Professor Liaw Sok Ying, NUS Medicine Head of Department for Nursing Studies

Professor Liaw Sok Ying

ORCID: 0000-0002-8326-4049

Appointment(s)

1/7/2017, Assoc Professor, National University of Singapore, Dept of Nursing/Alice Lee Ctr for Nur St, SINGAPORE
1/5/2012, Assistant Professor, National University of Singapore, Dept of Nursing/Alice Lee Ctr for Nur St, SINGAPORE
1/1/2009, Senior Lecturer, National University of Singapore, Dept of Nursing/Alice Lee Ctr for Nur St, SINGAPORE
1/12/2006, Lecturer, National University of Singapore, Dept of Nursing/Alice Lee Ctr for Nur St, SINGAPORE



Degree(s)

Doctor of Philosophy
Master of Health Science
Bachelor of Health Science (Nursing)
Advanced Dip in Nursing (Neuroscience)
Diploma in Nursing



Biography

Professor Liaw Sok Ying is an esteemed nursing studies professor, having laid the foundation for Alice Lee Centre for Nursing Studies since 2006. In recognition of her outstanding contributions to education, Prof Liaw has been consistently honoured with prestigious teaching awards at NUS. Notably, she received the NUS and Yong Loo Lin School of Medicine Digital Education Award in 2022 and 2021 respectively, as well as the NUHS Research Educator Awards for two consecutive years (2021, 2022).

Since assuming the role of Head of Department for the Alice Lee Centre for Nursing Studies in July 2023, Prof Liaw has fostered a culture of teamwork. Her influence extends beyond administrative roles, having actively spearheaded innovative educational initiatives that seek to enhance the clinical competencies of medical and nursing students. Of note, Prof Liaw played an active role in the implementation of the SIMulated Professional Learning Environment (SIMPLE), an evidence-based simulation programme that helps final-year nursing students transit seamlessly into clinical practice.

 

Professor Liaw’s PRIME Research Initiatives

Professor Liaw has built a significant and impactful body of research activities patient safety research framework called “PRIME” with specific emphasis on the following:

 

Recognising and Responding to Clinical Deterioration

As a prominent nurse researcher, Professor Liaw has made significant contributions to the Rapid Response System locally and internationally with the ultimate goal to provide safe care to deteriorating patients. She has achieved this through developing and evaluating training programmes including a web-based simulation known as eRAPIDS (Rescuing A Patient In Deteriorating Situation); exploring its impact on healthcare providers; developing and psychometric testing of five instruments to measure attitudes and competencies; and organising an international Conference on Rapid Response System in Singapore. 

Professor Liaw has published 30 papers in this area with 23 papers in Quartile 1 journals including the top nursing journal, International Journal of Nursing Studies (5-year IF:6.916). Moving forward, she plans to focus on developing an evidence-based physical assessment tool to support nurses’ physical assessment and clinical reasoning skills in recognising clinical deterioration.

 

Interprofessional Collaboration and Education

Professor Liaw has led an interprofessional team on a research project known as CREATIVE (Create Real-time Experience and Teamwork in Virtual Environment). CREATIVE has enabled six different healthcare students across three institutions to come together for virtual reality simulation-based interprofessional education on multidisciplinary bedside rounds, which has had an impact on their clinical practice in patient-centred team care delivery.

It was also shown to be as effective as face-to-face simulation in improving communication and teamwork performance for nurse-physician team training. She has published 10 papers from her CREATIVE project in Quartile 1 journals and received the Hayden Vanguard Lectureship Award to present at the international conference in the United States. With suboptimal collaborative practice between enrolled and registered nurses, Professor Liaw plans to focus on intraprofessional collaboration by developing shared mental models for optimal teamwork.

 

Manpower Nursing Workforce and Development

As a dedicated nurse educator, Professor Liaw has focused on nursing recruitment of school leavers, competency-based training for community care nursing development and nurse preceptor professional development to strengthen nursing workforce capacity and competency. She was awarded 3 competitive grants as a principal investigator and has published 15 papers in this research area. As nursing workforce capacity has been worsened by the pandemic, Professor Liaw plans to conduct more studies to examine recruitment and retention strategies in attracting and supporting individuals in the nursing profession.

 

Experiential Learning using Simulation

Professor Liaw has engaged in an experiential learning approach using different types of simulation technologies including mannequin-based simulation, virtual simulation, virtual reality and artificial intelligence (AI) for delivering educational interventions to improve nursing clinical competency on patient safety and quality of care. Her simulation innovations enabled her to engage in entrepreneurial activities such as licensing of software invention and an NUS start-up company to promote commercialisation of her research inventions for greater societal benefits. Professor Liaw is honoured to be appointed the Associate Editor for Clinical Simulation in Nursing which gives her more opportunities to contribute to the international nursing simulation committee.


Research Areas/Research Interest

AY 2010/2011
I will implement a series of research studies to evaluate the effectiveness of an E-learning program for enhancement of acute nursing care competency
AY 2009/2010
As part of my PhD study, I have integrated a series of research studies (4 Phases) into the Clinical Decision Making Skill module (AY 2009/2010) to develop, implement and evaluate the effectiveness of a simulation-based education program for training undergraduate to recognize, respond and report on patient deterioration.
Phase 1
Aims: Explore educational strategies to enhance current efforts in improving nurses roles in recognizing and managing ward deteriorating patient.
Method: A review of literature
Finding: The current effort to improve care of the deteriorating patient could be enhanced by commencing training at pre-registered nursing education, developing a tool for nursing assessment and management of clinical deterioration and conducting more rigorous studies to evaluate the effectiveness of the educational programs.
Publication: Paper under reviewed by Journal of Clinical Nursing.
Phase 2
Aim: Develop and perform psychometric testing of a simulation-based evaluation performanace tool (SEPT) to measure the nurses performance in assessing and managing clinical deterioration on a patient simulator.
Method:
1) Content validity by a panel of experts consensus
2) Construct validity using a known-group techinque.
3) Inter-rater reliability among 3 raters scoring 30 videotaped simulation performance using SEPT.
Finding: The SEPT demonstrated a high content validity among the experts and high inter-rater reliability among the 3 raters. Significant differences in performance scores among students with different clinical and simulation experiences supported the construct validity of the SEPT.
Publication: Paper under reviewed by Journal of International Nursing Studies.
Phase 3
Aim: Develop, implement and evaluate the effectiveness of a simulation-based program in developing nurses competency in recognising, responding and reporting of clinical deterioration.
Method: A prospective randomized controlled study.
Finding: The clinical performance and knowledge post-test means score of the interventional group improved significantly after the training program and compared to control group. Unexpectedly, the study demonstrated an increase in confidence post-test score of the control group despite of not receiving any intervention.Publication: 2 papers were developed for this phase 3. The first paper is under reviewed by Quality and Safety in Health Care. The 2nd paper is in preparation to be submitted to Resuscitation Journal.
Phase 4
Aim: Explore the ability of nursing students to transfer simulation learning to clinical practice to care for ward patients experiencing physiological deterioration.
Method: A qualitative study using critical incident techniques.
Finding: Data collection is in progressed.



Selected Publications

Strengthening the afferent limb of rapid response systems: an educational intervention using web-based learning for early recognition and responding to deteriorating patients, 2016

Sok Ying Liaw, Lai Fun Wong, Sophia Bee Leng Ang, Jasmine Tze Yin Ho, Chiang Siau, Emily Neo Kim Ang

Effectiveness of a Web-Based Simulation in Improving Nurses' Workplace Practice With Deteriorating Ward Patients: A Pre- and Postintervention Study, 2016

Sok Ying Liaw, Lai Fun Wong, Eunice Ya Ping Lim, Sophia Bee Leng Ang, Sandhya Mujumdar, Jasmine Tze Yin Ho, Siti Zubaidah Mordiffi, Emily Neo Kim Ang

Assessing beyond vital signs to detect early patient deterioration, 2016

WL Chua, SY Liaw

Measuring teamwork performance: Validity testing of the Team Emergency Assessment Measure (TEAM) with clinical resuscitation teams, 2016

Simon Cooper, Robyn Cant, Cliff Connell, Lyndall Sims, Joanne E Porter, Mark Symmons, Debra Nestel, Sok Ying Liaw

Compression-only cardiopulmonary resuscitation in improving bystanders' cardiopulmonary resuscitation performance: a literature review, 2016

Rachel Jia Min Ko, Vivien Xi Wu, Swee Han Lim, Wilson Wai San Tam, Sok Ying Liaw

Using a case-based animation on physiological compensatory mechanism to remediate nurses' misconceptions about changes in patient vital signs, 2016

Patrick Yongxing Lin, Wei Ling Chua, Wen Qi Mok, Sok Ying Liaw

Development, implementation, and evaluation of a mental rehearsal strategy to improve clinical performance and reduce stress: A mixed methods study, 2016

Jeanette Ignacio, Diana Dolmans, Albert Scherpbier, Jan-Joost Rethans, Violeta Lopez, Sok Ying Liaw

Why not nursing? A systematic review of factors influencing career choice among healthcare students, 2015

LT Wu, MMJ Low, KK Tan, V Lopez, SY Liaw

Designing and Evaluating an Interactive Multimedia Web-Based Simulation for Developing Nurses' Competencies in Acute Nursing Care: Randomized Controlled Trial (vol 17, e5, 2015), 2015

Sok Ying Liaw, Lai Fun Wong, Sally Wai-Chi Chan, Jasmine Tze Yin Ho, Siti Zubaidah Mordiffi, Sophia Bee Leng Ang, Poh Sun Goh, Emily Neo Kim Ang

Designing and Evaluating an Interactive Multimedia Web-Based Simulation for Developing Nurses' Competencies in Acute Nursing Care: Randomized Controlled Trial, 2015

Sok Ying Liaw, Lai Fun Wong, Sally Wai-Chi Chan, Jasmine Tze Yin Ho, Siti Zubaidah Mordiffi, Sophia Bee Leng Ang, Poh Sun Goh, Emily Neo Kim Ang

The effectiveness of a shared conference experience in improving undergraduate medical and nursing students' attitudes towards inter-professional education in an Asian country: a before and after study, 2015

Amelia ZE Chua, Daryl YK Lo, Wilbert HH Ho, Yun Qing Koh, Daniel SY Lim, John KC Tam, Sok Ying Liaw, Gerald CH Koh

Attitudes towards vital signs monitoring in the detection of clinical deterioration: scale development and survey of ward nurses, 2015

Wenqi Mok, Wenru Wang, Simon Cooper, Emily Neo Kim Ang, Sok Ying Liaw

Comparison of standardized patients with high-fidelity simulators for managing stress and improving performance in clinical deterioration: A mixed methods study, 2015

Jeanette Ignacio, Diana Dolmans, Albert Scherpbier, Jan-Joost Rethans, Sally Chan, Sok Ying Liaw

Vital signs monitoring to detect patient deterioration: An integrative literature review, 2015

Wen Qi Mok, Wenru Wang, Sok Ying Liaw

Using simulation learning through academic-practice partnership to promote transition to clinical practice: a qualitative evaluation, 2015

Sok Ying Liaw, Sabrina Palham, Sally Wai-Chi Chan, Lai Fun Wong, Fui Ping Lim

Nurses' self-confidence and attitudes in using the Glasgow Coma Scale: a primary study, 2015

Ihsan Mattar, Sok Y Liaw, Moon F Chan

Comparison of Virtual Patient Simulation With Mannequin-Based Simulation for Improving Clinical Performances in Assessing and Managing Clinical Deterioration: Randomized Controlled Trial, 2014

Sok Ying Liaw, Sally Wai-Chi Chan, Fun-Gee Chen, Shing Chuan Hooi, Chiang Siau

The learning experiences of senior student nurses who take on the role of standardised patient: A focus group study, 2014

Sandra Mackey, Khoon Kiat Tan, Jeanette Ignacio, Sabrina Palham, Rabiah Binte Mohamed Dawood, Sok Ying Liaw

Effectiveness of a patient education intervention in enhancing the self-efficacy of hospitalized patients to recognize and report acute deteriorating conditions, 2014

Min Ting Alicia See, Wai-Chi Sally Chan, Paul John Huggan, Yee Kian Tay, Sok Ying Liaw

Interprofessional simulation-based education program: A promising approach for changing stereotypes and improving attitudes toward nurse-physician collaboration, 2014

Sok Ying Liaw, Chiang Siau, Wen Tao Zhou, Tang Ching Lau

Easing student transition to graduate nurse: A SIMulated Professional Learning Environment (SIMPLE) for final year student nurses, 2014

Sok Ying Liaw, Yiwen Koh, Rabiah Dawood, Yanika Kowitlawakul, Wentao Zhou, Siew Tiang Lau

An interprofessional communication training using simulation to enhance safe care for a deteriorating patient, 2014

Sok Ying Liaw, Wen Tao Zhou, Tang Ching Lau, Chiang Siau, Sally Wai-chi Chan

Building a successful platform for interprofessional education for health professions in an Asian university, 2013

Joshua Levi Jacobs, Dujeepa D Samarasekera, Wai Keung Chui, Sui Yung Chan, Li Lian Wong, Sok Ying Liaw, Mui Ling Tan, Sally Chan

Are first-year healthcare undergraduates at an Asian university ready for interprofessional education?, 2013

Muhammad Imran Ahmad, Sally Wai-chi Chan, Li Lian Wong, Mui Ling Tan, Sok Ying Liaw

Developing clinical competency in crisis event management: an integrated simulation problem-based learning activity, 2010

SY Liaw, FG Chen, P Klainin, J Brammer, A O'Brien, DD Samarasekera