Nursing Research & Publications
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- ItemOpen AccessUnderstanding Movement Strategies in Adults Post Sternotomy: A Scoping Review Protocol(2022-11-13) Wiens, Karen; Hayden, K. Alix; King-Shier, KathrynObjective: 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.
- ItemOpen AccessTeaching 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, AyaOral presentation and workshop facilitation at the Symposium on Scholarship of Teaching and Learning held in Banff, Alberta on November 7- 9, 2019.
- ItemOpen AccessStrategies for Addressing Needle Debris: Scoping Review Protocol(2022-08) Tung, Megan; Jackson, Jennifer; Ferreira, Carla; Hayden, K. Alix; Ens, TwylaObjective: 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).
- ItemOpen AccessNeonatal Intensive Care Unit Design and its Effect on Infant Health and Development and Parent Psychosocial Health(2022-04-21) Clapperton, Michelle; Benzies, Karen; McNeil, Debbie; Hayden, K. AlixBACKGROUND: In the past four decades, there has been an increasing interest in designing neonatal intensive care units (NICUs) to create a healing environment with beneficial effects on the caregiving process, health and development of infants, and family comfort. However, the effects of single-family rooms (SFRs) on infant and parental outcomes, parental involvement, and hospital length of stay remain unclear. METHODS: We conducted a systematic review comparing NICU design and its influence on infants’ health and development up to 2 years of age. We searched MEDLINE, CINAHL, Embase, Cochrane Central, Scopus, Web of Science with English language limitations and no time limit. In addition, we conducted a review of reviews. RESULTS: SFRs were associated with increased parental presence, earlier initiation and longer duration of skin-to-skin care, more frequent infant caregiving activities, greater sustained exclusive breastfeeding up to 4 months corrected age, and reduced overall direct care costs. Infants had earlier experience with their mother's milk and oral feeding. Differences in infant rate of weight gain and weight at discharge were mediated by increased maternal involvement and developmental support. In SFRs, parents reported more privacy, greater comfort, satisfaction with family centered care, and a sense of control/ownership. Increased opportunity to participate in rounds and shared decision made them feel more emotionally supported. Parental stress results were mixed; however, parents reported less stress related to sights and sounds with SFRs. In SFRs versus open designs, length of stay ranged from 4 days longer to 3.4 to 15 days shorter. Regardless of NICU design, infant stress, pain, medical procedures, and infant attention were mediated by increased maternal involvement. Maternal involvement and greater human milk feeding were associated with a decreased length of stay irrespective of NICU design. Skin to skin care and maternal care, but not NICU design, were the most significant predictors of neurodevelopmental at 18 months. CONCLUSION: NICU designs and policies that facilitate parental presence benefit everyone. Consistent with family integrated care, parents need to feel welcomed and supported to be present. An environment that addresses the medical, developmental, educational, emotional, and social needs of the infants, families, and staff is essential for improved outcomes.
- ItemOpen AccessWhat Influences Use of Nonpharmacological Treatments for Seniors with Mild or Moderate Dementia: An Integrative Review Protocol(2022-04-02) Hwang, Jasmine; Donnelly, Tam Truong; Davidson, Sandra; Raffin, ShelleyAim: The aim of this integrative review is to explore the extent and nature of evidence concerning factors that influence use of nonpharmacological treatment interventions for community-dwelling seniors with mild-to-moderate dementia. Background: Despite the significance of nonpharmacological interventions in optimal management of mild-to-moderate dementia, it is unclear in the literature how seniors with mild or moderate dementia view, understand, and access nonpharmacological interventions. To our knowledge, no review has been conducted on factors influencing the use of nonpharmacological interventions for seniors with mild-to-moderate dementia. Design: An integrative review method will be used to meet the review objective. Review method: We will perform a systematic literature search from five electronic databases to locate relevant empirical and theoretical research evidence on the topic. Eligible studies include empirical research, both qualitative and quantitative methods, and theoretical studies published since 2000 in English, that explored factors influencing use of community-based nonpharmacological interventions for seniors with mild or moderate dementia. Eligibility criteria are studies that included community-dwelling seniors (≥ 65) with mild-to-moderate dementia, their care partners, or health care practitioners and that explored the use of community-based nonpharmacological dementia treatments. We will extract the data by creating matrices on quality appraisal, key methodological features, and key findings. Data analysis will include constant comparison of extracted data, examining relationships between concepts, overall strengths and weaknesses of the literature, and gaps in knowledge. Findings will be visually categorized and narratively summarized. Discussion: This integrative review will identify and synthesize enablers and barriers that influence use of nonpharmacological interventions by seniors with mild-to-moderate dementia, identify knowledge gaps, and inform future research studies and literature reviews.