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AimTo determine the effectiveness of technological‐based educational interventions on the empowerment‐related outcomes of children and young adults with cancer.DesignQuantitative systematic review.Data sourcesSix electronic databases,... more
AimTo determine the effectiveness of technological‐based educational interventions on the empowerment‐related outcomes of children and young adults with cancer.DesignQuantitative systematic review.Data sourcesSix electronic databases, including PubMed, Cochrane Library, EMBASE, CINAHL, Scopus, and PsycINFO, were searched to identify eligible randomized controlled trials from each database's point of inception to December 2017. Grey literature was also searched from ProQuest and MedNar.Review methodsA narrative summary of the results was undertaken owing to the small number of eligible studies and high heterogeneity across the studies.ResultsFive studies were included in the review. Five empowerment‐related outcomes under the domain “patient states” were identified at differing time points of 3‐month postintervention, immediate postintervention, and during treatment: (a) self‐efficacy; (b) cancer knowledge; (c) health locus of control; (d) emotional well‐being; and (e) quality of...
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Supplemental Material, sj-docx-2-tva-10.1177_15248380211013135 for Vicarious Trauma Experienced by Health Care Providers Involved in Traumatic Childbirths: A Meta-Synthesis by Shefaly Shorey and Phyllis Zhi En Wong in Trauma, Violence, &... more
Supplemental Material, sj-docx-2-tva-10.1177_15248380211013135 for Vicarious Trauma Experienced by Health Care Providers Involved in Traumatic Childbirths: A Meta-Synthesis by Shefaly Shorey and Phyllis Zhi En Wong in Trauma, Violence, & Abuse
Supplemental Material, sj-docx-1-tva-10.1177_15248380211013135 for Vicarious Trauma Experienced by Health Care Providers Involved in Traumatic Childbirths: A Meta-Synthesis by Shefaly Shorey and Phyllis Zhi En Wong in Trauma, Violence, &... more
Supplemental Material, sj-docx-1-tva-10.1177_15248380211013135 for Vicarious Trauma Experienced by Health Care Providers Involved in Traumatic Childbirths: A Meta-Synthesis by Shefaly Shorey and Phyllis Zhi En Wong in Trauma, Violence, & Abuse
This scoping review aims to explore nursing students' insights of learning evidence-based practice skills through the use of interactive online technology. Studies were obtained from seven electronic databases (PubMed, Embase, CINAHL,... more
This scoping review aims to explore nursing students' insights of learning evidence-based practice skills through the use of interactive online technology. Studies were obtained from seven electronic databases (PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus and ProQuest Dissertations and Theses Global) until May 2021. This review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews and was guided by the Arksey and O'Malley (2005) framework. Findings were analyzed using thematic analysis. Three themes were derived from the 22 included studies: 1) Embracing new changes, 2) Challenges to tackle, and 3) Towards future improvement. Many nursing students reported positive learning experiences of evidence-based practice skills using interactive online technology. The challenges faced by students and suggestions for improvement were discussed. Future online evidence-based practice courses should consider blended pedagogies, providing students with effective scaffolding (step-by-step guidance) and allowing students to choose their preferred instructional strategies. Thorough planning, testing and orientation should be conducted prior to the programs' implementation. Lastly, future studies should aim to achieve higher study rigor to obtain more accurate results. This article is protected by copyright. All rights reserved.
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Research Interests: Nursing, Quality, Clinical Trial, Risk, Dermatology, and 15 moreMedicine, Pressure ulcers, Nursing Homes, Cost Effectiveness Analysis, Scoping review, Clinical Sciences, Intensive Care Unit, Repositioning, Science Technology, Interventions, Mechanical Ventilation, Intensive Care Medicine, Pressure Ulcer, Pressure injury, and Perceived Barriers
Objective Hospital at Home (HaH) programs have been shown to improve quality of care and patient satisfaction, and reduce bed occupancy rate in hospitals. Despite the prevalence of HaH in Western countries, studies in Asia are limited and... more
Objective Hospital at Home (HaH) programs have been shown to improve quality of care and patient satisfaction, and reduce bed occupancy rate in hospitals. Despite the prevalence of HaH in Western countries, studies in Asia are limited and the perception of HaH remains underexplored in Asian context. Understanding the perceptions of stakeholders is vital before implementing HaH in any new settings. Thus, the aim of this study is to explore the perceptions of referring physicians, care providers, patients, and caregivers on HaH programs in a multiracial country such as in Singapore. Methods This study used a descriptive qualitative design. Participants from 2 tertiary hospitals in Singapore, including 13 referring physicians, 10 care providers, 15 patients, and 3 caregivers, were interviewed between June 2020 and September 2020. Data were analyzed using inductive thematic analysis. Results The overarching theme titled “The stakeholders’ perception on HaH” was pillared by 4 main themes: (1) patients suitable for HaH; (2) perceived advantages and benefits of HaH; (3) perceived risks, anxiety, and concerns about HaH; and (4) potential enablers of HaH. Overall, the findings reported that most of the stakeholders embraced HaH. Timely medical interventions and support from care providers were reportedly important factors to maintain patient safety and quality of care. The importance of having adequate resources and sound financing mechanisms to develop a successful HaH program was also highlighted. Conclusions This study offered insights into HaH from the perspectives of stakeholders in Singapore and facilitate the planning of future HaH pilot programs in multiracial Singapore and other Asian countries.
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OBJECTIVES To examine the effectiveness of end-of-life educational interventions in improving nurses and nursing students' attitude toward death and care of dying patients. DESIGN A systematic review and meta-analysis of randomized... more
OBJECTIVES To examine the effectiveness of end-of-life educational interventions in improving nurses and nursing students' attitude toward death and care of dying patients. DESIGN A systematic review and meta-analysis of randomized controlled trials and controlled clinical trials. DATA SOURCES English language studies were sourced from five electronic databases (PubMed, Embase, CINAHL, PsycINFO and ProQuest Dissertations & Theses Global) to November 2020. REVIEW METHODS A meta-analysis was conducted using the random-effect model. Standardized mean differences with 95% confidence intervals were used as the effect measure under the inverse-variance method. Heterogeneity was assessed using the I2 statistics and Cochran's Q chi-squared test. The Cochrane risk of bias tool conducted quality appraisal at the study level while the Grades of Recommendation, Assessment, Development, and Evaluation approach conducted quality appraisal at the outcome level. RESULTS Nine studies were included. Meta-analyses showed that end-of-life educational interventions were effective in improving attitude toward death and care of dying patients among nurses and nursing students at post-intervention. The sustainability of improvement of both attitudes could not be determined due to the lack of follow-up assessments by the included studies. Subgroup analyses revealed that both nurses and nursing students showed similar attitude improvement, online educational courses were feasible and attitude toward death may require longer interventions (more than 2 months) to show improvement. CONCLUSIONS Future trials could be improved by organizing both group-based segments and combined sessions for nurses and nursing students. Online components could be incorporated for convenience. Topics related to spirituality and grief management should be included. Future research is needed to examine the sustainability of nurses and nursing students' improvement in attitude toward death and care of dying patients, as well as how the change in their attitude affects their clinical practices.
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Health care providers are often “second victims” of traumatic childbirth events and should be adequately supported by their organizations to alleviate occupational stress and burnout. Therefore, this review aimed to explore and understand... more
Health care providers are often “second victims” of traumatic childbirth events and should be adequately supported by their organizations to alleviate occupational stress and burnout. Therefore, this review aimed to explore and understand the vicarious traumatic childbirth experiences of health care providers, including obstetricians, midwives, nurses, and students. A systematic review of qualitative studies was conducted. Seven electronic databases, namely, PubMed, CINAHL, Embase, PsycINFO, Cochrane, Scopus, and Web of Science, were searched from each database’s inception to May 2020. In total, 1,575 studies were retrieved and screened according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Seventeen studies were included in this review and were meta-summarized and then meta-synthesized using the Sandelowski and Barroso approach. The overarching theme of “Tunneling through the trauma with a hope of finding an end” was derived, and four main t...
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Childhood diabetes is a rising concern as the overall annual increase in diabetes among children/adolescents is estimated to be around 3% over the past decade. Diabetes management places children/adolescents and their parents at greater... more
Childhood diabetes is a rising concern as the overall annual increase in diabetes among children/adolescents is estimated to be around 3% over the past decade. Diabetes management places children/adolescents and their parents at greater risks of psychological distress. This study aims to measure the levels of diabetes-related emotional distress in children/adolescents with diabetes and their caregiving parents and to identify associations between sociodemographic characteristics and clinical variables in Singapore. A cross-sectional study was conducted using validated questionnaires. Ninety-two parent–child/adolescent dyads completed self-reported questionnaires. Elevated levels of diabetes-related distress were found in both children/adolescents with diabetes and their parents. Female children/adolescents with diabetes, low-income households, and less-educated parents of children/adolescents with diabetes were more susceptible to diabetes-related distress. It is important for healt...
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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... more
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 and experience their clinical placements and to identify the factors that helped them build resilience. DESIGN A qualitative design utilizing focus group interviews was adopted for this study. PARTICIPANTS Nineteen third- and fourth-year undergraduate nursing students in a Bachelor of Nursing program participated in this study. SETTING This study was conducted at a local university in Singapore. METHOD Four audio-taped focus group interviews were conducted. RESULTS Students reported that they were stressed while facing challenges head-on during their first clinical placements, mainly due to a lack of peer and clinical support. Gradually, students built resilience overtime and were able to adapt to the ward culture through peer support and reframing coping strategies. CONCLUSION Nursing students gradually built resilience after accumulating experiences from their clinical placements. Although they eventually adapted well, peer, clinical, and informational support during clinical placements were lacking. Resilience programs that teach positive coping strategies and mindfulness training could be implemented in the undergraduate nursing curriculum.
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Poor adjustment during early parenthood often leads to low feelings of parental self-efficacy, which influences parents' behaviours towards their infants. The long-term consequences on infant development warrant the need for more... more
Poor adjustment during early parenthood often leads to low feelings of parental self-efficacy, which influences parents' behaviours towards their infants. The long-term consequences on infant development warrant the need for more attention on the efficacy of universal parent education interventions to empower parents and enhance their self-efficacy. To synthesise available evidence and explore the efficacy of universal parent education interventions on the parental self-efficacy of first-time parents. A systematic review and meta-analysis of randomised controlled trials. A literature search of 10 databases was conducted to identify randomised controlled trials from each database's point of inception to November 2016. Based on the inclusion criteria, 24,062 articles were screened for their titles and abstracts. Two hundred and eighty articles were identified for full-text screening. Risks of bias posed by the selected articles were assessed using Cochrane's Risk of Bias i...
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To review the evidence to determine the effects of psychological interventions on self-care and psychological and health outcomes in patients with chronic heart failure (CHF). We evaluated the effectiveness of randomized controlled trials... more
To review the evidence to determine the effects of psychological interventions on self-care and psychological and health outcomes in patients with chronic heart failure (CHF). We evaluated the effectiveness of randomized controlled trials using psychological methods or theory on self-care behaviors, anxiety and depression levels, HRQoL, and physical function. Studies published in English, from January 2006 to December 2016, were considered. We searched published and unpublished studies in the following electronic databases: CINAHL, Cochrane Library, EMBASE, PubMed, PsycINFO, Scopus, Web of Science, and ProQuest Dissertations and Theses. Risk of bias was assessed using a standard procedure based on the Cochrane Collaboration tool described in the Cochrane Handbook for Systematic Reviews of Interventions. A total of 29 articles, consisting of 25 studies with 3837 participants, were included in this systematic review. Findings showed that despite heterogeneity between studies, psychological interventions tend to improve self-care in CHF patients without clinical depression and cognitive impairment. Pooled results also revealed that the intervention effect on short-term HRQoL, as measured by the Minnesota Living with Heart Failure Questionnaire (MLHFQ), was in favor of the intervention group (combined MD -7.53, 95% CI -12.83 to -2.23); however, such effect disappeared as the length of time from the intervention increased. The intervention effects on the participants' anxiety level, as measured by HADS, and physical function, as measured by 6MWT, were not statistically significant. Efforts aimed at promoting self-care were the cornerstone of HF disease management. Nurses play an important role in patient education and secondary prevention. Compared to other professionals, nurses have more patient contact opportunities and are more holistic in all aspects of disease management; therefore, more nurses can be trained to incorporate the brief psychological techniques (such as motivational interviews and cognitive behavior therapy) to maximize intervention effectiveness. The main limitation of the review is the moderate to high level of heterogeneity among the included studies, which may partially undermine the reliability and reproducibility of the results. Because of the heterogeneity among the studies, a conclusion on the optimal format and forms of the intervention could not be drawn. Replication of the studies will be required in the future to isolate the active intervention component and to identify the ideal intervention format and dosage.
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Background: Fathers’ involvement has been identified as a significant predictor in maternal breastfeeding outcomes. Its benefits have been well-documented, but limited studies have examined its influencing factors. Research aim: To... more
Background: Fathers’ involvement has been identified as a significant predictor in maternal breastfeeding outcomes. Its benefits have been well-documented, but limited studies have examined its influencing factors. Research aim: To investigate factors influencing fathers’ involvement in their partners’ breastfeeding. Methods: A descriptive correlational design was used. Data were collected from 151 fathers from four obstetrics wards of a public hospital in Singapore from October 2016 to December 2016. Self-administered questionnaires were used to examine factors such as fathers’ knowledge and involvement in breastfeeding, attitudes towards breastfeeding, and perceived improvements of knowledge and attitudes for fathers’ involvement in breastfeeding on the discharge day of their partners’ and 2 weeks post-birth. Data were analyzed using IBMSPSS24.0. Results: Fathers’ involvement in their partners’ breastfeeding yielded a moderate to high mean score. The multiple linear regression ana...
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Supplemental Material, Appendix_C for Traumatic Childbirth Experiences of New Parents: A Meta-Synthesis by Shefaly Shorey and Phyllis Zhi En Wong in Trauma, Violence, & Abuse
Supplemental material, Appendices_22-04-2018 for A Literature Review of Factors Influencing Injurious Falls by Faithe J. X. Poh and Shefaly Shorey in Clinical Nursing Research
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Abstract Background There is increasing evidence that being resilient negates the deleterious impacts of stress and promote academic success. To develop an insight into how important resilience is, it is vital to explore how higher... more
Abstract Background There is increasing evidence that being resilient negates the deleterious impacts of stress and promote academic success. To develop an insight into how important resilience is, it is vital to explore how higher education students perceive and develop resilience. Objectives The purpose of this review was to gather students’ experiences of their resilience journey in an educational setting. Design Systematic review and meta-ethnography of qualitative evidence Review methods This review was reported in accordance with the eMERGe guidelines. The data were analysed with reference to the seven steps of meta-ethnography. The Grading of Recommendations, Assessment, Development and Evaluation’s Confidence in Evidence from Reviews of Qualitative research (GRADE-CERQual) was used to appraise the quality of the evidence. Results Three themes emerged: (1) resilience associates with internal resources, (2) resilience develops through meaningful relationships and (3) resilience can be instilled by educational institutions. An individual’s trait, outlook and engagement within their social network can influence resilience. The presence and availability of institution-based support services can ease students transition into higher education. Conclusion This review provides a basis for influencing further research and curriculum development in ensuring students’ well-being and success in school.
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In Singapore, many older adults suffer from subsyndromal depression and/or subsyndromal anxiety, which can negatively impact their physical and mental well-being if left untreated. Due to the general public’s reluctance to seek... more
In Singapore, many older adults suffer from subsyndromal depression and/or subsyndromal anxiety, which can negatively impact their physical and mental well-being if left untreated. Due to the general public’s reluctance to seek psychological help and the low psychiatrist-to-population ratio in Singapore, this study aims to examine the preliminary efficacy, perceptions, and acceptability of a trained volunteer-led community-based intervention on community-dwelling older adults. Twenty-one participants (control: n = 11; intervention: n = 10) completed the randomized pilot study. A mixed-methods approach (questionnaires, semistructured interviews, examining blood samples, intervention fidelity) was adopted. No significant differences were found between the intervention and the control groups in depression, anxiety, life satisfaction, friendship, and quality of life. However, there was a positive change in quality-of-life scores from baseline to 6 months in the intervention group. The c...
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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... more
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’ perspectives on a nurse-led, home-based heart failure self-management program (HOM-HEMP) in a randomized controlled trial conducted in Singapore to gain insight into the effectiveness of the study intervention. Methods A descriptive, qualitative approach was used. English- or Chinese-speaking participants from the intervention arms were recruited through a purposive sampling method from January 2019 to July 2019. Individual, face-to-face, semistructured interviews were conducted with 11 participants. All interviews were audio recorded and transcribed verbatim, with the participant identifiers omitted to ensure confidentiality. The thematic...
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BACKGROUND Mindful parenting is the process of bringing awareness and attention intentionally in a non-reactive and non-judgemental way to a child at any present moment. Parenting mindfulness is believed to influence parenting factors and... more
BACKGROUND Mindful parenting is the process of bringing awareness and attention intentionally in a non-reactive and non-judgemental way to a child at any present moment. Parenting mindfulness is believed to influence parenting factors and parental psychological outcomes, child's emotional and behavioural outcomes, and family relationships. However, the efficacy of such interventions on interpersonal mindfulness in parenting and parenting behaviours has received minimal empirical attention. OBJECTIVE This meta-analysis aims to quantitatively evaluate the efficacy of mindful parenting interventions on parenting mindfulness and parenting behaviours. Parenting stress, parents' psychological wellbeing, interpersonal relationships, and child behavioural outcomes were examined secondarily. When meta-analysis was not possible (due to insufficient data in the included studies), the narrative approach was taken to present the findings. DESIGN A systematic review, meta-analysis, and narrative summary. METHODS Six electronic databases (PubMed, Embase, PsycINFO, CINAHL, Scopus, and ProQuest Dissertations and Theses) were systematically searched for articles in the English language from their respective dates of inception to December 2020. Studies involving clinical and non-clinical samples of parents with children or youths aged 24 years and below were included. Only randomised controlled trials were included. Studies were excluded if the mindfulness intervention did not focus on parenting skills training; that is, it focused on childbirth, stress reduction or incorporated other forms of therapy (e.g. cognitive behavioural therapy). Data was synthesised using a random-effects model in RevMan 5.4. The outcomes of primary interest were parenting mindfulness and parenting behaviours. The secondary outcomes were parenting stress, parents' psychological wellbeing, interpersonal relationships, and child behavioural outcomes. RESULTS Eleven studies representing 1,340 parents from six countries were included in the review. No evidence of intervention effect was found for overall parenting mindfulness and overall parenting stress. However, mindful parenting interventions demonstrated a moderate effect size when examining parenting mindfulness scores (standardised mean differences (d)=0.62, 95% CI: 0.11, 1.13, p = 0.02) of parents with non-clinical samples of children. No intervention effect was found for overall parenting stress. Due to insufficient studies and data, findings on parenting behaviours, psychological wellbeing, relationships, and child behaviour were presented narratively. CONCLUSION Mindful parenting interventions are associated with higher parenting mindfulness scores for parents of typically developing children when compared with a control group. The limited studies and mixed results on positive parenting behaviours, parental psychological wellbeing, parental relationship with child and partner, and child behavioural outcomes serve as an impetus for further research.
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Current literature lacks qualitative information derived from distressed fathers. The aim of this study was to explore distressed fathers’ experiences and needs in the early postpartum period. A descriptive qualitative study design was... more
Current literature lacks qualitative information derived from distressed fathers. The aim of this study was to explore distressed fathers’ experiences and needs in the early postpartum period. A descriptive qualitative study design was used. The study took place from October 2018 to December 2018 at the tertiary public hospital in Singapore. A purposive sample of 12 distressed Singaporean fathers were interviewed in this study. Audio recorded interviews were conducted face-to-face using a semistructured interview guide and thematic analysis was used to analyze the data. Six themes emerged from the thematic analysis: (a) facing the “real deal,” (b) everyday woes, (c) “losing excitement,” (d) “trying to be strong,” (e) “reality check,” and (f) supplementing help for fathers. This study highlights distressed father’s agony and the urgent need for health care professionals and family members to seek acceptability and understanding of fathers’ mental health difficulties in the early post...
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Childbirth is usually a joyous occasion. However, a significant proportion of parents experienced traumatic childbirths and suffered post-traumatic consequences, which needs urgent attention. Therefore, this review aimed to explore and... more
Childbirth is usually a joyous occasion. However, a significant proportion of parents experienced traumatic childbirths and suffered post-traumatic consequences, which needs urgent attention. Therefore, this review aimed to explore and understand the traumatic childbirth experiences of parents. A systematic review of qualitative studies was done. The consolidated evidence was meta-summarized and meta-synthesized based on Sandelowski and Barroso’s approach for synthesizing qualitative research. Seven electronic databases, including PubMed, CINAHL, Embase, PsycINFO, Cochrane, Scopus, and Web of Science, were searched from each database’s inception to April 2020. Retrieved studies were screened using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and 19 studies were included in this review. All included studies were meta-summarized and meta-synthesized. An overarching theme, “traumatic birth: an evolving voyage,” with three main themes, (1) “proceedi...
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AIMPerinatal death is often regarded as a critical incident for the healthcare personnel involved. How healthcare personnel respond to traumatic events in their work is a function of their level of awareness or exposure to the incident,... more
AIMPerinatal death is often regarded as a critical incident for the healthcare personnel involved. How healthcare personnel respond to traumatic events in their work is a function of their level of awareness or exposure to the incident, as well as their genuine expectations, support, and trust. The aim of this study was to explore coping strategies of Norwegian healthcare professionals including midwifes, obstetricians, and assistant nurses when faced with perinatal death in a clinical setting.METHODMidwives, obstetricians, and assistant nurses in two public hospitals in Norway participated in an in-depth and semi-structured interview. The data was analyzed using Kvale's approach, which involves condensing and thematic analysis.FINDINGSThe results are divided into three categories with eight subcategories. Having the support of one's colleagues was described as an important factor for coping with these situations. Both immediate support in the situation and talking about the...
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The diagnosis of childhood cancer not only affects the life of the child but also impacts the lives of the caregivers as well. This study aims to explore the caregiving stress, coping strategies, and support needs of mothers caring for... more
The diagnosis of childhood cancer not only affects the life of the child but also impacts the lives of the caregivers as well. This study aims to explore the caregiving stress, coping strategies, and support needs of mothers caring for children/adolescents with cancer during the active treatment phase. Individual semi-structured interviews were conducted, and two authors independently and thematically analyzed data. Caregiving mothers went through a process of emotional changes and a change in lifestyles when their children were diagnosed with cancer and undergoing treatments. It is important to ensure that caregiving mothers of children/adolescents with cancer are well supported by family, friends, and healthcare professionals. Healthcare professionals can develop informational booklets on cancer treatment protocols and work together with mothers. Parent support groups and plans for psychoeducational and spiritual care programs for mothers as forms of informational and emotional su...
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BACKGROUND The ability of nursing undergraduates to communicate effectively with health care providers, patients, and their family members is crucial to their nursing professions as these can affect patient outcomes. However, the... more
BACKGROUND The ability of nursing undergraduates to communicate effectively with health care providers, patients, and their family members is crucial to their nursing professions as these can affect patient outcomes. However, the traditional use of didactic lectures for communication skills training is ineffective, and the use of standardized patients is not time- or cost-effective. Given the abilities of virtual patients (VPs) to simulate interactive and authentic clinical scenarios in secured environments with unlimited training attempts, a virtual counseling application is an ideal platform for nursing students to hone their communication skills before their clinical postings. OBJECTIVE The aim of this study was to develop and test the use of VPs to better prepare nursing undergraduates for communicating with real-life patients, their family members, and other health care professionals during their clinical postings. METHODS The stages of the creation of VPs included preparation,...
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IntroductionSeparation after preterm birth is a major stressor for infants and parents. Skin-to-skin contact (SSC) is a method of care suitable to use in the neonatal intensive care unit (NICU) to minimise separation between parents and... more
IntroductionSeparation after preterm birth is a major stressor for infants and parents. Skin-to-skin contact (SSC) is a method of care suitable to use in the neonatal intensive care unit (NICU) to minimise separation between parents and infants. Less separation leads to increased possibilities for parent-infant interaction, provided that the parents’ sleep quality is satisfactory. We aimed to evaluate the effect of continuous SSC on sleep quality and mood in parents of preterm infants born <33 weeks of gestation as well as the quality of parent-infant interaction and salivary cortisol concentrations at the time of discharge.Methods and analysisA randomised intervention study with two arms—intervention versus standard care. Data will be collected from 50 families. Eligible families will be randomly allocated to intervention or standard care when transferred from the intensive care room to the family-room in the NICU. The intervention consists of continuous SSC for four consecutive...
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To present a synthesis and summary of midwives' perceptions on the facilitators and barriers of physiological birth. Medicalisation of birth has transformed and dictated how birthing should take place since the 20century.... more
To present a synthesis and summary of midwives' perceptions on the facilitators and barriers of physiological birth. Medicalisation of birth has transformed and dictated how birthing should take place since the 20century. Midwives' perceptions on their role within this medicalised environment have not been well documented. An integrative literature review. Primary research articles published in English from the period of 2004 to 2015 were included in this review. The Joanna Briggs Institute's critical appraisal forms were used to appraise the quality of the articles. Data were identified from CINAHL, PubMed, PsycINFO, ScienceDirect, and Scopus. Eighteen articles were reviewed. Lack of knowledge due to inadequate training, existing obstetrician-led practices, and midwives' negative perceptions of physiological birth were identified as barriers in the literature. Facilitators like shared decision-making, women's preferences, teamwork, institutional support, and mid...
Research Interests: Psychology, Nursing, Perception, Decision Making, Midwifery, and 8 moreMedicine, Teamwork, Pregnancy, Humans, Female, Scopus, Parturition, and Nursing practice
Maternal parental self-efficacy is a crucial factor for facilitating the smooth transition into motherhood, particularly for primiparas. The aims of this study were to examine the predictors of maternal parental self-efficacy and its... more
Maternal parental self-efficacy is a crucial factor for facilitating the smooth transition into motherhood, particularly for primiparas. The aims of this study were to examine the predictors of maternal parental self-efficacy and its relationship with social support, postnatal depression (PND), and socio-demographic variables of primiparas during the early postnatal period. A descriptive correlational study design was adopted. The instruments, Perceived Maternal Parental Self-Efficacy, Perinatal Infant Care Social Support, and Edinburgh Postnatal Depression Scale, were used to collect data from a purposive sample of 122 primiparas on the day of discharge (1-3 days post delivery) in a tertiary public hospital in Singapore. There were significant correlations among maternal parental self-efficacy, social support, and postnatal depression. The main predictors of maternal parental self-efficacy were social support, ethnicity, maternal age, and family income. The maternal parental self-e...
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Research Interests: Nursing, Perception, Depression, Qualitative Research, Midwifery, and 15 moreMedicine, Pregnancy, Humans, Female, Psychoeducation, Obstetrics and Gynaecology, Mothers, Postnatal, Adult, Public health systems and services research, Process Evaluation, Parity, Postnatal Care, postpartum period, and Paediatrics and reproductive medicine
To examine the correlation between maternal parental self-efficacy and social support as well as predictors of self-efficacy in the early postpartum period. Maternal parental self-efficacy is important for... more
To examine the correlation between maternal parental self-efficacy and social support as well as predictors of self-efficacy in the early postpartum period. Maternal parental self-efficacy is important for mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; adaptation to motherhood. Lack of support could result in decreased maternal parental self-efficacy in newborn care. Limited studies have focused on maternal parental self-efficacy in the postpartum period in Asia and none in Singapore. A correlational study design was adopted. Data were collected from both primiparas and multiparas during the first to third days postpartum in a public hospital, using the Perceived Maternal Parental Self-efficacy and Perinatal Infant Care Social Support Scales. The data were analysed using descriptive and inferential statistics. Maternal parental self-efficacy in newborn care and the level of social support that mothers received were moderate. In terms of the social support subscales, informational and instrumental support was lower than emotional and appraisal support. Informal support from husbands, parents and parents-in-law was the main source of support. A significant correlation was found between maternal parental self-efficacy and total social support in addition to the informational, instrumental and appraisal subscales of functional support. The predictors of maternal parental self-efficacy were parity, social support and maternal age. The findings highlight the predictors and correlates of maternal parental self-efficacy in newborn care and the social support needs of mothers in the early postpartum period. Healthcare professionals could provide more information and instrumental support and involve family members to enhance maternal parental self-efficacy. Because maternal parental self-efficacy and social support in the early postpartum period are interrelated components, they could be assessed to identify at-risk mothers. There is a need to develop perinatal educational programmes to provide culturally competent individualised support to mothers in need.
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Objective Prolonged home isolation may lead to long-term negative consequences for both children and caregivers’ psychological wellbeing, especially in families with children with neurodevelopmental disorders. Therefore, a scoping review... more
Objective Prolonged home isolation may lead to long-term negative consequences for both children and caregivers’ psychological wellbeing, especially in families with children with neurodevelopmental disorders. Therefore, a scoping review was conducted to identify challenges faced by caregivers of children with neurodevelopmental disorders during the coronavirus disease 2019 (COVID-19) pandemic and to consolidate parenting interventions and guidelines. Methods A systematic search was conducted on Embase, PsycInfo, PubMed, Scopus, and LitCovid. All article types published between December 2019 and November 2020 which reported on intervention guidelines and experiences of families with children with neurodevelopmental disorders during the COVID-19 pandemic were included. Qualitative themes, quantitative data, and article summaries were charted, and a thematic analysis was conducted. Results Twenty-nine articles were included in the review. Three themes were generated: (a) behavioral is...
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Pregnancy, childbirth, and the postpartum period are the stressful transition periods to parenthood. With medicalization of perinatal period, parents feel left out and less confident in their parenthood journey, which may pose serious... more
Pregnancy, childbirth, and the postpartum period are the stressful transition periods to parenthood. With medicalization of perinatal period, parents feel left out and less confident in their parenthood journey, which may pose serious threats to the family dynamics. Salutogenesis theory offers the potential to influence a shift away from negative health outlooks and outcomes, medicalization of childbirth, toward health promotion and positive well-being focus for maternity care services design and delivery in the future.
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In this chapter, the relation of salutogenesis to maternity care is discussed by giving a critical overview of studies in perinatal care, primarily measuring and promoting parental sense of coherence (SOC) and well-being.An overview is... more
In this chapter, the relation of salutogenesis to maternity care is discussed by giving a critical overview of studies in perinatal care, primarily measuring and promoting parental sense of coherence (SOC) and well-being.An overview is given on salutogenic approaches to neonatal and infant service provision. Important aspects of and salutogenic interventions for parent–child attachment in the first year of a child’s life are examined. Parents’ and caregivers’ relationship with their infants and newborns plays a critical role in shaping the emotional, cognitive, and social development of their child. Different interventions of early support to optimize parenting capacity and their impact are also discussed.Although the chapter focuses only on examples of salutogenic approaches based on reasonable evidence, there is a growing awareness of the value of salutogenic approaches to the provision of maternity care, and to facilities and services to enhance parenting and well-being in infanc...