Understanding how community-dwelling persons with early dementia perceive health and community services: Informing the dementia strategy of Newfoundland and Labrador, Canada.

Background: With an increased aging population, the number of individuals with dementia is expected to rise. The onset of dementia marks the start of negotiating access to a wide range of health and social services to find practical and emotional supports to deal with the management of changes and subsequent challenges that individual with dementia face. The toll of dementia goes beyond the health care system, affecting families and caregivers' quality of life.

Evaluating the effectiveness of the cardiovascular assessment screening program with nurse practitioners and patients: results of a cluster randomised controlled trial.

Background: There is inconsistent utilisation of clinical practice guidelines (CPGs) for cardiovascular disease (CVD) screening and management by healthcare professionals to identify CVD risk factors early and to intervene using current recommendations. To address this issue, the Cardiovascular Assessment Screening Program (CASP) was developed, implemented, and evaluated. This manuscript reports on the second phase of an exploratory sequential mixed methods study that tested the effectiveness of the CASP with nurse practitioners (NPs) and patients in Canada.

Older Adults' Experiences with Remote Care for Specialized Health Service During the COVID-19 Pandemic: A Descriptive Qualitative Study.

The coronavirus disease (COVID-19) pandemic necessitated a rapid uptake of remote health care services. This qualitative descriptive study was designed to gain an understanding of older adults' experiences of remote care (telephone or online video conference appointments) for specialized health services during the COVID-19 pandemic. Twenty-one older adults (ages 65 years and older; 8 men and 13 women) living in eastern Canada participated in a semi-structured telephone interview.

Development of the Cardiovascular Assessment Screening Program (CASP) using the qualitative findings of a mixed methods study and applying the TDF to address the barriers of and facilitators to comprehensive screening for cardiovascular disease.

Background: There is inconsistent utilisation of clinical practice guidelines (CPGs) for cardiovascular disease (CVD) screening and management by healthcare professionals to identify CVD risk factors early and to intervene using current recommendations. This manuscript reports on the first phase of an exploratory sequential mixed methods study describing the integration of the qualitative study findings with the Theoretical Domains Framework (TDF) that led to the development of the Cardiovascular Assessment Screening Program (CASP). The main objective of the qualitative study was to inform the development of CASP.

Nurse leaders' experiences of upwards violence in the workplace: a qualitative systematic review.

Objective: The objective of this review was to synthesize the qualitative literature on the experience of upwards violence in nursing workplaces directed towards nurse leaders who have authority over those who direct the violence towards them.

Introduction: Workplace violence has impacted nursing work life for decades. It has been studied mostly from a downwards and lateral perspective and less often from an upwards direction towards individuals in leadership positions.

"Something is just not right with my hearing": early experiences of adults living with hearing loss.

Objective: To understand the psychosocial process of how adults experience hearing loss; specifically, their readiness to accept that they may have hearing loss, and the challenges and coping strategies associated with it.

Design: A grounded theory methodology guided the research. A patient-orientated research approach informed the study.

The Lived Experience of Continuous Subcutaneous Insulin Infusion in Adults With Type 1 Diabetes Mellitus: A Phenomenological Inquiry.

Continuous subcutaneous insulin infusion (CSII) is a complex, medical device for the management of Type 1 Diabetes Mellitus (T1DM). There is limited research exploring the everyday experiences living with this device. The purpose of this study was to understand the lived experience of adults using CSII therapy to manage T1DM.

Experiences of older adults accessing specialized health care services in rural and remote areas: a qualitative systematic review.

Objective: The objective of this review was to synthesize the literature on the experiences of older adults accessing specialized health care services while living in remote or rural areas.

Introduction: Older persons with chronic illnesses often need specialized health care services. Those who live in remote or rural areas may have limited access to these specialized health care services, potentially leading to an increase in morbidity and mortality.

Recruitment of Healthcare Providers into Research Studies.

Recruitment of a sufficient number of healthcare providers (HCPs), such as nurses and nurse practitioners (NPs), as participants is essential to generate high quality research to address issues significant for clinical practice. Often the recruitment process reported in research studies is very brief and does not capture the reality of the challenges of obtaining an adequate sample. This manuscript describes the challenges that we experienced in trying to recruit a sufficient number of HCPs, specifically NPs, into a randomized controlled trial.

Implications for Paradigm Shift in Nursing: A Critical Analysis of Thomas Kuhn's Revolutionary Science and Its Relevance to Nursing.

By seeking answers to ontological and epistemological questions, nursing scholars explored the foundations of nursing and articulated the meaning of nursing science from various philosophical perspectives. This ongoing search for advancement and development of nursing aligns with the concept of "normal science" by Thomas Kuhn. Kuhn's science influenced nursing knowledge, resulting in the development of nursing metaparadigm and paradigms.

Experiences of older adults accessing specialized healthcare services in rural or remote areas: a systematic review protocol.

Objective: The objective of this review is to synthesize the literature on the experiences of older adults accessing specialized healthcare services while living in remote or rural areas.

Introduction: Older persons with chronic illnesses often need specialized healthcare services. Those who live in remote or rural areas may have limited access to these specialized healthcare services, potentially leading to an increase in morbidity and mortality.

Older nurses' experiences of providing direct care in hospital nursing units: a qualitative systematic review.

Background: Most developed countries throughout the world are experiencing an aging nursing workforce as their population ages. Older nurses often experience different challenges then their younger nurse counterparts. With the increase in older nurses relative to younger nurses potentially available to work in hospitals, it is important to understand the experience of older nurses on high paced hospital nursing units.

A randomized controlled trial of the effect of an intensive 1-year care management program on measures of health status in independent, community-living old elderly: the Eldercare project.

Background: Primary care practitioners are familiar with the frail elderly and commonly have to deal with their multi-morbidity and their functional decline, both physically and mentally. However, there are well elderly with high quality of life and very few co-morbidities who seldom seek medical care.

Objective: To determine if a nurse-based program of home-delivered care, linked directly with the primary care practitioner or primary care team, would improve quality of life, symptoms, satisfaction with care and utilization of community and medical services, in independent community living old elderly.

The healthy aged: Descriptive analysis by sex of cognitively functioning elderly patients 80 years and older living independently in the community.

Objective: To describe a population of cognitively functioning seniors aged 80 years and older who are livingin dependently in the community.

Design: Descriptive cross-sectional study based on the enrolment cohort of a randomized controlled trial.

Setting: St John's, Nfld.

Community-dwelling older adults with memory loss: needs assessment.

Objective: To identify the health-related needs of community-dwelling older adults with mild memory loss.

Design: Qualitative study using semistructured, audiotaped, face-to-face interviews and focus groups.

Setting: A large community in Newfoundland.

HIV testing in pregnancy: using women's voices to inform policy.

Background: In Canadian provinces with opt-out policies for maternal HIV screening, pregnant women are told HIV screening is routine and are provided with the opportunity to refuse. In Newfoundland and Labrador an opt-out screening policy has been in place since 1997.

Purpose: This research study aimed to (1) obtain an increased understanding of the information women receive about HIV/AIDS during the opt-out screening process and (2) to advance the policy related dialogue around best practices in HIV screening within the province of Newfoundland and Labrador.

Exploring how Heideggerian philosophy underpins phenomenolgical research.

This paper demonstrates the methodological implications of using Heideggerian philosophy to inform a phenomenological study of the experience of memory loss. In particular, it addresses the methodological implications in relation to forestructure and pre-understanding, gaining entry into the hermeneutic circle and the process of data analysis, by considering their influences on the research.

Workplace colorectal cancer-screening awareness programs: an adjunct to primary care practice?

Although regular screening can decrease morbidity and mortality from colorectal cancer, screening rates nationwide are suboptimal due to a lack of organized screening programs. Since workplace colorectal cancer-awareness programs can potentially mitigate both patient and physician barriers to screening, we assessed the workplace as a venue for implementing a colorectal cancer screening-awareness program. In this cross-sectional study, 3756 members of the Toronto Police Service attended an education session about colorectal cancer; 965 of these members gave their informed consent and completed a 5-item colorectal cancer risk-assessment questionnaire.

Inhaler therapy. What it means for children with asthma.

Objective: To investigate what inhaler therapy means for children with asthma and to identify problems and concerns children experience with inhalers.

Design: Qualitative research design.

Setting: A community-based family practice in rural Newfoundland.

Assessing the need for hot meals: a descriptive Meals on Wheels study.

According to recent literature, delivering chilled Meals on Wheels to seniors increases food quality and safety. The purpose of this study was to determine the acceptability and/or feasibility of a cook-chill delivery system for participants in the Maimonides Geriatric Centre Meals on Wheels program in Montreal, Quebec. The authors also evaluated whether the meal was eaten upon delivery, documented where the meal was stored if consumption was delayed, determined what cooking/heating appliances were used and if the recipients were capable of heating up their meals, and assessed preferences for receiving chilled versus hot meals.

CONTRASTING PATTERNS OF HERITABLE GEOGRAPHIC VARIATION IN SHELL MORPHOLOGY AND GROWTH POTENTIAL IN THE MARINE GASTROPOD BEMBICIUM VITTATUM: EVIDENCE FROM FIELD EXPERIMENTS.

Similar phenotypes do not always imply similar genotypes. In species distributed over a broad latitudinal range, geographical variation in morphological and life-history traits may reflect very different relations between genotypic and environmental effects on these traits. Patterns of selection among latitudinally separated sites may minimize phenotypic differences in life-history traits but promote phenotypic differences in form.

Role of dispersal ability in the phenotypic differentiation and plasticity of two marine gastropods : I. Shape.

Species with contrasting abilities for dispersal may adopt different strategies in response to wide ranges of environmental conditions. These strategies were investigated here by comparisons of phenotypic differentiation and plasticity in the gastropods Austrocochlea constricta and Bembicium vittatum, which coexist in a range of intertidal habitats on the Abrolhos Islands and Albany in Western Australia. They differ in their potential for larval dispersal, A.