Closing the gap: The preparation and integration of newly graduate nurses (NGN) into the BC workforce

Co-lead:

  • Andrea Starck
    Northern Health 

Team members: 

  • Erin Bryant
    UBCO
  • Julia Lowe
    TRU
  • Andrea Burrows
    Research user
  • Aneta D'Angelo
    Interior Health 
  • Yujin Lim
    PHSA
  • Sheila Blackstock
    TRU
  • Kathy Rush
    UBCO
  • Joanne Mclaren
    BC Ministry of Health

The proposed activity will provide opportunities for stakeholders from BC’s health authorities, nursing education institutions, professional nursing organizations and associations to participate in Knowledge Sharing and New Nurse Transition Program Implementation Forums. The intent is to build on the model for undergraduate learning pathway development and newly graduated nurse (NGN) transition support developed through the Co-op and Work Integrated Learning grant entitled Transformative Nursing (BSN) Practice Education and Transition Model. This provincial work is a response to the 2018 Ministry of Health Nursing Secretariat and 2019 Nursing Education Planning Committee of BC call for a provincial strategy to address workforce issues that challenge the enactment of BC’s health system priorities. A key outcome of the forums will be to create a plan to operationalize the Transition Model implementation and evaluation strategies, and establish research plans for a phased roll-out and evaluation of the model. A second outcome of the forums will be the formation of an Advisory Group to continue the work of accountability for implementation and evaluation of the model throughout the BC health regions.
 

Mapping Social Epidemiology of British Columbia: COVID19 Pandemic and Psycho Social and Occupational Well-being of Frontline Health-care Workers in BC

Insights in to Psycho-social wellbeing of health care workers during the COVID19 outbreak is crucial for health equity policy making. Untreated guilt, anxiety and depression among frontline health-care workers (FHCWs) often lead to resignations, poor work performance and burnout. Locating systems approaches in social epidemiologic research, we investigate the COVID19 phenomena and the wellbeing of FHCWs in the home care and Long-term Care Facilities (LTCFs) in BC. By capturing spatial, temporal and social determinants of COVID19 pandemic intersecting race, culture and working conditions of FHCWs, we build an agent-based model and identify complex behavior patterns that influence the quality of care and self-care strategies and to prevent high burdens of illness in key populations in BC.

Disseminating findings from the Researching Older Adults’ Repositioning (ROAR) study through innovative means

Co-leads:

Trainee:

  • Emma Schultz 
    Undergraduate student

By 2019, the senior population will increase by 20 percent in Kamloops; this outpaces the expected general population increase of 4.8 percent (Interior Health, 2014). This change has forced a need to re-examine the structure and delivery of healthcare services in BC’s central interior. In response, Interior Health (IH) is undergoing a system change to enhance the delivery of primary and community care for frail older adults and those with complex chronic conditions. This “repositioning” or restructuring of healthcare services is anticipated to provide comprehensive and effective community based care for clients.

Since evidence-informed practice in healthcare must include client preferences (DiCenso, Guyatt & Ciliska, 2005), there is an urgent need to consult service users to guide the direction of IH’s decisions on the repositioning of older adults within BC’s central interior. Supported by an IH Evidence-Informed Practice Challenge grant (2016 – 2017), this ROAR (Researching Older Adults Repositioning) study engaged older adults (from Kamloops and nine surrounding rural and remote communities) in research and enabled them to share views on primary and community care in BC’s interior and the repositioning work undertaken by IH.

Taking place over the next year, the TRiP (Translating ROAR into Practice) project is an integrated knowledge translation (iKT) process that will enable the engagement of IH staff (as decision-makers and knowledge users) and older adults (as service users and research participants) in interpreting research findings from the ROAR study. One of the iKT strategies for this project is to hold a summit where study participants and knowledge users, along with representatives from key seniors and/or patient advocacy groups, will work together to develop a plan to ensure findings from the ROAR study effectively make their way into practice at IH.

This award will go towards a dissemination scheme to complement the TRiP project. As part of the proposed scheme, dissemination tools will be developed to make research users aware of the ROAR study findings within IH, BC and beyond. ROAR findings will be shared through publication in an open-access journal and presentations at local venues, and one regional or national aging-related conference.

Supporting emotional well-being and access to health care of Syrian mothers: A collaboration amongst community stakeholders, researchers and research users

Research co-leads:

  • Joyce O'Mahony
    Thompson Rivers University
  • Nancy Clark
    University of Victoria

Research user co-leads:

  • Shahin Kassam
    University of Victoria
  • Khim Tran
    Options Community Service

Team member:

  • Jessie Bauer
    Thompson Rivers University

This project’s purpose is to hold a symposium followed by several advisory board meetings. The key objective is to bring health researchers and research users together to share ideas and plan for activities regarding Syrian mothers support and access to health care. This first step connects to a larger proposed longitudinal study application (MSFHR Health Professional-Investigator Program 2018) in planning research and building a strong foundation of trust and relationships within the community. The research team has been established and will complement the two funding opportunities. The proposed activities align with British Columbia’s health system priority areas of i) enhanced access to effective primary health care and; ii) mental health care.

Activities will focus on community engagement, a symposium (face to face event), and development of an advisory board consisting of key stakeholders and gatekeepers of the Syrian community. The advisory board promotes knowledge exchange about the aims of this research and to build dialogue about how the community might benefit from the research findings. Advisory board members will include Syrian mothers and members of the Syrian community, settlement workers, health care professionals, non-government organizations, and immigrant service representatives. As a point of entry, this research team has existing relationships with key stakeholders working at Bridge Clinic, Options Community Services and other immigration service centers already working with Syrian mothers and their families.

Anticipated outcomes are:

  1. Develop a comprehensive community engagement plan.
  2. Form an advisory board.
  3. Provide important and foundational knowledge for future research opportunities with the Syrian population.
  4. Give graduate research trainees invaluable experience in community development and engagement processes.

Culturally safe dementia care: Building nursing capacity to work with First Nations elders with memory loss

This community-based research project will build capacity amongst nurses to care for First Nations Elders with memory loss in a culturally safe way. The objectives are:

  1. To translate First Nations perspectives on dementia  research findings into a knowledge translation intervention for front-line nursing staff based on traditional storytelling with Elders;
  2. To determine the knowledge, skills and values of nursing staff with respect to cultural safety and dementia care before and after the traditional storytelling intervention; and
  3. To assess the effectiveness of the KT intervention in terms of changing nursing practice and improving care for First Nations Elders with memory loss.

Continue reading “Culturally safe dementia care: Building nursing capacity to work with First Nations elders with memory loss”

Psychosocial determinants of adolescent health behaviour

There are numerous segments of the Canadian population who experience a disproportionate burden of ill health. A key issue in addressing this disparity is the early identification of those groups of people who are vulnerable to poor health outcomes over the course of their lifespan. Identification of these groups, and the factors leading to this vulnerability, is a priority for researchers. One area of interest is in identifying the early childhood determinants of health behaviours, such as a child’s health, stress in the family, economic conditions or neighbourhood safety. Dr. Stefania Maggi studies the extent to which early influences can predict which children will follow trajectories of health vulnerability throughout the lifespan. Her research uses a combination of administrative databases, national surveys, and longitudinal data collection to follow up on the same individuals over a number of years, spanning developmental phases from early childhood to adolescence and young adulthood. By identifying what factors in childhood increase the likelihood of unhealthy behaviours and/or poor educational outcomes during adolescence her research will inform early prevention efforts aimed at the social determinants of health.