An Exploration Of The Nursing Leaders’ Experiences Addressing Indigenous Health In University Undergraduate Nursing Programs In Ontario, Danae Coggins

Electronic Thesis and Dissertation Repository

Introduction. Although there are serious health inequities experienced by Indigenous people compared to non-Indigenous people in Canada and racism and discrimination continues to be rife in health care environments, there remains a general lack of attention to Indigenous health (IH) in health professional education programs. In response, the Truth and Reconciliation Commission (TRC) has recommended this be addressed within health profession education, including nursing (Truth and Reconciliation Canada, 2015). However, there is a paucity of evidence describing the challenges and facilitators to incorporating IH into nursing education.

Methodology and Methods. This qualitative study employs interpretive description approaches informed by …

Social Inclusion For Women Experiencing Homelessness, Jenna Richards

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Background: People experiencing homelessness have been described as one of the most socially excluded groups in society due to their inequitable access to basic necessities (Everett 2009; Labonte, 2004). Particular consideration regarding social inclusion should be given to the unique vulnerabilities of sub-populations of those experiencing homelessness, such as women (Wesely & Wright, 2005) due to their increased rates of ‘hidden homelessness’ (Walsh et al., 2009) and experiences of violence and discrimination (Roschelle, 2017; Weiser et al., 2009). Community participation, particularly sports activities, have been cited as one method towards increasing social inclusion among people experiencing homelessness. However, differential access …

Exploring Social Cohesion Among Syrian Refugees In Canada: A Secondary Analysis, Sara Calvert

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BACKGROUND: As a result of the ongoing crisis in Syria, more than 11 million people have been displaced or killed over the past seven years (Mercy Corps, 2018). Despite efforts by the Canadian government to increase refugee uptake and promote social cohesion, refugees may still face negative resettlement experiences (Galabuzi, 2006; McCoy, Kirova, & Knight, 2016). Exploring how Syrian refugees have experienced social cohesion within their first year in Canada may help to address resettlement needs.

METHODS: This study was a secondary analysis on data collected from the Housing Education for Syrian Refugees and their Landlords study, which evaluated the …

Examining Eshift Through The Caregiver Policy Lens: A Content Analysis, Ashlee A. Worrall

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Purpose: This research study intended to understand how a new model of palliative home care in Ontario, Canada called eShift aligned with the needs of caregivers who cared for a family member at the end-of-life.

Methods: A qualitative secondary analysis using a deductive content analysis of 14 caregiver interviews, three decision-maker interviews, and six home care agency documents collected in a three-year study and were analyzed using The Caregiver Policy Lens framework.

Findings: The eShift model of care met caregivers’ needs through timely access to respite, education, collaborating with the health care team, and physical and psychological support. Caregivers were …

Searching For Wisdom: A Phenomenological Investigation Of Women's Perspectives Following Participation In An Ovarian Cancer Supportive Care Group, Helen Butlin

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This study used a novel methodology of hermeneutic-poetic-phenomenology to explore perspectives of women living with ovarian cancer. Each had participated in a supportive care group process Soul-Medicine prior to volunteering. Three women, Beth, Carrie, and Denise contributed to this study. The methodology was grounded in Gaston Bachelard’s philosophy of poetic-phenomenology. Data was analyzed with attention to image-centred knowledge; material imagination; reverie; and horizons of hope to elucidate their implicated aspects of wisdom and the ways participant’s formed their personal wisdom integrating feminist theories of embodiment and bioethics.

Findings are framed through three images of a uniquely formed inner ‘wisdom-compass’, an …

Examining The Relationships Among Authentic Leadership, Interprofessional Collaboration, And Nurse Assessed Adverse Events: A Mediation Model, Vanessa Safian

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Adverse events that occur in healthcare settings may have serious negative implications for patients, families, health care providers, and healthcare organizations. There is a need for strong leadership to prevent and mitigate the damaging effects of adverse events. Authentic leaders have been shown to enhance interprofessional collaboration among healthcare providers and reduce the frequency of adverse events. The purpose of this study was to test the relationships among authentic leadership, interprofessional collaboration, and nurse assessed adverse events in a mediation model. A secondary analysis of 269 experienced registered nurses randomly selected from three provinces (Alberta, Nova Scotia, and Ontario) were …

Explaining Collaboration In Nursing Education Programs, Jason Powell

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Abstract

As a result of 2000 legislation changes regarding entry-to-practice for nurses, collaborative nursing education programs were formed in Ontario. These legislative changes required Colleges of Applied Arts and Technology (CAATs) to find university partners to enter into collaborative arrangements in order to continue delivering nursing education, due to their inability to confer university baccalaureate degrees independently. Subsequently, 21 CAATs in Ontario merged with 13 university nursing programs and entered into an education partnership in order for their graduates to meet an entry-to-practice requirement of a university baccalaureate degree. These newly formed collaborative nursing education programs varied in delivery formats …

Women's Quality Of Life After Leaving An Abusive Relationship: The Effects Of Past And Ongoing Intimate Partner Violence, Mastery And Social Support, Diana Jaradat

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Intimate Partner Violence (IPV) is considered a major stressor that threatens the lives of women globally. Although qualitative research suggests that IPV has substantial negative effects on women’s quality of life, few quantitative studies have examined the quality of life of women who have experienced IPV due, in part, to the lack of an appropriate, brief measure of QOL. Consequently, little is known about the contextual process by which IPV experiences affect women’s quality of life (QOL) after leaving an abusive relationship. Mastery and social support are two important resources that women may use to deal with IPV but whether …

The Influence Of Authentic Leadership On Fourth-Year Nursing Students' Experience Of Workplace Bullying And Withdrawal Intentions, Lindsay Anderson

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Background: Nursing students are experiencing workplace bullying during clinical placements. Such experiences contribute to a loss of trust and decrease in communication, ultimately affecting patient care. This has resulted in nursing students contemplating leaving the profession. If projections are accurate, Canada will be short 60,000 nurses by the year 2022. With the current nursing shortage crisis and an aging workforce, it is cause for concern when future nurses report intentions to leave the profession.

Purpose:The purpose of this study was to investigate the influence of preceptors’ authentic leadership on fourth-year nursing students’ experience of workplace bullying and withdrawal intentions …

Gender And Experiences Of Family Homelessness, Fawziah Almalki

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BACKGROUND: Family homelessness is a growing issue in Canada. Families have been reported as the most rapidly increasing population of emergency shelter users. The purpose of this study was to understand the experiences of family homelessness in A mid-sized Canadian city and, in particular, the role that gender plays in these experiences.

METHODS: This project was a secondary analysis situated within a critical theoretical perspective. The data for this study, consisting of 4 focus groups, 36 family member participants interviews, and 10 shelter staff members interviews, was extracted from a primary study that focused on diversion from family homelessness. Qualitative …

Relationships Among Authentic Leadership, Manager Incivility And Trust In The Manager, Ohood Ali Alkaabi

Electronic Thesis and Dissertation Repository

There have been growing concerns about manager incivility toward new graduate nurses which hinders their adaptation to the workplace environment. Manager incivility impairs the relationship between managers and their staff. Furthermore, nursing managers have a significant responsibility to facilitate new graduate nurses' transition into the nursing profession. The purpose of this secondary analysis was to examine the relationships among authentic leadership of managers and new graduate nurses’ experience of manager incivility and their subsequent degree of trust in their managers. Secondary analysis of the baseline data using a non-experimental, correlational design was conducted. A random sample of 1020 new graduate …

Exploring Unmet Healthcare Needs, Healthcare Access, And The Use Of Complementary And Alternative Medicine By Chronic Pain Sufferers- An Analysis Of The National Population Health Survey, Jessica Lachance

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Background: Chronic pain is a condition nurses encounter in their practice often; estimated to affect 1 in 5 Canadian adults, resulting in significant disability, a deleterious impact on health and quality of life, and a large financial and operational burden on the health care system. It is a complex and multifactorial phenomenon that despite research efforts remains poorly understood. Consequently, the focus of chronic pain treatment targets the managementof pain to improve quality of life and reduce suffering as much as possible, rather than a curative approach. Chronic pain has been recognized as one of the most pervasive and …

Exploring Harm Reduction Among Canadian Veterans Experiencing Homelessness, Olivia Marsella

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BACKGROUND: The use of substances is substantially higher among people experiencing homelessness than the general population (Podymow, Turnbull, Coyle, Yetisir, & Wells, 2006). In Canada, veteran homelessness is an increasing concern and it is estimated that there are 2,950 veterans experiencing homelessness (Gaetz et al., 2016). Furthermore, veterans often use substances, particularly alcohol, to cope with the transition from the military to civilian life (Ray & Forchuk, 2011). A strategy that has been shown to reduce the negative harms of substance use and facilitate housing stability is harm reduction (MacNeil & Pauly, 2010). Exploring how veterans who have experienced homelessness …

An Exploration Of Medication Errors Generated By Baccalaureate Nursing Students Using Electronic Medication Administration Record (Emar) Technology In Clinical Simulation, Ryan Chan

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Background: Medication errors continue to be a significant issue within both academic and clinical settings, posing substantial threats to the safety and well-being of patients. Through Bandura’s theory of self-efficacy, nursing students’ self-efficacy (confidence) and preparedness related to medication administration were examined to investigate their influence on the generation of medication errors in clinical simulation.

Research Questions: The research questions of this study aimed to examine the generation of medication errors and the differences that may exist based on nursing students’ perceived confidence and preparedness.

Method: An exploratory secondary analysis of previously collected data that examined nursing students’ generation of …

Measurement And Protection Of Lung Health In Poultry Farmers Of Southwestern Ontario, Rose-Marie Doyon Dolinar

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Chronic obstructive lung disease (COPD), develops gradually, and tends to be noticed by farmers only after there has been a significant loss of lung function. People with symptoms of COPD often present for health care in later stages of disease, because they accept cough or breathlessness as “normal”.

Measurement of lung health for those at risk of developing COPD provides an opportunity for early detection of lung disease, and deter the progression toward irreversible damage to the lungs. COPD is, however, under-diagnosed.

The importance of bringing primary care providers and farmers together, and acknowledging the high-risk nature of occupational exposures, …

Authentic Leadership And Workplace Bullying Among Experienced Registered Nurses: Testing A Double Mediation Model, Edmund J. Walsh

Electronic Thesis and Dissertation Repository

The aims of this study were to assess the relationship between managers’ authentic leadership and workplace bullying among experienced registered nurses and examine whether this relationship is mediated by psychological capital and professional practice environment. This study was a secondary analysis of baseline survey data using a non-experimental, correlational design. A random sample of 478 nurses was obtained from Alberta, Nova Scotia, and Ontario. The hypothesized double mediation model was tested using PROCESS for SPSS. Overall, the model accounted for 23.2% of the variance in bullying. Significant direct effects were found between authentic leadership and psychological capital, professional practice environment, …

The Effects Of Authentic Leadership And Organizational Commitment On Job Turnover Intentions Of Experienced Nurses, Alexis E. Smith

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High levels of turnover continue to pose a challenge to the nursing workforce amidst growing patient acuity and budget constraints. The presence of strong nursing leadership may address the need for healthy work environments that contribute to retention outcomes. The purpose of this study was to examine the effect of authentic leadership of managers, on experienced nurses’ affective, normative, and continuance organizational commitment, and ultimately job turnover intentions. This study used secondary analysis of data collected in a non-experimental survey of 478 registered nurses in Canada. Hayes’ PROCESS version 3 SPSS macro for mediation analysis was used to test the …

Lived Experience Of Gestational Diabetes Mellitus Among Saudi Women: Interpretive Phenomenological Study, Hayat Abdullah Algamadi

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Gestational diabetes mellitus (GDM) is defined as an abnormal glucose tolerance of variable severity with onset or first recognition during pregnancy and usually disappearing immediately after delivery. Women diagnosed with GDM are at high risk for adverse maternal and neonatal health outcomes such as hypertension, birth trauma, stillbirth, obesity, perineal lacerations and higher rates of cesarean section. The prevalence of GDM has recently increased two to three-fold worldwide. GDM has emerged as a significant health issue among pregnant women in Saudi Arabia, yet little is known about what this experience is like for Saudi women and their families. A hermeneutic …

Supporting Indigenous Students: A Critical Analysis Of The Sociocultural Context Of Nursing Education, Kay E. Vallee

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The purpose of this study was to critically examine the sociocultural context of nursing education as an institution. Using a postcolonial feminist theoretical framework and institutional ethnography, I illuminated the institutional complex of nursing education. This study addressed the following research questions: 1) How do practices, programs, and policies coordinate social relations within the institution of nursing education; and 2) How are Indigenous students’ everyday lives shaped by the institution of nursing education?

Multiple methods were used to collect data, including: interviews, observations, and text analysis. Interviews were conducted with students, educators, and administrators and others involved in nursing education. …

It's About Time! Gdm: A Transformative Postpartum Process. A Constructivist Grounded Theory Study, Natalie Giannotti

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Abstract

Gestational Diabetes Mellitus (GDM) is defined as glucose intolerance with onset or first diagnosis during pregnancy, and affects 3.7%-18% of Canadian women (Canadian Diabetes Association, 2013). Social support can help women with a history of GDM be successful in achieving optimal health postpartum. The purpose of this constructivist grounded theory (GT) study (Charmaz, 2011) was twofold: (1) To explore the social support processes of women with a history of GDM as they navigate through the healthcare system postpartum, to restore and maintain their health, and (2) To critically examine facilitating factors and barriers to engaging in health behaviours within …