7 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
- Subjects
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]
- Published
- 2023
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3. Advice from Canadian Mothers Who Express Human Milk: An Interpretive Description Qualitative Study.
- Author
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Bigalky, Jodie, Dietrich Leurer, Marie, McCabe, Janet, Mackey, April, Laczko, Dana, and Deobald, Virginia
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LACTATION ,WORK environment ,ATTITUDES of mothers ,ARTIFICIAL feeding ,SOCIAL support ,PROBLEM solving ,BREAST milk ,INTERVIEWING ,HELP-seeking behavior ,QUALITATIVE research ,INFANT nutrition ,HEALTH literacy ,BREASTFEEDING ,DESCRIPTIVE statistics ,RESEARCH funding ,JUDGMENT sampling ,DATA analysis software ,EMPLOYMENT reentry - Abstract
Objectives: Human milk expression has become an increasingly common means for providing milk to an infant, with women expressing to address breastfeeding problems or to allow for flexible feeding options. This study explored the experiences and recommendations of mothers who expressed human milk, with this paper reporting on the advice mothers would offer to other mothers to address common challenges. Methods: Interpretive description was used in this qualitative project. Using purposive sampling, mothers of infants aged 0–24 months who expressed human milk were recruited to participate from two health regions in western Canada. Individual, audio-taped interviews were completed with 35 women. NVIVO™ software was used for data analysis. Results: Mothers reported the desire to offer experiential advice to other mothers navigating milk expression and encouraged other mothers to seek guidance from health care professionals such as lactation consultants, peer support online, and from family and friends. Experiential knowledge shared included: (a) product recommendations, (b) expression tips, (c) support for workplace expression, (d) encouragement to seek help, and (e) moral support. Conclusions: Healthcare professionals should include evidence-based expression information as part of routine lactation support, while recognizing the importance of mother-to-mother knowledge transfer and emotional support. Services that assist mothers to determine and access pumps appropriate to their unique breastfeeding needs and goals should be offered, and the opportunity for peer support through creation of, or referral to, appropriate in-person or online support groups should be made available. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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4. Can you be a peer if you don't share the same health or social conditions? A qualitative study on peer integration in a primary care setting.
- Author
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Lessard, Émilie, O'Brien, Nadia, Panaite, Andreea-Catalina, Leclaire, Marie, Castonguay, Geneviève, Rouly, Ghislaine, and Boivin, Antoine
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RESEARCH funding ,QUALITATIVE research ,GROUP identity ,PRIMARY health care ,AFFINITY groups ,PILOT projects ,PATIENT care ,DESCRIPTIVE statistics ,ATTITUDE (Psychology) ,THEMATIC analysis ,SOCIAL support ,COMPARATIVE studies ,DATA analysis software ,INTEGRATED health care delivery - Abstract
Background: Peer support has been extensively studied in specific areas of community-based primary care such as mental health, substance use, HIV, homelessness, and Indigenous health. These programs are often built on the assumption that peers must share similar social identities or lived experiences of disease to be effective. However, it remains unclear how peers can be integrated in general primary care setting that serves people with a diversity of health conditions and social backgrounds. Methods: A participatory qualitative study was conducted between 2020 and 2022 to explore the feasibility, acceptability, and perceived effects of the integration of a peer support worker in a primary care setting in Montreal, Canada. A thematic analysis was performed based on semi-structured interviews (n = 18) with patients, relatives, clinicians, and a peer support worker. Findings: Findings show that peers connect with patients through sharing their own hardships and how they overcame them, rather than sharing similar health or social conditions. Peers provide social support and coaching beyond the care trajectory and link identified needs with available resources in the community, bridging the gap between health and social care. Primary care clinicians benefit from peer support work, as it helps overcome therapeutic impasses and facilitates communication of patient needs. However, integrating a peer into a primary care team can be challenging due to clinicians' understanding of the nature and limits of peer support work, financial compensation, and the absence of a formal status within healthcare system. Conclusion: Our results show that to establish a relationship of trust, a peer does not need to share similar health or social conditions. Instead, they leverage their experiential knowledge, strengths, and abilities to create meaningful relationships and reliable connections that bridge the gap between health and social care. This, in turn, instills patients with hope for a better life, empowers them to take an active role in their own care, and helps them achieve life goals beyond healthcare. Finally, integrating peers in primary care contributes in overcoming obstacles to prevention and care, reduce distrust of institutions, prioritize needs, and help patients navigate the complexities of healthcare services. [ABSTRACT FROM AUTHOR]
- Published
- 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.
- Author
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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.)
- Published
- 2024
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6. 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]
- Published
- 2023
- Full Text
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7. Improving services for parents with intellectual disability and their families: Views of Canadian social service workers.
- Author
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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
- Full Text
- View/download PDF
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