-coa...

Background: There is a growing number of epidemiological evidences that suggest the effectiveness of vinegar consumption among adults with type 2 diabetes mellitus (T2DM). However, the current reviews are restricted on narrative synthesis, lack of critical appraisal, mixed population, heterogenous outcomes and fasting blood glucose and glycated hem...

Background: There is a growing number of epidemiological evidences that suggest the effectiveness of vinegar consumption among adults with type 2 diabetes mellitus (T2DM). However, the current reviews are restricted on narrative synthesis, lack of critical appraisal, mixed population, heterogenous outcomes and fasting blood glucose and glycated hem...

BACKGROUND: Objective structured clinical examinations (OSCEs) have been used globally in medical education and touted as the "gold standard" for competence-based assessments. However, the value of OSCEs in nursing education has not been extensively evaluated. PURPOSES: This review aims to report the global trends in nursing OSCEs; evaluate their...

Background: Registered Nurse Preceptors guide students to integrate theory into practice, assess clinical competencies, and enhance problem-solving skills. Researches have indicated that the teaching competencies of nurse preceptors can be transferred to students' clinical learning. Objectives: The aims of the study are to develop a web-based cl...

Background Chronic heart failure (CHF) is one of the most common causes of hospital admissions and readmissions. Managing CHF requires a comprehensive treatment plan that consists of medication treatment and behavioural change. However, patients often feel unprepared for their self-management role in the community, especially during the period of t...

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. Today, we face a shift to an older population worldwide and its consequences; a noteworthy part of older adults will need 24-hours nursing home care at the end of life. Finding new and alternative approaches to increase wellbeing among nursing home residents is highly warranted. Knowledge about nurse-patient-interaction, self-transcende...

Background: Video-assisted debriefing has not attracted sufficient attention on exploring learners' perceptions. A full understanding of learners' attitudes and perceptions towards video-assisted debriefing sets the foundation for effective learning, which should be considered when integrating video-assisted debriefing to the nursing curricula. How...

The aim of the present descriptive correlational study was to investigate diet barriers and their influencing factors among outpatients with poorly‐controlled type 2 diabetes in Singapore. One hundred and ten patients with poorly‐controlled type 2 diabetes were recruited from a tertiary hospital in Singapore. The Personal Diabetes Questionnaire and...

Objectives To perform a systematic review search and critically review the empirical evidence concerning the factors affecting glycemic control in patients with type 1 or 2 diabetes mellitus. Background Previous primary studies have investigated the factors associated with glycemic control among patients with type 1 or 2 diabetes, but attempts to...

Background: Type-2 diabetes has become a global epidemic of the 21st century due to an ageing population and lifestyle changes. Previous studies examining the factors influencing diet barriers have lacked focus on diabetes patients with poor glycemic control. Objective: To investigate diet barriers and their influencing factors among outpatients wi...

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...

Background: Atrial fibrillation (AF) is the most common arrhythmia and has debilitating effects on patients' health-related quality of life (HRQoL) and psychological statuses. Aim: To investigate the HRQoL, psychological distress, and symptom burden, and to identify the significant influencing factors of HRQoL among outpatients with AF in Singap...

Background: Despite the increasing use of implantable cardioverter defibrillators (ICDs) as a preventive approach for high-risk patients with arrhythmias, little is known about the perceptions of ICD recipients regarding these devices and their impact on quality of life. Objectives: To explore perceptions towards quality of life, coping strategi...

Introduction: Simplifying the learning of cardiopulmonary resuscitation (CPR) is advocated to improve skill acquisition and retention. A simplified CPR training programme focusing on continuous chest compression, with a simple landmark tracing technique, was introduced to laypeople. The study aimed to examine the effectiveness of the simplified CP...

Background: Nurse preceptors guide students to integrate theory into practice, teach clinical skills, assess clinical competency, and enhance problem solving skills. Managing the dual roles of a registered nurse and preceptor poses tremendous challenges to many preceptors. Online learning is recognized as an effective learning approach for enhanci...

The nature of nursing practice is diverse; therefore, clinical assessment is a complex process. This study explores the perceptions of clinical nurse leaders and academics on clinical assessment for undergraduate nursing education during transition to practice. An explorative qualitative approach was applied. Eight nurse managers, six clinical nurs...

BackgroundA major focus in nursing education is on the judgement of clinical performance, and it is a complex process due to the diverse nature of nursing practice. A holistic approach in assessment of competency is advocated. Difficulties in the development of valid and reliable assessment measures in nursing competency have resulted in the develo...

With evolving healthcare demands, nursing educators need to constantly review their teaching methodologies in order to enhance learners' knowledge and competency of skills in the clinical settings. Learning is an active process in which meaning is accomplished on the basis of experience and that authentic assessment pedagogy will enable nursing stu...

Objectives: The objectives of the study were to investigate awareness, knowledge, healthy lifestyle behaviors, and their correlates to coronary heart disease (CHD) among working women in Singapore. Background: CHD is the leading cause of death for women globally, yet women are unaware of this or the associated risk factors that make them vulnera...

Aim: To explore the perspectives of preceptors about clinical assessment for undergraduate nursing students in transition to practice. Background: The assessment of clinical competence is a complex process due to the diverse nature of nursing practice. As such, nurse preceptors play a crucial role in clinical assessment for nursing students. Alt...

Background: Assessment of clinical competence requires explicitly defined standards meeting the national standards of the nursing profession. This is a complex process because of the diverse nature of nursing practice. Objectives: To explore the perceptions of final-year undergraduate nursing students regarding a clinical assessment tool and pra...

The purpose of this review is to examine recent literature on the awareness, knowledge, and healthy lifestyle behaviors related to Coronary Heart Disease (CHD) among women. Literature published in the English language from 2004 to 2015 was reviewed. Of the 684 articles retrieved, 21 were deemed relevant. Being aware that CHD is the leading cause of...

Background Compression-only cardiopulmonary resuscitation (CPR) has been advocated as a preferable approach for bystanders in an out-of-hospital cardiac arrest (OHCA) event as it has been associated with an increased chance of survival. The elimination of mouth-to-mouth ventilation also addresses some of the barriers to performing CPR. The aim of t...

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...