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 …

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.

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 …

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 …

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 …