Children from circumpolar regions must travel long distances to southern tertiary care centres for specialised care. While there are initiatives underway support closer home, medical remains a necessity many families. The Aakuluk clinic has been operating since 2019 at hospital in Ottawa, Canada, provide children Nunavut. team includes nurse case managers, physicians, social workers, interpreters, and several community partners. This project aimed identify the strengths challenges of...

L’article examine l’accomplissement du « travail sensoriel » lors de consultations médicales à distance. L’étude repose sur des vidéos simulées et entretiens d’auto-confrontation avec médecins. Nous analysons la manière dont les médecins, grâce une attention distribuée stratégies multimodales (gestes, cadrages, verbalisations), adaptent leurs pratiques cliniques pour sentir distance ». Les résultats montrent qu’une conscience sensorielle, essentielle poser un diagnostic, intègre dimensions...

Significant structural and normative pressures privilege the ideal of dying at home in Canada. At same time, social complexities meanings associated with particular locations remain critically unexamined.The aim this study is to explore how diverse community members, including health care stakeholders, talk about preferences for dying, a focus on home.Semi-structured virtual interviews were conducted 24 practitioner representatives advocates across Canada during Covid-19 pandemic. This...

Death at home has been identified as a key quality indicator for Canadian health care systems and is often assumed to reflect the wishes of entire public. Although research in other countries begun question this assumption, there dearth rigorous evidence national scope Canada. This study addresses gap extends it by exploring three factors that moderate preferences setting death: situational severity (entailing both symptoms supports), perceptions family obligation, respondent age.Two...

Abstract Objective: Against medical advice, head and neck cancer (HNC) patients have been shown to continue smoke misuse alcohol post-diagnosis treatment. This study aimed better understand the barriers facilitators of health behavior change (HBC) in HNC patients. Method: We conducted nine focus groups following a standard protocol. Eligible were diagnosed less than three years previously with primary selected using maximum variability sampling (gender, age, stage, smoking, misuse). Thematic...

The present study arose from a recognition among service providers that Nunavut patients and families could be better supported during their care journeys by improved understanding of people's experiences the health-care system. Using summative approach to content analysis informed Piliriqatigiinniq Model for Community Health Research, we conducted in-depth interviews with 10 family members living in communities who experienced cancer or end life care. Results included following themes:...

Seeking to support qualitative researchers in the artful development of feminist care scholarship, our goal here is ‘look back’ on how we have conceptualized problems and developed research that illuminates social organization distinct ways. As part a ‘feminist scholar retrospective’, present five condensed ‘reverse proposals’, which are retrospective accounts past or scholarly activity. From there, discuss each project begins with particular problematic for investigation conception (e.g.,...

Abstract Objectives To analyze how structural determinants and barriers within social systems shape options for dying well at home in Canada, while also shaping preferences home. Methods inform a descriptive thematic analysis, 24 Canadian stakeholders were interviewed about their views, experiences, Participants included compassionate community advocates, palliative care professionals, volunteers, bereaved family caregivers, residents of rural remote regions, service providers working with...

KEY POINTS Nunavut's health care system relies heavily on short-term locum physicians and nurses, many of whom come from outside the territory. Recruiting retaining personnel is challenging in Nunavut, as remote regions Canada. A recent analysis data

In response to COVID-19's first wave, provincial governments rapidly implemented several public health directives, including isolation measures and care facility visitor restrictions, which profoundly affected healthcare delivery at the end of life dying experiences perceptions. The objective this study was identify implications early policy changes for home.Analysis interviews with 29 key informants expertise in practice context home those conducted as part a larger mixed-methods on...

L'objectif de cet article est comprendre la reconfiguration l'activité communicationnelle et sensorielle lors d'une téléconsultation médicale. Pour ce faire, nous présenterons une recherche menée en collaboration avec un laboratoire simulation d'un hôpital dans le but d'étudier les interactions s'accomplissant téléconsultation. En procédant à analyse multimodale d'enregistrements vidéo téléconsultations orthopédie, montrons comment médecins réorganisent leur activité agençant l'espace Ce...

Dans le cadre d'une réflexion sur les organisations de santé, nous présentons résultats revue littérature portant dynamiques organisationnelles et communicationnelles qui caractérisent ces organisations. Cette thématique recherche, relève ce que proposons nommer la « communication organisationnelle santé », est définie par des problématiques particulières, ainsi sa portée pratique, c'est-à-dire volonté comprendre enjeux auxquels font quotidiennement face proposer démarches interprétations...

Abstract Telemedicine changes clinical practice and introduces new ways of distributing tasks between physicians nurses, particularly the delegation sensory assessments during remote physical examinations. As nurses become more involved in patient assessment decision‐making, quality physician–nurse collaboration has been recognized as essential to ensure care. However, few studies have examined interactions teleconsultations. This article presents results an empirical study nurse–physician...

The purpose of this article is to assess whether COVID-19 shaped Canadians’ preferred settings dying. We compared data collected using the same survey from two independent but comparable sets panel respondents, prior and after onset pandemic. A vignette methodology was used preferences for dying in each four settings: home, acute/intensive care, palliative long-term residential care. Although at care units did not change, nursing homes significantly declined. In pandemic’s first second...

Family caregivers suffer physically, mentally, and spiritually. Community volunteers play an important role in supporting patients at the end of life or former bereavement. However, there are no research reports volunteer services focused on maintaining wellbeing end-of-life caregivers.To have volunteers, a hired coordinator, health care providers, researchers implement formatively evaluate service to enable family maintain their well being while providing subsequent This presentation will...

In light of the COVID-19 public health restrictions, use telemedicine has been on rise. This care delivery model is valued for its potential to increase access while providing safe care. However, it changes way patients and providers interact. Communication during video consultations requires embodied engagement compensate physical distance. study aimed identify patient-provider communication challenges assess tools developed support according published literature from 2019 2022. Searches...

Patients with head and neck cancer report high unmet psychosocial needs as they undergo lifesaving treatments that can significantly alter their appearance cause functional impairments. This qualitative analysis of recordings 88 pre- post-surgical consultations involving 20 patients respond to the need for empirical studies patient–provider conversations about body image concerns. It indicates emphasis on concerns survival, cure, physical recovery during clinical may leave impacts surgery...

In Nunavut, data for 2012–2014 shows a high school graduation rate of 34%. Little has been published about the causes secondary students’ absenteeism and methods attracting students back to school. This study explored barriers supports education success from perspectives staff, students, parents. Interviews sharing circles were conducted with 141 participants in six communities. The results revealed relation learning environment, staffing issues, overarching system. Participants identified...

In the past two decades, evidence has shown that quality early childhood education (ECE) lasting positive impacts, enhances wellbeing in many domains, and contributes to reducing economic health inequalities. Canada, complex colonial history affected Indigenous peoples’ child-rearing techniques, there is a need support community-owned programs revitalize traditional values practices. While several studies have described approaches childrearing, lack of publications outlining core content...