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Maria Hung
School of Nursing, Tung Wah College, Hong Kong, China

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Journal article
Published: 23 June 2021 in International Journal of Environmental Research and Public Health
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The coronavirus (COVID-19) pandemic has caused a global health crisis. The adverse impacts on Asian women, including those in Hong Kong, are substantial. This cross-sectional online study examined the impacts of COVID-19 on Hong Kong women, including psychological effects, self-belief in coping, and quality of life, and was conducted over 4 weeks from July to August 2020. Females aged over 18, living in Hong Kong, and that could read Chinese, were included. Among 417 participants, 50.8% were aged below 50, 66.7% were married, 57.1% were caregivers, 61.4% had a family income of

ACS Style

Maria Hung; Stanley Lam; Liliane Chan; Sisi Liu; Meyrick Chow. The Psychological and Quality of Life Impacts on Women in Hong Kong during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health 2021, 18, 6734 .

AMA Style

Maria Hung, Stanley Lam, Liliane Chan, Sisi Liu, Meyrick Chow. The Psychological and Quality of Life Impacts on Women in Hong Kong during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health. 2021; 18 (13):6734.

Chicago/Turabian Style

Maria Hung; Stanley Lam; Liliane Chan; Sisi Liu; Meyrick Chow. 2021. "The Psychological and Quality of Life Impacts on Women in Hong Kong during the COVID-19 Pandemic." International Journal of Environmental Research and Public Health 18, no. 13: 6734.

Journal article
Published: 16 August 2020 in Collegian
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Background Insufficient mental health related knowledge among healthcare professionals and students may lead to higher levels of stigma towards and increased social distance from mentally unwell patients. Moreover, university students enrolled in healthcare programmes are particularly susceptible to stress, depression, anxiety and other mental health problems. Objective This study evaluated the effectiveness of the Mental Health First Aid (MHFA) Programme for undergraduate general nursing students in improving their mental health literacy, decreasing their social distance from persons with mental health issues, increasing their mental health first-aid intention, and enhancing their confidence in assisting others. The programme was also extended the effectiveness to help students to maintain their own mental wellbeing. Methods A randomised controlled trial study with a pre-test, post-test, and follow-up research design was conducted. Three hundred and fifty-eight students were recruited. The experimental group comprised 182 students, of whom 168 completed MHFA training and a post-test questionnaire in mid-2017, and 167 students completed a follow-up questionnaire early in 2018. Meanwhile, 175 and 165 of the 176 students in the control group completed the post-test and follow-up questionnaires, respectively. Results The effectiveness of the MHFA programme was supported by the results of repeated measures analysis of variance with Greenhouse-Geisser correction. Significant interaction effects were found in mental health knowledge in recognition of depression (ηp2 = 0.17; 95% CI: 0.24, 0.42), recognition of schizophrenia (ηp2 = 0.16; 95% CI: 0.33, 0.47), depression social distance (ηp2 = 0.20; 95% CI: −0.41. −0.22), schizophrenia social distance (ηp2 = 0.31; 95% CI: −0.58, −0.37), confidence in helping (ηp2 = 0.04; 95% CI: 0.11. 0.14), mental first-aid actions (ηp2 = 0.08; 95% CI: 1.75, 2.90), and mental wellbeing (ηp2 = 0.15; 95% CI: −0.53, −0.19). Discussion Mental illnesses present substantial challenges to healthcare professionals worldwide. MHFA training should be promoted locally and integrated within compulsory training and extracurricular activities in curricula developed for healthcare and general university students. Conclusion This study confirms the benefits of MHFA for general nursing students in developing their professional understanding of and willingness to assist people with mental health problems, and in developing, maintaining, and improving their understanding of their own mental health.

ACS Style

Maria S.Y. Hung; Meyrick C.M. Chow; Wai Tong Chien; Prudence Y.K. Wong. Effectiveness of the Mental Health First Aid programme for general nursing students in Hong Kong: A randomised controlled trial. Collegian 2020, 28, 106 -113.

AMA Style

Maria S.Y. Hung, Meyrick C.M. Chow, Wai Tong Chien, Prudence Y.K. Wong. Effectiveness of the Mental Health First Aid programme for general nursing students in Hong Kong: A randomised controlled trial. Collegian. 2020; 28 (1):106-113.

Chicago/Turabian Style

Maria S.Y. Hung; Meyrick C.M. Chow; Wai Tong Chien; Prudence Y.K. Wong. 2020. "Effectiveness of the Mental Health First Aid programme for general nursing students in Hong Kong: A randomised controlled trial." Collegian 28, no. 1: 106-113.

Journal article
Published: 17 July 2020 in Nurse Education in Practice
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Learner-centred education has been shown to be an effective teaching method in the healthcare disciplines that integrate practical skills and theoretical knowledge. However, the elements of learner-centred education that influence students' motivation and engagement in learning remain unclear. In this descriptive qualitative research study, 43 nursing students in a baccalaureate nursing programme in Hong Kong who enrolled in a disaster and trauma nursing course were recruited through purposive sampling. Data were collected through semi-structured, face-to-face, focus group interviews. The transcribed interviews were interpreted through the use of qualitative analysis. This study revealed that adopting learner-centred education techniques in a disaster nursing course could cater to the hedonic nature and practical nature of learning disaster nursing, which consequently strengthens student's motivation and engagement in learning. The findings also suggested that learner-centred education could improve nursing students' learning experience and promote their transformation from passive and receptive students into proactive learners. The present study provides a greater and more focused understanding of the elements of learner-centred education that promote motivation and engagement in learning among nursing students. This study could offer insights into the development and evaluation of disaster nursing courses and other subjects in the undergraduate nursing curriculum.

ACS Style

Maria S.Y. Hung; Stanley K.K. Lam; Meyrick C.M. Chow. Nursing students’ experiences and perceptions of learner-centred education in a disaster nursing course: A qualitative study. Nurse Education in Practice 2020, 47, 102829 .

AMA Style

Maria S.Y. Hung, Stanley K.K. Lam, Meyrick C.M. Chow. Nursing students’ experiences and perceptions of learner-centred education in a disaster nursing course: A qualitative study. Nurse Education in Practice. 2020; 47 ():102829.

Chicago/Turabian Style

Maria S.Y. Hung; Stanley K.K. Lam; Meyrick C.M. Chow. 2020. "Nursing students’ experiences and perceptions of learner-centred education in a disaster nursing course: A qualitative study." Nurse Education in Practice 47, no. : 102829.

Journal article
Published: 28 May 2020 in International Journal of Environmental Research and Public Health
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Global increases in both population size and ageing have led to a drastic expansion in the demand for healthcare services. The shortage of nursing workforce capacity continues, posing immense challenges for the global healthcare system. We aimed to identify the antecedents and contextual factors that contribute to the decisions of occupational turnover from the clinical duties of registered nurses in public hospitals in Hong Kong. A qualitative descriptive design was used in this study. A total of 18 registered nurses who had resigned from public hospitals in Hong Kong and changed their occupations were recruited via convenience and snowball sampling methods. Data were collected through individual, semi-structured, and face-to-face interviews and were analyzed according to the content analysis approach. The antecedents and contextual factors that contributed to the registered nurses’ decisions regarding occupational turnover were identified from the collected data. These factors were classified into three overarching categories: (1) job dissatisfaction due to a tense work environment, (2) low motivation due to limited career opportunities, and (3) inadequate communication due to ineffective leadership. The identification of these antecedents and contextual factors could help healthcare service providers to develop strategies to enhance nurses’ commitment and engagement in their positions and eventually improve their retention. Based on these factors, healthcare sector policy makers could consider incorporating appropriate strategies into healthcare system policy.

ACS Style

Maria S. Y. Hung; Stanley K. K. Lam. Antecedents and Contextual Factors Affecting Occupational Turnover among Registered Nurses in Public Hospitals in Hong Kong: A Qualitative Descriptive Study. International Journal of Environmental Research and Public Health 2020, 17, 3834 .

AMA Style

Maria S. Y. Hung, Stanley K. K. Lam. Antecedents and Contextual Factors Affecting Occupational Turnover among Registered Nurses in Public Hospitals in Hong Kong: A Qualitative Descriptive Study. International Journal of Environmental Research and Public Health. 2020; 17 (11):3834.

Chicago/Turabian Style

Maria S. Y. Hung; Stanley K. K. Lam. 2020. "Antecedents and Contextual Factors Affecting Occupational Turnover among Registered Nurses in Public Hospitals in Hong Kong: A Qualitative Descriptive Study." International Journal of Environmental Research and Public Health 17, no. 11: 3834.

Correspondence
Published: 16 May 2020 in International Journal of Nursing Studies
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ACS Style

Stanley Kam Ki Lam; Maria Shuk Yu Hung; Wai Tong Chien. Uncertainty surrounding the use of face masks in the community amid the COVID-19 pandemic. International Journal of Nursing Studies 2020, 108, 103651 -103651.

AMA Style

Stanley Kam Ki Lam, Maria Shuk Yu Hung, Wai Tong Chien. Uncertainty surrounding the use of face masks in the community amid the COVID-19 pandemic. International Journal of Nursing Studies. 2020; 108 ():103651-103651.

Chicago/Turabian Style

Stanley Kam Ki Lam; Maria Shuk Yu Hung; Wai Tong Chien. 2020. "Uncertainty surrounding the use of face masks in the community amid the COVID-19 pandemic." International Journal of Nursing Studies 108, no. : 103651-103651.

Journal article
Published: 06 April 2020 in International Journal of Environmental Research and Public Health
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Emergency nurses frequently encounter uncertainty and changes during the management of emerging infectious diseases, which challenge their capability to perform their duties in a well-planned and systematic manner. To date, little is known about the coping strategies adopted by emergency nurses in addressing uncertainty and changes during an epidemic event. The present study explored emergency nurses’ behaviours and strategies in handling uncertainty and practice changes during an epidemic event. A qualitative study based on the Straussian grounded theory approach was established. Semi-structured, face-to-face, individual interviews were conducted with 26 emergency nurses for data collection. Adapting protocol to the evolving context of practice was revealed as the core category. Four interplaying subcategories were identified: (1) Completing a comprehensive assessment, (2) continuing education for emerging infectious disease management, (3) incorporating guideline updates and (4) navigating new duties and competencies. The nurses demonstrated the prudence to orientate themselves to an ambiguous work situation and displayed the ability to adapt and embrace changes in their practice and duties. These findings offer insights into the need for education and training schemes that allow emergency nurses to acquire and develop the necessary decision-making and problem-solving skills to handle a public health emergency.

ACS Style

Stanley K.K. Lam; Enid W.Y. Kwong; Maria S.Y. Hung; Wai-Tong Chien. Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study. International Journal of Environmental Research and Public Health 2020, 17, 2490 .

AMA Style

Stanley K.K. Lam, Enid W.Y. Kwong, Maria S.Y. Hung, Wai-Tong Chien. Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study. International Journal of Environmental Research and Public Health. 2020; 17 (7):2490.

Chicago/Turabian Style

Stanley K.K. Lam; Enid W.Y. Kwong; Maria S.Y. Hung; Wai-Tong Chien. 2020. "Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study." International Journal of Environmental Research and Public Health 17, no. 7: 2490.

Empirical studies
Published: 01 January 2020 in International Journal of Qualitative Studies on Health and Well-being
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Purpose: Emerging infectious diseases are considered as a pressing challenge to global public health. Throughout public health response to emerging infectious diseases, emergency nurses are situated at the forefront of the healthcare system. The present study has explored emergency nurses’ perceptions regarding the risks appraisal of the threat of the emerging infectious disease situation in emergency department context. Methods: The present study used a qualitative descriptive approach. A purposive sampling method was employed to recruit emergency nurses who worked in public hospitals in Hong Kong. Semi-structured interviews were conducted to 24 emergency nurses. The data were interpreted using a thematic analysis strategy. Results: Five overarching themes emerged from the data: (1) the novelty of an emerging infectious disease, (2) the severity of an emerging infectious disease, (3) the proximity to an emerging infectious disease, (4) the complexity of an emerging infectious disease situation, and (5) the response levels towards an emerging infectious disease situation. Conclusion: It is anticipated that the information may help to predict the attitudes and behaviours of emergency nurses in future impending epidemic events, enhancing emergency nurses’ preparedness towards in such situations. Abbreviations: EID: Emerging infectious disease; ED: Emergency department; SARS: Severe acute respiratory syndrome; MERS: Middle East respiratory syndrome; WHO: World Health Organization; RN: Registered nurse; APN: Advanced practice nurse; NO: Nursing officer

ACS Style

Stanley Kam Ki Lam; Enid Wai Yung Kwong; Maria Shuk Yu Hung; Wai Tong Chien. Emergency nurses’ perceptions regarding the risks appraisal of the threat of the emerging infectious disease situation in emergency departments. International Journal of Qualitative Studies on Health and Well-being 2020, 15, e1718468 .

AMA Style

Stanley Kam Ki Lam, Enid Wai Yung Kwong, Maria Shuk Yu Hung, Wai Tong Chien. Emergency nurses’ perceptions regarding the risks appraisal of the threat of the emerging infectious disease situation in emergency departments. International Journal of Qualitative Studies on Health and Well-being. 2020; 15 (1):e1718468.

Chicago/Turabian Style

Stanley Kam Ki Lam; Enid Wai Yung Kwong; Maria Shuk Yu Hung; Wai Tong Chien. 2020. "Emergency nurses’ perceptions regarding the risks appraisal of the threat of the emerging infectious disease situation in emergency departments." International Journal of Qualitative Studies on Health and Well-being 15, no. 1: e1718468.

Journal article
Published: 24 May 2019 in GSTF Journal of Nursing and Health Care
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Emergency nurses are regarded as the key healthcare professional (HCP) in the emergency department endof-life (ED-EOL) care. The emergency nurses encountered the dying and death on a regular base. Still, they find the EOL care is another aspect and caring from their usual practice. With the successful ED-EOL care delivery, it can help to meet the needs of the imminent patients and families. Emergency nurses admired the pain and symptoms management helping the ED-EOL patients. This paper reviewed the existing literature on the emergency nurses’ perception of ED-EOL care. A systematic search of the literature published between January 2005 and January 2016 was conducted to identify published studies concerning emergency nurses’ practice and the influencing factors in EOL care provision. The final sample for this integrative review was comprised of 23 studies. It is suggested in the results of the included studies that emergency nurses’ EOL care in the clinical context could involve the care of the dying patients and their families in both physical, psychosocial and spiritual aspects. Further study of the emergency nurses and different ED-HCPs are encouraged which could make the ED-EOL care more fruitful and bright in the future.

ACS Style

Kam Ki Stanley Lam; Wai Keung Johnson Tse; Shuk Yu Maria Hung. Emergency Nurses’ Experience on End-of-life Care: An Integrative Review. GSTF Journal of Nursing and Health Care 2019, 4, 1 .

AMA Style

Kam Ki Stanley Lam, Wai Keung Johnson Tse, Shuk Yu Maria Hung. Emergency Nurses’ Experience on End-of-life Care: An Integrative Review. GSTF Journal of Nursing and Health Care. 2019; 4 (1):1.

Chicago/Turabian Style

Kam Ki Stanley Lam; Wai Keung Johnson Tse; Shuk Yu Maria Hung. 2019. "Emergency Nurses’ Experience on End-of-life Care: An Integrative Review." GSTF Journal of Nursing and Health Care 4, no. 1: 1.

Journal article
Published: 08 March 2019 in Collegian
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With the increasing prevalence of mental illnesses worldwide, nurses’ competence and preparedness in addressing patients’ mental health needs warrant particular attention. However, nurses who receive general nursing training may have inadequate knowledge and beliefs about mental health disorders. Although Mental Health First Aid (MHFA) training is considered relevant in improving participants’ mental health literacy, the benefits of incorporating the training into general nursing education have not yet been clearly defined in the literature. The present study aimed to explore undergraduate nursing students’ perceptions and experiences of participating in MHFA training. The study adopted a qualitative descriptive method. Twenty-five nursing students in a Baccalaureate nursing programme in Hong Kong who had completed a 12-h MHFA training course were recruited. Data were collected through semi-structured, face-to-face, individual interviews and analysed using thematic analysis. Five overarching themes regarding the participants’ experiences of the MHFA training were identified from the data: (1) reinforced knowledge and understanding, (2) enhanced techniques and skills, (3) rectified beliefs and values, (4) improved self-awareness of personal mental health status and (5) a heightened sense of achievement and satisfaction. In addition to enhancing nursing students’ competence and readiness in managing individuals with mental health conditions, Mental Health First Aid training could strengthen nursing students’ awareness of their own mental health. The findings provide a greater understanding of the practical and experiential benefits of MHFA training for nursing students, and highlight the relevance of incorporating this training into the undergraduate general nursing curriculum.

ACS Style

Maria S.Y. Hung; Stanley Kam Ki Lam; Meyrick C.M. Chow. Nursing students’ experiences of mental health first aid training: A qualitative descriptive study. Collegian 2019, 26, 534 -540.

AMA Style

Maria S.Y. Hung, Stanley Kam Ki Lam, Meyrick C.M. Chow. Nursing students’ experiences of mental health first aid training: A qualitative descriptive study. Collegian. 2019; 26 (5):534-540.

Chicago/Turabian Style

Maria S.Y. Hung; Stanley Kam Ki Lam; Meyrick C.M. Chow. 2019. "Nursing students’ experiences of mental health first aid training: A qualitative descriptive study." Collegian 26, no. 5: 534-540.

Empirical studies
Published: 01 January 2019 in International Journal of Qualitative Studies on Health and Well-being
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Purpose: Emergency nurses are engaged in the management of epidemic events that unfold along with the evolution of diseases. The goal of this study was to explore the contextual factors that inhibited the ability of emergency nurses to perform their duties in response to an outbreak. Methods: A qualitative descriptive design was used to explore the experiences and perceptions of emergency nurses. Participants were purposively recruited from 12 emergency departments in Hong Kong. Semi-structured face-to-face individual interviews were conducted with 26 emergency nurses. The audio-recorded interviews were transcribed verbatim and interpreted with a thematic analysis approach. Results: Four intertwined themes emerged from the analysis: resource constraints, threats of infection, ubiquitous changes and lingering uncertainties. These themes portrayed the constraints and challenges surrounding the work environment of emergency nurses. Conclusion: This study described the instabilities and vulnerabilities of the circumstances in which the emergency nurses were situated in during epidemic events. The findings shed light on the importance of hospitals and emergency departments in addressing both the technical problems and adaptive challenges that face emergency nurses during epidemic events.

ACS Style

Stanley K. K. Lam; Enid W. Y. Kwong; Maria S. Y. Hung; Samantha M. C. Pang; Wai T. Chien. A qualitative descriptive study of the contextual factors influencing the practice of emergency nurses in managing emerging infectious diseases. International Journal of Qualitative Studies on Health and Well-being 2019, 14, 1626179 .

AMA Style

Stanley K. K. Lam, Enid W. Y. Kwong, Maria S. Y. Hung, Samantha M. C. Pang, Wai T. Chien. A qualitative descriptive study of the contextual factors influencing the practice of emergency nurses in managing emerging infectious diseases. International Journal of Qualitative Studies on Health and Well-being. 2019; 14 (1):1626179.

Chicago/Turabian Style

Stanley K. K. Lam; Enid W. Y. Kwong; Maria S. Y. Hung; Samantha M. C. Pang; Wai T. Chien. 2019. "A qualitative descriptive study of the contextual factors influencing the practice of emergency nurses in managing emerging infectious diseases." International Journal of Qualitative Studies on Health and Well-being 14, no. 1: 1626179.