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Judith Shu-Chu Shiao
School of Nursing College of Medicine National Taiwan University (NTU) Taipei Taiwan

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Original article
Published: 01 January 2021 in Journal of Occupational Health
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Objective Short sleep duration is common among nurses. Sleep restriction has been associated with musculoskeletal discomfort. However, studies on the effect of short sleep duration on chronic neck and shoulder discomfort in nurses have been lacking. The aim of this study was to determine whether short sleep duration is related to chronic neck and shoulder discomfort. Methods We conducted a cross-sectional survey of female nurses in secondary referral health centers in Taiwan. We applied stratified sampling based on region (north, central, south, and east) to select representative centers for this study. A self-administered structured questionnaire, including demographic data, the psychological working environment, and musculoskeletal symptoms, was administered to nurses. Multiple logistic regression and population attributable risk analyses were performed to assess the effect of average sleeping hours per working day on chronic neck and shoulder discomfort. Results A total of 1602 (78.9%) questionnaires were eligible for final analysis. The prevalence rates of chronic neck and shoulder discomfort were 33.9% and 34.7%, respectively. Population attributable risk estimation revealed that a sleep duration of <7 hours per working day was the most crucial factor for chronic neck and shoulder discomfort in the nurses, accounting for 8.8% of chronic neck discomfort and 8.6% of chronic shoulder discomfort respectively. Conclusion Our study found that sleep duration on working days was associated with chronic neck and shoulder discomfort in female nurses. Further interventions are warranted for maintaining nurses’ sleep hygiene.

ACS Style

Wei‐Shan Chin; Yi‐Chuan Chen; Ting‐Ti Lin; Yue‐Liang Leon Guo; Judith S. C. Shiao Rn. Short sleep and chronic neck and shoulder discomfort in nurses. Journal of Occupational Health 2021, 63, e12236 .

AMA Style

Wei‐Shan Chin, Yi‐Chuan Chen, Ting‐Ti Lin, Yue‐Liang Leon Guo, Judith S. C. Shiao Rn. Short sleep and chronic neck and shoulder discomfort in nurses. Journal of Occupational Health. 2021; 63 (1):e12236.

Chicago/Turabian Style

Wei‐Shan Chin; Yi‐Chuan Chen; Ting‐Ti Lin; Yue‐Liang Leon Guo; Judith S. C. Shiao Rn. 2021. "Short sleep and chronic neck and shoulder discomfort in nurses." Journal of Occupational Health 63, no. 1: e12236.

Journal article
Published: 19 January 2020 in International Journal of Environmental Research and Public Health
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Although nurses work in stressful environments, stressors in such environments have yet to be clearly assessed. This study aimed to develop a Nurses’ Occupational Stressor Scale (NOSS) with high reliability and validity. Candidate questions for the NOSS were generated by expert consensus following focus group feedback, and were used to survey in 2013. A shorter version was then developed after examination for validity and reproducibility in 2014. The accuracy of the short version of the NOSS for predicting nurses’ stress levels was evaluated based on receiver operating characteristic curves to compare existing instruments for measuring stress outcomes, namely personal burnout, client-related burnout, job dissatisfaction, and intention to leave. Examination for validity and reproducibility yielded a shorter version of NOSS with only 21 items was considered sufficient for measuring stressors in nurses’ work environments. Nine subscales were included: (1) work demands, (2) work–family conflict, (3) insufficient support from coworkers or caregivers, (4) workplace violence and bullying, (5) organizational issues, (6) occupational hazards, (7) difficulty taking leave, (8) powerlessness, and (9) unmet basic physiological needs. The 21-item NOSS proved to have high concurrent and construct validity. The correlation coefficients of the subscales for test-retest reliability ranged from 0.71 to 0.83. The internal consistency (Cronbach’s α) coefficients ranged from 0.35 to 0.77. The NOSS exhibited accurate prediction of personal burnout, client-related burnout, job dissatisfaction, and intention to leave.

ACS Style

Yi-Chuan Chen; Yue Leon Guo; Li-Chan Lin; Yu-Ju Lee; Pei-Yi Hu; Jiune-Jye Ho; Judith Shu-Chu Shiao. Development of the Nurses’ Occupational Stressor Scale. International Journal of Environmental Research and Public Health 2020, 17, 649 .

AMA Style

Yi-Chuan Chen, Yue Leon Guo, Li-Chan Lin, Yu-Ju Lee, Pei-Yi Hu, Jiune-Jye Ho, Judith Shu-Chu Shiao. Development of the Nurses’ Occupational Stressor Scale. International Journal of Environmental Research and Public Health. 2020; 17 (2):649.

Chicago/Turabian Style

Yi-Chuan Chen; Yue Leon Guo; Li-Chan Lin; Yu-Ju Lee; Pei-Yi Hu; Jiune-Jye Ho; Judith Shu-Chu Shiao. 2020. "Development of the Nurses’ Occupational Stressor Scale." International Journal of Environmental Research and Public Health 17, no. 2: 649.

Journal article
Published: 07 December 2019 in International Journal of Environmental Research and Public Health
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Background: High occupational stress has been associated with altered eating behaviors and obesity. Occupational stress is reported to be high in Asian countries. Furthermore, many Asian countries are increasingly consuming Western-type foods (e.g., incorporating drinks with meals) which collectively may also be contributing to obesity. Therefore, the aim of this study was to examine (a) associations between sugar-sweetened beverage (SSB) consumption as meal replacement and obesity and (b) associations between workload and substituting meals with SSB in nurses. Methods: A representative sample of 854 hospital-based nurses completed a structured questionnaire about SSB consumption, workload, and body mass index (BMI). Log binomial regression models were employed to test associations between SSBs and obesity rates and associations between workload and SSBs. Results: Most participants (57.6%) consumed SSBs as meal replacements during work. This was related to high workloads during shifts. Substituting SSBs for meals was significantly associated with increased likelihood of obesity (aPRR = 1.4, 95% CI (1.1, 1.7)). Workload was positively associated with SSB intake as meal substitutes (aPRR = 1.4, 95% CI (1.2, 1.6)). Conclusions: Our findings show that SSBs are used as meal substitutes and is due to the workload demands. Sugar-sweetened beverage consumption is also positively associated with the increased likelihood of obesity. Interventions that modify workloads and decrease SSB consumption may improve workers’ eating behaviors and health.

ACS Style

Ting-Ti Lin; Yue Leon Guo; Christopher Gordon; Elizabeth Cayanan; Yi-Chuan Chen; Chung-Mei Ouyang; Judith Shu-Chu Shiao. Association Between Sugar-Sweetened Beverage Consumption as Meal Substitutes, Workload, and Obesity in Nurses: A Cross-Sectional Study. International Journal of Environmental Research and Public Health 2019, 16, 4984 .

AMA Style

Ting-Ti Lin, Yue Leon Guo, Christopher Gordon, Elizabeth Cayanan, Yi-Chuan Chen, Chung-Mei Ouyang, Judith Shu-Chu Shiao. Association Between Sugar-Sweetened Beverage Consumption as Meal Substitutes, Workload, and Obesity in Nurses: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2019; 16 (24):4984.

Chicago/Turabian Style

Ting-Ti Lin; Yue Leon Guo; Christopher Gordon; Elizabeth Cayanan; Yi-Chuan Chen; Chung-Mei Ouyang; Judith Shu-Chu Shiao. 2019. "Association Between Sugar-Sweetened Beverage Consumption as Meal Substitutes, Workload, and Obesity in Nurses: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 16, no. 24: 4984.

Journal article
Published: 29 November 2019 in International Journal of Environmental Research and Public Health
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In healthcare settings, nurses’ workload, burnout, and job satisfaction are associated to the patient–nurse ratio. Whether this ratio also affects their intention to leave the nursing profession, along with the underlying stress pathway, remains unclear. This study aimed to investigate the effects of the patient–nurse ratio on nurses’ intention to leave and considering the mediating roles of burnout and job dissatisfaction. The study analyzed the data of two pooled cross-sectional surveys collected in 2013 and 2014. Measures were obtained by a structure questionnaire, which queried the average daily patient–nurse ratio (ADPNR), nurses’ personal burnout, client-related burnout, job dissatisfaction, intention to leave, and other demographics. ADPNRs were standardized according to hospital levels. Multiple regression models examined mediation hypotheses, and a percentile bootstrap confidence interval was applied to determine the significance of indirect effects. A total of 1409 full-time registered nurses in medical and surgical wards of 24 secondary or tertiary hospitals in Taiwan completed self-administered questionnaires. Most of the participants were female (97.2%), and the mean age was 29.9 years. The association between the standardized ADPNR and intention to leave their job was significantly mediated by personal burnout, client-related burnout, and job dissatisfaction. Higher standardized ADPNRs predicted higher levels of personal burnout, client-related burnout, and job dissatisfaction, each of which resulted in higher levels of intention to leave the current job. The results highlight that appropriate patient–nurse ratio standards may be further discussed by selecting personal burnout, client-related burnout, and job dissatisfaction as indicators.

ACS Style

Yi-Chuan Chen; Yue Leon Guo; Wei-Shan Chin; Nai-Yun Cheng; Jiune-Jye Ho; Judith Shu-Chu Shiao. Patient–Nurse Ratio is Related to Nurses’ Intention to Leave Their Job through Mediating Factors of Burnout and Job Dissatisfaction. International Journal of Environmental Research and Public Health 2019, 16, 4801 .

AMA Style

Yi-Chuan Chen, Yue Leon Guo, Wei-Shan Chin, Nai-Yun Cheng, Jiune-Jye Ho, Judith Shu-Chu Shiao. Patient–Nurse Ratio is Related to Nurses’ Intention to Leave Their Job through Mediating Factors of Burnout and Job Dissatisfaction. International Journal of Environmental Research and Public Health. 2019; 16 (23):4801.

Chicago/Turabian Style

Yi-Chuan Chen; Yue Leon Guo; Wei-Shan Chin; Nai-Yun Cheng; Jiune-Jye Ho; Judith Shu-Chu Shiao. 2019. "Patient–Nurse Ratio is Related to Nurses’ Intention to Leave Their Job through Mediating Factors of Burnout and Job Dissatisfaction." International Journal of Environmental Research and Public Health 16, no. 23: 4801.

Review
Published: 01 October 2019 in Chronobiology International
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Introduction: Epidemiological studies show that shift workers are at increased risk of cardiovascular diseases, metabolic dysfunction, diabetes, and obesity. Previous research has shown no difference in energy intake between night and day shifts only; however, it remains unclear whether other non-night shift patterns are different to night shift. Objectives: We investigated whether energy intake of night-shift workers differed from other shift patterns using calorimetry, food diary or food recall over 24-hour periods. Methods: A systematic review was conducted searching CINAHL, MEDLINE, Web of Science, Embase and PsycINFO databases for observational and interventional studies measuring energy intake in real or simulated shift work. Energy intake was extracted to compare night, day, afternoon/evening and rotating shift work cases. Results: After duplicate removal, we screened 1057 abstracts and 68 full-text articles were assessed for eligibility of which 15 studies met the inclusion criteria. All studies were cross-sectional and case–control designs in shift workers. Risk of bias assessment showed a low to moderate risk of bias in the majority of studies. There was no difference in energy intake between night-shift work and non-night shift patterns including early morning, day and afternoon/evening shifts. Night-shift workers did not favor particular macronutrients in comparison to other shift schedules. Conclusions: Energy and macronutrient intake were not detectably different in night shift compared to other shift patterns. Shift work patterns were heterogeneous which likely impacted on dietary assessment timings and computation of 24-h energy intake. Future studies should examine shift schedules with precise circadian timing of food consumption to determine if differences exist in energy and macronutrient intake between different shift patterns.

ACS Style

Elizabeth A. Cayanan; Nadine A. B. Eyre; Vickie. Lao; Maria Comas; Camilla M. Hoyos; Nathaniel S. Marshall; Craig L. Phillips; Judy S. C. Shiao; Yue Leon Guo; Christopher J. Gordon. Is 24-hour energy intake greater during night shift compared to non-night shift patterns? A systematic review. Chronobiology International 2019, 36, 1599 -1612.

AMA Style

Elizabeth A. Cayanan, Nadine A. B. Eyre, Vickie. Lao, Maria Comas, Camilla M. Hoyos, Nathaniel S. Marshall, Craig L. Phillips, Judy S. C. Shiao, Yue Leon Guo, Christopher J. Gordon. Is 24-hour energy intake greater during night shift compared to non-night shift patterns? A systematic review. Chronobiology International. 2019; 36 (12):1599-1612.

Chicago/Turabian Style

Elizabeth A. Cayanan; Nadine A. B. Eyre; Vickie. Lao; Maria Comas; Camilla M. Hoyos; Nathaniel S. Marshall; Craig L. Phillips; Judy S. C. Shiao; Yue Leon Guo; Christopher J. Gordon. 2019. "Is 24-hour energy intake greater during night shift compared to non-night shift patterns? A systematic review." Chronobiology International 36, no. 12: 1599-1612.

Journal article
Published: 15 January 2019 in International Journal of Environmental Research and Public Health
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Psychological factors may compromise return to work among workers with occupational injuries, and little is known about the long-term consequences of psychological symptoms relating to return to work. The study examined the impact of psychological symptoms on return to work as well as exploring factors associated with return to work among injured workers. A total of 572 workers who experienced occupational injuries were recruited in this prospective cohort study. Surveys of the psychological symptoms using the 5-item Brief Symptom Rating Scale (BSRS-5) were conducted at 3 and 12 months after the injury. All of the workers were invited to join the study at year 6 after the injury. Sociodemographic factors, psychological symptoms, injury severity, and return-to-work status were collected. Approximately 10% of injured workers could not return to work even 6 years after the injury. Severe psychological symptoms within 1 year after the injury presented a significant risk factor for not returning to work 6 years after the injury (adjusted OR = 0.7, 95% CI: 0.5–0.8). Furthermore, age, education level, length of hospitalization, and injury-induced changes in appearance had significant independent influence on return to work as well. These findings highlight the importance of the effects of mental health within 1 year post injury on return to work, and support the concept of early screening, detection, and intervention in at-risk occupational injured workers with severe psychological symptoms.

ACS Style

Po-Ching Chu; Wei-Shan Chin; Yue Leon Guo; Judith Shu-Chu Shiao. Long-Term Effects of Psychological Symptoms after Occupational Injury on Return to Work: A 6-Year Follow-Up. International Journal of Environmental Research and Public Health 2019, 16, 235 .

AMA Style

Po-Ching Chu, Wei-Shan Chin, Yue Leon Guo, Judith Shu-Chu Shiao. Long-Term Effects of Psychological Symptoms after Occupational Injury on Return to Work: A 6-Year Follow-Up. International Journal of Environmental Research and Public Health. 2019; 16 (2):235.

Chicago/Turabian Style

Po-Ching Chu; Wei-Shan Chin; Yue Leon Guo; Judith Shu-Chu Shiao. 2019. "Long-Term Effects of Psychological Symptoms after Occupational Injury on Return to Work: A 6-Year Follow-Up." International Journal of Environmental Research and Public Health 16, no. 2: 235.

Original article
Published: 24 October 2018 in Journal of Nursing Scholarship
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Purpose Nurses are exposed to a poor psychological work environment; this may cause poor mental health, which is a risk factor for suicidal ideation. We investigated the association between psychological work environment and suicidal ideation among hospital nurses in Taiwan. Design We conducted a cross‐sectional survey in Taiwan female nurses using stratified sampling by region (north, central, south, and east) to select representative centers for this study. Methods A self‐report questionnaire including items on demographic data, the psychological work environment, and suicidal ideation was sent to nurses working in hospitals. Multiple logistic regression and population attributable risk analyses were performed to assess the effect of the psychological work environment on suicidal ideation. Findings A total of 2,734 eligible questionnaires (76.8%) were returned. The prevalence of suicidal ideation was 18.3%, and higher risk was found to be associated with the educational level of junior college or below, higher personal burnout, higher client‐related burnout, and always feeling stressed at work. Estimation of population attributable risk showed that higher personal burnout, client‐related burnout, and always feeling stressed at work were the most crucial factors among nurses, accounting for 19.4%, 8.6%, and 10.5% of suicidal ideation, respectively. Conclusions A considerable proportion of nurses developed suicidal ideation. A poor psychological work environment was a relevant factor for suicidal ideation. Clinical Evidence This study provides relevant knowledge for nursing management levels in preventing the development of suicidal ideation among nurses. Not only for nurses’ mental health, but for patient safety and care quality, further studies in improving nurses’ psychological work environment are warranted.

ACS Style

Wei‐Shan Chin; Yi-Chuan Chen; Jiune‐Jye Ho; Nai‐Yun Cheng Ms; Hsueh‐Ching Wu; Judith S. C. Shiao. Psychological Work Environment and Suicidal Ideation Among Nurses in Taiwan. Journal of Nursing Scholarship 2018, 51, 106 -113.

AMA Style

Wei‐Shan Chin, Yi-Chuan Chen, Jiune‐Jye Ho, Nai‐Yun Cheng Ms, Hsueh‐Ching Wu, Judith S. C. Shiao. Psychological Work Environment and Suicidal Ideation Among Nurses in Taiwan. Journal of Nursing Scholarship. 2018; 51 (1):106-113.

Chicago/Turabian Style

Wei‐Shan Chin; Yi-Chuan Chen; Jiune‐Jye Ho; Nai‐Yun Cheng Ms; Hsueh‐Ching Wu; Judith S. C. Shiao. 2018. "Psychological Work Environment and Suicidal Ideation Among Nurses in Taiwan." Journal of Nursing Scholarship 51, no. 1: 106-113.

Journal article
Published: 04 September 2018 in The Journal of Clinical Psychiatry
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ACS Style

Wei-Shan Chin; Yue Leon Guo; Shih-Cheng Liao; Kuan-Han Lin; Chun-Ya Kuo; Chih-Chieh Chen; Judith S. C. Shiao. Suicidality 6 Years After Occupational Injury. The Journal of Clinical Psychiatry 2018, 79, 1 .

AMA Style

Wei-Shan Chin, Yue Leon Guo, Shih-Cheng Liao, Kuan-Han Lin, Chun-Ya Kuo, Chih-Chieh Chen, Judith S. C. Shiao. Suicidality 6 Years After Occupational Injury. The Journal of Clinical Psychiatry. 2018; 79 (5):1.

Chicago/Turabian Style

Wei-Shan Chin; Yue Leon Guo; Shih-Cheng Liao; Kuan-Han Lin; Chun-Ya Kuo; Chih-Chieh Chen; Judith S. C. Shiao. 2018. "Suicidality 6 Years After Occupational Injury." The Journal of Clinical Psychiatry 79, no. 5: 1.

Article
Published: 29 December 2017 in Quality of Life Research
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Occupational injuries have considerable impact on workers’ lives. However, data regarding workers’ health-related quality of life (HRQOL) at several years after the injury are lacking. This study assessed workers’ HRQOL at 6 years after occupational injury and determined related factors in each HRQOL domain. Workers who sustained an occupational injury in 2009 and who responded to a previous survey at 3 or 12 months after their injury were followed up in 2015. A total of 1715 participants were candidates for this study. The Taiwanese version of the World Health Organization Quality of Life scale-abbreviated version (WHOQOL-BREF) was used to assess their HRQOL. Multiple linear regression analysis identified predictive factors for HRQOL at 6 years after occupational injury. A total of 563 workers completed the questionnaire (response rate, 32.8%). Adverse life events and additional severe occupational injuries that occurred within the follow-up period, and decreased salary after the injury were significant factors for low scores in all domains of the WHOQOL-BREF. In addition, unmarried participants had low scores in the social relationship domain. Workers with family members requiring care scored low in the physical and environment domains. Workers whose injuries had major effects on their physical appearance had low scores in the physical and psychological domains. Workers with unstable employment had low scores in physical, psychological, and environment domains. At 6 years after occupational injury, workers’ HRQOL was poor among those whose salaries decreased after the injury, after adjustment for other factors.

ACS Style

Wei-Shan Chin; Yue Leon Guo; Shih-Cheng Liao; Hsueh-Ching Wu; Chun-Ya Kuo; Chih-Chieh Chen; Judith Shu-Chu Shiao. Quality of life at 6 years after occupational injury. Quality of Life Research 2017, 27, 609 -618.

AMA Style

Wei-Shan Chin, Yue Leon Guo, Shih-Cheng Liao, Hsueh-Ching Wu, Chun-Ya Kuo, Chih-Chieh Chen, Judith Shu-Chu Shiao. Quality of life at 6 years after occupational injury. Quality of Life Research. 2017; 27 (3):609-618.

Chicago/Turabian Style

Wei-Shan Chin; Yue Leon Guo; Shih-Cheng Liao; Hsueh-Ching Wu; Chun-Ya Kuo; Chih-Chieh Chen; Judith Shu-Chu Shiao. 2017. "Quality of life at 6 years after occupational injury." Quality of Life Research 27, no. 3: 609-618.

Research article
Published: 18 January 2017 in Nursing Ethics
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Background: Poor psychosocial work environments are considered critical factors of nurses’ intention to leave their profession. Workplace injustice has been proven to increase the incidence of psychiatric morbidity among workers. However, few studies have directly investigated the effect of workplace justice on nurses’ intention to leave their profession and the population attributable risk among nurses. Objective: This study identified factors associated with workplace justice and nurses’ intention to leave the profession. Method: A cross-sectional survey was conducted using a self-administered structured questionnaire. Approximately 10% of all secondary referral centers in Taiwan were stratified and randomly sampled. Multiple logistic regression and population attributable risks were preformed to assess the effect of workplace justice on nurses’ intention to leave the nursing profession. Ethical considerations: This study was approved by the Research and Ethical Committee of National Taiwan University Hospital. Only nurses who consented to the study participated in the survey. Result: A total of 2268 nurses were recruited, of whom 1417 (62.5%) satisfactorily completed the questionnaire. The participants were classified and 342 (24.1%) of them were placed into the low workplace justice group. Nurses with low workplace justice had a higher intention of leaving the profession (adjusted odds ratio = 1.34, 95% confidence interval = 1.02–1.77). “Employees’ opinions are influential in hospital’s decision making” and “employees’ performance is evaluated fairly” were the most influential factors of the participants’ intention to quit. The adjusted population attributable risk was 3.7% for low workplace justice. Conclusion: This study has identified that workplace justice is a protective factor of nurses’ leaving their current profession. A fair performance appraisal system and increased autonomy at work are warranted to dissuade nurses from leaving the nursing profession.

ACS Style

Weishan Chin; Yue-Liang Leon Guo; Yu-Ju Hung; Yueh-Tzu Hsieh; Li-Jie Wang; Judith Shu-Chu Shiao. Workplace justice and intention to leave the nursing profession. Nursing Ethics 2017, 26, 307 -319.

AMA Style

Weishan Chin, Yue-Liang Leon Guo, Yu-Ju Hung, Yueh-Tzu Hsieh, Li-Jie Wang, Judith Shu-Chu Shiao. Workplace justice and intention to leave the nursing profession. Nursing Ethics. 2017; 26 (1):307-319.

Chicago/Turabian Style

Weishan Chin; Yue-Liang Leon Guo; Yu-Ju Hung; Yueh-Tzu Hsieh; Li-Jie Wang; Judith Shu-Chu Shiao. 2017. "Workplace justice and intention to leave the nursing profession." Nursing Ethics 26, no. 1: 307-319.

Original paper
Published: 02 January 2017 in European Archives of Psychiatry and Clinical Neuroscience
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The aim of this study is to determine the prevalence rates of depressive, anxiety and PTSDs, and the risk factors for psychological symptoms at 6 years after occupational injury. This longitudinal study followed workers who were occupationally injured in 2009. Psychological symptoms and return to work were assessed at 3 and 12 months after injury. Injured workers who had completed the initial questionnaire survey at 3 or 12 months after injury were recruited. A self-administered questionnaire was mailed to the participants. For workers with high Brief Symptom Rating Scale and Post-traumatic Symptom Checklist scores, an in-depth psychiatric evaluation was performed using the Mini-international Neuropsychiatric Interview. A total of 570 workers completed the questionnaire (response rate, 28.7%). Among them, 243 (42.6%) had high psychological symptom scores and were invited for a phone interview; 135 (55.6%) completed the interview. The estimated rates of major depression and post-traumatic stress disorder (PTSD)/partial PTSD were 9.2 and 7.2%, respectively, and both these rates were higher at 6 years after injury than at 12 months after injury (2.0 and 5.1%). After adjustment for family and social factors, the risk factors for high psychological scores were length of hospitalization immediately after injury, affected physical appearance, repeated occupational injuries, unemployment, and number of quit jobs after the injury. At 6 years after occupational injury, the re-emergence of psychiatric disorders was observed. Relevant factors for poor psychological health were severity of injury and instability of work. Periodic monitoring of psychological and physical health and economic stability are warranted.

ACS Style

Wei-Shan Chin; Judith Shu-Chu Shiao; Shih-Cheng Liao; Chun-Ya Kuo; Chih-Chieh Chen; Yue Leon Guo. Depressive, anxiety and post-traumatic stress disorders at six years after occupational injuries. European Archives of Psychiatry and Clinical Neuroscience 2017, 267, 507 -516.

AMA Style

Wei-Shan Chin, Judith Shu-Chu Shiao, Shih-Cheng Liao, Chun-Ya Kuo, Chih-Chieh Chen, Yue Leon Guo. Depressive, anxiety and post-traumatic stress disorders at six years after occupational injuries. European Archives of Psychiatry and Clinical Neuroscience. 2017; 267 (6):507-516.

Chicago/Turabian Style

Wei-Shan Chin; Judith Shu-Chu Shiao; Shih-Cheng Liao; Chun-Ya Kuo; Chih-Chieh Chen; Yue Leon Guo. 2017. "Depressive, anxiety and post-traumatic stress disorders at six years after occupational injuries." European Archives of Psychiatry and Clinical Neuroscience 267, no. 6: 507-516.

Journal article
Published: 12 March 2015 in Epidemiology and Infection
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SUMMARYReporting of percutaneous injuries (PIs) to the Chinese Exposure Prevention Information Network (EPINet) became mandatory for all public and tertiary referral hospitals in Taiwan in 2011. We have estimated the number of microbially contaminated PIs and the national PI incidence using a retrospective secondary data analysis approach to analyse 2011 data from the Chinese EPINet to determine the types of PI, mechanisms of occurrence and associated risks. The results revealed a national estimate of PIs between 6710 and 8319 in 2011. The most common incidents for physicians were disposable syringes, suture needles, and disposable scalpels; while for nurses they were disposable syringes, intravenous catheters, and lancets. About 13·0% of the source patients were seropositive for hepatitis B virus (HBV) surface antigen, 13·8% were seropositive for hepatitis C virus (HCV), and 1·1% seropositive for human immunodeficiency virus (HIV). From these results we estimate that annually 970 full-time healthcare workers (HCWs) would be exposed to HBV, 1094 to HCV, and 99 to HIV. This study improves our understanding of the mechanisms and risks of PIs and informs the development of more efficient preventive measures to protect HCWs from such injuries.

ACS Style

H. C. Wu; J. J. Ho; M. H. Lin; C. J. Chen; Yue Leon Guo; J. S. C. Shiao. Incidence of percutaneous injury in Taiwan healthcare workers. Epidemiology and Infection 2015, 143, 3308 -3315.

AMA Style

H. C. Wu, J. J. Ho, M. H. Lin, C. J. Chen, Yue Leon Guo, J. S. C. Shiao. Incidence of percutaneous injury in Taiwan healthcare workers. Epidemiology and Infection. 2015; 143 (15):3308-3315.

Chicago/Turabian Style

H. C. Wu; J. J. Ho; M. H. Lin; C. J. Chen; Yue Leon Guo; J. S. C. Shiao. 2015. "Incidence of percutaneous injury in Taiwan healthcare workers." Epidemiology and Infection 143, no. 15: 3308-3315.

Journal article
Published: 01 January 2015 in International Journal of Nursing Studies
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Lack of sleep is a common problem amongst nurses. Short sleep duration has been related to stress and burnout. However, in nurses, the effects of short sleep duration on job strain and burnout are controversial and a clear relationship has been lacking. This study aims to assess whether short sleep duration is related to job strain and burnout statue, and whether such relationship is in a dose-dependent manner.A cross-sectional survey among female nurses in secondary referral health centers in Taiwan, using a self-administered structured questionnaire. Stratified sampling by region and patient bed number category was done to select representative centers for this survey. Approximately 10% of all secondary referral centers were randomly selected from each stratum. Non-linear dose-response relationship between sleep duration and job strain and burnout scores was assessed by general additive models (GAM), adjusting for personal characteristics, work condition, and family situation.Among the 2268 full-time nurses in 39 hospitals invited to participate in this study, 1384 (61%) satisfactorily completed the questionnaire. There were 169 nurses (12.2%) who slept less than 6 h per working day. Among the participants, 37% (n=512) were classified into high strain group. The mean scores of personal, work-related, and client-related burnout were 59.4 (SD=22.0), 54.6 (SD=21.7), and 42.3 (SD=18.6). Compared to those slept longer than 7 h, nurse who slept less than 6 h per working day had higher risk for job strain (adjusted odds ratio, AOR=1.8, 95% confidence interval, CI=1.2-2.7), personal burnout (AOR=3.0, CI=1.7-5.2), work-related burnout (AOR=3.4, CI=2.0-6.0), and client-related burnout (AOR=2.0, CI=1.2-3.6). GAM analysis found a linear relationship between sleep duration and job strain, and client-related burnout. For personal and work-related burnout, a linear increase in burnout score between 7 h and 5 h of sleep was observed, followed by a leveling off for durations of less than 5 h.Our study found sleep duration at working days was inversely associated with female nurses' job strain and burnout in a dose-dependent manner. Further studies on work factors which affecting sleep duration are warranted.

ACS Style

Weishan Chin; Yue Leon Guo; Yu-Ju Hung; Chiu-Yueh Yang; Judith Shu-Chu Shiao. Short sleep duration is dose-dependently related to job strain and burnout in nurses: A cross sectional survey. International Journal of Nursing Studies 2015, 52, 297 -306.

AMA Style

Weishan Chin, Yue Leon Guo, Yu-Ju Hung, Chiu-Yueh Yang, Judith Shu-Chu Shiao. Short sleep duration is dose-dependently related to job strain and burnout in nurses: A cross sectional survey. International Journal of Nursing Studies. 2015; 52 (1):297-306.

Chicago/Turabian Style

Weishan Chin; Yue Leon Guo; Yu-Ju Hung; Chiu-Yueh Yang; Judith Shu-Chu Shiao. 2015. "Short sleep duration is dose-dependently related to job strain and burnout in nurses: A cross sectional survey." International Journal of Nursing Studies 52, no. 1: 297-306.

Journal article
Published: 16 March 2013 in Journal of Occupational Rehabilitation
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Introduction This study aimed to examine the prevalence rates of both post-traumatic stress disorder (PTSD) and major depression at 12 months in workers experiencing different types of occupational injury in Taiwan. Demographic and injury-related risk factors for psychological symptoms were also evaluated. Methods Our study candidates were injured workers in Taiwan who were hospitalized for 3 days or longer and received hospitalization benefits from the Labor Insurance program. A two-staged survey study was conducted. A self-reported questionnaire including the Brief Symptom Rating Scale and Post-traumatic Symptom Checklist was sent to workers at 12 months after injury. Those who met the criteria were recruited for the second-stage phone interview with a psychiatrist using the Mini-international Neuropsychiatric Interview (MINI). Results A total of 1,233 workers completed the questionnaire (response rate 28.0 %). Among them, 167 (13.5 %) fulfilled the criteria for the MINI interview and were invited. A total of 106 (63.5 %) completed the phone interview. The estimated rate of either PTSD/PPTSD or major depression was 5.2 %. The risk factors for psychological symptoms were female gender, lower education level, loss of consciousness after occupational injury, injury affecting physical appearance, occupational injury experience before this event, life experience before and after this injury, length of hospital stay, self-rated injury severity, and percentage of income to the family. Conclusions These results showed that occupational injury can cause long-term psychological impact in workers. Key demographic and injury characteristics may enhance the identification of at-risk occupational injured workers who would benefit from targeted screening and early intervention efforts.

ACS Style

Kuan-Han Lin; Judith Shu-Chu Shiao; Nai-Wen Guo; Shih-Cheng Liao; Chun-Ya Kuo; Pei-Yi Hu; Jin-Huei Hsu; Yaw-Huei Hwang; Yue Leon Guo. Long-Term Psychological Outcome of Workers After Occupational Injury: Prevalence and Risk Factors. Journal of Occupational Rehabilitation 2013, 24, 1 -10.

AMA Style

Kuan-Han Lin, Judith Shu-Chu Shiao, Nai-Wen Guo, Shih-Cheng Liao, Chun-Ya Kuo, Pei-Yi Hu, Jin-Huei Hsu, Yaw-Huei Hwang, Yue Leon Guo. Long-Term Psychological Outcome of Workers After Occupational Injury: Prevalence and Risk Factors. Journal of Occupational Rehabilitation. 2013; 24 (1):1-10.

Chicago/Turabian Style

Kuan-Han Lin; Judith Shu-Chu Shiao; Nai-Wen Guo; Shih-Cheng Liao; Chun-Ya Kuo; Pei-Yi Hu; Jin-Huei Hsu; Yaw-Huei Hwang; Yue Leon Guo. 2013. "Long-Term Psychological Outcome of Workers After Occupational Injury: Prevalence and Risk Factors." Journal of Occupational Rehabilitation 24, no. 1: 1-10.

Original articles
Published: 01 March 2013 in Journal of Nursing Research
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Background: Prenatal detection of cleft lip and/or palate (CL/P) leads to high rates of induced termination of pregnancy. There has been little research in Taiwan done on the psychosocial factors affecting those who decide to continue their CL/P pregnancy. Purpose: This study identified the principal psychosocial factors that affect expecting mothers who chose to continue their CL/P pregnancy to term. Methods: Purposive sampling recruited expecting mothers with CL/P-diagnosed fetuses. Recruiting took place between May 2000 and March 2002 at a tertiary referral hospital in Taipei, Taiwan. Those who had decided to continue their pregnancy to term were asked to participate. Researchers obtained oral informed consent to be interviewed during the week following CL/P diagnosis. Interviews for each participant were completed within a 2-week period. All information was given to the interviewees in written and verbal forms before providing their written informed consent to participate. Results: The five major themes central to participant experiences included (1) loss of self-value as a mother, (2) blaming the mother, (3) indecision about whether to continue the pregnancy, (4) anxiety triggered by insufficient information, and (5) burden of care and concerns about potential disadvantaged status. Conclusions: Significant psychological distress was identified among participants following their fetus’ CL/P diagnosis. It was encouraging to learn that all participants told researchers in postpartum interviews that they did not regret the decision to take their child to term.

ACS Style

Yueh-Tzu Hsieh; Yu-Mei Yu Chao; Judith Shu-Chu Shiao. A Qualitative Study of Psychosocial Factors Affecting Expecting Mothers Who Choose to Continue a Cleft Lip and/or Palate Pregnancy to Term. Journal of Nursing Research 2013, 21, 1 -9.

AMA Style

Yueh-Tzu Hsieh, Yu-Mei Yu Chao, Judith Shu-Chu Shiao. A Qualitative Study of Psychosocial Factors Affecting Expecting Mothers Who Choose to Continue a Cleft Lip and/or Palate Pregnancy to Term. Journal of Nursing Research. 2013; 21 (1):1-9.

Chicago/Turabian Style

Yueh-Tzu Hsieh; Yu-Mei Yu Chao; Judith Shu-Chu Shiao. 2013. "A Qualitative Study of Psychosocial Factors Affecting Expecting Mothers Who Choose to Continue a Cleft Lip and/or Palate Pregnancy to Term." Journal of Nursing Research 21, no. 1: 1-9.

Clinical trial
Published: 29 March 2011 in Journal of Clinical Ultrasound
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It has been reported that the resistance index (RI) and pulsatility index (PI) are of limited value in differentiating lung cancers from benign lesions. We hypothesized that a vascular work index (VWI), derived from Doppler spectral waveforms, would yield better results. Forty-one patients were enrolled, 20 of them having malignancies and 21 having benign lesions. The VWI was defined as the square of peak systolic velocity times the time-velocity integral. Maximal VWI, minimal RI, and minimal PI of each tumor were used for analysis. Significantly higher VWI values were found in malignant tumors compared with benign lesions (p < 0.0001). VWI was shown by analysis of the receiver operating characteristic curve to be a best predictor of lung malignancies than PI and RI (p < 0.05), with a 0.89 (95% confidence interval, 0.80-0.98) area under the receiver operating characteristic curve. VWI may be a useful index to help differentiate malignant from benign lung tumors.

ACS Style

Tsung-Ju Wu; Judith Shu-Chu Shiao; Jau-Yeong Lu. A novel Doppler spectral index for differentiating benign from malignant lung tumors. Journal of Clinical Ultrasound 2011, 39, 256 -262.

AMA Style

Tsung-Ju Wu, Judith Shu-Chu Shiao, Jau-Yeong Lu. A novel Doppler spectral index for differentiating benign from malignant lung tumors. Journal of Clinical Ultrasound. 2011; 39 (5):256-262.

Chicago/Turabian Style

Tsung-Ju Wu; Judith Shu-Chu Shiao; Jau-Yeong Lu. 2011. "A novel Doppler spectral index for differentiating benign from malignant lung tumors." Journal of Clinical Ultrasound 39, no. 5: 256-262.

Journal article
Published: 25 December 2009 in International Archives of Occupational and Environmental Health
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Nurses are at risk of occupational assaults. However, the incidence and effects have not been documented among nurses in Taiwan. We aimed to study the incidence of assaults and their effects, including quality of life and job-related stress among nurses.

ACS Style

Judith Shu-Chu Shiao; Yuntin Tseng; Yueh-Tzu Hsieh; Jui-Yeh Hou; Yawen Cheng; Yue Leon Guo. Assaults against nurses of general and psychiatric hospitals in Taiwan. International Archives of Occupational and Environmental Health 2009, 83, 823 -832.

AMA Style

Judith Shu-Chu Shiao, Yuntin Tseng, Yueh-Tzu Hsieh, Jui-Yeh Hou, Yawen Cheng, Yue Leon Guo. Assaults against nurses of general and psychiatric hospitals in Taiwan. International Archives of Occupational and Environmental Health. 2009; 83 (7):823-832.

Chicago/Turabian Style

Judith Shu-Chu Shiao; Yuntin Tseng; Yueh-Tzu Hsieh; Jui-Yeh Hou; Yawen Cheng; Yue Leon Guo. 2009. "Assaults against nurses of general and psychiatric hospitals in Taiwan." International Archives of Occupational and Environmental Health 83, no. 7: 823-832.

Multicenter study
Published: 01 March 2009 in Journal of Occupational Health
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As an occupational injury, percutaneous injury (PI) can result in chronic morbidity and death for healthcare workers (HCWs). A pilot surveillance system for PIs using the Chinese version of Exposure Prevention Information Network (EPINet) was introduced in Taiwan in 2003. We compared data from EPINet and recall of PIs using a cross-sectional survey for rates to establish the reliability of the new system.

ACS Style

Judith Shu-Chu Shiao; Mary-Louise McLaws; Ming-Hsiu Lin; Janine Jagger; Chiou-Jong Chen. Chinese EPINet and recall rates for percutaneous injuries: an epidemic proportion of underreporting in the Taiwan healthcare system. Journal of Occupational Health 2009, 51, 132 -136.

AMA Style

Judith Shu-Chu Shiao, Mary-Louise McLaws, Ming-Hsiu Lin, Janine Jagger, Chiou-Jong Chen. Chinese EPINet and recall rates for percutaneous injuries: an epidemic proportion of underreporting in the Taiwan healthcare system. Journal of Occupational Health. 2009; 51 (2):132-136.

Chicago/Turabian Style

Judith Shu-Chu Shiao; Mary-Louise McLaws; Ming-Hsiu Lin; Janine Jagger; Chiou-Jong Chen. 2009. "Chinese EPINet and recall rates for percutaneous injuries: an epidemic proportion of underreporting in the Taiwan healthcare system." Journal of Occupational Health 51, no. 2: 132-136.

Research article
Published: 14 January 2008 in Research in Nursing & Health
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We established a standardized surveillance system using the Chinese Exposure Prevention Information Network to estimate the frequency of percutaneous injuries (PCIs) in Taiwanese healthcare workers (HCWs). Fourteen hospitals employing 8,132 HCWs participated and a total of 583 PCIs were reported. The annual number was estimated to be 8,058 PCIs per hospital size, 8,100 per HCWs, and 8,286 per inpatient‐day; indicating similar estimates using different denominators. The estimated annual frequency of pathogen‐specific PCIs was 1,168 for hepatitis B, 1,263 for hepatitis C, and 59 for HIV. This study documents the annual incidence of PCI among HCWs showing important potential exposure to viral hepatitis and HIV in Taiwan. © 2008 Wiley Periodicals, Inc. Res Nurs Health 31:172–179, 2008

ACS Style

Judith S.C. Shiao; Ming-Siou Lin; Tung-Sheng Shih; Janine Jagger; Chiou-Jong Chen. National incidence of percutaneous injury in Taiwan healthcare workers. Research in Nursing & Health 2008, 31, 172 -179.

AMA Style

Judith S.C. Shiao, Ming-Siou Lin, Tung-Sheng Shih, Janine Jagger, Chiou-Jong Chen. National incidence of percutaneous injury in Taiwan healthcare workers. Research in Nursing & Health. 2008; 31 (2):172-179.

Chicago/Turabian Style

Judith S.C. Shiao; Ming-Siou Lin; Tung-Sheng Shih; Janine Jagger; Chiou-Jong Chen. 2008. "National incidence of percutaneous injury in Taiwan healthcare workers." Research in Nursing & Health 31, no. 2: 172-179.

Journal article
Published: 01 November 2007 in Contact Dermatitis
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Background: Construction workers exposed to cement are known to suffer from occupational contact dermatitis because of chromate sensitization. It is not clear whether certain genotypes are associated with increased susceptibility of chromate sensitization in those workers regularly exposed to cement. Objective: The objective of this study was to determine the genotypes predisposing workers to cement‐induced contact dermatitis. Methods: A total of 153 current cement workers who had regular contact with cement were telephone interviewed for skin problems in the past 12 months, work exposure, and personal protection. A dermatologist examined their skin and conducted patch test with common skin allergens. Blood samples were donated for genotypic determination by polymerase chain reaction‐based assays for GST‐T1, GST‐M1 (null/non‐null), tumour necrosis factor (TNF) alpha promoter‐308G/A, and interleukin (IL) 4‐590C/T. Result: High percentage of dermatitis was noted in the 153 workers examined, which was correlated with reported skin problems. By patch testing, construction workers had a high‐prevalence rate (12%) of sensitivity to chromate. Sensitivity to chromate was significantly associated with TNF alpha promoter‐308 heterozygous (GA) as compared with GG genotype (odds ratio 3.9, 95% confidence interval 1.1–13.2), as well as with GST‐T1 null genotype (odds ratio 5.5, 95% confidence interval 1.4–36.2), but neither the GST‐M1 nor the IL‐4 genotypes. Conclusion: It is concluded that among workers frequently exposed to cement in Southern Taiwan, those with TNF alpha promoter‐308 heterozygous (GA) genotype or GST‐T1 null genotype had increased risk of chromate sensitization.

ACS Style

Bour-J R Wang; Judith Shu-Chu Shiao; Chiou-Jong Chen; Yeu-Chin Lee; Yue Leon Guo. Tumour necrotizing factor-α promoter and GST-T1 genotype predict skin allergy to chromate in cement workers in Taiwan. Contact Dermatitis 2007, 57, 309 -315.

AMA Style

Bour-J R Wang, Judith Shu-Chu Shiao, Chiou-Jong Chen, Yeu-Chin Lee, Yue Leon Guo. Tumour necrotizing factor-α promoter and GST-T1 genotype predict skin allergy to chromate in cement workers in Taiwan. Contact Dermatitis. 2007; 57 (5):309-315.

Chicago/Turabian Style

Bour-J R Wang; Judith Shu-Chu Shiao; Chiou-Jong Chen; Yeu-Chin Lee; Yue Leon Guo. 2007. "Tumour necrotizing factor-α promoter and GST-T1 genotype predict skin allergy to chromate in cement workers in Taiwan." Contact Dermatitis 57, no. 5: 309-315.