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354 results on '"Khanlou, Nazilla"'

157. INTRODUCTION: IMMIGRANT MENTAL HEALTH IN CANADA.

Author

Jackson, Beth and Khanlou, Nazilla

Subjects
MENTAL health, HEALTH services accessibility, CULTURE
Abstract

An introduction to the journal is presented in which the editor discusses various articles published within the issue including one by Joanna Ochocka and others on the concept of mental health, one by Alice W. Chen on immigrant access to mental health care, and one by Miu Chung Yan on culture and mental health.

Published
2010

175. "Children are going on a Different Path": Youth Identity from the Bangladeshi Immigrant Parents' Perspective.

Author

Islam, Farah, Sultana, Anjum, Qasim, Syeda, Kozak, Mari, Tamim, Hala, and Khanlou, Nazilla

Subjects
*PARENTS, *IDENTITY (Psychology), *THEMATIC analysis, *PSYCHOLOGICAL research, *SEMI-structured interviews
Abstract

The objective of this study was to describe youth identity from the parents' perspective focusing on the impact of migration on identity formation for both parents and children. The semi-structured interview guide was developed using an intersectional lens (Crenshaw 1989). Interviews with Bangladeshi immigrants (n = 18) living in Toronto, Canada, were analyzed using Braun and Clarke's (Qualitative Research in Psychology, 3(2), 77–101, 2006) guide on thematic analysis and a systems framework (Khanlou et al. 2018). Parents described youth identity as a time of conflict fraught with turmoil, confusion, loneliness, and dual identity. Parents felt their children were on a divergent path from themselves in terms of identity and often felt the changes in their children as a result of acculturation were difficult to comprehend. Their identity as a "parent" took precedence over all other roles in life, particularly for mothers. Parents and children experienced changes in their identity at the macro-, meso-, micro-, and individual levels. Parenting support programs and resources are particularly needed for families with adolescent children to help mitigate conflict within the home and bridge understanding between parents and children as identities shift and transition through the migration and resettlement process. [ABSTRACT FROM AUTHOR]

Published
2021
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176. Identifying strategies to implement patient-centred care for women: Qualitative interviews with women.

Author

Nyhof, Bryanna B., Jameel, Bismah, Dunn, Sheila, Grace, Sherry L., Khanlou, Nazilla, Stewart, Donna E., and Gagliardi, Anna R.

Subjects
*MEDICAL quality control, *ACTIVE listening, *WOMEN'S programs, *TELEPHONE interviewing, *WOMEN'S studies, *PATIENT-centered care, *MEDICAL care, *INTERVIEWING, *QUALITATIVE research, *EMOTIONS
Abstract

Objective: Patient-centred care (PCC) is one approach for mitigating gendered inequities in health care quality. Little is known about how to implement PCC for women (PCCW). This study explored women's views about PCCW implementation.Methods: Descriptive analysis of semi-structured qualitative telephone interviews with diverse women about PCC using an established 6-domain PCC framework.Results: Participants were 33 women who varied in health care experience, age, education and setting. Themes were consistent across these characteristics. Women said that clinicians often dismissed their healthcare concerns. We transformed desired PCC elements into strategies to implement PCCW, 27 at the point-of-care (i.e. assume a non-judgmental disposition, demonstrate active listening, elicit questions, acknowledge emotions, explore preferences for treatment, and offer self-care information) and 3 at the system level (education for women/girls and clinicians about PCCW, widespread access to women's-only services or women clinicians).Conclusion: Many women experienced suboptimal PCC. By sharing their PCC experiences, women identified PCC elements of importance to them, and insight on actionable point-of-care and system-level strategies to implement PCCW.Practice Implications: This study revealed numerous ways that clinicians can foster PCCW, and insight on how healthcare managers and policy-makers can support PCCW implementation. [ABSTRACT FROM AUTHOR]

Published
2020
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177. Is patient-centred care for women a priority for policy-makers? Content analysis of government policies.

Author

Gagliardi, Anna R., Dunn, Sheila, Foster, Angel M., Grace, Sherry L., Khanlou, Nazilla, Stewart, Donna E., and Straus, Sharon E.

Subjects
*GOVERNMENT policy, *GOVERNMENT websites, *CONTENT analysis, *CARDIAC rehabilitation, *WOMEN'S health
Abstract

Background: Considerable research shows that women experience gendered disparities in healthcare access and quality. Patient-centred care (PCC) could reduce inequities by addressing the patient's clinical and personal needs. Healthcare policies can influence service delivery to optimise patient outcomes. This study assessed whether and how government policies recognise and promote PCC for women (PCCW).Methods: We analysed the content of English-language policies published in Canada from 2010 to 2018 on depression and cardiac rehabilitation - conditions featuring known gendered inequities - that were identified on government websites. We extracted data and used summary statistics to enumerate mentions of PCC and women's health.Results: We included 30 policies (20 depression, 10 cardiac rehabilitation). Of those, 20 (66.7%) included any content related to PCC (median 1.0, range 0.0 to 5.0), most often exchanging information (14, 46.7%) and making decisions (13, 43.3%). Less frequent domains were enabling self-management (8, 26.7%), addressing emotions (6, 20.0%) and fostering the relationship (4, 13.3%). No policies included content for the domain of managing uncertainty. A higher proportion of cardiac rehabilitation guidelines included PCC content. Among the 30 policies, 7 (23.3%) included content related to at least one women's health domain (median 0.0, range 0.0 to 3.0). Most frequently included were social determinants of health (4, 13.3%). Fewer policies mentioned any issues to consider for women (2, 28.6%), issues specific to subgroups of women (2, 28.6%) or distinguished care for women from men (2, 28.6%). No policies included mention of abuse or violence, or discrimination or stigma. The policies largely pertained to depression. Despite mention of PCC or women's health, policies offered brief, vague guidance on how to achieve PCCW; for example, "Patients value being involved in decision-making" and "Women want care that is collaborative, woman- and family-centered, and culturally sensitive."Conclusions: Despite considerable evidence of need and international recommendations, most policies failed to recognise gendered disparities or promote PCC as a mitigating strategy. These identified gaps represent opportunities by which government policies could be developed or strengthened to support PCCW. Future research should investigate complementary strategies such as equipping policy-makers with the evidence and tools required to develop PCCW-informed policies. [ABSTRACT FROM AUTHOR]

Published
2020
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