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2016
Healthcare professionals are moral agents whose fiduciary relationship with the public is animated by responsibility and the promise to use knowledge and skills to aid those in their care. When their ability to keep this promise is constrained or compromised, moral distress can result. Moral...
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2015
Sopcak, Nicolette, Williamson, Deanna L., Letourneau, Nicole, Stewart, Miriam, Kushner, Kaysi, E., Pitre, Nicole Y., Breitkreuz, Rhonda, Rempel, Gwen
We examined first-time fathers’ and mothers’ perspectives about their ideal world of support in the context of dominant social ideology, ethno-cultural ideals, and the pragmatics of their everyday family, workplace, and socioeconomic circumstances during their first 18 months as parents. Twelve...
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2014
O'Brien, B., Higginbottom, G., Mumtaz, Z.
Background Immigration to Canada has significantly increased in recent years, particularly in the Prairie Provinces. There is evidence that pregnant newcomer women often encounter challenges when attempting to navigate the health system. Our aim was to explore newcomer women’s experiences in...
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2014
In this paper we use Alvesson and Sandberg’s strategy of problematisation to analyse the assumptions embedded in the development and use of the concept of ‘care-giver burden’.We do this in order to develop an explanation as to why decades of research into the experience of providing home-based...
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Information sharing with rural family caregivers during care transitions of hip fracture patients.
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Elliott, J., Stolee, P., Chesworth, B. M., Ceci, C., Forbes, D
INTRODUCTION: Following hip fracture surgery, patients often experience multiple transitions through different care settings, with resultant challenges to the quality and continuity of patient care. Family caregivers can play a key role in these transitions, but are often poorly engaged in the...
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Public views of acceptability of perinatal mental health screening and treatment preference: A population based survey.
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Kingston, D., Austin, M., Lasiuk, G., Tough, S., Hegadoren, K., McDonald, S.
Background At a prevalence rate of 13-25%, mental health problems are among the most common morbidities of the prenatal and postnatal periods. They have been associated with increased risk of preterm birth and low birthweight, child developmental delay, and poor child mental health. However, very...
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The protocol for the families first Edmonton trial (FFE): a randomized community-based trial to compare four service integration approaches for families with low-income.
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Drummond, J., Williamson, D. L., Schnirer, L., Bisanz, J., Wiebe, N., So, S., Mayan, M.
Background Families with low incomes experience an array of health and social challenges that compromise their resilience and lead to negative family outcomes. Along with financial constraints, there are barriers associated with mental and physical health, poorer education and language. In...
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Documentation of guideline adherence in antenatal records across maternal weight categories: a chart review.
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Machold, C. A., Kingston, D., McDonald, S. D., Marshall, L.
Background Documentation in medical records fulfills key functions, including management of care, communication, quality assurance and record keeping. We sought to describe: 1) rates of standard prenatal care as documented in medical charts, and given the higher risks with excess weight, whether...
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2014
Bradford, A., Tough, S., Young, D.C., Akhtar-Danesh, N., Kingston, D. A., Sword, W.A., Janssen, P. A., Heaman, M. I., Helewa, M. E., Hutton, E. K.
Background Utilization indices exist to measure quantity of prenatal care, but currently there is no published instrument to assess quality of prenatal care. The purpose of this study was to develop and test a new instrument, the Quality of Prenatal Care Questionnaire (QPCQ). Methods Data for...
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Comparing the feasibility, acceptability, clinical-, and cost-effectiveness of mental health e-screening to paper-based screening on the detection of depression, anxiety, and psychosocial risk in pregnant women: A study protocol of a randomized, parallel-group, superiority trial.
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Sword, W., Ohinmaa, A., Lasiuk, G., Giallo, R., Kingston, D., van Zanten, S., Biringer, A., Austin, M., Hegadoren, K., Lane-Smith, M., McDonald, S., MacQueen, G.
Background Stress, depression, and anxiety affect 15% to 25% of pregnant women. However, substantial barriers to psychosocial assessment exist, resulting in less than 20% of prenatal care providers assessing and treating mental health problems. Moreover, pregnant women are often reluctant to...