ORCID Profile
0000-0002-9970-0642
Current Organisation
The Chinese University of Hong Kong Faculty of Medicine
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Publisher: Elsevier BV
Date: 04-2011
DOI: 10.1016/J.IJNURSTU.2010.12.004
Abstract: To review the diagnostic accuracy of end-tidal carbon dioxide detection in detecting inadvertent airway intubation and verifying correct placement of nasogastric tubes. We undertook a meta-analysis of diagnostic studies. All clinical trials that evaluated the diagnostic accuracy of the colorimetric capnometry or capnography in detecting inadvertent airway intubation and differentiating between respiratory and gastrointestinal tube placement in adults were included. Electronic databases including MEDLINE, CINAHL, EMBASE, All EBM Reviews, WanFang Data, China Journal Net, Chinese Medical Current Contents, and Index to Chinese Periodical Literature were searched from inception to July 2009. DATA EXTRACTION AND QUALITY ASSESSMENT: Data were extracted using a form piloted prior to use. Two reviewers independently extracted data relating to purpose of the trial, s le, measurements used, index test results and reference standard. Methodological quality of eligible trials was assessed independently by two reviewers using a modified version of the Quality Assessment of Diagnostic Accuracy Studies for assessing studies of diagnostic accuracy. The accuracy of diagnostic tests is presented in terms of sensitivity, specificity, predictive values, and likelihood ratios. Nine clinical trials were eligible for inclusion in the meta-analysis. Eight trials were undertaken in intubated and mechanically ventilated patients and two trials also involved participants who were alert or awake. Eight involving a total of 456 nasogastric feeding tube placements investigated the diagnostic accuracy of either colorimetric capnometry or capnography to detect feeding tube placement. One trial involving 195 gastric tube insertions compared the diagnostic accuracy of simultaneous use of a colorimetric carbon dioxide detector and capnography to detect feeding tube placement. The use of colorimetric capnometry or capnography had a sensitivity ranging from 0.88 to 1.00, specificity 0.95 to 1.00, positive likelihood ratio 15.22 to 283.35, negative likelihood ratio 0.01 to 0.25. A summary receiver operator characteristics (SROC) curve was constructed and showed an area under the curve was 0.9959. Three trials reported significant cost savings using end-tidal carbon dioxide detectors. There is evidence to support the use of capnography or colorimetric capnometry for the identification of nasogastric feeding tube placement in mechanically ventilated patients.
Publisher: Elsevier BV
Date: 2010
DOI: 10.1016/J.IJNURSTU.2009.08.004
Abstract: There is a growing use of multisensory therapy in enhancing sense of well-being and reducing challenging or stereotypic self-stimulating behaviour in people with a developmental disability. This review aimed to present the best available evidence on the effect of multisensory therapy in adult clients with developmental disabilities on the frequency of challenging behavior, stereotypic self-stimulating behavior, and positive behaviour and changes of physiological measures. Systematic review. A search of electronic databases of published research studies (January 1985-December 2008) was conducted, using appropriate search terms. The reference lists and bibliographies of retrieved articles were reviewed to identify research not located through other search strategies. Studies that investigated the effects of multisensory environment in relation to outcomes were examined. Data were extracted independently by two reviewers. Methodological quality was also assessed by two reviewers against key quality criteria. One hundred and thirty-two studies were identified from database search of which 17 met the inclusion criteria for review. The evidence supports that participants' had displayed more positive behaviour after multisensory therapy sessions. There is no strong evidence supporting that multisensory therapy could help in reducing challenging behaviour or stereotypic self-stimulating behaviour. This systematic review demonstrates a beneficial effect of multisensory therapy in promoting participants' positive emotions. While the reviewers acknowledge the difficulty in carrying out randomized controlled trial in people with developmental disabilities and challenging behavior, the lack of trial-derived evidence makes it difficult to arrive at a conclusion of the effectiveness of the multisensory therapy. Future study should use well-designed randomised controlled trials to evaluate the short and long term effectiveness of multisensory therapy. There is also a need for qualitative studies which allow the clients to tell the stories of their experiences.
Publisher: SAGE Publications
Date: 10-2021
Publisher: Elsevier BV
Date: 02-2021
Publisher: Springer Science and Business Media LLC
Date: 20-05-2022
DOI: 10.1186/S12912-022-00907-0
Abstract: While there is a growth in the number of advanced practice nurses, there is a dearth of research examining their role transition from registered nurses. This study aimed to identify critical elements in the career path of nursing graduates who have taken up advanced practice roles and examine their perceived impact on patient care. An exploratory descriptive study was performed. In idual semi-structured interviews were conducted face-to-face with 10 nursing graduates now in advanced practice roles, and their ten respective managers. All interviews were audio-recorded and transcribed verbatim for latent and manifest content analyses. The nursing graduates, six of whom were male, had a mean age of 35 years. All possessed a master’s degree and formal post-registration education and/or training. Six had at least three years’ experience as an advanced practice nurse. The managers, all female, had a mean age of 49 years. Eight had at least one year’s experience in their current position. Six key themes emerged: prior enhancement of personal and professional knowledge and skills active participation in clinical roles and knowledge translation in preparation for advanced practice adapting to new and erse advanced practice nursing responsibilities role of advanced practice nurses in leadership personal qualities crucial for success in advanced practice and provision of evidence-based patient-centered care. Postgraduate education, management knowledge and leadership skills, and active participation in clinical roles and knowledge translation appear crucial ingredients for promotion of nursing graduates to advanced practice roles. Other ingredients include a positive outlook, flexibility and adaptability, and good interpersonal, communication and problem-solving skills.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-2016
Publisher: SAGE Publications
Date: 10-2018
Publisher: Springer Science and Business Media LLC
Date: 27-10-2020
DOI: 10.1186/S12909-020-02273-4
Abstract: Interprofessional collaborative practice (IPCP) is increasingly recognised as being crucial for the provision of holistic care and optimising health outcomes among older adults, many with multiple complex health problems. However, little is known about the challenges of facilitating this in practice. Therefore, this study explores these issues from the perspective of different healthcare professionals and how this might inform interprofessional education curricula. Sixteen different healthcare professionals working in a variety of aged care (acute, rehabilitative and community) settings were invited to participate in in idual semi-structured in-depth interviews designed to: (i) explore the meaning of IPCP (ii) explore the facilitators of and barriers to IPCP and (iii) examine the opportunities and challenges in interprofessional gerontological education. All interviews were tape-recorded and transcribed verbatim with thematic analysis conducted by two independent researchers. Three major themes emerged from the interviews: the need for IPCP role preparedness, scope and liability and strategies for interprofessional education. Respondents shared a common belief that IPCP improves the quality of life of older adults in both hospital and community settings by improving person-centred coordinated care and decision making in care planning. However, respondents perceived major barriers to IPCP to be lack of knowledge about healthcare professionals’ scope of practice, lack of training in interprofessional collaboration, professional culture and stereotypes, and liability issues. Suggested approaches to overcome these barriers included innovative teaching and learning approaches, engaging students early on in the curriculum of health professional degree programmes, and enhancing collaborative effective communication in health and social care settings. It is anticipated that these findings will be used to inform the development of a new interprofessional gerontological education curriculum that aims to enhance students’ competence in IPCP.
Publisher: Springer Science and Business Media LLC
Date: 15-10-2016
Publisher: Informa UK Limited
Date: 06-2022
DOI: 10.1080/09638288.2021.1933220
Abstract: To examine the psychometric properties of a Chinese version of the Participation Strategies Self-Efficacy Scale (PS-SES) among stroke survivors. The PS-SES was translated into Chinese. A cross-sectional descriptive study was conducted with 336 stroke survivors recruited from the neurology departments of five hospitals in China. Reliability, concurrent validity, and construct validity of the scale were determined. The Chinese version of the PS-SES (PS-SES-C) showed good internal consistency and test-retest reliability, with a Cronbach's α of 0.98 and an intraclass correlation coefficient of 0.79. There was a moderate to strong positive correlation between the PS-SES-C and Chinese version of the General Self-Efficacy Scale ( The PS-SES-C is a reliable and valid instrument for assessing self-efficacy in managing the participation of Chinese stroke survivors.Implications for rehabilitationSelf-efficacy significantly predicts activity and participation in stroke survivors and is a major outcome measure in many stroke rehabilitation programmes.The translated Chinese version of the Participation Strategies Self-efficacy Scale is a valid and reliable tool to evaluate stroke survivors' self-efficacy in managing participation.The Chinese version of the Participation Strategies Self-efficacy Scale can be used to assess stroke recovery among the Chinese population in clinical and research settings.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 12-2012
Publisher: SAGE Publications
Date: 06-05-2022
DOI: 10.1177/17571774221092558
Abstract: The emergence of COVID-19 has been an ordeal for nurses worldwide. It is crucial to understand their experiences at the frontline, attempt to allay their concerns, and help inform future pandemic response capabilities. To explore nurses’ lived experiences at the frontline in order to identify and address their concerns and help enhance future responses to infectious disease outbreaks. A qualitative study was carried out. Semi-structured interviews were conducted with 60 registered nurses who came to Hubei from different parts of China to care for patients with COVID-19. Interviews were audio-recorded and transcribed verbatim for thematic analysis. Six major themes emerged: emotional turmoil due to personal and professional concerns, quality issues with personal protective equipment and associated physical discomfort, witnessing and managing patient distress, readiness of emergency response mechanisms in the health system, collective community awareness and preparedness, and heightened professional pride and confidence in future epidemic control. Nurses were placed in challenging and unfamiliar situations to deal with unexpected and unpredictable events which caused considerable psychological and physical distress. Support in the form of government edicts, hospital management policies, community generosity and collegiality was highly welcomed by the nurses. Policy makers and managers should ensure that nurses are provided with the support and resources necessary for dealing with large-scale infectious disease outbreaks. Priority should be given to risk assessment, infection prevention and control, and patient and staff health and safety.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-2017
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 22-01-2018
DOI: 10.1161/STR.49.SUPPL_1.TP152
Abstract: Hemiplegic shoulder pain (HSP) limits stroke survivors’ physical function, which in turn impairs their capabilities in participating in activities and compromises their quality of life (QoL). Systematic reviews report acupuncture is potentially beneficial in reducing HSP and improving physical function. A study was conducted to investigate the feasibility and acceptance of a 6-week acupuncture treatment among community-dwelling survivors. It was hypothesized that there would be no significant problems in recruiting participants, conducting the true and sham treatment, and measuring clinical outcomes. Fifteen survivors with HSP were recruited and assigned randomly to a true acupuncture, sham acupuncture, or control group in a 1:1:1 ratio. Participants in the true acupuncture group received an acupuncture treatment regimen developed by a panel of experts in Chinese and Western medicine. Acupuncture devices with needles that retract into the handle were used in the sham group. Participants in the control group received usual rehabilitative care. Outcomes including HSP, upper extremity function, depressive symptoms, social participation, and QoL were collected at baseline and 1 week after completion of the treatment for the true and sham groups: participants were asked to comment on the acceptability and satisfaction of the treatment within 1 week after the 6-week treatment. Data were collected at baseline and at 7 weeks for the control group. The participants’ mean age was 62.67 years. The mean duration post-stroke was 6.33 years. Eighty percent had an ischemic stroke and 66.7% a left-sided weakness. A total of 7-15 acupoints were used for the true and sham groups. Overall, participants found the traditional Chinese Medicine practitioners helpful and attentive to their health concerns. No adverse events were reported throughout the study. More participants in the true acupuncture group reported reduced HSP after the treatment. They expressed that they were willing to participate in the treatment again. In conclusion, the high level of user satisfaction indicated the feasibility of conducting a large-scale randomized controlled trial to evaluate the effects of the proposed acupuncture treatment on survivors’ post-stroke HSP and health outcomes.
Publisher: Elsevier BV
Date: 08-2021
Publisher: Frontiers Media SA
Date: 31-01-2018
Publisher: Elsevier BV
Date: 11-2021
Publisher: Elsevier BV
Date: 08-2010
DOI: 10.1016/J.IJNURSTU.2010.03.015
Abstract: The objective of this study was to investigate the diagnostic performance of biochemical tests used to determine placement of nasogastric (NG) tubes after insertion in adults. A systematic review of diagnostic studies was undertaken. A literature search of the bibliographic databases and the World Wide Web was performed to locate original diagnostic studies in English or Chinese on biochemical markers for detecting NG tube location. Studies in which one or more different tests were evaluated with a reference standard, and diagnostic values were reported or could be calculated were included. Two reviewers independently checked all abstracts and full text studies for inclusion criteria. Included studies were assessed for their quality using the QUADAS tool. Study features and diagnostic values were extracted from the included studies. Of the 10 studies included in this review, seven investigated the diagnostic accuracy of pH, one investigated the diagnostic accuracy of pH and bilirubin respectively, two a combination of pH and bilirubin and one a combination of pH, pepsin and trypsin levels in identifying NG tube location. All studies used X-rays as the reference standard for comparison. Pooled results demonstrated that a pH of <or=4.0 had the ability to predict only 63% of the tubes located in the stomach. However, a pH value of <or=5.5 to determine gastric placement demonstrated a sensitivity of 0.89 (95% CI 0.82-0.94) and a specificity of 0.87 (95% CI 0.81-0.93). Bilirubin coupled with pH had a high specificity (0.99) which demonstrated the ability of the test to identify misplaced tubes in intestine. However, the ability of the test to correctly identify gastric placement of feeding tubes was relatively low (sensitivity<0.90). Due to the heterogeneity of the studies and small s le sizes, conclusions about the diagnostic performance of the different tests cannot be drawn. Better designed studies exploring the accuracy of diagnostic tests are needed to improve the diagnostic policy. Until stronger evidence becomes available practice related to the diagnostic tests used within the clinical setting will continue to be dictated by local preferences and cost factors.
Location: Hong Kong
No related grants have been discovered for Suzanne Hoi Shan Lo.