Gilmer, Cyndi
The Impact of the COVID-19 Pandemic on Black People in Toronto: Informing Public Health Nurses on what they can do: A Scoping Review
The Impact of the COVID-19 Pandemic on Black People in Toronto: Informing Public Health Nurses on What They Can Do: A Scoping Review by Fitzroy H. Thompson MScN, explores Black people in low-income neighbourhoods being at increased risk of COVID-19 infection and death due to longstanding health inequity. The research consisted of white and grey literature from Canada between March 2020 and November 2022 using the Social Determinants of Health (SDH) framework. Falk-Rafael's Critical Caring Theory (CCT) guides the critical review of the research collected from the systematic search (Butcher, 2022). The SDH plays a vital role in health outcomes for Black people's access to optimal health services. Community nursing practice can optimize COVID-19 research to advocate for structural interventions tailored to improve SDH access and develop solutions to address needs for policy evolution. The findings act as the foundation for a systematic review and a scholarly synthesis of the evidence on the research question, which would further contribute to the enhancement of nursing care for Black people in low-income neighbourhoods.
Author Keywords: Black people, COVID-19, public health, race, racism, social determinants of health
The Impact of Unit Design on Family Experiences in the Neonatal Intensive Care Unit at Kingston General Hospital
The involvement of families in the care of their infant in the Neonatal Intensive Care Unit (NICU) may be influenced by the unit environment (O'Brien et al., 2013). The purpose of this study is to explore the influence of the open pod NICU through the research question: What is the impact of unit design in the NICU at Kingston General Hospital (KGH) on the lived experiences of families? A qualitative descriptive design was followed using semi-structured interviews conducted with family members of infants in the NICU at KGH. Themes constructed through thematic analysis of transcripts included Needing more space, Creating a comfortable environment, Having a sense of community, Desiring consistency in staffing and Barriers to being present. The narrative of these themes aligns with Donabedian's (2003) theoretical model of structure, process and outcome. The findings from this research indicated that being cared for in an open pod NICU impacted their family experiences, displaying areas for improvement in future NICU designs.
Author Keywords: Family experience, FiCare, Neonatal Intensive Care Unit (NICU), NICU design, NICU environment, Open pod NICU
The Influence of the Education System on Indigenous Identities, Cultures, and Languages: A Qualitative Study Using Sharing Circles
Indigenous children and youth have been exposed to educational institutions and curricula that are detrimental to their identity and cultural journey. This thesis explores the importance of educational institutions and curriculums complementing the needs of Indigenous students during their time in compulsory and post-secondary education. Five self-identifying Indigenous students attending Trent University share their educational experiences using sharing circles. Following this, the findings are analyzed, and recommendations for educational policies are discussed.
Author Keywords: Colonization, Indigenization, Indigenous education, Indigenous identity
The Impact of the COVID-19 Pandemic on Black People in Toronto: Informing Public Health Nurses on what they can do: A Scoping Review
The Impact of the COVID-19 Pandemic on Black People in Toronto: Informing Public Health Nurses on What They Can Do: A Scoping Review by Fitzroy H. Thompson MScN, explores Black people in low-income neighbourhoods being at increased risk of COVID-19 infection and death due to longstanding health inequity. The research consisted of white and grey literature from Canada between March 2020 and November 2022 using the Social Determinants of Health (SDH) framework. Falk-Rafael's Critical Caring Theory (CCT) guides the critical review of the research collected from the systematic search (Butcher, 2022). The SDH plays a vital role in health outcomes for Black people's access to optimal health services. Community nursing practice can optimize COVID-19 research to advocate for structural interventions tailored to improve SDH access and develop solutions to address needs for policy evolution. The findings act as the foundation for a systematic review and a scholarly synthesis of the evidence on the research question, which would further contribute to the enhancement of nursing care for Black people in low-income neighbourhoods.
Author Keywords: Black people, COVID-19, public health, race, racism, social determinants of health
Examining Strategies of New Public Management in Homelessness Policy
This research is a critical analysis of coordinated access as an approach to addressing homelessness focusing on Peterborough, Ontario as a case study. This study is situated in scholarship that explores the presence of strategies of New Public Management in social service and healthcare delivery. Balancing the methods of Smith's (2005) Institutional Ethnography and Bacchi's (2009) What is the Problem Represented to Be approach I investigate the way that Federal, Provincial and Municipal homelessness policies organize themselves as instruments of power and I connect this analysis to the accounts of staff working within the homelessness response system. I discover the frame of vulnerability through which homelessness is addressed to be an individualizing mechanism that facilitates the downloading of responsibility for social welfare to local governments without adequate resources. I argue that the consequence of an under resourced system is that only the most extreme forms of suffering can be addressed, and the tools used to decipher who is most vulnerable do not account for structural inequalities.
Author Keywords: Coordinated Access, Homelessness, Homelessness Policy, Institutional Ethnography, Neoliberalization, New Public Management