Nursing Research & Publications

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    Open Access
    Perspectives of Acute Care Healthcare Professionals on Harm Reduction Strategies: A Scoping Review Protocol
    (2023) Boring, Teressa; Lee, Marika; Watkins, Sarah; Jackson, Jennifer; Ens-Giesbrecht, Twyla
    Objective: The objective of this scoping review is to investigate the perspectives of acute care healthcare professionals on harm reduction strategies. Introduction: Patients with substance use disorders (SUD) are more likely to leave hospitals against medical advice (AMA), which results in untreated health conditions, comorbidities, and increased hospital readmissions. Current research suggests that perceived stigma around addictions may increase the risk of leaving AMA. Harm reduction strategies can enhance patient care and reduce AMA departures; however, implementing these strategies can be challenging if healthcare professionals are opposed to harm reduction. This scoping review will investigate the current literature to understand the perspectives of acute care healthcare professionals on harm reduction strategies. Inclusion criteria: This scoping review will include studies that discuss the perspectives of regulated healthcare professionals working in acute care settings regarding harm reduction strategies. Literature on harm reduction education will be excluded, as well as harm reduction interventions not targeted at patients who use alcohol, illicit drugs, or abuse prescription drugs. Methods: This scoping review protocol follows the Joanna Briggs Institute (JBI) guidelines for developing a protocol (Peters et al., 2022). The searched databases will include MEDLINE(R) (Ovid), APA PsycInfo (Ovid), EMBASE (Ovid), and CINAHL Plus with Full Text (EBSCO). The search will use subject headings and keywords identified during the analysis of seed articles. To make the search more comprehensive, handsearching reference lists and citation tracing will be utilized. Studies will be limited to the English language. Data extraction will use articles from the search that discuss perspectives of harm reduction strategies in acute care. The data extracted will include the author, year of publication, title, setting, study design, participants, aim or questions, methods, and themes or outcomes. The proposed scoping review will follow the JBI methodology for scoping reviews (Peters et al., 2020).
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    Open Access
    Factors that Influence Adequacy of Bowel Preparation in Inpatients Undergoing Colonoscopy: A Scoping Review Protocol
    (2023-07-12) Marchildon, Marianne; Jackson, Jennifer; Hayden, Alix; Rankin, Janet
    Objective: The objective of this scoping review is to examine the extent and type of research related to the rate of adequate bowel preparation in adult inpatients undergoing colonoscopy. Our intent is to establish an understanding the factors, both modifiable and non-modifiable, that influence the rate of adequate bowel preparation hospitalized patients undergoing colonoscopy. Introduction: Adequate bowel cleansing is necessary to perform successful colonoscopies, detect adenomas, and identify sources of gastrointestinal bleeding. Inpatients, however, experience a higher-than-average rate of inadequate bowel preparation leading to cancelled procedures, increased stress for the patient, increased time in hospital, and increased cost to the healthcare system. Inclusion criteria: This scoping review will consider all studies examining factors that influence the adequacy of bowel preparation in adult inpatients 18 years and older undergoing colonoscopy who have been admitted to hospital as inpatients. Studies published in English between 2000 and 2023 will be included. Methods: An initial search of MEDLINE, CINAHL, SCOPUS, and EMBASE was undertaken to identify seed articles, followed by a systematic search using keywords and subject headings. Study abstracts will be independently screened by two reviewers against inclusion criteria. Discrepancies will be resolved by consensus. Data extraction will be performed in tabular form and include data related to modifiable and non-modifiable factors that influence bowel preparation in adult inpatients.
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    Open Access
    Understanding Movement Strategies in Adults Post Sternotomy: A Scoping Review Protocol
    (2022-11-13) Wiens, Karen; Hayden, K. Alix; King-Shier, Kathryn
    Objective: This scoping review will identify, map, and synthesize the available evidence for movement strategies in adults post sternotomy within the first 12 weeks postoperatively. Introduction: It is essential to identify safe movement strategies for adults post sternotomy that supports a safe, independent return to daily activity. In addition, there needs to be an evidence-informed approach to guide clinical practice that balances sternal healing while supporting proper movement strategies for the individual. A review of the evidence within this field is warranted to guide healthcare professionals in best practice as novel movement strategies have emerged. Inclusion criteria: This scoping review will include published, peer-reviewed studies (experimental, non-experimental, and qualitative) focusing on upper body movement strategies to resume activity post sternotomy within the first 12 weeks postoperatively. Systematic, descriptive, and narrative reviews that meet the inclusion criteria will also be considered. Additionally, case reports that focus on this topic will be included. Methods: The electronic databases to be searched include MEDLINE, Embase, CINAHL, PEDro, Sport Discus, Scopus, and the Cochrane Library. The search will be restricted to studies in English, with no date limit. Two independent reviewers will assess titles, abstracts, and full-text articles against the inclusion criteria. The reviewers will develop a data extraction tool; one reviewer will complete the data extraction, which the second reviewer will verify. The results of the data analysis will be presented in tabular and narrative form.
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    Open Access
    Teaching and learning with technology for the design and launch of a first-in-Canada blended Master of Nursing program.
    (2019-11-07) Stawnychko, Leda; Porter, Amber; Marei, Nedal; Hafez, Aya
    Oral presentation and workshop facilitation at the Symposium on Scholarship of Teaching and Learning held in Banff, Alberta on November 7- 9, 2019.
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    Open Access
    Strategies for Addressing Needle Debris: Scoping Review Protocol
    (2022-08) Tung, Megan; Jackson, Jennifer; Ferreira, Carla; Hayden, K. Alix; Ens, Twyla
    Objective: The objective of this scoping review is to explore the literature about needle debris associated with drug use in a community setting. Introduction: Needle debris in the community poses a public health concern. Needle debris and discarded drug paraphernalia could contribute to perceived social disorder associated with harm reduction services, like supervised consumption sites. Discarded needles represent a public safety risk for both people who use drugs and other community members. Currently, the existing research on this topic is scattered and has yet to be consolidated and reviewed. Addressing needle debris may decrease perceived community impact from harm reduction services, and increase support for these services among area residents, business owners, and others. This scoping review will be undertaken to inform a program of research around needle debris, to review available literature on the topic. Inclusion criteria: Studies that focus on strategies to address needle debris will be included, when referring to discarded needles and drug paraphernalia in the community. Exclusion criteria include strategies for people who use needles, who may generate needle waste inside homes and private property. Needle exchange programs and supervised consumption sites will be excluded when their primary purpose is to provide sterile supplies to prevent HIV/Hepatitis C transmission, and prevent and manage drug poisonings and overdoses, rather than prevent needles being discarded in the community. Methods: This scoping review protocol was established following the Joanna Briggs Institute (JBI) guidelines for developing a protocol (Peters et al., 2022). The databases that will be searched are MEDLINE(R) and Epub Ahead of Print, In-Process, In-Data-Review & Other Non-Indexed Citations and Daily (Ovid), CINAHL Plus with Full Text (EBSCO), APA PsycInfo (Ovid), EMBASE (Ovid), and Social Services Abstracts (ProQuest). The search will be conducted using subject headings and relevant keywords identified from analyzing seed articles. Studies will be limited to the English language. Data extraction will be completed using articles identified from the search that have substantial discussion on needle debris and the concept of disposal, retrieval, collection, prevention, and/or education. For a more comprehensive search, hand searching of reference lists and citation tracing will also be included. The proposed scoping review will be conducted in accordance with the JBI methodology for scoping reviews (Peters et al., 2020).