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Accessing Trauma- and Violence-Informed Breastfeeding Support from Primary Care Providers among Women with Histories of Intimate Partner Violence: An Exploratory Interpretive Description Study. 有亲密伴侣暴力史的妇女从初级保健提供者处获得创伤和暴力启发的母乳喂养支持:一项探索性解释说明研究。
IF 1.7 Q2 NURSING Pub Date : 2024-10-03 DOI: 10.1177/08445621241280409
Kimberley T Jackson, Samantha Larose, Tara Mantler

Background: Intimate partner violence (IPV) is a wicked social problem affecting women of all social strata and geographical location, globally. Pregnancy may be a time of heightened risk of IPV and more deleterious outcomes. Breastfeeding - a protective factor for maternal and child well-being - may be jeopardized or more challenging for women experiencing IPV. This study explored the experiences of postpartum women with histories of IPV who sought trauma- and violence-informed breastfeeding support from primary care providers.

Methods: Using interpretive description and philosophically underpinned by intersectionality, in-depth semi-structured interviews were completed at 12-weeks postpartum with five breastfeeding mothers with a history of IPV who sought breastfeeding support from a family physician clinic employing a trauma- and violence-informed (TVIC) model of care.

Findings: Four themes and two sub-themes shed light onto the experience of accessing breastfeeding support for women with a history of IPV and the perceived barriers that they faced when attempting to accesses this support, including: 1) The (demoralizing) navigation of the perinatal system; 2) Fostering trust: i) "It's support, but it's also knowledge"; and ii) TVIC: feeling safe and feeling "I mattered"; 3) Informal support: partners, family, and friends; and 4) Baby in focus: overcoming challenges and building confidence.

Conclusions: TVIC may aid in the development of trusting therapeutic relationships, in turn improving access to breastfeeding support, breastfeeding self-efficacy, and breastfeeding success for women who experience violence. Further research on the implementation and evaluation of TVIC for perinatal breastfeeding education and care among women is required.

背景:亲密伴侣暴力(IPV)是一个邪恶的社会问题,影响着全球所有社会阶层和地理位置的妇女。怀孕期间可能会增加遭受 IPV 的风险,并产生更多有害结果。母乳喂养是母婴健康的保护因素,但对于遭受 IPV 的妇女来说,母乳喂养可能会受到损害或面临更大的挑战。本研究探讨了曾遭受过 IPV 的产后妇女从初级保健提供者那里寻求以创伤和暴力为基础的母乳喂养支持的经历:方法:采用解释性描述方法,以交叉性为哲学基础,在产后 12 周时对五名有 IPV 史的哺乳期母亲进行了深入的半结构式访谈,这些母亲在一家采用创伤与暴力知情(TVIC)护理模式的家庭医生诊所寻求母乳喂养支持:四个主题和两个次主题揭示了有 IPV 史的妇女获得母乳喂养支持的经历,以及她们在尝试获得这种支持时所遇到的障碍,包括1) 围产期系统的导航(令人沮丧);2) 培养信任:i) "这是支持,但也是知识";ii) TVIC:安全感和 "我很重要 "的感觉;3) 非正式支持:伴侣、家人和朋友;以及 4) 关注婴儿:克服挑战和建立信心:TVIC 有助于建立相互信任的治疗关系,进而改善遭受暴力侵害的妇女获得母乳喂养支持的途径、母乳喂养自我效能以及母乳喂养的成功率。需要对 TVIC 在妇女围产期母乳喂养教育和护理方面的实施和评估进行进一步研究。
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引用次数: 0
Understanding Nurse Retention at a Mental Health and Addictions Facility During a Dual Pandemic. 了解在双重流行病期间心理健康和成瘾机构的护士留任情况。
IF 1.7 Q2 NURSING Pub Date : 2024-09-18 DOI: 10.1177/08445621241283227
Alyssa Rafferty, Kristen Haase, Michelle Gagnon, Farinaz Havaei

Background: The COVID-19 pandemic exposed nurses to new and more severe workplace stressors; exposure to these workplace stressors has exacerbated nurse turnover. Nurses working in mental health and substance use (MHSU) have also experienced the unique stressor of the overdose crisis in British Columbia (BC). MHSU nurses have been at the forefront of working to manage these dual emergencies. There is limited evidence related to the compounding effect of COVID-19 and the overdose crisis on nursing turnover. Understanding the unique conditions that MHSU nurses are currently experiencing and what factors influence a nurse's intention to stay in or leave a healthcare facility is essential in developing strategies to minimize turnover and maximize retention.

Purpose: To explore the factors that affect nurse turnover while working through the dual emergencies within a MHSU facility in BC, Canada.

Methods: A qualitative descriptive approach with an inductive, descriptive thematic analysis guided this quality improvement project.

Results: Findings were grouped into two main themes: reasons for leaving and reasons for staying. Reasons for leaving included workplace safety, seeking new opportunities, lack of support, and being short-staffed. Reasons to stay encompassed connections with clients, leaders and colleagues, support from colleagues and leaders, and feeling valued, safe, and heard.

Conclusions: Perceived personal safety and protection from workplace violence were found to increase the likelihood of intent to leave and turnover among nurses. Further, psychosocial safety and connection among nurses and health leaders were found to decrease the likelihood of turnover.

背景:COVID-19 大流行使护士面临新的、更严重的工作压力;这些工作压力加剧了护士的流失。在不列颠哥伦比亚省(BC 省),从事心理健康和药物使用(MHSU)工作的护士也经历了用药过量危机带来的独特压力。精神健康和药物使用(MHSU)领域的护士一直站在管理这些双重紧急情况的最前沿。有关 COVID-19 和用药过量危机对护士更替的复合效应的证据有限。了解医疗卫生服务机构护士目前所经历的独特情况,以及哪些因素会影响护士留在或离开医疗卫生机构的意愿,对于制定战略以最大限度地减少流失和留住人才至关重要:方法: 采用归纳描述性主题分析的定性描述方法来指导这一质量改进项目:研究结果分为两大主题:离开的原因和留下的原因。离开的原因包括工作场所安全、寻找新机会、缺乏支持以及人手不足。留下来的原因包括与客户、领导和同事的联系,同事和领导的支持,以及感到被重视、安全和被倾听:结论:研究发现,感知到的人身安全和免受工作场所暴力侵害会增加护士离职意向和流失的可能性。此外,社会心理安全以及护士与卫生领导之间的联系可降低离职的可能性。
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引用次数: 0
Informing Culturally Safe Advance Care Planning: An Interpretive Descriptive Study of Internationally Educated Nurses in Ontario. 为文化上安全的预先护理规划提供依据:安大略省受过国际教育护士的解释性描述研究。
IF 1.7 Q2 NURSING Pub Date : 2024-09-12 DOI: 10.1177/08445621241278922
Shereen Jonathan, Kathryn Pfaff, Edward Cruz

Background: Maintaining cultural safety during advance care planning (ACP) discussions is an essential component of holistic care provision. Most nurses feel unprepared to engage in ACP and the current literature offers limited recommendations on how nurses can lead culturally safe ACP discussions. Internationally educated nurses (IENs) have unique personal and professional experiences to address this gap.

Purpose: The purpose of this study was to understand IENs' contributions to culturally safe ACP and its implications to nursing practice and ACP policy.

Methods: An interpretive descriptive approach was undertaken. Ten IENs working in Ontario, Canada were individually interviewed using a semi-structured guide to understand their perspectives and experiences of engagement in culturally safe ACP practices.

Results: IENs utilized various approaches that were reflected in three actions: practicing cultural humility, utilizing a cautious approach, and empowering clients and families. IENs engaged in intrapersonal and interpersonal cultural humility practices to recognize the unique influence of one's culture on the ACP process. Establishing trust in the nurse-client relationship and cautiously approaching ACP conversations was recognized as important in maintaining cultural safety. IENs also empowered clients by addressing knowledge deficits, misconceptions about ACP, and informing them of their decision-making rights.

Conclusion: Nurses require education and resources to carry out culturally safe ACP. Education should begin at the undergraduate level and include self-engagement in ACP and cultural humility training. Practicing nurses need ACP training and clear standards/guidelines. There is an opportunity for healthcare organizations and professional/governing nursing bodies to collaborate on developing culturally safe ACP guidelines.

背景:在预先护理计划(ACP)讨论中保持文化安全是提供整体护理的重要组成部分。大多数护士认为自己没有做好参与 ACP 的准备,目前的文献就护士如何引导文化安全的 ACP 讨论提出的建议也很有限。目的:本研究旨在了解受过国际教育的护士(IENs)对文化安全的 ACP 的贡献及其对护理实践和 ACP 政策的影响:方法:采用解释性描述方法。采用半结构化指南对在加拿大安大略省工作的 10 名 IENs 进行了个别访谈,以了解他们参与文化安全 ACP 实践的观点和经验:IENs 采用了各种方法,这些方法体现在三项行动中:践行文化谦逊、采用谨慎的方法以及增强客户和家庭的能力。IENs 参与了个人内部和个人之间的文化谦逊实践,以认识到自身文化对 ACP 过程的独特影响。在护士与客户的关系中建立信任以及谨慎地进行 ACP 对话被认为是维护文化安全的重要因素。IENs 还通过解决知识缺陷、对 ACP 的误解以及告知客户其决策权来增强客户的能力:护士需要教育和资源来开展文化安全的 ACP。教育应从大学本科阶段开始,包括自我参与 ACP 和文化谦逊培训。执业护士需要 ACP 培训和明确的标准/指南。医疗机构和专业/护理管理机构有机会合作制定文化安全的 ACP 指南。
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引用次数: 0
The Challenges of Advance Care Planning for Acute Care Registered Nurses. 急症护理注册护士预先护理规划的挑战。
IF 1.7 Q2 NURSING Pub Date : 2024-09-01 Epub Date: 2024-04-04 DOI: 10.1177/08445621241244532
Lori L Rietze, Kelli I Stajduhar, Mary Ellen Purkis, Denise Cloutier

Study background: The practice of acute care nurses is shaped by organizational factors such as lack of privacy, heavy workloads, unclear roles, lack of time, and lack of specific policies and procedures. We know little about the social and organizational structures and processes that influence nurses' uptake of valuable patient-centered discussions like advance care planning (ACP). ACP is beneficial for patients, their substitute decision makers, and healthcare providers.

Purpose: To describe the operational, organizational, and societal influences shaping nurses' ACP work in acute care settings.

Methods: This ethnographic study purposively sampled 14 registered nurses and 9 administrators who worked in two acute care hospitals in Northeastern Ontario. Methods consisted of 23 open-ended, semi-structured interviews, 20 hours of observational fieldwork, and a collection of publicly available organizational documents. Data were inductively analyzed using an iterative constant comparative approach.

Results: Nurses were challenged to meet multiple competing demands, leaving them to scramble to manage complex and critically ill acute care patients while also fulfilling organizational tasks aligned with funding metrics, accreditation, and strategic planning priorities. Such factors limited nurses' capacity to engage their patients in ACP.

Conclusions: Acute care settings that align patient values and medical treatment need to foster ACP practices by revising organizational policies and processes to support this outcome, analyzing the tasks of healthcare providers to determine who might best address it, and budgeting how to support it with additional resources.

研究背景:急症护理护士的实践受到组织因素的影响,如缺乏隐私、工作量大、角色不明确、缺乏时间以及缺乏具体的政策和程序。我们对影响护士接受以患者为中心的宝贵讨论(如预先护理计划 (ACP))的社会和组织结构及流程知之甚少。ACP 对患者、患者的替代决策者和医疗服务提供者都有好处。目的:描述在急症护理环境中影响护士 ACP 工作的操作、组织和社会因素:这项人种学研究有目的地抽取了安大略省东北部两家急症护理医院的 14 名注册护士和 9 名管理人员。研究方法包括 23 次开放式半结构访谈、20 个小时的实地观察以及收集公开的组织文件。采用迭代不断比较法对数据进行归纳分析:结果:护士们面临的挑战是满足多种相互竞争的需求,使他们既要忙于管理复杂的危重急症患者,又要完成与资金指标、评审和战略规划优先事项相一致的组织任务。这些因素限制了护士让患者参与 ACP 的能力:结论:将患者价值观与医疗治疗相结合的急症护理机构需要通过修改组织政策和流程来支持 ACP 的实践,分析医疗服务提供者的任务以确定谁能最好地处理这一问题,并预算如何利用额外资源来支持 ACP。
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引用次数: 0
Multidisciplinary First-Line Healthcare Leaders' Roles and Experiences During the COVID-19 Pandemic in Ontario Canada. 加拿大安大略省 COVID-19 大流行期间多学科一线医疗保健领导者的角色和经验。
IF 1.7 Q2 NURSING Pub Date : 2024-09-01 Epub Date: 2024-03-12 DOI: 10.1177/08445621241236665
Sue Bookey-Bassett, Don Rose, Nancy Purdy, Kim Cook, Martha Harvey, Anthony Danial, Melanie Woodside, Michelle Belov

Background: Throughout the COVID-19 pandemic, first-line healthcare leaders across the healthcare system played crucial roles leading, motivating, and supporting staff.

Purpose: This study aims to describe multidisciplinary first-line healthcare leaders' experiences during the COVID-19 pandemic in Ontario, Canada using transformational and crisis leadership theory.

Methods: A descriptive two-phase (quantitative & qualitative) design was conducted in the spring of 2021. Phase 1 employed an online survey sent via email to first-line leaders from various sectors who were members of healthcare professional associations in Ontario. Participants included nurse managers, professional practice leaders (e.g., occupational and physiotherapists), advanced practice nurses, and clinical educators. In Phase 2, a subset (n  =  19) of the Phase 1 participants were interviewed to gain a deeper understanding of these leaders' experiences including role impact and support available. Semistructured individual interviews were conducted and recorded via Zoom©. Inductive and deductive analysis approaches identified key themes. This paper reports the qualitative findings from Phase 2.

Results: Leaders' behaviors were representative of the key dimensions of transformational and complexity leadership theories. Recommendations for leading during a crisis included: engaging in self-care activities to manage the personal impact of the crisis; teamwork and collaborative leadership; and support from fellow first-line leaders and senior leaders. Findings can inform healthcare leadership education programs designed to manage future crises for both academic and practice settings.

Conclusion: Descriptions of first-line healthcare leaders' roles and experiences during multiple waves of the COVID-19 pandemic validated their important contributions within various health sectors.

背景:在整个 COVID-19 大流行期间,医疗保健系统的一线医疗保健领导在领导、激励和支持员工方面发挥了至关重要的作用。目的:本研究旨在利用变革和危机领导理论,描述加拿大安大略省多学科一线医疗保健领导在 COVID-19 大流行期间的经历:研究方法: 2021 年春季,研究人员采用了描述性的两阶段(定量和定性)设计。第一阶段采用在线调查的方式,通过电子邮件发送给安大略省医疗保健专业协会会员中来自不同行业的一线领导者。参与者包括护士经理、专业实践领导(如职业治疗师和物理治疗师)、高级实践护士和临床教育工作者。在第二阶段,对第一阶段参与者中的一部分(n = 19)进行了访谈,以深入了解这些领导者的经历,包括角色影响和可获得的支持。通过 Zoom© 进行了半结构化个人访谈并进行了录音。归纳和演绎分析方法确定了关键主题。本文报告了第二阶段的定性调查结果:领导者的行为代表了变革型领导理论和复杂性领导理论的关键维度。危机期间的领导建议包括:参与自我保健活动,以管理危机对个人的影响;团队合作和协作领导;来自一线领导同事和高层领导的支持。研究结果可为医疗保健领导力教育计划提供参考,这些计划旨在管理学术和实践环境中的未来危机:对一线医疗保健领导者在 COVID-19 大流行的多个波次中的角色和经历的描述证实了他们在各个医疗保健部门中的重要贡献。
{"title":"Multidisciplinary First-Line Healthcare Leaders' Roles and Experiences During the COVID-19 Pandemic in Ontario Canada.","authors":"Sue Bookey-Bassett, Don Rose, Nancy Purdy, Kim Cook, Martha Harvey, Anthony Danial, Melanie Woodside, Michelle Belov","doi":"10.1177/08445621241236665","DOIUrl":"10.1177/08445621241236665","url":null,"abstract":"<p><strong>Background: </strong>Throughout the COVID-19 pandemic, first-line healthcare leaders across the healthcare system played crucial roles leading, motivating, and supporting staff.</p><p><strong>Purpose: </strong>This study aims to describe multidisciplinary first-line healthcare leaders' experiences during the COVID-19 pandemic in Ontario, Canada using transformational and crisis leadership theory.</p><p><strong>Methods: </strong>A descriptive two-phase (quantitative & qualitative) design was conducted in the spring of 2021. Phase 1 employed an online survey sent via email to first-line leaders from various sectors who were members of healthcare professional associations in Ontario. Participants included nurse managers, professional practice leaders (e.g., occupational and physiotherapists), advanced practice nurses, and clinical educators. In Phase 2, a subset (n  =  19) of the Phase 1 participants were interviewed to gain a deeper understanding of these leaders' experiences including role impact and support available. Semistructured individual interviews were conducted and recorded via Zoom©. Inductive and deductive analysis approaches identified key themes. This paper reports the qualitative findings from Phase 2.</p><p><strong>Results: </strong>Leaders' behaviors were representative of the key dimensions of transformational and complexity leadership theories. Recommendations for leading during a crisis included: engaging in self-care activities to manage the personal impact of the crisis; teamwork and collaborative leadership; and support from fellow first-line leaders and senior leaders. Findings can inform healthcare leadership education programs designed to manage future crises for both academic and practice settings.</p><p><strong>Conclusion: </strong>Descriptions of first-line healthcare leaders' roles and experiences during multiple waves of the COVID-19 pandemic validated their important contributions within various health sectors.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"269-280"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102616","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
An Intervention to Improve Mental and Physical Health of Undergraduate Nursing Students. 改善护理专业本科生身心健康的干预措施。
IF 1.7 Q2 NURSING Pub Date : 2024-09-01 Epub Date: 2024-05-05 DOI: 10.1177/08445621241248308
Sylwia Ciezar Andersen, Tavis Campbell, Deborah White, Kathryn King-Shier

Background: Nursing students experience poorer mental and physical health relative to students in other health-related disciplines and young adults of similar age outside post-secondary school. Compromised mental and physical health has numerous negative impacts on nursing students and can result in burnout and development of chronic diseases.

Purpose: To determine whether an asynchronous online yoga intervention would improve mental and physical health of students.

Methods: An asynchronous online 6-week yoga intervention was carried out between January and December 2021, using a pre/post design. Participants' symptoms of depression, anxiety, stress, and self-compassion were assessed using the Depression, Anxiety, and Stress Scale and Self-Compassion Scale and core endurance was assessed using the Mackenzie Core Endurance Test prior to commencement and at the conclusion of the program.

Results: Of 114 participants, 68 completed the online program and pre and post measures showed that the mean depression, anxiety, stress, self-compassion and core endurance scores improved significantly (p<0.001) between baseline and study completion.

Conclusion: A six-week virtual yoga program significantly improved mental and physical health of undergraduate nursing students. Targeted modifications to the yoga program might enhance participant retention.

背景:与其他健康相关学科的学生和大专院校以外年龄相仿的年轻人相比,护理专业学生的身心健康较差。身心健康受损会对护理专业学生产生许多负面影响,并可能导致倦怠和慢性疾病的发生。目的:确定异步在线瑜伽干预是否会改善学生的身心健康:在 2021 年 1 月至 12 月期间,采用前/后设计开展了为期 6 周的异步在线瑜伽干预。参与者的抑郁、焦虑、压力和自我同情症状通过抑郁、焦虑和压力量表以及自我同情量表进行评估,核心耐力通过麦肯齐核心耐力测试进行评估:结果:在 114 名参与者中,有 68 人完成了在线课程,课程前后的测量结果显示,抑郁、焦虑、压力、自我同情和核心耐力的平均得分都有了显著提高(p 结论:六周的虚拟瑜伽课程对参与者的心理健康有很大帮助:为期六周的虚拟瑜伽课程明显改善了护理专业本科生的身心健康。对瑜伽课程进行有针对性的修改可能会提高参与者的保留率。
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引用次数: 0
Consequences of COVID-19 Vaccine Hesitancy Among Healthcare Providers During the First 10 Months of Vaccine Availability: Scoping Review. COVID-19疫苗上市后前10个月医护人员不接种疫苗的后果:范围审查。
IF 1.7 Q2 NURSING Pub Date : 2024-09-01 Epub Date: 2024-05-02 DOI: 10.1177/08445621241251711
Caitlyn D Wilpstra, Sherry Morrell, Noeman A Mirza, Jody L Ralph

Background: Throughout the COVID-19 pandemic, healthcare providers (HCPs)-including nurses-have played important roles in the vaccination effort. It is expected that COVID-19 vaccine hesitancy among HCPs has numerous consequences; however, the scope of these consequences and their impacts on providers, patients, and the broader healthcare system remained unclear.

Purpose: To identify existing and emerging evidence to understand the state of knowledge of the consequences of COVID-19 vaccine hesitancy among HCPs.

Methods: A scoping review was completed based upon the JBI scoping review methodology. The databases searched included OVID Medline, EBSCOhost CINAHL, ProQuest Nursing and Allied Health Source, ProQuest APA PsycInfo, and ProQuest Dissertations and Theses. The final literature search was completed on June 2, 2022. Studies were screened and retrieved based on predefined inclusion and exclusion criteria using Covidence reference management software. Data extraction followed criteria recommended in the JBI scoping review framework with additional relevant variables identified by the authors.

Results: A total of 33 sources were included in the review. Consequences of HCP COVID-19 vaccine hesitancy were grouped under three themes and seven subthemes. Consequences affecting HCPs included health-related, psychosocial, and employment-related consequences. Consequences affecting patients pertained to COVID-19 vaccination communication and COVID-19 vaccination practices of HCPs. Consequences to the healthcare system involved consequences to coworkers and employment/attendance/staffing-related consequences.

Conclusions: Healthcare provider COVID-19 vaccine hesitancy was found to have numerous consequences. By understanding the scope and extent of these consequences, healthcare leaders, researchers, and HCPs can work together to protect providers, patients, and healthcare systems.

背景:在整个 COVID-19 大流行期间,医疗保健提供者(HCP)(包括护士)在疫苗接种工作中发挥了重要作用。然而,这些后果的范围及其对医疗服务提供者、患者和更广泛的医疗保健系统的影响仍不清楚。目的:确定现有和新出现的证据,以了解医疗服务提供者对 COVID-19 疫苗犹豫不决的后果的认识状况:方法:根据 JBI 范围审查方法完成范围审查。检索的数据库包括 OVID Medline、EBSCOhost CINAHL、ProQuest Nursing and Allied Health Source、ProQuest APA PsycInfo 和 ProQuest Dissertations and Theses。最终文献检索于 2022 年 6 月 2 日完成。根据预定义的纳入和排除标准,使用 Covidence 参考文献管理软件对研究进行筛选和检索。数据提取遵循了 JBI 范围综述框架中推荐的标准以及作者确定的其他相关变量:结果:共有 33 篇资料被纳入综述。HCP COVID-19 疫苗犹豫不决的后果分为三个主题和七个次主题。影响 HCP 的后果包括健康相关后果、社会心理后果和就业相关后果。影响患者的后果与 COVID-19 疫苗接种沟通和 HCPs 的 COVID-19 疫苗接种实践有关。对医疗系统造成的后果包括对同事造成的后果以及与就业/出勤/员工相关的后果:结论:研究发现,医疗保健提供者对 COVID-19 疫苗的犹豫不决会带来许多后果。通过了解这些后果的范围和程度,医疗保健领导者、研究人员和医疗保健提供者可以共同努力保护医疗保健提供者、患者和医疗保健系统。
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引用次数: 0
Nurses and Climate Change: A Narrative Review of Nursing Associations' Recommendations for Integrating Climate Change Mitigation Strategies. 护士与气候变化:护理协会关于整合气候变化减缓战略建议的叙述性回顾。
IF 1.7 Q2 NURSING Pub Date : 2024-09-01 Epub Date: 2024-02-19 DOI: 10.1177/08445621241229932
Coralie Gaudreau, Laurence Guillaumie, Édith Jobin, Thierno Amadou Diallo

Background: According to the World Health Organization, climate change is the greatest challenge of the twenty-first century. It is already affecting the health of many Canadians through extreme heat, wildfires and the expansion of zoonotic diseases. As trusted professionals, nurses are in favourable position to take action on climate change.

Purpose: To document the recommendations issued by Quebec, Canadian, American and international nursing associations regarding nursing practices that address climate change or environmental issues.

Methods: This narrative review was conducted by establishing a list of environmental and general nursing associations in the geographical areas of interest through Google searches as well as by retrieving documents about climate change or environmental issues published by these organizations on their websites. Data related to the documents' characteristics and recommended nursing roles were then extracted.

Results: The review identified 13 nurses' organizations and 20 documents describing 37 recommendations for nurses in seven socioecological areas: individual, patient-focused, workplace, nursing associations, public health organizations, political and education.

Conclusions: There is a gap between the breadth of roles that nurses may be called upon to play in addressing climate change and the degree to which relevant organizations are prepared to create the required conditions for them to do so. Several lessons emerged, including that the urgency of the climate crisis requires clear guidelines on how nurses can integrate climate change and its resultant health concerns into practice through nurses' associations, education and bottom-up nursing innovations. Funding is required for such initiatives, which must also prioritize health inequalities.

背景:世界卫生组织认为,气候变化是二十一世纪最大的挑战。气候变化已经通过极端高温、野火和人畜共患疾病的蔓延影响到许多加拿大人的健康。目的:记录魁北克、加拿大、美国和国际护理协会就应对气候变化或环境问题的护理实践提出的建议:本叙述性综述通过谷歌搜索建立了相关地理区域的环境和普通护理协会名单,并检索了这些组织在其网站上发布的有关气候变化或环境问题的文件。然后提取了与文件特点和推荐的护理角色相关的数据:审查确定了 13 个护士组织和 20 份文件,其中描述了 37 项针对护士的建议,涉及 7 个社会生态领域:个人、以患者为中心、工作场所、护理协会、公共卫生组织、政治和教育:护士在应对气候变化方面可能被要求发挥的作用的广度与相关组织为其创造必要条件的准备程度之间存在差距。我们从中汲取了一些经验教训,包括气候危机的紧迫性要求制定明确的指导方针,指导护士如何通过护士协会、教育和自下而上的护理创新,将气候变化及其引发的健康问题纳入实践。这些举措需要资金,还必须优先考虑健康不平等问题。
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引用次数: 0
The Next Dawn for CJNR: Embracing the Future while Celebrating the Past. CJNR 的下一个黎明:拥抱未来,赞美过去。
IF 1.7 Q2 NURSING Pub Date : 2024-09-01 Epub Date: 2024-08-02 DOI: 10.1177/08445621241266740
Gayle Roux, Monique Ridosh
{"title":"The Next Dawn for <i>CJNR:</i> Embracing the Future while Celebrating the Past.","authors":"Gayle Roux, Monique Ridosh","doi":"10.1177/08445621241266740","DOIUrl":"10.1177/08445621241266740","url":null,"abstract":"","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"191-192"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879578","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
Mapping the Caregiver Experience in a Canadian Province: Research Methodology for the Saskatchewan Caregiver Experience Study. 绘制加拿大一个省的护理经验图:萨斯喀彻温省照顾者经验研究的研究方法。
IF 1.7 Q2 NURSING Pub Date : 2024-09-01 Epub Date: 2024-01-27 DOI: 10.1177/08445621241227720
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.

Methods: Qualitative description was the approach in this study. An online qualitative survey was administered via SurveyMonkey and distributed via Facebook and community newsletters. The survey collected caregiver demographics and asked three open-ended questions regarding: (1) the challenges that caregivers experience; (2) the positive aspects of caregiving; and (3) the support needs and priorities of Saskatchewan caregivers. A fourth question where caregivers could freely express any other experiences or perspectives was included. Content analysis was the method used for data analysis.

Results: 355 individuals met the inclusion criteria for this study. Participants were evenly distributed amongst urban-large, urban-small/medium, and rural settings in Saskatchewan. The average age of caregivers and care recipients were 61 and 83 respectively.

Conclusion: This study has implications for research, practice, and policy. By gathering the full spectrum of the caregiver experience in Saskatchewan, this study can help to inform how communities, governments, and our healthcare system can best support caregivers in their role.

背景:针对老年人的政策和服务越来越注重在社区生活,而不是依靠养老院。70-80% 的老年人社区护理是由家人和朋友提供的。目的:本文旨在介绍萨斯喀彻温省照顾者经验研究中采用的研究方法。该方法用于了解萨斯喀彻温省护理人员的经历,收集他们的观点,并确定他们的优先支持需求:本研究采用定性描述的方法。通过 SurveyMonkey 进行在线定性调查,并通过 Facebook 和社区通讯进行分发。调查收集了护理人员的人口统计数据,并就以下方面提出了三个开放式问题:(1)护理人员所经历的挑战;(2)护理工作的积极方面;以及(3)萨斯喀彻温省护理人员的支持需求和优先事项。还包括第四个问题,护理人员可以自由表达任何其他经验或观点。数据分析采用内容分析法:有 355 人符合本研究的纳入标准。参与者平均分布在萨斯喀彻温省的大城市、中小城市和农村地区。照顾者和受照顾者的平均年龄分别为 61 岁和 83 岁:本研究对研究、实践和政策都有意义。通过全面收集萨斯喀彻温省护理人员的经历,本研究有助于为社区、政府和医疗保健系统如何更好地支持护理人员发挥作用提供信息。
{"title":"Mapping the Caregiver Experience in a Canadian Province: Research Methodology for the Saskatchewan Caregiver Experience Study.","authors":"Steven Hall, Noelle Rohatinsky, Lorraine Holtslander, Shelley Peacock","doi":"10.1177/08445621241227720","DOIUrl":"10.1177/08445621241227720","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>Qualitative description was the approach in this study. An online qualitative survey was administered via SurveyMonkey and distributed via Facebook and community newsletters. The survey collected caregiver demographics and asked three open-ended questions regarding: (1) the challenges that caregivers experience; (2) the positive aspects of caregiving; and (3) the support needs and priorities of Saskatchewan caregivers. A fourth question where caregivers could freely express any other experiences or perspectives was included. Content analysis was the method used for data analysis.</p><p><strong>Results: </strong>355 individuals met the inclusion criteria for this study. Participants were evenly distributed amongst urban-large, urban-small/medium, and rural settings in Saskatchewan. The average age of caregivers and care recipients were 61 and 83 respectively.</p><p><strong>Conclusion: </strong>This study has implications for research, practice, and policy. By gathering the full spectrum of the caregiver experience in Saskatchewan, this study can help to inform how communities, governments, and our healthcare system can best support caregivers in their role.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"234-246"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571816","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}
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Canadian Journal of Nursing Research
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