Pub Date : 2023-10-01DOI: 10.4103/1203-7796.387890
Peter Hutten-Czapski
{"title":"Favoriser la croissance.","authors":"Peter Hutten-Czapski","doi":"10.4103/1203-7796.387890","DOIUrl":"10.4103/1203-7796.387890","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 4","pages":"160"},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683350","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}
David Campbell, Susan Williams, Jill Konkin, Isabella White, Ian Couper, Ruth Stewart, Lucie Walters
Introduction: Rural doctors typically work in low-resource settings and with limited professional support. They are sometimes pushed to the limits of their usual scope of practice to provide the medical care needed by their community. In a previous phenomenological study, we described the concept of clinical courage as underpinning rural doctors' work in this context. In this paper, we draw on rural doctors' experiences during the unfolding COVID pandemic to re-examine our understanding of the attributes of clinical courage.
Methods: Semi-structured interviews were conducted with rural doctors from 11 countries who had experience preparing for or managing patients with COVID-19. Interviews were transcribed verbatim and coded using NVivo. A deductive thematic analysis was undertaken to identify common ideas and responses related to the features of clinical courage.
Results: Thirteen interviews from rural doctors during the unfolding COVID-19 pandemic affirmed and enriched our understanding of the attributes of clinical courage, particularly the leadership role rural doctors can have within their communities.
Conclusion: This study extended our understanding that rural doctors' experience of clinical courage is consistent amongst participants in many parts of the world, including developing countries.
{"title":"New insights on rural doctors' clinical courage in the context of the unfolding COVID-19 pandemic.","authors":"David Campbell, Susan Williams, Jill Konkin, Isabella White, Ian Couper, Ruth Stewart, Lucie Walters","doi":"10.4103/cjrm.cjrm_67_22","DOIUrl":"10.4103/cjrm.cjrm_67_22","url":null,"abstract":"<p><strong>Introduction: </strong>Rural doctors typically work in low-resource settings and with limited professional support. They are sometimes pushed to the limits of their usual scope of practice to provide the medical care needed by their community. In a previous phenomenological study, we described the concept of clinical courage as underpinning rural doctors' work in this context. In this paper, we draw on rural doctors' experiences during the unfolding COVID pandemic to re-examine our understanding of the attributes of clinical courage.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with rural doctors from 11 countries who had experience preparing for or managing patients with COVID-19. Interviews were transcribed verbatim and coded using NVivo. A deductive thematic analysis was undertaken to identify common ideas and responses related to the features of clinical courage.</p><p><strong>Results: </strong>Thirteen interviews from rural doctors during the unfolding COVID-19 pandemic affirmed and enriched our understanding of the attributes of clinical courage, particularly the leadership role rural doctors can have within their communities.</p><p><strong>Conclusion: </strong>This study extended our understanding that rural doctors' experience of clinical courage is consistent amongst participants in many parts of the world, including developing countries.</p>","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 4","pages":"163-169"},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683354","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":"Gone with air and with water.","authors":"Daniel Blaine Pearce","doi":"10.4103/cjrm.cjrm_15_23","DOIUrl":"10.4103/cjrm.cjrm_15_23","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 4","pages":"201-202"},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683352","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}
Margarita Elloso, Vida Maksimoska, Saadon abdulla, M.K. Mamedov, Mouhannad M.AL-Hachamii, Mahmood J.Humady, Faris H.Mohammad
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.
{"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}
{"title":"A tribute to J. Turcotte, 2023; Danielle Romain.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 3","pages":"0"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9862240","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}
Pub Date : 2023-07-01DOI: 10.4103/1203-7796.379553
Sarah Lespéranc
{"title":"Message de la présidente. Genre et médecine rurale.","authors":"Sarah Lespéranc","doi":"10.4103/1203-7796.379553","DOIUrl":"10.4103/1203-7796.379553","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 3","pages":"106"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9862245","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":"At a loss.","authors":"Peter Hutten-Czapski","doi":"10.4103/cjrm.cjrm_24_23","DOIUrl":"10.4103/cjrm.cjrm_24_23","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 3","pages":"103"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9862238","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号