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  1. Article ; Online: Knot the Best Scenario: A Case of a Knotted Nasogastric Tube.

    Monica Fan, Peijin Esther / Teo, Kai Yunn / Tan, Min Yi / Ang, Shin Yuh

    The American journal of nursing

    2023  Volume 123, Issue 3, Page(s) 56–58

    Abstract: Abstract: Nasogastric tubes are widely used in clinical practice for enteral nutrition, medication administration, and gastric decompression. Common complications of their use-such as tube blockage, displacement, and accidental removal-are well ... ...

    Abstract Abstract: Nasogastric tubes are widely used in clinical practice for enteral nutrition, medication administration, and gastric decompression. Common complications of their use-such as tube blockage, displacement, and accidental removal-are well described in the literature. However, knotting-a complication that occurs when a knot forms in the nasogastric tube in situ-is rare. This report presents the case of a nasogastric tube that became knotted, causing difficulty in its removal. Key takeaways from this case are discussed, among them that more emphasis should be placed on safe nasogastric tube removal in practitioner training to better prevent such complications in the future.
    MeSH term(s) Humans ; Intubation, Gastrointestinal ; Enteral Nutrition ; Device Removal
    Language English
    Publishing date 2023-02-23
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 390780-6
    ISSN 1538-7488 ; 0002-936X
    ISSN (online) 1538-7488
    ISSN 0002-936X
    DOI 10.1097/01.NAJ.0000921816.83347.0c
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Enhancing the hospital at home experience

    Rachel Marie Towle / Peijin Esther Monica Fan / Juweita Arba’in / Fazila Aloweni / Siew Hoon Lim / Shin Yuh Ang / Su-Fee Lim

    Proceedings of Singapore Healthcare, Vol

    2023  Volume 32

    Abstract: Background Hospital at Home programs have demonstrated to be safe, feasible and cost effective. However, challenges such as infection control, cleanliness, space constraints and insufficient resources may hamper the adoption and effectiveness of such ... ...

    Abstract Background Hospital at Home programs have demonstrated to be safe, feasible and cost effective. However, challenges such as infection control, cleanliness, space constraints and insufficient resources may hamper the adoption and effectiveness of such programs. Aims To understand the challenges of providing and receiving healthcare in the community, design a solution to meet the challenges, and to pilot and evaluate the solution. Methods This is a three-phase mixed method study. Phase 1, nurses, patients and caregivers were surveyed to understand their challenges in providing or receiving healthcare at home. Results of the survey in Phase 1 were used in Phase 2 to design a solution. In phase 3, an integrated structure was designed and piloted for stakeholders’ evaluation. Results Twenty nurses and 50 patient-caregiver dyads responded to Phase 1 survey. Physical home environment was most cited by the nurses as their main challenge, particularly the lack of a dedicated and clean space to conduct nursing procedures. Medication management was the greatest challenge faced by the patient-caregiver dyads. Based on these findings, a prototype of an integrated structure was fabricated in Phase 2. Ten patient-caregiver dyads and nine community nurses tested the prototype in Phase 3. The participants found the structure useful to store and organize their healthcare items, and there was ample clean workspace to carry out nursing procedures. Conclusion An integrated structure that can fulfil the physical, spatial and interpersonal needs at an affordable price could be useful in facilitating the delivery of hospital care in the home setting. Patient Contribution Patient-caregiver dyads were key stakeholders in our study. They provided valuable feedback and suggestions on the prototype and design of the integrated structure.
    Keywords Medicine ; R
    Subject code 360 ; 690
    Language English
    Publishing date 2023-10-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Construction of a container isolation ward: A rapidly scalable modular approach to expand isolation capacity during the coronavirus disease 2019 (COVID-19) pandemic.

    Wee, Liang En / Fan, Esther Monica Peijin / Heng, Raphael / Ang, Shin Yuh / Chiang, Juat Lan / Tan, Thuan Tong / Ling, Moi Lin / Wijaya, Limin

    Infection control and hospital epidemiology

    2020  Volume 42, Issue 9, Page(s) 1162–1164

    MeSH term(s) COVID-19 ; Hospitals ; Humans ; Pandemics ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-09-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2020.1222
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  4. Article ; Online: Impact of a Bedside Activity Device on the Functional Status of Hospitalized Older Adults: A Randomized Controlled Trial.

    Monica Fan, Peijin Esther / Louis, Joshua Kenneth / Lim, Xin Yi Cindy / Subramaniam, Sarasuathi Gloria Encio / Seow, Jason Phil / Aloweni, Fazila / Rajasegeran, Darshini Devi / Hsiang, Cheng Chia / Thilarajah, Shamala / Agus, Nur Liyana / Ong, Hwee Kuan / Ang, Shin Yuh / Kannusamy, Premarani

    The American journal of nursing

    2023  Volume 123, Issue 3, Page(s) 22–29

    Abstract: Background: Older adults may have difficulty maintaining their functional capabilities during hospitalization. This pilot study aimed to investigate the impact of a bedside activity device on the functional status of hospitalized older adults.: ... ...

    Abstract Background: Older adults may have difficulty maintaining their functional capabilities during hospitalization. This pilot study aimed to investigate the impact of a bedside activity device on the functional status of hospitalized older adults.
    Methods: For this single-site randomized controlled trial, 48 participants were recruited between July 2019 and March 2021. Participants were randomized into one of two groups: the intervention group, which was given the use of a bedside activity device plus standard care, and the control group, which received standard care. Katz Index of Independence in Activities of Daily Living (Katz ADL) scores and Timed Up and Go (TUG) test times were used as indicators of functional status and were collected on admission (baseline) and at discharge.Mann-Whitney U and χ 2 tests were used to test for baseline similarities between groups. The Wilcoxon signed rank test was used to determine within-group pre-post changes in TUG and Katz ADL scores. The Mann-Whitney U test was used to determine between-group differences in TUG and Katz ADL change scores.
    Results: Within-group pre-post analysis showed significant increases in Katz ADL scores in the intervention group and no significant changes in the control group. TUG times decreased significantly in the intervention group and increased significantly in the control group. Between-group analyses showed significant differences in both TUG and Katz ADL change scores.
    Conclusion: The use of the bedside activity device in addition to standard care may prevent functional decline and increase independence in performing basic ADLs.
    MeSH term(s) Humans ; Aged ; Activities of Daily Living ; Functional Status ; Pilot Projects ; Hospitalization ; Patient Discharge
    Language English
    Publishing date 2023-02-08
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 390780-6
    ISSN 1538-7488 ; 0002-936X
    ISSN (online) 1538-7488
    ISSN 0002-936X
    DOI 10.1097/01.NAJ.0000920992.97182.ab
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  5. Article ; Online: Nasogastric tube placement confirmation

    Esther Monica Peijin Fan / Siok Bee Tan / Shin Yuh Ang

    Proceedings of Singapore Healthcare, Vol

    where we are and where we should be heading

    2017  Volume 26

    Abstract: Background: Insertion of a tube via the nasal passage is a common procedure which has been practiced for many years. There are various ways to assess the position of the nasogastric tube (NGT). Objectives: The objective of this study was to discuss the ... ...

    Abstract Background: Insertion of a tube via the nasal passage is a common procedure which has been practiced for many years. There are various ways to assess the position of the nasogastric tube (NGT). Objectives: The objective of this study was to discuss the advantages and limitations of each method of NGT placement confirmation, to identify gaps in literature, and provide suggestions for future research. Methods: A search was performed with Pubmed, CINAHL, and Embase. The following keywords were used: “nasogastric,” “tube,” “placement,” “insertion,” and “measurement.” The results were narrowed down to those with full text available, published in the English language, those published within the last 10 years, and those studies done in the adult population. The reference lists of those articles were also referred to and relevant articles were retrieved. A final 26 relevant articles were included in this review, including six that were published more than 10 years ago but still relevant in this review. Results: A method to confirm NGT placement that is accurate, affordable, does not require gastric aspirates, and is able to be used not only upon insertion but also at regular intervals is lacking. Conclusions: This article provides a summary of the different methods of NGT placement confirmation and discusses their advantages and limitations. Gaps in literature and suggestions for future research were also deliberated.
    Keywords Medicine ; R
    Subject code 670
    Language English
    Publishing date 2017-09-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Construction of a container isolation ward: a rapidly scalable modular approach to expand isolation capacity during a COVID-19 pandemic

    Wee, Liang En / Fan, Esther Monica Peijin / Heng, Raphael / Ang, Shin Yuh / Chiang, Juat Lan / Tan, Thuan Tong / Ling, Moi Lin / Wijaya, Limin

    Infect Control Hosp Epidemiol

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #32962768
    Database COVID19

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  7. Article: Construction of a container isolation ward: A rapidly scalable modular approach to expand isolation capacity during the coronavirus disease 2019 (COVID-19) pandemic

    Wee, Liang En / Fan, Esther Monica Peijin / Heng, Raphael / Ang, Shin Yuh / Chiang, Juat Lan / Tan, Thuan Tong / Ling, Moi Lin / Wijaya, Limin

    Infect Control Hosp Epidemiol

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #786491
    Database COVID19

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  8. Article ; Online: Construction of a container isolation ward

    Wee, Liang En / Fan, Esther Monica Peijin / Heng, Raphael / Ang, Shin Yuh / Chiang, Juat Lan / Tan, Thuan Tong / Ling, Moi Lin / Wijaya, Limin

    Infection Control & Hospital Epidemiology

    A rapidly scalable modular approach to expand isolation capacity during the coronavirus disease 2019 (COVID-19) pandemic

    2020  , Page(s) 1–3

    Keywords Microbiology (medical) ; Epidemiology ; Infectious Diseases ; covid19
    Language English
    Publisher Cambridge University Press (CUP)
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2020.1222
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  9. Article: Needs and concerns of patients in isolation care units - learnings from COVID-19: A reflection.

    Fan, Peijin Esther Monica / Aloweni, Fazila / Lim, Shu Hui / Ang, Shin Yuh / Perera, Karen / Quek, Aik Huan / Quek, Hwee Koon Susan / Ayre, Tracy Carol

    World journal of clinical cases

    2019  Volume 8, Issue 10, Page(s) 1763–1766

    Abstract: With strict measures in place to contain the spread of coronavirus disease 2019, many have been isolated as suspected or confirmed cases. Being isolated causes much inconvenience for the patients and family. Patients' and next-of-kins' needs and concerns ...

    Abstract With strict measures in place to contain the spread of coronavirus disease 2019, many have been isolated as suspected or confirmed cases. Being isolated causes much inconvenience for the patients and family. Patients' and next-of-kins' needs and concerns during isolation will be shared together with suggestions for key process improvements. Our hospital's Senior Patient Experience Managers contact all patients admitted to the isolation wards on a daily basis to provide some form of support. Common issues raised were gathered and strategies to help with their needs and concerns were discussed. Being in isolation is a challenging period for both patients and family. Nonetheless, we can implement measures to mitigate against the adverse effects of isolation. Patient education, effective and efficient means of communication, close monitoring for signs of distress and anxiety, and early intervention could help patients cope better with the whole isolation experience. Nursing management may want to consider implementing the measures shared in the article to manage patient's stress while not compromising on staff safety.
    Keywords covid19
    Language English
    Publishing date 2019-10-16
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2307-8960
    ISSN 2307-8960
    DOI 10.12998/wjcc.v8.i10.1763
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  10. Article ; Online: Impact of COVID-19 on acute isolation bed capacity and nursing workforce requirements: A retrospective review.

    Fan, Esther Monica Peijin / Nguyen, Ngoc Hoang Long / Ang, Shin Yuh / Aloweni, Fazila / Goh, Hui Qi Ivy / Quek, Li Ting / Ayre, Tracy Carol / Pourghaderi, Ahmad Reza / Lam, Shao Wei / Ong, Eng Hock Marcus

    Journal of nursing management

    2021  Volume 29, Issue 5, Page(s) 1220–1227

    Abstract: Aim: To understand the impact of COVID-19 on isolation bed capacity requirements, nursing workforce requirements and nurse:patient ratios.: Background: COVID-19 created an increased demand for isolation beds and nursing workforce globally.: Methods! ...

    Abstract Aim: To understand the impact of COVID-19 on isolation bed capacity requirements, nursing workforce requirements and nurse:patient ratios.
    Background: COVID-19 created an increased demand for isolation beds and nursing workforce globally.
    Methods: This was a retrospective review of bed capacity, bed occupancy and nursing workforce data from the isolation units of a tertiary hospital in Singapore from 23 January 2020 to 31 May 2020. R v4.0.1 and Tidyverse 1.3.0 library were used for data cleaning and plotly 4.9.2.1 library for data visualization.
    Results: In January to March 2020, isolation bed capacity was low (=<203 beds). A sharp increase in bed capacity was seen from 195 to 487 beds during 25 March to 29 April 2020, after which it plateaued. Bed occupancy remained lower than bed capacity throughout January to May 2020. After 16 April 2020, we experienced a shortage of 1.1 to 70.2 nurses in isolation wards. Due to low occupancy rates, nurse:patient ratio remained acceptable (minimum nurse:patient ratio = 0.26).
    Conclusion: COVID-19 caused drastic changes in isolation bed capacity and nursing workforce requirements.
    Implications for nursing management: Building a model to predict nursing workforce requirements during pandemic surges may be helpful for planning and adequate staffing.
    MeSH term(s) COVID-19 ; Humans ; Nursing Staff, Hospital ; Personnel Staffing and Scheduling ; Retrospective Studies ; SARS-CoV-2 ; Singapore ; Workforce
    Language English
    Publishing date 2021-02-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 1162321-4
    ISSN 1365-2834 ; 0966-0429
    ISSN (online) 1365-2834
    ISSN 0966-0429
    DOI 10.1111/jonm.13260
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