How to use communities of practice to support change in learning health systems: A landscape of roles and guidance for management.

Background: Communities of practice support evidence-based practice and can be, in and of themselves, applied learning spaces in organizations. However, the variety of ways that communities of practice can support learning health systems are poorly characterized. Furthermore, health system leaders have little guidance on designing and resourcing communities of practice to effectively serve learning health systems.

Positive psychological well-being in women with obesity: A scoping review of qualitative and quantitative primary research.

Background: Positive psychological well-being (PPWB) is generally associated with improved physical health, mental well-being, and healthy behaviors. However, it is not clear how PPWB differs in women with obesity or if improving PPWB will improve their health. The objective of this study was to summarize the evidence on PPWB in women with obesity.

Outcomes of a controlled trial with visiting therapy dog teams on pain in adults in an emergency department.

Context: Pain is a primary reason individuals attend an Emergency Department (ED), and its management is a concern.

Objectives: Change in symptoms and physiologic variables at 3 time points pre-post a ten-minute St. John Ambulance therapy dog team visit compared to no visit in ED patients who experienced pain.

Data harmonization and data pooling from cohort studies: a practical approach for data management.

Data pooling from pre-existing datasets can be useful to increase study sample size and statistical power in order to answer a research question. However, individual datasets may contain variables that measure the same construct differently, posing challenges for data pooling. Variable harmonization, an approach that can generate comparable datasets from heterogeneous sources, can address this issue in some circumstances.

Single-room maternity care: Systematic review and narrative synthesis.

Aim: To describe the single-room maternity care model and evaluate its influence on patient, provider and system outcomes.

Design: Mixed-method systematic review and narrative synthesis.

Methods: We conducted searches of MEDLINE, CINAHL, Web of Science, Cochrane Database of Systematic Reviews, and the grey literature from January 1985-August 2018, yielding 151 records.

Physiological and psychological stress in pregnant women with quiescent inflammatory bowel disease: A pilot study using salivary biomarkers.

Background: Pregnant women with inflammatory bowel disease (IBD) are more likely than the general pregnant population to experience adverse maternofetal outcomes, especially if the disease is active at the time of conception and during pregnancy. Elevated stress is often seen in patients with chronic diseases and could account for these outcomes. Salivary cortisol and alpha-amylase (sAA) are novel biomarkers of stress, reflecting the hypothalamic-pituitary-adrenal (HPA) axis and sympathetic nervous system, respectively.

Experiences, mental well-being and community-based care needs of fathers of late preterm infants: A mixed-methods pilot study.

Aims: We explore fathers' experience of caring for a late preterm infant including their stressors, needs and corresponding interventions proffered by public health nurses.

Design: Pilot mixed-methods exploratory sequential design.

Methods: We collected (a) qualitative data from semi-structured interviews (5) and (b) quantitative data (31) about fathers' levels of stress (Parenting Stress Index), anxiety (Speilberger State-Trait Anxiety) and depression (Edinburgh Postnatal Depression Scale) at 6-8 weeks after birth of their infant.

Postpositivist critical multiplism: Its value for nursing research.

Aim: Following persistent criticisms of logical positivism, postpositivism emerged as a philosophy of science for developing nursing knowledge. Here, we offer a discussion of postpositivist critical multiplism and its value to nursing research.

Design: Discussion paper.

A Systematic Review of the Quality of Life for Families Supporting a Child Consuming the Ketogenic Diet for Seizure Reduction.

The ketogenic diet (KD) is a nonpharmacologic treatment to reduce seizures with moderate to high success in pediatric patients with intractable epilepsy. Initiated in hospital, parents continue the treatment at home ensuring the ratio of high fat to low carbohydrate/protein is maintained to achieve metabolic ketosis. We conducted a systematic review to examine the quality of life (QoL) for families with a child using the KD for the reduction in epileptic seizures.

Association between obesity in 4- to 7-year-old children and eight types of crime: a hierarchical linear modelling approach.

Objective: Evidence of the association between childhood obesity and neighbourhood crime is inconclusive. Most previous studies have included children of all ages, and few have examined different types of crime. The objective of this study was to investigate the association between obesity and eight different types of crime (i.

Pragmatism and integrated knowledge translation: exploring the compatabilities and tensions.

Aim: This paper presents a discussion of the role of the philosophy of pragmatism in the integrated knowledge translation approach to research.

Design: Critical inquiry is used to discuss bringing pragmatic philosophy and the integrated knowledge translation approach to research together to advance nursing knowledge.

Methods: This paper draws from the literature written on the philosophy of pragmatism and from the current literature on knowledge translation.