Showing papers in "Revue canadienne de recherche en sciences infirmières in 2021"
TL;DR: The rate of positive screens appears much higher than mental disorder prevalence rates in the general Canadian population, but there were important methodological differences.
Abstract: BackgroundNurses face regular exposures to potentially psychologically traumatic events as part of their occupational responsibilities. Cumulative stress due to repeated exposure to such events is ...
55 citations
TL;DR: In this article, the authors found that undergraduate nursing students experience high levels of stress during their programs and the literature on their stress is extensive, however, what is less well-known are the specific sourc...
Abstract: BackgroundUndergraduate nursing students experience high levels of stress during their programs. The literature on their stress is extensive, however, what is less well-known are the specific sourc...
50 citations
TL;DR: Through the identification of predictors of breastfeeding self-efficacy in the prenatal period, health-care providers can strategically target women at risk of low breastfeeding self -efficacy and intervene early to promote breastfeeding.
Abstract: BackgroundWhile breastfeeding is considered the optimal method of infant feeding, Canadian breastfeeding rates remain below the World Health Organization recommendations. Breastfeeding self-efficac...
43 citations
TL;DR: The analyses support that perceived cognitive impairment, stress, loneliness, depressive symptoms, and fatigue co-occur and extend the literature by suggesting that interleukin-2 may contribute to the underlying mechanistic pathway of these co- Occurring symptoms.
Abstract: PurposeThe purpose of this study is to (a) visualize the symptom–cytokine networks (perceived stress, fatigue, loneliness, perceived cognitive impairment, daytime sleepiness, sleep quality, and 13 ...
36 citations
TL;DR: In this article, the authors explored the Muslim Syrian refugee women's breast cancer screening rates, delayed diagnosis, and higher mortality rates in the Arab world and found that women living in Arab countries present low screening rates and high mortality rates.
Abstract: BackgroundWomen living in the Arab world present low breast cancer screening rates, delayed diagnosis, and higher mortality rates.PurposeTo further explore the Muslim Syrian refugee women’s breast ...
22 citations
TL;DR: Monitoring burnout may be an effective way to identify nurses at risk of developing symptoms of mental disorders and identify characteristics that may increase the risk for reporting symptoms of burnout.
Abstract: BackgroundNurses appear to be at a greater risk of burnout compared to other medical professionals. Higher levels of burnout are significantly associated with higher levels of anxiety, stress, and ...
22 citations
TL;DR: The presence and impact of self-sacrifice within the nursing profession is investigated to investigate the existence of a culture ofSelf-Sacrifice within nursing and its potential for abuse.
Abstract: AimTo investigate the presence and impact of self-sacrifice within the nursing profession.BackgroundEvidence suggests the existence of a culture of self-sacrifice within nursing, but its potential ...
20 citations
TL;DR: This article explored the experiences of small-city homeless service users (HSUs) with unmet health care needs and community service providers (CSPs) who work with them to determine barriers to health care access affecting them.
Abstract: Community and health services often overlook health care needs of persons experiencing homelessness, which leads to deterioration in health and increased utilization of emergency services. Since homeless people are underrepresented in health service research, little is known about their unmet health care needs, particularly in smaller cities where resources are limited. This community-based participatory research explored the experiences of small-city homeless service users (HSUs) with unmet health care needs and community service providers (CSPs) who work with them to determine barriers to health care access affecting them. Structured interviews were conducted with 65 HSUs and 15 CSPs in interior British Columbia, Canada. These interviews were audio-recorded, and the retrieved data were analyzed thematically. The three themes uncovered included: a lack of access to health care and risk of stigma, a lack of trust and fear of discrimination, and a need for community navigation and social support. The findings indicate that HSUs do not receive equitable care and face challenges in accessing appropriate and timely foot care, which contributes to increased foot-related emergency visits, loss of trust in the health care system, and disabilities due to worsening foot conditions. Various social determinants of health also impact HSUs, such as low socioeconomic status, lack of housing, decreased social support, unhealthy behaviors, and inequitable access to health services. By collaborating with HSUs, community and health services need to develop innovative outreach programs that provide better community resources as the first step toward equitable access to health care.
17 citations
TL;DR: Examining internationally educated nurses’ perceptions of the extent to which they have integrated in their workplaces and the individual and contextual factors that supported their workplace integration found providing education, managerial support, and mentorship fosters internationally educated Nurses’ workplace integration.
Abstract: Study BackgroundNurses continue to migrate to Canada. Majority are visible minorities. Once employed, internationally educated nurses can struggle to integrate into their workplaces. A comprehensiv...
16 citations
TL;DR: The findings highlight the value of organizations supporting new nurses by reducing role stress through reasonable workloads and expectations, which in turn contributes to a positive transition, and challenges in measuring transition and ITL requires additional research.
Abstract: BackgroundThe transition of new nurses into practice has been identified as challenging, and new nurses report having intentions to leave (ITL) jobs. Concerns of ITL are worrisome for the nursing p...
14 citations
TL;DR: The use of Mahalanobis distance and residual statistics as common multivariate outlier identification techniques and leverage and Cook's distance as two common techniques to determine the influence that multivariate outliers may have on statistical models are discussed.
Abstract: The presence of statistical outliers is a shared concern in research. If ignored or improperly handled, outliers have the potential to distort parameter estimates and possibly compromise the validity of research findings. The purpose of this paper is to provide a conceptual and practical overview of multivariate outliers with a focus on common techniques used to identify and manage multivariate outliers. Specifically, this paper discusses the use of Mahalanobis distance and residual statistics as common multivariate outlier identification techniques. It also discusses the use of leverage and Cook's distance as two common techniques to determine the influence that multivariate outliers may have on statistical models. Finally, this paper discusses techniques that are commonly used to handle influential multivariate outlier cases.
TL;DR: In this paper, the experiences of two early career researchers in recruiting community-based samples of older adults, their caregivers, and associated health providers are discussed and discussed in relation to the literature.
Abstract: BACKGROUND Recruitment in health and social science research is a critically important but often overlooked step in conducting successful research. The challenges associated with recruitment pertain to multiple factors such as enrolling groups with vulnerabilities, obtaining geographic, cultural, and ethnic representation within study samples, supporting the participation of less accessible populations such as older adults, and developing networks to support recruitment. PURPOSE This paper presents the experiences of two early career researchers in recruiting community-based samples of older adults, their caregivers, and associated health providers. METHODS Challenges and facilitators in recruiting two community-based qualitative research samples are identified and discussed in relation to the literature. RESULTS Challenges included: identifying potential participants, engaging referral partners, implementing multi-methods, and achieving study sample diversity. Facilitators included: making connections in the community, building relationships, and drawing on existing networks. CONCLUSIONS Findings suggest the need for greater recognition of the importance of having clear frameworks and strategies to address recruitment prior to study commencement as well as the need to have clear outreach strategies to optimize inclusion of marginalized groups. Recommendations and a guide are provided to inform the development of recruitment approaches of early career researchers in health and social science research.
TL;DR: The essence of the development of nurse burnout was found in the discrepancy between individual vulnerability and situational stressors, and burnout prevention is recommended to target both factors.
Abstract: BackgroundThe multitude of negative consequences of nurse burnout calls for interventions to protect the well-being of the individual nurses, patients, and hospital organizations. However, much is ...
TL;DR: The extent to which nurses’ and care aides’ self-perceived palliative care competence may explain variation in the application of a palliATIVE approach across nursing care settings that do not specialize in palliatives care is explored.
Abstract: Background and purposeA palliative approach involves adapting and integrating palliative care knowledge and expertise earlier on and across sectors of care for people who have life-limiting chronic...
TL;DR: In 2013, the Mental Health Commission of Canada created a National Standard that includes 13 workplace factors associated with employee mental health as discussed by the authors, which was used by the United Kingdom Mental Health Association.
Abstract: BackgroundIn 2013, the Mental Health Commission of Canada created a National Standard that includes 13 workplace factors associated with employee mental health.PurposeThis study (a) examined the ps...
TL;DR: Findings from this descriptive qualitative study have important implications for the development and implementation of methadone maintenance therapy, specifically pertaining to further integration of addiction and mental health services.
Abstract: BackgroundMethadone maintenance therapy remains the most common form of substitution therapy for opioid use disorder in Canada. Effectiveness of methadone maintenance therapy has been established, ...
TL;DR: Understanding high-risk college students’ beliefs and perceptions regarding CVD risk factors and lifestyle modification is the first step to assessing the problem facilitating early intervention in the young adult population.
Abstract: BackgroundStudying risk factors and corresponding behavior in young adults is important as atherosclerotic plaque begins to form in early adulthood, resulting in cardiovascular disease (CVD) later ...
TL;DR: In this article, the long-term success of cardiac rehabilitation programs rests in part on the patient's ability to maintain health behaviors, which is influence by the patient education received Therefo.
Abstract: BackgroundThe long-term success of cardiac rehabilitation programs rests in part on the patient’s ability to maintain health behaviors, which is influence by the patient education received Therefo
TL;DR: In this article, a modified directed content analysis was conducted weekly and at the end of the data collection period, using two cycles of inductive and deductive coding, which demonstrated that nursing students used social media to combat isolation, to consolidate course content, to share resources, and to better anticipate the transition to practice as a new nurse.
Abstract: Background: Social media have many applications in health professions education. The current literature focuses on how faculty members use social media to supplement their teaching; less is known about how the students themselves use social media to support their educational activities. In this study, this digital artifact collection qualitatively explored what educational content nursing students shared with their social media accounts. Methods: A total of 24 nursing students' Facebook, Twitter, and Instagram accounts were followed over 5 months. A modified directed content analysis was conducted weekly and at the end of the data collection period, using two cycles of inductive and deductive coding. Results: This study demonstrated that nursing students used social media to combat isolation, to consolidate course content, to share resources, and to better anticipate the transition to practice as a new nurse. Conclusions: Faculty members can capitalize on social media platforms to help nursing students explore nursing roles and identities while learning about and enacting professional online behaviours.
TL;DR: Parents' experiences as they provided care for their hospitalized medically fragile infant can inform the design of interventions for parents of hospitalised medically fragile infants.
Abstract: BackgroundAdvances in care have increased survival and improved outcomes of infants with complex and chronic diseases. These medically fragile infants require long-term hospitalization and depend o...
TL;DR: In this paper, a qualitative descriptive study used a practice development approach to explore the intersection between academic and professional work experiences for undergraduate Post-Diploma Registered Practical Nurses bridging to Registered Nurse Bachelor of Science in Nursing students and Master of Nursing graduate nursing students during the first wave of the COVID-19 pandemic.
Abstract: Background The coronavirus disease-2019 (COVID-19) pandemic has implications for students who are also nurses. Purpose and methods This qualitative descriptive study used a practice development approach to explore the intersection between academic and professional work experiences for undergraduate Post-Diploma Registered Practical Nurses bridging to Registered Nurse Bachelor of Science in Nursing students and Master of Nursing graduate nursing students during the first wave of the COVID-19 pandemic. The study incorporated critical aesthetic reflections that focused on the personal and aesthetic ways of knowing, as a data collection approach and knowledge dissemination strategy. Results Analysis of the narrative component of participants' reflections revealed the following themes: sensing a "call to duty," experiencing a myriad of emotions, shifting societal and individual perceptions of nursing, and learning in an uncertain environment. Conclusions The results of the study can inform educational strategies and academic policies to support this unique nursing population, who are frontline practitioners as well as student learners.
TL;DR: Ontario nurses report high levels of support for nurse-led postexposure prophylaxis and pre-ex Exposure Prophylactic and are well positioned to provide these interventions.
Abstract: Background and purposeHIV prevention efforts in Ontario require increased implementation of strategies including post- and pre-exposure prophylaxis. Access to these interventions could be improved ...
TL;DR: This work states that harm reduction approaches, programs, and policies in Canada have seen a rapid expansion in the past five years and needs to keep up with the changing policy landscape.
Abstract: BackgroundIn the past five years, we have seen a rapid expansion of harm reduction approaches, programs, and policies in Canada. To keep up with the changing policy landscape, a number of Canadian ...
TL;DR: By facing as many as possible methodological and ethical considerations and establishing solutions for them, the study’s validity, reliability, and rigor are enhanced, and the study is ethically robust.
Abstract: BackgroundThe investigation of medication errors in nursing includes both methodological and ethical considerations because it is a sensitive field of research.PurposeTo present an original researc...
TL;DR: The findings of this study can be used to inform care policies and practices for home care nurses in the management of indwelling urinary catheter complications and further examination of system factors such as capacity and resources available to respond to catheter related complications in the community setting are recommended.
Abstract: BackgroundHome care patients are a growing group of community-dwelling older adults with complex care needs and high health service use. Adult home care patients are at high risk for emergency depa...
TL;DR: The interRAI AC instrument is reliable for use by trained nurses to conduct a comprehensive assessment and could prevent adverse outcomes in hospitalized older adults.
Abstract: BackgroundOlder adults are the biggest users of emergency departments and hospitals. However, healthcare professionals are often ill equipped to conduct comprehensive geriatric assessments causing ...
TL;DR: In this article, the authors present a survey of nurses working with incarcerated persons, focusing on their learning needs, or their roles and responsibiliy in their work with incarcerated individuals.
Abstract: BackgroundNurses represent the largest group of health care professionals working with incarcerated persons, yet there is limited understanding of their learning needs, or their roles and responsib...
TL;DR: In this article diabetic peripheral neuropathy (DPN) is one of the common comorbidities of Type 2 diabetes mellitus that may affect the ability to perform, and it is a global health challenge.
Abstract: BackgroundType 2 diabetes mellitus (T2D) has become a global health challenge Diabetic peripheral neuropathy (DPN) is one of the common comorbidities of T2D that may affect the ability to perform
TL;DR: The simulated encounters showed eCTAS provided several advantages to paper-based triage assessment process by shortlisting possible CEDIS complaints and preselecting relevant modifiers, however, usability concerns were identified with e CTAS including challenges related to data entry and eCTAs score overrides.
Abstract: PurposeTo qualitatively contrast emergency department triage workflow using a paper-based triage system and an electronic decision-support tool (electronic Canadian Triage and Acuity Scale (eCTAS))...
TL;DR: In this paper, the actual scope of practice (ASCOP) questionnaire has been adapted for use in the primary care setting, and the modified instrument yielded acceptable alpha coefficients ranging from 0.66 to 0.91.
Abstract: BACKGROUND Scope of practice enactment is poorly understood in the primary care setting. PURPOSE The following research objectives were addressed: (1) to revise and adapt the Actual Scope of Practice (ASCOP) questionnaire for use in the primary care setting, and (2) to determine internal consistency, construct validity, and sensitivity of the modified instrument. METHODS To address the first objective, a narrative literature review and synthesis and an expert panel review was conducted. To address the second objective, a cross-sectional survey of 178 registered nurses who worked in primary care was conducted. RESULTS The ASCOP, with few modifications, addressed key attributes of nursing scope of practice in the primary care setting. The modified instrument yielded acceptable alpha coefficients ranging from 0.66 to 0.91. Total mean score of 4.8 (SD = .67) suggests that registered nurses within interprofessional primary care teams almost always engage in activities reflected in the modified instrument. CONCLUSIONS The modified instrument is the first instrument validated to measure nursing scope of practice enactment in the primary care setting. Findings from this study support the use of the modified ASCOP questionnaire as a reliable and valid measure of scope of practice enactment among primary care registered nurses.