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In recent decades, developed countries have seen a major increase in outpatient surgeries, which allow stable patients to be discharged home on the same day of surgery after a period [...], Background: The Delta Oasis program was launched in New Brunswick in 2006 to offer patients from rural areas who were undergoing breast cancer surgery and their families 1 night of free accommodations and a postoperative consultation with an extramural nurse. We sought to investigate patient experiences with this program. Methods: This mixed-method retrospective study took place from 2020 to 2022 and compared the preoperative anxiety and quality of recovery of program participants and control patients who were discharged home over 100 km from hospital. We conducted 2x2 analysis of variance to evaluate the effects of intervention group and surgery type. We conducted semistructured interviews with intervention participants, which we then thematically analyzed. Two patient partners were engaged during data synthesis to support the interpretation of results. Results: We included 34 patients who participated in the program and 18 control patients. No statistically significant differences were found between treatment groups in preoperative anxiety and quality of recovery, regardless of surgery type. Thematic analysis of interviews with 17 intervention participants revealed that they were highly satisfied with the program and that the experience helped reduce stress and discomfort related to their surgery. Interpretation: The Delta Oasis program is a cost-effective alternative to inpatient care after breast cancer surgery and is highly regarded by rural patients; expansion to other regions with the inclusion of additional low-risk surgeries could help address hospital capacity issues. This study contributes to our understanding of the patient experience with the Delta Oasis program and informs the development of similar programs elsewhere. Contexte : Le programme Delta Oasis a t lanc au Nouveau-Brunswick en 2006 pour offrir aux personnes des r gions rurales devant subir une intervention chirurgicale pour un cancer du sein et leur famille 1 nuit d'h bergement gratuite et une consultation postop ratoire avec une infirmi re ou un infirmier hors murs. Nous avons voulu interroger la patient le sur son exp rience du programme. M thodes : Il s'agit d'une tude r trospective m thodes mixtes men e de 2020 2022 pour comparer l'anxi t pr op ratoire et la qualit du r tablissement de personnes participant au programme avec celles des membres d'un groupe t moin retourn s leur domicile, plus de 100 km de l'h pital. Nous avons men une analyse de la variance 2 facteurs pour valuer les effets selon le groupe et le type de chirurgie. Nous avons r alis aupr s des membres du groupe sous intervention des entrevues semi-structur es que nous avons ensuite analys es th matiquement. Deux patients partenaires ont t consult s pendant la synth se des donn es pour confirmer l'interpr tation des r sultats. R sultats : Nous avons interrog 34 personnes ayant particip au programme et 18 du groupe t moin. Aucune diff rence statistiquement significative n'a t constat e entre les groupes quant l'anxi t pr op ratoire et la qualit du r tablissement, quel que soit le type de chirurgie. L'analyse th matique des entrevues men es aupr s de 17 membres du groupe sous intervention a r v l qu'ils taient extr mement satisfaits du programme et que l'exp rience avait att nu le stress et l'inconfort li s l'intervention chirurgicale. Conclusion : Le programme Delta Oasis est une fa on rentable de remplacer les soins hospitaliers apr s une chirurgie pour un cancer du sein; il est tr s appr ci des personnes qui vivent en r gion rurale. En l' tendant d'autres r gions et d'autres interventions chirurgicales faible risque, on pourrait contribuer r soudre les probl mes de capacit hospitali re. Cette tude nous aide comprendre l'exp rience de la patient le dans le programme Delta Oasis et claire l'instauration de programmes semblables ailleurs.

Background: Medication adherence is critical for optimal management of chronic obstructive pulmonary disease (COPD) and is influenced by patient, treatment and societal factors. Currently, little is known about the patient perspectives of older adult Canadians with COPD regarding medication adherence. Therefore, the purpose of this study was to explore the lived experiences of older Canadian adults with COPD regarding medication adherence and management. Methods: Semi-structured interviews were conducted with 20 community-dwelling older adults with COPD, and iterative thematic analysis was performed. Results: Six themes emerged from these data: (1) continuity of care, (2) importance of pharmacy for information and care, (3) medication self-management, (4) "there needs to be more information," (5) drug costs a concern and (6) "it's a lonely battle." Conclusion: Findings suggested a need for improved continuity of care, disease-related information provision and means of addressing psychosocial needs. Holistic approaches to patient education and self-management, with consideration for varying health literacy, are needed. [ABSTRACT FROM AUTHOR]

The trucking industry in Canada, as well as other Western countries, is currently experiencing a significant labour shortage. This crisis has been explored through the lens of mobilities and in relation to how global logistics has impacted the supply chain. Building from these works, this article examines the Canadian provincial trucking industry through a rhythmanalysis framework, based on participant observation and interviews with truck drivers, employer representatives, and key informants. This analysis connects the large-scale rhythms of contemporary global capitalism to familial rhythms at the local level, examining how these rhythm patterns interrelate and the high potential for disruptions. The feminist intersectional focus of the analysis highlights gendered rhythms within the trucking industry and familial life, as well as power dynamics, particularly in relation to logistical power. The intersections of these, often incompatible, rhythms are sources of current pressures within the transportation industry and particularly the lives of truck drivers. These tensions within the lives of truck drivers are linked to recruitment issues and labour shortfalls the industry faces, not only within Canada but globally. [ABSTRACT FROM AUTHOR]

Background: Medication adherence is critical for optimal management of chronic obstructive pulmonary disease (COPD) and is influenced by patient, treatment and societal factors. Currently, little is known about the patient perspectives of older adult Canadians with COPD regarding medication adherence. Therefore, the purpose of this study was to explore the lived experiences of older Canadian adults with COPD regarding medication adherence and management., Methods: Semi-structured interviews were conducted with 20 community-dwelling older adults with COPD, and iterative thematic analysis was performed., Results: Six themes emerged from these data: (1) continuity of care, (2) importance of pharmacy for information and care, (3) medication self-management, (4) "there needs to be more information," (5) drug costs a concern and (6) "it's a lonely battle.", Conclusion: Findings suggested a need for improved continuity of care, disease-related information provision and means of addressing psychosocial needs. Holistic approaches to patient education and self-management, with consideration for varying health literacy, are needed., Competing Interests: The authors declare that there is no conflict of interest., (© The Author(s) 2022.)