keyword
https://read.qxmd.com/read/38449569/-confidence-and-fulfillment-a-qualitative-descriptive-study-exploring-the-impact-of-palliative-care-training-for-long-term-care-physicians-and-nurses
#21
JOURNAL ARTICLE
Ashlinder Gill, Lynn Meadows, Jessica Ashbourne, Sharon Kaasalainen, Sandy Shamon, José Pereira
OBJECTIVE: To explore the impact of a 2-day, in-person interprofessional palliative care course for staff working in long-term care (LTC) homes. METHODS: A qualitative descriptive study design was employed. LTC staff who had participated in Pallium Canada's Learning Essential Approaches to Palliative Care LTC Course in Ontario, Canada between 2017 and 2019 were approached. Semi-structured interviews were conducted, using an online videoconferencing platform in mid-2021 in Ontario, Canada...
2024: Palliative care and social practice
https://read.qxmd.com/read/38433885/measuring-the-use-of-end-of-life-symptom-relief-medications-in-long-term-care-homes-a-qualitative-study
#22
JOURNAL ARTICLE
Rhiannon L Roberts, Christina Milani, Colleen Webber, Shirley H Bush, Kaitlyn Boese, Jessica E Simon, James Downar, Amit Arya, Peter Tanuseputro, Sarina R Isenberg
BACKGROUND: At the end of life, individuals may experience physical symptoms such as pain, and guidelines recommend medications to manage these symptoms. Yet, little is known about the symptom management long-term care (LTC) residents receive at the end of life. Our research team developed a metric-whether residents receive one or more prescriptions for an end-of-life symptom management medication in their last two weeks-to explore end-of-life care for LTC residents. This qualitative study aimed to inform the refinement of the end-of-life prescribing metric, including the acceptability and applicability to assess the quality of a resident's symptom management at end-of-life...
March 2024: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/38422499/codevelopment-and-deployment-of-a-system-for-the-telemonitoring-of-activities-of-daily-living-among-older-adults-receiving-home-care-services-protocol-for-an-action-design-research-study
#23
JOURNAL ARTICLE
Maxime Lussier, Mélanie Couture, Sylvain Giroux, Aline Aboujaoudé, Hubert Kenfack Ngankam, Hélène Pigot, Sébastien Gaboury, Kevin Bouchard, Carolina Bottari, Patricia Belchior, Guy Paré, Nathalie Bier
BACKGROUND: Telemonitoring of activities of daily living (ADLs) offers significant potential for gaining a deeper insight into the home care needs of older adults experiencing cognitive decline, particularly those living alone. In 2016, our team and a health care institution in Montreal, Quebec, Canada, sought to test this technology to enhance the support provided by home care clinical teams for older adults residing alone and facing cognitive deficits. The Support for Seniors' Autonomy program (SAPA [Soutien à l'autonomie des personnes âgées]) project was initiated within this context, embracing an innovative research approach that combines action research and design science...
February 29, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38413517/a-survey-of-canadian-specialist-anesthesiologists-and-family-practice-anesthetists-rural-operating-room-use-a-mixed-model-of-care-and-mentoring
#24
JOURNAL ARTICLE
Jordan Hamilton, Kirk McCarroll, Luz Maria Kisiel, Kathleen Jagger, Lindsey Boulet
PURPOSE: The aim of this project was to collect data on the delivery of anesthesia in Canada. Specifically, our goal was to increase knowledge by identifying provider demographics and different models of anesthesia delivery, and to explore relationships among specialist anesthesiologists (SAs) and family practice anesthetists (FPAs) with a focus on mentoring. METHODS: An online questionnaire was circulated to SAs and FPAs holding membership with the Canadian Anesthesiologists' Society or the Society of Rural Physicians of Canada...
February 27, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38395665/surveying-the-landscape-first-nations-m%C3%A3-tis-and-inuit-cancer-resources-in-radiation-therapy
#25
JOURNAL ARTICLE
Kari Osmar, Ashley Ayume, Tracey Lundstrom
INTRODUCTION/BACKGROUND: Alberta Health Services (AHS) is Canada's largest provincial integrated health care authority. AHS services over four million people with over 100,000 employees. In 2018, AHS introduced Indigenous training modules which were mandatory for all staff. These eight modules included topics detailing residential schools, Indian hospitals, The Indian Act, The 60's Scoop, Alberta's Indigenous populations, present day realities, including customs, practices and traditional medicines...
February 22, 2024: Journal of Medical Imaging and Radiation Sciences
https://read.qxmd.com/read/38389175/the-experiences-of-men-in-prison-who-do-not-receive-visits-from-family-or-friends-a-qualitative-systematic-review
#26
JOURNAL ARTICLE
Dean Burns, Conor Murray, Jennifer Ferguson, Linda Moore
BACKGROUND: Visits present an opportunity for prisoners to preserve family ties and reduce isolation, but not all receive visits from family or friends whilst incarcerated. AIMS: To locate, appraise and synthesise qualitative data on the experiences of adult male prisoners (aged 18 years+) who do not receive prison visits from family or friends. METHODS: Nine electronic databases were searched from the date of their inception until March 2023...
February 22, 2024: Criminal Behaviour and Mental Health: CBMH
https://read.qxmd.com/read/38388929/establishing-non-fasting-reference-values-for-plasma-lipids-levels-based-on-age-sex-and-puberty-stage-in-a-french-canadian-pediatric-population
#27
JOURNAL ARTICLE
Sophie Bouhour, Rosalie Plantefève, Virginie Gillet, Armita Abolghasemi, Fatima Zahra Bouchouirab, Andrea A Baccarelli, Larissa Takser, Artuela Çaku
BACKGROUND: Dyslipidemias, including familial hypercholesterolemia (FH), are a significant risk factor for cardiovascular diseases. FH is a genetic disorder resulting in elevated levels of low-density lipoprotein cholesterol (LDL-C) and an increased probability of early cardiovascular disorders. Heterozygous familial hypercholesterolemia (HeFH) is the most common form, affecting approximately 1 in 250 individuals worldwide, with a higher prevalence among the French-Canadian population...
February 22, 2024: Lipids in Health and Disease
https://read.qxmd.com/read/38383118/remote-visits-to-address-loneliness-for-people-living-with-dementia-in-care-homes-a-descriptive-qualitative-study-of-visitors-perceptions
#28
JOURNAL ARTICLE
Kelti Barsan, Jennifer Swindle, Veronique M Boscart, Dorothy Chacinsky, Matthias Hoben, Tammy Hopper, Katherine McGilton, Hannah M O'Rourke
AIMS: To assess visitors' perceptions of the benefits and challenges related to engaging in a remote visit intervention, which was designed to address the loneliness of people living with moderate to severe dementia in care homes. DESIGN: A qualitative descriptive study. METHODS: Twenty-four people living with dementia in care homes in Canada and their family and friends (i.e., remote visitors) took part in facilitated remote visits in 2021...
February 21, 2024: Journal of Advanced Nursing
https://read.qxmd.com/read/38368328/knowledge-translation-strategies-used-for-sustainability-of-an-evidence-based-intervention-in-child-health-a-multimethod-qualitative-study
#29
JOURNAL ARTICLE
Christine E Cassidy, Rachel Flynn, Alyson Campbell, Lauren Dobson, Jodi Langley, Deborah McNeil, Ella Milne, Pilar Zanoni, Megan Churchill, Karen M Benzies
BACKGROUND: Sustainability of evidence-based interventions (EBIs) is suboptimal in healthcare. Evidence on how knowledge translation (KT) strategies are used for the sustainability of EBIs in practice is lacking. This study examined what and how KT strategies were used to facilitate the sustainability of Alberta Family Integrated Care (FICare)™, a psychoeducational model of care scaled and spread across 14 neonatal intensive care units, in Alberta, Canada. METHODS: First, we conducted an environmental scan of relevant documents to determine the use of KT strategies to support the sustainability of Alberta FICare™...
February 17, 2024: BMC Nursing
https://read.qxmd.com/read/38361893/differences-between-international-medical-graduates-and-canadian-medical-graduates-in-a-medical-learning-environment-from-matching-to-residency-and-beyond
#30
JOURNAL ARTICLE
Oluwasayo A Olatunde
OBJECTIVE: To determine the differences between international medical graduates (IMG) and canadian medical graduates (CMG) in the medical learning environment (MLE) as there is progression from matching to residency and beyond. METHOD: A narrative literature review was done using the search engines pubmed, medline and embase on publications from 2000 to 2021 comparing IMG to CMG and those that compared IMG to non IMG in international publications were also considered...
December 2023: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/38355467/care-considerations-in-medical-assistance-in-dying-for-persons-with-mental-illness-as-the-sole-underlying-medical-condition-a-qualitative-study-of-patient-and-family-perspectives
#31
JOURNAL ARTICLE
Vicky Stergiopoulos, Hamer Bastidas-Bilbao, Mona Gupta, Daniel Z Buchman, Donna E Stewart, Tarek Rajji, Alexander I F Simpson, Mary Rose van Kesteren, Vivien Cappe, David Castle, Roslyn Shields, Lisa D Hawke
BACKGROUND: Persons with mental illness as their sole underlying medical condition are eligible to access medical assistance in dying (MAiD) in a small number of countries, including Belgium, the Netherlands, Luxemburg and Switzerland. In Canada, it is anticipated that people experiencing mental illness as their sole underlying medical condition (MI-SUMC) will be eligible to request MAiD as of March 17th 2024. To date, few studies have addressed patient and family perspectives on MAiD MI-SUMC care processes...
February 14, 2024: BMC Psychiatry
https://read.qxmd.com/read/38349734/adapting-and-evaluating-an-ai-based-chatbot-through-patient-and-stakeholder-engagement-to-provide-information-for-different-health-conditions-master-protocol-for-an-adaptive-platform-trial-the-marvin-chatbots-study
#32
JOURNAL ARTICLE
Yuanchao Ma, Sofiane Achiche, Marie-Pascale Pomey, Jesseca Paquette, Nesrine Adjtoutah, Serge Vicente, Kim Engler, Moustafa Laymouna, David Lessard, Benoît Lemire, Jamil Asselah, Rachel Therrien, Esli Osmanlliu, Ma'n H Zawati, Yann Joly, Bertrand Lebouché
BACKGROUND: Artificial intelligence (AI)-based chatbots could help address some of the challenges patients face in acquiring information essential to their self-health management, including unreliable sources and overburdened health care professionals. Research to ensure the proper design, implementation, and uptake of chatbots is imperative. Inclusive digital health research and responsible AI integration into health care require active and sustained patient and stakeholder engagement, yet corresponding activities and guidance are limited for this purpose...
February 13, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38349015/implementation-of-an-advance-care-planning-intervention-in-nursing-homes-an-international-multiple-case-study
#33
JOURNAL ARTICLE
Kevin Brazil, Catherine Walshe, Julie Doherty, Andrew J E Harding, Nancy Preston, Laura Bavelaar, Nicola Cornally, Paola Di Giulio, Silvia Gonella, Irene Hartigan, Catherine Henderson, Sharon Kaasalainen, Martin Loucka, Tamara Sussman, Karolina Vlckova, Jenny T van der Steen
BACKGROUND AND OBJECTIVES: The inability of individuals in the advanced stage of dementia to communicate about preferences in care at the end-of-life poses a challenge for healthcare professionals and family carers. The proven effective Family Carer Decision Support intervention, has been designed to inform family carers about end-of-life care options available to a person living with advanced dementia. The objectives of the mySupport study was to adapt the application of the intervention for use in different countries, assess impact on family satisfaction and decision-making and , and identify costs and supportive conditions for the implementation of the intervention...
February 13, 2024: Gerontologist
https://read.qxmd.com/read/38331714/the-landscape-of-non-psychotic-psychiatric-illness-in-rural-canada-a-narrative-review
#34
JOURNAL ARTICLE
Jacquelyn Paquet, Katharine Hibbard, Pamela Brett-MacLean
INTRODUCTION: Canada's rural population has diverse demographic features and accounts for 18.9% of Canada's population. Indigenous Peoples (First Nations, Inuit, and Métis), who are highly represented in rural communities, have additional risk factors related to colonialism, and historical and ongoing trauma. Understanding how to best respond to elevated rates of psychiatric illness in rural and remote communities requires an understanding of the unique challenges these communities face in accessing and providing high quality psychiatric services...
February 2024: Rural and Remote Health
https://read.qxmd.com/read/38325734/guideline-no-447-diagnosis-and-management-of-endometrial-polyps
#35
Olga Bougie, Elizabeth Randle, Jackie Thurston, Bryden Magee, Chelsie Warshafsky, David Rittenberg
OBJECTIVE: The primary objective of this clinical practice guideline is to provide gynaecologists with an algorithm and evidence to guide the diagnosis and management of endometrial polyps. TARGET POPULATION: All patients with symptomatic or asymptomatic endometrial polyps. OPTIONS: Options for management of endometrial polyps include expectant, medical, and surgical management. These will depend on symptoms, risks for malignancy, and patient choice...
February 5, 2024: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/38323707/-our-voices-aren-t-being-heard-a-qualitative-descriptive-study-of-nurses-perceptions-of-interprofessional-collaboration-in-care-supporting-older-people-s-functioning-during-a-hospital-stay
#36
JOURNAL ARTICLE
Jeffrey I Butler, Mary T Fox
INTRODUCTION: Older people admitted to hospital are highly susceptible to functional decline and related complications. Care supporting their functioning is complex and requires healthcare professionals working in concert, with nurses playing a central role. Yet, little is known about nurses' perceptions of interprofessional collaboration (IPC) in care supporting functioning in acutely admitted older people. To fill this knowledge gap, we elucidate the perspectives of nurses in Ontario, Canada, on IPC in care supporting older people's functioning during a hospital stay...
February 7, 2024: Scandinavian Journal of Caring Sciences
https://read.qxmd.com/read/38304703/-we-aren-t-meant-to-go-through-the-hardest-parts-of-our-lives-alone-family-experience-with-restricted-picu-presence-during-the-covid-19-pandemic
#37
JOURNAL ARTICLE
Laurie A Lee, Jennifer R Foster, Dejana Nikitovic, Daniel Garros, Molly J Ryan, Neda Moghadam, Corey Slumkoski, Martha Walls, Janet A Curran, Jamie A Seabrook, Stacy Burgess, Laura Betts, Amanda Barclay, Karen Choong, Patricia Fontela, Srinivas Murthy, Jessica Nicoll, Katie O'Hearn, Anupam Sehgal, Janice Tijssen
CONTEXT: PICUs across Canada restricted family presence (RFP) in response to the COVID-19 pandemic from allowing two or more family members to often only one family member at the bedside. The objective of this study was to describe the experiences and impact of RFP on families of critically ill children to inform future policy and practice. HYPOTHESIS: RFP policies negatively impacted families of PICU patients and caused moral distress. METHODS AND MODELS: National, cross-sectional, online, self-administered survey...
November 2023: Critical care explorations
https://read.qxmd.com/read/38303066/relationship-between-individual-and-country-level-socio-economic-background-usmle-step-scores-and-demographics-of-international-medical-graduates-and-residency-match-results
#38
JOURNAL ARTICLE
Daria D Hunter, Ronna L Campbell, Aidan F Mullan, Joel R Anderson, James L Homme
PURPOSE: Twenty five percent of practicing physicians in the US are International Medical Graduates (IMGs) - physicians who completed their medical school training outside of the United States and Canada. There are multiple studies demonstrating higher socio-economic background is associated with medical school matriculation in the US. However, despite a substantial prevalence of IMGs in the American healthcare system, studies of the association between demographics, socio-economic background, and securing a residency position in the match are lacking...
February 1, 2024: BMC Medical Education
https://read.qxmd.com/read/38288721/realizing-an-evidence-based-framework-for-the-management-and-delivery-of-family-support-services
#39
JOURNAL ARTICLE
Beth Archer-Kuhn, Candace Lind, Natalie Beltrano, Lisa Garrisen, Janet Hettler, Sandra Reilly
PURPOSE: This paper reports on how service providers and academic researchers partnered to support the journey of a primary prevention organization in western Canada as they reviewed their programming against an evidence-based practice (EBP) framework. The process allows the organization to increase their EBP culture by encouraging staff understanding and uptake of their nine family support programs. It also informs service users and other stakeholders of the evidentiary status of different kinds of support services...
January 30, 2024: Journal of evidence-based social work
https://read.qxmd.com/read/38280214/mapping-the-caregiver-experience-in-a-canadian-province-research-methodology-for-the-saskatchewan-caregiver-experience-study
#40
JOURNAL ARTICLE
Steven Hall, Noelle Rohatinsky, Lorraine Holtslander, Shelley Peacock
BACKGROUND: Policies and services for older adults are increasingly focused on living in the community, rather than relying on institutions. A total of 70-80% of community care for older adults is provided by family and friend caregivers. With Canada's aging population, the number of caregivers to older adults is growing. PURPOSE: The purpose of this paper is to describe the research methodology that was employed in the Saskatchewan Caregiver Experience Study. The methodology was used to map the experiences and gather perspectives of caregivers in Saskatchewan and to identify their priority support needs...
January 27, 2024: Canadian Journal of Nursing Research
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