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5. A Profile of Residents in Prairie Nursing Homes

Author

Estabrooks, Carole A., Poss, Jeff W., Squires, Janet E., Teare, Gary F., Morgan, Debra G., Stewart, Norma, Doupe, Malcolm B., Cummings, Greta G., and Norton, Peter G.

Published
2013

7. Multisite cross-sectional survey of nurses’ perceptions of implementation of a parent-targeted video and recommended pain management, for improving newborn pain treatment

Author

Harrison, Denise, Pope, Nicole, Jones, Sophie, Larocque, Catherine, Wilding, Jodi, Campbell-Yeo, Marsha, Gilmore, Lucy, Harrold, JoAnn, Hu, Jiale, Venegas, Carolina Lavin, McArthur, Leanne, Modanloo, Shokoufeh, Nicholls, Stuart G., O'Flaherty, Pat, Premji, Shahirose Sadrudin, Reszel, Jessica, Semenic, Sonia, Squires, Janet E., Stevens, Bonnie, Taljaard, Monica, Trepanier, Marie-Josee, O'Grady Venter, Kathy, Zhou, Yiyan, and Dunn, Sandra

Published
2024
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9. Efficacy of sustained knowledge translation (KT) interventions in chronic disease management in older adults: systematic review and meta-analysis of complex interventions

Author

Veroniki, Areti Angeliki, Soobiah, Charlene, Nincic, Vera, Lai, Yonda, Rios, Patricia, MacDonald, Heather, Khan, Paul A., Ghassemi, Marco, Yazdi, Fatemeh, Brownson, Ross C., Chambers, David A., Dolovich, Lisa R., Edwards, Annemarie, Glasziou, Paul P., Graham, Ian D., Hemmelgarn, Brenda R., Holmes, Bev J., Isaranuwatchai, Wanrudee, Legare, France, McGowan, Jessie, Presseau, Justin, Squires, Janet E., Stelfox, Henry T., Strifler, Lisa, Van der Weijden, Trudy, Fahim, Christine, Tricco, Andrea C., and Straus, Sharon E.

Published
2023
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12. A scoping review reveals candidate quality indicators of knowledge translation and implementation science practice tools

Author

Bhuiya, Aunima R., Sutherland, Justin, Boateng, Rhonda, Bain, Téjia, Skidmore, Becky, Perrier, Laure, Makarski, Julie, Munce, Sarah, Lewis, Iveta, Graham, Ian D., Holroyd-Leduc, Jayna, Straus, Sharon E., Stelfox, Henry T., Strifler, Lisa, Lokker, Cynthia, Li, Linda C., Leung, Fok-Han, Dobbins, Maureen, Puchalski Ritchie, Lisa M., Squires, Janet E., Rac, Valeria E., Fahim, Christine, and Kastner, Monika

Published
2024
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19. Inappropriate use of clinical practices in Canada: a systematic review

Author

Squires, Janet E., Cho-Young, Danielle, Aloisio, Laura D., Bell, Robert, Bornstein, Stephen, Brien, Susan E., Decary, Simon, Varin, Melissa Demery, Dobrow, Mark, Estabrooks, Carole A., Graham, Ian D., Greenough, Megan, Grinspun, Doris, Hillmer, Michael, Horsley, Tanya, Hu, Jiale, Katz, Alan, Krause, Christina, Lavis, John, Levinson, Wendy, Levy, Adrian, Mancuso, Michelina, Morgan, Steve, Nadalin-Penno, Letitia, Neuner, Andrew, Rader, Tamara, Santos, Wilmer J., Teare, Gary, Tepper, Joshua, Vandyk, Amanda, Wilson, Michael, and Grimshaw, Jeremy M.

Subjects
Medical research, Medicine, Experimental, Medicine -- Practice, Medical care -- Quality management, Health
Abstract

Background: Inappropriate health care leads to negative patient experiences, poor health outcomes and inefficient use of resources. We aimed to conduct a systematic review of inappropriately used clinical practices in Canada. Methods: We searched multiple bibliometric databases and grey literature to identify inappropriately used clinical practices in Canada between 2007 and 2021. Two team members independently screened citations, extracted data and assessed methodological quality. Findings were synthesized in 2 categories: diagnostics and therapeutics. We reported ranges of proportions of inappropriate use for all practices. Medians and interquartile ranges (IQRs), based on the percentage of patients not receiving recommended practices (underuse) or receiving practices not recommended (overuse), were calculated. All statistics are at the study summary level. Results: We included 174 studies, representing 228 clinical practices and 28900762 patients. The median proportion of inappropriate care, as assessed in the studies, was 30.0% (IQR 12.0%56.6%). Underuse (median 43.9%, IQR 23.8%-66.3%) was more frequent than overuse (median 13.6%, IQR 3.2%30.7%). The most frequently investigated diagnostics were glycated hemoglobin (underused, range 18.0%-85.7%, n = 9) and thyroid-stimulating hormone (overused, range 3.0%-35.1%, n = 5). The most frequently investigated therapeutics were statin medications (underused, range 18.5%-71.0%, n = 6) and potentially inappropriate medications (overused, range 13.5%-97.3%, n = 9). Interpretation: We have provided a summary of inappropriately used clinical practices in Canadian health care systems. Our findings can be used to support health care professionals and quality agencies to improve patient care and safety in Canada., As health care systems struggle with sustainability, there is increased recognition that a substantial percentage of the health care received is inappropriate. (1) Inappropriate health care occurs when effective clinical [...]

Published
2022
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25. Comparing effects of two higher intensity feedback interventions with simple feedback on improving staff communication in nursing homes—the INFORM cluster-randomized controlled trial

Author

Hoben, Matthias, Ginsburg, Liane R., Easterbrook, Adam, Norton, Peter G., Anderson, Ruth A., Andersen, Elizabeth A., Boström, Anne-Marie, Cranley, Lisa A., Lanham, Holly J., Weeks, Lori E., Cummings, Greta G., Holroyd-Leduc, Jayna M., Squires, Janet E., Wagg, Adrian S., and Estabrooks, Carole A.

Published
2020
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28. Factors influencing decisions by critical care physicians to withdraw life-sustaining treatments in critically ill adult patients with severe traumatic brain injury

Author

Turgeon, Alexis F., Dorrance, Kristin, Archambault, Patrick, Lauzier, Francois, Lamontagne, Francois, Zarychanski, Ryan, Fowler, Robert, Moore, Lynne, Lacroix, Jacques, English, Shane, Boutin, Amelie, Muscedere, John, Burns, Karen E.A., Griesdale, Donald, McIntyre, Lauralyn A., Scales, Damon, Bernard, Francis, Yamada, Janet, and Squires, Janet E.

Subjects
Terminal care -- Surveys -- Practice, Physicians -- Surveys -- Practice, Critical care medicine -- Surveys -- Practice, Decision making -- Surveys, Brain injuries -- Surveys -- Care and treatment, Evidence-based medicine, Family, Brain research, Health
Abstract

BACKGROUND: Most deaths in critically ill patients with severe traumatic brain injury are associated with a decision to withdraw life-sustaining treatments. We aimed to identify the behavioural determinants that influence recommendations by critical care physicians to consider the withdrawal of life-sustaining treatments in this population. METHODS: We conducted a descriptive qualitative study based on the Theoretical Domains Framework of critical care physicians caring for patients with severe traumatic brain injury across Canada. We stratified critical care physicians by regions and used a purposive sampling strategy. We conducted semistructured phone interviews using a piloted and pre tested interview guide. We transcribed the interviews verbatim and verified the content for accuracy. We performed the analysis using a 3-step approach: coding, generation of specific beliefs and generation of specific themes. RESULTS: We recruited 20 critical care physicians across 4 geographic regions. After reaching saturation, we identified 7 core themes across 4 Theoretical Domains Framework domains for factors relevant to the decision to withdraw life-sustaining treatments. Four factors (i.e., clinical triggers, social triggers, interaction with families and intentions with medical decisions) were identified before the decision is made and 3 were identified during the decision-making process (i.e., considerations, priorities and knowledge needs). We identified multiple themes reflecting internal (n = 18, 8 Theoretical Domains Framework domains) and external (n = 15, 6 Theoretical Domains Framework domains) influences on the decision to withdraw life-sustaining treatments. INTERPRETATION: We identified several core themes and domains considered by critical care physicians in Canada in the decision to withdraw life-sustaining treatments in critically ill patients with severe traumatic brain injury. Future research should aim at identifying the factors influencing surrogate decisionmakers in the decision to withdraw life-sustaining treatments in these patients., Severe traumatic brain injury is a major public health issue, and the leading cause of death and disability among people under 45 years of age. (1) Mortality rates remain high, [...]

Published
2019
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31. Inappropriateness of health care in Canada: a systematic review protocol

Author

Squires, Janet E., Graham, Ian D., Grinspun, Doris, Lavis, John, Légaré, France, Bell, Robert, Bornstein, Stephen, Brien, Susan E., Dobrow, Mark, Greenough, Megan, Estabrooks, Carole A., Hillmer, Michael, Horsley, Tanya, Katz, Alan, Krause, Christina, Levinson, Wendy, Levy, Adrian, Mancuso, Michelina, Maybee, Alies, Morgan, Steve, Penno, Letitia Nadalin, Neuner, Andrew, Rader, Tamara, Roberts, Janet, Teare, Gary, Tepper, Joshua, Vandyk, Amanda, Widmeyer, Denise, Wilson, Michael, and Grimshaw, Jeremy M.

Published
2019
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34. Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Response to Recent Commentaries

Author

Squires, Janet E., primary, Santos, Wilmer J., additional, Graham, Ian D., additional, Brehaut, Jamie, additional, Curran, Janet, additional, Francis, Jill J., additional, Grimshaw, Jeremy M., additional, Hillmer, Michael, additional, Ivers, Noah, additional, Lavis, John, additional, Michie, Susan, additional, Noseworthy, Thomas, additional, and Hutchinson, Alison M., additional

Published
2023
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36. Supplemental Material - Exploring implementation processes of a parent-targeted educational video for improving newborn pain treatment: A sequential exploratory mixed-methods study

Author

Larocque, Catherine, Venegas, Carolina Lavin, Dunn, Sandra, Campbell-Yeo, Marsha, Gilmore, Lucy, Harrold, JoAnn, Hu, Jiale, McArthur, Leanne, Modanloo, Shokoufeh, Nicholls, Stuart G, O’Flaherty, Pat, Premji, Shahirose Sadrudin, Reszel, Jessica, Semenic, Sonia, Squires, Janet E, Stevens, Bonnie, Taljaard, Monica, Trepanier, Marie-Josee, Venter, Kathy, Wilding, Jodi, and Harrison, Denise

Subjects
111099 Nursing not elsewhere classified, 111708 Health and Community Services, FOS: Clinical medicine, FOS: Health sciences, 111403 Paediatrics
Abstract

Supplemental Material for Exploring implementation processes of a parent-targeted educational video for improving newborn pain treatment: A sequential exploratory mixed-methods study by Catherine Larocque, Carolina Lavin Venegas, Sandra Dunn, Marsha Campbell-Yeo, Lucy Gilmore, JoAnn Harrold, Jiale Hu, Leanne McArthur, Shokoufeh Modanloo, Stuart G. Nicholls, Pat O’Flaherty, Shahirose Premji, Jessica Reszel, Sonia Semenic, Janet E. Squires, Bonnie Stevens, Monica Taljaard, Marie-Josee Trepanier, Kathy Venter, Jodi Wilding, and Denise Harrison in Journal of Child Health Care.

Published
2023
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41. Facilitators and Barriers to Nurses Screening for Frailty in Acute Care in a Provincial Health-Care System: a Survey Study Guided by the Theoretical Domains Framework.

Author

France, Janessa, Lalonde, Michelle, McIsaac, Daniel I., Squires, Janet E., and Backman, Chantal

Subjects
FRAIL elderly, NURSES' attitudes, NURSING models, CROSS-sectional method, MEDICAL screening, CONCEPTUAL structures, NURSE-patient relationships, NURSING practice, CRITICAL care medicine, GERIATRIC nursing, HOSPITAL care of older people
Abstract

Background Older adults living with frailty represent the largest population of hospitalized patients in Canada, but they do not always receive the quality of care needed. Nurses are well-positioned to screen for frailty, but current frailty screening practices are poorly understood. Methods A cross-sectional survey study was conducted over a six-week period with nurses from Alberta, Canada working in acute care with older adults. Demographics were descriptively reported. Frailty screening methods were quantified on 5-point frequency scales, reported descriptively and compared by practice area using linear regression. The top-five mean scores from a 43-item, 6-point Likert-type questionnaire based on the Theoretical Domains Framework were compared by practice area. Results Frailty screening by clinical impression was "usually" used (median = 4, IQR = 4-5), while tools were "rarely" used (median = 2, IQR = 1-3). Medical and/or surgical nursing had higher general frailty screening tool use (β = 0.81, r = .31, p < .001), but no significant (p > .05) differences for using clinical impression, or preference of screening method. The top facilitator was the disbelief that frailty screening negatively impacts relationships with older adults. The top barrier was belief that conducting frailty screening was routine. Nursing practice area influenced frailty screening beliefs. Conclusions There is an opportunity to implement frailty screening tools into the nursing practice of Alberta' nurses working in acute care. Frailty screening tools that become routine have greater likelihood for utilization. Nursing practice areas may have unique situations that require tailored approached to tool implementation. [ABSTRACT FROM AUTHOR]

Published
2023
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43. Sustaining knowledge translation interventions for chronic disease management in older adults: protocol for a systematic review and network meta-analysis

Author

Tricco, Andrea C., Moore, Julia E., Beben, Nicole, Brownson, Ross C., Chambers, David A., Dolovich, Lisa R., Edwards, Annemarie, Fairclough, Lee, Glasziou, Paul P., Graham, Ian D., Hemmelgarn, Brenda R., Holmes, Bev, Isaranuwatchai, Wanrudee, Lachance, Chantelle C., Legare, France, McGowan, Jessie, Majumdar, Sumit R., Presseau, Justin, Squires, Janet E., Stelfox, Henry T., Strifler, Lisa, Thompson, Kristine, Van der Weijden, Trudy, Veroniki, Areti Angeliki, and Straus, Sharon E.

Published
2018
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47. Factors Associated With Residents' Responsive Behaviors Toward Staff in Long-Term Care Homes: A Systematic Review.

Author

Song, Yuting, Nassur, Abubakar M, Rupasinghe, Viraji, Haq, Fajr, Boström, Anne-Marie, Reid, R Colin, Andersen, Elizabeth, Wagg, Adrian, Hoben, Matthias, Goodarzi, Zahra, Squires, Janet E, Estabrooks, Carole A, and Weeks, Lori E

Subjects
BEHAVIORAL assessment, PSYCHOLOGY information storage & retrieval systems, CINAHL database, MEDICAL quality control, MEDICAL information storage & retrieval systems, SYSTEMATIC reviews, RESEARCH methodology, QUALITY of work life, PSYCHOSOCIAL factors, RESEARCH funding, MEDLINE, NURSING home employees, LONG-term health care
Abstract

Background and Objectives When staff experience responsive behaviors from residents, this can lead to decreased quality of work life and lower quality of care in long-term care homes. We synthesized research on factors associated with resident responsive behaviors directed toward care staff and characteristics of interventions to reduce the behaviors. Research Design and Methods We conducted a mixed-methods systematic review with quantitative and qualitative research. We searched 12 bibliographic databases and "gray" literature, using 2 keywords (long-term care, responsive behaviors) and their synonyms. Pairs of reviewers independently completed screening, data extraction, and risk of bias assessment. We developed a coding scheme using the ecological model as an organizing structure and prepared narrative summaries for each factor. Results From 86 included studies (57 quantitative, 28 qualitative, 1 mixed methods), multiple factors emerged, such as staff training background (individual level), staff approaches to care (interpersonal level), leadership and staffing resources (institutional level), and racism and patriarchy (societal level). Quantitative and qualitative results each provided key insights, such as qualitative results pertaining to leadership responses to reports of behaviors, and quantitative findings on the impact of staff approaches to care on behaviors. Effects of interventions (n  = 14) to reduce the behaviors were inconclusive. Discussion and Implications We identified the need for an enhanced understanding of the interrelationships among factors associated with resident responsive behaviors toward staff and processes leading to the behaviors. To address these gaps and to inform theory-based effective interventions for preventing or mitigating responsive behaviors, we suggest intervention studies with systematic process evaluations. [ABSTRACT FROM AUTHOR]

Published
2023
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50. sj-docx-8-cjk-10.1177_20543581221107751 – Supplemental material for Impact of Donation Physicians on Deceased Organ Donation: A Systematic Review

Author

Squires, Janet E., Aloisio, Laura D., Santos, Wilmer John, Cho-Young, Danielle, Taljaard, Monica, Gritters, Nills, Dhanani, Sonny, and Knoll, Gregory

Subjects
Medicine
Abstract

Supplemental material, sj-docx-8-cjk-10.1177_20543581221107751 for Impact of Donation Physicians on Deceased Organ Donation: A Systematic Review by Janet E. Squires, Laura D. Aloisio, Wilmer John Santos, Danielle Cho-Young, Monica Taljaard, Nills Gritters, Sonny Dhanani and Gregory Knoll in Canadian Journal of Kidney Health and Disease

Published
2022
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