Publications by authors named "Rosslynn Zulla"

Article Synopsis
  • The study investigates how the COVID-19 pandemic has affected autistic children, their families, and the service providers who support them, revealing a lack of understanding in this area.
  • Through interviews with 13 parents and 18 service providers, the research highlights various challenges brought on by pandemic restrictions, which negatively impacted the daily lives of autistic individuals and their support systems.
  • The findings emphasize the importance of enhancing autism-specific support and preparedness in services to better handle similar emergencies in the future and inform post-pandemic service delivery.
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The COVID-19 pandemic imposed widespread impacts on the health and well-being of children with respiratory challenges and their families, as well as on the health care system that supports them. An exploratory qualitative study was undertaken to examine how the pandemic impacted families' and health care providers' daily lives and experiences of care. Four youth, 12 parents and 7 health care providers participated in interviews via telephone or online technology.

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Article Synopsis
  • A study involving 33 autistic adults revealed their experiences in two industry-led employment programs designed to support their transition into the workplace.* -
  • The analysis identified five key themes, including the evolution of job tasks, the diversity of workplace relationships, changing needs for support, the development of a professional identity, and the importance of creating supportive environments.* -
  • The research ultimately led to the development of a new model that illustrates both individual and workplace factors that influence the experiences of autistic individuals in these employment programs.*
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  • The study explores the effects of the COVID-19 pandemic on families who lost children under 18 with chronic life-limiting conditions during the pandemic.
  • Interviews were conducted with 20 bereaved parents to understand changes in end-of-life care and their grieving process due to the pandemic.
  • Results showed heightened anxiety about children's health, challenges in navigating public health measures, and the importance of strong support networks in coping with loss.
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Article Synopsis
  • - The COVID-19 pandemic forced mental health services to rapidly change how they operated, moving from in-person visits to mostly virtual ones to comply with public health guidelines.
  • - A study involving 98 mental health providers focused on their experiences between March and June 2020, revealing key challenges like the transition to remote work, worries about in-person interactions, and increased exhaustion due to pandemic-related pressures.
  • - Insights from this research highlight the importance of understanding and addressing the emotional toll on mental health providers during crises, suggesting the need for better support and feedback systems moving forward.
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The COVID-19 pandemic ushered in multiple public health protocols that shaped the service delivery system supporting older adults, their family caregivers and their formal care providers. In this qualitative study, sixteen social workers employed in long term care facilities in a western province of Canada shared their perspectives about the impacts of the COVID-19 pandemic on their practice early in the pandemic. Participants responded to nine open-ended online survey questions about their practice and experiences.

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Background: The COVID-19 pandemic has had deleterious impacts on pediatric patients and families, as well as the healthcare providers who have attended to their care needs.

Methods: In this qualitative study, children with a cardiac transplant, as well as their families and healthcare providers were interviewed to explore the impact of the COVID-19 pandemic on pediatric care, as well as on patients' and their families' daily lives. Participants were recruited from a children's hospital in western Canada.

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Article Synopsis
  • - The COVID-19 pandemic significantly affected the mental health of children with health vulnerabilities and their families, as they relied heavily on health and social care systems during this crisis.
  • - In-depth interviews with 262 participants, including children, parents, and healthcare providers, revealed feelings of loneliness among children, burnout among parents, and moral distress among healthcare workers, all exacerbated by insufficient resources.
  • - The study concluded that there are critical mental health impacts on families and providers due to the pandemic, suggesting the need for targeted mental health support and better preparation for future public health emergencies.
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Background: Narrative feedback, like verbal feedback, is essential to learning. Regardless of form, all feedback should be of high quality. This is becoming even more important as programs incorporate narrative feedback into the constellation of evidence used for summative decision-making.

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Purpose: Competency-based medical education (CBME) emphasizes the need for learners to be central to their own learning and to take an active role in learning. This approach has a dual aim: to encourage learners to actively engage in their own learning, and to push learners to develop learning strategies that will prepare them for lifelong learning. This review paper proposes a theoretical bridge between CBME and lifelong learning and puts forth the argument that in order for CBME programs to produce the physicians truly needed in our society now and in the future, learning environments must be intentionally designed to foster mastery goal orientations and to support the development of adaptive self-regulated learning skills and behaviours.

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Article Synopsis
  • Social challenges in the workplace for individuals on the autism spectrum are an under-explored area affecting their employment outcomes, based on an international study involving 29 autistic employees and 15 supervisors.
  • A content analysis of 128 workplace examples identified that these challenges are often related to personal factors or the work environment, impacting the employees significantly.
  • Resolutions tended to focus on addressing individual issues rather than improving the workplace environment, which limited the positive work experience for those employees.
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Purpose: Social Determinants of Health is a conceptual framework typically used to understand patterns of health and ill-health at the population level. Its applicability to children and youth who already have a health condition, in this case, a neurodisability, is not well understood, particularly when the "health" component of that framework is extended to include more pluralistic notions of well-being. The purpose of this study was to address this challenge and to develop an ecosocial framework that is conceptually integrative and meaningful to children and youth with neurodisabilities and their families.

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CommunityWorks Canada is a 12-week (30-hour) program that provides social, communication, and job skill-building activities as well as peer mentorship to youth with autism spectrum disorder. Administration of a pre- and postprogram employment readiness measure (n = 76 participants) demonstrated positive changes as reflected by the participants' decreased concerns about their responsibility, flexibility, job skills, communication, self-view, and health and safety. Postprogram qualitative interviews and survey data collected from a range of program stakeholders (participants, parents, peer mentors, and community partners/employers) corroborated identified gains in personal development, employment exposure, work proficiency, and comfort in work settings.

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Relatively little is yet known about employment readiness and elements that promote access to, and the retention of, employment for adults with autism spectrum disorder (ASD). This paper posits elements within the ecosystem of employment and ASD. The ecosystem approach locates employment among persons with ASD as inextricably linked with broader community resources, family support, workplace capacity building (e.

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At a dental school in Canada, problem-based learning (PBL) sessions were restructured from an integrated dental-medical model to a separate dental model, resulting in three groups of students available for study: those who had participated in the two-year dental and medical combined, the one-year dental and medical combined, the one-year dental alone, and the two-year dental alone. The aim of this qualitative study was to examine the extent to which the PBL structure affected the dental students' perceptions of the learning value of PBL in the different models. A total of 34 first-, second-, and third-year dental students participated in six focus groups in May and June 2011 (34% of students in those total classes).

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The level of educational attainment is increasingly being recognized as an important social determinant of health. While higher educational attainment can play a significant role in shaping employment opportunities, it can also increase the capacity for better decision making regarding one's health, and provide scope for increasing social and personal resources that are vital for physical and mental health. In today's highly globalized knowledge based society postsecondary education (PSE) is fast becoming a minimum requirement for securing employment that can afford young adults the economic, social and personal resources needed for better health.

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