Medicine and Health Sciences Commons^™

Identifying Strategies To Support Implementation Of Interprofessional Primary Care Teams In Nova Scotia: Results Of A Survey And Knowledge Sharing Event., Amy Grant, Rachel Giacomantonio, Kelly Lackie, Adrian Mackenzie, Elizabeth Jeffers, Julia Kontak, Emily Gard Marshall, Susan Philpott, Debbie Sheppard-Lemoine, Elizabeth Lappin, Alice Bruce, Amy Mireault, Deanna Beck, Lindsay Cormier, Ruth Martin-Misener

Nursing Publications

BACKGROUND: Interprofessional primary care teams (IPCTs) work together to enhance care. Despite evidence on the benefits of IPCTs, implementation remains challenging. This research aims to 1) identify and prioritize barriers and enablers, and 2) co-develop team-level strategies to support IPCT implementation in Nova Scotia, Canada.

METHODS: Healthcare providers and staff of IPCTs were invited to complete an online survey to identify barriers and enablers, and the degree to which each item impacted the functioning of their team. Top ranked items were identified using the sum of frequency x impact for each response. A virtual knowledge sharing event was held to …

Health Care Use Experiences Of Ethnoculturally Diverse Immigrant Older Adults: A Meta-Ethnography, Lorna De Witt, Kathryn A. Pfaff, Roger Reka, Noeman Ahmad Mirza

Nursing Publications

Purpose

Current and predicted continued dramatic increases in international migration and ethnocultural diversity of older adult cohorts pose challenges for health care services. Review studies on ethnoculturally diverse older adults and health care show a lack of focus on their service use experiences. This study aims to report a meta-ethnography that addresses this knowledge gap through answering the review question: How do ethnoculturally diverse older adults who are immigrants experience health care services?

Design/methodology/approach

The authors applied a seven-phase method of meta-ethnography to guide the review. The authors conducted two literature searches (April 2018 and June 2020) in MEDLINE, CINAHL, …

Anti-Obesity Medications Prescribing Measures Utilized By Primary Care Practitioners: Scoping Review, Sahra Abdullahi, Edward Venzon Cruz, Laurie Freeman, Eric Tanlaka

Nursing Publications

Background

Obesity is a chronic, complex and multifactorial disease with the prevalence increasing in North American adults. Novel AOMs are demonstrating weight loss results comparable to bariatric surgery when used effectively. As the gatekeepers to AOMs, primary care providers can play a key role in obesity management through exploring safe prescribing measures employed in primary care.

Objectives

This review will systematically map the existing literature on prescribing measures for AOMs to determine the extent, range, and nature of literature available on the measures utilized by PCPs when prescribing AOMs in North America.

Methods

One independent reviewer conducted a review using …

Emergency Department Registered Nurses’ Perceptions Of Substance Use Disorders And Supervised Consumption Sites, Aleksandra Ilievska

Electronic Theses and Dissertations

Background: Canada is facing increased drug-related harms; thus, a stronger emphasis has been placed on harm reduction strategies such as supervised consumption sites (SCSs). There is a lack of literature on emergency department (ED) registered nurses’ (RNs) perceptions of SCSs and substance use disorders (SUDs), especially in small to mid-sized Canadian cities. Purpose: This study aimed to determine ED RNs’ perceptions of SUDs and SCSs in Southwestern Ontario hospitals. Methods: A 27-question survey was sent to RNs currently working in EDs in Southwestern Ontario using an online Qualtrics® link. The research explored ED RNs’ perception of SCSs and SUDs. Results: …

Emergency Department Registered Nurses’ Perceptions Of Substance Use Disorders And Supervised Consumption Sites, Aleksandra Ilievska

Electronic Theses and Dissertations

Background: Canada is facing increased drug-related harms; thus, a stronger emphasis has been placed on harm reduction strategies such as supervised consumption sites (SCSs). There is a lack of literature on emergency department (ED) registered nurses’ (RNs) perceptions of SCSs and substance use disorders (SUDs), especially in small to mid-sized Canadian cities.

Purpose: This study aimed to determine ED RNs’ perceptions of SUDs and SCSs in Southwestern Ontario hospitals.

Methods: A 27-question survey was sent to RNs currently working in EDs in Southwestern Ontario using an online Qualtrics® link. The research explored ED RNs’ perception of SCSs and SUDs.

Results: …

Examining The Relationship Of Transformational Leadership And New Graduate Nurse Turnover Intention During The Covid-19 Pandemic, Becky Louise Goens

Electronic Theses and Dissertations

Introduction: The nursing shortage in the Canadian healthcare system presents challenges in meeting the healthcare needs of the population and addressing the growing demand for health services. There is strong evidence emphasizing the pivotal role leaders play in fostering retention through positive practices. As new graduate nurses are crucial to the healthcare team, targeted strategies by nursing leaders and managers are needed to enhance nurse retention. Purpose: The purpose of this study was to examine the relationship between transformational leadership and new graduate nurses’ turnover intention, and organizational commitment. Methods: The study included 106 registered nurses who passed the NCLEX-RN …

Registered Nurse Retention In Long Term Care: A Qualitative Exploration, Brandi Lynne Livingstone

Electronic Theses and Dissertations

Registered Nurse (RN) retention continues to be an issue within long-term care (LTC). RNs play a vital role in the overall wellbeing of the aging Ontario population. In 2020, COVID-19 swept the world in a pandemic and the Ontario LTC sector was left with many changing restrictions and regulations that had a large effect on not only the RNs who work there but also the residents who resided in. This study was conducted to identify what factors contribute to satisfaction and dissatisfaction for RNs in LTC. Also, it aimed to look at factors related to a RN continuing to work …

An Analysis Of Long-Term Care Home Inspection Reports And Responsive Behaviours, Lorna A. De Witt, Stephanie Jonsson, Roger Reka

Nursing Publications

Concern about residential long-term care quality and safety is a critical issue in developed countries internationally, often fueled by media scandals exposing riveting accounts of resident-to-resident aggression/responsive behaviours. These scandals raise questions about standards of care set through long-term care regulation. Using a participatory action research approach and document analysis method, we analyzed incidents related to responsive behaviours documented in three types of public version inspection reports posted for 535 Ontario, Canada long-term care homes from 2016 through 2018. Creation of an Individual Home Data Collection and Analysis Tool facilitated data collation and descriptive statistical analysis of seven long-term care …

Using Simulation To Improve Nurse Practitioner Education Regarding Opioid Prescribing And Medical Assistance In Dying, Sherry Morrell, Gina Pittman, Amanda Mcewen, Debbie Rickeard, Huda Manfoukh, Brett Parent

Nursing Publications

No abstract provided.

Nurses’ Experience Of Family-Centered Rounds In The Intensive Care Unit, Kaitlyn Sheehan

Electronic Theses and Dissertations

A paradigm shift in the Canadian healthcare system has transitioned the patient and family from care recipients to integral and valued members of the multidisciplinary team. Implementation of family-centered care within the context of the adult Intensive Care Unit (ICU) remains slow to adopt in Canada despite evidence that open visitation and family presence offer many benefits to improve the delivery of quality care, and satisfaction with the overall patient experience. The COVID-19 pandemic has further complicated the ability of the healthcare team to effectively include patients and families into their daily multidisciplinary rounds. Restricted visitation policies, infection control and …

The Impact Of Sexual Violence On Student’S Academic And University Experiences: A Qualitative Study, Shelby Lacey

Electronic Theses and Dissertations

The prevalence of sexual violence is an ongoing public health concern within university communities. Students who experience sexual violence may be at risk for negative academic impacts including declines in grade point average (GPA), increased absenteeism, and withdrawal from school. Less information is known regarding if students who have experienced sexual violence report changes in their academic and university experiences, such as participation in class, social groups or clubs. Help-seeking through formal or informal sources may alleviate the negative consequences of sexual violence. Due to the unique environment of universities which may influence a student’s personal, social, and cultural life, …

Nurses’ Experience Of Family-Centered Rounds In The Intensive Care U, Kaitlyn Sheehan

Electronic Theses and Dissertations

A paradigm shift in the Canadian healthcare system has transitioned the patient and family from care recipients to integral and valued members of the multidisciplinary team. Implementation of family-centered care within the context of the adult Intensive Care Unit (ICU) remains slow to adopt in Canada despite evidence that open visitation and family presence offer many benefits to improve the delivery of quality care, and satisfaction with the overall patient experience. The COVID-19 pandemic has further complicated the ability of the healthcare team to effectively include patients and families into their daily multidisciplinary rounds. Restricted visitation policies, infection control and …

Wound Management Provided By Advanced Practice Nurses: A Scoping Review Protocol., Sherry Morrell, Gina Pittman, Adam Mulcaster

Nursing Publications

OBJECTIVE: The objective of this review is to examine the current state of the literature regarding wound care provided by advanced practice nurses globally. Specifically, this review will examine the similarities and differences in the wound care practice of advanced practice nurses, including nurse practitioners, clinical nurse specialists, and advanced practice registered nurses.

INTRODUCTION: Advanced practice nurses have graduate education and advanced scope of practice. The addition of advanced wound care training provides unique opportunities for advanced practice nurses to provide wound care.

INCLUSION CRITERIA: This review will consider advanced practice nurses who are nurse practitioners or registered nurses with …

Virtual Versus Face-To-Face Cognitive Behavioral Treatment Of Depression: Meta-Analytic Test Of A Noninferiority Hypothesis And Men’S Mental Health Inequities, Carly M. Charron, Kevin M. Gorey

Social Work Publications

Global rates of depression have increased significantly since the beginning of the COVID-19 pandemic. It is unclear how the recent shift of many mental health services to virtual platforms has impacted service users, especially for the male population which are significantly more likely to complete suicide than women. This paper presents the findings of a rapid meta-analytic research synthesis of 17 randomized controlled trials on the relative efficacy of virtual versus traditional face-to-face cognitive behavioral therapy (CBT) in mitigating symptoms of depression. Participants’ aggregated depression scores were compared upon completion of the therapy (posttest) and longest follow-up measurement. The results …

Exploring Bscn Recent Graduates’ Perceived Readiness To Practice, Robyn Marie Lapuz

Electronic Theses and Dissertations

Assessing BScN recent graduates and their readiness to practice is of vital importance in the climate of high nursing turnover and nursing migration. The literature confirms that readiness to practice is a longstanding issue in nursing and the practice-education gap remains an issue to date. The purpose of this research was to explore BScN recent graduates’ perceived readiness to practice in nursing and make recommendations for nursing practice, education, and future research. A cross-sectional descriptive correlational mixed-methods research design was used for this research. The results confirm that the majority of BScN recent graduates from this study reported feeling ready …

The Experience Of Transitioning For The Transgender Person: An Appreciative Inquiry Approach To Advance Gender Affirming Care, Shelley Evans

Electronic Theses and Dissertations

Background. The process of transitioning has a significant impact on improving quality of life among transgender and nonbinary people (Johansson et al., 2010). Transitioning is the act of moving towards a gender identity that feels more aligned with internal identity (Rankin & Beemyn, 2012). However, despite promising research that supports the benefits of medical, social and/or legal transitioning, the understanding of the experience has not been fully explored (Evans et al., 2021), and it is a barrier to advancing the delivery of gender affirming care among nurses, other health care providers, and health care organizations. There is a need to …

Online Social Networking Among Clinically Depressed Young People: Scoping Review Of Potentially Supportive Or Harmful Behaviors, Carolyn L. Elias, Kevin M. Gorey

Social Work Publications

Online social networking sites are ubiquitous and prevalently used by young people. The COVID-19 pandemic demonstrated the potential for such sites to bring isolated people together to support their mental health. Virtual communications, however, are not without risks. Substantial knowledge exists on attendant risks and protections among the general population, but much less seems known about their effects among clinical populations. This scoping review mapped the novel knowledge and knowledge gaps related to online social networking experiences and perceptions of depressed young people, adolescents to emergent adults. It also explored moderators of their social networking supports versus harms. A broad …

Relative Effectiveness Of Online Cognitive Behavioural Therapy With Anxious Or Depressed Young People: Rapid Review And Meta-Analysis, Shikara T. Howes, Kevin M. Gorey, Carly M. Charron

Social Work Publications

Global estimates suggest that 25% and 20% of youth have reported elevated symptoms of depression and anxiety, respectively, since the beginning of the COVID-19 pandemic compared to baseline functioning (Racine et al., 2021). Cognitive behavioural therapy (CBT) has been found to significantly benefit young people experiencing anxiety and depression (Christ et al., 2020). Pandemic-related protocols have led many mental health services to shift to online platforms. We wondered about the comparative efficacy of online versus offline CBT for young people between the ages of 10-25. We responded with a rapid review and meta-analysis of eight randomized controlled trial outcomes. The …

Unmet Healthcare Need Due To Cost Concerns Among U.S. Transgender And Gender-Expansive Adults: Results From A National Survey, Luisa Kcomt, Kevin M. Gorey, Betty Jo Barrett, Dana S. Levin, Jill Grant, Sean Esteban Mccabe

Social Work Publications

This study examines past-year unmet healthcare need due to cost experienced by transgender and gender-expansive (TGE) adults in the United States in the context of the Patient Protection and Affordable Care Act (ACA). It also aims to estimate the importance of having health insurance among TGE Americans (transgender men, transgender women, nonbinary/genderqueer people, and cross-dressers). Data were from the 2015 U.S. Transgender Survey (N ¼ 19,157 adults, aged 25 to 64 years). Multivariable logistic regression models were used to determine the adjusted odds ratios (AOR) and 95 percent confidence intervals (CI) of TGE individuals’ past-year unmet healthcare need due to …

Physical Assessment Skills Taught In Nursing Curricula: A Scoping Review., Sherry Morrell, Natalie Giannotti, Gina Pittman, Adam Mulcaster

Nursing Publications

OBJECTIVE: This scoping review sought to establish the current state of knowledge regarding physical assessment skills taught globally in undergraduate nursing curricula. Explicitly, the review aimed to determine which skills are being taught via curricula and which skills are performed by students in clinical placements, as well as what physical assessment skills are being used by registered nurses in practice.

INTRODUCTION: Nursing programs are expected to teach the physical assessment skills required for entry-level registered nurses to practice competently. The discrepancy lies in determining which skills are essential to teach entry-level nurses and which are unessential.

INCLUSION CRITERIA: Studies that …

Acute Or Chronic Spontaneous Urticaria Patients Report Increased Rates Of Medication Allergies., Brandon Clark, Judy Bornais, Scott Miller, Joel Liem

Nursing Publications

Background

The pathophysiology of acute urticaria and chronic spontaneous urticaria (CSU) is not completely known. Antibiotic allergies are on the rise, and the typical history is associated with urticarial reactions which can persist. Given this overlap, we sought to determine whether self-reported antibiotic allergies are increased in patients with a history of acute urticaria or CSU.

Methods

Retrospective chart review of 950 patients was completed using the electronic medical record of the Windsor Allergy & Asthma Clinic. Cases were identified to have a history of acute urticaria or CSU, whereas controls have an established diagnosis of food allergies, asthma, allergic …

Nurse Practitioner Opioid Prescribing And Safety Measure Utilization Patterns In Ontario: An Explanatory Sequential Mixed Methods Study, Gina Pittman

Electronic Theses and Dissertations

Background. There has been a rise in opioid-related hospitalizations, emergency department visits, and mortality due to opioid poisoning across Canada. There is a gap in research related to Nurse practitioner (NP) opioid prescribing and safety measure utilization patterns and sparse literature related to physician opioid prescribing (Pittman et al., 2020). Purpose. A mixed methods approach, specifically an explanatory sequential three-phase study, was undertaken to explore this topic. The initial phase was development of the quantitative survey, followed by collection and analysis of the quantitative data. A final qualitative phase added insight into the quantitative results. There were four objectives for …

Bridging Program's Education Environment And Internationally Educated Nurses' Role Transition, Edward Venzon Cruz, Rosario Quicho, Kumaran Mahathevan, Natashia Deer

Nursing Publications

The purpose of this study was to explore a bridging program’s education environment and the role transition of internationally educated nurses (IENs) who were enrolled full-time in Semesters 1 and 2 of the Practical Nursing Bridging Program for IENs at a community college in Toronto, Canada, during the Winter Semester of school year 2018-2019. A survey questionnaire consisting of three parts was used to gather data from 68 IEN students who volunteered to participate in this study. Descriptive statistics and multiple regression analysis were used to analyze data. Participants’ responses to the open-ended question, “Could you please list any problems/issues …

Physical Assessment Skills In Nursing Curricula: A Scoping Review Protocol, Sherry Morrell, Jody Ralph, Natalie Giannotti, Debbie Dayus, Susan Dennison, Judy Bornais

Nursing Publications

Review objective:This review seeks to establish the current state of knowledge regarding physical assessment skills taught in nursing programs globally. It aims to explore the literature on physical assessment skills taught in nursing curricula globally, skills used by nurses in practice, skills used by students, and core physical assessment skills that are important to teach nursing students.

Physical Assessment Skills In Nursing Curricula: A Scoping Review Protocol., Sherry Morrell, Jody Ralph, Natalie Giannotti, Debbie Dayus, Susan Dennison, Judy Bornais

Nursing Publications

This review seeks to establish the current state of knowledge regarding physical assessment skills taught in nursing programs globally. It aims to explore the literature on physical assessment skills taught in nursing curricula globally, skills used by nurses in practice, skills used by students, and core physical assessment skills that are important to teach nursing students.

A Cross-Sectional Study Of Palliative Care Nurse Attitudes Toward Medical Assistance In Dying, Kathy A. Pfaff, Laurie A. Freeman

Nursing Publications

Background: In 2015, the Supreme Court of Canada decriminalized physician assisted dying for persons suffering grievous and irremediable medical conditions. In Canada, Medical Assistance in Dying (MAiD) is not provided by professional nurses; however, nurses are involved in providing physical care, education, and support for persons who are in various stages of the process. Its integration in palliative care settings has been controversial as MAiD is philosophically at odds with a palliative care approach that seeks to neither hasten nor prolong natural death. Therefore, it has potential to create moral and ethical distress among palliative care nurses who respect adherence …

Unlocking Open Access: How To Comply With Funders' Mandates., Helen Power

Leddy Library Publications

No abstract provided.

Predatory Publishing: How To Safely Navigate The Waters Of Open Access., Helen Power

Leddy Library Publications

Open access publishing enables scholarship to be openly accessible to everyone, which has countless benefits. However, the open access movement has opened the door for "predatory publishers" to take advantage of researchers surviving in this publish or perish academic landscape. Predatory journals are becoming increasingly common. Nursing researchers, instructors, and students need to be made aware of the dangers of predatory journals, and they need to know how to identify them. While there are blacklists and whitelists that can be used to aid in decision-making, it is critical to note that these lists can never be entirely up to date. …

Relative Effectiveness Of Mindfulness And Cognitive Behavioral Interventions For Anxiety Disorders: Meta-Analytic Review, Samina K. Singh, Kevin M. Gorey

Social Work Publications

Increasingly popular mindfulness intervention innovations seem demonstrably effective in alleviating anxiety among people with anxiety disorders. However, the basis of such primary and synthetic evidence has, for the most part, been comparisons with non-active comparison conditions such as waiting lists. The longest-standing and strongest evidence-informed practices in this field have been cognitive behavioral interventions (CBI). This meta-analysis synthesized evidence from nine randomized trials of the relative effectiveness of mindfulness interventions compared to CBIs (i.e., active control groups) in treating anxiety disorders. The sample-weighted synthesis found no statistically or practically significant differences between the two groups on anxiety alleviation: Cohen’s d …

Social Support, Nursing Home Applicants And Their Family Caregivers, Beth Anne Sproat Ternovan

Electronic Theses and Dissertations

The purpose of this qualitative-descriptive study was to evaluate overall social support to elderly applicants and their family caregivers awaiting placement into Windsor-Essex County area nursing homes. The study was executed by means of an exploratory-descriptive interview of the applicants; primary family caregivers. The study focuses on respondents' perceptions regarding three main questions: 1) what the specific needs of the respondents were during the interim waiting period; 2) whether these needs were being met; 3) whether the interface of the formal and informal service systems was adequate in terms of overall social support. Results indicated several common primary needs were …