10 results
Search Results
2. Facilitating family‐focused Care of Older adults living in Long‐Term Care in Canada during Restricted Visiting due to COVID‐19.
- Author
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Perry, Beth, Thirsk, Lorraine, and Gordon, Brogan
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VISITING the sick ,SOCIAL support ,HEALTH facility administration ,RESEARCH methodology ,FAMILY-centered care ,QUALITATIVE research ,GERIATRIC nursing ,RESEARCH funding ,DESCRIPTIVE statistics ,JUDGMENT sampling ,THEMATIC analysis ,DATA analysis software ,PROFESSIONALISM ,COVID-19 pandemic ,LONG-term health care ,NURSING interventions - Abstract
Background: The focus of this paper is exemplary gerontological nursing interventions that effectively supported families and long‐term care residents in Canada during visiting restrictions resulting from COVID‐19. Objective: The aim was to describe exemplary gerontological nursing interventions that families and long‐term care residents in Canada found supportive during visiting restrictions resulting from COVID‐19. Methods: An analysis of data artefacts including news reports, blogs and social media postings was completed. Results: Thematic analysis resulted in four themes: dedication amidst challenge, innovation and continuous learning, living their nursing values and purposeful knowledge sharing. These themes are described using a framework that depicts four pillars of exemplary nursing practice: professionalism, scholarly practice, leadership and stewardship (Riley, Beal, & Ponte, 2021). Conclusions/Implications for Practice: A link is made between these pillars of exemplary practice and enactment of family‐focused care. Recommendations focused on gerontological nursing approaches that facilitate family‐focused care for older adults residing in long‐term care are included. [ABSTRACT FROM AUTHOR]
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- 2023
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3. "Food engages people, as we know": health care and service providers' experiences of using food as an incentive in HIV care and support in British Columbia, Canada.
- Author
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Gagnon, Marilou, Payne, Alayna, Guta, Adrian, and Bungay, Vicky
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HIV-positive persons ,HEALTH services accessibility ,SOCIAL support ,FOOD security ,ATTITUDES of medical personnel ,MOTIVATION (Psychology) ,RESEARCH methodology ,FOOD consumption ,INTERVIEWING ,MEDICAL screening ,QUALITATIVE research ,CASE studies ,DESCRIPTIVE statistics ,RESEARCH funding ,THEMATIC analysis - Abstract
Food insecurity is widely documented among people living with HIV (PLWH) worldwide, and it presents significant challenges across the spectrum of HIV care and support. In North America, the prevalence of food insecurity among PLWH exceeds 50%. In the province of British Columbia (BC), it exceeds 65%. It comes as no surprise that food has become an essential tool in supporting and engaging with PLWH. Over the past decade, however, a shift has taken place, and food has become an incentive to boost uptake and outcomes of prevention, testing, treatment, and support. To explore this practice, we drew on a qualitative case study of incentives in the care and support of PLWH. This paper presents the findings of a targeted analysis of interviews (N = 25) that discuss food incentives and explores two main themes that shed light on this practice: (1) Using food to engage versus to incentivize and (2) Food is more beneficial and more ethical. Providers perceived food more positively than other incentives, despite the goal remaining somewhat the same. Incentives, such as cash or gift cards, were considered ethically problematic and less helpful (and potentially harmful), whereas food addressed a basic need and felt more ethical. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Patshitinikutau Natukunisha Tshishennuat Uitshuau (a place for Elders to spend their last days in life): a qualitative study about Innu perspectives on end-of-life care.
- Author
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Dawe, Russell, Penashue, Jack, Benuen, Mary Pia, Qupee, Anastasia, Pike, Andrea, van Soeren, Melanie, Sturge Sparkes, Carolyn, Winsor, Mercy, Walsh, Kristin Harris, Hasan, Hiliary, and Pollock, Nathaniel
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DEATH & psychology ,ABORIGINAL Canadians ,CULTURAL identity ,COMMUNITY support ,HEALTH attitudes ,QUALITATIVE research ,FOCUS groups ,RESEARCH funding ,INTERVIEWING ,HEALTH policy ,LEADERSHIP ,DESCRIPTIVE statistics ,THEMATIC analysis ,PATIENT-centered care ,SPIRITUALITY ,RESEARCH methodology ,COMMUNICATION ,TERMINAL care ,INTERPERSONAL relations ,SOCIAL support ,PSYCHOSOCIAL factors ,TRANSCULTURAL medical care ,INTEGRATED health care delivery ,FRIENDSHIP - Abstract
Background: Indigenous palliative persons and their families often have different values, spiritual traditions, and practices from Western culture and Canadian health systems. Additionally, many healthcare policies and practices have been established without adequate consultation of the Indigenous populations they are meant to serve. This can result in barriers to Innu receiving culturally safe end-of-life care. Innu community leaders from Sheshatshiu, Labrador, have identified a need for further research in this area. The purpose of this study is to: (1) describe the cultural and spiritual practices related to death and dying of the Innu in Sheshatshiu; (2) identify aspects of current end-of-life care delivery that serve and/or fail to meet the cultural and spiritual needs of the Innu in Sheshatshiu; and (3) explore ways to integrate current end-of-life care delivery practices with Innu cultural and spiritual practices to achieve culturally safer care delivery for the Innu. Methods: This qualitative patient-oriented research study was co-led by Innu investigators and an Innu advisory committee to conduct semi-structured interviews of 5 healthcare providers and 6 decision-makers serving the community of Sheshatshiu and a focus group of 5 Innu Elders in Sheshatshiu. Data was analyzed thematically from verbatim transcripts. The codebook, preliminary themes, and final themes were all reviewed by Innu community members, and any further input from them was then incorporated. Quotations in this article are attributed to Innu Elders by name at the Elders' request. Results: The findings are described using eight themes, which describe the following: relationships and visitation support a "peaceful death"; traditional locations of death and dying; the important role of friends and community in providing care; flexibility and communication regarding cultural practices; adequate and appropriate supports and services; culturally-informed policies and leadership; and Innu care providers and patient navigators. Conclusions: The Innu in Sheshatshiu have a rich culture that contributes to the health, care, and overall well-being of Innu people approaching end of life. Western medicine is often beneficial in the care that it provides; however, it becomes culturally unsafe when it fails to take Innu cultural and spiritual knowledge and traditions into account. [ABSTRACT FROM AUTHOR]
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- 2024
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5. "I Had to Know About It, I Had to Find It, I Had to Know How to Access it": Experiences of Access to Rehabilitation Services Among People Living with Long COVID.
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Hung, Pam, Brehon, Katelyn, Miciak, Maxi, Brown, Darren A., Bostick, Geoffrey, Brown, Cary, Churchill, Katie, Hall, Mark, Hoddinott, Lance, Hudon, Anne, Hunter, Simone, Perreault, Kadija, Wieler, Marguerite, Skolnik, Kate, Lam, Grace Y., Weatherald, Jason, and Gross, Douglas P.
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HEALTH services accessibility ,PHYSICAL therapy ,MEDICAL quality control ,ACADEMIC medical centers ,QUALITATIVE research ,POST-acute COVID-19 syndrome ,INTERVIEWING ,MEDICAL care ,JUDGMENT sampling ,WORKERS' compensation ,PEER counseling ,DESCRIPTIVE statistics ,EXPERIENCE ,THEMATIC analysis ,MASS media ,PATIENT-centered care ,CONCEPTUAL structures ,RESEARCH methodology ,RESEARCH ,TELEPHONES ,QUALITY of life ,PHYSICIAN-patient relations ,VIDEOCONFERENCING ,NEEDS assessment ,PATIENT satisfaction ,SOCIAL support ,COMPARATIVE studies ,DATA analysis software ,COVID-19 ,PEOPLE with disabilities ,SOCIAL stigma ,PSYCHOSOCIAL factors ,PHYSICAL therapists ,HEALTH care teams - Abstract
Copyright of Physiotherapy Canada is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
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6. Exploring experiences of loneliness among Canadian long‐term care residents during the COVID‐19 pandemic: A qualitative study.
- Author
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Smith, Chelsea B., Wong, Karen Lok Yi, To‐Miles, Flora, Dunn, Sheila, Gregorio, Mario, Wong, Lily, Tam, Samantha, Huynh, Polly, and Hung, Lillian
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NURSING home patients ,HEALTH status indicators ,QUALITATIVE research ,INTERPROFESSIONAL relations ,RECREATION ,LONG-term health care ,INTERVIEWING ,LONELINESS ,DESCRIPTIVE statistics ,EXPERIENCE ,THEMATIC analysis ,QUALITY of life ,RESEARCH methodology ,ACTION research ,VIDEOCONFERENCING ,GRIEF ,SOCIAL support ,HEALTH promotion ,COVID-19 pandemic ,WELL-being ,SOCIAL isolation ,PSYCHOSOCIAL factors - Abstract
Background: The COVID‐19 pandemic has significant impact on long‐term care (LTC) residents' health and well‐being. Objectives: This study investigated resident experiences of loneliness during the COVID‐19 pandemic in Canadian LTC homes to offer lessons learned and implications. Methods: 15 residents and 16 staff members were recruited from two large urban Canadian LTC homes with large outbreaks and fatalities. We used a telepresence robot to conduct one‐on‐one semi‐structured interviews with participants remotely. We applied the Collaborative Action Research (CAR) methodology and report the early phase of CAR focused on collecting data and reporting findings to inform actions for change. Thematic analysis was performed to identify themes. Results: Four themes were identified. The first two themes characterise what commonly generated feelings of loneliness amongst residents, including (1) social isolation and missing their family and friends and (2) feeling hopeless and grieving for lives lost. The second two themes describe what helped residents alleviate loneliness, including (3) social support and (4) creating opportunities for recreation and promoting positivity. Conclusions: Residents living in LTC experienced significant social isolation and grief during the pandemic that resulted in loneliness and other negative health consequences. Implications for practice: Promoting meaningful connection, safe recreational activities and a positive atmosphere in LTC homes during the pandemic may help mitigate residents' experiences of loneliness due to social isolation and/or grief and enhance their quality of life. [ABSTRACT FROM AUTHOR]
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- 2023
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7. Beyond Sexual Assault Prevention: Targeted Outcomes for Empowerment Self-Defense.
- Author
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Beaujolais, Brieanne
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SEX crime prevention ,SOCIALIZATION ,NONVERBAL communication ,SOCIAL support ,SELF-defense ,RESEARCH methodology ,WOMEN ,SOCIAL learning theory ,INTERVIEWING ,MENTAL health ,SELF-efficacy ,QUALITATIVE research ,ASSERTIVENESS (Psychology) ,DESCRIPTIVE statistics ,THEMATIC analysis ,DATA analysis software - Abstract
Empowerment Self-Defense (ESD) has been shown to be effective in reducing risk of sexual assault victimization among women, but because research in this area is still in its infancy, less is known about additional intervention outcomes that may explain how and why the intervention is effective and about other ways that ESD affects students. The purpose of this study was to examine ESD instructor perspectives about intervention outcomes they perceive to be most important for their students. Using qualitative case-study methodology, interviews from 15 ESD instructors from the United States and Canada were conducted and analyzed using thematic analysis, which yielded six themes: Agency, boundaries, core beliefs, health and healing, somatic experiences, and gender and intersectionality, with each theme having two or more subthemes. Although some of these outcomes have been quantitatively evaluated in previous ESD studies, over half (n = 10) have not yet been empirically measured and are the focus of this article. These 10 outcomes include enactment, self-determination, nonverbal communication, relationship quality, self-worth, healing, physical strength and power, downregulation, support and solidarity, and societal-level changes. In addition to developing standardized tools to measure these outcomes, future research should quantitatively evaluate these outcomes across diverse student populations and explore their effect on producing the profound outcome associated with ESD, which is reduced risk for sexual assault victimization. [ABSTRACT FROM AUTHOR]
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- 2023
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8. Improving services for parents with intellectual disability and their families: Views of Canadian social service workers.
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Pacheco, Laura, Aunos, Marjorie, Feldman, Maurice, and McConnell, David
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SOCIAL support ,RESEARCH methodology ,FAMILIES ,QUALITATIVE research ,PARENTING ,SOCIAL worker attitudes ,QUALITY assurance ,DESCRIPTIVE statistics ,PEOPLE with intellectual disabilities ,SOCIAL services ,PARENT-child relationships ,DATA analysis software - Abstract
How adults with intellectual disability fare in the parenting role depend, to varying degrees, on the adequacy of supports and services provided. The available research suggests that service providers are often ill‐equipped to accommodate their support needs. The purpose of this qualitative descriptive study was to explore the perspectives of Canadian social service workers on what is required to improve services and build systems capacity to more effectively support parents with intellectual disability, their children and families. A total of 39 workers, identified by parents with intellectual disability as their key workers, were interviewed. To build systems capacity to support these parents and families, and to address institutionalised discrimination, key workers highlighted the need for entry‐to‐practice and continuing professional education to develop worker capabilities for reflective practice, relationship‐building and research utilisation; accommodative caseload management, giving workers the time, flexibility and the professional supervision they need to deal with complexity and fashion individualised service responses; and, a common framework, with defined service pathways, to facilitate interagency case planning and, in turn, continuity in service provision. The question is not whether adults with intellectual disability can be effectively supported in the parenting role; the question is whether the political will exists to do what is necessary to ensure they are. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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9. Differential impacts of COVID‐19 and associated responses on the health, social well‐being and food security of users of supportive social and health programs during the COVID‐19 pandemic: A qualitative study.
- Author
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Mejia‐Lancheros, Cilia, Alfayumi‐Zeadna, Samira, Lachaud, James, O'Campo, Patricia, Gogosis, Evie, Da Silva, George, Stergiopoulos, Vicky, Hwang, Stephen W., and Thulien, Naomi
- Subjects
HEALTH services accessibility ,COVID-19 ,SOCIAL support ,FOOD security ,RESEARCH methodology ,PUBLIC health ,COMMUNITY health services ,INTERVIEWING ,POST-traumatic stress disorder ,SANITATION ,PATIENTS' attitudes ,EXPERIENCE ,QUALITATIVE research ,SOCIAL isolation ,HEALTH ,COMMUNITY-based social services ,DESCRIPTIVE statistics ,MENTAL depression ,LONELINESS ,QUALITY of life ,SOUND recordings ,RESEARCH funding ,HEALTH impact assessment ,HOMELESSNESS ,THEMATIC analysis ,ANXIETY ,HEALTH equity ,PERSONAL protective equipment ,COVID-19 pandemic ,MENTAL illness ,PSYCHOLOGICAL stress ,PARANOIA ,OBSESSIVE-compulsive disorder - Abstract
The effects of the coronavirus disease‐2019 (COVID‐19) pandemic on the lives of underserved populations are underexplored. This study aimed to identify the impacts of the COVID‐19 pandemic and associated public health responses on the health and social well‐being, and food security of users of Housing First (HF) services in Toronto (Canada) during the first wave of the COVID‐19 pandemic. This qualitative descriptive study was conducted from July to October 2020 in a subsample of 20 adults with a history of homelessness and serious mental disorders who were receiving HF services in Toronto. A semi‐structured interview guide was used to collect narrative data regarding health and social well‐being, food security and access to health, social and preventive services. A thematic analysis framework guided analyses and interpretation of the data. The COVID‐19 pandemic and response measures had a variable impact on the health, social well‐being and food security of participants. Around 40% of participants were minimally impacted by the COVID‐19 pandemic. Conversely, among the remaining participants (impacted group), some experienced onset of new mental health problems (anxiety, stress, paranoia) or exacerbation of pre‐existing mental disorders (depression, post‐traumatic stress disorder and obsessive‐compulsive disorder). They also struggled with isolation and loneliness and had limited leisure activities and access to food goods. The pandemic also contributed to disparities in accessing and receiving healthcare services and treatment continuity for non‐COVID‐19 health issues for the negatively impacted participants. Overall, most participants were able to adhere to COVID‐19 public health measures and get reliable information on COVID‐19 preventive measures facilitated by having access to the phone, internet and media devices and services. In conclusion, the COVID‐19 pandemic and associated response measures impacted the health, social well‐being, leisure and food security of people with experiences of homelessness and mental disorders who use supportive social and housing services in diverse ways. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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10. Exploring spiritual health practitioners' roles and activities in critical care contexts.
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Roze des Ordons, Amanda L., Stelfox, Henry T., Sinuff, Tasnim, Grindrod-Millar, Kathleen, and Sinclair, Shane
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OCCUPATIONAL roles ,INTENSIVE care units ,SPIRITUALITY ,SOCIAL support ,FOCUS groups ,COUNSELING ,RESEARCH methodology ,CONVERSATION ,MEDICAL personnel ,INTERVIEWING ,PATIENT-centered care ,FAMILY-centered care ,HOPE ,HOLISTIC medicine ,QUALITATIVE research ,PATIENTS' families ,PSYCHOSOCIAL factors ,CRITICAL care medicine ,HEALTH care teams ,EMPLOYEES' workload ,DESCRIPTIVE statistics ,RESEARCH funding ,MEDICAL practice ,NEEDS assessment ,PSYCHOLOGICAL distress ,PSYCHOLOGICAL resilience - Abstract
Family members of patients admitted to the intensive care unit (ICU) experience multidimensional distress. Many clinicians lack an understanding of spiritual health practitioners' role and approaches to providing spiritual support. Through semi-structured interviews and focus groups with 10 spiritual health practitioners, we explored how spiritual health practitioners support families of patients in the ICU to better understand their scope of practice and role within an interdisciplinary critical care team. Spiritual health practitioners' work was described through clinical roles (family support, clinician support, bridging family members and clinicians), activities (companioning, counseling, facilitating difficult conversations, addressing individual needs), tensions (within and between roles and activities, navigating between hope and anticipated clinical trajectory, balancing supportive care and workload) and foundational principles (holistic perspective, resilience). A more comprehensive understanding of these roles and skills may enable clinicians to better integrate spiritual health practitioners into the fabric of care for patients, families, and clinicians themselves. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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