Publications by authors named "Lily Dongxia Xiao"

The study utilized a cross-sectional design to determine the relationship between positive and negative mentoring experiences and intentions to engage in future formal mentoring and the mediating role of aspects of social exchange theory particularly Negotiated Exchange Orientation and Perceived Organization Support. The study was conducted among 303 nurses and midwives working in acute care hospitals in Uganda. The results showed that, in the negative mentoring model, Perceived Organization Support fully mediated the relationship between lack of mentor expertise and willingness to participate in formal mentoring programs (B = -0.

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Aim: To explore the stakeholders' perspectives and develop a conceptual framework for promotion strategies to implement the iSupport-based intervention for family caregivers of people with dementia.

Design: A descriptive qualitative design was adopted.

Methods: Semi-structured interviews were conducted with 49 stakeholders of people with dementia from July to December 2023.

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Background: Across countries, most dementia carers report a lack of adequate information about dementia and local services. To address this issue, the World Health Organization developed the iSupport programme to provide information and support to dementia carers. The iSupport online programme was found to be feasible and acceptable by dementia carers.

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Article Synopsis
  • Patients with lung cancer experience significant sleep disturbances, with a prevalence rate of over 60%.
  • A systematic review identified key risk factors linked to these sleep issues, including old age, low education level, fatigue, pain, advanced tumor stages (III or IV), anxiety, and depression.
  • Specific findings highlighted pain and depression as major contributors to sleep problems in these patients, with depression showing the strongest association.
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Objective: To compare perspectives of family and professional caregivers regarding an online self-learning platform.

Methods: Family and professional caregivers were interviewed separately. A thematic analysis was conducted with 12 family caregivers and 13 professional caregivers of people living with dementia in Macao using six semi-structured focus group interviews.

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Background: Maintaining physical function is critical for older adults to achieve healthy aging. The Otago exercise program (OEP) has been widely used to prevent falls for older adults. However, the effects of OEP on physical function remain controversial and the possible effects modifiers have not been assessed.

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Aim: To understand clinicians' motivations to engage in mentoring to support newly graduated nurses and midwives working in hospital settings.

Background: Nursing and midwifery literature has established the benefits of mentoring and challenges that affect the effectiveness of formal mentoring programmes. No studies have explored hospital nurses' and midwives' motivations to mentor in the absence of the obligatory status and associated rewards of institutionalised mentoring.

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Mentoring literature explores the dark side of mentoring as factors such as gender and race and how they affect the overall mentoring experience. The sociocultural context of the nursing and midwifery professions presents unique characteristics warranting a qualitative exploration of negative mentoring experiences. We aimed to characterise the dark side of mentoring based on informal mentoring relationships occurring among nurses and midwives working in hospitals.

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Aim: To synthesise evidence from the literature on hospital nurses' perceived challenges and opportunities in the care of people with dementia.

Background: People with dementia often have longer lengths of hospital stay and poorer health outcomes compared to those without dementia. Nurses play a pivotal role in the care of people with dementia.

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Background: Frailty is commonly observed in stroke patients and it is associated with adverse outcomes. However, there remains a gap in longitudinal studies investigating the causal relationship between baseline frailty and short-term prognosis in discharged adult stroke patients.

Objective: To examine the causal impact of frailty on non-elective readmission and major adverse cardiac and cerebral events, and investigate its associations with cognitive impairment and post-stroke disability.

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Article Synopsis
  • Older adults are at higher risk for serious health issues like falls and strokes due to a condition called postprandial hypotension (PPH), which varies in prevalence across studies.
  • A systematic review and meta-analysis of 13 studies found that the prevalence of PPH in older adults is 40.5%, with notable differences based on living situations, such as community settings and healthcare facilities.
  • The study highlights the need for more research to confirm these findings and calls for an international consensus on how to diagnose and assess PPH.
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Aims: To identify intrinsic capacity trajectories, predictors of intrinsic capacity trajectories and associations between intrinsic capacity trajectories and care dependence in community-dwelling older adults in China.

Methods: A retrospective longitudinal study was conducted, and the data were obtained from a five-year national longitudinal cohort study of older adults in China between 2011 and 2015. The social determinants of health framework informed the data analysis and interpretation.

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Background: As the primary caregivers for people with dementia in China, family caregivers face a significant care burden that can negatively impact their mental and physical health. It is vital to investigate ways to support these caregivers.

Objective: To assess the effectiveness of a program led by community nurses to support caregivers of individuals with dementia.

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Article Synopsis
  • The Draw-Care study aims to address the psychological distress experienced by ethnically diverse family carers of dementia patients through a culturally adapted digital intervention that includes a multilingual website and various support tools.
  • The intervention will be tested in a 12-week randomized control trial involving 194 carers from multiple language groups, with resources co-designed in collaboration with carers, people with dementia, and healthcare professionals.
  • This study is divided into three phases, with Phase I focusing on development informed by stakeholder feedback, and Phases II and III set to evaluate the effectiveness of the intervention, aiming to enhance global support for dementia care.
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Background: Scales used to evaluate nurses' perspectives of mentoring programmes are mainly designed in developed countries, making them unsuitable for nurses and midwives working in resource-poor developing countries.

Aim: To explore the psychometric properties of the perceived cost of mentoring (PCM) scale, negative mentoring experiences (NME) scale and relational mentoring index (RMI) for adaptation in hospital settings in Uganda.

Methods: A cross-sectional study design was used.

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Objectives: Resources to support dementia carers from ethnically diverse families are limited. We explored carers' and service providers' views on adapting the World Health Organization's iSupport Lite messages to meet their needs.

Methods: Six online workshops were conducted with ethnically diverse family carers and service providers ( = 21) from nine linguistic groups across Australia.

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Introduction: Incidences of stroke are on the rise and approximately 80 million stroke survivors worldwide live with disabilities. Supportive care needs of stroke survivors are not adequately defined, and the assessment tools to help care service providers identify these needs are unclear. The overall aim of this scoping review will be to map the supportive care needs of stroke survivors against the Supportive Care Needs Framework.

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Background: Gustatory stimulus interventions have been shown to improve swallowing function in older adults with dysphagia. However, the optimal intervention strategies as well as their effects and safety remain unclear.

Aims: To explore current evidence regarding gustatory stimulus interventions for dysphagia in older adults.

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Aim: To determine the potential profile classes of anxiety reported by ischaemic stroke survivors in rural China, and to explore the characteristics of patients having different types of post-stroke anxiety.

Design: A cross-sectional survey.

Methods: A cross-sectional survey was conducted by using convenience sampling to collect data from 661 ischaemic stroke survivors in rural Anyang city, Henan Province, China, from July 2021 to September 2021.

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Older people in nursing homes are at a high risk of being infected by coronavirus disease 2019 (COVID-19). They also experienced nursing home lockdowns that harm their psychological wellbeing. Better support for this vulnerable population requires understanding their perceptions of challenges and coping strategies during the COVID-19 pandemic.

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(1) Background: Research indicates that most elderly widows are at a high risk of experiencing negative psychological symptoms. It is common for elderly women in rural and remote areas to live alone without family support to cope with stress due to the mass rural-to-urban migration of China’s youth labor force. Such a situation further worsens their psychological health and well-being.

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Falls are a great concern for poststroke patients. Various interventions have been developed over the past few decades to prevent falls. However, the effectiveness of these interventions remains to be investigated.

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Objective: Maintaining and delaying a decline in physical function in older adults is critical for healthy aging. This study aimed to explore trajectories, critical points of the trajectory changes, and predictors among older people in the Chinese community.

Design: This study was one with a longitudinal design performed in China.

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Aims And Objectives: To explore and compare staff perceived challenges and facilitators in supporting resident self-determination in ethno-specific and mainstream nursing homes.

Background: Staff and residents in ethno-specific and mainstream nursing homes in most developed countries have shown increased cultural and linguistic diversity. This socio-demographic change poses significant challenges for staff to support resident self-determination of their own care.

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Background: Home-based dementia care is common in the Chinese-Australian community. However, dementia education programs for Chinese-Australians in the language of their choice are scarce. The World Health Organization has developed iSupport for Dementia, an online education program for informal caregivers.

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