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Nurse Practitioner Intent to Leave: A Grounded Theory Study
No full textAim: The aim of this grounded theory study was to better understand primary healthcare NP job satisfaction and intent to leave.
Background: Nurse practitioner (NP) job satisfaction has been the focus of a variety of studies, however, NP retention as represented by intent to leave, while important, has received less attention within the literature.
Methods: A constructivist grounded theory study was conducted in Northern Ontario, Canada. Twenty rural and urban primary healthcare NPs (NP-PHCs) were interviewed. Transcripts were analyzed to identify core categories related to primary healthcare NP-PHC intent to remain in current employment versus intending to leave.
Findings: This theory identifies features contributing to intent to leave across urban and rural locations. Adequate remuneration, a provincial government pension, good relationships with management and an extended benefits program were associated with less interest in leaving. Key features of new positions among those considering leaving their current employment included adequate remuneration, additional extended benefits of employment, distance from home, and distance among different practice sites. Some respondents intending to leave identified that they would be seeking work outside of full time NP-PHC practice.
Conclusions: This grounded theory study has served to clarify the key concepts related to intent to leave among this employee population. Concepts found to be associated with decreased intent to leave among Northern Ontario primary healthcare NPs were different from those identified within the current literature. Therefore, the findings of this study could more accurately inform initiatives to retain NP-PHCs within both rural and urban practice settings across Northern Ontario
Reading of Food Label Ingredient Lists may be Cognitively Challenging
No full textReal-world food label reading is examined in two laboratory tasks to evaluate the role of cognitive factors in peoples’ willingness and ability to follow therapeutic diets. Participants were asked to repeatedly make decisions about the safety of foods that did or did not contain specified allergen targets; each of 30 foods were presented 15 times in randomized and intermixed orders. At each presentation the safety judgement could be made with or without consulting the food ingredient label. The results imply limitations to reading accuracy, learning, and judgements about that learning. Most participants became less likely to read ingredient lists over time, suggesting that decisions to read is driven by cost-benefit. The findings suggest that despite the improvements to food label formats, people probably choose not to read them as often as they should and will miss seeing target ingredients when they do.La lecture d\u27étiquettes d\u27aliments dans le monde réel est examinée dans deux tâches de laboratoire afin d\u27évaluer le rôle des facteurs cognitifs dans la volonté et la capacité des gens à suivre des régimes thérapeutiques. On a demandé aux participants de prendre à plusieurs reprises des décisions sur la sécurité d\u27aliments contenant ou non des cibles allergènes spécifiques ; chacun des 30 aliments a été présenté 15 fois dans un ordre aléatoire et mélangé. À chaque présentation, le jugement sur la sécurité pouvait être fait avec ou sans consultation de l\u27étiquette des ingrédients de l\u27aliment. Les résultats impliquent des limites à la précision de lecture, à l\u27apprentissage et aux jugements sur cet apprentissage. La plupart des participants sont devenus moins enclins à lire les listes d\u27ingrédients avec le temps, ce qui suggère que la décision de lire est dictée par le rapport coût-bénéfice. Les résultats suggèrent que, malgré les améliorations apportées aux formats des étiquettes alimentaires, les gens choisissent probablement de ne pas les lire aussi souvent qu\u27ils le devraient et ne voient pas les ingrédients ciblés lorsqu\u27ils le font
Buddhism and Soteriology: Research Implications of the Cūḷamālunkya Sutta
No full textThis paper argues that research in Buddhism must have a soteriological focus. To demonstrate this, an overview of the Cūḷamālunkya Sutta (MN 63) is presented. This sutta consists of a conversation between the Buddha and one of his students, and it reveals that Buddhism’s topics of inquiry must address how one can be free from suffering. The implication of this conversation – the soteriological focus – seems to suggest that Buddhist research excludes topics in metaphysics, such as addressing the nature of the universe (if it has a beginning or an end, if it is finite or infinite, and so forth), or the nature of the self. Soteriology seems to suggest that ethics is the only focus of research in Buddhism; that is, to know how to be free from suffering, one must study how one should live and conduct oneself. Though this appears to be the case, this paper will show that research in Buddhism is not limited in this manner. Instead of excluding metaphysical research entirely, Buddhism instead excludes research that is done for its own sake; topics must therefore be researched for the sake of soteriology. Thus, the research implication of the Cūḷamālunkya Sutta is not that certain topics are unable to be researched, but rather that a qualification of soteriology is attached to topics of research
Une voie de jonction entre comprendre et expliquer
No full textUne voie de jonction entre comprendre et explique
Urban Planning as Interdisciplinary Research in Human Studies
No full textUrban Planning as Interdisciplinary Research in Human Studie
Wearable Health Technology to Understand Traditional Activities in Dokis First Nation during the COVID-19 Pandemic
No full textCanada’s history of European colonization-imposed measures on the Indigenous peoples of Canada has created considerable discrepancies in this population’s health and wellness. Community leaders in Dokis First Nation and College Boreal researchers explored the use of wearable digital health technology during harvesting activities. Fitbit watches were worn by community members during traditional activities, introducing 2 null hypotheses: a) the canoe trip does not increase physical activity, b) the hide preparation activity does not increase physical activity. Each activity included 6 participants from Dokis First Nation and, based on the results, the canoe trip significantly increased their physical activity levels while the hide preparation did not increase their physical activity levels significantly. The study can also be used as an example of how Canadian Colleges and its researchers can be mobilized on behalf of First Nation leaders assisting their communities and its membership.Des chercheurs du Collège Boréal ont voulu participer dans la Réconciliation avec les peuples autochtones. En collaborant avec les leaders de la Première Nation Dokis, les chercheurs ont mesuré les niveaux de l’activité physique par l’entremise du FitBit lors de la chasse en automne 2020. Deux hypothèses ont été formulées : (a) le voyage en canoë n’augmentera pas les niveaux d’activité physique, et (b) le dépiautage des animaux n’augmentera pas les niveaux d’activité physique. Six membres de la communauté ont participé au voyage en canoë et six autres ont participé à l’activité de dépiautage. Quant aux résultats, le voyage en canoë a augmenté significativement le niveau d’activité physique chez les participants tandis que le dépiautage offrait aux membres un niveau d’activité minime. Dans l’ensemble, les activités physiques, notamment, le canoë, sont importantes pour le bien-être physique de la première nation, surtout en contexte de la pandémie
Scientism and the Growing Divide Between the Humanities and the Sciences
No full textScientism and the Growing Divide Between the Humanities and the Science
En quoi les sciences de l’humain se distinguent-elles des sciences de la nature ?
No full textEn quoi les sciences de l’humain se distinguent-elles des sciences de la nature
Ensuring the Success and Engagement of University Students in Times of Pandemic: The Issue of Mental Health: Mental Health and Academic Success
No full textResearch suggests that mental health problems that were on the rise prior to the pandemic in the post-secondary education sector have worsened. The rise of mental health problems on university campuses poses significant challenges because of the links between mental health and academic success, perseverance, and obtaining a university degree. This article has two objectives. The first is to present an update on mental health on university campuses, including prevalence rates, risk factors and the impact on academic performance. The second objective is to present strategies to address the challenges posed by mental health through examples and programs. The conclusion underscores the importance of governments investing in programs and resources to address this issue
The Impact of Walking Programs on Reduction of Menopausal Symptoms: A Systematic Review
No full textAim: To identify types of walking programs and to determine the effects of these programs on menopausal symptoms.
Background: Menopause is a naturally occurring phenomenon for women and can present with several physical and mental symptoms that are more severely experienced by some individuals. These experiences can be very distressing for women to deal with, especially because of their personal, social, and work lives. The substantial impact of menopausal symptoms directly calls for effective intervention. Specific to menopause, physical activity is a form of intervention that can decrease occurrences and severity of menopausal symptoms. Previous studies have reported the benefits of walking programs in reducing symptoms, yet it is unclear which specific ones are most effective in reducing menopausal symptoms, especially because of the time and efficacy barriers reported by menopausal women.
Methods: A systematic review was conducted in nine databases for articles published since September 2011, to identify quantitative studies that evaluated walking programs in menopausal women. Two investigators independently screened articles, extracted data related to the type and the outcomes of walking programs, and assessed risk of bias. Effect sizes were calculated to quantify the effects of walking programs on menopausal symptoms.
Findings: Six studies, including five randomized control trials (RCTs) and a one group pretest-post-test study, met all inclusion criteria. Amongst all programs (Pedometer-based programs, Nordic walking, walking training and SaBang Dolgi), pedometer-based walking presented the greatest improvement in outcomes. All studies reported improvement in post-intervention menopausal symptoms of depression, sleep quality and physiological markers, however depression saw the greatest reduction post interventions.
Conclusions: Pedometer-based walking programs seem to be the most effective intervention for reduction of menopausal symptoms.
Key words: menopause, walking, pedometer-based walkin