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https://www.readbyqxmd.com/read/29884169/pregnant-women-s-views-on-how-to-promote-the-use-of-a-decision-aid-for-down-syndrome-prenatal-screening-a-theory-informed-qualitative-study
#1
Titilayo Tatiana Agbadjé, Matthew Menear, Michèle Dugas, Marie-Pierre Gagnon, Samira Abbasgholizadeh Rahimi, Hubert Robitaille, Anik M C Giguère, François Rousseau, Brenda J Wilson, France Légaré
BACKGROUND: For pregnant women and their partners, the decision to undergo Down syndrome prenatal screening is difficult. Patient decision aids (PtDA) can help them make an informed decision. We aimed to identify behaviour change techniques (BCTs) that would be useful in an intervention to promote the use of a PtDA for Down syndrome prenatal screening, and to identify which of these BCTs pregnant women found relevant and acceptable. METHODS: Using the Behaviour Change Wheel and the Theoretical Domains Framework, we conducted a qualitative descriptive study...
June 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29876790/pathways-of-adaptation-two-case-studies-with-one-evidence-based-substance-use-prevention-program-tailored-for-indigenous-youth
#2
Jerreed D Ivanich, Alicia C Mousseau, Melissa Walls, Les Whitbeck, Nancy Rumbaugh Whitesell
Indigenous communities often face disproportionate challenges across a variety of health domains, and effective prevention strategies are sorely needed. Unfortunately, evidence is scant regarding what approaches are effective for these communities. A common approach is to take an evidence-based practice or program with documented effectiveness in other populations and implement it with Indigenous populations. While a science of intervention adaptation is emerging, there remains little guidance on processes for adaptation that strategically leverage both existing scientific evidence and Indigenous prevention strategies...
June 6, 2018: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/29874949/decreasing-preventable-emergency-department-transfers-for-long-term-care-residents-using-preview-ed%C3%A2
#3
Marilyn R ElBestawi, Catherine Kohm
Healthcare organizations and governments are exploring new methods to deliver cost-effective, quality care to the frail elderly. Given the projected increase in Canada's elderly population, ensuring that residents receive the right care, at the right time, in the right location is pivotal to this goal. Practical Routine Elder Variants Indicate Early Warning for Emergency Department has been developed as a quality improvement tool. Two pilot studies, one in Ontario and one in British Columbia, have shown promising results...
January 1, 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29873867/pediatric-emergency-research-canada-perc-patient-family-informed-research-priorities-for-pediatric-emergency-medicine
#4
Liza Bialy, Amy C Plint, Stephen B Freedman, David W Johnson, Janet A Curran, Antonia S Stang
BACKGROUND: A growing body of literature supports patient and public involvement in the design, prioritization and dissemination of research and evidence based medicine. The objectives of this project were to engage patients and families in developing a prioritized list of research topics for Pediatric Emergency Medicine (PEM) and to compare results with prior research prioritization initiatives in the ED (emergency department) setting. METHODS: We utilized a systematic process to combine administrative data on frequency of patient presentations to the ED with multiple stakeholder input including an initial stakeholder survey followed by a modified Delphi consensus methodology consisting of two web-based surveys and a face-to-face meeting...
June 6, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29868375/nutrition-and-obesity-care-in-multidisciplinary-primary-care-settings-in-ontario-canada-short-duration-of-visits-and-complex-health-problems-perceived-as-barriers
#5
Stephanie Aboueid, Ivy Bourgeault, Isabelle Giroux
Nutrition care in the primary care setting is integral in obesity management, but there is a substantial gap between patients who would benefit from this service and those receiving it. This study provides an in-depth understanding of how relatively new multidisciplinary primary care settings may be affecting nutrition care practices of family physicians and nurse practitioners. This qualitative comparative case study sought to assess nutrition care practices in three different types of multidisciplinary clinics (2 Family Health Teams, 3 Community Health Centers, 1 Nurse Practitioner-Led Clinic) in Ontario, Canada...
June 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29859073/abortion-education-in-canadian-family-medicine-residency-programs
#6
Daniel T Myran, Jillian Bardsley, Tania El Hindi, Kristine Whitehead
BACKGROUND: Abortion has been decriminalized in Canada since 1988 and is considered an essential medical service. There is concern that decreasing numbers of abortion providers may impair access to abortion. This study examined the quantity of exposure and education that Canadian family medicine residents receive on abortion during training and their preparation to provide abortions. In addition, the study assessed residents' attitudes, intention and expressed competency to provide abortion in future practice and the association between medical training and changes in these factors...
June 1, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29847354/practical-nurses-lived-experience-of-returning-to-school
#7
Kathryn Chachula, Mary Smith, Kathryn Hyndman
The lived experience of licensed practical nurses (LPNs) pursuing Bachelor of Nursing (BN) education is not commonly studied in Canada. The aim was to understand the transition experience of LPNs who bridged into a BN program. Max van Manen's phenomenological methodology was used through use of a semistructured interview guide to explore the lived experience of LPNs who pursued baccalaureate nursing education. Five themes were found: seeking advancement; stepping back into the student role; juggling work, school, and family; struggling to be understood; and seeing things differently...
May 25, 2018: Nurse Educator
https://www.readbyqxmd.com/read/29847225/health-social-work-in-canada-five-trends-worth-noting
#8
Stephanie A Bryson, Harvey Bosma
Highlighting a strong human rights and social justice orientation underlying health social work in Canada, this paper describes recent contributions of Canadian health social work practitioners and scholars to five areas identified by Auslander (2001) in a delphi study of health social work in its first century. Five current 'trends' are discussed which correspond with Auslander's themes of professional legitimacy and scope, social causation, dissemination of knowledge, interventions, and cultural appropriateness...
May 30, 2018: Social Work in Health Care
https://www.readbyqxmd.com/read/29788914/nutrition-care-practices-of-primary-care-providers-for-weight-management-in-multidisciplinary-primary-care-settings-in-ontario-canada-a-qualitative-study
#9
Stephanie Aboueid, Ivy Bourgeault, Isabelle Giroux
BACKGROUND: Despite the recommended guidelines on addressing diet for the management and prevention of obesity in primary care, the literature highlights that their implementation has been suboptimal. In this paper, we provide an in-depth understanding of current nutrition-related weight management practices of primary care providers (PCPs) working in relatively new multidisciplinary health care settings in Ontario. METHODS: Three types of multidisciplinary primary care settings were included (2 Family Health Teams, 3 Community Health Centres and 1 Nurse Practitioner-Led Clinic)...
May 22, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29770058/assessing-uptake-of-national-hiv-screening-and-testing-guidance-part-1-awareness-use-and-usefulness
#10
G P Traversy, T Austin, J Yau, K Timmerman
Background: In 2013, the Public Health Agency of Canada released the HIV Screening and Testing Guide (the Guide) to support routine HIV screening and testing practices of health care providers in Canada and promote early detection of new HIV cases. Little was known regarding health care providers' awareness and use of the Guide. Objective: To determine Canadian health care providers' awareness, use and perceived usefulness of the Guide. Methods: An open, anonymous online survey, including questions on awareness, use and usefulness, was developed with stakeholders, validated and pre-tested...
December 7, 2017: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29764173/developing-palliative-care-programs-in-indigenous-communities-using-participatory-action-research-a-canadian-application-of-the-public-health-approach-to-palliative-care
#11
Mary Lou Kelley, Holly Prince, Shevaun Nadin, Kevin Brazil, Maxine Crow, Gaye Hanson, Luanne Maki, Lori Monture, Christopher J Mushquash, Valerie O'Brien, Jeroline Smith
BACKGROUND: The Indigenous people of Canada include First Nations, Inuit and Metis. This research focused on four diverse First Nations communities located in Ontario and Manitoba. First Nations communities have well-established culturally-based social processes for supporting their community members experiencing dying, loss, grief and bereavement. However, communities do not have formalized local palliative care (PC) programs and have limited access to medical services, especially pain and symptom management...
April 2018: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29747064/a-changing-child-welfare-workforce-what-worker-characteristics-are-valued-in-child-welfare
#12
Kristen Lwin, Barbara Fallon, Nico Trocmé, John Fluke, Faye Mishna
A child welfare system is responsible for making difficult decisions. Child welfare workers are charged with assessing and determining when a child is in need of protection, including when it is necessary to intervene on behalf of children when their caregivers' abilities and/or situation is deemed to put them at risk of abuse or neglect. Although the child welfare workforce in Ontario attended to an estimated 125,281 child maltreatment investigations in 2013, little is known about the skills, education, and experiences of these investigating workers...
May 7, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29743211/advancing-the-science-of-implementation-in-primary-health-care
#13
EDITORIAL
Andrew Bazemore, Anne Victoria Neale, Phillip Lupo, Dean Seehusen
Implementation Science is commonly described as the study of methods and approaches that promote the uptake and use of evidence-based interventions into routine practice and policymaking. In this issue of JABFM , investigators share a wealth of new insights from the frontlines of Implementation Science in primary care: what it is, how we are doing it, and how it is advancing the evidence base of primary care. The breadth of implementation science in primary care is affirmed by the range of topics covered, from thought leader recommendations on future directions for the field, to reports on how best practices in policy and practice are shaping primary care implementation in the United States and Canada...
May 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29739457/key-features-of-palliative-care-service-delivery-to-indigenous-peoples-in-australia-new-zealand-canada-and-the-united-states-a-comprehensive-review
#14
Shaouli Shahid, Emma V Taylor, Shelley Cheetham, John A Woods, Samar M Aoun, Sandra C Thompson
BACKGROUND: Indigenous peoples in developed countries have reduced life expectancies, particularly from chronic diseases. The lack of access to and take up of palliative care services of Indigenous peoples is an ongoing concern. OBJECTIVES: To examine and learn from published studies on provision of culturally safe palliative care service delivery to Indigenous people in Australia, New Zealand (NZ), Canada and the United States of America (USA); and to compare Indigenous peoples' preferences, needs, opportunities and barriers to palliative care...
May 8, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29731212/no-292-abnormal-uterine-bleeding-in-pre-menopausal-women
#15
Sukhbir Singh, Carolyn Best, Sheila Dunn, Nicholas Leyland, Wendy Lynn Wolfman
BACKGROUND: Abnormal uterine bleeding is the direct cause of a significant health care burden for women, their families, and society as a whole. Up to 30% of women will seek medical assistance for this problem during their reproductive years. This guideline replaces previous clinical guidelines on the topic and is aimed to enable health care providers with the tools to provide the latest evidence-based care in the diagnosis and the medical and surgical management of this common problem...
May 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29722750/a-survey-of-canadian-occupational-therapy-practices-to-prevent-pressure-injuries-among-wheelchair-users-via-weight-shifting
#16
W Ben Mortenson, Sarah C Thompson, Alison L Wright, Jeanette Boily, Kevin Waldorf, Sandy Leznoff
PURPOSE: The purpose of this study was to describe occupational therapy weight-shifting practices and explore recommended strategies for patients, healthcare staff, and family/caregivers across healthcare settings. DESIGN: Cross-sectional survey. SUBJECTS AND SETTING: Respondents included 97 currently practicing occupational therapists working in 5 main practice settings (ie, acute care, inpatient rehabilitation, outpatient rehabilitation, home and community care, and residential) from 9 out of 10 Canadian provinces...
May 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29695369/psychosocial-factors-of-health-professionals-intention-to-use-a-decision-aid-for-down-syndrome-screening-cross-sectional-quantitative-study
#17
Samira Abbasgholizadeh Rahimi, Johanie Lépine, Jordie Croteau, Hubert Robitaille, Anik Mc Giguere, Brenda J Wilson, François Rousseau, Isabelle Lévesque, France Légaré
BACKGROUND: Decisions about prenatal screening for Down syndrome are difficult for women, as they entail risk, potential loss, and regret. Shared decision making increases women's knowledge of their choices and better aligns decisions with their values. Patient decision aids foster shared decision making but are rarely used in this context. OBJECTIVE: One of the most promising strategies for implementing shared decision making is distribution of decision aids by health professionals...
April 25, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29650741/help-for-behaviours-that-challenge-in-adults-with-intellectual-and-developmental-disabilities
#18
REVIEW
Laurie Green, Karen McNeil, Marika Korossy, Kerry Boyd, Elizabeth Grier, MacKenzie Ketchell, Alvin Loh, Yona Lunsky, Shirley McMillan, Amanda Sawyer, Anupam Thakur, Elspeth Bradley
OBJECTIVE: To provide primary care physicians with an understanding of the causes of behaviours that challenge (BTC) in adults with intellectual and developmental disabilities (IDD), as presented in the 2018 Canadian consensus guidelines for primary care of adults with IDD; to offer a systematic approach to the assessment and treatment of such behaviours; and to link to tools to support these assessments. SOURCES OF INFORMATION: This review elaborates upon guidelines 26 to 29 in the mental health section of the 2018 Canadian consensus guidelines...
April 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29649021/impressions-of-early-mobilization-of-critically-ill-children-clinician-patient-and-family-perspectives
#19
Katina Zheng, Aimee Sarti, Sama Boles, Saoirse Cameron, Robert Carlisi, Heather Clark, Adeeb Khawaji, Saif Awladthani, Samah Al-Harbi, Karen Choong
OBJECTIVES: To understand patient, family caregiver, and clinician impressions of early mobilization, the perceived barriers and facilitators to its implementation, and the use of in-bed cycling as a method of mobilization. DESIGN: A qualitative study, conducted as part of the Early Exercise in Critically ill Youth and Children, a preliminary Evaluation (wEECYCLE) Pilot randomized controlled trial. SETTING: McMaster Children's Hospital PICU, Hamilton, ON, Canada...
April 11, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29595440/measuring-patient-experiences-is-it-meaningful-and-actionable
#20
Sabrina T Wong, Sharon Johnston, Fred Burge, Kim McGrail, William Hogg
Performance measurement must be meaningful to those being asked to contribute data and to the clinicians who are collecting the information. It must be actionable if performance measurement and reporting is to influence health system transformation. To date, measuring patient experiences in all parts of the healthcare system in Canada lags behind other countries. More attention needs to be paid to capturing patients with complex intersecting health and social problems that result from inequitable distribution of wealth and/or underlying structural inequities related to systemic issues such as racism and discrimination, colonialism and patriarchy...
October 2017: HealthcarePapers
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