Placed-Based Rural Public Health Policy, Angela M. Jurich

Electronic Thesis and Dissertation Repository

Abstract

Attention to place in public health policy development at the provincial level often overlooks the specific and unique needs of rural places. The principle aim of this research was to explore whether and how “place” was considered in the context of rural Ontario public health policy implementation for chronic disease prevention (CDP) programs. A secondary analysis of focus group and interview data along with the policy documents from three rural Ontario public health unit sites for the primary Renewal of Public Health Systems (RePHS) study was conducted. Based on a review of the literature on rural health policy and …

Interprofessional Socialization And Dual Identity Development Amongst Cross-Disciplinary Students, Hossein Khalili

Electronic Thesis and Dissertation Repository

The purpose of this study was to develop and test an interprofessional socialization (IPS) framework through assessing the impact of an IPS-based interprofessional education program on interprofessional socialization and dual identity development among health professional students. Although health professional educational programs have been successful in equipping graduates with skills, knowledge and professionalism, the emphasis on specialization and profession-specific education has enhanced the development of a uniprofessional identity, which has been found to be a major barrier towards Interprofessional Person-Centered Collaborative Practice (IPCPCP). Despite the growing acknowledgment of IPS in the current IPE and collaborative practice literature, there is a lack …

Re-Cognizing Power In The Culture Of Dementia Care Knowledge, Ryan T. Deforge

Electronic Thesis and Dissertation Repository

In light of increasing system demands, system regulations, and constrained resources, those living and working with dementia in the long-term care sector are vulnerable to oppressive care practices. This is true so long as our understanding of how social power affects the ways in which dementia care knowledge is created, shared, and enacted remains limited. Based on prolonged field observations and on informal and formal interviews with care recipients, family members, and staff, the aim of this critical qualitative research was to examine the culture of dementia care knowledge in two sites: a specialized dementia care unit in a long-term …

Nurses’ Learning And Conceptualization Of Technology Used In Practice, Richard G. Booth

Electronic Thesis and Dissertation Repository

How nurses conceptualize and learn about health technology used in practice was examined in this qualitative, interpretive-descriptive study. Traditionally, conceptualizations of technology used in the nursing profession have been viewed from either socially- or technically- centric perspectives that have clouded the real nature of nurse-technology interactions. For instance, current perspectives examining nurses’ use of technology typically ignore or minimize socio-technical considerations impacting technology acceptance and adoption by nurses. A research approach that embraced the mingling of social and material (sociomaterial) actors was used to address the following research questions: (a) How do nurses conceptualize health technology used in practice?, and, …

Health Literacy Of Individuals Living With Parkinson's Disease, Nicole D. Leblanc

Electronic Thesis and Dissertation Repository

In the past two decades, there has been an increased interest in the development of self-management programs for people with chronic diseases. Fundamental to chronic disease management is adequate literacy and health literacy skills. Research on the health literacy skills of individuals managing Parkinson’s disease (PD) is seemingly absent from the research literature. The purpose of this study was to assess the health literacy skills of older adults managing PD and to examine the relationships of functional health literacy, self-efficacy, social support, and empowerment in this population. Using a cross-sectional design, this study surveyed 33 older adults living with PD …

Gold Mining In Guatemala: Community Health And Resistance Amidst Violence, C. Susana Caxaj

Electronic Thesis and Dissertation Repository

Background: The Canadian mining industry has been linked to reports of environmental degradation, social insecurity and human rights violations. Due to a historical context of colonialism, genocide and state neglect, Indigenous populations may be particularly vulnerable to large-scale mining health threats.

Research Purpose: The overarching purpose of this investigation was to understand the influence of mining operations on the wellbeing of a Mam Mayan community in the Western highlands of Guatemala. Specifically, this study examined: (1) the political context in which mining operations are situated; (2) community mental health experiences; and (3) the role of resistance in shaping these political …

Hospital-Based Nurse Practitioner Practice: An Exploration Of Interprofessional Teams., Christina J. Hurlock-Chorostecki

Electronic Thesis and Dissertation Repository

Nurse practitioner (NP) roles within hospital teams are evolving worldwide. However, understanding of their practice within the context of interprofessional (IP) teamwork remains limited. This two-phase study undertaken within Ontario, Canada provides a new multi-perspective understanding of the value of NP practice within IP hospital teams. Constructivist grounded theory, a modification of the classic methodology, guided an interpretive approach based in exploration of process and meaning construction, privilege and power exposure, and juxtaposition with extant theory. A conceptual rendering of NP practice was determined through supplemental analysis of 30 team member focus groups. This new perspective emerged as three practice …

New Graduate Nurses' Structural Empowerment And Their Experience Of Co-Worker Incivility And Burnout, Pamela Bushell

Electronic Thesis and Dissertation Repository

Burnout among new graduate nurses [NGNs] is a risk to workplace retention and commitment to the nursing profession. With threats of nursing shortages, safeguarding and supporting NGN to maintain workplace allegiance and professional commitment is paramount. Research has highlighted the harmful effects of uncivil working environments and the deleterious effects it can have on working relationships. In this secondary analysis, Kanter’s (1977) theory of structural empowerment was tested using a predictive, non-experimental design in a sample of NGN working in acute care hospitals in Ontario. Two hypothesized models predicted that high levels of structural empowerment and low levels of coworker …