2,043 results
Search Results
2. Usability and Emotions of Mental Health Assessment Tools: Comparing Mobile App and Paper-and-Pencil Modalities.
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Liu, Yang S., Hankey, Jeffrey, Lou, Nigel Mantou, Chokka, Pratap, and Harley, Jason M.
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COMPETENCY assessment (Law) , *STATISTICS , *ANALYSIS of variance , *MOBILE apps , *USER interfaces , *MULTIVARIATE analysis , *COMPARATIVE studies , *SEX distribution , *QUESTIONNAIRES , *RESEARCH funding , *ANALYSIS of covariance , *DESCRIPTIVE statistics , *EMOTIONS , *DATA analysis , *TELEMEDICINE - Abstract
Users' experiences in mental health assessment are multifaceted, including their emotional experiences. Yet, studies of mobile apps for psychiatric assessment have centered on diagnostic accuracy and perceived usability, with little consideration of the impact of user emotional experiences. In this study, we focused on users' perceived usability and emotions and compared the user experience of a paper-and-pencil and an app-based collection of mental health screening questionnaires: EarlyDetect. The System Usability Scale (SUS) and modality-directed emotion questionnaires were administered using paper-and-pencil or iPad. Modality was assigned pseudo-randomly on patients' first visit at a referral-based mental health clinic. We found that patients assigned to the iPad app reported a significantly higher SUS score than patients assigned to paper-and-pencil, qualified by a modality-by-gender interaction where modality effects were significant for men but not for women. Moreover, enjoyment was positively linked to perceived usability, whereas boredom, frustration, and anxiety were negatively linked to usability. Our findings illustrate the added value of studying user experience applied to psychiatric assessments, where both emotions and gender-specific user experience should be taken into consideration. We further discuss the implications for psychiatric assessments via app versus traditional data collection. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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3. ‘This is real now because it’s a piece of paper’: texts, disability, and LGBTQ parents.
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Gibson, Margaret F.
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PARENTS of children with disabilities , *GAY parents , *SERVICES for people with disabilities , *MEDICAL care , *DOCUMENTATION , *PARENTS , *HUMAN services , *ADOPTION , *BIRTH certificates , *DISCRIMINATION (Sociology) , *HEALTH services accessibility , *INTERVIEWING , *MEDICAL records , *RESEARCH funding , *QUALITATIVE research , *LGBTQ+ people , *SOCIAL attitudes , *PARENT attitudes , *ATTITUDES toward sex , *PSYCHOLOGY ,MEDICAL care for people with disabilities - Abstract
What role do texts play in LGBTQ (lesbian, gay, bisexual, transgender, and queer) parents’ experiences of disability service systems? In interviews with 15 LGBTQ parents of disabled children in Toronto, Canada, participants selected documents to be used as a focus for discussion. Parents considered how LGBTQ identity and other intersectional identities influenced their experiences of institutional texts including adoption certificates, intake forms, and assessments. Findings suggest that documentation practices can operate as forms of systemic gatekeeping. LGBTQ identity was sometimes very significant in parents’ accounts, and sometimes less central than other aspects of their families' identities and experiences. [ABSTRACT FROM PUBLISHER]
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- 2016
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4. 'It's overwhelming at the start': transitioning to public transit use as an older adult.
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Ravensbergen, Léa, Newbold, K. Bruce, and Ganann, Rebecca
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ACTIVE aging ,CONFIDENCE ,TRAVEL ,RESEARCH methodology ,INTERVIEWING ,SELF-efficacy ,QUALITATIVE research ,ABILITY ,TRAINING ,ACCESSIBLE design of public spaces ,PHYSICAL mobility ,RESEARCH funding ,SOCIAL attitudes ,PSYCHOLOGICAL adaptation ,DATA analysis software ,SOCIAL skills ,TRANSPORTATION ,OLD age - Abstract
Independent mobility is an important component of healthy ageing. Public transit may be an affordable way to achieve independent mobility, and yet little is known about older adults' transition to public transit. This paper addresses this research gap by providing an exploration of older adults' experiences transitioning to public transit use, and by comparing these experiences to those of older people who have always travelled using transit. Twenty-four older adults (65+) living in Hamilton, Canada, who use public transit completed semi-structured interviews during which they discussed their experiences when they first began to use transit. These experiences are framed herein with the concept self-efficacy, i.e. how one's belief in their ability to complete a task shapes their ability to complete said task. Results indicate that most older adults acquire skills to transition to public transit, such as trip planning, boarding, knowing where to sit and exiting the bus. These skills are developed through practice. As one gains experience, one becomes more confident in their ability to meet their daily travel needs using transit. Therefore, the transition to public transit as an older adult can be more challenging for those with little experience using public transit. This paper highlights the danger of assuming all older adults will effortlessly take up transit and stresses the importance of older adults gaining experience using public transit. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Challenges, coping responses and supportive interventions for international and migrant students in academic nursing programs in major host countries: a scoping review with a gender lens.
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Merry, Lisa, Vissandjée, Bilkis, and Verville-Provencher, Kathryn
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SEXUAL orientation ,CINAHL database ,PSYCHOLOGY information storage & retrieval systems ,SOCIAL support ,PSYCHOLOGY of college students ,DEVELOPED countries ,MEDICAL information storage & retrieval systems ,MEDICAL databases ,INFORMATION storage & retrieval systems ,TEACHING ,PSYCHOLOGY of refugees ,SYSTEMATIC reviews ,MALE nurses ,PSYCHOLOGY of nursing students ,CULTURAL pluralism ,NURSING education ,SEX distribution ,GENDER identity ,EXPERIENCE ,PSYCHOSOCIAL factors ,RESEARCH funding ,STUDENTS ,ENGLISH as a foreign language ,DESCRIPTIVE statistics ,DECISION making ,NURSING research ,PSYCHOLOGICAL adaptation ,LITERATURE reviews ,NURSING students ,MEDLINE ,MANAGEMENT ,FOREIGN students ,PSYCHOLOGY of immigrants ,ERIC (Information retrieval system) ,CLINICAL education - Abstract
Background: International and migrant students face specific challenges which may impact their mental health, well-being and academic outcomes, and these may be gendered experiences. The purpose of this scoping review was to map the literature on the challenges, coping responses and supportive interventions for international and migrant students in academic nursing programs in major host countries, with a gender lens. Methods: We searched 10 databases to identify literature reporting on the challenges, coping responses and/or supportive interventions for international and migrant nursing students in college or university programs in Canada, the United-States, Australia, New Zealand or a European country. We included peer-reviewed research (any design), discussion papers and literature reviews. English, French and Spanish publications were considered and no time restrictions were applied. Drawing from existing frameworks, we critically assessed each paper and extracted information with a gender lens. Results: One hundred fourteen publications were included. Overall the literature mostly focused on international students, and among migrants, migration history/status and length of time in country were not considered with regards to challenges, coping or interventions. Females and males, respectively, were included in 69 and 59% of studies with student participants, while those students who identify as other genders/sexual orientations were not named or identified in any of the research. Several papers suggest that foreign-born nursing students face challenges associated with different cultural roles, norms and expectations for men and women. Other challenges included perceived discrimination due to wearing a hijab and being a 'foreign-born male nurse', and in general nursing being viewed as a feminine, low-status profession. Only two strategies, accessing support from family and other student mothers, used by women to cope with challenges, were identified. Supportive interventions considering gender were limited; these included matching students with support services' personnel by sex, involving male family members in admission and orientation processes, and using patient simulation as a method to prepare students for care-provision of patients of the opposite-sex. Conclusion: Future work in nursing higher education, especially regarding supportive interventions, needs to address the intersections of gender, gender identity/sexual orientation and foreign-born status, and also consider the complexity of migrant students' contexts. [ABSTRACT FROM AUTHOR]
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- 2021
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6. "I Think Peer Support Helps to Demystify People Who Have Mental Health Issues and Helps to Remove That Stigma": Exploring the Defining Characteristics and Related Challenges of Youth Peer Support Through Participatory Research.
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Halsall, Tanya, Daley, Mardi, Hawke, Lisa D., Henderson, Jo, Wilson, Anne, and Matheson, Kimberly
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MENTAL illness prevention ,SUBSTANCE abuse ,PSYCHOLOGICAL burnout ,RESEARCH funding ,FOCUS groups ,AFFINITY groups ,INTERVIEWING ,WORK environment ,DESCRIPTIVE statistics ,THEMATIC analysis ,RESEARCH methodology ,ACTION research ,SOCIAL support ,DATA analysis software ,SOCIAL stigma - Abstract
Despite the emerging body of literature on the benefits of youth peer support, there is also evidence that peer support can have unintended negative impacts on peers themselves. It is important to explore what aspects of the peer role contribute to these difficulties in order to mitigate risks. This paper uses a participatory approach to examine the unique attributes of youth peer practice and the related challenges. We conducted semi-structured interviews and focus groups with both peer and non-peer staff from a community-based youth mental health program that provides peer support services (N = 29). Thematic analyses were completed using QSR NVivo. Analyses capture the defining features and related challenges of the peer support role (self-disclosure, boundaries, role confusion and dynamic recovery), and risk factors that affect peers (stigma, exposure to harm and burnout). This paper contributes to the literature on peer support as well as youth participatory evaluation. The findings will be useful to support the development of improved organizational contexts for peer practice and more effective peer support programming. [ABSTRACT FROM AUTHOR]
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- 2024
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7. Declining nudes: Canadian teachers' responses to including sexting in the sexual health and human development curriculum.
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Oliver, Vanessa and Flicker, Sarah
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CURRICULUM ,GENDER role ,PSYCHOLOGY of teachers ,SEXTING ,HEALTH attitudes ,RESEARCH funding ,SEX education ,INTERVIEWING ,ATTITUDES toward sex ,HUMAN sexuality ,LGBTQ+ people ,DEVELOPMENTAL psychobiology ,MOTIVATION (Psychology) ,COLLEGE teacher attitudes ,STUDENT attitudes ,SOCIAL support ,SEXUAL health - Abstract
Addressing sexting in sexual health education classrooms is one way of supporting young people to become good sexual citizens and to emphasise respect and consent in their sexual practices and in their lives. While a fair amount of research has worked with youth to understand their motivations for sexting, less research has been conducted with in-service teachers to understand their perspectives, pedagogical approaches, and beliefs regarding young people and sexting. Set in this context, this paper discusses findings from interviews with Canadian teachers who were teaching a new Ontario Health and Physical Education curriculum that included discussions of sexting. Our findings suggest that many teachers are still engaging discourses of risk, shame and blame when they talk to their students about sexting. Likewise, longstanding gender norms and stereotypical sexual scripts are evident in the ways in which many teachers both understand and teach sexting. Some teachers, however, are engaging in more promising pedagogical practices that frame sexting as having a range of uses, outcomes, and purposes, painting a more holistic picture of young people's sexting landscapes. Findings from this paper may be useful for educators and policymakers creating sexting curriculum for young people in educational settings. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Gender Differences in Math and Science Academic Self-Concepts and the Association With Female Climate in 8th Grade Classrooms.
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Andersen, Ida Gran and Smith, Emil
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PSYCHOLOGY of middle school students ,SCHOOL environment ,STATISTICAL correlation ,MATHEMATICS ,PHILOSOPHY of education ,STEREOTYPES ,RESEARCH funding ,SEX distribution ,SCIENCE ,AFFINITY groups ,DESCRIPTIVE statistics ,SURVEYS ,ACADEMIC achievement ,RESEARCH ,COMPARATIVE studies ,SELF-perception - Abstract
Although women's representation in STEM fields and occupations has increased, science and math continue to be stereotyped as male domains. This paper links psychological and sociological explanations for gendered disparities in STEM by examining the relationship between the local "micro-situational" female learning environment and the gender gap in academic self-concept in math and science. We applied hybrid models to TIMSS 2015 data comprised of a pseudo-panel of repeated measures for individual student and peer achievement, academic self-concept, utility value, and interest-enjoyment value in math/science (at age 14). We analyzed data from three countries, including a subsample of students who were taught by the same teacher in both math and science, thus eliminating unobserved teacher heterogeneity. Results indicate that female peer climate in the classroom is important for understanding how girls' self-concept in math/science is formed, even though it was unrelated to the gender gap. [ABSTRACT FROM AUTHOR]
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- 2024
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9. Inequities in access to palliative and end-of-life care in the black population in Canada: a scoping review.
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Bassah, Nahyeni, Beranek, Julia, Kennedy, Megan, Onabadejo, Juliet, and Santos Salas, Anna
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HEALTH services accessibility ,HEALTH literacy ,PSYCHOLOGY of the terminally ill ,MEDICAL information storage & retrieval systems ,PALLIATIVE treatment ,HEALTH attitudes ,RESEARCH funding ,CINAHL database ,SYSTEMATIC reviews ,MEDLINE ,CAREGIVERS ,LITERATURE reviews ,MEDICAL databases ,HEALTH equity ,TERMINAL care ,BLACK Canadians ,PATIENTS' attitudes ,PSYCHOLOGY information storage & retrieval systems ,HOSPICE care ,RELIGIOUS leaders - Abstract
Background: Improving equity and early access to palliative care for underserved populations in Canada is a priority. Little is known regarding access to palliative and end-of-life care in the Black population. Methods: We undertook a scoping review using the framework by Arksey and O'Malley to identify knowledge, access gaps, and experiences of palliative and end-of-life care among Blacks living with life-limiting illnesses in Canada. Primary studies, discussion papers, books, and reports were considered eligible. We followed a comprehensive search strategy developed by an information scientist. Searches were performed in the following bibliographic databases: Medline, EMBASE, PsycINFO via OVID, CINAHL via EBSCOhost, Scopus and Cochrane Library via Wiley. The search strategy was derived from three main concepts: (1) Black people; (2) Canada and Canadian provinces; (3) Palliative, hospice, or end-of-life care. No publication date or language limits were applied. Titles and abstracts were screened for eligibility by one reviewer and full text by two independent reviewers. Results: The search yielded 233 articles. Nineteen articles were selected for full-text review, and 7 articles met the inclusion criteria. These studies were published between 2010 and 2021, and conducted in the provinces of Ontario and Nova Scotia only. Studies used both quantitative and qualitative methods and included cancer decedents, next of kin, family caregivers and religious leaders. Sample sizes in various studies ranged from 6 − 2,606 participants. Included studies reported a general lack of understanding about palliative and end-of-life care, positive and negative experiences, and limited access to palliative and end-of-life care for Blacks, across all care settings. Conclusion: Findings suggest limited knowledge of palliative care and inequities in access to palliative and end-of-life care for Blacks living with life-limiting illnesses in 2 Canadian provinces. There is an urgent need for research to inform tailored and culturally acceptable strategies to improve understanding and access to palliative care and end-of-life care among Blacks in Canada. [ABSTRACT FROM AUTHOR]
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- 2024
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10. 'Planning for a healthy baby and a healthy pregnancy': A critical analysis of Canadian clinical practice guidelines for the treatment of opioid dependence during pregnancy.
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Martin, Fiona S., Gosse, Meghan, and Whelan, Emma
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METHADONE treatment programs ,MEDICAL protocols ,CHILD welfare ,HEALTH services accessibility ,SOCIAL determinants of health ,RESEARCH funding ,DRUG addiction ,PREGNANCY outcomes ,PREGNANT women ,OPIOID analgesics ,NEEDS assessment ,PREGNANCY - Abstract
As opioid fatalities rise in North America, the need to improve the supports available to those who are dependent on opioids and pregnant has become more urgent. This paper discusses the social organisation of drug treatment supports for those who are pregnant, using Canadian clinical practice guidelines (CPGs) for methadone maintenance treatment (MMT) as a case study. Pregnant patients are a priority population for MMT, both in Canada and internationally; the regulatory bodies that oversee MMT in Canada are the provincial Colleges of Physician and Surgeons and Health Canada. The paper analyses MMT CPGs published by these agencies, comparing their general recommendations to those specific to pregnant patients. We demonstrate that the guidelines address few treatment considerations for pregnant patients, other than improved birth outcomes and child welfare, despite acknowledging their more complex needs. Drawing on social science studies of gender and drugs, we argue that MMT CPGs therefore perpetuate the intensified surveillance and foetal prioritisation that have long generated barriers to care for opiate‐dependent pregnant patients. We also discuss how and why the CPGs ultimately only reinforced these current limitations in the drug treatment sector. [ABSTRACT FROM AUTHOR]
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- 2024
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11. The state of nursing research from 2000 to 2019: A global analysis.
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Yanbing, Su, Hua, Liu, Chao, Liu, Fenglan, Wang, and Zhiguang, Duan
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BIBLIOMETRICS ,INTERNATIONAL relations ,INTERPROFESSIONAL relations ,LONGITUDINAL method ,NURSING research ,PUBLISHING ,RESEARCH funding ,SERIAL publications ,DEVELOPED countries ,UNIVERSITIES & colleges ,DESCRIPTIVE statistics ,MIDDLE-income countries ,LOW-income countries - Abstract
Copyright of Journal of Advanced Nursing (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. 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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- 2021
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12. Evaluation of the Special Olympics Canada Coaching Young Athletes Training: Part B How's it Going? A Study of Active Start and FUNdamentals Program Implementation.
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Temple, Viviene A. and Field, Stephanie C.
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SPORTS participation ,EVALUATION of human services programs ,SPORTS for people with disabilities ,RESEARCH methodology ,CHILD development ,PHYSICAL training & conditioning ,MENTORING ,INTERVIEWING ,ATHLETES ,SPORTS ,PUBLIC health ,QUALITATIVE research ,PHENOMENOLOGY ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,RESEARCH funding ,SPORTS events ,ATHLETIC ability ,INTELLECTUAL disabilities ,PHYSICAL education ,ADULT education workshops ,CHILDREN - Abstract
Training staff and volunteers is an important aspect of successful program implementation. This paper follows Part A of an evaluation of the Special Olympics Canada (SOC) Coaching Young Athletes Training course. Consistent with Kirkpatrick's four-level model of training evaluation, Part A evaluated program leaders' reactions to (level 1) and immediate learning from (level 2) the training. This Part B paper covers "on the job" behavior (level 3). In-depth semi-structured interviews were conducted with youth program leaders (n = 11) from eight provinces. Overall, participants felt that more training related to working with children with autism and promoting positive athlete behavior was needed. The findings also lead us to suggest that program leaders need to develop a more fulsome understanding of how to foster skill mastery, including how to practice the same skill in many and varied ways. [ABSTRACT FROM AUTHOR]
- Published
- 2023
13. Understanding Pregnancy Intentions among Black Women Living with HIV in Two North American Cities and One African City.
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Etowa, Egbe B., Edet, Ruby, Willett, Andrea, Fseifes, Manal, Diorgu, Faith, Hannan, Jean, Phillips, J. Craig, Yaya, Sanni, Etokidem, Aniekan, and Etowa, Josephine
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PSYCHOLOGY of Black people ,RESEARCH ,CONFIDENCE intervals ,CROSS-sectional method ,RESEARCH methodology ,EXPERIENCE ,RISK assessment ,PSYCHOLOGY of women ,DESCRIPTIVE statistics ,RESEARCH funding ,ATTITUDES toward pregnancy ,INTENTION ,ODDS ratio ,LOGISTIC regression analysis ,AFRICAN Americans ,PSYCHOLOGY of HIV-positive persons ,UNPLANNED pregnancy - Abstract
Despite increased access to and improvements in contraceptives, unintended pregnancy continues to be a problem globally and is associated with adverse outcomes for mothers and infants. This paper seeks to unravel the mediators of intended versus unintended pregnancies among Black women living with HIV. The paper draws on survey data from a broader multi-country mixed methods study that used a community-based participatory research approach to investigate the psychosocial experiences of Black mothers living with HIV. The study participants were Black mothers living with HIV drawn through venue-based sampling from Ottawa, Canada (n = 89), Port Harcourt, Nigeria (n = 400), and Miami, Florida, United States (n = 201). We used Hierarchical Binary Logistic Regression Modelling (HBLM) to estimate the independent associations of pregnancy intention (intended versus unintended) with blocks of predictor variables (sociodemographic, sociocultural, and psychosocial predictors) at alpha level of 0.5. Specifically, 44.2%, 67.3%, and 17.7% of the women had unintended pregnancies in Ottawa, Miami, and Port Harcourt, respectively. There were important results from the HBLM. The odds of intended relative to unintended pregnancies were (i) reduced in larger households (OR = 0.56, 95% CI = 0.36/0.87), but increased with employment (OR = 7.84, 95% CI = 1.52/40.54) and HIV knowledge (OR = 3.13, 95% CI = 1.42/6.90) in Ottawa; (ii) reduced with age (OR = 0.93, 95% CI = 0.88/0.98), but increased with marriage (OR = 2.90, 95% CI = 1.43/5.88) and social support (pregnancy (OR = 3.77, 95% CI = 1.98/7.19) in Port Harcourt; (iii) reduced with social support (OR = 0.95, 95% CI = 0.91/1.00) but increased with HIV status disclosure (OR = 1.73, 95% CI = 1.01/2.97) and the influence of specific referent (OR = 1.68, 95% CI = 1.13/2.52) in Miami-FL. The incidence of unintended pregnancy is more prevalent among Black women living with HIV in the North American cities relative to the African city. Also, unique combinations of sociodemographic, sociocultural, and psychosocial factors influence pregnancy intention in each city. This implies that policy and practices to address reproductive health needs of WLHIV must consider these contextual issues. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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14. The Evolving Complexities of MAID Care in Canada From a Nursing Perspective.
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Pesut, Barbara, Thorne, Sally, Chambaere, Kenneth, Hall, Margaret, and Schiller, Catharine J.
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NURSES' attitudes ,ASSISTED suicide ,RESEARCH methodology ,INTERVIEWING ,QUALITATIVE research ,ADVANCE directives (Medical care) ,NURSES ,RESEARCH funding ,JUDGMENT sampling ,STATISTICAL sampling ,DATA analysis software ,ATTITUDES toward death - Abstract
Medical Assistance in Dying (MAID) legislation has evolved rapidly in Canada with significant impacts on nursing practice. The purpose of this paper is to describe evolving complexities in legislative context and practice standards that influence the experiences nurse practitioners and registered nurses have with MAID. Qualitative interviews were conducted with 25 registered nurses and 10 nurse practitioners from diverse contexts across Canada. Participants described their practices and considerations when discussing MAID as part of advance care planning; their use of, and challenges with, waivers of consent; their practice considerations in negotiating the complexities of clients for whom death is not reasonably foreseeable; and their moral wrestling with the inclusion of MAID for persons whose sole underlying medical condition is mental illness. Findings illustrate the moral complexities inherent in the evolving legislation and the importance of robust health and social care systems to the legal and ethical implementation of MAID in Canada. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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15. Experiences of Frontline Managers during the COVID-19 Pandemic: Recommendations for Organizational Resilience.
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Udod, Sonia, Baxter, Pamela, Gagnon, Suzanne, Halas, Gayle, and Raja, Saba
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HEALTH services administrators ,WELL-being ,WORK environment ,HEALTH services administration ,NURSE administrators ,ROLE models ,LEADERSHIP ,HEALTH facility administration ,ATTITUDES of medical personnel ,RESEARCH methodology ,INTERVIEWING ,MENTAL health ,EXPERIENCE ,QUALITATIVE research ,DECISION making ,INTERPERSONAL relations ,NURSES ,RESEARCH funding ,EMOTIONS ,PSYCHOLOGICAL adaptation ,JUDGMENT sampling ,COVID-19 pandemic ,PSYCHOLOGICAL resilience ,PSYCHOLOGICAL stress - Abstract
The COVID-19 pandemic caused a global health crisis directly impacting the healthcare system. Healthcare leaders influence and shape the ability of an organization to cope with and recover from a crisis such as the COVID-19 pandemic. Their actions serve to guide and support nurses' actions through unpredictable health service demands. The purpose of this paper was to examine frontline managers' experiences and organizational leadership responses that activated organizational resilience during the COVID-19 pandemic, and to learn for ongoing and future responses to healthcare crises. Fourteen managers participated in semi-structured interviews. We found that: (1) leadership challenges (physical resources and emotional burden), (2) the influence of senior leader decision-making on managers (constant change, shortage of human resources, adapting care delivery, and cooperation and collaboration), and (3) lessons learned (managerial caring behaviours and role modelling, adaptive leadership, education and training, culture of care for self, and others) were evidence of managers' responses to the crisis. Overall, the study provides evidence of managers experiences during the early waves of the pandemic in supporting nurses and fostering organizational resilience. Knowing manager's experiences can facilitate planning, preparing, and strengthening their leadership strategies to improve work conditions is a high priority to manage and sustain nurses' mental health and wellbeing. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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16. Innovative Program to Prevent Pediatric Chronic Postsurgical Pain: Patient Partner Feedback on Intervention Development.
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Ruskin, Danielle, Szczech, Klaudia, Tyrrell, Jennifer, and Isaac, Lisa
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CHRONIC pain ,CAREGIVER attitudes ,PARENT attitudes ,BIOPSYCHOSOCIAL model ,PAIN ,RESEARCH methodology ,PEDIATRICS ,INTERVIEWING ,HUMAN services programs ,SELF-efficacy ,RISK assessment ,QUALITATIVE research ,DESCRIPTIVE statistics ,RESEARCH funding ,THEMATIC analysis ,POSTOPERATIVE pain ,PSYCHOLOGICAL stress ,PAIN management ,PSYCHOTHERAPY ,DIFFUSION of innovations - Abstract
Background: The risk of developing chronic postsurgical pain (CPSP) in youth is related to psychological factors, including preoperative anxiety, depression, patient/caregiver pain catastrophizing, and poor self-efficacy in managing pain. While interventions exist to address these factors, they are generally brief and educational in nature. The current paper details patient partner feedback on the development of a psychologist-delivered perioperative psychological program (PPP) designed to identify and target psychological risk factors for CPSP and improve self-efficacy in managing pain. Methods: Qualitative interviews were conducted with two patients and their caregivers to discuss their surgical and pain management experience and to advise on components of the PPP. Results: Reflexive thematic analysis of interviews generated the following themes, which were incorporated into the content and implementation of the PPP: caregiver involvement, psychological and physical strategies for pain management, biopsychosocial pain education, intervention structure, and supporting materials. Conclusions: The development of a novel psychologist-led PPP is a promising approach to mitigate mental health risks associated with pediatric CPSP and potentially boost postoperative outcomes and family wellbeing. Integrating patient partner feedback ensures that the PPP is relevant, acceptable, and aligned with the needs and preferences of the patients it is designed to serve. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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17. Enhancing critical social work practice: Using text-based vignettes in qualitative research.
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Kia, Hannah
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PROFESSIONAL practice ,HIV infections ,FOCUS groups ,GROUNDED theory ,RESEARCH methodology ,ATTITUDE (Psychology) ,CHANGE ,TRANSPHOBIA ,GENDER-nonconforming people ,INTERVIEWING ,SOCIAL stigma ,EXPERIENCE ,QUALITATIVE research ,CONCEPTUAL structures ,ORGANIZATIONAL change ,SOCIAL worker attitudes ,PSYCHOSOCIAL factors ,RESEARCH funding ,CASE studies ,CHILD welfare ,SOCIAL services ,TRANSGENDER people ,SECONDARY analysis ,CISGENDER people - Abstract
There exist ongoing calls among social work scholars and practitioners to cultivate applied knowledge of critical and emancipatory practice. In this paper, I explore the utility of text-based vignettes as instruments that can be used to elicit insight from marginalized service users on critical social work practice. To do this work, I draw on data from interviews with 20 transgender and gender diverse (TGD) social service users, along with 10 social workers, whose responses to a text-based vignette were originally used to build an understanding of the constituents of equitable social work practice with TGD people. Incorporating critical pragmatism as a conceptual framework and constructivist grounded theory as a methodological orientation, I analyze data from this study as an exemplar that substantiates the promise of using text-based vignettes in qualitative social work research to generate knowledge of critical social work practice. Specifically, I demonstrate how text-based vignettes in this study (1) contextualized the meaning, significance, and impact of oppression for service users, (2) built insight on practice that reflects solidarity and allyship, and (3) identified opportunities for social workers' reflexive use of professional power to effect change. Accounting for the tensions between empiricism and critical praxis in social work, I consider the promise of incorporating text-based vignettes to develop empirical social work literature that is rooted in the voices of marginalized service users. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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18. Implications of time and space factors related with youth substance use prevention: a conceptual review and case study of the Icelandic Prevention Model being implemented in the context of the COVID-19 pandemic.
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Halsall, Tanya, Mahmoud, Kianna, Iyer, Srividya N., Orpana, Heather, Zeni, Megan, and Matheson, Kimberly
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SUBSTANCE abuse prevention ,RISK-taking behavior ,LEISURE ,COVID-19 ,HEALTH services accessibility ,TIME ,RESEARCH methodology ,MEDICAL care ,COMMUNITIES ,INTERVIEWING ,FAMILIES ,TRANSPORTATION of patients ,ACTIVITIES of daily living ,SOCIAL cohesion ,QUALITATIVE research ,RESEARCH funding ,HEALTH ,CASE studies ,THEMATIC analysis ,DATA analysis software ,SUPERVISION of employees ,SPACE perception ,COVID-19 pandemic - Abstract
Purpose: This research examines the implementation of the Icelandic Prevention Model (IPM) in Canada to identify opportunities revealed by the COVID-19 pandemic to re-design our social eco-system to promote wellbeing. This paper has two objectives: 1) to provide a conceptual review of research that applies the bioecological model to youth substance use prevention with a focus on the concepts of time and physical space use and 2) to describe a case study that examines the implementation of the IPM in Canada within the context of the COVID-19 pandemic. Method: Study data were collected through semistructured qualitative interviews with key stakeholders involved in implementing the IPM. Results: Findings are organized within three over-arching themes derived from a thematic analysis: 1) Issues that influence time and space use patterns and youth substance use, 2) Family and community cohesion and influences on developmental context and time use and 3) Opportunities presented by the pandemic that can promote youth wellbeing. Conclusion: We apply the findings to research on the IPM as well as the pandemic to examine opportunities that may support primary prevention and overall youth wellbeing. We use the concepts of time and space as a foundation to discuss implications for policy and practice going forward. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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19. Qualitative metasummary: Parents seeking support related to their TGNC children.
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Tyler, Tee R., Huddleston, Boglarka S., Barton, Taylor N., Thornton, Morgan H., Calloway, Emily T., Martin, Kimberly G., Morgan, Amber L., and Munoz, Valeria
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PSYCHOLOGY information storage & retrieval systems ,SOCIAL support ,SYSTEMATIC reviews ,GENDER-nonconforming people ,RESEARCH funding ,THEMATIC analysis ,MEDLINE ,PARENTS ,CHILDREN - Abstract
Background: Parents seek support on behalf of their transgender and gender nonconforming (TGNC) children. Previous qualitative studies explore the types of support parents seek inside and outside of healthcare settings. Healthcare providers often remain unprepared to effectively provide gender-affirming services to TGNC children and their accompanying parents and may benefit from learning about the support seeking experiences of parents with TGNC children. Aims: This paper summarized qualitative research studies that address the topic of parents seeking support on behalf of their TGNC children. We produced this report for healthcare providers to review to enhance gender-affirming services for parents and TGNC children. Methods: This paper outlines a qualitative metasummary of studies from the United States or Canada with data collected from parents of TGNC children. Data collection included the steps of journal runs, database searches, reference checks, and area scans. Data analysis involved the steps of extracting, editing, grouping, abstracting, and calculating the intensity and frequency effect sizes for finding statements from qualitative research study articles. Results: The results of this metasummary yielded two primary themes, six subthemes, and 24 total findings. The first primary theme of seeking guidance had three subthemes: educational resources, community networks, and advocacy efforts. The second primary theme of seeking healthcare had three subthemes: healthcare providers, mental healthcare, and general healthcare. Discussion: These findings provide information healthcare providers can use to inform their practice. These findings also highlight the importance of providers working collaboratively with parents when serving TGNC children. This article concludes with practical tips for providers. [ABSTRACT FROM AUTHOR]
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- 2023
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20. Health equity related challenges and experiences during the rapid implementation of virtual care during COVID-19: a multiple case study.
- Author
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Shahid, Simone, Hogeveen, Sophie, Sky, Philina, Chandra, Shivani, Budhwani, Suman, de Silva, Ryan, Bhatia, R. Sacha, Seto, Emily, and Shaw, James
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HEALTH services accessibility ,HEALTH literacy ,HUMAN services programs ,QUALITATIVE research ,RESEARCH funding ,PRIMARY health care ,MEDICAL care ,DIGITAL health ,INTERVIEWING ,TELEMEDICINE ,THEMATIC analysis ,RESEARCH ,RESEARCH methodology ,CONCEPTUAL structures ,HEALTH equity ,CASE studies ,COVID-19 pandemic ,COMMUNITY-based social services ,PATIENT participation - Abstract
Background: Virtual care quickly became of crucial importance to health systems around the world during the COVID-19 pandemic. Despite the potential of virtual care to enhance access for some communities, the scale and pace at which services were virtualized did not leave many organizations with sufficient time and resources to ensure optimal and equitable delivery of care for everyone. The objective of this paper is to outline the experiences of health care organizations rapidly implementing virtual care during the first wave of the COVID-19 pandemic and examine whether and how health equity was considered. Methods: We used an exploratory, multiple case study approach involving four health and social service organizations providing virtual care services to structurally marginalized communities in the province of Ontario, Canada. We conducted semi-structured qualitative interviews with providers, managers, and patients to understand the challenges experienced by organizations and the strategies put in place to support health equity during the rapid virtualization of care. Thirty-eight interviews were thematically analyzed using rapid analytic techniques. Results: Organizations experienced challenges related to infrastructure availability, digital health literacy, culturally appropriate approaches, capacity for health equity, and virtual care suitability. Strategies to support health equity included the provision of blended models of care, creation of volunteer and staff support teams, participation in community engagement and outreach, and securement of infrastructure for clients. We put our findings into the context of an existing framework conceptualizing access to health care and expand on what this means for equitable access to virtual care for structurally marginalized communities. Conclusion: This paper highlights the need to pay greater attention to the role of health equity in virtual care delivery and situate that conversation around existing inequitable structures in the health care system that are perpetuated when delivering care virtually. An equitable and sustainable approach to virtual care delivery will require applying an intersectionality lens on the strategies and solutions needed to address existing inequities in the system. [ABSTRACT FROM AUTHOR]
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- 2023
- Full Text
- View/download PDF
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