scholarly journals Evaluation of the Aboriginal Relationship and Cultural Competency Courses among a sample of Indigenous Services Canada nurses

2019 ◽  
Vol 14 (1) ◽  
pp. 29-41 ◽  
Author(s):  
Michelle Rand ◽  
Amanda J. Sheppard ◽  
Sehar Jamal ◽  
Alethea Kewayosh ◽  
Angela Mashford-Pringle
Keyword(s):  
Focus Group ◽  
First Nations ◽  
Cultural Competency ◽  
Truth And Reconciliation Commission ◽  
Cultural Safety ◽  
Truth And Reconciliation ◽  
Online Module ◽  
Competency Training ◽  
Group Data ◽  
Focus Group Data

In 2015, Cancer Care Ontario launched the Aboriginal Relationship and Cultural Competency (ARCC) courses, which stress the importance for healthcare professionals to understand and apply First Nations, Inuit, and Métis (FNIM) cultural safety to provide effective person-centred care. The courses address a key recommendation from the Truth and Reconciliation Commission of Canada report, to provide skills-based training in cultural competency, conflict resolution, human rights and anti-racism. The objective of the evaluation is to validate the tool to assess: if the delivery mechanism is appropriate and feasible; if participants acquire an increased knowledge of the courses' contents; and if positive change in how healthcare practice is delivered is perceived to have resulted. After the ARCC courses were mandated for Indigenous Services Canada (ISC) nurses, an anonymous survey was delivered and a focus group was conducted at a regional meeting. The responses from the surveys were gathered in an excel spreadsheet for analyses and the focus group data were analyzed for key themes. All the nurses in attendance completed the survey (n=22) and a portion participated in the focus group (n=8). Our evaluation demonstrated that free, online, module formatted courses were appropriate and relevant for ISC nurses (81%); the courses increased the knowledge about FNIM people (72%); and the nurses have/will apply what they learned in their practice (82%). There has been an increasing movement for regions and organizations in Canada to complete cultural competency training. Our evaluation demonstrated that free, online, module formatted courses were successful at meeting learning objectives.

scholarly journals Northern Québec James Bay Cree Regional Health Governance in Support of Community Participation: Honouring the "Butterfly"

2019 ◽  
Vol 10 (4) ◽  
Author(s):  
Martine C. Lévesque ◽  
Susan Law ◽  
Jill Torrie ◽  
Robert Carlin ◽  
Lucy Trapper ◽  
...  
Keyword(s):  
First Nations ◽  
Community Participation ◽  
Social Services ◽  
Truth And Reconciliation Commission ◽  
Cultural Safety ◽  
Health And Wellness ◽  
Structured Interviews ◽  
Regional Health ◽  
Truth And Reconciliation ◽  
James Bay Cree

Successful responses to the Truth and Reconciliation Commission of Canada's (TRC, 2015) Calls to Action require “joint leadership, trust-building, and transparency” between Canadian public institutions and First Nations. In the area of health and wellness, community participation in priority setting and planning constitutes one important step forward. In 2013, the Québec Cree regional health and social services agency launched a unique wellness planning initiative involving community participation in regional level policy-making. This article reports on a qualitative study conducted with key agency staff, an early component of a broader developmental participatory evaluation. Focusing on contextual challenges to and ways forward on community participation in planning, thematic analysis of 17 semi-structured interviews revealed important nuances between Cree and non-Cree perspectives: These perspectives reflected an empowerment versus a utilitarian view of participation, respectively. Cree Elders consulted on these results highlighted the ontological and epistemological distinction of Cree perspectives, and the importance of bringing these forth. These interpretations point to the relevance of extending cultural safety to institution-level processes bearing on relationships with communities and potentially building capacity for participation.

scholarly journals Quantified Nostalgia: Social Media, Metrics, and Memory

2021 ◽  
Vol 7 (2) ◽  
pp. 205630512110088
Author(s):  
Benjamin N. Jacobsen ◽  
David Beer
Keyword(s):  
Social Media ◽  
Focus Group ◽  
Qualitative Interviews ◽  
The Past ◽  
Group Data ◽  
Focus Group Data ◽  
Social Media Platforms ◽  
Memory Practices ◽  
The Relationship

As social media platforms have developed over the past decade, they are no longer simply sites for interactions and networked sociality; they also now facilitate backwards glances to previous times, moments, and events. Users’ past content is turned into definable objects that can be scored, rated, and resurfaced as “memories.” There is, then, a need to understand how metrics have come to shape digital and social media memory practices, and how the relationship between memory, data, and metrics can be further understood. This article seeks to outline some of the relations between social media, metrics, and memory. It examines how metrics shape remembrance of the past within social media. Drawing on qualitative interviews as well as focus group data, the article examines the ways in which metrics are implicated in memory making and memory practices. This article explores the effect of social media “likes” on people’s memory attachments and emotional associations with the past. The article then examines how memory features incentivize users to keep remembering through accumulation. It also examines how numerating engagements leads to a sense of competition in how the digital past is approached and experienced. Finally, the article explores the tensions that arise in quantifying people’s engagements with their memories. This article proposes the notion of quantified nostalgia in order to examine how metrics are variously performative in memory making, and how regimes of ordinary measures can figure in the engagement and reconstruction of the digital past in multiple ways.

An Environmental Scan of Indigenous Cultural Safety in Canadian Baccalaureate Nursing and Midwifery Programs

2021 ◽  
pp. 084456212110161
Author(s):  
Nicholas Metheny ◽  
Claire Dion Fletcher
Keyword(s):  
Baccalaureate Nursing ◽  
Ways Of Knowing ◽  
Truth And Reconciliation Commission ◽  
Cultural Safety ◽  
Indigenous Students ◽  
Safe Spaces ◽  
Environmental Scan ◽  
Truth And Reconciliation ◽  
Substantial Progress ◽  
Cultural Competency Education

Background The Truth and Reconciliation Commission (TRC) TRC has called to increase the number of Indigenous practitioners and include cultural competency education in their curricula. However, it remains unknown how nursing and midwifery programs are progressing towards these goals. Purpose To examine the extent to which baccalaureate nursing and midwifery programs are creating culturally safe spaces for Indigenous students, responding to TRC-recommended curricular changes, and including Indigenous content. Methods A digital environmental scan of accredited baccalaureate nursing and midwifery programs in Canada was conducted. Analysis was conducted using descriptive statistics. Results Of the 107 programs, less than one-fifth (n = 19, 17.8%) met all three cultural safety criteria. More than half (n = 59, 55.1%) included culturally safe spaces for Indigenous students, 20 (18.7%) satisfied TRC call #24 to require Indigenous-relevant coursework, and one-third (n = 36, 33.6%) were seen as infusing their curricula with Indigenous-related content. Conclusions This represents the first attempt to systematically catalog nursing and midwifery programs’ response to the TRC Calls to Action. Most schools have not made substantial progress towards cultural safety. Nursing and midwifery programs should commit to expanding their cultural safety programming to incorporate multiple ways of knowing and being in their curricula.

User-centered Requirements for Patient Fluid Intake Monitoring Support

2020 ◽  
Vol 64 (1) ◽  
pp. 736-740
Author(s):  
Ellen J. Bass ◽  
Andrew J. Abbate ◽  
Yaman Noaiseh ◽  
Rose Ann DiMaria-Ghalili
Keyword(s):  
Data Analysis ◽  
Focus Group ◽  
Focus Groups ◽  
Real Time ◽  
Information Needs ◽  
Fluid Intake ◽  
Fluid Consumption ◽  
Registered Dietitians ◽  
Group Data ◽  
Focus Group Data

There is a need to support patients with monitoring liquid intake. This work addresses development of requirements for real-time and historical displays and reports with respect to fluid consumption as well as alerts based on critical clinical thresholds. We conducted focus groups with registered nurses and registered dietitians in order to identify the information needs and alerting criteria to support fluid consumption measurement. This paper presents results of the focus group data analysis and the related requirements resulting from the analysis.

scholarly journals Determinants of Long Immunization Clinic Wait Times in a Sub-Saharan African Country

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110282
Author(s):  
Osayame Austine Ekhaguere ◽  
Rosena Olubanke Oluwafemi ◽  
Angela Oyo-Ita ◽  
Burke Mamlin ◽  
Paul Bondich ◽  
...  
Keyword(s):  
Focus Group ◽  
Critical Mass ◽  
Wait Time ◽  
Wait Times ◽  
Group Discussions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Group Data ◽  
Focus Group Data ◽  
Sub Saharan

The wait time clients spend during immunization clinic visits in low- and middle-income countries is a not well-understood reported barrier to vaccine completion. We used a prospective, observational design to document the total time from client arrival-to-discharge and all sequential provider-client activities in 1 urban, semi-urban, and rural immunization clinic in Nigeria. We also conducted caregiver and provider focus group discussions to identify perceived determinants of long clinic wait times. Our findings show that the time from arrival-to-discharge varied significantly by the clinic and ranged between 57 and 235 minutes, as did arrival-to-all providers-client activities. Focus group data attributed workflow delays to clinic staff waiting for a critical mass of clients to arrive for their immunization appointment before starting the essential health education talk or opening specific vaccine vials. Additionally, respondents indicated that complex documentation processes caused system delays. Research on clinic workflow transformation and simplification of immunization documentation is needed.

scholarly journals Development of a theory-based HPV vaccine promotion comic book for East African adolescents in the US

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Isabelle Celentano ◽  
Rachel L. Winer ◽  
Sou Hyun Jang ◽  
Anisa Ibrahim ◽  
Farah Bille Mohamed ◽  
...  
Keyword(s):  
Focus Group ◽  
Hpv Vaccine ◽  
Information Needs ◽  
Cultural Beliefs ◽  
Comic Book ◽  
East African ◽  
Step Process ◽  
Group Data ◽  
The Us ◽  
Focus Group Data

Abstract Background Human Papillomavirus (HPV) vaccine uptake is low among East African adolescents in the US. Adolescents’ preferences influence HPV vaccine decisions, yet few interventions exist that address East African adolescents’ beliefs about HPV vaccines. We describe a multi-step process on how to create a theory-based comic book by integrating empirical findings, theory and focus group data from East African parents in the US. Methods Our multi-methods process included conducting focus groups with Somali, Ethiopian, and Eritrean mothers (n = 30) to understand mothers and adolescents socio-cultural beliefs and information needs about the HPV vaccine, creating comic book messages integrating the focus group findings, and assessing the acceptability of the finalized comic book among Somali, Ethiopian, and Eritrean adolescents (n = 134). Results We identified categories around socio-cultural beliefs (such ethnic representation and concerns about pork gelatin in vaccines), HPV vaccine information needs, and diffusion of information. We then mapped the categories to theoretical constructs and operationalized them into the comic book. Finally, we describe the overall acceptability of the comic book and specifics on comic book structure, appeal of characters, and message relevance. Conclusions A rigorous multi-step process that integrates theory and focus group data can help create culturally appropriate health messages that can educate and appeal to the community.

scholarly journals If You Don’t Eat Meat… You’ll Die. A Mixed-Method Survey of Health-Professionals’ Beliefs

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 3028
Author(s):  
Patrick McHugh ◽  
Morgen Smith ◽  
Nicholas Wright ◽  
Sarah Bush ◽  
Sue Pullon
Keyword(s):  
Focus Group ◽  
Nutrition Education ◽  
Health Professionals ◽  
Common Chronic Disease ◽  
Group Data ◽  
Overwhelming Evidence ◽  
Focus Group Data ◽  
Good Nutrition ◽  
Spreadsheet Software

Despite an ever-increasing burden of non-communicable diseases and overwhelming evidence that good nutrition improves outcomes it is difficult to know whether this evidence is reaching the general population. The purpose of this study was to investigate whether health professionals in Tairāwhiti have sufficient nutrition education for their roles in health education and promotion and whether nutrition beliefs held by health professionals were consistent with current literature. A particular interest was to enlist views on the harms, benefits, and possible barriers to following plant-based diets. A mixed-methods study involving health professionals completing a questionnaire and a subsequent focus group to collect data was used. Survey data were analysed using spreadsheet software, and thematic content analysis of focus group data was undertaken. Participants provided nutrition advice 2.4 times per day. Almost half of practitioners considered their nutrition knowledge to be inadequate, and most made poor use of references for provision of information. Plant-based diets were generally viewed as beneficial to health, improve quality of life, be filling, but were perceived as not as easy to follow. This study is in keeping with previous research that the health workforce would benefit from more formalised nutrition education and competencies to address common chronic disease.

Missiological implications for Taylor Seminary arising from Canada’s Truth and Reconciliation Commission’s recommendations

2017 ◽  
Vol 45 (4) ◽  
pp. 407-413
Author(s):  
Allan Effa
Keyword(s):  
First Nations ◽  
Truth And Reconciliation Commission ◽  
Final Report ◽  
Cooperative Effort ◽  
Truth And Reconciliation ◽  
Cultural Genocide ◽  
The Government ◽  
Government Of Canada ◽  
Set Up

In 2015 the Truth and Reconciliation Commission of Canada concluded a six-year process of listening to the stories of Canada’s First Nations, Inuit and Métis peoples. More than 6000 witnesses came forth to share their personal experiences in listening sessions set up all across the country. These stories primarily revolved around their experience of abuse and cultural genocide through more than 100 years of Residential Schools, which were operated in a cooperative effort between churches and the government of Canada. The Commission’s Final Report includes 94 calls to action with paragraph #60 directed specifically to seminaries. This paper is a case study of how Taylor Seminary, in Edmonton, is seeking to engage with this directive. It explores the changes made in the curriculum, particularly in the teaching of missiology, and highlights some of the ways the seminary community is learning about aboriginal spirituality and the history and legacy of the missionary methods that have created conflict and pain in Canadian society.

Who Cares? Motivations for Unregulated Child Care Use

2018 ◽  
Vol 39 (17) ◽  
pp. 4066-4088 ◽  
Author(s):  
Rhonda Breitkreuz ◽  
Kerryn Colen
Keyword(s):  
Child Care ◽  
Preschool Children ◽  
Focus Group ◽  
Care Environment ◽  
Policy Context ◽  
Group Data ◽  
Focus Group Data ◽  
Key Drivers

This article explores the motivations for unregulated child care use within Canada. Using focus group data from 109 mothers, we analyze unregulated child care use within a policy context in which regulated child care is only available for 20% of preschool children. The key drivers for unregulated care were framed by participants as benefits: trust in a known caregiver with similar values, offered in a home-like environment. Importantly, one driver that was not seen as beneficial was the lack of affordable and accessible, regulated child care. Sometimes used as a last resort amid regulated child care shortages, unregulated care became the driver of how mothers organized their time. Within the constraints of a limited regulatory child care environment, we argue that Mathieu’s (2016) concept of demotherization is beyond the grasp of the majority of Canadian mothers.

scholarly journals Assessment of students’ satisfaction with a student-led team-based learning course

2015 ◽  
Vol 12 ◽  
pp. 23 ◽  
Author(s):  
Justin W. Bouw ◽  
Vasudha Gupta ◽  
Ana L. Hincapie
Keyword(s):  
Focus Group ◽  
Student Perceptions ◽  
Group Discussion ◽  
Barriers To Success ◽  
Self Directed Learning ◽  
Group Data ◽  
Team Based Learning ◽  
Focus Group Data ◽  
Directed Learning ◽  
Students Satisfaction

Purpose: To date, no studies in the literature have examined student delivery of team-based learning (TBL) modules in the classroom. We aimed to assess student perceptions of a student-led TBL elective. Methods: Third-year pharmacy students were assigned topics in teams and developed learning objectives, a 15-minute mini-lecture, and a TBL application exercise and presented them to student colleagues. Students completed a survey upon completion of the course and participated in a focus group discussion to share their views on learning. Results: The majority of students (n=23/30) agreed that creating TBL modules enhanced their understanding of concepts, improved their self-directed learning skills (n=26/30), and improved their comprehension of TBL pedagogy (n=27/30). However, 60% disagreed with incorporating student-generated TBL modules into core curricular classes. Focus group data identified student-perceived barriers to success in the elective, in particular the development of TBL application exercises. Conclusion: This study provides evidence that students positively perceived student-led TBL as encouraging proactive learning from peer-to-peer teaching.

Sign in / Sign up

Export Citation Format

Share Document