Oral Abstracts
NA-CC-D3.1 - Women’s Occupational Health and Safety in the Informal Economy: Maternal Market Traders in Accra, Ghana
Miss Joyceline Amoako, University of Waterloo, Waterloo, Canada
NA-CC-D3 - Experience of Health and Illness 1, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Improving maternal health and women’s health is necessary, especially in countries with high maternal mortality rates. However, most research on maternal health focus on women’s reproductive health and, as a result, very little is known about the impact of occupation on maternal health. Research question: This research investigated the occupational health challenges of maternal market traders in Accra, Ghana where the open-air market is an integral place of work for women. Thus, the research question; What are some occupational health challenges of maternal market traders? Design: This study applies a qualitative research method in data collection and analysis. The Grounded theory approach was used in the construction of hypotheses and theories. Sample: 24 maternal market traders were interviewed about their occupational health challenges. Data collection and analysis: This research investigated the occupational health challenges of maternal market traders using face-to-face interviews and participant observation. The thematic analysis approach was used to analyze the interview responses. Results OR methodological developments/insights: Findings suggest that maternal market traders face some occupational health risks that have a significant toll on their physical, mental, and social health. Therefore, there is a need for the implementation of immediate safety measures.
NA-CC-E4.2 - Spoiled Identities: A Thematic Analysis of the Existent Literature on Hoarding Disorder and Stigma
Dr. Murray Anderson, Athabasca University, Victoria, Canada
Ms. Galina Freed, Athabasca University, Victoria, Canada
Ms. Karli Jahn, Athabasca University, Victoria, Canada
NA-CC-E4 - Experiences of Health and Illness 3, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: Hoarding disorder (HD) is a chronic, difficult to treat, and highly stigmatized mental health condition. Stigma is known to reduce treatment effectiveness and contribute to distress of the individual, yet there is a dearth of literature on addressing the role of stigma in hoarding. Research question: The aim of this study was to show the gap in research in HD and stigma. The research questions were: What roles does stigma play in HD? What is the relationship between stigma of HD and current treatments? Design: A thematic analysis was used to identify patterns in the interview data. Sample: The sample included articles from the databases “psychINFO”,''EBSCO host”, “CINAHL” and “PubMed” between 2005 and 2021. Data collection and analysis: The collection of data involved search terms using the words “hoarding” and “stigma”, in addition to “clutter”, “shame”, “attitudes”, “guilt”, “self-worth, and “morality” resulted in 1411 journal articles. Of these, 51 articles met the inclusion criteria. The analysis revealed five overarching themes: Burdensomeness, stigma, isolation, collaborative vs. top-down interventions, and media portrayals of hoarders. Results: Initial findings also revealed that missing from the existent literature were the importance of language, the sick role, the concept of moral failures, and “failure” to hoard.
NA-CC-C2.2 - The Cost of Wearing the Wrong Skin Colour at Work: Physical, Emotional and Familial Tolls of Experiencing Workplace Racism
Dr. Farid Asey, University Of Toronto, Toronto, Canada
NA-CC-C2 - Vulnerable Populations 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Canada is often viewed as an oasis of multicultural inclusion where racially diverse groups could freely enjoy life in all its forms. Research question: What were the tolls of experiencing racial discrimination at work? Design: Qualitative: hermeneutic phenomenology. Sample: Focusing on a group of twenty-five racialized participants working for the public sector in British Columbia, this qualitative study demonstrates that workplace racism is alive and prevalent in Canada. Data collection and analysis: 25 in-depth semi-structured interviews and NVivo 12 to identify meaning units, subthemes and themes. Results: This research will illustrate that racial discrimination hurts not only racialized individuals targeted, physically and emotionally, but also their families. After presenting an outline of what constitutes racism and racialization, the presentation will discuss this study’s findings with respect to physical, psycho-emotional and familial tolls that experiencing workplace racial discrimination at work had exacted on racialized participants. The presentation will then conclude that given the higher expectations from the public service and public servants for not only modeling equity behaviour but also upholding the rule of law, opportunities could be created to more seriously address systemic violence against racialized workers in the public sector employment contexts.
NA-CC-D1.3 - Capturing the Impact of Patient Portals Based on the Quadruple Aim and Benefits Evaluation Frameworks: Scoping Review
Dr. Melita Avdagovska, University Of Alberta, Edmonton, Canada
NA-CC-D1 - Health Services 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: Measuring the impact of patient portals remains to be a convoluted process. This study aimed to explore what is known about portal evaluations and provide recommendations for future endeavours. Research questions: 1) How is the impact of patient portals measured from the standpoint of the Quadruple Aim framework; and 2) what components from the Benefits Evaluation framework are most commonly evaluated? Design: Scoping review. Sample: 96 studies included for data extraction. Data collection and analysis: A review was conducted based on a systematic search using Ovid MEDLINE, EMBASE, PsycINFO, CINAHL, and Web of Science. A systematic gray literature search was conducted using the Google search engine. Extracted data were tabulated. Results: The studies were categorized based on the framework dimensions, with strict adherence to the definitions for each dimension. From the patients' perspective, it was determined evaluations focused on benefits and barriers to access, access to test results, medication adherence, condition management, medical notes, and secure messaging. From the population perspective, the evaluations focused on the increase in outreach, decreased disparities, and improved quality of care. From the healthcare workforce perspective, the evaluations focused on the impact of patients accessing medical records, workflow, secure messaging, and virtual care.
NA-CC-A3.1 - A Longitudinal Exploration of Community-based Caregiving for Persons Living with Dementia During COVID-19
Dr. Jennifer Baumbusch, University Of British Columbia, Vancouver, Canada
Dr. Heather Cooke, University Of British Columbia, Vancouver, Canada
Dr. Koushambhi Basu Khan, University Of British Columbia, Vancouver, Canada
Mr. Kishore Seetharaman, University Of British Columbia, Vancouver, Canada
NA-CC-A3 - COVID-19 3, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Caregiving takes place over time but much of the existing body of research in this area is conducted at one point in time and is largely retrospective. Longitudinal qualitative research is needed to gain understanding of the dynamic nature of caregiving for a person living with dementia at home. Caregivers need to continually adjust and reframe their activities and roles to in the context of a progressive illness. Research question: What is the experience of caring for a person living with dementia over time? Design: Longitudinal qualitative research conducted over a 3-year period. Sample: Nine families in British Columbia, Canada, are currently enrolled in the study. Data collection and analysis: Data are gathered through regularly scheduled semi-structured telephone/Zoom interviews and caregiver completion of monthly diaries. Data are analyzed within and across cases, and both cross-sectionally and longitudinally to account for the temporal aspects of caregiving. Results: Longitudinal research offers unique insights into lived experiences that are influenced by temporal factors. Adjustments were made to the data collection plan based on the pandemic. We will provide data exemplars that illustrate how the caregiving experience was shaped over time and the potential benefits of this approach in qualitative research.
NA-CC-A2.3 - Youth Emotional Pathways to Mental Health Services: I Came to Foundry to “Remember What It Feels like to Cry”
Dr. Shelly Ben-David, University Of British Columbia, Kelowna, Canada
Ms Michelle Biddell, University Of British Columbia, Kelowna, Canada
Dr. Jessica Lougheed, University Of British Columbia, Kelowna, Canada
Ms Chantal Vien, University Of British Columbia, Kelowna, Canada
NA-CC-A2 - COVID-19 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Adolescence and emerging adulthood are peak years for the onset of mental illness, yet mental health services often struggle to meet the unique needs of youth. There are also low rates of mental health service use by youth. An individual’s emotional state or level of distress can impact one’s ability to seek help. Developmentally, emotions are more intense and variable during adolescence, and thus it is especially important to consider emotions in youths’ decisions to seek services. Research question: The purpose of this study was to examine the perspectives of mental health service use among youth accessing an integrated youth service centre called Foundry in an urban community in Canada. Design: Grounded theory methodology was utilized to develop a conceptual model of service use among youth. Sample: Researchers employed purposive and theoretical sampling to recruit 41 youth aged 15-24. Data collection and analysis: In-depth interviews lasted 1-2 hrs. An iterative approach between data collection and analysis was taken. Three analysts engaged in constant comparison within and across interviews, which led to the development of a codebook. Results: An emotional pathway of help-seeking emerged from the data highlighting three points in time: before, during, and after accessing services at Foundry.
NA-CC-B2.3 - A Phenomenological-Hermeneutic Inquiry Exploring the Nurse Learner's Process of Becoming
Ms. Josie Bolianatz, University Of Manitoba, Winnipeg, Canada
NA-CC-B2 - Health Professional Education 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: This study explores the phenomenon of professional becoming within the demanding and hectic environments of our modern healthcare and higher education institutions. Research question: What does it mean to learn the nursing profession in a concept-based curriculum (CBC)? Approached by asking: (1) How might a student encounter learning the nursing profession? (2) What impact does this experience have on the nurse Learner? Design: A phenomenological-hermeneutic inquiry informed by Max van Manen, Edmund Husserl, Martin Heidegger, and Etienne Wenger. Sample: Eight University of Manitoba Bachelor of Nursing students were purposefully recruited to participate in two conversational interviews. Data collection and analysis: Participants described and reflected on the meaning of their lived experiences. Phenomenological reflective analysis guided the writing process which involved a systematic, line-by-line, approach and a back-and-forth play of texts. Results: A phenomenological image of learning (the nursing profession) (in a CBC) is depicted. Three lenses are introduced to systematically analyze the impact this phenomenon is having on the Learner’s process of becoming. With this phenomenological-hermeneutic understanding, I reflect on pedagogical care within the (neoliberal) environment of a research-intensive higher education institution. This study further demonstrates how pedagogical competence is connected to reflective phenomenological knowing.
NA-CC-E2.2 - It’s Okay to Not Be Okay: Addressing Vicarious Trauma within Community-Driven Research
Dr. Elizabeth Cooper, University of Regina, Regina, Canada
Dr. Rosanne Blanchet, University of Regina, Regina, Canada
Ms Crystal Watson
NA-CC-E2 - Mental Health 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: When working within community-driven research (CDR), we are often asked to enter into emotionally challenging spaces, to support communities first and foremost, and to place research results and researcher needs as secondary. Research question:
1. What is ethical praxis within CDR methods?
2. How do researchers engage in self-care?
3. What responsibilities lie outside of academic benchmarks of success when engaging in CDR?
Design: This qualitative study used a semi-structured interview design. Sample:
-16 key-informant interviews (early, mid and senior career academics).
-Half identified as BIPOC (Black, Indigenous, Persons of Colour).
-Participants lived in Canada, Australia, New Zealand and Kenya.
Data collection and analysis: Participants were identified based on their expertise and recruited via email. Interviews spanned 45-75 minutes. Interviews were transcribed verbatim and analyzed for key themes. Participants who had spoken to a theme in a concrete way were invited to participate in subsequent analysis and dissemination activities. Results OR methodological developments/insights: We discuss trans-national shared best-practices around the need to mobilize shifts in academic culture, while ensuring that research activities promote researchers self-care through relationship building, reflexivity, and intersectional, cross-functional teams.
NA-CC-B1.1 - Graduate Nurses Perspectives about How They Were Educated to Work with Older People
Dr. Sherry Dahlke, University of Alberta, Edmonton, Canada
Dr. Maya Kalogirou, University of Alberta, Edmonton, Canada
NA-CC-B1 - Health Professional Education 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: Nurses are graduating without adequate knowledge about older people (OP). Little is known about graduate nurses’ perceptions about their preparation to working with OP in their basic education. Research question: What are recently graduated registered nurses’ reflections on their education preparation to work with OP and about which learning strategies were most effective at helping them learn about the older population? Design: A qualitative descriptive study design was used. Sample: Nurse who had graduated within the past five years from a nursing program in Western Canada. Data collection and analysis: Individual interviews were conducted with 19 graduate nurses. Content and thematic analysis were used to develop two themes - first impressions and preparation to work with older people. Results: Key findings were that nurses did not recognize the importance of learning about OP until they had graduated and realized the aging population was both complex and prevalent. They perceived a lack of education particularly related to working with the behaviors associated with dementia and learning how to communicate to an older population. Participants did not feel as though there were enough clear, specific, and discernable moments in the curriculum dedicated to learning about OP.
NA-CC-A1.3 - Developing a Process Model for Injectable Opioid Agonist Treatment: Clients’ Experiences with Treatment during the COVID-19 Pandemic
Dr. Adam Easterbrook, Centre For Health Evaluation And Outcome Sciences, Vancouver, Canada
Rebecca Metcalfe, Centre For Health Evaluation And Outcome Sciences, Vancouver, Canada
Eugenia Oviedo-Joekes, Centre For Health Evaluation And Outcome Sciences, Vancouver, Canada
NA-CC-A1 - COVID-19 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: Injectable opioid agonist treatment (iOAT) is provided in Canada/Europe mostly with direct observation. Understanding the processes that maintain or hinder continuation of care, particularly during the pandemic, could improve care. Research question: What influence does the pandemic have on processes that influence clients’ access to, and engagement with, iOAT sites? Design: A longitudinal grounded theory approach was used. Sample: 18 iOAT clients. Data collection and analysis: We conducted open-ended, semi-structured interviews. Data were analyzed iteratively using the constant comparative approach. Results: We developed a model of clients’ experiences with iOAT focused on 3 broad processes: connecting with site (access/medication), engaging with site (building/maintaining trust, developing/maintaining relationships, and receiving personalized care within site context), and managing personal needs (self-care/future planning within context of life outside site). These processes were often disrupted by the pandemic (e.g., challenges getting to site) and these disruptions changed as the pandemic progressed (e.g., fear of clinic closing transitioned to fear about clinic procedures). Clients often attempted to adapt (e.g., create new social networks). Examining the processes clients engage in to access iOAT allows us to understand how crises influence clients and, ultimately, offers insights into how we can better help clients in the future.
NA-CC-D1.1 - A Qualitative Realist Evaluation on Factors That Hinder or Enable the Sustainability of Two Evidence-Based Healthcare Improvement Interventions
Dr. Rachel Flynn, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
Kelly Mrklas, Strategic Clinical NetworksTM, Provincial Clinical Excellence, Alberta Health Services, Calgary, Alberta, Canada
Tracy Wasylak, Strategic Clinical NetworksTM, Provincial Clinical Excellence, Alberta Health Services, Calgary, Alberta, Canada
Dr. Shannon Scott, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
NA-CC-D1 - Health Services 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: Little research has evaluated what influences the sustainability of evidence-based interventions for improving health care. Research question: We aimed to evaluate, what are the contextual factors and mechanisms that enable or hinder the sustainability of two, large-scale, system-wide, interventions? Design: We conducted a qualitative realist evaluation using an explanatory case study design to explain the mechanisms that produce sustainability outcomes across different contexts. Following the realist evaluation cycle, we developed an initial program theory (IPT) to hypothesize how, why, for whom and under what contexts we expected these interventions to be sustained. We then tested our IPT through realist interviews. Sample: Multi-disciplinary healthcare providers (HCPs) involved in the implementation of two interventions (cases). Data collection and analysis: 30 interviews interviews to explore their perspectives and experiences on sustaining large-scale interventions. Analytically, we tested or initial program theory through cross case comparison. Results: We identified causal patterns of contextual factors and mechanisms which reportedly affected sustainability and four strategies that enabled the likelihood of sustainability: learning collaboratives, audit and feedback, informal leaders, and patient stories. Future research is needed on how to optimize the impact of interventions through the implementation of effective sustainability strategies.
NA-CC-A3.2 - Health Services Access and Needs of Gay and Bisexual Men Who Engage in Chemsex (Sexualized-Drug Use) During the COVID-19 Pandemic
Mr. Maxim Gaudette, Université de Montréal, Montréal, Canada, Centre de recherche en santé publique (CReSP), Montréal, Canada
NA-CC-A3 - COVID-19 3, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Since the onset of Covid-19, significant concerns have been raised from community workers and activists about the impacts of the pandemic on the health of gay and bisexual men who engage in chemsex (GBM-C) (sexualized drug use). Research question: What are the experiences and needs of GBM-C’ in terms of chemsex related services during the Covid-19 pandemic in Montreal, Canada? Design: We adopted an interpretive descriptive approach. Sample: The sample is composed of 8 key informants with chemsex expertise (including health professionals, social workers, activists, etc.) and 13 GBM-C aged between 27 and 60 years old. Data collection and analysis: Data was collected through online semi-structured interviews and analyzed using an inductive thematic approach. Results: First, our findings suggest that the pandemic made evident the already existing inadequacy and scarcity of chemsex related services as participants discussed the challenges of finding harm reduction and support services that combine expertise on sexuality and drug use. Second, participants described how public health messages, by ignoring the impacts on sexuality and on drug users, rendered invisible and unimportant the health needs of GBM-C. Third, participants discussed the benefits of online substance use related services amidst their limitations for individuals facing multiple vulnerabilities.
NA-CC-E1.1 - ED2Foundry: Enhancing the Transition from the Emergency Department to Community Services for Young People with Mental Health and Substance Use Disorders
Dr. Krista Glowacki, University Of British Columbia, Vancouver Campus, Vancouver, Canada
Madelyn Whyte, University Of British Columbia, Vancouver Campus, Vancouver, Canada
Dr. Skye Barbic, University Of British Columbia, Vancouver Campus, Vancouver, Canada
NA-CC-E1 - Mental Health 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: Despite a significant rise in emergency department (ED) visits by young Canadians (aged 12-24) with mental health and substance use (MHSU) concerns over a decade, there remains a profound disconnect between EDs and MHSU community services such as Foundry. Research question: How can the transition between the ED and community health services be improved for young people who have MHSU concerns? Design: One-on-one video and phone interviews were conducted with key stakeholders in British Columbia, Canada in the summer of 2020. Sample: Participants (n = 26) included ED physicians (n = 6), social workers (n = 4), nurses (n = 2), an occupational therapist (n = 1); a counselor (n = 1); leadership in community organizations (n = 4); family workers (n = 3); peer support workers (n = 2), and parents (n = 3). Data collection and analysis: Snowball sampling was utilized to recruit participants. A thematic analysis was conducted conceptually guided by the Social Ecological Model (SEM). Results: Important factors were identified at all SEM levels. At the organizational level (ED) key concerns were long wait times, and a lack of knowledge and resources for youth. At the community level, important concerns were a lack of communication, repetition of stories and restricted hours. Recommendations will be discussed to improve the transition between the ED and MHSU services.
NA-CC-E3.1 - Couple Healing from Infidelity: A Deductive Qualitative Analysis Study
Mr. Jacob Gossner, Texas Tech University, Lubbock, United States
Dr. Stephen Fife, Texas Tech University, Lubbock, United States
NA-CC-E3 - Mental Health 3, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Infidelity is a relationship betrayal that can be a traumatic, disruptive experience for couples. While there are multiple practice-based models of healing from infidelity, few of them have been empirically examined using either quantitative or qualitative means. Research Questions: What is the process of couple healing following infidelity? To what extent does Butler and colleagues (2021) model map this process? Design: We used deductive qualitative analysis, a methodology suited to theory testing and refinement, and to deductively and inductively examining the process of healing from infidelity. Sample: We analyzed seven publicly available online blogs written by non-straying partners who remained in a relationship with a straying partner following infidelity. Data collection and analysis: We generated sensitizing constructs based on the work of Butler et al. (2021) and engaged in open, focused, and theoretical coding. Results: The result of our analysis is a refined, empirically supported model of couple healing based on evidence that supports, expands, or contradicts Butler and colleagues’ (2021) model. We discuss clinical implications of our results and offer directions for future research using deductive qualitative analysis.
NA-CC-A2.1 - Pandemic Stories: The Voices of Older Adults
Dr. Leigh Hayden, Sheridan College, Oakville, Canada
Ms. Kathryn Warren-Norton
Dr. Ferzana Chaze, Sheridan College, Oakville, Canada
NA-CC-A2 - COVID-19 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: When the COVID-19 pandemic began, quickly messages circulated in the traditional and social media about how dangerous the virus was specifically to older adults and concerns about how to protect “them”. Our aim was to learn firsthand how older adults were faring during the pandemic, and their perceptions of the virus, public health restrictions, and our rapidly shifting world. Research Question: How are older adults experiencing and perceiving the COVID-19 pandemic? Design: Serial interviews. Sample: 25 older adults (ages 51-82, 20 women 5 men) in and around the Halton Region in southern Ontario. Data collection and analysis: We conducted three rounds of semi-structured interviews over video or voice call to follow informants through emerging the pandemic. After the second round of interviews, we sent informants a summary of the interim analysis. All interviews were transcribed and a codebook was iteratively developed to capture emerging themes. Results: The serial interviews allowed for us to capture the evolving and dynamic perceptions and experiences of informants. Informants described appreciating the interim analysis and many reviewed it during the third interview to highlight areas of agreement and disagreement, further deepening the inquiry.
NA-CC-B4.3 - Parent Experiences in Care Coordination for Families of Children with Neurodevelopmental Disorders and Medical Complexity
Dr. Michèle L. Hébert, University of Calgary, Calgary, Canada
Ms. Genevieve Currie, University of Calgary, Calgary, Canada
Ms. Dercia Materula, University of Calgary, Calgary, Canada
Dr. Jennifer Zwicker, University of Calgary, Calgary, Canada
NA-CC-B4 - Children's Health, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: Care coordination is a systematic approach that helps families access medical, social, developmental, educational and financial services. The Alberta Children’s Hospital is the first in Canada to adopt care coordination for families of children/youth on the autism spectrum and/or with attention deficit hyperactivity disorder, and medical complexity (NDD-MC). Since COVID-19, understanding family perspectives on the impact of care coordination on service access and quality of life, particularly pre- and post-pandemic, were paramount. Research question: What are parents’ perspectives of care coordination impact on NDD-MC family service access and quality of life, pre- and during the COVID pandemic? Design: A cross-sectional semi-structured qualitative descriptive study was conducted to understand perspectives of caregivers of children/youth with NDD-MC about care coordination. Sample: Using maximum variation sampling, 19 English-speaking or non-English-speaking caregivers, enrolled in care coordination in Calgary, Alberta, for four to 12 months, were recruited. Data collection and analysis: Data from audio-recorded phone interviews were transcribed. Qualitative content analysis served to qualify and quantify data. Results: While COVID-19 had overwhelmingly deleterious effects on NDD-MC family quality of life, pre- and during the pandemic care coordination was revealed as beneficial in advocating for one’s family, feeling less alone, being on the same page with medical/school personnel, and connecting with new NDD-MC support.
Keywords: Children, neurodevelopmental disorders, medical complexity, care coordination
NA-CC-E1.3 - Opportunities and Challenges in Mental Health Service Provision for Newcomer Young Men in Canada
Dr. Carla Hilario, University of Alberta, Edmonton, Canada
Mia Tulli, University of Alberta, Edmonton, Canada
NA-CC-E1 - Mental Health 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: This study explored the perspectives of service providers and program managers on the mental health and mental health care needs of newcomer immigrant and refugee young men in Canada. Research Question: What do service providers consider as priority mental health care needs for newcomer young men?What are the challenges and opportunities in addressing these needs? Design: A qualitative descriptive approach and the framework of intersectionality informed the research design. Sample: Service providers and program managers were recruited through resettlement agencies and the community networks of the research team. A total of 26 participants took part in four focus groups and seven individual interviews conducted in Calgary, Edmonton, and Vancouver. Data collection and analysis: Data was collected through verbatim transcription of audiotaped in-person focus groups and interviews. NVIVO 12 software was used to organize the data. A thematic analysis approach informed the data analysis. Results: Challenges and opportunities were identified related to service coordination, the capacity of the resettlement sector to address mental health needs, particularly trauma, the need to address mental illness stigma as it intersects with gender, and systemic inequities affecting newcomers. These challenges and opportunities can be characterized by a central theme of providing care through systems.
NA-CC-E1.2 - Factors That Help and Factors That Hinder Military Member's Use of Mental Health Care Services
Dr. Monica Hinton, National Defence, Batawa, Canada
NA-CC-E1 - Mental Health 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: Depression is the most common mental health diagnosis for Canadian Armed Forces (CAF) members which surpasses general Canadian population frequency. Despite the availability of services that exceeds services at the disposal of Canadian civilians, military members are not accessing the plethora of available supports. This applied participatory action dissertation research aimed to explore the experiences of CAF members accessing mental health care, with a specific focus on the facilitators to this care. Research question: What supports CAF members to access military mental health services? Design: Applied participatory action research. Sample: Inquiry team co-researchers (3 regular force CAF members and 4 mental health clinicians) and participants in 7 focus groups from the army, navy and air force in British Columbia, Alberta, and Ontario. Data collection/analysis: The inquiry team and primary researcher generated nine open-ended, semi-structured focus group questions. Focus group sessions ranged from 60 to 90 minutes, depending on participation by contributors. Audio-recorded focus group data were transcribed verbatim by the principal investigator. Results: Twelve categories identified were grouped into seven themes. These were then collapsed into four themes: “those people”/client identity, “old-school CAF”/culture of mental health stigma, loss of purpose or belongingness, and facilitators to care.
NA-CC-D4.3 - The Lived Experience of Women with Multiple Sclerosis in Southwestern Ontario
Mrs. Jennifer Howard, Faculty Of Nursing Memorial University of Newfoundland, St. John’s, Canada
Dr. Yolanda Babenko-Mould
Dr. Kimberley Jackson
Dr. Tracy Smith-Carrier
NA-CC-D4 - Experience of Health and Ilness 2, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: Multiple sclerosis (MS) is a neurological disease that may lead to physical disability and cognitive impairment. There are over 90, 0000 people with MS in Canada and women represent approximately 75% of this population. How women living with MS experience health and well-being in Canada remains underrepresented in current scholarly literature. Research question: What are the lived experiences of health in the context of physical, social, and mental well-being for women living with MS in Southwestern Ontario? Design: A hermeneutic study design was employed to elicit understanding for the lived experience of women with MS within a Canadian context. Sample: 23 women with MS living in Southwestern Ontario, Canada were recruited for this study. Data collection and analysis: Data was collected through audio-recorded, semi-structured interviews, and analyzed using van Manen’s interpretive phenomenological analysis process. Results OR methodological developments/insights: Findings from this study highlight aspects that promote the physical, mental, and social well-being for women with MS. Participants who reported being healthy while living with MS had the ability to employ personal agency autonomously to manage their health and well-being. Barriers to experiencing overall health included limited personal agency within social structures from a sociological perspective, i.e. limited personal finances.
NA-CC-F1.1 - Pharmacist Prescribing in Nova Scotia: A Qualitative Analysis of Self-Perceived Barriers
Dr. Jennifer Isenor, Dalhousie University, Halifax, Canada
Ms. Julia Kontak, Dalhousie University, Halifax, Canada
Dr. Andrea Bishop, Dalhousie University, Halifax, Canada
Dr. Natalie Kennie-Kaulbach, Dalhousie University, Halifax, Canada
NA-CC-F1 - Professional Practice 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: Pharmacist scope of practice in Nova Scotia (NS) has expanded over the last decade to include assessing and prescribing for a number of categories, including minor ailments and renewals. However, pharmacist uptake of prescribing activities continues to be variable. Research question: What are pharmacists’ self-perceived barriers to engaging in prescribing activities? Design: A self-administered electronic questionnaire based on the Theoretical Domains Framework version 2 (TDFv2) was sent to direct patient care pharmacists in NS. The questionnaire included three open-ended questions that further explored self-perceived barriers to prescribing. Sample: A total of 190 pharmacists responded to the questionnaire (17% response rate). Data collection and analysis: Deductive content analysis using the TDFv2 was completed independently by two team members. Inductive content analysis was then used to identify emerging themes within each domain. Results: A total of 100 respondents answered at least one of the open-ended questions. The most commonly cited barriers were in the Environmental Context and Resources, Reinforcement, and Social Influences domains. These included lacks of reimbursement, patient cost for prescriptions, lack of staff, integrating prescribing into workflow, unclear processes/requirements, and beliefs about capability. These important insights may be useful to inform strategies that support prescribing in NS.
NA-CC-E3.3 - A Method for Madness: Using Arts, Activism, and Community-Based Research to Express Lived Experience of Mental Health
Ms. Cindy Jiang, York University, Toronto, Canada
Dr. Simon Adam, York University, Toronto, Canada
Dr. Marina Morrow, York University, Toronto, Canada
Dr. Megan Davies, York University, Toronto, Canada
NA-CC-E3 - Mental Health 3, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Racialization impacts mental health. Art can be used as a healing strategy, promote wellbeing, and solicit lived experience. Research question: What are the lived mental health experiences of self-identified mad and racialized artists and how can they be solicited using the arts as a methodological vehicle? Design: Modelled after artist residency programs, this community-based design is arts-based, activist, and embedded in online communities across Canada. Using hashtags, self-identified racialized, mad artists, aged 18 – 30, were recruited outside the use of health service providers, providing insight into mental health regardless of a diagnosis. Sample: 15 people. Data collection and analysis: The data consisted of three virtual interviews with artists, examining how their creation of art has influenced their mental health. The multiple interview intervals provide insight into the reflexivity of the artist and their experience of mental health and healing during their art creation. Using the multimedia available (audio, visual, art), the analysis aims to highlight emergent themes experienced among racialized mad artists. Methodological Insights: Social media communities provide access to survivors who may not engage with biomedical systems. The use of art allows researchers to better understand experiences of mental health among racialized populations that would otherwise not be accessible by way of interviews
Keywords: Mental health, community based research, madness, racialization, art
NA-CC-F3.2 - Mapping Out the Messiness: Reflections on a Novel Application of Constructivist Grounded Theory with Intersectionality
Mrs. Shahin Kassam, University Of Victoria, Canada
Dr. Lenora Marcellus, University Of Victoria, Canada
NA-CC-F3 - Methodology 1, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: In this presentation, we share our experiences and insights of applying intersectionality as an analytic tool with constructivist grounded theory (CGT) to describe processes used by public health nurses (PHNs) in their work with mothering refugee women. Research question: What are the processes used by PHNs when working with mothering refugee women? Design: We drew on seminal works of Patricia Hill Collins and Kimberlé Crenshaw to extend the boundaries of CGT and evolve intersectionality toward generating knowledge that captures embedded and overlapping structural influencers. Sample: Twelve PHNs were recruited and interviewed using three methods: initial, snowball and theoretical sampling. Data collection and analysis: Concurrent data collection and analysis included iterative CGT methods such as coding, constant comparison, memoing, and reflexivity. Adoption of intersectional thinking and attentiveness to power differentials were among the analytical approaches used. Results: From this study emerged a basic social process: Creating safe relational space. Intersectionality influenced the CGT process through exposing sociopolitical and economic structural forces shaping the interplay of care provision interactions. Participant experiences were analyzed for interactions involving social locations including gender, culture, race and migration. These interactions were further scrutinized for structural impingement thereby magnifying sociopolitical priorities shaping PHN practice.
NA-CC-C4.1 - Within and beyond School Walls: Exploring the Impact of APPLE Schools on the School and Broader Community Environments
Danielle Klassen, University of Alberta, Edmonton, Canada
Dr. Kate Storey, University of Alberta, Edmonton, Canada
Dr. Kim Raine, University of Alberta, Edmonton, Canada
Jenn Flynn, APPLE Schools, Edmonton, Canada
NA-CC-C4 - Education 2, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: School-based health promotion efforts have increasingly used the evidence-based comprehensive school health (CSH) approach which recognizes the interconnected domains of the school, home, and community environments. However, there is limited research on the context of the health promoting environments that CSH addresses both within and outside the school. Research question: This study explored the impact of a CSH intervention, APPLE Schools, on the school and community environments from the perspectives of school staff. Design: This qualitative study used an instrumental, multiple case study and focused ethnography methods. Sample: Five schools in northern Alberta were purposively selected and 22 individuals were interviewed. Data collection and analysis: A walking interviewing approach (i.e., ‘go-alongs’) was used to observe the school setting and capture participant interpretations simultaneously. Go-alongs were conducted in each school and were supplemented by field notes and photographs. Interviews were audio-recorded and transcribed verbatim. Data was analyzed using an inductive, thematic approach. Results: Four main themes were identified: 1) APPLE schools look different, 2) APPLE Schools build champions, 3) APPLE Schools builds community partnerships, and 4) APPLE Schools honours community culture. It was found that the impact of APPLE Schools spread within and beyond school walls.
NA-CC-C1.3 - My Collaboration with Youth from Immigrant and Refugee Backgrounds in a Photovoice Project
Dr. Gina Ko, City University In Canada, Calgary Campus, Calgary, Canada
NA-CC-C1 - Vulnerable Populations 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: I share the journey and findings of my doctoral research titled, “The Experiences of Youth from Immigrant and Refugee Backgrounds in a Social Justice Leadership Program: A Participatory Action Research Photovoice Project.” Research Questions: 1) How does participation in a social justice leadership club impact youth from immigrant and refugee backgrounds? 2) How does their participation in a social justice leadership club impact the school and community? Design: This project incorporated photovoice where youth took pictures of their social justice leadership experiences. They presented their stories to powerholders (school professionals, educational leaders, and parents). In photovoice, participants come together as a group to share their photographs, choose those which best relay an intended message, and co-construct meaning behind the photos (Wang & Burris, 1997). Sample: Six minoritized female youth in high school. Data collection and analysis: Focus groups and semi-structured interviews. Results: The themes pertain to the importance of identity and belonging, advocating for social justice, mental health awareness, and the aspirational stance to dream. The overarching themes include resiliency, self-efficacy, and empowerment; troubling Islamophobia; and reshaping the narratives of the school and community despite pressures to conform to the dominant culture.
NA-CC-A4.1 - Becoming Multicultural Japan? Lives of Migrant Families, Children, and Community Engagement
Dr. Kazuyo Kubo, Lesley University, Cambridge, United States
NA-CC-A4 - Vulnerable Populations 3, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: The foreign migrant population in Japan has become a driving force of the country’s globalized economy. While an uptick in ventures that foster inclusivity has materialized, Japanese public discourse, on the whole, regards foreign migrants as outsiders. This research examines how social boundaries evolve, challenge, and in many instances, are brokered by social actors, including members of host and migrants themselves. Research Questions: 1) In which way do foreign migrants experience social boundaries while living in Japan? and 2) Which new challenges have emerged subsequent to the COVID-19 outbreak for foreign migrants? Design: This research employs participant observations of community based-activities and semi-structural interviews. Sample: Twenty-four interviewees are selected using purposive and convenience sampling methods. The sample consists of foreign migrants, members of a non-profit organization, elementary school teachers, and a staff member of a catholic church. Data collection and Analysis: The preliminary results suggest that migrants in Japan are subjected to virulent othering practices that isolate them, particularly in the age of Covid-19 where the pandemic crisis fortifies existent lines of demarcation in times of crisis. Results or Methodological Insights: A consideration needs to be made in regards to examining interview accounts when a researcher does not share an interviewee’s first language.
NA-CC-B2.2 - Multimodal Ethnography in Researching with Culturally Diverse Transnational Carers in Ontario, Canada
MPH. Alexxis Kydd, Kings University College, London, Canada
MPH. Jessica Cooper, Kings University College, London, Canada
Dr. Bharati Sethi, Kings University College, London, Canada
Dr. Allison Williams, McMaster University, Hamilton, Canada
NA-CC-B2 - Health Professional Education 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Transnational Carer-Employees (TCEs) are immigrant or Indigenous populations who reside and work in Canada while providing care to adult loved ones elsewhere or in another country/province. Research Question: This study aims to outline the experiences of immigrant and Indigenous TCEs in Ontario, Canada amidst the COVID-19 pandemic. Sample: Using purposive and snowball sampling, 44 adult participants were included who reside in Ontario, Canada and identify as TCEs. Participants originated from thirteen diverse countries. Data Collection and Analysis. Using community-based methods and arts-based ethnography, there was a strong focus on building connection and relationship. Participants were asked to participate in conversational style interviews and submit an art piece representing their caregiving experiences. Indigenous participants were offered medicine bundles prior to the interview as a culturally responsive way to establish trust and connection. Thematic analysis was then used to analyze the interviews and artwork. Results: While non-traditional, the emphasis on expression through art and conversation/storytelling enabled participants to feel comfortable sharing their stories and allowed for a deeper, kinesthetic understanding of their experiences. When doing research with culturally diverse populations, employing multimodal ethnographic approaches to establish relationship and connection are vitally important wise-practices and result in better quality data.
NA-CC-F3.1 - A Lifetime of Embracing Nature: Researching a Life Devoted to Living in and Serving Nature
Richard West, University of Northern Colorado, United States of America
Asst. Prof. Randy Larkins, University of Northern Colorado, United States of America
NA-CC-F3 - Methodology 1, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Qualitative research methods are often new for graduate students steeped in quantitative methodologies, eliciting anxiety in many students. However, when provided the freedom and safety to express their research findings in creative ways, the experience can lead to results that honors the participant and becomes alive to the readers. Research Questions: 1) What led the participant to acquire a zeal for volunteering in the natural habitat? 2) In what form would the participant like to have her work remembered? Design: A narrative process was used, in which the participant told stories of her life, traveling to particular cases of restoration to highlight her belief in the beauty of nature. Sample: A single participant who has spent a lifetime serving as a volunteer to restore and rejuvenate battered landscapes. Data collection and analysis: Interviews were conducted at outdoor sites, at home and through the internet. Analysis resulted in five themes, presented as poetry. Results: The researcher presented the participant’s stories in a format that he had never previously attempted, resulting in a profound experience to the student, instructor and participant. This example illustrates possible alternatives to traditional publishing.
NA-CC-B4.2 - Living with ADHD: Qualitative Findings on the Experiences of Families with Children with ADHD
Ms. Stacy Lu, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States
Dr. Brenda Leung, University of Lethbridge, Lethbridge, Canada
NA-CC-B4 - Children's Health, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: Little is known about the lived experiences and decision-making processes of families with children with ADHD. This qualitative study aimed to capture their voices in advocating for treatment options and policy changes. Research question: What is the lived experience of families with children with ADHD? How do their experiences shape priorities and preferences for treatment? Design: Descriptive phenomenology captured the perceptions and lived experiences of parents/caregivers. This approach informed data collection and analysis. Sample: Twenty-two parents of children ages 6-12 with ADHD were interviewed in Lethbridge, Alberta, Canada (n = 7); Portland, Oregon, US (n = 8); and Columbus, Ohio, US (n = 7). Data collection and analysis: Semi-structured interviews were conducted from January 2019-March 2020. Recordings were transcribed verbatim, verified, and double-coded by two researchers at each site. Thematic analysis was independently performed by two researchers and consensus was reached for final themes through discussion. Results: Three primary themes emerged: 1) diverse and complex lived experiences of families with children with ADHD; 2) systemic inadequacies to support families’ needs across different sectors; 3) target areas to diversify access and treatment options. The findings from this study may inform changes to healthcare services and policies that will improve supports for families with children with ADHD.
NA-CC-D3.3 - Women's Experiences of Their First Pelvic Exam: Arts-Informed Narrative Inquiry
Ms. Emma MacGregor, Ryerson University, Toronto, Canada
Dr. Jasna Schwind, Ryerson University, Toronto, Canada
Dr. Louela Manankil-Rankin
Dr. Lori Schindel Martin, Ryerson University, Toronto, Canada
NA-CC-D3 - Experience of Health and Illness 1, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Canadian women usually have their first pelvic exam by the age of twenty-one, and then every three years until older adulthood. Reviewed literature demonstrates that women's first pelvic exam experience is a turning point in their healthcare trajectory. Yet, no research was found that addresses these experiences as told by women in their own words. Research question: How do women experience their first pelvic exam? Design: Arts-Informed Narrative Inquiry, stories augmented through creative self-expression and metaphor reflection. Sample: Three cis-gendered women under the age of 25. Data collection and analysis: In two-hour narrative interviews, co-participants were invited to tell and draw the stories of their first pelvic exam experience. Audio-recordings were manually transcribed and stories of experience crafted. Upon confirmation, stories and metaphor reflections were analyzed using the Narrative Inquiry three-dimensional space of experience theoretical framework, from a Critical Feminist perspective. Results OR methodological developments/insights: From their accounts, two narrative patterns emerged: trust and voice. The analysis reveals that women's first pelvic exam experience informs their understanding of how healthcare providers, who are in positions of power, view their personhood and dignity. These experiences indeed go on to inform women’s future healthcare interactions, as well as their other social encounters.
NA-CC-A3.3 - Experience of Patients with COPD of Pharmacist Provided Care
Dr. Tatiana Makhinova, University Of Alberta, Edmonton, Canada
Omowumi Idowu, University Of Alberta, Edmonton, Canada
Dr. Maira Quintanilha, Quali Q Inc.: Qualitative Research Mentoring & Consulting, Edmonton, Canada
Dr. Theresa Schindel, University Of Alberta, Edmonton, Canada
NA-CC-A3 - COVID-19 3, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Pharmacists are well positioned to provide services which may help reducing the burden of Chronic Obstructive Pulmonary Disease (COPD). There is a need to better understand patients’ unique experiences of pharmacists’ provided care. Research question: What are the perceptions and experiences of patients living with COPD with pharmacist provided care? Design: The semi-structured interviews were guided by qualitative description. Sample: Twelve participants were recruited from various health settings, including community pharmacies. Data collection and analysis: Data were collected through digital audio recording of the interviews and were analyzed using qualitative content analysis, including data familiarization, generation of initial codes, searching, review and naming of codes, and reporting. Results: We identified categories that revealed variation in participants’ experience of pharmacist provided care based on the depth of patient-pharmacist engagement. Patients who regarded their pharmacist as an essential member of their healthcare team, and those who did not, had contrasting experiences with education, communication, and ability to form connections with their pharmacists. For patients with COPD, it was important that the pharmacist is proactive in engaging with patients through effective communication, provision of relevant information, identification of patient needs, and consistent provision of care with empathy.
NA-CC-D4.2 - The Use of Vignettes to Improve the Validity of Qualitative Interviews for Realist Evaluation
Mrs. Elisabeth Martin, Université de Sherbrooke, Longueuil, Canada
Dr. Dave Bergeron, Université du Québec à Rimouski, Rimouski, Canada
Mrs. Isabelle Gaboury, Université de Sherbrooke, Longueuil, Canada
NA-CC-D4 - Experience of Health and Ilness 2, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: Although the realist evaluation (RE) requires multiple data collection methods, qualitative interviews are the most valuable. The guiding principles of RE suggest presenting the theory to the interviewees. Then interviewees confirm, falsify, or improve the theory according to their perceptions. This technique could reduce the emergence of new Context-Mechanism-Outcome (C-M-O) chains by evoking underlying mechanisms. Research question: This paper draws on the literature and the vignettes' ability to explore perceptions about specific situations and to propose a new method for conducting semi-structured interviews in the RE context. Design: Vignettes are developed based on researchers' knowledge about the setting to reflect the system-level reality. Sample: N/A. Data collection and analysis: The vignettes are updated through an iterative process as the data collection progresses, and the researcher's knowledge increases. The interviews focus on specific situations illustrated in the vignette to capture the subtle variations among actor's perceptions and constrain them to use retroduction to identify the hidden underlying mechanisms that link context element to its outcome using their rationale. Results: This method allows researchers to focus on C-M-O chains' elements without evoking mechanisms. The use of vignettes to guide interviews in RE can improve participant contribution, reduce bias, and improve findings validity.
NA-CC-E4.3 - Navigating Milk Cartons: When Quality Improvement Efforts Interfere with Provider Efforts to Care for Veterans Experiencing Homelessness during COVID-19
Dr. Matthew McCoy, Department Of Veterans Affairs Greater Los Angeles, Los Angeles, United States
Dr. Ippolytos Kalofonos, UCLA/VA Center of Excellence on Veteran Resilience and Recovery, Los Angeles, United States
Dr. Sonya Gabrielian, UCLA/VA Center of Excellence on Veteran Resilience and Recovery, Los Angeles, United States
Dr. Lisa Altman, UCLA/VA Center of Excellence on Veteran Resilience and Recovery, Los Angeles, United States
NA-CC-E4 - Experiences of Health and Illness 3, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: To mitigate risk for COVID-19 among Veterans experiencing homelessness (VEHs), the VA Greater Los Angeles created the Care, Treatment, and Rehabilitation Service (CTRS), an outdoor transitional housing program on VA grounds that provides a protected environment (“safe camping”). The CTRS effort is complemented by a quality improvement (QI) project designed to identify features of the environment and care processes that can be strengthened using QI techniques. Research question: How do QI efforts interplay with usual care processes in a dynamic, challenging care environment? Design: Ethnographic methods to understand how the encampment meets the needs of VEHs and providers. Sample: CTRS clients and providers. Data collection and analysis: Semi-structured interviews with CTRS clients (n = 19) and providers (n = 7) and 150 hours of participant-observation. We used rapid qualitative analysis to characterize impacts of QI efforts. Results: Our QI team recommended a seemingly simple intervention in response to Veteran input: make milk available to residents. This recommendation, made to the food services manager, misfired because our team neglected to incorporate providers’ input. Instead of improving quality, the milk “intervention” created extra duress among already burned-out providers, who had to cope with lack of refrigeration, expired cartons, and a host of other logistic problems.
NA-CC-A1.1 - A Framework on Patient Roles on Interprofessional Teams in Primary Care: The Patient and Healthcare Provider Perspectives
Dr. Kateryna Metersky, Western University, London, Canada
Dr. Carole Orchard, Western University, London, Canada
NA-CC-A1 - COVID-19 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: Interprofessional teams (IPTs) have been depicted as enhancing patient health outcomes and care satisfaction. However, there is little evidence on how to integrate patients as partners in these teams to support full intent of IPT care. Research Questions: 1) What are patients’ perspectives of roles they can enact within IPTs and how do these relate to HCPs’ perspectives? 2) What processes can patients use to gain ‘voice’ around their care? 3) What conditions within patients’ relationships with HCPs allow for these processes to occur? Design: A constructivist grounded theory (Charmaz, 2006) was carried out to explore participants’ perceptions of patient roles on IPTs. Sample: Ten patients and 10 healthcare providers recruited from two family health teams in London, Canada. Data Collection and Analysis: A total of 20 interviews and 2 follow-up meetings were conducted. Transcripts were analyzed using constant comparative method to generate the framework’s theoretical concepts. Results: Two patient roles were identified: (1) (co) decision- maker; and (2) self- manager. Along with these, four processes and three conditions required for patients to take on these roles will be presented. This study can provide an understanding of what is needed by IPTs to transform practice towards patient inclusion.
NA-CC-A4.2 - Co-designing a Co-design Hub: Creating System Change in Health and Social Services with Structurally Vulnerable Populations
Dr. Samantha Micsinszki, School of Rehabilitation Science, McMaster University, Hamilton, Canada, CanChild Centre for Childhood Disability Research, Hamilton, Canada, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada
Dr. Michelle Phoenix, School of Rehabilitation Science, McMaster University, Hamilton, Canada, CanChild Centre for Childhood Disability Research, Hamilton, Canada, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada
Emma Bruce, School of Rehabilitation Science, McMaster University, Hamilton, Canada
Dr. Sandra Moll, School of Rehabilitation Science, McMaster University, Hamilton, Canada
NA-CC-A4 - Vulnerable Populations 3, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: Co-design is an approach to engaging stakeholders in health and social system change that is rapidly gaining traction, yet there are also questions about the extent to which there is meaningful engagement of structurally vulnerable communities and whether co-design leads to lasting system change. Research question: How can an interdisciplinary co-design hub advance capacity for meaningful, effective co-design with structurally vulnerable communities? Design: A developmental evaluation approach, informed by experience-based co-design methodology was used to co-produce a theory of change. Sample: A purposive sample of 12 community stakeholders (e.g., service-users, caregivers, frontline service providers, leaders/policy makers) were recruited who had experience participating in a health or social service co-design project. Data collection & analysis: Two online visioning events were conducted to co-develop the goals, priorities, and objectives of the Hub. In addition, documents related to Hub activities (e.g., meeting minutes, feedback forms) were used to augment analysis of activities and outcomes. Qualitative data were analyzed using a thematic content analysis approach. Results: A theory of change framework was co-developed that outlines a future vision, priority foci, and short, medium, and long-term goals related to stakeholder engagement, education and capacity building, and inspiring and supporting innovation.
NA-CC-C1.1 - Bodies in Evidence: Contribution of Body-Map Storytelling in Research with Vulnerable Populations
Mrs. Ana Luísa Coelho Moreira, Institute of Psychology, University of Brasília; Brasília, Distrito Federal, Brazil.
Professor Maria Inês Conceição
NA-CC-C1 - Vulnerable Populations 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: The body-map storytelling is a methodology increasingly used in qualitative research. However, this research field encounters barriers - in addition to the hegemony of the positivist tradition-, among which the urgency to improve the quality of qualitative studies and the need to develop creative strategies that respond to the needs of a historical audience stand out. Research Question: How studies on body maps respond to gaps related to the production of knowledge, with regard to the people stigmatized and made vulnerable by the context. Design: a synthesis based on qualitative evidence on the application of the body map in research with vulnerable populations. Sample: a total of 4,050 peer-reviewed articles on the subject of body mapping and vulnerable population. Data collection and analysis: a literature review using meta-synthesis to synthesize, interpret and analyze results of qualitative evidence from research on body-map storytelling with vulnerable populations. Results: The synthesis of the qualitative evidence was organized into three categories of analysis: 1) creative innovation; 2) therapeutic potential; 3) emancipatory methodology. It is concluded that the tool is in line with the emancipatory and critical paradigm, and dialogue with clinical and community psychology.
NA-CC-C3.3 - Epistemologies of Ignorance: Activating Transformative and Socially-Just Educational Leaders
Dr. K. Kayon Morgan, University Of Hartford, Middletown, United States
Dr. T. Lee Morgan, University Of Hartford, Middletown, United States
NA-CC-C3 - Education 1, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: This article explores how educational expertise maintains hegemonic systems of power and privilege. The authors utilize Fricker (2007) theory of epistemic injustice to show how minoritized students and families are harmed and further marginalized when advocating for schools to fully implement the promise of public education. Research Question: The authors explore the research question of “What are the lived experiences of families advocating for children needing differentiated learning?” Design: The design is a longitudinal auto/narrative study (Gajek, 2014) occurring over three years. Sample: The authors analyzed the experience of one family navigating the educational system as an archetype of how minoritized families suffer from the tangible consequences of testimonial injustice and hermeneutical injustice. Data Collection and analysis: The data was collected through daily life methods (Silvia & Cotter, 2021), document analysis, and observations. Results: The results of the study illuminate numerous discrete transactions at the individual and institutional level and the cumulative effect of codifying systemic oppression as experienced by people of color. Our paper indicates the need for educational leaders to become transformative and socially-just as they challenge the status quo in the quest toward supporting students and families.
NA-CC-C2.1 - An Exploratory Intrinsic Case Study of Food Insecurity Events in Positive Youth Development Organizations
Dr. Rebecca Mott, University Of Missouri, Columbia, United States
Mr. Tanner Adkins
NA-CC-C2 - Vulnerable Populations 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: In 2018, approximately 11% of U.S. households experienced food insecurity (USDA ERS, 2019). Children in youth development organizations often participate in events that attempt to alleviate food insecurity. However, we do not understand the roles youth are playing in planning and operationalizing meal packing events and food drives. Research question: This study aims to answer the question, "What are 4-H and FFA youths' experiences with meal packing events and food drives?" Design: Using a qualitative intrinsic case study design, we conducted focus group interviews, observations, and document analysis. Hart's Ladder of Participation (1992) served as a conceptual framework. Sample: Our criterion-based sample included Missouri 4-H and FFA youth between the ages of 8 and 18. Data collection and analysis: We adapted the constant comparative method of data analysis (Glaser & Strauss, 1967), relying on our conceptual framework during the data analysis process. This allowed us to see the social process of youth participation at work. Results OR methodological developments/insights: Themes identified include: a).Experiencing adultism; and b). Receiving recognition. This research provides insight to youth organization leaders, who must support the growth and development of youth in their organizations as they help address food insecurity in their communities.
NA-CC-A1.2 - COVID-19 Pandemic Mental Health Challenges: Patients and Providers
Dr. Carole Myers, University Of Tennessee, Knoxville, United States
Ms. Lauren Munoz
Ms Tracey Stansberry
Dr. Mavis Schorn
NA-CC-A1 - COVID-19 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: Interviews with 15 Tennessee Advanced Practice Registered Nurses (APRNs) early in the pandemic revealed a major theme unrelated to the primary study purpose. Research questions: Primary research questions centered on barriers to practice, the impact of a pandemic-related emergency suspension of certain APRN practice restrictions, and pandemic-related practice effects. Without direct prompts, 13 out of 15 interviewees mentioned mental health issues among patients and14 of the 15 interviewees discussed provider mental health problems. Design: Mental health challenges were examined via a secondary analysis of interview transcripts using conventional content analysis. Sample: 15 interviewees. Data collection and analysis: Tennessee respondents to the National APRN Practice and Pandemic Survey were eligible to volunteer for interviews, which entailed semi-structured questions. Fourteen nurse practitioners with various certifications and one certified nurse midwife comprised the state-wide sample. Thirteen were female. Practice experience ranged from three months to 25 years. Eight were doctorate-prepared or studying toward a doctorate. Results: Researchers identified three themes from the secondary analysis of mental health challenges: fear and uncertainties; burned-out, overworked, and isolated; and suicidality and substance use. These findings have important implications for APRN practice, policy, and pedagogy.
NA-CC-E2.3 - Validating, Empowering and Healing: Piloting Digital Stories of Endometriosis and Painful Sex
Ms. Heather Noga, University Of British Columbia, Vancouver, Canada
Dr. Fuchsia Howard, University Of British Columbia, Vancouver, Canada
Ms Kiran Parmar, University Of British Columbia, Vancouver, Canada
Endometriosis Patient Research Advisory Board, University Of British Columbia, Vancouver, Canada
NA-CC-E2 - Mental Health 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Digital storytelling can be used to create compelling narratives that foster insights into people’s experiences. Endometriosis affects ∼1-in-10 females, 50% of whom experience painful sex that impairs their quality of life. Traditional research has failed to capture endometriosis experiences in validating empowering ways. We sought to pilot digital storytelling to understand how it could fill this gap and be undertaken on a wider scale. Research question: i) How do people with endometriosis and painful sex describe their experience of co-creating digital stories? ii) Would storytellers be willing to share their stories? Design: Using a patient-oriented approach, story experts and patients co-developed digital stories in 6 virtual sessions, the process of which was examined via Interpretive Description. Sample: 6 women with endometriosis. Data collection/analysis: Observations, journal and focus group data were analysed using constant comparative techniques. Results: Participants described the co-creation process as complex and emotional. While challenges discussing painful sex arose, this was a unique healing opportunity that provided a strong sense of validation and connection wherein storytellers felt empowered to share their stories. Digital storytelling is a potential therapeutic intervention and advocacy tool that conveys deeply personal messages about sensitive and often stigmatized topics, such as painful sex.
NA-CC-C3.1 - Transitioning from Teacher to Vice-Principal in International Schools in China: An Interpretive Phenomenological Analysis
Dr. Tye Norbraten, Central Okanagan Schools District, Kelowna, Canada,
Dr. Vanaja Nethi, Nova Southeastern University, Fort Lauderdale, United States of America
NA-CC-C3 - Education 1, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: This study gave voice to vice-principals who transitioned from teacher to school administrator. There were very few studies in the literature that explored their lived experiences as they navigated this transition, especially in the international school context. Research question: The following research questions were addressed: 1. How do vice-principals in international schools in China make sense of their experiences as they transition from teacher to administrator? 2. How do vice-principals in international schools in China describe the challenges related to their new role? 3. How do vice-principals in international schools in China describe the preparation, support, and resources related to their new role? Design: This qualitative study was conducted using the interpretive phenomenological analysis methodology. Sample: The study consisted of six participants who were working at international schools in China. Data collection and analysis: Data collection was conducted through individual audio interviews using a semi-structured interview protocol. All of the interviews were conducted via Zoom. Results: The data analysis revealed five emergent themes: (a) relationships matter, (b) vice-principals cannot do it on their own, (c) navigating challenges, (d) moving forward with a growth mindset, and (e) the importance of previous experience.
NA-CC-D2.2 - Relational Care and Communication Challenges in Long-Term Care: A Meta-Ethnography
Ms. Christine Novy, University of Ottawa, Carleton University, Canada
Dr. Roanne Thomas, University of Ottawa, Carleton University, Canada
Dr. Wendy Gifford, University of Ottawa, Carleton University, Canada
Dr. Pamela Grassau
NA-CC-D2 - Health Services 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Relationships are central to healthcare and older adults value reciprocity within those relationships. However, few studies examine care as a relational process in long-term care (LTC); still fewer describe the participation of residents experiencing communication difficulties. Research Question: Guided by Tronto’s (1993) definition of care as a bidirectional process, our objective was to develop a qualitative understanding of relational dementia care in LTC. Design: Our team used Noblit and Hare’s (1988) meta-ethnography approach to synthesizing qualitative research. Sample: Our search and selection process resulted in six eligible articles. Each documents a qualitative study focused on resident-staff interactions during everyday care activities in LTC and includes participants with dementia. Data collection and analysis: We conducted a reciprocal translation to explore points of similarity across the six studies. Results: Five common concepts were identified: (a) doing with vs doing for, (b) staff responsiveness, (c) resident agency, (d) inclusive communication, and (e) time. In our new configuration of relational care, we combine these concepts to delineate an ‘interactive space’ in which the agency of residents and initiative of staff are equally visible.
NA-CC-E4.1 - Exploring Shared Decision-Making and Informed Choice for Screening Mammography between Albertan Women and Family Physicians: A Qualitative Study
Ms. Sara Orenstein, Department of Community Health Sciences, University of Calgary, Calgary, Canada
Dr. James Dickinson, Department of Family Medicine, University of Calgary, Calgary, Canada
Dr. Lara Nixon, Department of Family Medicine, University of Calgary, Calgary, Canada
Dr. Martina Kelly, Department of Family Medicine, University of Calgary, Calgary, Canada
NA-CC-E4 - Experiences of Health and Illness 3, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: Mammography screening programs for breast cancer lead to risks such as overdiagnosis. In Alberta, the risks of mammography are glossed over in patient information provided by the provincial screening program. For health decisions such as screening, shared decision-making (SDM) helps promote informed choice. Currently, SDM is under-utilized and little work has been conducted to examine SDM in screening mammography from the perspectives of the patients and their physicians. Research question: Among Albertan family physicians and women of recommended screening age, what understanding do they have of the benefits and harms of mammograms, and how does communicating this current knowledge affect screening decisions? Design: Given the exploratory nature of the study, a qualitative study design is being used. Sample: Convenience and purposive sampling were used to recruit (a) family physicians and (b) women between 50- 59 years of age from Calgary community clinics. Data collection and analysis: Semi-structured interviews, which will be analyzed thematically in NVivo 12, complemented by researcher reflexivity. Results: This study’s findings will describe how mammogram screening decisions are made by women and their doctors. Findings will identify barriers and facilitators to shared decision-making and make recommendations to support women making informed choices about having screening mammograms.
NA-CC-B2.1 - Dental Student Perspectives of Multiple-Case-Based Learning: A Qualitative Description Study
Dr. Arnaldo Perez, School of Dentistry, Faculty of Medicine & Dentistry, University of Alberta, Alberta, Canada
Miss Madison Howey, School of Dentistry, Faculty of Medicine & Dentistry, University of Alberta, Alberta, Canada
Mrs. Jacqueline Green, School of Dentistry, Faculty of Medicine & Dentistry, University of Alberta, Alberta, Canada
Dr. Seema Ganatra, School of Dentistry, Faculty of Medicine & Dentistry, University of Alberta, Alberta, Canada
NA-CC-B2 - Health Professional Education 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Case-based learning is used in health professions education to improve clinical learning. Little is known about how best to use multiple cases in cased-based learning (M-CBL). Research question: Our study explored dental student views of M-CBL seminars in an oral pathology course delivered in the School of Dentistry at the University of Alberta. Design: Qualitative description informed the study design. Sample: Twenty-one third- and fourth-year dental students participated in the study. Data collection an analysis: Data were collected through semi-structured, individual interviews. Manifest, inductive thematic analysis was employed to analyze the data. Results: Interrelated themes were identified at approach and case levels. Approach-level themes included preparing students for clinical dental practice and board examinations and maximizing exposure (e.g., to oral lesions/conditions), knowledge application, and engagement. Case-level themes included using challenging but manageable cases, linking cases to lectures, ensuring that cases were authentic and common with non-typical presentations, and proving the necessary clinical information to solve the cases. Aspects of developed themes included definitions of case characteristics, benefits, conditions of implementation, and recommendations for improvement. Cases should be considered individually, collectively, and purposefully in M-CBL. Learning outcome evaluations are needed to assess the effectiveness of case characteristics and approaches in M-CBL.
NA-CC-F4.1 - Appnography: A Method for Studying Geo-Social Networking Apps
Dr. Jonathan Petrychyn, University Of Waterloo, Waterloo, Canada
Luc S. Couisneau, University Of Waterloo, Waterloo, Canada
Dr. Corey W. Johnson, University Of Waterloo, Waterloo, Canada
Dr. Diana C. Parry, University Of Waterloo, Waterloo, Canada
NA-CC-F4 - Methodology 2, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: Dating practices have evolved with the introduction of automobiles, birth control, telephones, answering machines, and the Internet. The most recent of these innovations is geospatial networking applications (GSNAs), which use mobile phones and satellites to create location-based communication. In so doing, GSNAs highlight how identity, sexual practices, public space, quality of life, and technology are all intertwined. Research question: What new methodologies do we need to account for the complexity of GSNAs and their effects on dating? Design: We conducted an initial study to understand the effects of GSNA use on dating. Following these interviews, we developed a more nuanced methodology specific to the study of GSNAs, which we called appnography. Sample: 45 narrative-based interviews with users and 7 research team members who worked on our previous study. Data collection and analysis: We conducted narrative based interviews and used deductive analysis to explore the rewards and challenges of doing research on GSNAs. Results: Studies of GSNAs need consider three intersecting frameworks: app design; user perspectives on digital/physical representation; and researcher familiarity with the apps. Understanding these elements allows “appnographers” to give appropriate attention to technological affordances, as well as the people, presence, and space that contextualize its use.
NA-CC-F1.3 - Knowledge, Attitudes, Practices of Perinatal Care Providers in Canada about Vaccination
Dr. Wendy Pringle, University Of British Columbia, Vancouver, Canada,
Dr. Devon Greyson, University of Massachusetts Amherst, Amherst, USA
Dr. Hana Mitchell, University Of British Columbia, Vancouver, Canada,
Dr. Julie Bettinger, University Of British Columbia, Vancouver, Canada,
NA-CC-F1 - Professional Practice 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: A recommendation to vaccinate from a perinatal health care provider (HCP) is a key factor in both prenatal and infant vaccine decision making, but survey research has documented HCP hesitancy to make strong vaccination recommendations. Further qualitative exploration is required to understand the factors influencing recommendations. Research question: What factors influence the vaccine recommendations and practices of perinatal HCPs in Canada? Design: Directed qualitative content analysis (Hsieh & Shannon, 2005) of semi-structured interviews. Sample: 44 perinatal health care providers (13 family physicians, 12 midwives, 10 obstetricians and 9 nurses) from 5 provinces. Data collection and analysis: Interviews conducted in English or French from June 2018-July 2019 explored clinical discipline, setting, workplace discussions, and other social context factors related to HCP practices regarding prenatal and infant vaccination. A deductive codebook was applied to transcripts, followed by further inductive analysis. Results: Participants gathered information about vaccination from diverse sources. Attitudes were shaped by care philosophy and experiences with hesitant patients. Some faced logistical constraints such as time and practice characteristics. Those with a broad scope of care and less vaccine expertise were less likely to make a strong recommendation, and may therefore require supplementary education and support in addressing patient concerns.
NA-CC-C2.3 - Uplifting the Voices of Sexual and Gender Minority Youth: A Qualitative Case Study at the Intersection of the Justice and Education Systems
Ms. Emily Pynoo, University Of Alberta, Edmonton, Canada
NA-CC-C2 - Vulnerable Populations 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Sexual and gender minority (SGM) youth face higher rates of discrimination, comprehensive health challenges, and negative social repercussions than their heterosexual or cisgender peers. Consequently, they are more likely to engage in substance use; ideate about, attempt, or die by suicide; drop out of high school; and/or be involved with the justice system. SGM youth are also less likely than their peers to be raised in supportive home environments. Therefore, it is critical to examine how support from non-familial adults can promote positive wellbeing for SGM youth. This is an increasingly researched topic, however, due to the historical mistreatment of SGMs by law enforcement, police officers, including those working as school resource officers (SROs), are not often included in this research. Research Question: How do SGM youth perceive their interactions with SROs? Design: This study employed a qualitative case study design. Sample: Participants were recruited from two high schools; two SROs and three youth participated. Data collection and analysis: Interviews were audio recorded, transcribed, and analyzed for emerging themes. Resilience theorizing was used to develop the final coding scheme. Results: SGM youth shared negative perceptions of police in general, and positive perceptions of the SROs they worked with.
NA-CC-D2.3 - Service-User Engagement in Mental Health Policy: A Qualitative Descriptive Study among Adults Aged 50 Years and Over
Ms. Ashmita Rai, The University of British Columbia, Okanagan, Canada
Dr. Nelly Oelke, The University of British Columbia, Okanagan, Canada
Dr. Laura Struik, The University of British Columbia, Okanagan, Canada
Mr. Dennis Jasper, The University of British Columbia, Okanagan, Canada
NA-CC-D2 - Health Services 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Service-user engagement has become an important aspect of mental health policy. Although various mental health organizations support the engagement of adults aged 50 years and over in policy, evidence of its implementation is rarely seen in practice. Research question: What are the experiences of mental health service-users aged 50 years and over in policy development, implementation, and evaluation in British Columbia? Design: Qualitative descriptive methodology was used to gain rich descriptions. Sample: Purposive sampling with maximum variation was used to recruit participants including patients, family members, and caregivers. Data collection and analysis: Semi-structured interviews were conducted and major themes were identified using thematic analysis. Results: Most participants in this study were never asked for input or feedback to improve mental health services both at individual/clinical and policy levels. The importance of service-user engagement and how service-users wanted to be engaged in mental health policy were highlighted. Barriers and facilitators to engagement such as lack of opportunities, adequate information and training, change in policy, bureaucracy, and tokenism were also identified. The findings are a critical step towards enhancing service-user engagement in mental health policy and improving mental health services such that they are reflective of co-creation with diverse populations.
NA-CC-D3.2 - How People Process Their Cancer Experiences through Mindfulness-Based Expressive Arts: A Grounded Theory and an Art Exhibit
Dr. Kendra Rieger, School of Nursing, Trinity Western University, Langley, Canada
Dr. Thomas Hack, College of Nursing, University of Manitoba, Winnipeg, Canada
Ms. Miriam Duff, CancerCare Manitoba, Winnipeg, Canada
Dr. Christina West, College of Nursing, University of Manitoba, Winnipeg, Canada
NA-CC-D3 - Experience of Health and Illness 1, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Upon receiving a cancer diagnosis, life irrevocably changes, and complex experiences of emotional distress often occur. There is a growing interest in mindfulness-based expressive arts for promoting patients’ well-being. Research Question: How do patients with cancer experience, utilize, and draw meaning from a mindfulness-based expressive arts group? Design: We used a constructivist grounded theory research methodology. To share our work, we are developing an art exhibit that displays photographs of the participants’ artwork alongside our findings. Sample: Participants’ (N = 34) with experiences of CancerCare Manitoba’s Expressive Arts Group. Data Collection and Analysis: Data were collected through semi-structured interviews and art elicitation and analyzed with constructivist grounded theory methods. Results: Our findings revealed how participants experienced a meaningful yet challenging process of restoration within this group. Mindfulness practices enabled participants to let go of their ruminations and calm their minds so they could fully engage in expressive arts activities and then express hidden emotions and difficult experiences in new ways. The group facilitated several unique meaning-making processes. In this presentation, we will share our findings alongside the participants’ artwork. Attendees will see the power of the arts for processing difficult experiences and for sharing new knowledge.
NA-CC-D2.1 - Continuing the Dance: A Constructivist Grounded Theory of Understanding Transitions of Rural Couples with Parkinson's Disease
Dr. Tanis Robinson, Medicine Hat College, Medicine Hat, Canada
Dr. Lorraine Venturato
NA-CC-D2 - Health Services 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Rurality is a complicating dimension for couples living with Parkinson’s disease and accessing healthcare services needed for disease management. Little is known about the experience of rural couples living with Parkinson’s disease and transitions and adaptations experienced to manage the trajectory of this debilitating disease as a couple. Research question: How do couples living with Parkinson’s disease in rural areas experience and adapt to illness, transition to role changes, and sustain their health? Design: Constructivist grounded theory methodology guided this study and strategies consistent with constructivist grounded theory methods were used to analyze data. Sample: A total of 11 participants, five couples and one additional participant that lived in rural southern Alberta, in which one spouse was diagnosed with Parkinson’s disease were recruited for this study. Data collection: In person open-ended intensive joint interviews and one single intensive interview were conducted with participants. Results: The core category of ‘negotiating the dance’ is supported by three categories, 'choreographing the dance', ‘dancing together’ and ‘adagio – changing the tempo'. The main concern for participants was learning how to negotiate adaptations and transitions together, as a couple. In this way, couples were continuing the dance they began together many years ago.
NA-CC-D4.1 - Older Adults’ Perceptions of the Impact of Physical Activity after Participating in a Resistance Training Randomized Control Trial
Dr. Lisa Royse, University Of Missouri, Columbia, United States
Dr. Breanne Baker, University Of Missouri, Columbia, United States
Dr. Stephen Ball, University Of Missouri, Columbia, United States
Dr. Dana Duren, University Of Missouri, Columbia, United States
NA-CC-D4 - Experience of Health and Ilness 2, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: Physical activity is critical for older adults’ physical and mental health. Resistance training programs can combat age-related physiological vulnerabilities and improve psychological well-being. This study explored older adults’ perceptions of the impact of physical activity after participating in a randomized control trial (RCT) investigating effectiveness of an eight-week resistance training program in previously inactive individuals. Research purpose: The purpose was to explore participants’ perceptions about the impact of their group assignment (resistance training, walking, or inactive control) on changes in psychological well-being, pain, sleep, and fear of falling. Design: The sequential qualitative study was guided by an interpretivist approach that strives to understand the world from individuals’ subjective experiences. Sample: Fifteen RCT participants—five from each group—were selected for individual interviews. Data collection and analysis: Two researchers conducted a collaborative content analysis of interview transcripts using an inductive category development approach. Results: Most participants assigned to an exercise group perceived improvements in their psychological well-being, pain, sleep, and fear of falling. Some participants in the control group perceived improvements in psychological well-being. All participants reported increased intrinsic motivations to begin or maintain physical activity in their daily life. Findings suggest that older adults can realize improved well-being and self-efficacy after participating in eight weeks of group physical activity.
NA-CC-E3.2 - Identifying Equitable Technological Solutions for Rural Health Using Concept Mapping as a Tool for Community Engagement
Dr. Cherisse Seaton, University of British Columbia, Kelowna, Canada
Dr Kathy Rush, University of British Columbia, Kelowna, Canada
Dr Eric Li, University of British Columbia, Kelowna, Canada
Mr Pierre Rondier, University of British Columbia, Kelowna, Canada
NA-CC-E3 - Mental Health 3, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Technology holds potential for promoting inclusive health/social care for rural populations; yet more participatory research is needed to gather community-driven health technology solutions. Research question: What are feasible technological solutions to support the health and well-being of people living with chronic illness in rural communities in British Columbia? Design: Concept mapping, a mixed-methods approach that includes both qualitative and quantitative data, was used to surface and synthesize technological solutions from community stakeholders. Sample: Overall, 34 rural community stakeholders participated in this concept mapping process. Data collection and analysis: In Step 1, 84 ideas were generated that were reduced to a pool of 30 ideas. In Step 2, 16 participants sorted the 30 ideas into different groups, then rated the importance/feasibility of each idea. Multi-dimensional scaling resulted in a map with 6 clusters incorporating 27 ideas. In Step 3, a 2-hour (recorded and transcribed) virtual session, 10 participants named the clusters and discussed higher-order dimensions within the map. Results: The grouping of solutions revealed that technological applications require not only access, but also support and collaboration. Concept mapping is a tool that can engage rural community stakeholders in the co-creation of technological solutions for rural health equity.
NA-CC-A2.2 - Patient and Caregiver Perspectives during COVID-19: Qualitative Findings from a Learning Health System Evaluation
Ms. Mari Somerville, Dalhousie University, Halifax, Canada
Dr Janet Curran, Dalhousie University, Halifax, Canada, IWK Health Centre, Halifax, Canada
Ms Karen Turner, IWK Health Centre, Halifax, Canada
Mr Daniel Crowther, Dalhousie University, Halifax, Canada
NA-CC-A2 - COVID-19 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: The COVID-19 pandemic forced rapid restructuring of health systems. Changes to healthcare delivery directly impacted patients and caregivers, yet it is unclear to what extent. Research question: How did COVID-19 response measures implemented in a hospital setting in the Maritimes impact patient/caregiver healthcare experiences? Design: A narrative research approach, as part of a larger mixed methods study. Sample: Twenty-one patients or caregivers who received care at the Health Centre between March and August 2020. Data collection and analysis: Semi-structured interviews, informed by the theoretical domains framework, were conducted virtually between March and August 2020. Interviews were transcribed verbatim and imported into NVivo12 software. Content analysis was conducted and common themes and sub-themes identified. Participants confirmed the final list of themes. Results: Five identified themes revealed barriers and enablers in response to pandemic response measures: i) threat of the pandemic; ii) beliefs about agency and advocacy; iii) alignment of the response with evidence and patient and family-centred care; iv) consequences of the measures on care; v) trust in the organization. The findings highlight gaps in meeting patient/caregiver needs during the COVID-19 pandemic response. Decision-makers need to include patients/caregivers in future pandemic response planning.
NA-CC-B3.1 - Co-creating a Collective Wisdom Bundle: From Virtual Storytelling to Land-Based and Spirit-Based Meaning Making
Ms. Natalie St Denis, University Of Calgary, Calgary, Canada
Dr. Christine Walsh, University Of Calgary, Calgary, Canada
NA-CC-B3 - Indigenous Focus, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: The prevalence of child sexual abuse (CSA) within Indigenous communities in Canada is directly tied to the legacy of residential schools where children were forcibly removed from their homes and subjected to extreme violence. Indigenous women survivors of CSA do not have access to therapies that address their complex trauma embedded within centuries of gendered colonial violence. Research Question: This study explored Indigenous healing pathways by asking: What are the teachings and ceremonies that traditionally supported sexual health and good family relations? Design: Indigenous storytelling guided the gathering of stories and meaning making process, which were done virtually due to the pandemic. Sample: Twelve women Elders and Grandmothers within the Algonquian First Nations were invited to share survivance stories and teachings. Data collection and analysis: To connect to the spirit of stories, I turned to Mother Earth and her spirit helpers for guidance. A number of plant beings invited me into conversation as they had something to teach me, and I came to understand the parallels of gathering plants and gathering stories as medicines. Results: This presentation will share land-based and spirit-based methodologies in co-creating the collective wisdom bundle as healing pathways for Indigenous women survivors of CSA.
NA-CC-B3.2 - TQ2021 Indigenous Youth Sexual Health Abstract
Ms. Brittiany Sunshine, University Of Calgary, Calgary, Canada
Ms. Natalie St-Denis, University Of Calgary, Calgary, Canada
Ms. Olivia Cullen, University Of Calgary, Calgary, Canada
Dr. Christine A. Walsh, University Of Calgary, Calgary, Canada
NA-CC-B3 - Indigenous Focus, July 5, 2021, 3:00 PM - 4:00 PM
Introduction: Indigenous youth experience higher rates of teenage pregnancies, sexually transmitted diseases, and suicide compared to non-Indigenous youth in Canada. Research question: This study investigated the critical gap in sexual health programming for urban Indigenous youth across gender and sexual diversity. Design: After receiving ethics approval and following cultural protocols, we used a Youth Participatory Action Research (YPAR) methodology to recruit six Indigenous youth as co-researchers ensuring that youth voices and experiences were central throughout the research project. Co-researchers were trained online via Zoom in YPAR and storytelling methodologies. Sample: Using Indigenous storytelling protocols, youth co-researchers obtained consent and engaged in conversation with 3 Indigenous Elders and 5 Indigenous service providers. Data collection and analysis: Questions asked were: 1) What programs exist and are needed to support sexual health, identity and belonging for urban Indigenous youth?; and 2) What culturally safe strategies should be employed when inviting urban Indigenous youth into conversations about sexual health? Conversations were audio-recorded, transcribed and reviewed by participants for approval. The co-researchers participated in the meaning making of conversations using Indigenous storytelling methodology. Results OR methodological developments/insights: This study outlines Indigenous YPAR using storytelling methodologies and highlights key considerations for sexual health programming and culturally safe strategies for recruiting and interviewing urban Indigenous youth to explore their programming needs.
NA-CC-B1.2 - PheSnomenology: The Experiences of Student Peer Mentors in Psychiatric Nursing Education
Asst. Prof. Andrea Thomson,
Asst. Prof. Nadine Smith, Brandon University, Brandon, Canada
Asst. Prof. Dana Naismith, Brandon University, Brandon, Canada
NA-CC-B1 - Health Professional Education 1, July 5, 2021, 9:00 AM - 10:00 AM
Introduction: Peer mentorship programs have been associated with positive outcomes such as improved communication skills and enhanced academic performance. However, there was a lack of literature available regarding peer mentorship programs within psychiatric nursing education. Research question: What are the lived experiences mentors in an undergraduate psychiatric nursing peer mentorship program. Design: Hermeneutic phenomenology as outlined by van Manen was used to gain insight into the lived experience of undergraduate psychiatric nursing students acting as mentors in a peer mentorship program. A research assistant was hired to engaged in recruitment, data collection and member check. Sample: Nine undergraduate psychiatric nursing student peer mentor participants were interviewed by a research assistant. Data collection and analysis: Semi structured interviews took place (approximately 45 minutes in length). Data was analyzed for themes using van Manen’s method of phenomenology. All three researchers engaged in thematic analyses separately and then compared findings. Themes were determined when consensus was reached. Results: The mentors valued their involvement in the mentorship program, however, reported a need for improved guidelines to clarify roles of the mentee and mentor. Improved guidelines may reduce the risk of boundary crossings within the mentee/mentor relationship.
NA-CC-F2.1 - Phenomenology: Psychiatric Nurses Use of Awareness in Acute Care Settings
Asst. Prof. Andrea Thomson, Brandon University, Brandon, Canada
NA-CC-F2 - Professional Practice 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Psychiatric nurses are central to mental health care, yet little research has been available to demonstrate the knowledge and therapeutic interventions offered by these health care professionals particularly in acute care settings. Acute care psychiatric nurses have a level of responsibility for every person residing on the unit, which contributes to the need to nurse the population on the unit as a whole. Research question: What are the lived experiences of psychiatric nurses providing care in acute care mental health settings? Design: Phenomenology. Sample: Six registered psychiatric nurses. Data collection and analysis: Psychiatric nurses were interviewed to understand their experiences in providing nursing interventions to adult clients in acute care settings. Data was analyzed from meaningful themes as outlined by van Manen’s method of phenomenology. Results: The participants discussed using awareness of the self, client, and environment as important factors in providing person-centered interventions. Awareness of the environment, also termed situation awareness, was a strategy used to care for the entire mental health unit, or milieu. The concept of situation awareness has been poorly defined in mental health nursing. Implications for practice and education will be discussed.
NA-CC-B4.1 - Experiences of Teen Parents in a Supportive Housing Program: A Journey through the Photovoice Method
Dr. Melissa Tremblay, University Of Alberta, Edmonton, Canada
Miss Alex Carlson, Terra Centre for Teen Parents, Edmonton, Canada
Dr. Bethan Kingsley, University Of Alberta, Edmonton, Canada
Mrs. Karen Mottershead, Terra Centre for Teen Parents, Edmonton, Canada
NA-CC-B4 - Children's Health, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: Given the unique experiences involved in teen parenting, specialized supports can help teen families reach their full potential. Research question: Using a community-based participatory approach, partners from the University of Alberta, Terra Centre for Teen Parents, and Brentwood Community Development Group explored, from the perspectives of teen parents involved in a supportive housing program, the following research question: what helps teen parents raise their children in healthy ways? Design: To address our research question, we used the photovoice method. Sample: Twenty-two teen parents participated in two six-month rounds of photovoice. Data collection and analysis: Participants took photos in response to the research question, and came together for bi-weekly group discussions to talk about their photos. Data collection and thematic analysis took place concurrently. Results: Findings highlight that teen families have complex needs and strengths requiring relationship-based, trauma-informed supports, non-judgmental staff who respect their independence, supportive landlords, and safe communities to raise their children without stigma and judgment. Findings also emphasize the need for responsive structures, policies, and programs for teen families rather than focusing exclusively on preventing teen pregnancy. Through this presentation, we will share experiences with using photovoice to capture and mobilize knowledge regarding wit this diverse population.
NA-CC-E2.1 - “I’m Not the Only One”: Methodological Insights from Interactive Group Interviews with Young, Divorced Women
Ms. Bronwen Valtchanov, University Of Waterloo, Waterloo, Canada
Dr. Diana Parry, University Of Waterloo, Waterloo, Canada
NA-CC-E2 - Mental Health 2, July 5, 2021, 10:00 AM - 11:00 AM
Introduction: Marriage remains one of the most important social institutions organizing individuals’ lives. When marriage ends in divorce, there is a profound personal and social disruption. This research sought to illuminate the lived experiences of this disruption for young women, without children, experiencing divorce within distinct sociocultural influences. Research Question: The research explored what gendered ideologies young, divorced women experience; and how these ideologies are reproduced, negotiated, and resisted. Design: Using a narrative inquiry methodology, reflexive, dyadic interviews, and interactive, small group interviews were conducted. Sample: There were twelve divorced women in their 20s and 30s, without children, who participated. Data collection and analysis: A total of nineteen interviews comprising over forty hours of audio data were transcribed and analyzed using inductive and thematic analysis. Results: Methodological insights emerged from the interactive, small group interviews, wherein women felt empowered in recognizing they were not alone; envisioning different possibilities through others’ experiences; and enacting consciousness-raising that disrupted the cultural narratives of young women’s divorce as a source of alienation and shame, to instead assert their resilience and transformation.
NA-CC-F4.3 - Using Embeddedness to Determine Linkages between Creative Activity, Local Governance and Cultural Sustainability
Ms. Jill Yuzwa, University Of Waterloo, Vancouver Island, Canada
NA-CC-F4 - Methodology 2, July 5, 2021, 4:00 PM - 5:00 PM
Introduction: The arts and creative work in a community may be fostered by local governance policy which manifests differently from the metropolitan to the rural context. Under-explored is the identification of creative economy ideas, popular in urban contexts, which may transition to the rural community.Research Question: What are the linkages between culture-led initiatives, creative industry initiatives, local governance and rural cultural sustainability?Design: Planning as a discipline tends to align itself with aggregated data. To illuminate distinctions in the rural landscape, in this case the Gulf Islands of British Columbia, Canada, I utilized ethnography and interpretive phenomenology.Sample: Twenty semi-structured interviews with four community groups, attendance at local governance meetings and cultural events over 36 months. Data Collection and Analysis: Archival examination of First Nations petroglyphs and primary document analysis.Results: Findings revealed a disconnect between the stakeholders involved in creative activity and their understanding of local governance. Differences across dimensions: tensions around development objectives; a range in resident demography and attitudes; how the creative sector perceives the local land use governance model and a commitment to the environment. There is a need for local governance policies to address and be based on what is, rather than aspirations.
Posters
NA-PO-A1.02 - Patients and healthcare providers views on the barriers and facilitators of a patient portal implementation and adoption – A qualitative comparative case study
Dr. Melita Avdagovska, University Of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Giving patients access to their health information is a provincial and national goal. With this shift, patient portals have become more prevalent. Research question: What factors impact the uptake of patient portals? Design: Qualitative comparative case study. Sample: 27 patients, 21 providers, 4 nonmedical staff, and 4 clinic managers from 5 clinics. Data collection and analysis: A study was conducted to determine the feasibility, acceptability, and initial perceptions of portal users in Alberta and identify ways to increase uptake. Semistructured interviews were conducted. A thematic analysis used to analyze the data. Results: Some theoretical constructs, such as intention to use, perceived value, the similarity of the technology, and patient needs, were similar to findings published by other research teams. We identified some new factors associated with uptake, including satisfaction or dissatisfaction with the current status quo, performance expectancy, facilitating conditions, behavioural intentions, and use behaviour. All these factors impacted the level of uptake and created different opportunities for end-users. Based on the results, we posit that a shared understanding of the technology among patients, clinicians, and managers, along with dissatisfaction with nonportal-based communications, is foundational and must be addressed for patient portals to support improvements in care.
NA-PO-A1.05 - Getting Artsy!: Arts-based Research with Families Affected by Childhood Illness
Dr. Jill Bally, University of Saskatchewan, College of Nursing, Saskatoon, Canada
Dr. Meridith Burles, University of Saskatchewan, College of Nursing, Saskatoon, Canada
Dr. Shelley Spurr, University of Saskatchewan, College of Nursing, Saskatoon, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: There has been growing popularity of qualitative and mixed methods research that incorporates artistic practices into data collection processes to gain insight into subjective experiences through different forms of expression. In addition, such methods are believed to enhance the participatory nature of research, particularly when participants determine which artistic practices are used to share their perspectives. Research question: What are the experiences of children with serious childhood illnesses and their families of creating art for communicative and coping purposes? Design: This pilot study adopted a qualitative methodology and longitudinal design to generate insight into lived experiences of childhood illness and the potential of arts-based research methods. Sample: Four children with serious childhood illness and their parents participated in the study. Data collection and analysis: Data generation involved a combination of arts-based methods and two in-depth interviews with each family. Results: This presentation will examine the research process and methodological and practical considerations for using arts-based methods for research about childhood illness. Our aim is to outline the development and implementation of flexible research processes in which participants selected art activities of their preference, rather than having one pre-defined option, along with how this was navigated during the study.
NA-PO-A1.14 - Navigating Arts-Based Artefacts: Exploring Children's Drawings and Letters in an Intergenerational Pen Pals Project
Dr. Shelley E. Canning, University Of the Fraser Valley, Abbotsford, Canada
Ms. Elise St-Martin
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Systemic and negative impacts of ageism highlight the need for intergenerational connections and early education regarding older adults and people living with dementia. We partnered school children with community living seniors in a "pen pals" project. The intergenerational pen pals exchanged a series of letters; in addition, the children received introductory education regarding ageing and dementia as part of their classroom activities. Research Question: What are the attitudes and beliefs held by children regarding ageing and dementia? How does receiving education and participating in pen pals project impact these understandings? Design: Interpretive Description. Sample: Interpretive Description. Data collection and analysis: Iterative inductive analysis explored the data for themes. Children’s data consisted of arts-based artefacts (i.e., drawings of an old person and a person living with dementia) and letters written to their senior pen pals. Results: Drawings provided insights into the children's knowledge and understanding of ageing (e.g., old people with canes and medications) and expressions of emotions (e.g. smiling faces and sunshine vs scowling figures dressed in black). Thus, graphic elicitations provided a language transcending the children's current literacy skills and allowing for expressions of creativity and imagination exposing important stereotypes.
NA-PO-A1.16 - Transition to Practice: Finding Our Methodological Way without Losing Ourselves
Dr. Kathryn Chachula, Faculty of Health Studies, Brandon University, Brandon, Manitoba, Canada
Ms. Nadine Smith, Faculty of Health Studies, Brandon University, Brandon, Manitoba, Canada
Ms. Debra Dusome, Faculty of Health Studies, Brandon University, Brandon, Manitoba, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: According to the Transition Shock theory, new Registered Nurses (RNs) face formidable obstacles within their first year of practice, however, little is known about the experience of new Registered Psychiatric Nurses (RPNs) indicating a gap in the research. Research Question: The researchers reflected on what grounded theory methodological insights can be gleaned in a sample of new RNs and RPNs during a global pandemic using arts-elicitation methods? Design: Charmaz constructivist grounded theory methodology was utilized to explore the first-year transition period of RPNs and RNs. Three arts-based workshops were planned at four, eight, and 12-months post-graduation using innovative, in-person and distance arts-elicitation methods during the novel coronavirus pandemic. Sample: New RPNs and RNs in the province of Manitoba, Canada participated in the study. Data collection and analysis: Arts-based activities, reflective writing, interview and focus group data were generated and analyzed using the constant comparative method for each workshop drawing on the arts creations, discussion, and narrative reflective writing pieces generated by participants. Results: Through co-creation of knowledge using Charmaz’s grounded theory methodology, participants selected the major issues and themes throughout their first year of transition with guided researcher facilitation.
NA-PO-A1.17 - Becoming a Narrative Inquirer: The Journey of Learning, Unlearning and Relearning the Research Methodology
Ms. Emma Chen, University of Saskatchewan
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: This paper is written in a personal and storied way, showing my journey as a Ph.D. student engaging in narrative inquiry, a research methodology grounded in a Deweyan theory of experience. I make visible the puzzles, wonders, and uncertainties I encountered as a beginner. Research Question: What are the challenges and achievements during my journey of learning the narrative inquiry methodology? Design: I tell, unpack, and retell my stories of gaining a comprehensive understanding of the methodology, unlearning the dominant ways of research and writing, and relearning this relational method in the context of the immigrant community. Sample: The autobiographical narratives of my learning process. Data collection and analysis: Field texts, including personal journals, social media posts, course papers and essays, and recollection of memories were collected and analyzed during the inquiry. Results: I aim to illustrate the transformative process of thinking narratively through the participants’ and the researcher's stories. Such a process highlights the conscious interactions between personal, social, institutional, and cultural environments. By showing my ongoing process of becoming a narrative inquirer, I hope to contribute to future methodological implications the significance of positioning oneself and building relationships throughout the narrative inquiry.
NA-PO-A1.19 - Life Is a Highway: Getting a Driver’s License in Foster Care in the United States
Dr. Jen Collins, Texas Tech University Health Sciences Center School of Nursing - Lubbock, TX, Austin, United States
Dr. Laura Thomas, Texas Tech University Health Sciences Center School of Nursing - Lubbock, TX, Austin, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Achieving developmental milestones such as getting a driver’s licenses supports individuals in foster care to meet employment and education goals and avoid homelessness and poverty; however, few youth in foster care achieve this outcome. Research question: What is the experience of attempting or acquiring a driver’s license by young adults with foster care experience? Design: The investigators drew on van Manen’s (2014) Phenomenology of Practice to interview a purposive sample of young adults with lived expertise of foster care. Sample: The investigators interviewed 9 young adults between 18 and 30 years of age. Data collection and analysis: Lived experience descriptions (LEDs) were extracted from the interview transcripts and reflections created to explore the phenomenon of getting a driver’s license. Results: The results showed that in some cases events, like their baby having an emergency, pushed them to begin the process of getting a driver’s license. Some put their lives at risk to learn how to drive because they lacked other options. Many experienced endless hoops to jump through as if preparing a case for court. Getting a license takes time, planning, effort and coordination, often an unseen and invisible barrier for those in foster care.
NA-PO-A1.25 - Exploring the Shared Meaning of Social Inclusion to Children with and without Disabilities
Dr. Brydne Edwards, VHA Home Healthcare, Erin, Canada
Dr. Deb Cameron
Dr. Gillian King
Dr. Amy McPherson
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: In the childhood disability literature, the perspectives of children with and without disabilities on social inclusion are rarely explored. Understanding children's perspectives are important to ensure that environments intended to promote inclusion support outcomes that are most meaningful to children. Research question: What are the meaningful aspects of social inclusion from the perspective of children with and without disabilities in the same inclusive recreation program? Design: This study adopted a generic qualitative methodological approach, drawing on the interpretive paradigm and subjectivist epistemology. Sample: Seventeen children with and without disabilities between the ages of eight and 18 participated in this study. Nine participants did not an identified impairment. Eight participants had an identified intellectual, developmental and/or physical impairments, which varied from mild to severe. Data collection and analysis: Two semi-structured interviews were conducted with each participant and were analyzed using inductive thematic analysis. Results: Three key dimensions of social inclusion were identified. First, the contextual dimension was characterized by freedom to choose activities and receiving equal attention from staff. Second, the intrapersonal dimension included psychological safety and group fellowship. Finally, the interpersonal dimension included having positive authentic interactions and giving/receiving help. These findings can promote inclusive experiences for all children.
NA-PO-As1.26 - The Potential Impact of Experiencing Social Inclusion in Recreation for Children with and without Disabilities: A Qualitative Study
Dr. Brydne Edwards, VHA Home Healthcare, Erin, Canada
Dr. Deb Cameron
Dr. Gillian King
Dr. Amy McPherson
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Inclusive recreation can have community and individual level impacts for children with and without disabilities. However, studies that explore the impact of such programs on children’s attitudes are mixed. Research question: What is the impact of an inclusive recreation program from the from the perspectives of children with and without disabilities? Design: Drawing the interpretive paradigm and subjectivist epistemology, this study adopted a generic qualitative methodology. Sample: Seventeen children between the age of eight and seventeen enrolled in the same inclusive recreation program participated. Eight participants had a disability and nine participants did not have a disability (CWODs). Data collection and analysis: Each participant was interviewed twice. Once during their enrolment in the program and once after they finished the program. Inductive thematic analysis was used to analyze the interviews. Results: This study revealed five themes: a) CWODs have limited exposure to people with disabilities; b) CWODs and CWDs’ hopes of change; c) CWODs learned how to interact with people with disabilities; d) CWODs reported greater perceived similarity between themselves and CWDs, and; e) CWODs become more comfortable with being around people with disabilities. This study helps broaden understandings of how inclusive experiences impact children with and without disabilities.
NA-PO-A1.32 - Considering Shifts in Parenting after the 8-Week Circle of Security® Parenting™ Program
Mrs. Lisa Gray, University of Alberta, Edmonton, Canada, Athabasca University, Athabasca, Canada
Dr. Gwen Rempel, Athabasca University, Athabasca, Canada
Dr. Karen Cook, Athabasca University, Athabasca, Canada
Dr. Gina Wong, Athabasca University, Athabasca, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The Circle of Security® Parenting™ (COS-P) program focuses on attachment and the parent-child relationship rather than on a traditional behaviour management parenting approach. Research question: How do parents describe shifts or no shifts in their parenting after completing COS-P? Design: Qualitative descriptive study with semi-structured parent interviews after COS-P. Sample: 9 parents. Data collection and analysis: Shifts in parenting happen by enhancing parent reflective functioning and relational capacities through an eight-week interactional program. Results: Gaining greater awareness was key to the parents’ descriptions of shifts in their parenting related to their COS-P participation. Empathy or “being with” their child was central to the parents’ experience of COS-P. Learning how to identify and organize their child’s feelings was articulated by many as a shift in their parenting. Some parents still attributed some of their child’s behaviour to their child’s temperament rather than a means of communicating their needs. Many of the parents described being more reflective; more able to step back and manage their own emotions to then be more able to be with their child and their emotions. Most parents acknowledged that they were on a “different path” with their child and their parenting after their COS-P participation.
NA-PO-A1.38 - Can the Diverse Needs of Family and Friend Caregivers of Older Adults with Dementia Be Supporte by Trained Volunteer Navigators?: A Modified E-delphi Method
Miss Madison Huggins, University of British Columbia, Vancouver, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: A literature review examining the needs of family and friend caregivers of older adults with dementia, and interventions to support them was conducted. Information from this review and consultation with an advisory board consisting of family and friend caregivers was used to inform the development of a modified e-delphi questionnaire. Research question: What are the needs of family and friend caregivers of older adults with dementia, and how can a trained volunteer navigator meet those needs? Design: A modified e-delphi questionnaire administered in 3 rounds. A final round will consist of a facilitated, asynchronous discussion board in which final consensus can be achieved. Sample: These questionnaires will be administered to an expert panel consisting of family and friend caregivers, and those with experience in dementia, volunteerism and navigation. Data collection and analysis: Each round of questionnaires will provide qualitative data that will be analyzed to reach consensus regarding caregivers' needs, and the knowledge, skills and abilities a volunteer requires to meet them. Feedback will be used to develop a curriculum to train volunteer navigators to support caregivers. Methodological insights: It is essential to carefully select an expert panel, analyze qualitative responses methodically, and quantify consensus consistently.
NA-PO-A1.39 - To What Extent Emotion, Cognition and Behaviour Enhance a Student’s Engagement - A Case Study on the M.a.j.A. Teaching Approach
Dr. Matt Husain, UBC Okanagan, Kelowna, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: This article problematises student engagement in today’s higher education system. The objective is to stimulate a student’s behavioural, emotional and cognitive engagement. Research Question: Two interrelated inquiries vis-à-vis classroom culture in neoliberal academy: a)Iis it okay for a committed professor to find their students paying more attention to Facebook, Snapchat, Instagram and Reddit than the class lecture? b) Can we do anything to make our classroom more interactive with conversation and discussion? Design: An inclusive, inductive and reflexive approach using mixed methods. Sample: 948 participants. Data collection and analysis: Conducted by myself. Results: a. Playing soft or lively music for a few minutes before a class as well as contextualizing and delivering course content combined with enrolled students’ background, hobbies and preferences can go a long way in stimulating emotional and cognitive engagements. b. Offering chair yoga during mid-term and/or final exam periods as well as encouraging students to hydrate can lead to increasing behavioural adjustments, attention and engagement. c. When students tangibly sense a connection between a safe and comfortable class environment and to a course content, their participation increases and absenteeism decreases. d. Also, promote student aspirations and accountability that facilitate critical thinking, an imperative learning outcome.
NA-PO-A1.42 - ‘Challenging Perspectives’: Understanding Healthcare Providers’ Views on Managing Alcohol Use Disorder in Patients with Cirrhosis
Miss Emily Johnson, University Of Alberta, Edmonton, Canada
Dr Ashley Hyde, University Of Alberta, Edmonton, Canada
Dr. Vijay Daniels, University Of Alberta, Edmonton, Canada
Dr. Monty Ghosh, University Of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Alcohol is a leading cause for liver cirrhosis and liver transplantation. Recent clinical practice guidelines have expanded recommendations beyond treatment of alcohol-related liver complications to emphasize the management of alcohol use disorder (AUD). Despite this, many clinicians are uncomfortable screening for and initiating AUD therapy. Cirrhosis Care Alberta (CCAB) is a 4-year multi-component trial that aims to reduce acute care utilization by implementing a standardized order set and education materials across Alberta. Part of this project focuses on managing AUD in this patient population. Research question: What is the experience of clinicians when managing AUD in patients with cirrhosis, including prescribing anti-relapse medications? Design: We used a descriptive approach with semi-structured interviews to explore the perspectives of clinicians from across Alberta. Sample: We used a sample of convenience of clinicians who are members of the CCAB project. Data collection and analysis: A total of 14 clinicians were purposively recruited based on geographic location and specialty. Following an inductive approach, we coded transcripts, grouping them into larger categories and themes. Results: Our preliminarily results identified five major themes: (i) resource challenges, (ii) competing scopes of care among clinicians, (iii) patient preferences, (iv) urban versus rural differences, and (v) knowledge limitations.
NA-PO-A1.47 - Re-Thinking ‘Centredness’ in Patient and Family Centred Care in Acute Care Settings
Ms. Harkeert Judge, University Of Alberta, Faculty Of Nursing, Edmonton, Canada
Dr. Christine Ceci, University Of Alberta, Faculty Of Nursing, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Over the last two decades significant efforts have been made to implement patient and family ‘centred’ care as both a practical and moral imperative for adult acute care delivery. Although many centring care theories and resources have been developed and adopted by institutions, research suggests persistent significant and diverse barriers to implementing and achieving patient and family ‘centred’ care in adult acute care practice settings. These issues suggest re-examining the nature of ‘centredness’ in care may be useful. Research question: How do researchers come to know and shape patient and family ‘centred’ care as an object of scientific investigation? Design: A structured problematization method, as outlined by Alvesson and Sandberg, is utilized to identify and analyze assumptions about the central notions of ‘centring’ that inform patient and family ‘centred’ care intervention research. Sample: 23 articles. Data collection and analysis: We highlight three predominant areas within ‘centring’ intervention research that may benefit from re-thinking: Vitruvian spatiality, democratizing care, and ‘centring’ positioned as primarily a problem and accomplishment for nursing. Results: We argue for the adoption of theoretical lenses that ‘de-centre’ individual actors in order to better account for complex relations among multiple actors, both human and non-human, in care practices.
NA-PO-A1.48 - Using Community Based Action Research to Support Syrian Refugee Mothers in the Resettlement Period
Dr. Joyce O'Mahony, Thompson Rivers University, Kamloops, Canada
Dr. Nancy Clark, University of Victoria, Canada
Shahin Kassam, University of Victoria, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Since 2015, Canada has resettled more than 50,000 Syrian refugees in response to persistent humanitarian crises. Many of these refugees are women of childbearing age, experiencing pregnancy, and/or mothering. We present our study in progress that aims to understand in-depth contextual factors which shape social support from the perspectives of mothering Syrian refugee women living in British Columbia, Canada. Research question: What do Syrian mothers perceive as supportive to their integration process in BC? Design: Using participatory action research and an intersectionality-framed longitudinal design, Syrian refugee mothers’ perspectives on social support during various phases of resettlement were explored. Four peer research assistants (PRAs) worked collaboratively to champion the research process. Sample: Forty Syrian mothers were recruited by PRAs and participated for 18 months. Data collection and analysis: Data sources include in-depth interviews, monthly diaries, and telephone conversations with participants. Thematic analysis is being done through research team collaboration and PRA involvement. Results: Emergent themes are centered on social change and findings will be shared with multiple audiences (Syrian community members, knowledge brokers and knowledge users) to advance practical outcomes and increase understanding about the support needs and concerns of mothering Syrian refugees in the resettlement period.
NA-PO-A1.49 - Implications of Medical Radiation Knowledge
Dr. Agnes Kaufman, William Osler Health System, Toronto, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Reactions to ionizing radiation in a medical setting is of interest to determine a possibility that diagnostic examinations are declined due to lack of understanding of radiation. The medical implications of delaying diagnostic evaluations may not only impact the patient personally but additionally add stress to an already overburdened health care system. Research question: Is there a correlation between the public’s perception of ionizing radiation and their confidence insofar as submitting to indicated diagnostic examinations? Design: This study was conducted utilizing a mixed methods approach. A quantitative approach was used in distributing questionnaires to the participants. A qualitative approach was used in asking for the participants feedback, personal responses, to open-ended questions that were distributed. Sample: The results of the survey indicated that with increased educational levels there was a corresponding decrease in anxiousness related to radiation exposure. Data collection and analysis: The study demonstrated an appreciable transition related to biomedical safety protocols with respect to medically-needed radiation. Results OR methodological developments/insights: The respondents’ opinions expressed convincingly indicated that the updates in the final copy of the distributed questionnaire enabled a clearer, less ambiguous approach to responding to questions asked.
NA-PO-A1.50 - Arts-Informed Literature Review: Using Art as Synthesis
Ms. Colie Kumar, University Of Cincinnati, Cincinnati, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: This presentation would discuss using arts-informed methods in a literature review. Research question: What is the relationship between critical pedagogy and art? Design: This study used art making as a form of data and analysis in a literature review. Every piece of literature reviewed had an annotated bibliography written for it as well as an informal work of art made synthesizing the information from the literature. Both written text and samples of the artworks made were used in the final write-up of the review. Sample: 10 works of literature discussing critical pedagogy, Paulo Freire, and art. Data collection and analysis: As this study was a literature review the main source of data was the literature and the analysis involved a synthesis of the literature. As an arts-informed study art making was also used as data and a form of reflective analysis to support the more traditional methods. Results: Art making was found to be a helpful reflective method for synthesizing literature in a literature review. Synthesizing what has been read in literature into an art form requires thinking in a different way and this led to a literature with more depth and multiple ways of understanding the material.
NA-PO-A1.55 - Students' Perception of Healthy Learning. A Sequential Exploratory Salutogenic Study
MacDonald L., Rady Faculty of Health Sciences, University of Manitoba
Ready E., Faculty of Kinesiology and Recreation Management, University of Manitoba
Schönwetter D, Rady Faculty of Health Sciences, University of Manitoba
Ripat J., Rady Faculty of Health Sciences, University of Manitoba
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Inherent to healthy learning are structures, policies, and strategies enabling health. Research Question: What is the association between dental (DMD) and dental hygiene (DH) programs regarding: a) students’ sense of coherence and b) student-identified health-promoting learning environment/curriculum attributes? Design: Sequential exploratory mixed methodology guided the study. Sample: DH (40%) and DMD (33%) seniors at an institution participated in focus groups. Students with one-year experience in the programs (79%) completed the generated survey. Data collection and analysis: Transcripts thematically analyzed informed content of the Health-Promoting Attributes survey (a >.70) which included the Sense of Coherence-29 (SOC-29) questionnaire. Survey analysis involved inferential statistics. Results: Seven themes emerged, for example, experiencing health-of-self curriculum. Survey findings indicate a lack of health-of-self curriculum. The SOC-29 scores indicated a moderate SOC for both student groups with a small effect (r = -0.25, p = 0.004) seen between programs (DMD: M = 127.37 SD = 19.08; DH: M = 116.60 SD = 17.19).
NA-PO-A1.59 - Barriers to and Facilitators of South Asian Immigrant Adolescents’ Access to Sexual and Reproductive Health Services in Canada: A Qualitative Study
Dr. Salima Meherali, University Of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Data on immigrant access to sexual and reproductive health (SRH) services in Canada typically focus on adult populations generally but not adolescents specifically. To fill this gap, this study explored South Asian (SA) immigrant adolescents’ perceptions of barriers and facilitators for SRH care and services in Edmonton, Alberta, Canada. Research Question:
• What are the barriers that SA immigrant adolescents face in accessing SRH care services in Alberta?
• What facilitates immigrant adolescents’ access to SRH services in Alberta?
Design: A qualitative descriptive design. Sample: 42 SA immigrant adolescents. Data collection and analysis: Videoconferencing platform, Zoom, to conduct semi-structured focus-group interviews. Thematic analysis was done using NVivo qualitative software. Results: Barriers included fear of stigma and judgment, lack of information about the healthcare system, privacy and youth-friendly SRH services, comprehensive sexuality education, trust of online SRH information, and language barriers. Facilitators included SRH information classes at school, parental support, and provision of free services. SA immigrant adolescents expressed their need for more inclusive and relevant sexual health education, support from parents and teachers with adequate and evidence-based SRH information and effective communication strategies to enhance communication, and youth-driven integrated health promotion programs to allow them to make informed SRH choices.
NA-PO-A1.60 - Empowering Young Girls through Girls’ Voices Curriculum
Dr. Salima Meherali, University Of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: In Canada immigrant adolescents make up a substantial proportion of newcomers to Canada. Immigrant girls face potential subjugation and oppression, which has a significant impact on their health, development, and economic outcomes as well as gender inequality. The research on girls’ empowerment and resilience-building programs and interventions is nearly nonexistent. Research Purpose: The main aim of this project was to engage and empower South Asian (SA) immigrant adolescent girls and to promote gender equality through ‘Girls’ Voices’ Curriculum. Design: A qualitative descriptive design. Sample: 16 adolescent girls, ages11-18 years old. Data collection and analysis: Pre and post-curriculum implementation focus group discussions were conducted. An inductive thematic approach was used to analyse the data. Results: Participants expressed challenges many young girls face with regards to gender inequality such as discrimination, stereotyping, barriers to education, etc. The Girls’ Voices Curriculum facilitated participants to highlight and reflect on the several problems faced by SA immigrant adolescents in their communities. The participants learned to examine these challenges through a variety of engaging activities. The curriculum equipped them with useful tools like decision-makers maps and advocacy skills to educate decision-makers by creating and delivering powerful messages influenced by personal stories and evidence-based literature.
NA-PO-A1.66 - Peer Doula Support Training for Black and Indigenous Groups in Nova Scotia: A Community-Based Qualitative Study
Martha Paynter, Dalhousie University School Of Nursing, Halifax, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: This study explores the participant experiences of doula training programs offered by a prisoner health advocacy organization and Indigenous and Black community groups. Research question: Research questions asked: 1) What were Black and Indigenous participants’ experiences of the training? 2) How could a doula training program better meet the needs of Black and Indigenous participants? Design: Recruitment was conducted through email. Interviews were conducted in Winter 2020. Sample: A total of 12 participants were recruited to participate in this study. Six participants identify as Black and six identify as Indigenous. All participants identify as women. Data collection and analysis: Qualitative interviews were conducted using a semi-structured interview guide to elicit a breadth of information. Data were analyzed using thematic analysis. Results: Key themes included training experiences, training improvements and ‘bridging the gap’. The training validated participants’ experiences of birth and began to address the exclusion of Black and Indigenous people from birth work. However, participants expressed concerns about not being adequately positioned for sustained participation in birth work, and trainings do not address the overrepresentation of white people in perinatal work. This study makes several recommendations for future interventions.
NA-PO-A1.73 - Waiting for Home: An Interpretive Description Study
Dr. Mariko Sakamoto, University of British Columbia, Vancouver, Canada
Dr. Alison Phinney, University of British Columbia, Vancouver, Canada
Dr. Jennifer Baumbusch, University of British Columbia, Vancouver, Canada
Dr. Genevieve Thompson
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Patients who remain in hospital once their health has stabilized are designated Alternate Level of Care (ALC). This often occurs for patients with dementia, when overall needs exceed the supports that can be provided at home. Research question: What perspectives and experiences of ALC patients living with dementia could inform understandings of how to improve their care in hospital? Design: This was a qualitative study, utilizing Interpretive Description, and was grounded theoretically in personhood and social citizenship perspectives. Sample: The study sample included twenty-one participants: patients designated ALC living with dementia (n = 8), family members (n = 6), and nurses routinely caring for ALC patients (n = 7). Data collection and analysis: Data collection methods included patient participant and general observations, semi-structured interviews and informal conversations. Analysis of data was an inductive process, resulting in key themes informing nursing practice. Results: Findings show that hospitalization is difficult and distressing for ALC patients living with dementia. However, the patients are resilient individuals with agency and specific needs that need to be recognized. This research shows that nurses need to provide care for ALC patients with dementia in an inclusive manner where patients’ ongoing needs are recognized and addressed.
NA-PO-A1.74 - Experiences of Muslim Female Students in Social Work Programs in Western Canada
Mrs. Saleema Salim, University Of Calgary, Calgary, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Canada is viewed as a multicultural country. However, multiple studies have indicated that Muslim Canadians believe discrimination, based on their religious beliefs, is prevalent. Muslim female students face many issues related to discrimination, inclusion/exclusion, social justice, and equity due to the exclusion of their culture and religion from the social work curriculum and classrooms in Canada. Research question:
1. What are the experiences of Muslim female students with regards to discrimination, inclusion/exclusion, social justice, and equity in social work programs in Western Canada?
2. How do the experiences of Muslim female students in social work programs in Western Canada impact their lives?
Design: The study used a qualitative descriptive phenomenological design. Sample: Twelve Muslim female students currently enrolled in a Bachelor of Social Work (BSW) or a Master of Social Work (MSW) program, or recent graduates (within the past two years) were recruited. Data collection and analysis: Semi-structured interviews were conducted between September and November 2020 and phenomenological approach was used for data analysis. Results: The results indicated that Muslim female students’ experiences have a potential negative impact on their social and psychological well-being due to the exclusion of diversity from the social work curriculum and classroom.
NA-PO-A1.75 - An Outdoor Walking Program for Older Immigrants: A Mixed-Methods Pilot Study
Dr. Jordana Salma, University of Alberta, Edmonton, Canada
Professor Allyson Jones, University of Alberta, Edmonton, Canada
Ms Savera AzizAli, University of Alberta, Edmonton, Canada
Dr Shelby Yamamoto, University of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: In Canada, 30% of older adults are immigrants. Immigrants are at increased risk for lower levels of physical activity (PA) and report limited access to culturally-sensitive PA programs. Research question: The objective of this pilot study was to evaluate the acceptability and feasibility of a 10-week outdoor group walking program for older immigrants. Design: A mixed-method design. Sample: A convenience sample of thirteen older immigrants were recruited from a local Edmonton Mosque. Data collection and analysis: The intervention consisted of a three-hour interactive workshop and 10 weekly one-hour walking sessions at a local park. Pre-intervention focus groups and post-intervention interviews with participants were conducted and data was analyzed using content analysis. Changes in PA levels were tracked using FitBits worn by participants over the duration of the program. The qualitative analysis shed light on satisfaction, feasibility, and impact of the program. Results: A slight improvement in PA levels was noted in participants who were sedentary at baseline. Facilitators of participation were the social nature of the program, characteristics of the instructor and community liaison, and the use of Fitbits. Areas for improvement included tailoring the program to individual abilities and incorporating pain management techniques.
NA-PO-A1.79 - Field Realities in the Global South: Practicing Reflexivity with Marginalized Populations
Dr. Sumeet Sekhon, The University of British Columbia - Okanagan, Kelowna, Canada
Ms. Navjotpal Kaur, Memorial University of Newfoundland, St. John's, Canada
Dr. Rachelle Hole, The University of British Columbia - Okanagan, Kelowna, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The notion of objective knowledge production by the neutrally detached researcher has been replaced by the idea of situated knowledge production by reflexive researchers. Reflexivity is a process in which researchers engage in self-critical introspection about their subject positions in order to situate themselves within the research project, particularly with respect to research participants. Research question: What role does critical reflexivity play in challenging researcher positionality, navigating emotionality, and addressing power dynamics between the researcher and the researched? Design: This reflective paper is based on two qualitative studies conducted in South Asia by two South Asian researchers trained in the global North. Sample: Study One. 46 women self-help group members from rural Rajasthan, India Study Two. 23 upper-caste men from Punjab, India. Data collection and analysis: We collected primary data through semi-structured and in-depth face-to-face interviews. Methodological developments/insights: In this paper, we focus on unusual encounters in the field and discuss the significance of practicing reflexivity while undertaking research among economically and socially marginalized populations in rural South Asia. We also discuss the particularities of reflexivity for researchers trained in the global North but undertaking research in the global South.
NA-PO-A1.83 - Tension between Research and Practice: Reflecting on the Role of the Critically Conscious Researcher When Data Contradicts Professional Obligation
Dr. Christine Spence, Virginia Commonwealth University, Richmond, United States
Dr. Deborah Rooks-Ellis, University of Maine, Orono, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Implicitly-held unconscious associations and attitudes may not align with our stated beliefs, and can affect our professional perceptions, decisions, and actions. Research question: We asked 1) what language did early interventionists use to describe families with vulnerable circumstances (e.g., homelessness, poverty, disability); and 2) how did their language reveal possible implicitly biased perceptions about families? Design: Phenomenological; focus groups. Sample: 67 participants representing nearly 60% of the state's Part C workforce described themselves as White (99%) and predominantly female (97%). Data collection and analysis: We utilized a semi-structured protocol with nine focus groups and conducted thematic analysis. Methodological Insights: Three themes emerged: perceptions of parenting, capability, and priorities. How participants characterized families and their interactions with families were both reflective of and counter to the prevailing discourse of family centeredness and often indicative of implicit bias. As critically conscious researchers, we were disturbed by the lack of pushback from participants when deficit language was used. Although we made a commitment to not influence participants’ responses, we questioned: When does neutral mean harm? In what ways were we contributing to the reproduction and reification of harmful norms and stereotypes? And so we continue to reflect on the researcher’s role.
NA-PO-A1.87 - Interpretative Description: Environments That Promote Recovery in Acute Care Mental Health Settings
Asst. Prof. Andrea Thomson, Brandon University, Brandon, Canada
Asst. Prof. Sharran Mullins, Brandon University, Brandon, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Mental health service provision has embraced the concept or recovery-oriented care. However, acute care mental health settings continue to follow the medical model. Research question: Psychiatric and mental health nurses were invited to participate in a research project to answer: What strategies and resources do psychiatric and mental health nurses identify as being most conducive to fostering a recovery-oriented acute care milieu or environment? Design: Interpretative description was utilized as research design. Sample: Eleven psychiatric and mental health nurses who were employed in acute care mental health settings were interviewed. Of the eleven, six also participated in a focus group. Data collection and analysis: Data collection involved semi-structured interviews, followed by a focus group. Data was analyzed for meaningful themes. Results: A recovery-oriented milieu was described as a safe, peaceful, and holistic environment with adequate space to balance clients’ needs for privacy, interaction, and activity. A recovery-oriented milieu is fostered through healthy relationships among team members, clients, family members, and formal supports. Themes of nursing roles, team dynamics, individual clients, environment, and organizational factors will be discussed to explain strategies and resources required to promote this type of setting.
NA-PO-A1.88 - Exploring Methodologies and Methods in Resilience Research: A Review of Qualitative Studies over the past 5 Years
Asst. Prof. Christina Tortorelli, University Of Calgary, Calgary, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: As social work furthers resilience research, reflecting on current qualitative studies is informative about the nature, context and approach taken up in this work. As qualitative research doesn’t rely on a distinct set of methods, exploring this continuum is prudent. Research Question: Qualitative methodology is the process of scientific inquiry to capture participant experiences, seek to understand and make meaning to effect change. This study elucidates connections between methodology/method to understand the range of techniques being used. Design: The review captures the perspective that qualitative research privileges no single methodological practice over another and has no theory or paradigm that is distinctly its’ own. Social work is well positioned to take up the internal and collaborative challenge in the resilience research space. Sample: Using key search terms 47 peer-reviewed studies were identified. After Inclusion/exclusion criteria were applied a narrative analysis of 15 studies from 11 countries was completed. Data collection and analysis: A variety of methodologies/methods. Results: Fourteen studies used interviews as their primary method, however, seven theories were used to ground this research. Participatory studies (2) used eight different methods to gather participant information.
NA-PO-A1.91 - Exploring the Learning Experiences of Registered Nurses Who Are Actively Working with Children with Intellectual Disabilities
Miss Emma Vanderlee, Queen’s University, North Bay, Canada
Dr. Megan Aston, Queen’s University, North Bay, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: This Master of Science in Nursing Thesis explored the learning experiences of registered nurses when caring for children with intellectual disabilities (IDs). Nurses are often the first line of care when children and their families enter healthcare settings, nurses must navigate and negotiate their ability to provide competent care despite having little to no education on children with IDs. Research Question: How did nurses provide the best and evidence-based care to children with IDs? What are the recommendations to improve nurses’ learning? Design: Feminist Poststructuralism was used to understand how learning experiences were personally, socially, and institutionally constructed. Sample: Five registered nurses. Data Collection and analysis: Semi-structured interviews. The interviews were analyzed through discourse analysis. Results: This study found four themes; learning from others, learning from experience, learning from tools and resources, and a constant learning process and unique learning curve. The nurses interviewed experienced informal and formal learning moments and opportunities that they turned into tacit and explicit knowledge. The process of learning to care for children with IDs is a unique and lifelong process that involves learning as you go and different learning processes because of the complexities and unique needs of children with IDs.
NA-PO-A1.27- Exploring Patient Perspectives on an Online, Stress Reduction Based Wellness Intervention in Patients with Inflammatory Bowel Disease (IBD)
Miss Makayla Watt, University of Alberta, Edmonton, Canada
Dr. Ashley Hyde, University of Alberta, Edmonton, Canada
Dr. Farhad Peerani, University of Alberta, Edmonton, Canada
Dr. Puneeta Tandon, University of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Despite strong connections between stress and inflammatory bowel disease (IBD), there is limited research on stress reduction interventions for patients with IBD. Research has shown mixed results with few studies using qualitative methods to more deeply understand the patient experience. Research question: What is the experience of participating in a web-based stress reduction program for an individual with IBD? Design: We used a qualitative descriptive approach embedded in a randomized control trial (RCT). Sample: We used a convenience sample of participants who completed the RCT. Data collection and analysis: We conducted semi-structured interviews, with interviews recorded and transcribed. Fifty-six interviews were completed and analyzed using a theoretical thematic analysis process whereby transcripts were coded, with codes grouped into larger categories and themes. Results: We identified three themes: (i) IBD as a source of stress and uncertainty, (ii) understanding the positive impacts of the stress reduction program, and (iii) enhancing program desirability. IBD caused uncertainty, disruptions to daily activities, and stress which worsened symptoms. The program was associated with a perceived reduction in symptom burden, and increased ability to manage daily and disease-associated stressors. Variation in content and connections with others in the IBD community were identified as potential improvements.
NA-PO-A1.10 - Lessons Learned from Conducting Qualitative Interviews Virtually with People with Aphasia
Ms. Carlee Wilson, University of Alberta, Edmonton, Canada
Dr. Esther Kim, University of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Qualitative interviews are a popular approach to data collection, and rely on verbal communication. Interviewing people with aphasia (PWA) is challenging because aphasia is a communication disorder resulting in difficulty with speaking, understanding, reading, and writing. This challenge is increased when interviews are virtual. Research question: This presentation aims to discuss the challenges experienced and lessons learned in conducting qualitative interviews virtually during COVID-19 with PWA. Design: Interviews were collected as part of a collective case study from a constructivist perspective exploring the experiences of PWA participating in different modalities of virtual speech-language therapy. Sample: Seven PWA, with varying ability to speak and understand, participating in therapy. Data Collection ans Analysis: PWA took part in interviews concerning their well being and life participation before, after and 3 months after therapy. They were also observed during therapy. Twenty interviews were transcribed and principles of thematic analysis were used. Results: Qualitative interviews with PWA can be challenging due to communication difficulties, but when done properly can be meaningful for the researcher's questions, and for PWA that are able to share their stories. Interviewing, as well as transcription and analysis, must be approached with care and thoughtfulness concerning how the data will be understood and represented.
NA-PO-A1.01 - An Online National Forum on Alert Systems for Missing Older Canadians
Mrs. Adebusola Adekoya, Faculty of Health, University of Waterloo, Waterloo, Canada
Dr. Christine Daum, Faculty of Health, University of Waterloo, Waterloo, Canada
Dr. Noelannah Neubauer, Faculty of Health, University of Waterloo, Waterloo, Canada
Dr. Lili Liu, Faculty of Health, University of Waterloo, Waterloo, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The number of missing persons with dementia has increased in recent years. A national petition for a silver alert system for missing older Canadians has not led to tangible outcomes. We coordinated an online national forum on the implementation of alert systems for missing older Canadians. Research question: What are the perspectives of stakeholders on the implementation of alert systems in Canada? Design: A three-hour online national forum was held via Zoom videoconferencing following the format of a Witness Seminar, a method of creating oral history by bringing together key participants (thought leaders) to discuss an issue. Sample: Ten thought leaders, including persons with lived experience, first responders, community organizations, policy makers, and researchers from Canada, the United States, and the United Kingdom. Data collection and analysis: The forum featured 5 to 10-minute presentations by thought leaders followed by Question-and-Answer sessions with public attendees, and a facilitated discussion and was recorded and transcribed. Transcripts were analyzed for key themes and developed into a public policy brief. Methodological developments/insights: The Witness Seminar approach gathered diverse perspectives on the implementation of alert systems. Transcription of the perspectives serves as evidence of a historical event. The policy brief is accessible publicly.
NA-PO-A1.03 - Citizen Science in Monitoring Food Environments: A Qualitative Exploration of Stakeholders' Experiences during the Local Environment Action on Food Project
Ms. Breanne Aylward, University of Alberta, Edmonton, Canada
Ms. Krista Milford, University of Alberta, Edmonton, Canada
Dr. Kim Raine, University of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Citizen science bears potential to build a comprehensive view of global food environments and create a broader discussion about how to improve them. Despite this potential, citizen science has not been fully exploited in food environment research. Research Question: What are stakeholders’ experiences with the Local Environment Action on Food (LEAF) Project, a community-based intervention in Alberta, Canada, that employs a citizen science approach to monitoring food environments? Design: Qualitative collective case study Sample: Seven LEAF communities. Data collection and analysis: We used semi-structured interviews with citizen scientists (n = 26), document review of communities’ Mini-Nutrition Report Cards (n = 7), and researcher observation to generate data. Data was analyzed in a multiphase process, using Charmaz's constant comparison analysis strategy. Results: Analysis revealed two main themes: relationship building and process factors. Communities used three interconnected strategies (treading lightly, engaging the right people, and reaching a consensus) to navigate the challenging relationship building process. Process factors, influences on the LEAF process and relationship building, included the local context, flexibility in the LEAF process, and turnover among LEAF community groups.
NA-PO-A1.04 - Mapping the Conceptual Contours of a Leisure Space Using #Hashtags
Mr. Dmitri Bakker, University of Ottawa, Ottawa, Canada
Dr. Michael Mulvey, University of Ottawa, Ottawa, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Using #hashtags, we introduce a method to trace the conceptual contours in social media conversations. This research features a case study of #homegym tagged messages posted at the onset of the COVID-19 pandemic. Gym closures disrupted established exercise regimes, while lockdown and work-at-home orders blessed others with newfound time to work out – inciting a spike in demand for gym equipment sales. Research question: In the cultural anthropological tradition, we study how people in a group think about things that somehow go together. Design: We demonstrate how affinity diagrams, taxonomic trees, and image quilt techniques can harness hashtags' power to connect and aggregate concepts and render the shared and divergent meanings that structure the space. Sample: We demonstrate our approach using a sample of Twitter posts with the #homegym hashtag, gathered between March 15 to April 16, 2020, from a COVID-19 database, along with a selection of Instagram photos. Analysis: Hashtags align ideas and reveal the latent structures and symbolic boundaries within the conversation, detecting the domains, features, and sources of tension in the network of diverse perspectives and experiences conveyed in the conversation. Methodological developments: We study the people, messages, and images to map the subgroups, social dynamics, and ideologies that constitute the #homegym leisure space.
NA-PO-A1.06 - Intervention Development and Evaluation in Pediatric Health Care: Qualitative Data Speaks Volumes
Dr. Jill Bally, University of Saskatchewan, College of Nursing, Saskatoon, Canada
Dr. Meridith Burles, University of Saskatchewan, College of Nursing, Saskatoon, Canada
Dr. Shelley Spurr, University of Saskatchewan, College of Nursing, Saskatoon, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Families navigating healthcare because their child is diagnosed with a life limiting or life threatening illness have complex experiences. Intervention research is critical to provide a base of evidence for effective development of accessible and supportive care for families, and can be informed by qualitative research. Research question: How does qualitative research facilitate development and evaluation of a supportive intervention for family caregivers when a child has a life-threatening or life-limiting illness? Design: Our interdisciplinary team recently completed mixed methods research aimed at evaluating the Keeping Hope Possible (KHP) Toolkit in parents using a quasi-experimental design. Sample: Fifty-eight family caregivers of children under 14 years diagnosed within the past 12 months. Data collection and analysis: Along with quantitative surveys, qualitative interviews permitted parents to share their experiences of caring for their child and using the KHP Toolkit. Results: Findings highlight the explicit value of qualitative data. The KHP Toolkit and evaluation study will be described with attention to qualitative findings and value of using open-ended interviews for intervention evaluation. Insights and strategies for using qualitative research in the development and evaluation of support interventions will be shared.
NA-PO-A1.07 - Pressure Injury in Persons with Lived Experience of Spinal Cord Injury - Developing Collaborative Partnerships
Dr. Davina Banner-Lukaris, University Of Northern British Columbia, Prince George, Canada
Spring Hawes, Patient Co-Lead and Principal Investigator, Kelowna, Canada
John Chernesky, Praxis Spinal Cord Institute, Vancouver, Canada
Dr. Nicola Waters, University of British Columbia-Okanagan, Kelowna, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: For persons living with spinal cord injury (SCI), the risk of pressure injury is ever present and most people will experience at least one pressure injury in their lifetime. Pressure injury can give rise to catastrophic and life-threatening consequences, impact daily living activities, and lead to high healthcare costs. Research Question: The aim of this research is to examine the experiences of living with pressure injury risk and its management among persons living with SCI. Design: Our team undertook research guided by the principals of Integrated knowledge translation (IKT) and Institutional Ethnography (IE). Sample: Participants include individuals with lived experience of SCI, as well as caregivers, family and healthcare stakeholders. Data collection and analysis: Our study encompasses arts-informed qualitative and consensus building methods to examine lived experiences, needs, values, and priorities. Our work began via engagement with persons with lived experience and progressed with the application of an integrated knowledge translation approach. Results: In this study experiential knowledge has been centrally embedded, and all team members have been involved in the development of a proposal and partnered research project. The importance of generating collective goals and facilitating safe collaborative research spaces has been integral to the success of the study.
NA-PO-A1.12 - Graduate Nursing Learners’ Self-Efficacy and Job Satisfaction While Working during COVID-19: A Qualitative Description
Dr. Venise Bryan, Athabasca University, Athabasca, Canada
Dr. Jennifer Stephens, Athabasca University, Athabasca, Canada
Ms. Andrea Shippey-Heilman, Athabasca University, Athabasca, Canada
Dr. Gwen R. Rempel, Athabasca University, Athabasca, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: COVID-19 has placed nurses under tremendous stress. Despite high demands on nurses, many decided to commence graduate studies through an online university while continuing clinical work on the frontlines. The members of this unique graduate school nursing cohort, work in various health care settings throughout Canada, and are well-positioned to deepen our understanding of some of the important impacts an ongoing COVID-19 pandemic has on nurses. Research question: How registered nurses commencing online graduate education during the COVID-19 pandemic have experienced self-efficacy and job satisfaction? Design: Qualitative description. Sample: Data for this study constituted 72 learners’ discussion posts drawn from an entry-level graduate course learning activity focused on COVID-19 and psychological trauma. Data analysis: Content and thematic analysis. Results: Most learners shared accounts of stressful workplace experiences characterized by insufficient personal protective equipment, psychological and emotional trauma. Learners not working on the frontlines, described feelings of guilt for failing to contribute amidst a pandemic. Overall, a strong sense of kinship contributed to job satisfaction. Findings confirmed the need for so-called “after care” for nurses by leadership and administrators which could come in the form of transparent and improved communication as well as new measures for ongoing support.
NA-PO-A1.13 - Connection beyond COVID-19: Qualitative Findings from a Mixed-Method Evaluation of a Practice and Resource Sharing Network for Registered Dietitians in Long-Term Care during the COVID-19 Pandemic
Dr. Allison Cammer, University Of Saskatchewan, Saskatoon, Canada
Ms Alexandra Stobbe, University Of Saskatchewan, Saskatoon, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: In spring 2020, a virtual provincial practice and resource sharing network was developed to support registered dietitians (RDs) practicing in long-term care (LTC) during the COVID-19 pandemic. Goals of the Network were to develop resources and provide support to mitigate practice challenges resulting from outbreaks and precautionary measures (e.g., cohorting to one site, redeployment, remote care provision). Research question: From the perspective of members, did the Network support practice challenges during the COVID-19 pandemic, and if so, how? Design: A mixed-method program evaluation framework was used to examine function of the Network and determine whether and how goals were met. Sample: All members of the Network were invited to participate. Data collection and analysis: An external Research Coordinator conducted a virtual focus group and circulated an online survey including open-ended questions. De-identified, verbatim focus group transcripts and open-ended survey responses were thematically analyzed using interpretive description methodology. Results: Qualitative findings showed that participants valued the Network for reasons beyond the pandemic support goals, including connection, building community, professional development, and focus on LTC RD practice. RDs voiced desire to continue the Network post-pandemic, allow the Network’s focus to evolve organically, and expand the scope to include future advocacy efforts.
NA-PO-A1.18 - The Lived Experiences of Ostomy Patients in Rural Haiti
Dr. Maurice Junior Chery, MD; Zanmi Lasante, Mirebalais, Haiti
Kobel Dubique, MD; Zanmi Lasante, Mirebalais, Haiti
Adler Camilus, PhD; Zanmi Lasante, Mirebalais, Haiti
Rebecca Henderson, MD; Zanmi Lasante, Mirebalais, Haiti
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: In Haiti, ostomy surgery is often done as emergency surgery, with no other options to save the patient’s life. In higher income countries, managing subsequent care is often paid for by health insurance; patients have access to medical supplies and other interventions to learn how to live with a stoma, however in low income countries like Haiti, access to these necessary supplies and services do not exist. Research question: What are the lived experiences of patients with stomas in rural Haiti? Design: Phenomenological design. Sample: 10 patients (20–60 y/o) who have had an ostomy for at least 3 months. Data collection and analysis: Data were collected through individual interview and analyzed by coding and thematic analysis. Results: Three main themes emerged from the data: Having a stoma in rural Haiti is a social disease, impacting the patient’s relationships with family, friends, the work environment, and themselves; Having a stoma in rural Haiti is a life-altering event, causing the patient to reflect on who they are, why this happened, and reassess their needs and abilities; The medical journey of a stoma patient is arduous and fraught with suffering, uncertainty and disappointment.
NA-PO-A1.20 - Understanding the Lived Experiences of People with Myasthenia Gravis: A Narrative-Based Study
Ms. Rachel Crooks, Department of Community Health Sciences, University of Calgary, Calgary, Canada
Dr. Rebecca Haines-Saah, Department of Community Health Sciences, University of Calgary, Calgary, Canada
Dr. Pamela Roach, Department of Community Health Sciences & Department of Family Medicine, University of Calgary, Calgary, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Myasthenia gravis (MG) is a neuromuscular disorder that causes muscular weakness. While the disease is well-studied, there is limited research on MG from the perspective of people who live with it. Research question:
1) How do people with MG narrate their lived experiences?
2) How might narratives of lived experience disrupt and/or reinforce common clinical narratives of MG and their reproduction?
Design: This study uses a theoretical lens from Critical Disability Studies to investigate how narratives of people with MG reproduce or disrupt perspectives of illness rooted in ableism. Guided by this theoretical approach, we employed narrative inquiry methodology. Sample: We recruited people with MG over the age of 18 from a neuromuscular registry. To date, we have recruited three participants ranging in age from 32-49, two women and one man. Data collection and analysis: Unstructured narrative interviews were conducted with participants. Data analysis used narrative inquiry tools of broadening, burrowing, and storying/re-storying. Results: In preliminary analysis, narratives center around “compulsory ableism”, whereby participants felt they must adhere to expectations of work or lifestyle required of able-bodied people. Additionally, participants described scenarios in which they had to work against systems to acquire treatments, legitimacy, and support for their disorders.
NA-PO-A1.22 - An Exploration of Ethnographic Research Interrupted by the COVID-19 Pandemic
Ms. Becky De Oliveira, University of Northern Colorado
Ms. Beth Stover, University of Northern Colorado
Mr. Idilio Moncivais, University of Northern Colorado
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: This COVID-19-era ethnographic study focuses on the culture, habits, and daily rhythms of a research consulting lab at a mid-sized regional public university in the western part of the United States, moving from face-to-face to online services. Research Question: How does a research consulting lab adapt to the sudden move from face-to-face to online services? Design: Ethnography. Sample: Sample included the researcher consulting lab director, consultants both on and off duty, and students using the lab during observation sessions. In-depth interviews were conducted with four lab consultants. Data Collection and Analysis: Data was collected by three researchers observing for more than 30 hours and taking extensive field notes. Four in-depth interviews were conducted with selected participants. Thematic analysis was used to identify key themes. Results: Imposter syndrome is a pronounced issues in lab consultants and was exacerbated by the challenges of the COVID-19 pandemic. Collegiality is an important part of the lab culture with face-to-face daily contact being a critical part of building relationships. Consultants moved to an online operation, but this change was challenging and often stressful. Lab consultants rely on collaboration for their own growth and learning.
NA-PO-A1.23 - An Exploration of Twitter Discourse on Obesity Medicine
Ms. Patricia Dekeseredy, West Virginia University, Morgantown, United States
Dr. Treah Haggerty, West Virginia University, Morgantown, United States
Dr. Laura Davisson, West Virginia University, Morgantown, United States
Dr. Cara Sedney, West Virginia University, Morgantown, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Medications, such as Mysimba, Contrave, or Orlistat, can be used for an effective, evidence-based treatment of obesity. However, the use of medications for the treatment of obesity is underutilized and often misunderstood related to perceptions of obesity as a lifestyle choice and recall of earlier medications. Research question: Who are the type of users sharing information on Twitter about obesity medicine, what information is shared, is the information stigmatizing or supportive towards medications for obesity, and how might this may affect varying types of patients and their access to obesity treatment? Design: A retrospective review of publically posted tweets. Sample: Twitter’s advanced search tool identified tweets containing the keywords such as “Phentermine”, “Mysimba”, “Contrave”, and phrases such as “skinnyjab” over 3-months. Data collection and analysis: Tweets were captured with and uploaded into NVivo. Sentiment coding using NVivo Pro and a thematic analysis was conducted. Results: Themes emerged including alternative treatments, successes, and skepticism with using medications for weight loss. Tweets shared stereotypical language regarding phentermine (for energy) and attitudes related to obesity. Twitter is a rich source of data regarding obesity medicine. However, this information can contain false information and is used to mass market obesity treatments.
NA-PO-A1.24 - “Walking That Tightrope”: Advance Care Planning Discussions among Individuals Living with Mechanical Circulatory Support
Ms. Tiffany Dzou, University Of California, Los Angeles, Los Angeles, United States
Jo-Ann Eastwood, University Of California, Los Angeles, Los Angeles, United States
Carol Pavlish, University Of California, Los Angeles, Los Angeles, United States
Huibrie Pieters, University Of California, Los Angeles, Los Angeles, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: A mechanical circulatory device (MCS) is the last resort for heart failure patients who have exhausted all other interventions. Despite this life-saving technology, individuals are at risk for catastrophic events which necessitates ongoing advance care planning (ACP). Research question: How do MCS individuals perceive and understand their disease trajectory and apply these experiences towards ACP decision-making? Design: We utilized constructivist grounded theory. Sample: The sample (N = 24) included men (n = 16) and women (n = 8) averaging 60.6 years. Data collection and analysis: Interviews were conducted in-person or by phone. An analytic dyad conducted three rounds of systematic coding. Results: The Theory of Pivoting Uncertainties represents a framework that elucidated the core category: complexities surrounding ACP discussions. The framework was organized into three subcategories: impediments, uncertainties, and promoters. Decision-making about ACP pivoted around experiences of uncertainties, such as unexpected complications or prolonged wait for a heart transplant. Despite the lack of ongoing ACP discussions in the clinical setting, these conversations occurred openly during interviews. It was evident that individuals held silent expectations for MCS clinicians to initiate ACP conversations. Findings from this study are useful to inform clinicians to better engage MCS individuals in ongoing ACP communication.
NA-PO-A1.28 - Exploring the Role of Public Health Nurses (PHNs) in Caring for Sexually Exploited Youth
Ms. Sarah Fratar, School of Nursing, Trinity Western University, Langley , Canada
Dr. Barbara Astle, School of Nursing, Trinity Western University, Langley , Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Sexual exploitation (SE) in youth is a growing public health concern. Public Health Nurses (PHNs) have a unique role in the prevention, education, and early intervention in youth who are sexually exploited or at high risk. Youth clinics are regarded as a safe place for youth to access sexual healthcare rather than going to a physician. Research Question: The purpose of this proposed study is to explore the role of Public Health Nurses caring for youth that has been or is at high risk of sexual exploitation by addressing the following questions: 1) To describe the PHNs knowledge of SE. 2) To examine the barriers among PHNs in identifying, addressing, and managing youth who have been SE. and 3) To identify interventions and strategies that PHNs use in caring for youth who are SE or at high risk. Design: Interpretive Description Qualitative methodology. Sample: 6-10 PHNs. Data collection and analysis: Semi-structured interviews will be conducted. Data will be managed using NVIVO and analyzed with thematic analysis. Data collection and analysis: N/A. Results: The findings will assist with addressing the knowledge gap in sexual exploitation to support resources available for PHNs.
NA-PO-A1.29 - "I Know You Need All Your Stuff": How Tenant Support Workers Address Hoarding Concerns with Tenants in Supportive Housing, a Qualitative Descriptive Study
Galina Freed, Athabasca University, Calgary, Canada
Dr. Tammy O'Rourke, Athabasca University, Calgary, Canada
Dr. Murray Anderson, Athabasca University, Calgary, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Hoarding disorder (HD) is a chronic psychiatric condition characterized by information processing challenges, unhelpful thoughts about possessions, task avoidance, and disordered attachments. Cognitive Behavior Therapy (CBT) helps individuals with HD to address these challenges. However, many individuals with HD do not seek out treatment and instead receive community-based interventions when their symptoms impact their neighbours. Specific to Vancouver’s supportive housing, Tenant Support Workers (TSWs) provide such interventions to tenants with hoarding concerns. Research Question: This study will explore the following questions: What approaches do TSWs use to assist clients living in social housing with hoarding concerns? What are the outcomes of these approaches? What are the barriers or facilitators to this work? Design: A qualitative descriptive methodology situated within a pragmatic paradigm will be used to study these questions. Sample: Purposive sampling will be used to identify TSWs who assist clients with hoarding concerns. Data collection and analysis: Semi-structured interviews will be conducted with participants. Thematic analysis will be used to identify themes emerging from the data. Results: Findings will indicate whether local interventions are consistent with the CBT model of HD, and how TSWs understand and address specific challenges that tenants with HD experience.
NA-PO-A1.30 - Experiences in Online Learning Environments: Multi-Case Study of Learners with Attention-Deficit/Hyperactivity Disorder
Ms. Cathryn Friel, University Of Missouri, Columbia, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The number of students diagnosed with Attention-deficit/hyperactivity disorder (ADHD) entering college is increasing (Schwarz, 2014; Allen & Seaman, 2015). Many students with ADHD seek online learning environments for convenience and flexibility. However, online learning environments may not be the best option for these students (Linder, Fontaine-Rainen, & Behling, 2015). Higher education institutions need to understand the challenges online learners with ADHD face to consider ways to support their academic success. Research question: How do students with ADHD experience online courses? Design: This qualitative multi-case study describes the perspectives of students with ADHD who are enrolled in online courses. Sample: Five college students at the University of Missouri were selected using unique criterion-based sampling. Data collection and analysis: Due to Covid-19 restrictions, researchers conducted a series of individual semi-structured interviews via Zoom. Researchers also utilized Zoom to conduct observations, facilitate a journaling activity, and view participants’ artifacts. Constant comparative method (Glaser & Strauss, 1967) was used to analyze data. Results: Emerging themes include perceived benefits and challenges of online learning for students with ADHD as well as strategies used to navigate online learning environments.
NA-PO-A1.31 - Exploring Newcomer Career Goal Pathways: From Statistics to Stories to Game Play
Dr. Erika Goble, NorQuest College, Edmonton, Canada
Dr. Mesay Tegegne, NorQuest College, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Newcomers frequently arrive intending to pursue one career, only to change their goal after settling, but how often and why is not well understood. Research Questions: What is the frequency of career goal changes for newcomer students? What common pathways are taken? What factors impact their decisions? Design: Explanatory sequential mixed method. Statistical analysis of student administrative data from two Language Instruction for Newcomers to Canada (LINC) programs, followed by qualitative interviews analyzed using Frank’s Narrative Typology. Sample: Phase 1: 228 cases were created by combining data reported at enrollment and post-program. Phase 2: 20 interviews with students who exemplified phase 1 findings. Data Collection & Analysis: Phase 1: Occupational goals were coded by NOC with the dataset analyzed for goal-change frequencies. Phase 2: Interviews were converted into stories, then analyzed into a typology. Results: 64% of LINC students changed career goals, but most shifts occurred between a few NOC categories. 8 types emerged defined by motivations, modes of thinking, and decision-making processes. Notably, types were not discrete, with many participants embodying multiple types. One key learning was that different supports suit different types. Therefore, a boardgame for staff was created to encourage reflection about the settlement process.
NA-PO-A1.33 - Incorporating Qualitative Methods in Health Systems Planning as Equity Action
Ms. Meaghan Hagerty, University of British Columbia, Kelowna, Canada
Dr. Katrina Plamondon, University of British Columbia, Kelowna, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Inequitable out-of-pocket costs and poorer health outcomes are well documented realities for people living rurally, and these are exacerbated by health systems fragmentation and transportation challenges. Health systems planning is often based on methods and data analysis, including aggregation practices, which obscure or mask inequities. Advancing rural health equity requires understanding how systems and structures work to produce unfair processes or outcomes for people living rurally. Qualitative methods can help generate equity-responsive data and decision making. Research question: How can qualitative methods and data support equity-responsive health systems planning for rural populations? Design: We propose integrating narrative methods with other data-generating approaches (e.g., cost effectiveness) as a mechanism for equity-responsive engagement and evidence-informed policy and planning. Sample: Examples will be offered from the international literature and a narrative study with people living in rurally in British Columbia, Canada. Data collection and analysis: We offer strategies for bringing different data and knowledge systems together to better understand issues of rural equity, suggesting qualitative analysis as a mechanism for equity- and evidence-informed engagement in health systems planning. Results: Integrating narrative data alongside other traditional sources of health systems planning data is a novel approach to advancing equitable health system planning.
NA-PO-A1.35 - Key Messages from Parents for Parents of Children with Neurodisability to Be Better Navigators and Illuminations for Professional Navigators
Dr. Michèle Hébert, University of Calgary, Calgary, Canada
Dr. David B. Nicholas, University of Calgary, Calgary, Canada
Dr. Wendy Mitchell, University of Calgary, Calgary, Canada
Dr. Lucyna M. Lach, McGill University, Montreal, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Navigation to access services for children with neurodisability (ND) is distressing and can be financially burdensome for families. In a Canadian cross-jurisdictional initiative, empirical evidence highlights training as a tool for parents to be better navigators. However, evidence-based navigation training for families impacted by ND is under-developed. Optimal parent navigational skills and actions are not yet known, thus, should be included in navigation training for ND families. Research questions:
(1) What navigational skills/actions are reflective of those that parents use to support their child?
(2) What are the most important navigational skills/actions parents need?
Design: Using interpretive description, an online focus group was held to inform actionable outcomes for ND navigation training, based on a list emailed to participants prior to the focus group. Sample: Six parents of children with ND ages six to 31 years were purposefully sampled and recruited for variability in ND diagnosis, geographic region and family constitution. Data collection and analysis: An audio-recorded transcription was thematically analysed. Results: Six themes emerged to incorporate in parent trainings: taking care of self, network-building, advocating gracefully, celebrating wins, mapping the route, expecting the unexpected. Additionally, humbling insights for professional navigator trainings emerged that included partnering rather than advising.
Keywords: Neurodisability, parents, navigation, children
NA-PO-A1.37 - Exploring the Meaning of Childhood Adversity and Resilience in the Lives of Autistic Adults
Ms. Gabrielle A. Heselton, Athabasca University, Edmonton, Alberta
Dr Gwen R. Rempel, Athabasca University, Edmonton, Alberta
Dr. David B. Nicholas, University of Calgary, Calgary, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: There is a correlation between childhood adversity and negative physical and mental health outcomes in adulthood. These effects can be mitigated by internal and external protective factors in childhood, i.e., resilience. With autism, this relationship is less understood, despite evidence that autistic children experience increased adversity and poor mental health. Research question: How do autistic adults, who experienced adversity in childhood, understand the influence of those experiences on their well-being and the meaning of resilience in their lives? Design: Community engagement informed interpretative phenomenological analysis (IPA) design. Sample: 3 women, 1 non-binary, aged 19-27. Data collection and analysis: Semi-structured interviews (via phone, videoconference, and online chat). Data analyzed case by case and across cases as per IPA, followed by credibility checking. Results: Participants experienced significant adversity, which led to social disconnection, poor mental and emotional well-being, and negative sense of self, continuing into adulthood. Resilience meant moving beyond adversity. Places of refuge provided escape from adversity and aspects of identity, such as talents and attributes, provided protection from adversity. Social connections and personal growth were evident in participants’ young adult lives.
NA-PO-A1.40 - The Action Project Method Applied in Nursing Home Settings
Charlotte Jensen, MSc, University of Alberta, Edmonton, Canada
Andrea Gruneir, PhD, University of Alberta, Edmonton, Canada
Matthias Hoben, Dr rer medic, RN, University of Alberta, Edmonton, Canada
Jaclyn Tompalski, University of Ottawa, Ottawa, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The qualitative action-project method (A-PM) has been used in non-institutional settings to explore the navigation of major life transitions in families. We applied the A-PM to study the priorities of care for residents in nursing home (NH) settings. Research Question: What kinds of adaptations are required to make APM suit the research context? Design: A modified A-PM was used to solicit the views of residents and individuals close to them. Sample: 15 residents, 3 of whom participated alone, 5 with a family member, and 7 with a staff member from three NHs in Alberta, Canada. Data collection and analysis: A resident and chosen partner engaged in a video-recorded conversation about their experience in the NH, prompted by a researcher. The interviewer met with each participant to reflect on the original conversation. 3 lay-language narratives were created for the participants to review: 1 for each individual and 1 for the pair. Results: Our adaptations included flexibility in partner choice, considerations for space and time restrictions, and limiting the length of follow-up. With necessary modifications, we could offer a means to give voice to NH residents about their experience in the context of their closest relationships.
NA-PO-A1.43 - Ethnographic Resilience in the Time of COVID-19
MSN, RN Alisha Johnson, University of Missouri, University of Texas at Austin, Austin, United States
PhD,RN,FAAN, FGSA Tracie Harrison, University of Missouri, University of Texas at Austin, Austin, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Using ethnographic methods, we began following a cohort of advanced practice registered nurses (APRNs) in 2019 as they transitioned into practice (TTP) in a long-term care (LTC) setting. Nine months into the 12-month observation period, the COVID-19 pandemic required closure of LTCs in the U.S. to non-essential personnel. In-person observations were suspended, requiring methodological adjustments in an iterative approach. Research Questions: What types of ethnographic methods were amenable to adaptation within LTC settings during the 2019-21 COVID-19 pandemic? Design: Ethnographic observations and interviews, with a complexity science-sensitizing framework. Sample: Nine APRNs in five LTC facilities in the Southwestern region of the United States (U.S.). Data Collection and analysis: Iterative observation and interviews with concurrent thematic analysis. Methodological insights: Focus continued on the original research questions through interviews, with additional attention given to how the APRNs and LTC facilities were coping with the COVID-19 pandemic. Methodological insights included the importance of iterative flexibility, while remaining true to original research aims. Newer, reliable video platforms facilitated interviews with observation components. Interview methods had to encourage rich descriptive details of the practice settings in order to capture data relevant to original research aims.
NA-PO-A1.45 - Using a Pandemic to Innovate in Teaching and Learning Qualitative Methods
Prof. Jacqueline Jones, University Of Colorado, Aurora, United States
Dr Rachel Johnson, University Of Colorado, Aurora, United States
Dr Katy Kissler, University Of Colorado, Aurora, United States
Prof Amy Barton, University Of Colorado, Aurora, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Qualitative research methods for doctoral programs are often traditionally taught in a classroom: including face-to-face, in-person, or as in our case through a virtual space within a hybrid online program. As a result of COVID-19 pandemic, the University of Colorado College of Nursing Ph.D. program was given an opportunity to pivot. We received R01 funding to study the sudden shift to telehealth implementation within five nurse-led care settings across urban, rural, and frontier environments in Colorado. We adapted course content to teach qualitative methods using the real-world setting of a federally funded research study. Research question: What is the experience of PhD students learning advanced qualitative methods through a multi-site funded team science research study? Design: Qualitative research. Sample: Sample Faculty, NURS7622 students, and the Nurse-Led Tele-Health (AHRQ-NLTH Team) research team. Data collection and analysis: Recorded minutes of informal and formal conversations at the team and individual level. Classroom discussions using a discussion board and recorded synchronous zoom sessions with transcript module will generate text data. Theme analysis will identify the Ph.D. program Graduate Qualities and course learning objectives. Results: Experiential ‘real-time’ learning can empower students and faculty to rapidly translate qualitative research into practice. We will share lessons learned. Results: Experiential ‘real-time’ learning can empower students and faculty to rapidly translate qualitative research into practice. We will share lessons learned.
NA-PO-A1.44 - Qualitative Exploration of Rapid Implementation of Telehealth in Nurse-LED Care Settings during the COVID-19 Pandemic
Prof. Jacqueline Jones, University Of Colorado, College of Nursing AHRQ-NLTH Team, Aurora, United States
Dr Katy Kissler, University Of Colorado, College of Nursing AHRQ-NLTH Team, Aurora, United States
Dr Rachel Johnson, University Of Colorado, College of Nursing AHRQ-NLTH Team, Aurora, United States
Prof Amy Barton, University Of Colorado, College of Nursing AHRQ-NLTH Team, Aurora, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: In Colorado, nurse-led care systems provide vital health care services to vulnerable populations in urban, rural, and frontier environments. The COVID-19 pandemic prompted a sudden shift among these systems to telehealth. This study characterizes the patient and provider experience of sudden telehealth implementation within five nurse-led care settings through a lens of intersectionality to examine health disparities and the effect on vulnerable populations. Research question: What factors influence care through telehealth provision within nurse-led care models in urban, rural, and frontier environments? Design: Qualitative descriptive design. Sample: Using maximum variation sampling we will identify adult patients and providers (KSIs) who experienced telehealth visits by nurse-led clinics. We anticipate 45 providers and 40 patient interviews will provide informational saturation. Data collection and analysis: Semi-structured interviews (45-90 minutes) via Zoom with KSIs to identify facilitators and barriers to telehealthcare. We will use an iterative, inductive, and deductive multidisciplinary team-based toolkit of analytic strategies: field notes, qualitative content analysis, consultative, and reflexive team analysis. Results OR methodological developments/insights: The relationships between the context of care and experience of people can identify risk and protective factors specific to Colorado geographic locations that will inform continued adaptation of telehealth to reduce disparities in care.
NA-PO-A1.46 - Conducting Qualitative Inquiry within the Canadian Armed Forces: Strategies to Address Hierarchical Dynamics
Dr. Chelsea Jones, Heroes in Mind, Advocacy and Research Consortium, Edmonton, Canada, Leiden University Medical Centre, Leiden, Netherlands, Department of National Defense, Edmonton, Canada
Dr. Lorraine Smith-MacDonald, Heroes in Mind, Advocacy and Research Consortium, Edmonton, Canada
Dr. Suzette Breamult-Phillips, Heroes in Mind, Advocacy and Research Consortium, Edmonton, Canada, Department of Occupational Therapy, Faculty of Rehabilitation, University of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Hierarchical dynamics within the Canadian Armed Forces (CAF) that underlie combat and humanitarian initiatives are essential for the success of operations. These dynamics can impede qualitative research meant to address questions in line with organizational research priorities. The limitations of hierarchical dynamics are misunderstood by researchers, which makes study design, obtaining ethical approval, and data collection challenging. Research ethics boards require reassurance that steps have been taken to avoid coercion or a power imbalance between the participants and other stakeholders. Data can be compromised by distrust or pressures attributable to hierarchies. Research question: What literature exists guiding qualitative research within military populations? Design: This scoping review aims to identify the challenges of performing qualitative research within the hierarchical nature of the CAF and provide study design and execution strategies to navigate this factor. Sample: Available qualitative literature regarding CAF populations. Data collection and analysis: Narrative synthesis of current literature. Results: Intentional approaches to conducting qualitative research within a hierarchical structure can ensure that power dynamics are reduced, biases mitigated, and rigour preserved through building trust, reducing hierarchical perceptions, data protection, one-to-one interviews, and managing insider/outsider dynamics. The hierarchies within the CAF necessitate mitigation during qualitative research.
NA-PO-A1.48 - Using Community Based Action Research to Support Syrian Refugee Mothers in the Resettlement Period
Dr. Joyce O'Mahony, Thompson Rivers University, Kamloops, Canada
Dr. Nancy Clark, University of Victoria, Canada
Shahin Kassam, University of Victoria, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Since 2015, Canada has resettled more than 50,000 Syrian refugees in response to persistent humanitarian crises. Many of these refugees are women of childbearing age, experiencing pregnancy, and/or mothering. We present our study in progress that aims to understand in-depth contextual factors which shape social support from the perspectives of mothering Syrian refugee women living in British Columbia, Canada. Research question: What do Syrian mothers perceive as supportive to their integration process in BC? Design: Using participatory action research and an intersectionality-framed longitudinal design, Syrian refugee mothers’ perspectives on social support during various phases of resettlement were explored. Four peer research assistants (PRAs) worked collaboratively to champion the research process. Sample: Forty Syrian mothers were recruited by PRAs and participated for 18 months. Data collection and analysis: Data sources include in-depth interviews, monthly diaries, and telephone conversations with participants. Thematic analysis is being done through research team collaboration and PRA involvement. Results: Emergent themes are centered on social change and findings will be shared with multiple audiences (Syrian community members, knowledge brokers and knowledge users) to advance practical outcomes and increase understanding about the support needs and concerns of mothering Syrian refugees in the resettlement period.
NA-PO-A1.51 - Raw Reflexivity - Intersectional Imposters
Dr. Maria Lahman, University of Northern Colorado, Greeley, United States
Ms. Beth Stover, University of Northern Colorado, Greeley, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The imposter phenomenon and intersectionality are two positions shared by many university constituents. Research question: How do graduate students experience the imposter phenomenon through their intersecting identities? Design: Phenomenological in-depth interview study. Sample: with four graduate students. Additionally, the authors explored their own identities in relation to their roles of new graduate student and professor, reflexively, through auto-ethnography. Data collection and analysis: Vagel’s post-intentional phenomenological analysis revealed interplay between these two phenomena played a fundamental role in how graduate students engage in interpreting their experiences. Intersectionality explored through an interpretivist and critical theoretical framework included age, gender, class, religion, and race/ethnicity. The authors use this research context to methodologically consider reflexivity in research. Towards this end the history of research reflexivity along with cutting edge expressions of reflexivity including deep, dangerous, queer, and mindful are detailed. Methodological Developments: Raw reflexivity, an author-created construct, is detailed. Researchers are challenged to capture oral recordings of reflexivity and highlight their vulnerable voice in the same way researchers are accustomed to featuring participants' voices in research accounts. Reflexive strategies presented include collage, layered journals, and oral recordings. A QR code provides attendees the references and paper.
Keywords: Identity, imposter, intersectionality, layered journaling, reflexivity
NA-PO-A1.52 - Making Clinical Decisions in Uncertain Times: Using “Field Interviews” to Reconcile Perceptions and Behaviours
Mrs. Melanie Langelier, McGill University, Montreal, Canada
Dr Stuart Lubarsky, McGill University, Montreal, Canada
Dr Ning-Zi Sun, McGill University, Montreal, Canada
Dr Peter Nugus, McGill University, Montreal, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The literature on clinical decision-making is dominated by focus on cognition, and individual capacities. This limits our insights into the complex, inter-professional reality of clinical work, especially for complex and rare diseases. Methodologically, we need to understand more about techniques, such as “field interviews” that access the confluence of cognition (perception through interviews) and interaction (behaviours through observation). Research question:
1. What is similar and different about medical decision-making by physicians at different levels of training and practice?
2. How can “field interviews” balance understanding of the relationship between perceptions and interactions?
Design: This is an ethnographic study. Sample: The research will be conducted among doctors and medical students addressing rare and complex diseases in a highly acute metropolitan teaching hospital. Data collection and analysis: Semi-structured interviews and observations will be undertaken of medical students, residents and physicians. Transcriptions will be analyzed through thematic analysis, whereby codes of perceptions and behaviours will be compared and contrasted, and variations accounted for. Results: This research will show what conditions support different types of medical decision-making, and how field interviews can optimize understanding of how to compare and contrast interview-based perceptions with local action and interaction.
NA-PO-A1.54 - Exploring the Impact of COVID-19 Visitation Restrictions in Long-Term Care and Assisted Living on Family Well-Being: Perspectives of Residents’ Grandchildren
Emma Leong, Kwantlen Polytechnic University, Vancouver, Canada
Dr. Karen Davison, Kwantlen Polytechnic University, Vancouver, Canada
Dr. Janice Sorensen, Fraser Health Authority, Canada
Jennifer Walls
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Due to the risk of COVID-19 infection in long-term care and assisted living (LTCAL), visitation restrictions have been put in place. Evidence suggests that residents and their grandchildren have been negatively impacted by the visitation restrictions. However, little is known about the specific effects on their relationship and overall wellbeing. Research Question: To examine the effect of the visitation restrictions on the psychosocial health and wellbeing of adult grandchildren and grandparents living in LTCAL. Design: Case series. Sample: At time of writing, 7 grandchildren between 20-36 years with a grandparent living in a British Columbia LTCAL during the COVID-19 pandemic. Data collection and analysis: Two one-hour long in-depth focus groups have been conducted to date. Discussion topics: visitation experiences before and during the pandemic, impact on residents and their grandchildren, opinions of the visitation restrictions, and advice to improve pandemic visiting. Results/Implications for Policy and Practice: The results from this study will help guide visitation policies during the current COVID-19 pandemic and in the future. This research will provide recommendations to visitation and family-related practices promoting the psychosocial health and wellbeing of adult grandchildren and their grandparents in LTCAL.
NA-PO-A1.56 - “The Systems to Navigate Are Overly Complicated”: Uncovering Service Providers’ Experiences, Needs and Solutions to Improve Opioid Treatment Services for Youth Using Human-Centered Co-design
Dr. Kirsten Marchand, Foundry, Vancouver, Canada,
Ms Roxanne Turuba, Foundry, Vancouver, Canada,
Ms Christina Katan, Canadian Centre on Substance Use and Addiction, Ottawa, Canada
Dr. Skye Barbic, Foundry, Vancouver, Canada,
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Youth (ages 16-24) using opioids are a priority population in North America’s ongoing drug toxicity crisis, as existing treatments are not adequately meeting youths’ needs. Accordingly, the ‘Improving Treatment Together’ (ITT) project aims to inform the design of youth-centered opioid treatment services through a multi-stakeholder (youth, caregivers, service providers) project. This presentation focuses on findings from service provider participants. Research question: What are service providers’ experiences and needs for delivering opioid treatment services to youth, and how can these needs be better met? Design: The project follows a community-based participatory approach and uniquely integrated human-centered co-design processes. Sample: Workshops were completed with 41 service providers in Vancouver, Victoria, Kelowna, and Prince George (British Columbia, Canada). Data collection and analysis: Workshops qualitatively explored participants’ experiences, needs, and solutions using facilitated group discussions. Inductive thematic analysis was used to determine key patterns across the workshops. Results: Across communities, the main experience theme reflected service providers’ difficulty to adequately meet youths’ treatment needs due to system-level challenges. Themed needs included: (a) smoother transitions across services; (b) inclusive and safe spaces; and (c) competency delivering youth-specific programs. Solutions included one-stop-shop treatment programs, youth service inclusion audits, and virtual guides to support treatment access.
NA-PO-A1.62 - Construction of a Canadian Professional Identity through the Management of Racialized Workplace Encounters
Dr. Tim Mickleborough, Wilson Centre, Toronto, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The influence of socio-cultural differences including the unique experiences of international professionals is glossed over in mainstream professional identity research. This gap is addressed in a case study of international pharmacy graduates (IPGs) working in Canadian community pharmacies. Research question: How do IPGs construct Canadian professional identities? Design: The concept of governmentality informs the design of the research. This conceptual framework examines how professionals govern themselves according to contemporary disciplinary logic, in this case the logic governing conduct of professionals. Sample: Purposive sampling was used to recruit a diverse group of 17 international pharmacists from four different Canadian provinces who migrated from 7 different geographical regions. Data collection and analysis: Semi-structured telephone interviews were recorded, transcribed and analyzed according to disciplinary logic model. This heuristic allowed the researcher to tease-out discourses IPGs adopt to conduct themselves professionally and be legitimized as professional by colleagues and clients. Results: Professional identity is constructed through professional conduct. For IPGs, professional identity is constructed and negotiated in racialized workplace encounters. Participants governed themselves according to altruistic discourses and constructed their identity as professionals who make-a-difference and do-their-best. The same discourses adopted to construct a legitimate professional identity were used to manage workplace discrimination.
NA-PO-A1.63 - Optimizing Sampling Variation among Different Health Professions: The Case of the Relationship between Professional Identity and Faculty Identity
Ms. Karen Moniz, McGill University, Edmonton, Canada
Dr. Tamara Carver, McGill University, Edmonton, Canada
Dr. Fernanda Claudio, McGill University, Edmonton, Canada
Dr. Michelle Elizov, McGill University, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Little research has been conducted on how the distinctiveness of identities among health professions relates to individual healthcare professionals’ identities as clinical teachers. There is limited methodological guidance on how to sample to optimize such professional variation. Research questions: 1. How are the beliefs and experiences of the relationship between professional identity and educator identity similar and different across different health professions? 2. How does sampling variation enable optimal comparison across groups? Design: Ethnographic study. Sample: A stratified sample of faculty and University students on placement, across 5 health care professions. Data collection and analysis: Thematic analysis of workplace observations of clinical teaching, semi-structured interviews, and reflective research “memos” for methodological insights for comparison and contrast of codes will deliver a plausible set of concepts that characterize the data. Results: The research will inform the prospect of an enhanced “teacher identity” among HCPs. Methodologically, patterns between views, question ordering, and sampling choices will be identified for future consideration in qualitative studies featuring highly stratified samples.
NA-PO-A1.64 - Mentoring at a Distance: Considering Peer Mentoring for Graduate Students at an Online University
Ms. Alicia Norman, Athabasca University, Calgary, Canada
Dr. Gwen Rempel, Athabasca University, Calgary, Canada
Dr. Gina Ko, Athabasca University, Calgary, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Due to the Covid-19 pandemic, increasing numbers of post-secondary learners are studying online. Postsecondary institutions are hard-pressed to find mental health strategies suited for online learning environments. A peer mentoring program may provide a way to enhance online postsecondary mental health strategies. Research question: 1) What are the experiences of informal peer mentoring for graduate learners studying at Athabasca University (AU)? 2) What are the perspectives of graduate learners on how participating in a formal online peer mentoring program might influence their mental health? Design: Interpretative phenomenological analysis (IPA), informed by disability theory (DT). Sample: Learners who had completed one year of AU’s Master of Counselling program. Five learners, all female, in middle adulthood; one was registered as a learner with a disability, two identified invisible disabilities and two were able. Data collection and analysis: Two semi-structured interviews with each participant and written responses to four prompts designed to support mental health. Data analyzed via IPA case by case and across cases; findings interpreted through a DT lens. Results: Preliminary findings indicate that participants’ mental health would be positively affected through a peer mentoring program. They projected that their stress levels would decrease, and their academic skills would increase.
NA-PO-A1.65 - Community Supports for Black Mothers Caring for Preterm Infants in Alberta: A Literature Review
Ms. Mary Olukotun, University of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Across Canada, Black women are at an increased risk for preterm birth when compared with White women. Black people in Canada have lower levels of education, higher rates of unemployment, and are more likely to live in poorer neighborhoods, all factors which affect access to resources, services, and supports within the community. Furthermore, preterm infants typically experience challenges in maintaining balance within various organ systems, a complication that sometimes persists once discharged home. Adequate community supports for Black mothers is essential to ensure optimal health outcomes for their preterm infants. Research question: What are Black mothers’ experiences of the availability and accessibility of community resources, services, and supports while caring for preterm infants in Alberta? Design: Descriptive qualitative. Sample: Black mothers parenting infants born between 28 weeks and less than 37 weeks of gestation with the infant between 12 to 24 months old at the time of the study. Data collection and analysis: Questionnaires and one-on-one interviews will be administered to collect descriptive characteristics of participants and qualitative data, respectively. Interview data will be analyzed using thematic analysis. Results: It is anticipated that themes related to gaps in community supports will emerge from the data.
NA-PO-A1.67 - What Factors Shape the Adoption of Innovations in Clinical Practice?: Advancing the Transferability of Video-Reflexive Ethnography
Mr. Antoine Przybylak-Brouillard, Institute Of Health Sciences Education, Mcgill, Montreal, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Research on the adoption of innovations focuses mostly on outcomes, and less on processes of learning. Video-reflexive ethnography (VRE) involves video playback and subsequent analysis from recorded interactions, to achieve practice improvement through reflexivity (action from reflection). VRE has demonstrably improved practice in local sites when focusing on interactions among those team members. Research question:
1. What conditions support or impede adaptation towards innovations in care?
2. How capable is VRE of accounting for the influence of clinical teams in complex work in which multiple departments are involved?
Design: This project applies the participatory methodology of VRE. Sample: Given its complexity, the research will take place in an oncology unit. Data collection and analysis: VRE involves a cycle of: mixed-qualitative-method data collection; analysis and video play-back; reflexive negotiation. Thematic analysis – involving comparison and contrast of transcripts of perspectives and interactions – will occur at each stage, including the final discussion, which will itself be recorded and analyzed. Results OR methodological developments/insights: In addition to understanding how external innovations to practice are adopted in and adapted into cancer care, my research will discern the potential for transferability of VRE from single teams to more complex care settings.
NA-PO-A1.70 - Parental Perceptions of Behaviour Change: A Circle of Security® Parenting™ Perspective: From Me to You and Back Again
Rachel Lavery, Athabasca University, Edmonton, Canada
Gwen Rempel, Athabasca University, Edmonton, Canada
Jeff Chang, Athabasca University, Edmonton, Canada
Gina Wong, Athabasca University, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Circle of Security® Parenting™ (COS-P) strengthens parent-child relationships. COS-P is based on behaviour being the means of children communicating underlying needs; if those needs are addressed, not only will the relationship change but so will child behaviour. While behaviour change is not the focus of COS-P, it is an understudied consequence. Research question: After parents participated in COS-P, how was parental perception of their child’s behaviour changed? Design: Qualitative descriptive study with semi-structured interviews before and after COS-P. Sample: Purposeful sample of 9 parents (7 mothers). Data analysis: Content and thematic analysis. Results: All but one parent indicated that they had seen improvements in their perceptions of their child’s behaviours. They spoke differently about their children and identified different behavioural concerns after COS-P. While some of their child’s behaviours were still perceived as undesirable, in the post COS-P interviews parents more often described the behaviours as developmentally appropriate or easier to handle. After COS-P, parents also demonstrated an ability to reflect on the intentions behind their child’s behaviours. This change in perception of seeing their child’s behaviour as communication of needs was described by participants as improving their relationship with their child as well as decreasing their parenting stress.
NA-PO-A1.69 - “I’m Going to Camp! I’m Going to Camp!”: Lessons Learned from Child and Parent Experiences of a Heart Heroes Camp for Children with Complex Congenital Heart Disease
Jacqueline Senych, Athabasca University, Edmonton, Canada
Gwen R. Rempel, Athabasca University, Edmonton, Canada
Andrew S. Mackie
Devin Chetan
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Heart Heroes is a medically supervised weekend camp for children with complex congenital heart disease (CHD). Activities provide opportunities for children to develop confidence and independence, and experience friendship with other children with CHD. Research question: What are emotions and attitudes of campers from the camper and parent perspective to improve future camps? Design: Qualitative description. Sample: 22 telephone interviews with 10 campers (6 girls), and their mothers (n = 12) one year following camp. Data analysis: Content and thematic analysis. Results: Parents’ anticipatory concerns centered on their children’s limitations, safety, and reaction to separation. Parents allowed their children to attend camp because it was staffed by pediatric cardiology providers. Parents and campers described camp as overwhelmingly positive. Children overcame fears while zip lining, tackling an obstacle course, and paddle boarding. Parents valued the communication they received both directly and through social media while they were apart from their child. Many parents indicated that the confidence and independence demonstrated at camp was limited to the camp experience. Some parents described lasting changes in children’s daily lives, and a few indicated that this positively influenced their child’s relationships. Most parents indicated that their child gained physical skills during camp.
NA-PO-A1.68 - Development and Evaluation of a Video-Based Education Intervention for Parents of Children Undergoing Fontan Surgery: A Mixed Methods Study
Dr. Gwen Rempel, Athabasca University, Edmonton, Canada
Julie Rehman, Stollery Children’s Hospital, Edmonton, Canada
Elina Williams, Western Canadian Children’s Heart Network
Dr. Andrew S. Mackie, University of Alberta
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The Fontan occurs at 2-4 years of age and is the final surgery for children with a univentricular heart. Major challenges post-Fontan include a) psychological distress, b) prolonged pleural drainage, and c) need for postoperative anticoagulation. Research Question: What is the effectiveness of pre-Fontan video-based education intervention for parents? Design: Single-center mixed-methods cluster randomized controlled trial of brief whiteboard videos offered online. Questionnaires administered 1-week and 1-month postoperatively. Semi-structured interviews conducted 1 month postoperatively. Sample: 26 children (13 females; 16 intervention group) and one of their parents. Data collection and analysis: N/A. Results: Mean State Trait Anxiety Inventory scores were similar between groups at both 1 week (52.8 versus 55.5, p = 0.25) and one month postoperatively (50.9 versus 53.9, p = 0.25). Post Hospital Behaviour Questionnaire scores were in the maladaptive range but did not differ between groups. Anticipated and actual morbidities related to their child’s Fontan were central for parents and likely influenced their persistent anxiety 1-month post-surgery, whether they had viewed the videos or not. Parents reported emotional exhaustion and relief that their child was recovering. Those in the intervention group found the videos helpful but agreed that videos should offer “more detail” and be provided earlier in the pre-operative process.
NA-PO-A1.71 - Insights from a Qualitative Case Study: Shifting from in-Person to Online Arts Workshops
Miss Alysson Rheault, University of Ottawa, Ottawa, Canada
Doctor Roanne Thomas, University of Ottawa, Ottawa, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Online research methods are increasingly being utilized. However, few articles report methodological considerations for art-based research in the community. Research question: In response to this gap, we documented our insights from shifting in-person community-based creative workshops to an online setting via Zoom. Our objectives were to describe and explore barriers and facilitators, and participants’ experiences of the online workshops. Design: We conducted a qualitative case study using Merriam’s Case Study Design (1998). Sample: Workshops were offered to four women who had experienced cancer and lived in the Ottawa Region. Data were also collected from the artist facilitating the workshops and a RA working on the project. Data collection and analysis: Data collected included workshop video recordings; audio-recorded interviews with the artist facilitator and RA; field notes; and study documents. We followed established guidelines for thematic analysis. Methodological insights: We found that providing individualized support facilitated workshop delivery but was more time-consuming than in-person workshops. The online setting amplified the participatory nature of the study and increased participation time, despite the potentially distancing effects of technology. Finally, despite technical difficulties, using Zoom enabled us to collect more visual data than would have been possible in person.
NA-PO-A1.72 - Investigating Participant Perceptions of Webinars in Integrated Knowledge Translation (iKT) Research
Dr. Andrea Rishworth, McMaster University, Hamilton, Canada
Dr. Allison Williams, McMaster University, Hamilton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Despite a growing movement toward knowledge-user driven research, our understanding of the generation, implementation and evaluation of specific approaches in the knowledge mobilization toolbox that engage health-care knowledge-users is limited. Webinars offer one approach with potential to generate innovative health-care related outcomes that benefit participants, knowledge-users and the broader population. Research Questions: 1) What are the experiences of webinar participants?; 2) What are participant-identified webinar outcomes?; and 3) What are participant recommendations for future iKT research? Design: Using an embedded convergent parallel design, our researchers hosted the Canadian Compassionate Company (CCC) webinar to improve care-friendly work environments (CFWE). Sample: The webinar comprised a multi-stakeholder group (i.e., advocacy, researchers, individuals with lived experiences). Purposeful and snowball sampling was used. Data collection and analysis: Analysis occurred using NVivo 11 and Excel. Data integration occurred during design, method, interpretation and reporting. Key results from a semi-structured panel discussion (n = 3) and evaluative survey with webinar audience members (n = 30) reveal that although the webinar generated opportunities to improve CFWEs, understanding how participants perceive carer-employee realities is critical. Results: In order to plan, implement, and disseminate iKT carer-friendy research participants should be involved in the whole process. Webinars provide a tool for knowledge translation, data integration and mobilization.
NA-PO-A1.76 - An Exploration of How Doctoral Students’ Begin the Task of Situating Their Work Theoretically
Mr. Ameya Sawadkar, University Of Georgia, Athens, United States
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: For doctoral students who use qualitative research in their dissertations, it is necessary to situate their studies theoretically. This study explores how students of qualitative research say about finding theoretical frameworks for their research. Research question: What is the process doctoral students who use qualitative research methodologies follow to begin identifying theoretical frameworks for using in their doctoral research? Design: The study was conducted in an R1 university in the US with doctoral students who are using qualitative research to investigate how they identified a qualitative research tradition to situate their work in. Sample: Participants had completed a qualitative research fundamentals course and continued working on qualitative research projects or enrolled for additional qualitative research courses in the qualitative research program. Data collection and analysis: Data were collected through semi-structured interviews with six doctoral students who were using qualitative methods in their research. I used a Bourdieusian perspective to frame the study and constant comparative analysis to analyze the participants’ accounts. Methodological developments/insights: Findings suggest that the habitus influences the research topics selected by doctoral students who participated. Additionally, the acquisition of social and cultural capital in the doctoral program aids doctoral students in situating their work theoretically.
NA-PO-A1.77 - Building Relationship-Centered Collaborative Care: Patient and Stakeholder Perspectives on an EHR-Facilitated Remote Cancer Symptom Intervention
Dr. Karen Schaepe, Mayo Clinic
Dr. Jennifer Ridgeway
Dr. Joan Griffin
Dr. Andrea Cheville
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Healthcare interventions based on the Collaborative Care Model (CCM) benefit patients by coordinating multi-disciplinary care and prioritizing the patient’s own goals. While CCMs hold therapeutic promise, the work of implementation is considerable, and reasons for success/failure are not well understood. This qualitative inquiry examines an EHR-facilitated cancer intervention comprised of questionnaire-based symptom reporting, patient self-management tools, and remote coordination by nurses skilled in cancer symptom management. Research question: How do patients and care team members experience this intervention? Which features appear necessary to providing good patient support? Design: This study is part of a mixed-method cluster-randomized pragmatic trial conducted in a large health system in the Midwest U.S. Sample: Care team members and patients (stratified by age, sex, location, cancer, and symptom intensity) were recruited using a purposive sampling technique. Data collection and analysis: Interviews with 21 patients and 2 care team members as well as 2 stakeholder focus groups were conducted in person, by phone, and via videoconferencing. Analysis is thematic and iterative to inform the intervention implementation. Results: Providers viewed intervention success as hinging on symptom reporting by patients and skillful communication between providers through shared medical records and team meetings. Patients, however, described success in terms of the relationship/communication the intervention facilitated with their providers.
NA-PO-A1.81 - Responsive, Cue-Based Breastfeeding: Exploring Public Health Nurses' Perceptions
Miss Taylor Sonnenberg, Trinity Western University, Langley, Canada
Dr. Sarah Liva, Trinity Western University, Langley, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Supporting responsive cue-based breastfeeding (i.e., baby-led) is considered best practice for promoting maternal-infant attachment and reducing infants’ long-term obesity risk. Responsive, cue based breastfeeding is a complex concept. Public health nurses are exposed to mixed messaging and we do not know how they enact responsive, cue-based breastfeeding in practice. Research Question: What are public health nurses’ perceptions of responsive, cue-based breastfeeding? Design: Interpretive description. Sample: Sample consisted of public health nurses with experience ranging from 4-31 years, 4 of whom were International Board Certified Lactation Consultants. Data collection and analysis: Recruitment occurred online via social media and professional organizations. Data collection and analysis occurred concurrently to expand on emerging ideas. Semi-structured interviews lasting 30-60 minutes were conducted online via Zoom. Results: Preliminary findings indicate participants understood responsive, cue-based breastfeeding but few enacted nursing support for it beyond teaching parents about infant feeding cues. Nurses who described complex philosophies about responsive-cue based breastfeeding and trusted its safety practiced in ways more aligned to their understanding of the concept. One overarching theme, responsive, cue-based breastfeeding is bounded by trust, and three main themes were identified: maintaining, building, and repairing trust.
NA-PO-A1.82 - What Do Patients and Primary Care Providers Value in a Prevention Visit? A Qualitative Evaluation of Better Wise, a Cancer and Chronic Disease Prevention and Screening Project
Dr. Nicolette Sopcak, University Of Alberta, Edmonton, Canada
Mrs. Carolina Fernandes, University Of Alberta, Edmonton, Canada
Dr. Mary Ann O'Brien, University of Toronto, Toronto, Canada
Dr. Donna Manca, University Of Alberta, Edmonton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: BETTER WISE is a cancer and chronic disease prevention and screening (CCDPS) program for patients aged 40 to 65. Team members (e.g., nurses, dietitians) from 13 primary care clinics in Alberta, Ontario, and Newfoundland & Labrador in Canada were trained as a “prevention practitioner” (PP) to meet with patients for a 60-min visit to discuss patients’ individual risk for chronic diseases and associated personal lifestyles factors. Employing principles of brief action planning and shared decision making, PPs develop a “prevention prescription” with patients to guide next steps or set goals. Research Question: What do patients and primary care providers value in a prevention visit? Design: Qualitative study informed by grounded theory. Sample: Primary care providers and their staff (N = 124) (interviews and focus groups) and 356 feedback forms from patients. Data collection and analysis: 14 focus groups and 19 key informant interviews and 356 feedback forms from patients. We used the constant comparison method informed by grounded theory. Results: We identified four key themes: 1) Creating a safe environment and building trust with patients; 2) Providing personalized health education; 3) Non-judgmental empowering of patients; and 4) Integrating care for patients.
NA-PO-A1.84 - Impact of the COVID-19 Pandemic on Attaining the Sustainable Development Goals (SDGs): Insights from Canadian-Based Civil Society Organizations (CSOs)
Mrs. Rebecca Stewart, School of Nursing, Trinity Western University, Langley, Canada
Dr. Barbara Astle, School of Nursing, Trinity Western University, Langley, Canada
Dr. Kendra Rieger, School of Nursing, Trinity Western University, Langley, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: In 2015, the United Nations presented seventeen Sustainable Development Goals (SDGs) focused on the equitable betterment of all peoples and the planet by 2030. Since then, the COVID-19 global pandemic has emerged, resulting in unimagined global challenges and innovative solutions. Strong supporters in the attainment of the SDGs have been civil society organizations (CSOs), who have made critical adjustments during the pandemic. Research Question: The purpose of this proposed research is to explore how the COVID-19 pandemic has affected the work Canadian based CSOs undertake related to the SDGs, by addressing the following questions: 1) What has been the impact of the COVID-19 pandemic on CSO services related to SDG attainment? 2) What gaps in services related to SDG attainment occurred during the COVID-19 pandemic for CSOs? and 3) How did CSOs navigate these gaps in services? Design: Interpretive Description will be the methodology, as little is known about this topic. Sample: Six to twelve semi-structured interviews will be conducted with Canadian-based CSOs which focus their work on attaining at least one of the SDGs. Data Collection and analysis: A thematic analysis. Results: The findings will provide insights from CSOs relating to attainment of the SDGs, including recommendations post-pandemic.
NA-PO-A1.85 - Navigating the C: Experiences of Surgically-Cured Endometrial Cancer
Ms. Mindy Swamy, University Of Victoria, Victoria, Canada
Dr. Rita Schreiber, University Of Victoria, Victoria, Canada
Dr. Lenora Marcellus, University Of Victoria, Victoria, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Despite being the fourth most common cancer diagnosed in Canadian women, the relatively simple treatment and high cure rates of most endometrial cancers cause it to have a low profile in both popular and medical consciousness. Women with surgically-cured endometrial cancer are simultaneously hidden in research exploring life with gynecologic cancer and excluded completely from research examining the experience of hysterectomy. Research question: How do women come to live with surgically-cured endometrial cancer? Design: Grounded theory informed by critical realism. Sample: 14 Canadian women 0-12 years after treatment for surgically-cured endometrial cancer and 4 health care providers. Data collection and analysis: Semi-structured interviews and data analysis using purposive and theoretical sampling. Categories and relationships constructed after multiple levels of coding and constant comparison. Results: An overlying explanatory concept of Navigating the C and stages of Entering Murky Waters, Charting One’s Own Course, and Reaching a New Shore describe the process through which women experienced their cancer. Influential forces found to impact the experience are: Structuring of the System, Individual(s) Attributes, Overshadowed by the C, Veiling Impacts, and Being a Woman.
NA-PO-A1.86 - Navigating the Stigma of Surgery: Experiences of Older Adults Undergoing Spinal Surgery
Mr. Andrew Sweetnam, McMaster University, Hamilton, Canada
Dr. James Gillett, McMaster University, Hamilton, Canada
Ms. Savannah Torres-Salbach, McMaster University, Hamilton, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The anxiety and fear of back surgery - both historically and in current practice - create a stigma associated with the procedure that alters the pathway of older adults seeking care and relief for health conditions, including back pain. Research question: What are the experiences of older adults navigating medical recommendations for spinal surgery? Design: A descriptive case study design utilizing semi-structured interviews to explore the perspectives of older adults choosing back surgery as an option to alleviate pain and improve overall well-being. Sample: 35 patients over 55 years of age diagnosed with Lumbar Spinal Stenosis (LSS) who were scheduled for surgery or who previously had surgery at least 6 months prior to the study. Data collection and analysis: Using an inductive thematic analysis, emergent themes are analyzed using Pryor and colleagues’ (1999) dual-process model of reactions to perceived stigma as a framework to understand the lived experiences of older adults navigating the stigma surrounding spinal surgery. Results: Key themes related to stigma and system navigation emerged that are relevant to improving the care for older adults with severe back pain. Gaining insight into how older adults navigate their surgical prescriptions enriches the literature on preoperative education.
NA-PO-A1.89 - Breastfeeding in the Pandemic Study (BIPS): A qualitative study with British and Canadian mothers
Ms. Sarah Turner, Department of Community Health Sciences; Manitoba Interdisciplinary Lactation Center (MILC); Children’s Hospital Research Institute of Manitoba (CHRIM), Winnipeg, Canada
Dr. Meredith Brockway, Department of Pediatrics and Child Health; Manitoba Interdisciplinary Lactation Center (MILC); Children’s Hospital Research Institute of Manitoba (CHRIM), Winnipeg, Canada
Dr. Meghan Azad, Department of Pediatrics and Child Health; Manitoba Interdisciplinary Lactation Center (MILC); Children’s Hospital Research Institute of Manitoba (CHRIM), Winnipeg, Canada
Professor Amy Brown, Department Public Health Policy and Social Sciences, Swansea , United Kingdom
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: The COVID-19 pandemic has changed the way breastfeeding support is offered in hospital and in the community. It is important to understand how the pandemic has impacted mothers’ breastfeeding journeys to provide immediate, individualized care as well as prepare for future pandemics. Research Question: This study explores first time mothers’ breastfeeding experiences to describe how the COVID-19 pandemic has impacted breastfeeding journeys in the United Kingdom and Canada. Design: This is a virtual, semi-structured, interview-based study. Sample: The sample includes 10 primiparous mothers who gave birth during the COVID-19 pandemic and are living in Canada or the United Kingdom. Data Collection and Analysis: Data were collected between March 2021 and May 2021. All interviews were coded inductively using thematic analysis. Results: Mothers experienced both positive and negative factors related to the pandemic. Lack of social support negatively influenced mother’s breastfeeding experience, while some mothers reported a more relaxed schedule and less distractions from visitors helped them to establish breastfeeding and bond with their baby. This research can inform practitioners, governments and healthcare organizations of the immediate, pandemic-related breastfeeding challenges mothers are facing and identify positive factors that can be brought into a post-pandemic world.
NA-PO-A1.92 - Conducting Qualitative Community-Based Research under Social Isolation Measures Due to COVID-19: A Blueprint for Successful Participatory Team Analysis in a Virtual Setting from the Thrive Project - A Community-Based Investigation of Home and Community Care Needs of Older Adults Living with HIV in British Columbia, Canada
Miss. Anna Vorobyova, BC Centre For Excellence In HIV/AIDS, Vancouver, Canada
Dr. Surita Parashar, BC Centre For Excellence In HIV/AIDS, Vancouver, Canada
Mr. Antonio Marante, BC Centre For Excellence In HIV/AIDS, Vancouver, Canada
Patience Magagula, BC Centre For Excellence In HIV/AIDS, Vancouver, Canada
NA-PO-A1 - Poster Session, July 5, 2021, 12:00 PM - 1:00 PM
Introduction: Older adults (50 years+) living with HIV (OALHIV) are a growing population with distinct challenges accessing home and community care (HCC) services. Research Question: What are the obstacles and pathways in accessing HCC services for OALHIV? Design: N/A. Sample: 27 OALHIV residing in Vancouver. Data collection and analysis: Peer Research Associates (PRAs) and study coordinator co-conducted 27 interviews with OALHIV; 20 interviews were conducted remotely July-December 2020, 7 were conducted in-person pre-pandemic in February 2020. The interviews were transcribed, then coded and analyzed using NVivo 12.0 software. Results: The shift to virtual research to comply with public health restrictions has benefits and drawbacks which have been widely discussed. We argue that rather than threatening the foundations of Community Based Research (CBR), virtual research can strengthen CBR’s foundations. We provide a blueprint for a collaborative remote team engagement model, highlighting how CBR teams can enhance PRA inclusion, shift focus to the process instead of immediate results, and remain committed to mentorship.
