Canadian Journal of Rural Medicine最新文献_第7页

Fostering growth. 促进成长。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-10-01 DOI: 10.4103/cjrm.cjrm_35_23

Peter Hutten-Czapski

引用次数: 1

Gone with air and with water. 与空气和水一起消失了。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-10-01 DOI: 10.4103/cjrm.cjrm_15_23

Daniel Blaine Pearce

引用次数: 0

Removing Barriers to Wound Care, Applying Appreciative Inquiry to Improve the Management of Wounds within the Matawa First Nations: The Inquiry Phase 消除障碍的伤口护理，应用欣赏调查，以改善伤口管理在马塔瓦第一民族:调查阶段

Canadian Journal of Rural Medicine Pub Date : 2023-09-29 DOI: 10.33844/cjm.2023.6030

Margarita Elloso, Vida Maksimoska, Saadon abdulla, M.K. Mamedov, Mouhannad M.AL-Hachamii, Mahmood J.Humady, Faris H.Mohammad

{"title":"Removing Barriers to Wound Care, Applying Appreciative Inquiry to Improve the Management of Wounds within the Matawa First Nations: The Inquiry Phase","authors":"Margarita Elloso, Vida Maksimoska, Saadon abdulla, M.K. Mamedov, Mouhannad M.AL-Hachamii, Mahmood J.Humady, Faris H.Mohammad","doi":"10.33844/cjm.2023.6030","DOIUrl":"https://doi.org/10.33844/cjm.2023.6030","url":null,"abstract":"The study reports findings of the inquiry phase of appreciative inquiry to understand the problem space of remote wound care within the First Nations communities.The appreciative inquiry method was employed in the study after a partnership with the Matawa First Nations focusing on providers’ strengths and ability to give care. When discussing strategies that helped augment the level of care, providers also discussed the barriers to care and why they had employed specific strategies to overcome them. Appreciative inquiry has four phases: inquire, imagine, innovate, and implement. Healthcare providers were interviewed during the inquiry phase, focusing on understanding the current state regarding wounds, provider strengths and what worked well.Findings: Seven dominant themes emerged from the research: building trust with the community, cultural unpreparedness, empowerment, patient connection and lived experiences, communication with staff and community members, discontinuity of care, and limited resources. A strength-based, positive-interview approach uncovered strategies for treating wounds in remote communities: empowering patients, giving them an active role in their care, and making them feel heard were all adopted by healthcare providers.Barriers leading to difficulty in providing care included disconnected healthcare, limited resources, insufficient infrastructure, a lack of clean water, limited cultural understanding, and environmental challenges. Understanding the barriers to care requires a recognition of the social and historical effects of colonialism on these communities. There are also complex systemic issues that aggregate and worsen how care is provided within these communities. It is important to understand and acknowledge these fundamental issues while simultaneously helping augment the strategies that have been shown to improve wound care in these communities.","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135199142","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}

引用次数: 0

A tribute to J. Turcotte, 2023; Danielle Romain. 向J.Turcotte致敬，2023年丹妮尔·罗曼。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-07-01

引用次数: 0

The Occasional rural sim. 偶尔的乡村模拟。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-07-01 DOI: 10.4103/cjrm.cjrm_73_22

Mateo R N Orrantia, Ryan J Patchett-Marble, Eliseo Orrantia

引用次数: 0

Message de la présidente. Genre et médecine rurale. 主席的致辞。性别与农村医学。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-07-01 DOI: 10.4103/1203-7796.379553

Sarah Lespéranc

引用次数: 0

At a loss. 不知所措

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-07-01 DOI: 10.4103/cjrm.cjrm_24_23

Peter Hutten-Czapski

引用次数: 0

A case of necrotising pancreatitis, treated with surgery, a large two-way drain and plunger irrigation with povidone-iodine and saline. 坏死性胰腺炎1例，手术治疗，大双向引流和柱塞冲洗聚维酮碘和生理盐水。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-07-01 DOI: 10.4103/cjrm.cjrm_57_22

Judith A Roger, Ali Modir-Rousta

引用次数: 0

Health and well-being of Hutterite farmers in Alberta: Results from the Sustainable Farm Families Alberta program. 阿尔伯塔省赫特人农民的健康和福祉:阿尔伯塔省可持续农场家庭方案的结果。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-07-01 DOI: 10.4103/cjrm.cjrm_96_22

Henrietha Chibuzor Adandom, Samuel Mantey Ofori-Dei, Lars K Hallstrom

{"title":"Health and well-being of Hutterite farmers in Alberta: Results from the Sustainable Farm Families Alberta program.","authors":"Henrietha Chibuzor Adandom, Samuel Mantey Ofori-Dei, Lars K Hallstrom","doi":"10.4103/cjrm.cjrm_96_22","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_96_22","url":null,"abstract":"Introduction: This article describes the health and lifestyle profile of Hutterite farmers in Alberta who participated in a health literacy education program.Methods: Longitudinal quantitative and qualitative data from the sustainable farm families (SFF) Alberta program (2014-2017) were used to describe the health and lifestyle profile of Hutterites. Data were analysed using descriptive statistics and conventional and summative content analysis.Results: Four hundred and twenty-seven Hutterite men and women aged 18-75 years participated in a health literacy education program. About 50%-80% of Hutterites reported good health status, no hearing or sleeping problems, little to no body pain, fewer breathing and bladder difficulties and no constipation/diarrhoea. On average, the risk of diabetes was low (mean = 3.4) with total glucose (mean = 5.2) and cholesterol (mean = 3.5) within normal levels. Mental health outcomes such as anxiety (mean = 4.1), stress (mean = 6.7) and depression (mean = 3.1) were also within normal to mild ranges. Qualitative data showed that Hutterite farmers are committed to maintaining physical health and adopting strategies to improve mental health and lifestyle behaviours.Conclusion: Hutterites have recognisable health challenges like other rural farming communities but are aware of their physical and mental health challenges and engage in healthy lifestyle behaviours. The Hutterite tenets of living present a perfect ecological setting for sustainable health promotion intervention.","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 3","pages":"123-130"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9810343","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}

引用次数: 0

The impact of rurality on vulvodynia diagnosis and management: Primary care provider and patient perspectives. 农村对外阴痛诊断和治疗的影响:初级保健提供者和患者的观点。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-07-01 DOI: 10.4103/cjrm.cjrm_49_22

Valerie Webber, Krisztina Bajzak, Diana L Gustafson

{"title":"The impact of rurality on vulvodynia diagnosis and management: Primary care provider and patient perspectives.","authors":"Valerie Webber, Krisztina Bajzak, Diana L Gustafson","doi":"10.4103/cjrm.cjrm_49_22","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_49_22","url":null,"abstract":"Objective: The objective of this study was to better understand how rurality impacts the knowledge, diagnosis and management of vulvodynia by primary care providers (PCPs) practising in the geographically disparate province of Newfoundland and Labrador, Canada.Design: This was a qualitative case study using questionnaires and semi-structured interviews with PCPs, compared with semi-structured focus groups and interviews with vulvodynia patients conducted in a previous study phase.Results: Ten family physicians and 6 nurse practitioners participated. Over half had baseline knowledge that vulvodynia has a relatively high prevalence, but most underestimated the likelihood they would see a patient with vulvodynia in their practice. Three barriers to discussing and managing vulvodynia emerged: (1) discomfort initiating sexual/vulvar health conversations; (2) concerns about protecting patient privacy and confidentiality; and (3) time constraints and building therapeutic relationships. These issues were largely corroborated by previous findings with vulvodynia patients. Rural-informed solutions might include: (1) supporting increased education in vulvodynia and sexual health more broadly, including funding to attend continuing professional education and developing more clinical tools; (2) following practice guidelines regarding standardised initiation of sexual health conversations; (3) incentivising retention of rural providers and extending appointment times by reconsidering fee-for-service structures; and (4) researching a tailored vulvodynia toolkit and the potential advantage of mobile health units.Conclusion: Rurality exacerbates common concerns in the identification and management of vulvodynia. Acting on recommended solutions may address the impact of rurality on the provision of timely care for those experiencing vulvodynia and other sexual health concerns.","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 3","pages":"107-115"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9810345","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}

引用次数: 0