Canadian Journal of Nursing Research最新文献

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Family Functioning and the Pandemic: How Do Parental Perceived Social Support and Mental Health Contribute to Family Health? 家庭功能与大流行:父母感知的社会支持和心理健康如何促进家庭健康?
IF 2.1
Canadian Journal of Nursing Research Pub Date : 2023-09-01 DOI: 10.1177/08445621231175757
Christine Gervais, Isabel Côté, Tamarha Pierce, Sandrine Vallée-Ouimet, Francine de Montigny
{"title":"Family Functioning and the Pandemic: How Do Parental Perceived Social Support and Mental Health Contribute to Family Health?","authors":"Christine Gervais,&nbsp;Isabel Côté,&nbsp;Tamarha Pierce,&nbsp;Sandrine Vallée-Ouimet,&nbsp;Francine de Montigny","doi":"10.1177/08445621231175757","DOIUrl":"https://doi.org/10.1177/08445621231175757","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic and the quarantine measures implemented have profoundly impacted parents and families. The stress and uncertainty generated by the COVID-19 virus, as well as the disruption of routines and social relationships, have weakened both individual and family health and functioning.</p><p><strong>Objective: </strong>The present research is part of a larger study that aims to understand, with a family systems theory, the longitudinal effects of the COVID-19 pandemic on school-aged children, adolescents, and their parents. More specifically, this paper aims to investigate parents' experience of the first months of the pandemic as a predictor of perceived social support, parental ill-being (aggregate score of well-established poor psychological functioning indicators), parental satisfaction, and family functioning.</p><p><strong>Method: </strong>During the first lockdown (April-May 2020), 203 parents of school-aged children living in Quebec completed an online questionnaire.</p><p><strong>Results: </strong>Path analysis indicates that the impact of COVID-19 and health preoccupation due to COVID-19 are both positively associated with individual parental ill-being, which in turn detracts from family functioning and parental satisfaction. Furthermore, perceptions about positive effects of the pandemic are negatively associated with parental ill-being, and positively with perceived social support, which in turn significantly contributes to family functioning and parental satisfaction.</p><p><strong>Conclusion: </strong>The findings highlight the importance of adopting a systemic perspective to best understand the effects of the pandemic and the social and health measures on individuals, families, and systems, as well as to better support parents and family health through periods of uncertainty.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"365-376"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10200807/pdf/10.1177_08445621231175757.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10017036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Recruitment and Retention Strategies for Parents Experiencing Vulnerability: Lessons from an Online Parenting Program. 为经历脆弱性的父母招聘和保留策略:来自在线育儿计划的经验教训。
IF 2.1
Canadian Journal of Nursing Research Pub Date : 2023-09-01 DOI: 10.1177/08445621231171971
Jelena Komanchuk, Nicole Letourneau, Linda Duffett-Leger, Judy L Cameron
{"title":"Recruitment and Retention Strategies for Parents Experiencing Vulnerability: Lessons from an Online Parenting Program.","authors":"Jelena Komanchuk,&nbsp;Nicole Letourneau,&nbsp;Linda Duffett-Leger,&nbsp;Judy L Cameron","doi":"10.1177/08445621231171971","DOIUrl":"https://doi.org/10.1177/08445621231171971","url":null,"abstract":"<p><strong>Background: </strong>Supportive parenting programs can promote parent-child interactions and children's development. However, families experiencing vulnerability (e.g., low socioeconomic status) report barriers (e.g., transportation, distrust of researchers) to research participation, and attrition rates of 40% and higher have been reported in parenting research. In response, we conducted a longitudinal evaluation of a digital parenting program in a major metropolitan centre in western Canada and retained 99% of our sample.</p><p><strong>Aim: </strong>Review recruitment and retention strategies employed in the First Pathways study and evaluate associations between sociodemographic (e.g., income) and psychosocial (e.g., parental depression) factors with recruitment and retention strategies.</p><p><strong>Methods and findings: </strong>In collaboration with community agencies, we commenced recruitment of 100 families experiencing vulnerability (e.g., low-income) in June 2021. We utilized strategies to engage staff (e.g., presentations, gift cards, updates) and employed snowball sampling. Families recruited through community agencies were significantly more likely to experience vulnerability (e.g., low income and education, high adverse experiences) compared to families in the snowball sample. We incorporated strategies to minimize participant burden (e.g., choice of online or in-person meetings), promoted rapport (e.g., holiday texts, nonjudgmental environment), incorporated trauma-informed practices (e.g., sensitive inquiry), and demonstrated appreciation for participants' contributions (i.e., honorarium). Family experiences of vulnerability (i.e., low income, depressive symptoms, adversity) were correlated with higher participant rescheduling.</p><p><strong>Conclusion: </strong>Nurses need knowledge of strategies to promote equitable access to research for families experiencing vulnerability. Digital programs with protocols designed to establish rapport, include trauma-informed practices, and minimize participant burden will likely optimize participation and retention.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"377-387"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10017798","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: 1
Newcomer Women's Experiences with Perinatal Care During the Three-Month Health Insurance Waiting Period in Ontario, Canada. 加拿大安大略省新移民妇女在三个月健康保险等待期的围产期护理经验。
IF 2.1
Canadian Journal of Nursing Research Pub Date : 2023-09-01 DOI: 10.1177/08445621221150620
Jessica Pimienta, Sepali Guruge, Oona St-Amant, Cristina Catallo, Corinne Hart
{"title":"Newcomer Women's Experiences with Perinatal Care During the Three-Month Health Insurance Waiting Period in Ontario, Canada.","authors":"Jessica Pimienta,&nbsp;Sepali Guruge,&nbsp;Oona St-Amant,&nbsp;Cristina Catallo,&nbsp;Corinne Hart","doi":"10.1177/08445621221150620","DOIUrl":"https://doi.org/10.1177/08445621221150620","url":null,"abstract":"<p><strong>Background: </strong>The three-month health insurance waiting period in Ontario reinforces health inequities for newcomer women and their babies. Little is known about the systemic factors that shape newcomer women's experiences during the OHIP waiting period.</p><p><strong>Purpose: </strong>To examine the factors that shaped newcomer women's experiences with perinatal care during the three-month health insurance waiting period in Ontario, Canada.</p><p><strong>Methods: </strong>This qualitative study was informed by an intersectional framework, and guided by a critical ethnographic method. Individual interviews were conducted with four newcomer women and three perinatal healthcare professionals. Participant observations at recruitment and interview sites were integral to the study design.</p><p><strong>Results: </strong>The key systemic factors that shaped newcomer women's experiences with perinatal care included social identity, migration, and the healthcare system. Social identities related to gender, race, and socio-economic status intersected to form a social location, which converged with newcomer women's experiences of social isolation and exclusion. These experiences, in turn, intersected with Ontario's problematic perinatal health services. Together, these factors form systems of oppression for newcomer women in the perinatal period.</p><p><strong>Conclusions: </strong>Given the health inequities that can result from these systems of oppression, it is important to adopt an upstream approach that is informed by the Human Rights Code of Ontario to improve accessibility to and the experiences of perinatal care for newcomer women.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"333-344"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10007613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Awakening Undergraduate Nursing Students' Critical Awareness About Men's Health, Health Literacy and Nursing Practice. 唤醒本科护生男性健康批判意识、健康素养与护理实践。
IF 2.1
Canadian Journal of Nursing Research Pub Date : 2023-09-01 DOI: 10.1177/08445621221144131
Margareth Santos Zanchetta, Kateryna Metersky, Alessar Nazzal, Marie Elisabeth Dumitriu, Sasha Pais, Yan Wei Mok, Mary Rachel Lam-Kin-Teng, Celine Yu
{"title":"Awakening Undergraduate Nursing Students' Critical Awareness About Men's Health, Health Literacy and Nursing Practice.","authors":"Margareth Santos Zanchetta,&nbsp;Kateryna Metersky,&nbsp;Alessar Nazzal,&nbsp;Marie Elisabeth Dumitriu,&nbsp;Sasha Pais,&nbsp;Yan Wei Mok,&nbsp;Mary Rachel Lam-Kin-Teng,&nbsp;Celine Yu","doi":"10.1177/08445621221144131","DOIUrl":"https://doi.org/10.1177/08445621221144131","url":null,"abstract":"<p><strong>Background: </strong>This article reports an evaluative replication study, including a workshop inspired by Paulo Freire's critical pedagogy. Purpose: Assess how the nursing students' participation in critiquing Canadian empirical evidence on men's health literacy provokes new perceptions; explore students' intentions of incorporating the aforementioned contents into their professional practice; and test students' skills to formulate a hypothetical short action plan about men's health literacy.</p><p><strong>Methods: </strong>A qualitative evaluation study inspired by the qualitative program evaluation approach. The setting was a university-based Canadian undergraduate nursing program located in a major metropolitan city. Seventeen undergraduate students (representing 3.65% of year 4 student population) composed the sample. The educational intervention was two workshops (6 h duration; February 2017) including a lecture about men's health literacy with video presentations, class discussions and group work using Freire's method of reflection and discussion for awareness awakening. Hypothetical health literacy promotion was the key outcome. All interactions were digitally audiorecorded, verbatim transcribed and submitted to thematic analysis having as themes: Perspectives of awareness and knowledge expansion, and New personal-professional assets.</p><p><strong>Results: </strong>Students were able to relate new knowledge with their own experiences in the classroom or in the practicum. Application of new knowledge was related to students' social circles and reported familiar health matters. Cultural and community life shaped knowledge expansion and references to men's behaviors.</p><p><strong>Conclusions: </strong>Mobilization of personal knowledge awoke students' awareness about gaps in the nursing curriculum and the paucity of experiences in clinical placements relating to men's health literacy.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"388-403"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/cf/10.1177_08445621221144131.PMC10422859.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10013940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Understanding of Maternal Smoking among Women who were Smoking or had Quit Smoking during Pregnancy. 怀孕期间吸烟或已戒烟妇女对母亲吸烟问题的了解。
IF 1.7
Canadian Journal of Nursing Research Pub Date : 2023-06-01 Epub Date: 2022-10-09 DOI: 10.1177/08445621221125062
Sandra Small, Andrea Brennan-Hunter, Yanqing Yi, Caroline Porr
{"title":"The Understanding of Maternal Smoking among Women who were Smoking or had Quit Smoking during Pregnancy.","authors":"Sandra Small, Andrea Brennan-Hunter, Yanqing Yi, Caroline Porr","doi":"10.1177/08445621221125062","DOIUrl":"10.1177/08445621221125062","url":null,"abstract":"<p><strong>Background: </strong>Maternal tobacco smoking during pregnancy is associated with adverse health effects for the woman, fetus, and child, including such serious effects as preterm birth, low birth weight, stillbirth, and neonatal and sudden infant death. Smoking cessation during pregnancy reduces health risks.</p><p><strong>Purpose: </strong>In order to support pregnant women to quit smoking, it is essential to know determinants of quitting smoking in pregnancy. The purpose of this research was to examine women's understanding of maternal smoking, in terms of their beliefs, in relation to quitting smoking during pregnancy.</p><p><strong>Methods: </strong>The study was a cross-sectional survey with anonymous questionnaires. The sample consisted of 161 pregnant and postnatal women who were continuing or had continued to smoke during pregnancy or had quit smoking during pregnancy. Logistic regression was used to determine the impact of women's understanding of maternal smoking on quitting smoking in pregnancy.</p><p><strong>Results: </strong>A large majority of the women had low to moderate understanding of maternal smoking. Those with higher levels of understanding were more likely to quit smoking during pregnancy than were those with a low level of understanding. Not having children prior to the current pregnancy or childbirth also increased the likelihood of quitting smoking during pregnancy while being without a partner combined with having a longer duration of smoking decreased the likelihood of quitting smoking during pregnancy.</p><p><strong>Conclusion: </strong>As a modifiable factor, pregnant women's understanding of maternal smoking can be readily targeted with informational interventions in an effort to help them quit smoking.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 2","pages":"250-261"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f6/ce/10.1177_08445621221125062.PMC10061611.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the Impact of Community Factors on Acute Care Nurses' Job Satisfaction and Turnover Intention. 社区因素对急症护理护士工作满意度及离职倾向的影响。
IF 2.1
Canadian Journal of Nursing Research Pub Date : 2023-06-01 DOI: 10.1177/08445621221108043
Yasin M Yasin, Michael S Kerr, Carol A Wong, Charles H Bélanger
{"title":"Assessing the Impact of Community Factors on Acute Care Nurses' Job Satisfaction and Turnover Intention.","authors":"Yasin M Yasin,&nbsp;Michael S Kerr,&nbsp;Carol A Wong,&nbsp;Charles H Bélanger","doi":"10.1177/08445621221108043","DOIUrl":"https://doi.org/10.1177/08445621221108043","url":null,"abstract":"<p><strong>Background: </strong>Community factors may affect nurses' job behavior and decision making. There is a gap in the literature regarding the impact of community satisfaction, family ties, and community preferences on acute care nurses' turnover intention and job satisfaction. Furthermore, no studies have examined the differences in community satisfaction, community preferences, and family ties among nurses working in rural and urban settings.</p><p><strong>Purpose: </strong>To identify the impact of family ties, community satisfaction, and community preferences on turnover intention and job satisfaction among acute care nurses working in Ontario's urban and rural areas.</p><p><strong>Methods: </strong>Descriptive correlational survey design was used in this study. A targeted stratified sampling technique was used to recruit acute care nurses working in Ontario's urban and rural areas (N = 349) between May 2019 and July 2019. Dillman's approach was used to guide data collection. Parametric and non-parametric tests were used for data analysis.</p><p><strong>Results: </strong>A significant association was found between working settings and community preferences. A statistically significant positive relationship between community satisfaction and nurses' job satisfaction was identified. Furthermore, community satisfaction had a negative impact on turnover intention. Neither community preference nor family ties were significantly associated with turnover intention or job satisfaction.</p><p><strong>Conclusion: </strong>The study suggests that community satisfaction can influence important nurse work-related outcomes. Future studies should replicate and validate these results in different contexts and cultures. Retaining nurses may be difficult if they are not satisfied with their communities.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 2","pages":"185-194"},"PeriodicalIF":2.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9580411","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
Communication of Code Status Escalation for Nurses and Physicians in the Intensive Care Unit: A Case Study. 重症监护室护士和医生的代码状态升级沟通:一个案例研究。
IF 2.1
Canadian Journal of Nursing Research Pub Date : 2023-06-01 DOI: 10.1177/08445621221099117
Brianna Paddley, Sherry Espin, Alyssa Indar, Don Rose, Sue Bookey-Bassett
{"title":"Communication of Code Status Escalation for Nurses and Physicians in the Intensive Care Unit: A Case Study.","authors":"Brianna Paddley,&nbsp;Sherry Espin,&nbsp;Alyssa Indar,&nbsp;Don Rose,&nbsp;Sue Bookey-Bassett","doi":"10.1177/08445621221099117","DOIUrl":"https://doi.org/10.1177/08445621221099117","url":null,"abstract":"<p><strong>Background: </strong>Interprofessional teams working in the Intensive Care Unit (ICU) care for patients requiring varying degrees of life sustaining therapy. A patient's code status can help clinicians to understand the appropriate life support measures to deliver to patients in this setting. Members of the interprofessional team, such as physicians and nurses, can experience challenges related to communication when the code status is unclear.</p><p><strong>Purpose: </strong>The purpose of this study was to explore how nurses and physicians in the ICU experience communication of code status escalations.</p><p><strong>Methods: </strong>A qualitative case study approach was used. Participants were physicians and nurses, working in the medical-surgical ICU of a large, urban academic hospital. Data were collected using semi-structured interviews, observations of health care rounds and a chart review. Data were analyzed using qualitative content analysis.</p><p><strong>Results: </strong>Thematic findings include: (1) engaging in an interprofessional discussion, (2) finding consistent documentation, (3) revisiting the code status, and (4) telling the patient story. The study findings also provide contextual information about participants' experiences of code status communication during the first wave (February 2020 to May 2020) of the COVID-19 pandemic.</p><p><strong>Conclusions: </strong>The results of this study could inform standard communication frameworks or practices related to dissemination of code status decisions among members of the ICU team.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 2","pages":"176-184"},"PeriodicalIF":2.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9201032","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: 1
Conflicting Working Relationships Among Nurses: The Intersection of Should Nursing, Double Domination, and the Big Picture. 护士之间冲突的工作关系:应该护理、双重支配和大局的交集。
IF 2.1
Canadian Journal of Nursing Research Pub Date : 2023-06-01 DOI: 10.1177/08445621221115250
Peggy Ann Rauman
{"title":"Conflicting Working Relationships Among Nurses: The Intersection of Should Nursing, Double Domination, and the Big Picture.","authors":"Peggy Ann Rauman","doi":"10.1177/08445621221115250","DOIUrl":"https://doi.org/10.1177/08445621221115250","url":null,"abstract":"<p><strong>Background: </strong>Research conducted on conflict between Registered Nurses (RNs) has established that it happens regularly within the hospital setting, that it adversely affects the health and well-being of RNs, impacts the effective functioning of the health care organization, and compromises quality patient care. In this article, the phrase conflicting working relationships (CWRs) is used to represent working relationships between RN peers that are non-collegial, uncaring, and non- supportive, and inclusive of the behaviours associated with incivility, horizontal violence, and bullying, among others.</p><p><strong>Purpose: </strong>To examine how nursing, including nursing knowledge and practice, is socially organized within the hospital setting and how this organization is linked to CWRs between RN peers.</p><p><strong>Methods: </strong>Interviews were conducted with 17 RNs, followed by text analysis and mapping guided by institutional ethnography (IE) as the research methodology.</p><p><strong>Results: </strong>The intersections between should nursing, double domination, and the big picture threads shows work environments where RNs struggle to provide appropriate care and conflict has become institutionalized. The intersection between threads can be used as caution areas for RNs and individuals in leadership positions to reflect on nursing practice when conflict is being experienced.</p><p><strong>Conclusions: </strong>The contextual variables surrounding professional nursing practice are very influential with respect to how RNs relate to each other. A new type of dialogue about the organization of nursing practice in the hospital setting is needed to support more relational practices between RNs.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 2","pages":"230-240"},"PeriodicalIF":2.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/6f/10.1177_08445621221115250.PMC10061612.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9221708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Developing a Comprehensive Understanding of Older Person Abuse in Canadian Immigrant Communities: An Integrative Review. 发展对加拿大移民社区中老年人虐待的全面理解:一项综合综述。
IF 2.1
Canadian Journal of Nursing Research Pub Date : 2023-06-01 DOI: 10.1177/08445621221112429
Fahmida Mehdi, Sherry Dahlke, Kathleen F Hunter
{"title":"Developing a Comprehensive Understanding of Older Person Abuse in Canadian Immigrant Communities: An Integrative Review.","authors":"Fahmida Mehdi,&nbsp;Sherry Dahlke,&nbsp;Kathleen F Hunter","doi":"10.1177/08445621221112429","DOIUrl":"https://doi.org/10.1177/08445621221112429","url":null,"abstract":"<p><p>Older immigrants represent 28% of the Canadian population who are over the age of 60. World-wide 1 in 6 older persons experiences abuse. Due to population aging, attention must be paid to the abuse and victimization of older immigrant persons, and the concept of elder abuse. The purpose of this integrative review was to understand elder abuse from the perspective of older immigrants, who came to Canada in their 60s or older as dependents of families or sponsors. Whittemore and Knafl's (2005) method of review resulted in six articles that met the inclusion criteria. Results revealed three themes: conceptualization of abuse, post-immigration stressors and cultural factors, and barriers to access support and protection. The perpetrators were often close family members including intimate partners, spouses, children, children-in-laws and grandchildren. Contextual factors that influenced abuse included: power imbalance, change in social status from head of the families to legal and financial dependents due to immigration, culture, ethnicity, gender role expectations and language barrier. More research is needed to understand the diverse older immigrants experiences of elder abuse.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 2","pages":"139-152"},"PeriodicalIF":2.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9254294","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
Validating PreCHAT: A Digital Preconception Health Risk Assessment Tool to Improve Reproductive, Maternal and Child Health. 验证PreCHAT:改善生殖、孕产妇和儿童健康的数字孕前健康风险评估工具。
IF 2.1
Canadian Journal of Nursing Research Pub Date : 2023-06-01 DOI: 10.1177/08445621221112668
Cynthia Montanaro, Liz Robson, Leslie Binnington, Nicole Winters, Hilary K Brown
{"title":"Validating PreCHAT: A Digital Preconception Health Risk Assessment Tool to Improve Reproductive, Maternal and Child Health.","authors":"Cynthia Montanaro,&nbsp;Liz Robson,&nbsp;Leslie Binnington,&nbsp;Nicole Winters,&nbsp;Hilary K Brown","doi":"10.1177/08445621221112668","DOIUrl":"https://doi.org/10.1177/08445621221112668","url":null,"abstract":"<p><strong>Study background: </strong>Despite the growing understanding of preconception care, numerous barriers to its delivery still exist, including a lack of evidence-based, accessible screening tools.</p><p><strong>Purpose: </strong>To validate a new digital Preconception Health Assessment Tool (PreCHAT) against the current best practice, physician-delivered tool in Ontario, Canada, and explore how PreCHAT's design impacts its risk identification abilities relative to the comparison tool.</p><p><strong>Methods: </strong>A criterion validation study was conducted with 53 female participants aged 18-44 years. Participants completed both tools in a controlled setting. PreCHAT was completed on a tablet individually by participants, while the comparison tool was administered by a physician. Three physicians administered the comparison tool. Measures of strength of agreement between PreCHAT and the comparison tool were calculated using percent agreement, Cohen's Kappa, and prevalence-adjusted and biased-adjusted kappa (PABAK).</p><p><strong>Results: </strong>PreCHAT identified 135 individual risk factors, while the comparison tool identified 102. Both tools shared the same 14 domains of preconception care and 88 risk factors; of the 88 risk factors, PreCHAT identified an average of 3.42 (p < 0.0001) more risks per participant than the comparison tool. PABAK scores indicated almost perfect agreement between PreCHAT and the comparison tool.</p><p><strong>Conclusions: </strong>This study suggests that PreCHAT is valid against the current best practice tool and is broader in its risk identification among individuals of reproductive age. PreCHAT's patient-facing, digital, EMR-integrated design may offer unique benefits to providers and patients. PreCHAT offers providers an innovative approach to deliver preconception care and may positively impact reproductive, maternal, and child health.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 2","pages":"206-215"},"PeriodicalIF":2.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9254290","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
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