Patient Safety and Quality Care

This programme has research emphasis on enhancing nurses’ role in the provision of care in patient safety.

Nurses’ role encompasses recognising and responding to clinical deterioration, improving interprofessional and intraprofessional collaborative practice among healthcare providers, and building nursing workforce capability and competency. The ultimate goal is to improve quality and safety in healthcare.

Chair: Prof Sok Ying LIAW

Core Members: Dr Weiling CHUA, Dr Brigitte WOO, Dr Wentao ZHOU

Associated Members: Dr Tanushri ROY

Publications

  • Chua WL, Rusli KDB, Aitken LM.. Early warning scores for sepsis identification and prediction of in-hospital mortality in adults with sepsis: A systematic review and meta-analysis. J Clin Nurs. 2024 Jun;33(6):2005-2018. doi: 10.1111/jocn.17061. Epub 2024 Feb 20.. 10.1111/jocn.17061

  • Hong JQY, Chua WL, Smith D, Huang CM, Goh QLP, Liaw SY.. Collaborative practice among general ward staff on escalating care in clinical deterioration: A systematic review. J Clin Nurs. 2023 Sep;32(17-18):6165-6178. doi: 10.1111/jocn.16743. Epub 2023 May 8.. 10.1111/jocn.16743

  • Chua WL, Wee LC, Lim JYG, Yeo MLK, Jones D, Tan CK, Khan FA, Liaw SY.. Automated rapid response system activation-Impact on nurses' attitudes and perceptions towards recognising and responding to clinical deterioration: Mixed-methods study. J Clin Nurs. 2023 Sep;32(17-18):6322-6338. doi: 10.1111/jocn.16734. Epub 2023 Apr 23.. 10.1111/jocn.16734

  • Chua WL, Teh CS, Basri MABA, Ong ST, Phang NQQ, Goh EL.. Nurses' knowledge and confidence in recognizing and managing patients with sepsis: A multi-site cross-sectional study. J Adv Nurs. 2023 Feb;79(2):616-629. doi: 10.1111/jan.15435. Epub 2022 Sep 7.. 10.1111/jan.15435

  • Chua WL, Smith D, Wee LC, Ting KC, Yeo MLK, Mordiffi SZ, Liaw SY.. Development and psychometric evaluation of the Attitudes Towards Recognising Early and Noticeable Deterioration (ATREND) scale. J Clin Nurs. 2023 Jun;32(11-12):2684-2699. doi: 10.1111/jocn.16350. Epub 2022 May 8.. 10.1111/jocn.16350

  • Ho JT, See MTA, Tan AJQ, Levett-Jones T, Lau TC, Zhou W, Liaw SY.. Healthcare professionals' experiences of interprofessional collaboration in patient education: A systematic review. Patient Educ Couns. 2023 Nov;116:107965. doi: 10.1016/j.pec.2023.107965. Epub 2023 Sep 1.. 10.1016/j.pec.2023.107965

  • Tan AJQ, Chua WL, McKenna L, Tan LLC, Lim YJ, Liaw SY.. Interprofessional collaboration in telemedicine for long-term care: An exploratory qualitative study. J Nurs Scholarsh. 2023 Nov;55(6):1227-1237. doi: 10.1111/jnu.12925. Epub 2023 Jul 22.. 10.1111/jnu.12925

  • Hong JQY, Chua WL, Smith D, Huang CM, Goh QLP, Liaw SY.. Collaborative practice among general ward staff on escalating care in clinical deterioration: A systematic review. J Clin Nurs. 2023 Sep;32(17-18):6165-6178. doi: 10.1111/jocn.16743. Epub 2023 May 8.. 10.1111/jocn.16743

  • Rusli KDB, Lau ST, Tan JZ, Liaw SY.. Academic-Practice Collaboration Using Virtual Telesimulation to Support Students' Clinical Practice. Nurse Educ. 2023 Jan-Feb 01;48(1):E6-E10. doi: 10.1097/NNE.0000000000001243. Epub 2022 Aug 1.. 10.1097/NNE.0000000000001243

  • Liaw SY, Rusli KDB, McKenna L, Tan JZ, Lau ST.. Effectiveness of an online program using telesimulation for academic-clinical collaboration in preparing nurse preceptors' roles. J Clin Nurs. 2023 Apr;32(7-8):1115-1124. doi: 10.1111/jocn.16339. Epub 2022 Apr 25.. 10.1111/jocn.16339

  • Tang LK, Yobas P, Wong DNX, Pikkarainen M, Zhang R, Ho D, He HG.. Personal and work-related factors associated with post-traumatic growth in nurses: A mixed studies systematic review. J Nurs Scholarsh. 2024 May 4. doi: 10.1111/jnu.12973. Online ahead of print.. 10.1111/jnu.12973

  • García-Iglesias JJ, Yildirim M, Gómez-Salgado J, Goh YS.. Editorial: Mental health in healthcare workers and its associations with psychosocial work conditions. Front Public Health. 2024 Apr 3;12:1399134. doi: 10.3389/fpubh.2024.1399134. eCollection 2024.. 10.3389/fpubh.2024.1399134

  • Kim NR, Lee JY, Park J, Lau ST.. Ecological predictors of cultural competence among nurses in the neonatal intensive care unit: A cross-sectional descriptive study. Nurs Health Sci. 2024 Jun;26(2):e13115. doi: 10.1111/nhs.13115.. 10.1111/nhs.13115

  • Chee JMP, Rusli KDB, Tan ZYA, Tan AJQ, Ang SGM, Lau ST, Seah B, Liaw SY.. Perceptions of community care among nursing students: A cross-sectional study with implications to nursing workforce. Nurse Educ Today. 2024 Jun;137:106162. doi: 10.1016/j.nedt.2024.106162. Epub 2024 Mar 14.. 10.1016/j.nedt.2024.106162

  • Ung DSK, Goh YS, Poon RYS, Lin YP, Seah B, Lopez V, Mikkonen K, Yong KK, Liaw SY.. Global migration and factors influencing retention of Asian internationally educated nurses: a systematic review. Hum Resour Health. 2024 Mar 1;22(1):17. doi: 10.1186/s12960-024-00900-5.. 10.1186/s12960-024-00900-5

  • Ang WHD, Lau Y.. Trait emotional intelligence as a predictor of resilience among undergraduate nursing students: A structural equation modelling approach. Nurse Educ Today. 2024 May;136:106132. doi: 10.1016/j.nedt.2024.106132. Epub 2024 Feb 19.. 10.1016/j.nedt.2024.106132

  • Ang WHD, Lim ZQG, Lau ST, Dong J, Lau Y.. Unpacking the Experiences of Health Care Professionals About the Web-Based Building Resilience At Work Program During the COVID-19 Pandemic: Framework Analysis. JMIR Med Educ. 2024 Jan 31;10:e49551. doi: 10.2196/49551.. 10.2196/49551

  • Ang WHD, Shorey S, Zheng ZJ, Ng WHD, Chen EC, Shah L, Chew HSJ, Lau Y.. Evaluating the online Resilience Skills Enhancement programme among undergraduate students: A double-blind parallel randomized controlled trial. Stress Health. 2024 Jan 5. doi: 10.1002/smi.3367. Online ahead of print.. 10.1002/smi.3367

  • Ng M, See C, Ignacio J.. Qualitative systematic review: The lived experiences of males in the nursing profession on gender discrimination encounters. Int Nurs Rev. 2023 Dec 22. doi: 10.1111/inr.12921. Online ahead of print.. 10.1111/inr.12921

  • Woo BFY, Ng WM, Tan IF, Zhou W.. Practice patterns, role and impact of advanced practice nurses in stroke care: A mixed-methods systematic review. J Clin Nurs. 2024 Apr;33(4):1306-1319. doi: 10.1111/jocn.16970. Epub 2023 Dec 22.. 10.1111/jocn.16970

  • Wong KW, Wu X, Dong Y.. Interventions to reduce burnout and improve the mental health of nurses during the COVID-19 pandemic: A systematic review of randomised controlled trials with meta-analysis. Int J Ment Health Nurs. 2024 Apr;33(2):324-343. doi: 10.1111/inm.13251. Epub 2023 Nov 20.. 10.1111/inm.13251

  • Azman NBN, Zhou TW, Shorey S.. Perceptions of healthcare professionals and students about interventions addressing implicit bias and microaggression: A mixed-studies systematic review. Nurse Educ Pract. 2023 Nov;73:103820. doi: 10.1016/j.nepr.2023.103820. Epub 2023 Oct 31.. 10.1016/j.nepr.2023.103820

  • Rusli KDB, Chua WL, Ang WHD, Ang SGM, Lau Y, Liaw SY.. A hybrid systematic narrative review of instruments measuring home-based care nurses' competency. J Adv Nurs. 2023 Oct 17. doi: 10.1111/jan.15904. Online ahead of print.. 10.1111/jan.15904

  • Woo BFY, Tam WWS, Hartman K, Zhou W.. Factors associated with registered nurses' academic performance in advanced practice nursing preparatory education: A retrospective cohort study. Int Nurs Rev. 2023 Aug 30. doi: 10.1111/inr.12881. Online ahead of print.. 10.1111/inr.12881

  • Fei Y, Yang S, Zhu Z, Lv M, Yin Y, Zuo M, Chen Y, Sheng H, Zhang S, Zhang M.. Workplace violence and burnout among Chinese nurses during the COVID-19 pandemic: does the sense of coherence mediate the relationship?. BMC Psychiatry. 2023 Aug 8;23(1):573. doi: 10.1186/s12888-023-05060-9.. 10.1186/s12888-023-05060-9

  • Heng TJT, Shorey S.. Experiences of moral distress in nursing students - A qualitative systematic review. Nurse Educ Today. 2023 Oct;129:105912. doi: 10.1016/j.nedt.2023.105912. Epub 2023 Jul 17.. 10.1016/j.nedt.2023.105912

  • Lau ST, Siah CJR, Loh WL, Rusli KDB, Schmidt LT, Lim FP, Liaw SY.. Enhancing professional competency in clinical procedures using head-mounted display virtual reality - a mixed method study. Med Educ Online. 2023 Dec;28(1):2232134. doi: 10.1080/10872981.2023.2232134.. 10.1080/10872981.2023.2232134

  • Yoong SQ, Wang W, Chao FFT, Dong Y, Goh SH, Chan YS, Lim S, Seah ACW, Wu XV, Zhang H.. Using peer feedback to enhance nursing students' reflective abilities, clinical competencies, and sense of empowerment: A mixed-methods study. Nurse Educ Pract. 2023 May;69:103623. doi: 10.1016/j.nepr.2023.103623. Epub 2023 Mar 28.. 10.1016/j.nepr.2023.103623

  • Chen JP, Dai YM, Qin Y, Liang SP, Cheng G, Liu Y, Yang CZ, He HG, Shen Q.. Factors influencing turnover intention among male nurses in China: A large-scale descriptive correlational study. Int Nurs Rev. 2024 Mar;71(1):13-19. doi: 10.1111/inr.12827. Epub 2023 Jan 28.. 10.1111/inr.12827

  • Kilpatrick K, Savard I, Audet LA, Kra-Friedman A, Atallah R, Jabbour M, Zhou W, Wheeler K, Ladd E, Gray DC, Henderson C, Spies LA, McGrath H, Rogers M.. A global perspective of advanced practice nursing research: A review of systematic reviews protocol. PLoS One. 2023 Jan 24;18(1):e0280726. doi: 10.1371/journal.pone.0280726. eCollection 2023.. 10.1371/journal.pone.0280726

  • Zhong XF, Shorey S.. Experiences of workplace violence among healthcare workers in home care settings: A qualitative systematic review. Int Nurs Rev. 2023 Dec;70(4):596-605. doi: 10.1111/inr.12822. Epub 2022 Dec 29.. 10.1111/inr.12822

  • See ECW, Koh SSL, Baladram S, Shorey S.. Role transition of newly graduated nurses from nursing students to registered nurses: A qualitative systematic review. Nurse Educ Today. 2023 Feb;121:105702. doi: 10.1016/j.nedt.2022.105702. Epub 2022 Dec 22.. 10.1016/j.nedt.2022.105702

  • Ramachandran HJ, Bin Mahmud MS, Rajendran P, Jiang Y, Cheng L, Wang W.. Effectiveness of mindfulness-based interventions on psychological well-being, burnout and post-traumatic stress disorder among nurses: A systematic review and meta-analysis. J Clin Nurs. 2023 Jun;32(11-12):2323-2338. doi: 10.1111/jocn.16265. Epub 2022 Feb 20.. 10.1111/jocn.16265

  • Rusli KDB, Tan AJQ, Ong SF, Speed S, Lau Y, Liaw SY.. Home-based nursing care competencies: A scoping review. J Clin Nurs. 2023 May;32(9-10):1723-1737. doi: 10.1111/jocn.16169. Epub 2021 Dec 12.. 10.1111/jocn.16169

  • Chua, W. L., Rahim, N., McKenna, L., Ho, J., & Liaw, S. Y. (2022). Intraprofessional collaboration between enrolled and registered nurses in the care of clinically deteriorating ward patients: A qualitative study. Australian Critical Care: official journal of the Confederation of Australian Critical Care Nurses, 35(1), 81–88. https://doi.org/10.1016/j.aucc.2021.01.009

  • Chua, W. L., Smith, D., Wee, L. C., Ting, K. C., Yeo, M., Mordiffi, S. Z., & Liaw, S. Y. (2022). Development and psychometric evaluation of the Attitudes Towards Recognising Early and Noticeable Deterioration (ATREND) scale. Journal of clinical nursing, 10.1111/jocn.16350. Advance online publication. https://doi.org/10.1111/jocn.16350

  • Liaw, S. Yc., Rusli, K., McKenna, L., Tan, J. Z., & Lau, S. T. (2022). Effectiveness of an online program using telesimulation for academic-clinical collaboration in preparing nurse preceptors' roles. Journal of Clinical Nursing, Advance online publication. https://doi.org/10.1111/jocn.16339

  • Liaw, S.Y c., Sutini., Chua, W.L., Levett-Jones, T., Ashokka B., Pan T.L., Lau, S.T. & Ignacio, J. (2022). Desktop virtual reality versus face-to-face simulation for team-training on stress levels and performance in clinical deterioration: A randomized controlled trial. Journal of General Internal Medicine. Advance online publication. doi: 10.1007/s11606-022-07557-7

  • Rodrigues, N. G., Han, C. Q. Y., Devi, K., Chi, Y., Selvam, U., Wee, F., Ang, E., Chan, Y., Wu, X.V.(2022). Perspectives of Nurse Preceptors on a Web-based Clinical Pedagogy Program and Clinical Teaching: A Descriptive Qualitative Study, Nursing and Health Sciences, DOI: 10.1111/nhs.12916

  • Rusli, Kc., Ong, S. F., Speed, S., Seah, B., McKenna, L., Lau, Y., & Liaw, S. Y. (2022). Home-based care nurses' lived experiences and perceived competency needs: A phenomenological study. Journal of Nursing Management, Advance online publication. https://doi.org/10.1111/jonm.13694

  • Wu, X.V., Selvam, U.P., Wang, W., Ang, E.N.K., Devi, K.M., Chan, Y.S., Wee, F.C., Zhao, S., Sehgal, V., Chi, Y. (2022). A web-based clinical pedagogy program to promote professional development for nurse preceptors: a quasi-experimental research. Nurse Education in Practice. https://doi.org/10.1016/j.nepr.2022.103288

  • Chua, W. L., Tee, A., Hassan, N. B., Jones, D., Tam, W., & Liaw, S. Y. (2021). The development and psychometric evaluation of the Clinicians' Attitudes towards Responding and Escalating care of Deteriorating patients scale. Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 34(4), 340–349. https://doi.org/10.1016/j.aucc.2020.08.008

  • Rusli, K., Tan, A., Ong, S. F., Speed, S., Lau, Y., & Liaw, S. Y. (2021). Home-based nursing care competencies: A scoping review. Journal of clinical nursing, 10.1111/jocn.16169. Advance online publication. https://doi.org/10.1111/jocn.16169

  • Tan, A. J., Rusli, K. D., McKenna, L., Tan, L. L., & Liaw, S. Y. (2021). Telemedicine experiences and perspectives of healthcare providers in long-term care: A scoping review. Journal of Telemedicine and Telecare, 1357633X211049206. Advance online publication.

  • Woo, B. F. Y., Poon, S. N., Tam, W. W. S., & Zhou, W. (2021). The impact of COVID19 on advanced practice nursing education and practice: A qualitative study. International Nursing Review, 00, 1-10. doi:10.1111/inr.12732

  • Chua, W. L., Legido-Quigley, H., Jones, D., Hassan, N. B., Tee, A., & Liaw, S. Y. (2020). A call for better doctor-nurse collaboration: A qualitative study of the experiences of junior doctors and nurses in escalating care for deteriorating ward patients. Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 33(1), 54–61. https://doi.org/10.1016/j.aucc.2019.01.006

  • Dev, M., Rusli, K., McKenna, L., Lau, S. T., & Liaw, S. Y. (2020). Academic-practice collaboration in clinical education: A qualitative study of academic educator and clinical preceptor views. Nursing & health sciences, 22(4), 1131–1138. https://doi.org/10.1111/nhs.12782

  • Goh, P., Ser, T. F., Cooper, S., Cheng, L. J., & Liaw, S. Y. (2020). Nursing teamwork in general ward settings: A mixed-methods exploratory study among enrolled and registered nurses. Journal of clinical nursing, 29(19-20), 3802–3811. https://doi.org/10.1111/jocn.15410

  • Liaw, S. Yc., Ooi, S. W., Rusli, K., Lau, T. C., Tam, W., & Chua, W. L. (2020). Nurse-Physician Communication Team Training in Virtual Reality Versus Live Simulations: Randomized Controlled Trial on Team Communication and Teamwork Attitudes. Journal of Medical Internet Research, 22(4), e17279. https://doi.org/10.2196/17279

  • Woo, B. F. Y., Zhou, W., Lim, T. W., & Tam, W. S. W. (2020). Registered nurses' perceptions towards advanced practice nursing: A nationwide cross-sectional study. J Nurs Manag, 28(1), 82-93. doi:10.1111/jonm.12893

  • Woo, B., Koh, K., Zhou, W., Wei Lim, T., Lopez, V., & Tam, W. (2020). Understanding the role of an advanced practice nurse through the perspectives of patients with cardiovascular disease: A qualitative study. Journal of Clinical Nursing, 29(9-10), 1623-1634. doi:10.1111/jocn.15224

  • Wu, X. V., Chi Y.C., Chan, Y. S., Wang, W., Ang, E.N.K., Zhao S. D., Sehgal, V., Wee F. C., Selvam, Devi, M. K. (2020). A web-based clinical pedagogy program to enhance nurse preceptors’ teaching competencies – An innovative process of development and pilot program evaluation. Nurse Education Today, https://doi.org/10.1016/j.nedt.2019.104215

  • Wu, X.V., Chi, Y., Selvam, U.P., Devi, K.M., Wang, W., Chan, Y.S., Wee, F.C., Zhao, S., Sehgal, V., Ang, E.N.K. (2020). A Clinical Teaching Blended Learning Program to Enhance Registered Nurse Preceptors’ Teaching Competencies: Pretest and Posttest Study, Journal of Medical Internet Research, 22(4):e18604. URL: http://www.jmir.org/2020/4/e18604/ doi: 10.2196/18604

  • Chew, B. H., Tang, C. J., Lim, W. S., Yap, J., Zhou, W., & Liaw, S. Yc. (2019). Interprofessional bedside rounds: Nurse-physician collaboration and perceived barriers in an Asian hospital. Journal of Interprofessional Care, 33(6), 820–822. https://doi.org/10.1080/13561820.2019.1566218

  • Chua, W. Lc., Legido-Quigley, H., Ng, P. Y., McKenna, L., Hassan, N. B., & Liaw, S. Y. (2019). Seeing the whole picture in enrolled and registered nurses' experiences in recognizing clinical deterioration in general ward patients: A qualitative study. International Journal of Nursing Studies, 95, 56–64. https://doi.org/10.1016/j.ijnurstu.2019.04.012

  • Liaw, S. Yc., Wu, L. T., Wong, L. F., Soh, S., Chow, Y. L., Ringsted, C., Lau, T. C., & Lim, W. S. (2019). "Getting Everyone on the Same Page": Interprofessional Team Training to Develop Shared Mental Models on Interprofessional Rounds. Journal of General Internal Medicine, 34(12), 2912–2917. https://doi.org/10.1007/s11606-019-05320-z

  • Ng, P. Y., Lau, S. T., Ong, S. F., & Liaw S. Yc. (2019). Singaporean nursing students' perceptions of a career in community nursing. International Nursing Review, 66(4), 514–522. https://doi.org/10.1111/inr.12528

  • Woo, B. F. Y., Zhou, W., Lim, T. W., & Tam, W. W. S. (2019). Practice patterns and role perception of advanced practice nurses: A nationwide cross-sectional study. Journal of Nursing Management, 27(5), 992-1004. doi:10.1111/jonm.12759

Relevant Categories
Clinical Deterioration
Collaborative Practice
Workforce and Competency
Learn more