Laurentian University Journal hosting service
Not a member yet
140 research outputs found
Sort by
Reliability and Validity of the 15-Item Remote First Aid Self-Efficacy in French and English
No full textIntroduction: The Remote First Aid Self-Efficacy Scale was originally developed as a 30-item self-report instrument designed as an evaluation tool for training providers and a reflection tool for course participants. Remote first aid training courses and programs are designed for remote communities, worksites, and other wilderness contexts involving activities such as recreation, education, and therapy. Self-efficacy refers to the strength of the beliefs a person has in their capacity to organize and take the necessary actions towards any given attainment. The purpose of our study was to measure the reliability and validity of the 15-Item Remote First Aid Self-Efficacy Scale (RFA SES) in French and English populations.
Methods: Alumni from SIRIUSMEDx wilderness first aid courses were invited via email to complete either a French or English online questionnaire at two different time periods (T1 & T2). Data collection involved using online questionnaires containing demographic questions, the 15-Item RFA SES, and the 10-Item Generalized Self-Efficacy Scale (GSES). Data analysis involved assessing the scale for internal consistency, test re-test reliability, and concurrent validity.
Results: There were 58 French and 47 English alumni respondents from SIRIUSMEDx courses for a total of 105 respondents. Internal consistency was high amongst the French group (alpha = .95) and the English group (alpha = .92). Test re-test reliability was high amongst the French group, (r = 0.78, p < .01), and the English group (r = .92, p < .01). The correlations between the RFS SES and GSES were positive and moderate in the French group (r = 0.53, p < .01), as well as in the English group (r = 0.32, p = .03).Conclusions: Results from this study suggest that both the French and English 15-Item RFA SES are reliable and valid. This shorter 15-item version is now available for use, along with the original validated 30-Item version of the RFA SES. Future research should focus on validation of the scale in other contexts and populations, using the scale as a participant reflection tool, and using it for evaluation of training programs and courses
Nurse Practitioner Communities of Practice: An Exploratory Study
No full textBackground: The flexibility and value of the Nurse Practitioner (NP) role has been recognized as providing significant benefits for patient groups internationally since the 1960s, and nationally since 2000. At the time of this study, approximately 400 NPs were endorsed to deliver care across diverse clinical and geographic Victorian locations. However, little was known about the supportive requirements to meet their networking and mentoring needs. The aim of this study was to determine the NPs’ degree of membership and engagement and perceived provision of mentorship with NP Communities of Practice (CoP).
Methods: An exploratory prospective cross-sectional multi-site study using an online survey was used to collect data. A total of 182 participants responded to the survey.
Findings: NPs depend on each other to learn what they need to learn to transition to the NP role in clinical and non-clinical aspects of the role. While the benefits of NP CoP membership proved instrumental in facilitating transformational leadership knowledge, the Victorian NP CoP reinforced that there was room for improvement in the manner in which the groups were not only set up but also how they continued to meet the cohort’s contemporary needs. Most participants reported associated membership benefits such as support, networking, as well as being able to undertake educational opportunities. Further, a small number found NP CoP membership contributed to their sense of belonging, effectively decreasing their sense of professional isolation. To a lesser degree, mentorship and information sharing were reported.
Conclusion: Participants identified the NP CoP as collegial, supportive environments which nurtured and facilitated transition to the NP role. By including educational, leadership, networking, and mentoring opportunities, the Victorian NP CoP decreased professional isolation for both neophyte and experienced NPs. However, the NP CoP did not meet all member’s needs.
Predictors Of Time Spent by Nurse Practitioners In Primary Care, Home Care And Long-Term Care On Activities In Two Canadian Provinces: Time And Motion Studies
No full textAim: To identify the factors that influence the time nurse practitioners (NPs) in primary care, home care and long-term care spend on activities in two Canadian provinces.
Background: Little is known about how patient, provider, and organizational characteristics influence the time NPs spend when caring for patients in primary care.
Methods: Time and motion studies (n=30 NPs, 829 hr, 14 practices). Data were collected in Québec from May 2017–May 2018 and in Ontario from March–November 2015. Descriptive statistics and linear regression analysis were completed.
Findings: NPs spent 66% (Ontario) to 68% (Québec) of work time on clinical activities. Mean time spent by NPs in patient encounters in Québec varied by setting (long-term care: 13 min 21 s; primary care: 22 min 10 s; and home care: 26 min 25 s). In Ontario, time spent by NPs in patient encounters averaged 25 min 48 s in primary care. In Québec, significant associations were found between number of clinical and non-clinical activities, health maintenance/wellness visit, chronic illness follow-up, patient gender (woman), urban location, and multiple informants in the exam room and NP time spent on activities. In Ontario, associations were identified between number of clinical and non-clinical activities, chronic illness follow-up, NP gender (woman), and acute/minor injury and NP time spent on activities.
Conclusion: Time NPs spend on activities differed depending on patient, provider, organizational and health system characteristics. NP activities cut across all role dimensions. The practice setting, number of clinical and non-clinical activities, and chronic illness follow-up were significant predictors of time spent on activities. Our study provides a comprehensive overview of NP activities and the factors that influence time spent on these activities while working in health systems with more and less restrictive scope of practice regulations, and with a wide range of patient populations in primary care
Patient Complexity in Nurse Practitioner-Led Clinics in Ontario
No full textAim: To assess the level of complexity of patients in Nurse Practitioner-Led Clinics (NPLCs).
Background: Complexity has emerged as a key issue in primary health care. There is no easily accessible dataset to evaluate the level of complexity and needs of their patients in this clinic model.
Methods: NPs at four NPLCs assessed patients during the study period with the PCAM, which is a reliable and valid tool that is used to evaluate physical and biopsychosocial elements contributing to complexity. A total of 677 PCAM evaluations were completed which were analyzed to determine the level of complexity of patients in NPLCs.
Findings: The results showed that patients with the highest complexity are those with high social/economic needs: low education; low income; low levels of employment.
Conclusions: These results demonstrate the potential positive impact of an interdisciplinary team and may inform changes to the allocation of resources in the clinic settings.  
Community Reintegration Priorities Perceived by Stroke Survivors and Healthcare Providers : Community Reintegration Priorities
No full textBackground. Over half of individuals who survive a stroke experience chronic impairment. Accessing comprehensive health services optimizes community reintegration following hospital discharge. Community-based care over vast regions with low service providers to resident ratios, however, can be challenging. Little is know about perceived priorities for quality community reintegration supports essential in northern, rural, and small urban contexts.
Purpose. The aim of the study was to describe priority supports for community reintegration from the perspective of both stroke survivors’ and multidisciplinary healthcare providers’ residing in Northeast Ontario.
Methods. Q methodology was used to systematically elicit the viewpoints of 91 participants through the independent sorting of decks of theoretical statement cards, each delineating one of 30 evidence-informed post-stroke community reintegration supports. A mix of quantitative and interpretative qualitative analysis were used to ascertain perceptions of discrete priority supports from the perspective of the two groups of participants.
Findings. Stroke survivors identified three priority supports for community reintegration including having a skilled provider, action-orientated alliances, and a focus on wellness. Healthcare providers, including Registered Nurses, Occupational Therapists, and Physiotherapists, perceived tailored resources, person-centeredness, and promotion of wellbeing, as best enabling community reintegration. Although discrete, all six identified priorities contribute to the constellation of evidence-informed community reintegration supports necessary within the regional stroke network in Northeast Ontario.
Implications. Clear, open communication about perceived priorities for community reintegration among stroke survivors and healthcare providers is critical to developing a shared understanding of individualized services following stroke. Collectively, guidance by a skilled provider, patient autonomy, and life enjoyment are essential priorities within coordinated stoke service to achieve the ultimate outcome of community reintegration
Recherche en droit fiscal: Comment les attitudes et les méthodes des chercheurs en sciences humaines peuvent-elles contribuer à l’atteinte de résultats concrets ?
No full textRecherche en droit fisca
Undergraduate Nursing Students\u27 Experience of Northern Rural and Remote Indigenous Communities
No full textUndergraduate nursing programs are moving towards a service learning model in teaching nursing student cultural awareness. In this article, we discuss the nursing student experience in a university elective which immerses students in rural and remote Indigenous communities resulting in cultural consciousness. This service learning experience that students encountered promoted growth in nursing praxis, and fostered positive curriculum growth and community partnerships between the College and the Indigenous communities in which they visited. Students gained cultural consciousness and increased awareness, which is beneficial in their future nursing careers as they grow into better culturally competent care providers. Also discussed is the history and background of these Indigenous communities, The Truth and Reconciliation Commission (TRC) and the First Nations Principles of OCAP (ownership, control, access and possession). These topics are discussed in detail throughout the student experience as they respond to nurses’ professional standards, development of cultural competency and integrating calls to action in truth and reconciliation
The Impact of Linguistic Concordance and the Active Offer of French Language Services on Patient Satisfaction
No full textCommunication is essential to providing quality primary care. Linguistic concordance between patients and physicians has been linked to improved health outcomes and greater patient satisfaction. Although Canadian Francophones often struggle to access linguistics concordant health services, the concept of the active offer of French Language Services (FLS) has emerged as a means of ensuring the availability of such services and improving the francophone patient experience. However, the impact of language concordance and the active offer of FLS on patient satisfaction among Ontario Francophones remain largely unknown. Patient satisfaction surveys were collected as part of a continuing education program targeted at family physicians in Northeastern Ontario. Participating physicians distributed patient surveys consisting of select patient satisfaction questions from the Physicians Achievement Review (PAR) and select questions from the Active Offer of French Language Services in Minority Context Measure. Valid surveys were received from 235 patients. Just under half of these (44%) identified as Francophones, 62.6% had a French-speaking family physician; however, only 17.2% reported regularly speaking in French with their family physician. As hypothesized, there was a consistent tendency for Francophones who experience stronger linguistic concordance with their family physician to report higher satisfaction scores. Francophones who regularly speak French with their family physicians were more satisfied ( = 4.63) than those who rarely/never speak French ( = 4.29, F(1; 83) = 4.852; p < 0.05). There was also a statistically significant interaction between the patients\u27 language of preference and the service language. Francophones who prefer French and regularly speak it with their family physician (linguistic concordance; adj= 4.82) were significantly more satisfied than those who prefer French yet rarely/never speak it (linguistic discordance; adj= 4.06, F(1; 75) = 11.950; p < 0.001). Furthermore, a positive correlation between patient satisfaction and the active offer was observed in Francophones (r = 0.49, p<0.001). The present findings provide evidence of the impact of linguistically adapted health care services on the satisfaction of Ontario Francophones and suggest that patient satisfaction may be improved through the active offer of FLS. A larger and more diverse sample is required to confirm these findings
Ecologies of Anxiety: Terrorism, Metropolis, and Traumatic Earliness in the post-9/11 Novel
No full textThis paper examines the urban space as an ecology of anxiety in post-9/11 literature. After the atomic bomb drop on Hiroshima in August 1945, survivors testified of experiencing prior to the bombing an anticipatory trauma known as bukimirooted in the belief that a catastrophic event was forthcoming. Paul K. Saint-Amour suggests that similar experiences to bukimi are not exclusive to the residents of Hiroshima but came to structure post-war urban experience as a result of a nuclear condition wrought by the Cold War. My paper explores whether a contemporary bukimi can be identified in post-9/11 literature. The post-9/11 novel—works which directly or indirectly acknowledge the terrorist attacks—present familiar but ambiguous forms of risk engendered by the threat of terrorism and maintained in the form of an urban-originated anxiety. This anxiety is rooted in the spectre of an event that’s never total or conclusive—an event that promises witness testimony and the maintenance of traumatic memories, but which also eclipses calamitous structures (like global warming) that are gradual and continuous. To unravel this contemporary species of bukimi, my paper examines depictions of the urban space in the post-9/11 literature of Foer and McEwan
Body Image Disturbance in Female Adolescents Using Online Learning Platforms: A Concept Analysis
No full textAim
To analyze the concept of body image disturbance in female adolescents using online learning platforms as a phenomenon of interest to nurse practitioners and other health care practitioners.
Background
With the declaration of the COVID-19 pandemic, the use of online learning platforms as a primary mode of learning has increased exponentially among adolescents. While research is still lacking in this field, the literature on traditional social media suggests that these online learning platforms may negatively influence body image and emotional outcomes. Particularly vulnerable to these outcomes are female adolescents, whose construction of own body image is highly influenced by their self-perceived evaluation from their peers. While the concept of body image disturbance is well defined in adolescent eating disorders, it has not been characterized in the context of online learning platforms. Defining the concept of body image disturbance in this context is crucial for recognizing its occurrence and providing early intervention.
Methods
The Walker and Avant method of concept analysis was used to analyze the concept.
Findings
The defining attributes of body image disturbance among female adolescents using online learning platforms are: (1) Viewing a digitally distorted image of oneself and feeling displeasure with the perceived appearance; (2) Self-surveillance of one’s appearance; and (3) Upward comparison of one’s appearance with others and experiencing feelings of inadequacy.
Conclusion
As COVID-19 continues to disrupt the traditional school experience, nurse practitioners can use the presented scenarios, along with examples of questionnaires noted in this study, to recognize and delineate the occurrence of body image disturbance in female adolescents using online learning platforms. A standardized definition of the concept will enable nurse practitioners to recognize its occurrence and to provide interventions in a timely manner