Chan Wai Chi Sally
Email Address
nurcwcs@nus.edu.sg
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Publication Stress and anxiety management strategies in health professions' simulation training: a review of the literature(BMJ, 2016-06-01) Ignacio, J; Dolmans, D; Scherpbier, A; Rethans, JJ; Chan, S; Liaw, SY; Assoc Prof Mary Jeanette Jacinto Ignacio; ALICE LEE CENTRE FOR NURSING STUDIES; OPHTHALMOLOGYIntroduction Simulation training has been used to teach clinical skills to health profession trainees. Stress and/or anxiety occur in high-acuity scenarios in the clinical environment, and affect clinician performance and patient outcomes. To date, strategies that have been used in conjunction with simulation training for healthcare professionals that address stress management are limited. This paper reports a literature review conducted to explore strategies used with simulations to enhance the ability of health profession trainees in reducing acute stress and/or anxiety during high-acuity clinical events. Methods Databases searched included Scopus, PubMed, CINAHL, Web of Knowledge and Science Direct. The examples of the literature chosen were those published in the English language from January 2005 to March 2015, and were peer-reviewed empirical papers that focused on the strategies addressing stress and/or anxiety during simulation training for healthcare profession trainees. Results Eight studies using various forms of stress/anxiety management strategies with simulations demonstrated varying degrees of effectiveness. Themes that emerged from these eight studies were excessive stress and clinical performance in simulation, emotional training strategies in simulation, and factors contributing to stress and anxiety reduction during simulation. Conclusions Excessive stress and/or anxiety in the clinical setting have been shown to affect performance and could compromise patient outcomes. Health profession training curricula might benefit from a stress/anxiety reduction strategy integrated into the simulation programmes. This review showed that the stress/anxiety management strategies that have been used with simulations, mostly in surgical training, have various degrees of effectiveness.Publication Negotiating “doing the month”: an ethnographic study examining the postnatal practices of two generations of Chinese women(Wiley, 2011-03) Holroyd, Eleanor; Lopez, Violeta; Chan, Sally Wai-Chi; NURSING/ALICE LEE CTR FOR NURSING STUDPublication Becoming a confident and happy first-time mother: Postnatal psychoeducation intervention booklet for first-time mothers. Booklet for first-time mothers.(National University of Singapore & National University Hospital, 2016) He, HG; Shorey, S; Chan, WCS; Chong, YS; Luo, N; Chan, YH; Chow, A; Jiao, NN; Zhu, LX; Assoc Prof Hong-gu He; DEAN'S OFFICE (MEDICINE); ALICE LEE CENTRE FOR NURSING STUDIES; SAW SWEE HOCK SCHOOL OF PUBLIC HEALTH; OBSTETRICS & GYNAECOLOGYPublication Patients' experiences of performing self-care of stomas in the initial postoperative period(Lippincott Williams and Wilkins, 2015) Lim, Siewhoon; Chan, Sally; He, Hong Gu; NURSING/ALICE LEE CTR FOR NURSING STUDPublication STOMA psychosocial intervention programme. A guide for patients undergoing colorectal surgery with stoma formation(Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, 2014) Lim, SH; He, HG; Chan, WCS; Ong, CE; Lai, JH; Assoc Prof Hong-gu He; ALICE LEE CENTRE FOR NURSING STUDIES; ANAESTHESIAPublication Predictors and correlates of maternal role competence and satisfaction(2010-05) Ngai, F.-W.; Wai-Chi Chan, S.; Ip, W.-Y.; NURSING/ALICE LEE CTR FOR NURSING STUDBACKGROUND: Developing a sense of competence and satisfaction in the maternal role enhances positive parenting and healthy development of the child. There is limited longitudinal research on the predictive factors influencing maternal role competence and satisfaction. OBJECTIVES: The aim of this study was to determine the predictive and concurrent associations of prenatal perceived maternal role competence, learned resourcefulness, social support, stress, and depression to perceived maternal role competence and satisfaction at 6 weeks postpartum. METHOD: A longitudinal, descriptive design was used. A convenience sample of 184 first-time pregnant women with a singleton and uneventful pregnancy were recruited from two regional public hospitals in Hong Kong. The Parenting Sense of Competence Scale, Self-control Schedule, Medical Outcomes Study Social Support Survey, Social Readjustment Rating Scale, and Edinburgh Postnatal Depression Scale were used to assess maternal role competence and satisfaction, learned resourcefulness, social support, stress, and depressive symptoms, respectively. Data were collected during pregnancy and at 6 weeks postpartum. RESULTS: Multiple regression analysis showed that perceived maternal role competence and satisfaction at 6 weeks postpartum were predicted by prenatal perceived maternal role competence and learned resourcefulness and were associated with postnatal learned resourcefulness and depression. Social support and stress were not associated directly with perceived maternal role competence and satisfaction at 6 weeks postpartum. DISCUSSION: The present findings suggest that maternal learned resourcefulness and depression are important factors affecting perceived maternal role competence and satisfaction at postpartum. Culturally competent healthcare should be developed to promote the psychological well-being of women and to equip women with the learned resourcefulness skills to facilitate maternal role taking and enhance women's sense of competence and satisfaction in the maternal role. Copyright © 2010 Lippincott Williams and Wilkins.Publication Maternal coping during early motherhood among first-time Chinese mothers(2012-03) Ngai, F.-W.; Chan, S.W.-C.; Holroyd, E.; NURSING/ALICE LEE CTR FOR NURSING STUDThis qualitative study explored the coping strategies used by first-time Hong Kong Chinese mothers in adjusting to the demands of early motherhood. A purposive sample of 26 first-time Chinese mothers who had participated in a childbirth psycho-education program was interviewed in-depth at six weeks postpartum in respect to their coping strategies. Two main categories emerged: making personalized and achievable decisions and seeking emotional and spiritual solace. Implications for health professionals are discussed, including the need to support individual women's personal resources and foster social networks to optimize maternal and infant health. © 2011 SAGE Publications.Publication An interprofessional communication training using simulation to enhance safe care for a deteriorating patient(Elsevier, 2014-02) Liaw, Sok Ying; Zhou, Wentao; Lau, Tang Ching; Siau, Chiang; Chan, Wai Chi Sally; MEDICINE; NURSING/ALICE LEE CTR FOR NURSING STUD; ANAESTHESIAPublication The Effectiveness of Therapeutic Play Intervention in Reducing Perioperative Anxiety, Negative Behaviors, and Postoperative Pain in Children Undergoing Elective Surgery: A Systematic Review(W.B. Saunders, 2015) He H.-G; Zhu L; Chan S.W.C; Klainin-Yobas P; Wang W; NURSING/ALICE LEE CTR FOR NURSING STUDPublication Long-term effect of motivational interviewing on clinical and psychological outcomes and health-related quality of life in cardiac rehabilitation patients with poor motivation in Hong Kong: A randomized controlled trial(2013-12) Chair, S.Y.; Chan, S.W.-C.; Thompson, D.R.; Leung, K.-P.; Ng, S.K.-C.; Choi, K.C.; NURSING/ALICE LEE CTR FOR NURSING STUDObjective: To investigate the long-term effects of motivational interviewing on clinical outcomes, psychological outcomes, health-related quality of life among cardiac rehabilitation patients with poor motivation. Design: A randomized controlled trial with blind data collectors. Setting: Cardiac rehabilitation centre. Subjects: A total of 146 cardiac rehabilitation patients with poor motivation. Intervention: All participants received usual care, including exercise and education, while those in the experimental group also received 10 sessions of motivational interviewing, each lasting 3045 minutes. Main measures: Clinical and psychological outcomes and health-related quality of life were assessed at baseline and at six, nine and 12 months for both groups. Result: There was no significant difference between the two groups at baseline on demographic and clinical outcomes except for monthly family income (p = 0.034). Patients in the experimental group had higher increases in health-related quality of life (SF-36) scores in bodily pain (88.7 SD 16.7 vs. 87.6 SD 18.7 at month 12, p = 0.044) and role limitation owing to emotional problems (86.9 SD 19.2 vs. 78.6 SD 21.8 at month 9, p = 0.019; 85.8 SD 18.9 vs. 76.9 SD 23.9 at month 12, p = 0.022). No statistically significant group difference was found among other outcomes. Conclusion: The long-term effect of motivational interviewing on clinical and psychological outcomes and health-related quality of life in studied patients is limited. © 2013 The Author(s).