LU|ZONE|UL Community:
https://zone.biblio.laurentian.ca/handle/10219/2208
2024-03-29T09:55:38ZNortheastern Ontario nurses' perceptions of violence in acute care settings
https://zone.biblio.laurentian.ca/handle/10219/4114
Title: Northeastern Ontario nurses' perceptions of violence in acute care settings
Authors: Akpomi-Eferakeya, Oghenefego
Abstract: The incidence of workplace violence (WPV) is increasing and has become a worldwide
concern. This is particularly true among medical workers, especially nurses, who are at a high
risk of exposure, as they are the first and closest contact with patients. The Ontario Council of
Hospital Unions and the Ontario division of the Canadian Union of Public Employees conducted
a survey in Northeastern Ontario in 2019 and found that 96% of personal support workers and
registered practical nurses experienced physical violence while working. This was 8% higher
than the provincial average. This study explores Northeastern Ontario nurses’ perceptions of
violence in an acute-care setting through two research questions: What are Northeastern Ontario
nurses’ perceptions of violence and challenges to preventing violence? What improvements or
changes are needed to reduce or prevent WPV? This study uses Sally Thorne’s (2016)
interpretive description qualitative methodology guided by the Haddon matrix conceptual
framework of WPV. Registered nurses (n = 14) participated in one of three virtual focus groups
from three patient care units. The overarching theme, nurses surviving violence in acute-care
settings, is supported by three key themes: nurses’ different perceptions and levels of threshold
of violence, nurses in jeopardy, and changes needed to the status quo. The findings indicate that
violence against nurses occurs daily and should never be justified. Education, training, and
supports involving hospital staff, the local police department, the community, and the public are
crucial to preventing WPV.2023-01-13T00:00:00ZTapping into Anishinaabe wellbeing: illuminating a journey in Shebahonaning (Killarney) through principles of autoethnography.
https://zone.biblio.laurentian.ca/handle/10219/4078
Title: Tapping into Anishinaabe wellbeing: illuminating a journey in Shebahonaning (Killarney) through principles of autoethnography.
Authors: Anderson, Marnie
Abstract: Reviewing the colonial history of Canada, and particularly that of the province of Ontario, serves
to provide a greater understanding of the health inequities that impact Anishinaabe communities
and people today. After the Robinson Huron Treaty of 1850 in Ontario, policies have continued
to be developed and implemented with the intent to displace and assimilate Anishinaabe people
into the Euro-Canadian culture. The Integrated Life Course and Social Determinants of Aborigi-
nal Health Model defines policies and legislation such as the Civilization Act, Enfranchisement
Act, and Indian Act as examples of distal determinants of health, with historical, political, social,
economic, and holistic health impacts on Indigenous people and entire communities. There is a
need for further research on health inequities and dispossession of culture and land in Indigenous
communities in Canada. My major paper focuses specifically on the historical colonial events
and policies that have impacted the holistic health of the Anishinaabe people and community of
Shebahonaning (now widely known as Killarney), Ontario, Canada. The approach weaves a
health and history literature review with principals of autoethnographic research as I include re-
flections and storytelling through the historical conversations I have had with my maternal
Grandparents at their Sugarbush. Tapping into this visceral knowledge and lived experience
through oral tradition serves to illuminate a better understanding of the Anishinaabe well-being
for myself and families with similar experience. The wider implications of colonialism and pol-
icy on Anishinaabe identity is addressed and shared, with specific recommendations to improve
holistic health outcomes in the community of Shebahonaning; and with consideration of the im-
plications for other Indigenous communities in Canada.2023-08-08T00:00:00ZExploring indigenous and visible minority women’s access to preventive breast and cervical cancer screening in Canada: a narrative review
https://zone.biblio.laurentian.ca/handle/10219/4064
Title: Exploring indigenous and visible minority women’s access to preventive breast and cervical cancer screening in Canada: a narrative review
Authors: Richer, Rebecca D.
Abstract: Canada’s health care system is founded on the principles of need rather than ability to
pay, priding itself for its decentralized, publicly-funded health care system that provides firstdollar coverage for preventive services across all provinces and territories (Allin et al. 2020;
Kumachev et al. 2016). Despite best efforts through federal sharing and the indisputable
evidence for early preventive mammography and Pap smear screening, profound disparities are
found in service availability, utilization and accessibility for Indigenous and Visible Minority
women in Canada (Amankwah et al. 2009; Demers et al. 2015; Ferdous et al. 2020). The
purpose of this narrative review is threefold: to explore the incidence of breast and cervical
cancer amongst Indigenous and Visible Minority populations in Canada, to explore potential
barriers associated with the uptake of mammograms and Pap smear tests by these two
populations; and to explore achievable interventions to improve access to cancer preventive
services for Indigenous and Visible Minority women. This review uses the WHO Social
Determinants of Health framework (SDOH) (World Health Organization 2010) rooted in equity
to guide the review of the literature, and the Five Dimensions of Accessibility of Healthcare
Services (Levesque et al. 2013) to guide the thematic analysis of intervention models.
An initial literature search was conducted using Google Scholar and Science Direct
databases for articles published from 2000 to 2022, yielding 8,462 articles. After screening for
irrelevant titles, and non-Canadian studies, 97 publications remained. After 71 duplicates and
publications that did not meet the search criteria were removed, a manual search was performed,
yielding a total of 34 publications that were included in the narrative review. Of these 34 articles,
17 articles concerned Visible Minority populations and 17 articles, Indigenous populations. The
articles included in this review covered four provinces: (1) British Columbia, (4) Manitoba, (13) Ontario and (2) Quebec, with the remaining 14 referencing Canada as a whole. The studies
shared similar trends in breast and cervical cancer incidence and screening uptake for Indigenous
and Minority women, with Pap smear uptake being lower than the national threshold and
mammography uptake being lower in these populations compared to the rest of the Canadian
population. Through thematic analysis, the most common barriers influencing accessibility and
underutilization of preventive breast and cervical cancer were found to include socioeconomic
status, culture and communication, education, lack of appropriate health care providers, and
societal beliefs and attitudes towards cancer screening amongst both populations. Finally,
possible interventions were identified in the literature that may inform strategies to achieve more
equitable access to healthcare services tailored to Canada’s multicultural society.2023-03-14T00:00:00ZThe good student or the good patient? The barriers encountered by undergraduate medical students with disabilities at the Northern Ontario School of Medicine
https://zone.biblio.laurentian.ca/handle/10219/3764
Title: The good student or the good patient? The barriers encountered by undergraduate medical students with disabilities at the Northern Ontario School of Medicine
Authors: Belanger, Rachel
Abstract: The American Association of Medical College’s (AAMC) Lived Experience report was released
in March 2018 with hopes of broadening the diversity of medical students to include more of
those with disabilities (Meeks & Jain, 2018). The authors hoped to generate discussion and study
the lived experiences of current medical students, residents and practicing physicians with
disabilities to learn about the barriers and supports that they have and continue to encounter
along their journeys in medicine. In response to the Meeks & Jain (2018) publication, the
purpose of this study was to replicate their study with the research question “What are the
barriers encountered by undergraduate medical students with self-identified disabilities at one
Northern Ontario medical school?”. The Lived Experience Project provides a unique opportunity
to learn about, and compare the experiences of, participants in this study to medical students at
one medical school in Northern Ontario (Meeks & Jain, 2018). In doing so, the climate and
culture of this school and how this affects the treatment and education of students with
disabilities, including the barriers they face in the academic accommodation process, in medical
environments and throughout medical school as a whole were explored.
A qualitative descriptive study design was used. Data was collected using an initial
demographics-based survey followed by a semi-structured interview. Interviews were conducted
in person or by telephone. Data was transcribed and analysed using Braun & Clarke Thematic
Analysis (2013). It was found that the participants of this study found barriers directly associated
with their medical education in addition to barriers indirectly associated with their medical
education and finally, barriers outside of medical school. Supports in the lives of participants
were also identified as a theme in the current research, suggesting a positive impact in the lives
of medical students with disabilities. No barriers specific to being a student in Northern Ontario
arose, which may be in part to the nature of the sample and small sample size. Implications for
this research include reviews of accommodation policies, revision of technical standards at a
national and institutional level as well as strengthened communication between the student, the
medical school, faculty, and administration.2021-08-24T00:00:00Z