Diversity of Research in Health Journal最新文献

{"title":"Primary Care Physicians in Nova Scotia: Are They Where They Need To Be?","authors":"Elizabeth Wenghofer, Alexandra Ransom","doi":"10.28984/drhj.v6i2.436","DOIUrl":"https://doi.org/10.28984/drhj.v6i2.436","url":null,"abstract":"Purpose:  Accessible primary health care (PHC) is a key area of interest for policy and research as accessible PHC is associated with better health outcomes and lower health system costs. A critical dimension of accessible PHC is an adequate supply of family physicians (FPs) or general practitioners (GPs).  Our study sought to analyze the geographic distribution of FP/GPs practicing in Nova Scotia (NS) and to provide an in-depth analysis of the distribution of FP/GPs in relation to population PHC needs.   Methods:  Using data from the College of Physicians & Surgeons of Nova Scotia’s registry and 2019 annual license renewal survey, we provide a descriptive analysis of physician distribution, demographics and practice structure characteristics across the four Nova Scotia Health management zones (Central, Eastern, Northern, Western) for the population of FP/GPs practicing in  NS in 2019.  Additionally, we provided a descriptive analysis of PHC demand indicators and population demographics derived from the Canadian Institute for Health Information, the Canadian Community Health Survey, and the Canadian Census. These population PHC need indicators include hospitalization rates for ambulatory care sensitive conditions (ACSC), perceived health, the Canadian Index of Multiple Deprivation (CIMD), and the percentage of the population aged 65 and over across Nova Scotia Health management zones.   Results:  FP/GPs practising outside the Central zone are less numerous, older, and more likely to be male and international medical graduates. FP/GPs practicing outside the Central zone are more likely to have solo practices, practice in rural areas and not provide care through technology.  Additionally, there is a greater potential demand for PHC outside of the Central zone, indicated by lower physician-to-100,000 population ratios, higher rates of hospitalizations for ACSC, a larger percentage of individuals living in rural areas, aged 65 and over, rating their health as fair or poor, and in the most deprived quintile of the situational vulnerability and economic dependency dimensions of the CIMD.  Conclusions:  These findings indicate a geographic maldistribution of physicians across NS and potential gaps in access to FP/GPs compared to population health needs across Nova Scotia Health management zones. The findings have implications for targeted physician resources planning and policy.","PeriodicalId":399325,"journal":{"name":"Diversity of Research in Health Journal","volume":" 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139143781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and Validity of the 15-Item Remote First Aid Self-Efficacy in French and English","authors":"Vincent Gagnon, Stephen Ritchie, Bruce Oddson, Jonah J. D’Angelo, Jim R. Little, Marc Gosselin","doi":"10.28984/drhj.v6i2.432","DOIUrl":"https://doi.org/10.28984/drhj.v6i2.432","url":null,"abstract":"Introduction:  The Remote First Aid Self-Efficacy Scale was originally developed as a 30-item self-report instrument designed as an evaluation tool for training providers and a reflection tool for course participants. Remote first aid training courses and programs are designed for remote communities, worksites, and other wilderness contexts involving activities such as recreation, education, and therapy. Self-efficacy refers to the strength of the beliefs a person has in their capacity to organize and take the necessary actions towards any given attainment. The purpose of our study was to measure the reliability and validity of the 15-Item Remote First Aid Self-Efficacy Scale (RFA SES) in French and English populations. Methods: Alumni from SIRIUSMEDx wilderness first aid courses were invited via email to complete either a French or English online questionnaire at two different time periods (T1 & T2). Data collection involved using online questionnaires containing demographic questions, the 15-Item RFA SES, and the 10-Item Generalized Self-Efficacy Scale (GSES). Data analysis involved assessing the scale for internal consistency, test re-test reliability, and concurrent validity. Results:  There were 58 French and 47 English alumni respondents from SIRIUSMEDx courses for a total of 105 respondents. Internal consistency was high amongst the French group (alpha = .95) and the English group (alpha = .92). Test re-test reliability was high amongst the French group, (r = 0.78, p < .01), and the English group (r = .92, p < .01). The correlations between the RFS SES and GSES were positive and moderate in the French group (r = 0.53, p < .01), as well as in the English group (r = 0.32, p = .03).Conclusions: Results from this study suggest that both the French and English 15-Item RFA SES are reliable and valid. This shorter 15-item version is now available for use, along with the original validated 30-Item version of the RFA SES. Future research should focus on validation of the scale in other contexts and populations, using the scale as a participant reflection tool, and using it for evaluation of training programs and courses.","PeriodicalId":399325,"journal":{"name":"Diversity of Research in Health Journal","volume":"18 S26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139146956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Sudbury to Sogog: Stories from a Canadian Student's Health Promotion Without Borders Excursion to Mongolia","authors":"Shelby Deibert, Stephen Ritchie, Bruce Oddson, Ginette Michel, Emily J. Tetzlaff","doi":"10.28984/drhj.v6i2.442","DOIUrl":"https://doi.org/10.28984/drhj.v6i2.442","url":null,"abstract":"As the popularity of International Service-Learning (ISL) excursions continues to grow, there is an increasing need for research that explores these types of experiences. This manuscript focuses on the experiences of the lead author (S.L.D.) while participating in an ISL excursion offered by the Health Promotion Without Borders (HPWB) Program as part of their graduate research. The HPWB Program has facilitated ISL excursions for students in the School of Kinesiology and Health Sciences (SKHS) at Laurentian University (LU) in Canada for over two decades. However, there is limited formal research about the experiences of HPWB participants while completing their ISL excursions. This research addresses this need by using an autoethnographic approach to explore the lead author's HPWB experience. During the lead author's excursion, they confronted many moments of cultural dissonance, which challenged their usual way of thinking. Through critical reflection after their excursion, the lead author realized the defining role those moments of cultural dissonance had on the nature of their ISL experience. The lead author wrote six stories to share their understanding of those cultural dissonance encounters and provide a snapshot of their excursion for the reader to make sense of in their own way. Overall, this research may benefit future ISL participants and coordinators and adds to the sparse literature available on the nature of ISL experiences from the participant perspective using an autoethnographic method.","PeriodicalId":399325,"journal":{"name":"Diversity of Research in Health Journal","volume":"19 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139147874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Administrative Burden of the Compensation Claim System - Physicians and Union Compensation Representatives’ Views","authors":"S. Mongeau, Nancy Lightfoot, Emily Donato, Tammy Eger","doi":"10.28984/drhj.v6i2.433","DOIUrl":"https://doi.org/10.28984/drhj.v6i2.433","url":null,"abstract":"Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide, causing 3.23 million deaths in 2019. Cigarettes are the leading cause of this disease. However, workplace exposures, including those in the mining industry, may also lead to COPD. These exposures include dust and fumes that can be higher for mineral industry workers who work in confined areas. As a result, workers in the minerals industry may submit compensation claims. Sadly, work-related COPD is not well compensated or recognized by the Ontario Workplace Safety and Insurance Board (WSIB). Physicians and union representatives struggle to complete forms and have claims approved, and because of this, workers can struggle with money, family, and mental health problems. This qualitative narrative study used in-depth telephone interviews (eight) to collect information. The information collected from physicians (four) and union representatives (four) was analyzed to understand their perspectives and experiences when assisting workers with compensation claims. This is the first study to examine how COPD could affect underground mineral workers in Northeastern Ontario. Themes identified in this study include 1) additional administrative and human support resources are required, 2) smoking cessation is essential, 3) COPD is a crippling disease, 4) education is required to support documenting an occupational illness, 5) the compensation claim process is challenging; 6) occupational diseases are challenging to prove, 7) occupational COPD is costly. This study may help with compensation services and provide support for physicians and union representatives involved with an underground mineral worker diagnosed with occupational COPD.","PeriodicalId":399325,"journal":{"name":"Diversity of Research in Health Journal","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139143959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Linguistic Concordance and the Active Offer of French Language Services on Patient Satisfaction","authors":"Patrick Timony, MA, PhD (c), Alain Gauthier, PhD, Elizabeth Wenghofer, PhD, Amelie Hien, PhD","doi":"10.28984/drhj.v5i2.359","DOIUrl":"https://doi.org/10.28984/drhj.v5i2.359","url":null,"abstract":"Communication is essential to providing quality primary care. Linguistic concordance between patients and physicians has been linked to improved health outcomes and greater patient satisfaction. Although Canadian Francophones often struggle to access linguistics concordant health services, the concept of the active offer of French Language Services (FLS) has emerged as a means of ensuring the availability of such services and improving the francophone patient experience.  However, the impact of language concordance and the active offer of FLS on patient satisfaction among Ontario Francophones remain largely unknown. Patient satisfaction surveys were collected as part of a continuing education program targeted at family physicians in Northeastern Ontario.  Participating physicians distributed patient surveys consisting of select patient satisfaction questions from the Physicians Achievement Review (PAR) and select questions from the Active Offer of French Language Services in Minority Context Measure. Valid surveys were received from 235 patients. Just under half of these (44%) identified as Francophones, 62.6% had a French-speaking family physician; however, only 17.2% reported regularly speaking in French with their family physician.  As hypothesized, there was a consistent tendency for Francophones who experience stronger linguistic concordance with their family physician to report higher satisfaction scores. Francophones who regularly speak French with their family physicians were more satisfied ( = 4.63) than those who rarely/never speak French ( = 4.29, F(1; 83) = 4.852; p < 0.05).   There was also a statistically significant interaction between the patients' language of preference and the service language. Francophones who prefer French and regularly speak it with their family physician (linguistic concordance; adj= 4.82) were significantly more satisfied than those who prefer French yet rarely/never speak it (linguistic discordance; adj= 4.06, F(1; 75) = 11.950; p < 0.001). Furthermore, a positive correlation between patient satisfaction and the active offer was observed in Francophones (r = 0.49, p<0.001). The present findings provide evidence of the impact of linguistically adapted health care services on the satisfaction of Ontario Francophones and suggest that patient satisfaction may be improved through the active offer of FLS. A larger and more diverse sample is required to confirm these findings.","PeriodicalId":399325,"journal":{"name":"Diversity of Research in Health Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131695111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Undergraduate Nursing Students' Experience of Northern Rural and Remote Indigenous Communities","authors":"Sarah Le Roux B.H.Sc., B.Sc.N., RN, Rachelle Breen, B.H.Sc., B.Sc.N, CIC, RN, Joanne Carbonneau RN B.Sc.N., M.Ed.","doi":"10.28984/drhj.v5i2.344","DOIUrl":"https://doi.org/10.28984/drhj.v5i2.344","url":null,"abstract":"Undergraduate nursing programs are moving towards a service learning model in teaching nursing student cultural awareness. In this article, we discuss the nursing student experience in a university elective which immerses students in rural and remote Indigenous communities resulting in cultural consciousness. This service learning experience that students encountered promoted growth in nursing praxis, and fostered positive curriculum growth and community partnerships between the College and the Indigenous communities in which they visited. Students gained cultural consciousness and increased awareness, which is beneficial in their future nursing careers as they grow into better culturally competent care providers. Also discussed is the history and background of these Indigenous communities, The Truth and Reconciliation Commission (TRC) and the First Nations Principles of OCAP (ownership, control, access and possession). These topics are discussed in detail throughout the student experience as they respond to nurses’ professional standards, development of cultural competency and integrating calls to action in truth and reconciliation.","PeriodicalId":399325,"journal":{"name":"Diversity of Research in Health Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121308960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ensuring the Success and Engagement of University Students in Times of Pandemic: The Issue of Mental Health","authors":"L. Tremblay, M. Brunette","doi":"10.28984/drhj.v5i2.351","DOIUrl":"https://doi.org/10.28984/drhj.v5i2.351","url":null,"abstract":"Research suggests that mental health problems that were on the rise prior to the pandemic in the post-secondary education sector have worsened. The rise of mental health problems on university campuses poses significant challenges because of the links between mental health and academic success, perseverance, and obtaining a university degree. This article has two objectives. The first is to present an update on mental health on university campuses, including prevalence rates, risk factors and the impact on academic performance. The second objective is to present strategies to address the challenges posed by mental health through examples and programs. The conclusion underscores the importance of governments investing in programs and resources to address this issue.","PeriodicalId":399325,"journal":{"name":"Diversity of Research in Health Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129123145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Underground workers who received aluminum dust prophylaxis and its personal impact","authors":"D. Aubin, N. Lightfoot, Alain P Gauthier, D. Côté, V. Arrandale","doi":"10.28984/DRHJ.V4I1.314","DOIUrl":"https://doi.org/10.28984/DRHJ.V4I1.314","url":null,"abstract":"Background \u0000From 1943 to 1980, some underground gold and uranium workers in Ontario, Canada were required to inhale aluminum dust daily for silicosis prevention. This study explored the perceived personal impact of aluminum dust exposure for some Northeastern Ontario workers. \u0000Methods \u0000This qualitative descriptive study included 16 respondents who participated in individual semi-structured interviews. All respondents were Northeastern Ontario workers who were exposed to aluminum dust prophylaxis for at least one year. Interviews were transcribed verbatim and analyzed thematically. \u0000Results \u0000Themes that emerged included: 1) compulsory exposure, 2) hesitancy to complain, 3) feelings of betrayal, and 4) concerns about health impact and dying. \u0000Conclusion \u0000Exposed workers perceived that their long-term health was impacted on a personal level. The results will contribute to the literature about workplace aluminum dust exposures and to better inform workers and companies about exposure impact and management of aluminum dust. \u0000 ","PeriodicalId":399325,"journal":{"name":"Diversity of Research in Health Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129157540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L'analyse de livres gradués (Escalire) par entremise du système d’analyse de texte par ordinateur (SATO)","authors":"Alexie Godin, Michèle Minor-Corriveau, Roxanne Bélanger","doi":"10.28984/DRHJ.V4I1.327","DOIUrl":"https://doi.org/10.28984/DRHJ.V4I1.327","url":null,"abstract":"Une série de livres gradués a été créée pour permettre aux élèves d’accéder à des livres correspondant à leurs habiletés en lecture (Éditions Passe-Temps, 2014). Cette série, nommée Escalire, contient 156 livres au total, qui sont répartis en 15 niveaux, soit de A à O. Cette échelle correspond aux niveaux établis par Fountas et Pinnell (2012). Cette série de livres gradués consiste en un programme d’intervention en lecture ciblant les élèves de la première à la quatrième année du cycle primaire. De tels programmes d’intervention en lecture peuvent mener l’élève vers l’acquisition et l’amélioration de la lecture en fonction de ses habiletés et son niveau scolaire. L’objectif de cette étude était de déterminer s’il y a corrélation entre les niveaux de lecture attribués aux livres de la série Escalire et le niveau de complexité indiqué par le système d’analyse de texte par ordinateur (SATO), pour ces mêmes livres. Les résultats ont démontré une corrélation modérée (r = 0.668, p < 0,001) et un pourcentage d’accord de 35,26 %. Somme toute, 95,51% des livres de la série Escalire se sont trouvés soit au niveau correspondant à l'échelle SATO ou à un niveau près (soit un niveau supérieur ou inférieur à ce qui a été proposé par SATO). \u0000Mots Clés : Escalire, livres gradués, échelle de lecture Fountas et Pinnell, niveau de complexité, SATO","PeriodicalId":399325,"journal":{"name":"Diversity of Research in Health Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130089682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Intentional Distractions Affect Endurance Performance Positively?","authors":"R. Couture","doi":"10.28984/DRHJ.V4I1.337","DOIUrl":"https://doi.org/10.28984/DRHJ.V4I1.337","url":null,"abstract":"Distractions are often associated with negative outcomes however, distractions can also benefit people. Using the hypothesis of internal-external distractions in the competition for cue, this study examined the effects of an active (controlled) and passive (uncontrolled) distraction on three endurance tasks. Participants (N=42), aged 20 to 23 years were assigned to three groups. Tasks and conditions were counterbalanced across groups to minimize the residual effects of fatigue, learning an intervention and other confounding variables. Performance time, heart rate, ratings of perceived exertion and perceived fatigue were measured. Results showed that active distraction significantly improved performance and lowered Rate of Perceived Exertion in one task. As expected, the active distraction group was the least accurate for estimating time spent. Passive distraction caused minimal performance change. More investigation is needed to understand why an active distraction only affected one trial. Future studies should delve into means for better understanding the hypothesis of competition for cue.","PeriodicalId":399325,"journal":{"name":"Diversity of Research in Health Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125404114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}