Health Services

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.
Primary Investigator: 
Award Type: 
Year: 
2010
Health Category: 

Impacts of a Palliative Approach for Nursing (IPAN)

This practice-relevant nursing health services research initiative will address the questions:

  1. How and in which contexts can a palliative approach better meet the needs of patients with a life-limiting illness and their family members?
  2. How can a palliative approach guide the development of innovations in health care delivery systems to better support nursing practice and the health system in British Columbia?
Primary Investigator: 
Award Type: 
Year: 
2010
Health Category: 

The Utilization and Impact of Nurse Pracitioners and Physician Assistants: A Research Synthesis

The objective of this 12-month project is to use a research synthesis approach to develop the knowledge required to inform decision makers charged with the implementation of nurse practitioner and physician assistant roles.

Some areas to be addressed through this synthesis are:

  • What are the varying scopes of practice and practice autonomy for both roles?
  • What population health needs are best served by which role?
  • Are there barriers to implementing both roles simultaneously?
  • Can both roles effectively support the BC health care system and, if so, how?
Primary Investigator: 
Year: 
2010

Best Practices: Integration of New Graduate Nurses in the Workplace

The overall objective of this 18-month project is to explore the use of best practices to facilitate the successful integration and retention of new graduate Registered Nurses (RNs) and Registered Psychiatric Nurses (RPNs). This project will evaluate the current application of health human resources best practice knowledge/strategies in BC to support the beginning practice of new nursing graduates, and to identify best practice knowledge/strategies likely to succeed in various health care settings.

Year: 
2010

Optimal timing of delivery for pregnancies with pre-existing hypertension

Chronic high blood pressure in pregnant women is associated with serious maternal and fetal complications such as poor growth, early separation of the placenta, and stillbirth. Consequently, the recommendation has been made that all women with chronic high blood pressure be considered candidates for induced delivery to reduce the risk of complications that may occur with allowing pregnancies to continue to later gestational ages.

Primary Investigator: 
Award Type: 
Year: 
2009
Health Category: 

Knowledge representation in Health Research: the Canadian Influenza Research Network model

The Public Health Agency of Canada estimates that influenza infection currently results in an average of 20,000 hospitalizations and 4,000 deaths each year. Therefore, an influenza pandemic would have severe health, economic and social consequences. The Public Health Agency of Canada/Canadian Institutes of Health Research Influenza Research Network (PCIRN) was developed to identify research gaps in the country's pandemic influenza preparedness initiative.

Primary Investigator: 
Award Type: 
Year: 
2009

Utilization of an Interactive Internet-based Platform for Managing Chronic Diseases at a Distance

Chronic diseases represent an increasing burden for both the patient and healthcare system. Many people also now have more than one chronic disease. For those people with chronic diseases living in rural areas, the risk for hospitalization is more than 60% greater. These patients and their primary care providers face an enormous challenge in meeting their day-today health needs that patients with chronic diseases have.

Primary Investigator: 
Award Type: 
Year: 
2009

An Integrated Regional Trauma Care Data System Linking Clinical Care and Process Outcome Evaluation

The purpose of this study is to devise a comprehensive strategy for continuous improvement of trauma care system that addresses substantial gaps in the availability of information regarding processes and outcomes of trauma care in British Columbia.

Primary Investigator: 
Award Type: 
Year: 
2009

Leadership and Health System Re-Design

The purpose of this initiative is to develop leadership capacity in the Canadian health care system. This will be done by identifying and addressing gaps in applied research and practical knowledge within and between the researcher and decision-maker communities. These individuals will be brought together as networks so they can better understand and learn from each other. The networks (one national and five regional nodes) will carry out research on how to identify and apply the qualities of effective leadership in regional settings across Canada and how to adapt the knowledge learned into professional development and degree programs offered in those regions.

Primary Investigator: 
Award Type: 
Year: 
2009

Exit Strategies: The Timing and Impacts of Physician Retirements

Much has been made over the past fifteen years about the actual or impending shortage of physicians in Canada. The aging of the patient population increases the need, while the aging of the physician population reduces the supply. Recent dramatic increases in the number of medical students being trained in Canada should go some distance in addressing supply concerns. Less well-understood is the potential effect of changes in physicians’ decisions about when, and how quickly, to retire. Despite the fact that retirement decisions can have a large influence on the total available supply of physicians, surprisingly little is known about those decisions. The purpose of this project is to fill in some of those gaps in our understanding.

Primary Investigator: 
Award Type: 
Year: 
2009

Older Persons' Transitions in Care

The purpose of this program of research is to improve care for frail elderly people in nursing homes and secondarily, to reduce the burden of elderly patients on emergency department resources and to give decision makers tools to identify potentially modifiable elements to improve the quality of care of residents who move between nursing homes and emergency departments.

Primary Investigator: 
Award Type: 
Year: 
2009
Health Category: 

Reducing the Acute Care Burden of Childhood Asthma on Health Services in British Columbia

The study addresses the burden of pediatric asthma in BC and the value a short course of oral steroids provides in reducing the acute care burden of asthma. The goal is to implement and evaluate an intervention to reduce the acute care burden of asthma exacerbations.

Primary Investigator: 
Award Type: 
Year: 
2009
Health Category: 

The Impact of a Resident Work Schedule Change on Patient Safety

After graduation from medical school, physician education continues in a residency program in the individual's chosen area of specialty (e.g., Surgery, Internal Medicine). Residency programs have grueling schedules with frequent on-call shifts. These shifts are at least 24 hours in length, starting from the morning of one day and extending to the next day. In teaching hospitals, residents often provide first line care and make important decisions independent of direct supervision. Their clinical performance is thus an important determinant of patient safety. Some have argued that shift length should be reduced to a more reasonable amount (e.g. <16 continuous hours) to reduce fatigue and medical errors, and to improve safety.

Primary Investigator: 
Award Type: 
Year: 
2009

A cross-national evaluation of opioid dependence treatment service systems in Canada and the United States

Methadone maintenance treatment (MMT) is the most effective form of treatment for opioid dependence, a chronic, recurrent disease. However, the availability and means by which MMT is delivered varies greatly, both locally and internationally. Understandably, the resulting accessibility, quality and comprehensiveness of care provided through the various treatment practices have important public health implications, and require careful consideration. Notably, there are vast differences between the drug treatment systems in California and British Columbia.

Primary Investigator: 
Award Type: 
Year: 
2009

An Innovative Approach to Providing Patient Care: Examining the Role of the Nurse Practitioner in Primary Care Group Medical Visits

As the Canadian population ages, primary health care has increased its focus on the prevention and management of chronic disease in the elderly. However, access to primary care providers such as family doctors has become more difficult in recent years. Consequently, nurse practitioners (NPs) are increasingly delivering primary health services for people with chronic disease through what’s called the group medical visit (GMV). GMVs are a model of care delivery in which primary care is offered in a group format, instead of single patient/provider format.

Primary Investigator: 
Award Type: 
Year: 
2009

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