Medicine and Health Sciences Commons^™

An Exploration Of Knowledge Translation Amongst Homecare Providers, Family Caregivers, And Clients, L. Jansen

Electronic Thesis and Dissertation Repository

The aim of this two-phased investigation was to enhance understanding of urinary incontinence (UI) knowledge translation (KT) to inform how UI management knowledge might be translated within in-home nursing practice and family caregiving. Although UI can be managed conservatively, it is a principal reason for the breakdown of family-care and care recipient admission to long-term care. Research has afforded little insight into family caregivers’ experience of KT and the process of in-home KT for UI management.

The first study used a hermeneutic phenomenological approach to explore family caregivers’ experience of UI KT. Data were collected from in-depth interviews with a …

Perceived Facilitators And Barriers To Physical Activity For Rural Youth: An Exploratory Study Using Photovoice, Saagar Walia, Beverly Liepert

Nursing Publications

Introduction: Decreasing physical activity levels, particularly among youth, continue to be a prominent health concern in Canada, and youth living in rural areas may encounter unique facilitators and barriers to physical activity. In addition, current research suggests that overweight and obesity rates are higher for youth in some rural areas compared with urban areas. The goal of this study was to identify the perceived facilitators and barriers to physical activity for a selected sample of rural youth at a rural secondary school in south-western Ontario and examine how rural barriers and facilitators affect rural youth physical activity. Current Canadian literature …

Workplace Violence In The Healthcare Setting, Michelle M.M. Lenssen, Shirley Mccreery

Nursing Publications

Workplace Violence (WPV) is an all-encompassing term used to describe abusive behaviours directed at another with the intent to cause harm. Although the definition varies according to situations and practice settings, there is agreement that WPV has a negative impact on the health and wellbeing of nurses and the delivery of quality nursing care (Choiniere, MacDonnell, & Shamonda, 2010; Higgins & MacIntosh, 2010; Registered Nurses Association of Ontario [RNAO], 2008; Hsinag-Chu & Lee, 2011; Vessey, DeMarco, Gaffney, & Budin, 2009). The growing epidemic of violence in the workplace is of great concern for employees, employers and government agencies and is …

Motherhood And Childbirth Experiences Among Newcomer Women In Canada: A Critical Ethnographic Study, Fatmeh Ahmad Alzoubi

Electronic Thesis and Dissertation Repository

Statement of the Problem: Motherhood and childbirth are very sensitive experiences and have a strong impact on family functioning, social identity, and cohesiveness. Although motherhood and childbirth have been discussed extensively in the scholarly and popular literature, much of this work has been conducted from a North American perspective, with little attention to how motherhood and childbirth are experienced by newcomer women from diverse racial and cultural backgrounds.

Methodology and Theoretical Orientation: A critical ethnographic study using in-depth interviews with 16 newcomer women was utilized to explore newcomer women’s experiences and understandings of motherhood and childbirth in the aftermath of …

The Professional Practice Leader: The Role Of Organizational Power And Personal Influence In Creating A Professional Practice Environment For Nurses, Sara L. Lankshear

Electronic Thesis and Dissertation Repository

Professional Practice Leadership (PPL) roles were introduced in response to health care professionals’ concerns about the loss of professional autonomy and other possible negative consequences on professional practice arising out of the widespread implementation of program management during health care restructuring. Despite the extensive implementation of the PPL role in Ontario, there is a paucity of empirical studies examining the impact of the PPL role. The main purpose of this study was to address this knowledge gap by determining the role of organizational power and personal influence in enabling the PPL to fulfill their role functions toward creating a positive …

Client-Provider Relationships In A Community Health Clinic For People Experiencing Homelessness: A Critical Ethnography, Abram Oudshoorn

Electronic Thesis and Dissertation Repository

People who are experiencing homelessness have the highest rates of morbidity, and the lowest age of mortality in Canada. The importance of health care relationships in addressing the needs of people who are experiencing homelessness has been demonstrated. However, two gaps still exist in the literature. Firstly, the dialectical relationship between space/place and social relations has been neglected in the context of health care and homelessness. Secondly, there is a dearth of research on the role of formal and informal policies on the enactment of client-provider relationships in this context. Therefore, in this study three research questions are addressed: 1) …

Effects Of Work Environments On Nursing And Patient Outcomes, Nancy M. Purdy

Electronic Thesis and Dissertation Repository

Nurses are leaving the profession due to high levels of job dissatisfaction arising from current working conditions characterized by heavy workloads, limited participation in decision making and lack of development opportunities (Canadian Health Services Research Foundation [CHSRF], 2006a). To gain organizational support for workplace improvements and thereby improve nursing retention, evidence is needed to demonstrate the impact of the work environment on patient care. The purpose of this study was to determine the relationship between nurses' perceptions of their work environment and the quality and risk outcomes for both the patient and the nurse. Kanter's (1977, 1993) theory of structural …

Single Mother’S Adverse And Traumatic Experiences And Post-Traumatic Stress Symptoms, Joan A. Samuels-Dennis, Marilyn Ford-Gilboe, Susan Ray

Nursing Publications

A random sample of 247 Canadian single mothers currently receiving social assistance participated in a study designed to: a) provide a comprehensive description of mother’s lifetime exposure to 11 adversities, four psychological traumas, and eight assaultive traumas; b) examine the association between exposure to childhood and adulthood adversities and traumas, and mother’s current post-traumatic stress symptom. Of those surveyed, 31% met the criteria for a probable PTSD diagnosis. Between 78% and 80% reported 1 or more lifetime adversity, psychological trauma, and assaultive trauma. Rates of adversities were similar to the general female population. However, rates of psychological and assaultive trauma …

Is Reporting On Interventions A Weak Link In Understanding How And Why They Work? A Preliminary Exploration Using Community Heart Health Exemplars, Barbara Riley, Joanne Macdonald, Omaima Mansi, Anita Kothari, Donna Kurtz, Linda Vontettenborn, Nancy Edwards

Anita Kothari

Background: The persistent gap between research and practice compromises the impact of multi-level and multi-strategy community health interventions. Part of the problem is a limited understanding of how and why interventions produce change in population health outcomes. Systematic investigation of these intervention processes across studies requires sufficient reporting about interventions. Guided by a set of best processes related to the design, implementation, and evaluation of community health interventions, this article presents preliminary findings of intervention reporting in the published literature using community heart health exemplars as case examples.

Methods: The process to assess intervention reporting involved three steps: selection of …

Perspectives Of Women With Dementia Receiving Care From Their Adult Daughters, Catherine Ward-Griffin, Nancy Bol, Abram Oudshoorn

Nursing Publications

(Article in English)

Le vécu inhérent à la prestation des soins aux personnes atteintes d’Alzheimer est relativement bien documenté.Toutefois,peu de recherches ont été réalisées du point de vue de la personne souffrant de démence.L’objectif de cette étude, qui s’inscrit dans une recherche qualitative sur les relations mères-filles en contexte de démence,notamment sur le processus de soins,est de recueillir les perceptions et les expériences des mères soignées par leur fille adulte.Guidés par des perspectives féministes et axées sur les étapes de vie,les chercheurs ont mené des entrevues en profondeur et semi-structurées auprès d’un échantillonnage diversifié de 10 femmes non-institutionnalisées et atteintes …