Digital Commons Network^™

Staff-Family Communication Methods In Long-Term Care Homes: An Integrative Review, Alexander Stephen, Denise Connelly, Lillian Hung, Janelle Unger

Physical Therapy Publications

Context: Communication methods have been trialled to promote staff-family relations and facilitate person-centred care for residents living in long-term care homes. A review and synthesis of the common methods will inform the development of stafffamily communication methods, policy and best practice guidelines.

Objectives: 1) synthesise and summarise common communication methods, and types(s) of delivery, used for staff-family communication in long-term care homes; and 2) identify any challenges that impacted the implementation of the communication method(s).

Methods: An integrative review was employed to incorporate papers with diverse research designs. It involved a comprehensive database and grey literature search, and study selection …

Family, Diaspora, And The Politics Of Care In Griselda San Martin’S The Wall , 2015-16, Sarah Bassnett

Visual Arts Publications

This article examines a series of photographs by Griselda San Martin, a Spanish journalist and documentary photographer based in New York City and Mexico City. The series focuses on the experiences of people at Friendship Park, a bi-national park located in the border region of San Diego, United States, and Tijuana, Mexico. Working in Tijuana, San Martin engaged with families as they attempted to connect with loved ones across the border in San Diego. Many of the people she met at Friendship Park had become separated from family members after living as undocumented migrants in the US and then being …

Parental Gender-Specific Expectations Of Their Children In Mainland China: An Intersectional Analysis, Xuan Liu

Electronic Thesis and Dissertation Repository

This study examines the impact of traditional Chinese culture and the diverse social backgrounds of parents on their gender-specific expectations for their children in China, particularly in the post-one-child policy era. This study conducted qualitative interviews with six parents in Beijing, who have both sons and daughters and represent diverse gender and socioeconomic backgrounds. Though the study findings reveal parental ambivalence in raising children according to traditional gender roles, the systematic and pervasive nature of the traditional culture within families continues to prioritize boys, resulting in ongoing disadvantages for daughters. This research emphasizes the importance of addressing the challenges that …

Family Physicians' Responses To Personal Protective Equipment Shortages In Four Regions In Canada: A Qualitative Study., Maria Mathews, Dana Ryan, Lindsay Hedden, Julia Lukewich, Emily Gard Marshall, Shabnam Asghari, Amanda Lee Terry, Richard Buote, Leslie Meredith, Lauren Moritz, Sarah Spencer, Judith B. Brown, Erin Christian, Thomas R. Freeman, Paul S. Gill, Shannon L. Sibbald, Eric Wong

Health Studies Publications

BACKGROUND: Despite well-documented increased demands and shortages of personal protective equipment (PPE) during previous disease outbreaks, health systems in Canada were poorly prepared to meet the need for PPE during the COVID-19 pandemic. In the primary care sector, PPE shortages impacted the delivery of health services and contributed to increased workload, fear, and anxiety among primary care providers. This study examines family physicians' (FPs) response to PPE shortages during the first year of the COVID-19 pandemic to inform future pandemic planning.

METHODS: As part of a multiple case study, we conducted semi-structured qualitative interviews with FPs across four regions in …

Family Physicians' Responses To Personal Protective Equipment Shortages In Four Regions In Canada: A Qualitative Study., Maria Mathews, Dana Ryan, Lindsay Hedden, Julia Lukewich, Emily Gard Marshall, Shabnam Asghari, Amanda L. Terry Dr., Richard Buote, Leslie Meredith, Lauren Moritz, Sarah Spencer, Judith B Brown, Erin Christian, Thomas R Freeman, Paul S Gill, Shannon L Sibbald, Eric Wong

Health Studies Publications

BACKGROUND: Despite well-documented increased demands and shortages of personal protective equipment (PPE) during previous disease outbreaks, health systems in Canada were poorly prepared to meet the need for PPE during the COVID-19 pandemic. In the primary care sector, PPE shortages impacted the delivery of health services and contributed to increased workload, fear, and anxiety among primary care providers. This study examines family physicians' (FPs) response to PPE shortages during the first year of the COVID-19 pandemic to inform future pandemic planning.

METHODS: As part of a multiple case study, we conducted semi-structured qualitative interviews with FPs across four regions in …

Perceptive Responses And Familiar Staff Facilitate Meaningful Engagement Of Older Adults And Family/Care Partners In Long-Term Care Home Implementation Science Research During Covid-19, Marie Lee Yous, Denise M. Connelly, Ruthie Zhuang, Melissa E. Hay, Anna Garnett, Lillian Hung, Nancy Snobelen, Harrison Gao, Ken Criferg, Cherie Furlan-Craievich, Shannon Snelgrove, Melissa Babcock, Jacqueline Ripley

Physical Therapy Publications

A novel registered practical nurse-led video conferencing approach using PIECESTM for team-based care planning was developed to engage family/care partners in the care of older adults. The objectives were to: (a) explore the experiences of older adults and family/care partners in collaborating in implementation science research in long-term care (LTC); (b) identify facilitators and barriers to engaging older adults and family/care partners in implementation science research; and (c) share recommendations to support the engagement of older adults and family/care partners in research. A qualitative descriptive design was used. Two older adults and two family/care partners from two Canadian LTC homes …

Implementation And Impacts Of Virtual Team-Based Care Planning For Older Persons In Formal Care Settings: A Scoping Review, Harrison Gao, Marie Lee Yous, Denise Connelly, Lillian Hung, Anna Garnett, Melissa Hay, Nancy Snobelen

Physical Therapy Publications

Objective: This scoping review aimed to summarize current knowledge about the implementation, impacts, facilitators and barriers of virtual team-based care planning for older persons in formal care settings (e.g. home and community, primary, long-term and acute care). Methods: The Joanna Briggs Institute (JBI) methodology was used. The Arksey and O’Malley and Levac, Colquhoun, and O’Brien methodologies provided additional frameworks. Databases accessed included PubMed, EMBASE, CINAHL, AgeLine, PsycInfo and Scopus. Reference lists of selected articles and grey literature retrieved through Google and Google Scholar were also reviewed. Three researchers screened titles, abstracts and conducted full-text reviews. Extracted data were mapped in …

The Roles Of Family Physicians During A Pandemic., Maria Mathews, Leslie Meredith, Dana Ryan, Lindsay Hedden, Julia Lukewich, Emily G Marshall, Richard Buote, Lauren Moritz, Sarah Spencer, Shabnam Asghari, Judith B Brown, Thomas R Freeman, Paul S Gill, Rita K Mccracken, Madeleine Mckay, Bridget Ryan, Shannon L Sibbald, Stephen Wetmore, Eric Wong

Health Studies Publications

Family physicians play important roles throughout all stages of a pandemic response; however, actionable descriptions outlining these roles are absent from current pandemic plans. Using a multiple case study design, we conducted a document analysis and interviewed 68 family physicians in four Canadian regions. We identified roles performed by family physicians in five distinct stages of pandemic response: pre-pandemic, phased closure and re-opening, acute care crisis, vaccination, and pandemic recovery. In addition to adopting public health guidance to ensure continued access to primary care services, family physicians were often expected to operationalize public health roles (eg, staffing assessment centres), modulate …

Family Physician Leadership During The Covid-19 Pandemic: Roles, Functions And Key Supports., Maria Mathews, Dana Ryan, Lindsay Hedden, Julia Lukewich, Emily Gard Marshall, Judith Belle Brown, Paul S Gill, Madeleine Mckay, Eric Wong, Stephen J Wetmore, Richard Buote, Leslie Meredith, Lauren Moritz, Sarah Spencer, Maria Alexiadis, Thomas R Freeman, Aimee Letto, Bridget L Ryan, Shannon L Sibbald, Amanda Lee Terry

Health Studies Publications

PURPOSE: Strong leadership in primary care is necessary to coordinate an effective pandemic response; however, descriptions of leadership roles for family physicians are absent from previous pandemic plans. This study aims to describe the leadership roles and functions family physicians played during the COVID-19 pandemic in Canada and identify supports and barriers to formalizing these roles in future pandemic plans.

DESIGN/METHODOLOGY/APPROACH: This study conducted semi-structured qualitative interviews with family physicians across four regions in Canada as part of a multiple case study. During the interviews, participants were asked about their roles during each pandemic stage and the facilitators and barriers …

Are Family Medicine Residents Trained To Counsel Patients On Physical Activity? The Canadian Experience And A Call To Action., Jane Thornton, Karim Khan, Richard Weiler, Christopher Mackie, Robert Petrella

Family Medicine Publications

Physical inactivity is a leading risk factor for non-communicable diseases (NCDs) and early mortality. Family physicians have an important role in providing physical activity counselling to patients to help prevent and treat NCDs. Lack of training on physical activity counselling is a barrier in undergraduate medical education, yet little is known regarding physical activity teaching in postgraduate family medicine residency. We assessed the provision, content and future direction of physical activity teaching in Canadian postgraduate family medicine residency programs to address this data gap. Fewer than half of Canadian Family Medicine Residency Programme directors reported providing structured physical activity counselling …

Quality Of Diabetes Care In Blended Fee-For-Service And Blended Capitation Payment Systems., Mary Aderayo Bamimore, Rose Anne Devlin, Gregory S Zaric, Amit X Garg, Sisira Sarma

Epidemiology and Biostatistics Publications

OBJECTIVES: In the middle to late 2000s, many family physicians switched from a Family Health Group (FHG; a blended fee-for-service model) to a Family Health Organization (FHO; a blended capitation model) in Ontario, Canada. The evidence on the link between physician remuneration schemes and quality of diabetes care is mixed in the literature. We examined whether physicians who switched from the FHG to FHO model provided better care for individuals living with diabetes relative to those who remained in the FHG model.

METHODS: Using longitudinal health administrative data from 2006 to 2016, we investigated the impact of physicians switching from …

Stirring The Pot: Switching From Blended Fee-For-Service To Blended Capitation Models Of Physician Remuneration., Nibene H Somé, Rose Anne Devlin, Nirav Mehta, Gregory S Zaric, Sisira Sarma

Epidemiology and Biostatistics Publications

In Canada's most populous province, Ontario, family physicians may choose between the blended fee-for-service (Family Health Group [FHG]) and blended capitation (Family Health Organization [FHO] payment models). Both models incentivize physicians to provide after-hours (AH) and comprehensive care, but FHO physicians receive a capitation payment per enrolled patient adjusted for age and sex, plus a reduced fee-for-service while FHG physicians are paid by fee-for-service. We develop a theoretical model of physician labor supply with multitasking to predict their behavior under FHG and FHO, and estimable equations are derived to test the predictions empirically. Using health administrative data from 2006 to …

Production Of Physician Services Under Fee-For-Service And Blended Fee-For-Service: Evidence From Ontario, Canada., Nibene H Somé, Rose Anne Devlin, Nirav Mehta, Greg Zaric, Lihua Li, Salimah Shariff, Bachir Belhadji, Amardeep Thind, Amit Garg, Sisira Sarma

Epidemiology and Biostatistics Publications

We examine family physicians' responses to financial incentives for medical services in Ontario, Canada. We use administrative data covering 2003-2008, a period during which family physicians could choose between the traditional fee for service (FFS) and blended FFS known as the Family Health Group (FHG) model. Under FHG, FFS physicians are incentivized to provide comprehensive care and after-hours services. A two-stage estimation strategy teases out the impact of switching from FFS to FHG on service production. We account for the selection into FHG using a propensity score matching model, and then we use panel-data regression models to account for observed …

Living Arrangements, Proximity To Child/Parent And Depressive Symptoms Among Older Adults, Haemi Chung

MA Research Paper

Studies have demonstrated the links between living arrangements and depressive symptoms among older adults. Yet, little is known about how these associations may differ among foreign- and native-born older adults who have different needs and expectations for family relations. Using the Health and Retirement Study, I examine predictors of living arrangements among native- and foreign-born adults over the age of 50 using multinomial logistic regressions. I also run a series of logistic regressions to examine the association between living arrangements and risk of high depressive symptoms. The results show that nativity and immigration characteristics are significant predictors of living arrangements. …

The Interrelated Nature Of Trauma: Exploring The Narratives Of Persons Living With A Family Member Who Has Post-Traumatic Stress Disorder, Emily Johnson

MA Research Paper

The study of the relationship between work-related post-traumatic stress disorder (PTSD) and the family has commonly been approached from both a psychological and psychiatric perspective. Moreover, these studies have primarily focused on how PTSD impacts familial relationships from the perspective of the individual who has PTSD, while little attention has been placed on the viewpoint of family members. By using data obtained from Beyond Blue and Reddit, the current study aims to redress this gap by directly exploring the perceptions of family members living with an emergency service worker who has PTSD. A qualitative content analysis was conducted using …

Capturing The Diversity Within Canadian Families, Kathya Aathavan

Electronic Thesis and Dissertation Repository

Mixed partnerships are unions between two people that cross socially constructed boundaries between groups, particularly race and ethnicity and they are an aspect of diversity within Canadian society. Using the 2006 and 2016 Canadian long-form censuses, I examine mixed unions, measured as partnerships across different visible minority categories and places of birth. I find that there is more diversity within unions than what is captured just using visible minority status. Being highly educated, living in census metropolitan areas, and in same-sex partnerships are predictors of mixed unions indicative of barriers to mixed partnerships possibly being less salient among these groups. …

Double Deletion Of Panx1 And Panx3 Affects Skin And Bone But Not Hearing, J M. Abitbol, B L. O'Donnell, C B. Wakefield, E Jewlal, J J. Kelly, K Barr, K E. Willmore, B. L. Allman, S Penuela

Anatomy and Cell Biology Publications

Pannexins (Panxs), large-pore channel forming glycoproteins, are expressed in a wide variety of tissues including the skin, bone, and cochlea. To date, the use of single knock-out mouse models of both Panx1 and Panx3 have demonstrated their roles in skin development, bone formation, and auditory phenotypes. Due to sequence homology between Panx1 and Panx3, when one Panx is ablated from germline, the other may be upregulated in a compensatory mechanism to maintain tissue homeostasis and function. To evaluate the roles of Panx1 and Panx3 in the skin, bone, and cochlea, we created the first Panx1/Panx3 double knock-out mouse model (dKO). …

Family Physician Remuneration Schemes And Specialist Referrals: Quasi-Experimental Evidence From Ontario, Canada., Sisira Sarma, Nirav Mehta, Rose Anne Devlin, Koffi Ahoto Kpelitse, Lihua Li

Epidemiology and Biostatistics Publications

Understanding how family physicians respond to incentives from remuneration schemes is a central theme in the literature. One understudied aspect is referrals to specialists. Although the theoretical literature has suggested that capitation increases referrals to specialists, the empirical evidence is mixed. We push forward the empirical research on this question by studying family physicians who switched from blended fee-for-service to blended capitation in Ontario, Canada. Using several health administrative databases from 2005 to 2013, we rely on inverse probability weighting with fixed-effects regression models to account for observed and unobserved differences between the switchers and nonswitchers. Switching from blended fee-for-service …

Gender And Experiences Of Family Homelessness, Fawziah Almalki

Electronic Thesis and Dissertation Repository

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 …

Birth Order As A Predictor Of Anxiety, Amanda Callaway

Brescia Psychology Undergraduate Honours Theses

This study examined the relationship between birth order and anxiety regarding the transition from high school to becoming a university student. Participants were categorized based on their biological birth order, psychological birth order, and living location. Participants’ state anxiety, trait anxiety, and self-esteem were measured and analyzed for predictable patterns in birth order and anxiety level. No statistically significant results were observed but results trended towards middle children scoring lowest on anxiety and self-esteem, youngest children scoring highest on anxiety and self-esteem, and firstborn and only children scoring similarly on anxiety but only children having slightly lower self-esteem. Results were …

Projections Of White And Black Older Adults Without Living Kin In The United States, 2015-2060, Ashton Verdery, Rachel Margolis

Sociology Publications

Close kin provide many important functions as adults age, affecting health, financial well-being, and happiness. Those without kin report higher rates of loneliness and experience elevated risks of chronic illness and nursing facility placement. Historical racial differences and recent shifts in core demographic rates suggest that white and black older adults in the United States may have unequal availability of close kin and that this gap in availability will widen in the coming decades. Whereas prior work explores the changing composition and size of the childless population or those without spouses, here we consider the kinless population of older adults …

We Don't Shoot Our Wounded..., Robyn Holder

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Family-Centered Care And Family Functioning In Childhood Epilepsy, One Year After Diagnosis, Sandra A. Magalhaes

Digitized Theses

Family-Centered Care (FCC) is shown to improve outcomes in populations of children with chronic illnesses and their families, but has not been studied in epilepsy. The onset of childhood epilepsy can alter Family Functioning (FF). Associations between FCC and FF, one year after diagnosis, are examined. All newly diagnosed children, ages 4-12, were recruited through a Canada-wide prospective cohort study, Health Related Quality ofLifeinChildrenwithEpilepsy. Linearregressiondescribestheassociationsbetween the 5 domains of the Measure of Processes of Care, and the Family APGAR while adjusting for family and child characteristics. The sample is 233 mothers whose families were overall socio-demographically advantaged and whose children …

Aggregate Level Community Characteristics And Health, Jianlin Niu, Roderic Beaujot

PSC Discussion Papers Series

This study links aggregate data from the 2001 census to individual data from the Canadian Community Health Survey, using dissemination areas as the unit of aggregation. Individual-level considerations are found to be more important to self-perceived health than community-level characteristics. Education and income adequacy are the most important considerations. Sense of belonging to community overshadows the features measured at the aggregate level, be they economic, family, cultural or geographic considerations.

Stress And Adult Health: Impact Of Time Spent In Paid And Unpaid Work, And Its Division In Families, Roderic Beaujot, Robert Anderson

PSC Discussion Papers Series

Based on a sample representative of the Canadian population aged 30-59, this paper assesses the impact of time spent on productive activities, and various types of activities, on stress and health. The main finding is that the number of hours spent is a better predictor of stress than is the type of activity. Moreover, the effects of paid and unpaid work are additive rather than multiplicative. That is, the more people work, regardless of what they are doing, the more likely they are to feel stressed. Still, working irregular hours and non-traditional family models are also associated with poorer health …

Earning And Caring: Porter Lecture, Roderic Beaujot

PSC Discussion Papers Series

This paper speaks especially to the family dimensions of equal opportunity. Defining families through the activities of earning and caring, I first consider family change along with explanations based on structural and cultural factors. I then make the case that equal opportunity by gender has progressed considerably in education, while there are persistent inequalities in unpaid work, and the inequalities in paid work can often be related to those in unpaid work. By focussing on family models and the world of work, we see that various models co-exist, but that several policies are based on the breadwinner model. The paper …

Effects Of Community And Family Characteristics On Early Life Transitions Of Canadian Youth, Zenaida R. Ravanera, Rajulton Fernando, Thomas K. Burch

PSC Discussion Papers Series

This paper looks at the impact of community and family characteristics on the timing of early life transitions of Canadians born in 1971-75. Effects on the timing of school completion, start of regular work, and home-leaving are examined using a data set that merged the 1995 General Social Survey of the Family with data derived from the enumeration areas of the 1996 Census. Event history techniques of analysis are used to examine timing and trajectories of transition and how they are affected by families and communities. The results show that family and community-level characteristics indicative of availability of material resources, …

Teaching The Fundamentals Of Demography: A Models-Based Approach To Family And Fertility, Thomas K. Burch

PSC Discussion Papers Series

Abstract not available