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Centre for Asian Nursing Studies (CANS) at TTSH, seeks to become the first dedicated Asian centre to strengthen nursing’s contribution where regional and domestic partners can better collaborate to grow competencies, transform practice and promote thought leadership through nursing education, research and innovationto achieve sustainable outcomes in 4 key domains:

  1. Clinical leadership and excellence, specifically in geriatric care and infectious disease management
  2. Team-based care, with focus on nurse-led initiatives
  3. Role enhancement through workforce transformation:
    • Nursing beyond nurses – aims to expand and extend nursing impact on holistic care through training and empowering support staff and/or informal caregivers.
    • Nurses beyond nursing – focuses on job upskilling and job value expansion for nurses, to practice at top-end of license and deliver better outcomes.
  4. Nursing leadership – harnessing the potential of shared governance to inspire different generations of nurses to work towards a common goal

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Asia has its unique best practices and the potential to significantly influence global nursing knowledge and practice. It needs a driver like CANS to build sustainable co-learning network where thought leaders could co-develop learning opportunities, learn and grow competencies together for like-minded nurses to train and learn together.

CANS would engage local and regional/international partners to identify key challenges, leverage on our co-learning network to scan the external environment for best practices, and curate and adapt them as potential solutions.

CANS would be the leap platform for collaborative solution-finding through:

  • Incubating nursing-led research, innovation and inculcating a culture of evidence-based practice to pursue best practices among partners as well as generate new knowledge in the 4 key domains.
  • Bias-for-action approach to translate knowledge to practice with significant impact on patient and staff value.

Emphasis will be placed on health-service research that is relevant to Asian culture and that evaluates the value of nurse-led initiatives in addressing health-system gaps.

The innovation cycle involving care redesign, process redesign, role redesign and device innovation (including use of automation, IT, robotics in care delivery) will be actively explored and geared towards direct application to the healthcare setting.

Best practices from the literature and/or garnered from partner institutions will be reviewed and refined for adoption on a larger scale and among the network of institutions.

Through CANS, TTSH offers a series of nursing programmes and collaboration opportunities from training and development, research to innovations.


Training and development

Advanced Thoracic Nursing Course

  1. Respiratory Anatomy and Physiology
  2. Non-invasive Assessment
  3. Invasive Assessment
  4. Pharmacology
  5. Medical Management
  6. Surgical Management
  7. Anaesthesia Management
  8. Nursing Management
  9. Oncology Management
  10. Respiratory Rehabilitation
  11. Chest Wall Reconstruction
  12. Cardiac Surgery
  13. Nutrition Management
  14. Vascular with cardiothoracic relevance

OR Nurse Support Program to Advance and Reinforce Knowledge and Skills (S.P.A.R.K.S) Program

  1. Impact of Surgical Site
  2. Infection on Patient Safety
  3. Principles of wound healing
  4. Suture and Needle classification
  5. Suture and Needle handling Workshop
  6. Wound Closure Management (Science of Tissue Management - Abdominal Wall Closure)
  7. Bleeding Management
  8. Principles of Energy Devices & Device Handling
  9. Care for Instrument
  10. Care for Instrument (skills demonstration)
  11. Patient Safety
  12. Patient Safety Tools
  13. Communicating Patient Safety
  14. Patient Safety Workshop
  15. Energy Device Handling Skills Demonstration
  16. Principles of Stapling Device and Device Handling
  17. Stapling Device Handling Skills Demonstration
  18. Basic Sterilization Principles

Enterostomal program

To be confirmed

Care of the Elderly

  1. The ageing process
  2. The giants in ageing and its management
  3. Preventive and rehabilitative care for the elderly person
  4. Psychosocial issues in care of the elderly person
  5. Clinical skills related to the care of the elderly person

Infection control program

To be confirmed

Attachment opportunities

CANS welcomes welcome applications from overseas nurses who wish to have a chance to observe and gain insights into clinical practice in various care settings


Caregiver training

According to the World Alzheimer Report 2013, globally, 277 million caregivers will be required to care for the elderly in 2050. Many countries in Asia, including Singapore, is facing a rapidly aging society. Hence, family caregivers will increasingly be required to assume the caregiving role. Caregiving is often straining.

Both the elderly person and the family caregivers may suffer ill consequences if the family caregivers are unprepared to care for their elderly loved ones. Our research interests are in understanding the caregiving issues in an Asian context and in developing specific interventions to equip caregivers of the elderly with competencies that will enable them to accomplish their caregiver tasks as well as cope with the strains of caregiving.

Reducing distress in caregivers of the elderly


Building capability in QI- improvement methodology in action (Nursing leadership)

Use of Institute for Healthcare Improvement (IHI) ‘Model for Improvement’ methodology in implementing and sustaining large-scale change within institutions and across systems. TTSH is a member of the Singapore Healthcare Improvement Network (SHINe) and nursing division has played a key role in implementing changes to reduce harm by 30%.

The 2 projects include reducing harm associated with the use of diabetic medications and eliminating catheter associated urinary tract infections. We hope to share our experiences in how we adopt and adapt IHI methodology and seek to exchange ideas with partners in different improvement methodology to sustain large-scale change.

Management of diabetes-inpt care redesign (Team-based care)

TTSH is a member of the Singapore Healthcare Improvement Network (SHINe) and has implemented a ‘Safe use of DM medications bundle’ hospital wide to reduce hypoglycaemia and hyperglycaemia rates in the hospitals.

Nursing will like to share our journey on how we work effectively as a multidisciplinary team and use of system data for improvement to sustain the changes in this project. We would also like to share some of the approaches that the team have taken to achieve better and safer DM care. We hope to learn and leap together with our partners in this area.

Co-development of a ‘WoundAide’ app to accurately measure wound dimension using image analysis.

Accurate assessment of wounds is an important aspect of wound care, but is often a challenge. TTSH has signed up a collaboration with Konica Minolta, a MNC to develop a simple wound application to accurately assess wound dimensions and wound bed characteristics through automated image analysis. The nursing team has developed a prototype in the first phase.

In a study comparing the accuracy of wound dimensions captured by WoundAide against gold standards, the application had yielded positive results. The team will like to seek collaboration with partners to further develop the application through ‘crowd-lending’ of numerous wound images in order to train and perfect the algorithm.

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