Inflammatory Bowel Disease Nurses' Perspectives: Prioritizing Adolescent Transition Readiness Factors.

PURPOSE: Despite the wealth of knowledge and expertise that Inflammatory Bowel Disease (IBD) nurses bring to the transition process, health literature lacks nurses' perspectives on transition readiness. The purpose of study was to ask IBD nurses to prioritize care transition readiness factors for adolescents living with IBD. DESIGN AND METHODS: The cross-sectional exploratory survey was researcher-developed and distributed online to IBD nurses across Canada. The survey was divided into nine transition topic categories. RESULTS: Fifty-six female registered nurses from six Canadian provinces participated in the study. Overall, nurses rated all items within each transition topic category to be very important in facilitating adolescent transition to adult healthcare. The highest individual mean scores and the highest prioritized categories were within the Knowing IBD and Healthcare Provider Relationships categories, emphasizing the importance for adolescents to understand their disease and feel comfortable communicating their needs and questions to healthcare providers. CONCLUSIONS: The transition process needs to be individualized and comprehensive addressing a multitude of biopsychosocial factors in order to support IBD patients and families to achieve healthy adult self-care behaviours that can foster positive health outcomes. PRACTICE IMPLICATIONS: Healthcare providers, adolescents, and parents must work collaboratively to achieve identified transition goals so that the transition process is a mutually satisfying experience. A comprehensive readiness assessment tool is suggested to assist in the transition process. Transition readiness assessment must start early, be ongoing, be age-appropriate, and be individualized to the patient needs.

Co-Developed Indigenous Educational Materials for Chronic Kidney Disease: A Scoping Review.

BACKGROUND: Canadian Indigenous populations experience significantly more chronic kidney disease (CKD) than the general population. Indigenous people who live in rural and remote areas may also have difficulty accessing both information and care for their CKD. Informed decision making about treatment options for advancing kidney disease may be delayed, which can result in poor health outcomes and decreased quality of life. Moreover, Indigenous people may experience marginalization within Western health care systems. OBJECTIVE: The objective of this scoping review is to identify culturally appropriate and co-developed Indigenous educational tools that will ultimately support CKD learning and end-stage kidney treatment decision making. DESIGN: Scoping Review. SETTING: Databases included Embase, CINAHL, Medline (OVID), ERIC, and the Canadian Agency for Drugs and Technology Gray Matters. STUDY PARTICIPANTS: Community-based Indigenous patients, families, health care workers, and community members. METHODS: We systematically reviewed the literature to explore the availability of co-developed Indigenous educational tools and material for CKD treatment options. Titles, abstracts, and full texts were reviewed independently by 2 reviewers with disagreements resolved through a third. All aspects of this project, including searching the databases were done in consultation with an Indigenous Elder. RESULTS: Only one retrieved article identified a comprehensive CKD tool co-developed by researchers, health care providers, and an Indigenous community. Three themes emerged from the scoping review that may inform characteristics of co-developed tools: cultural appropriateness; appraisal of utility and effectiveness and; content informed by co-development of traditional and Western chronic disease knowledge. LIMITATIONS: Consistent with scoping review methodology, the methodological quality of included studies was not assessed. In addition, it was difficult to synthesize the findings from the research and gray literature. CONCLUSION: Little is known about the co-development of Indigenous educational tools for CKD. Further in-depth understanding is required about how to best engage with Indigenous communities, specifically to co-develop contextualized CKD tools that are acceptable to Indigenous people.Trial registration: Not applicable as this review described secondary data.

CONTEXTE: Au Canada, l'insuffisance rénale chronique (IRC) touche les populations autochtones davantage que la population générale. Qui plus est, l'accès à des soins et de l'éducation sur l'IRC s'avère plus difficile pour les autochtones vivant en régions rurales et éloignées. Une situation susceptible de retarder la prise de décision informée quant aux options de traitement et donc, de compromettre les résultats de santé et la qualité de vie. Les autochtones pourraient également être marginalisés dans les systèmes de santé occidentaux. OBJECTIFS: L'étude visait à répertorier des outils de sensibilisation culturellement appropriés et développés conjointement avec les autochtones qui, en définitive, viendraient appuyer l'éducation sur l'IRC et la prise de décision quant au traitement de l'insuffisance rénale terminale. TYPE D'ÉTUDE: Étude de cadrage. SOURCES: Les bases de données Embase, CINAHL, Medline (OVID) et ERIC, et l'outil Matière grise de l'Agence canadienne des médicaments et des technologies de la santé (ACMTS). SUJETS: Des patients autochtone de la communauté et leurs familles, des travailleurs du secteur de la santé et des membres de la communauté. MÉTHODOLOGIE: Nous avons procédé à une revue systématique de la littérature pour vérifier la disponibilité d'outils d'éducation développés conjointement avec les autochtones et de matériel relatif aux options de traitement pour l'IRC. Les titres, abrégés et textes complets ont été révisés indépendamment par deux examinateurs; les désaccords ayant été résolus par un troisième. Un aîné autochtone a été consulté pour tous les aspects de ce projet, y compris la recherche dans les bases de données. RÉSULTATS: Parmi les articles retenus, un seul faisait état d'un outil complet développé conjointement par des chercheurs, des fournisseurs de soins et une communauté autochtone. L'étude a dégagé trois thèmes susceptibles d'éclairer les caractéristiques d'un outil co-développé: l'adaptation culturelle, l'évaluation de l'utilité et de l'efficacité, et un contenu éclairé par le co-développement des connaissances traditionnelles et occidentales sur les maladies chroniques. LIMITES: Conformément à la méthodologie d'une étude de cadrage, la qualité méthodologique des études incluses n'a pas été évaluée. De plus, il a été difficile de synthétiser les résultats provenant de la recherche et de la littérature grise. CONCLUSION: On en sait peu sur le développement d'outils d'éducation sur l'IRC conjointement avec les membres des communautés autochtones. Une compréhension plus approfondie des meilleures façons de collaborer avec les communautés autochtones est nécessaire, particulièrement pour l'élaboration d'outils d'éducation sur l'IRC contextualisés et acceptables pour les autochtones. ENREGISTREMENT DE L'ESSAI CLINIQUE: Sans objet puisque cette étude discute de données secondaires.

Older persons with dementia in prison: an integrative review.

PURPOSE: The number of prisoners over 55 years is increasing and many are at risk of developing dementia. This has generated new responsibilities for prisons to provide health and social care for older persons. The purpose of this paper is to synthesize the existing research literature regarding the phenomenon of the health and social care needs of older persons living with dementia in correctional settings. DESIGN/METHODOLOGY/APPROACH: Using an integrative review method based on Whittemore and Knafl, the inclusion criteria for the review are: articles written in English; a focus on some form of dementia and/or older persons with discussion of dementia; to be set in a correctional context (correctional facility, prison and jail); be derived from a published peer-reviewed journal or unpublished dissertation/thesis; and be a qualitative, quantitative or mixed methods study. Based on those criteria, a search strategy was developed and executed by a health sciences librarian in the following databases: Medline, CINAHL, Embase, PsychINFO, Proquest Nursing and Allied Health and Web of Science; searches were completed up to April 2019. After data were extracted from included studies, synthesis of findings involved an iterative process where thematic analysis was facilitated by Braun and Clarke's approach. FINDINGS: Eight studies met the inclusion criteria. Key findings of the eight studies include recognition of dementia as a concern for correctional populations, dementia-related screening and programming for older persons and recommendations for improved screening and care practices. Most significant is the paucity of research available on this topic. Implications for research are discussed. ORIGINALITY/VALUE: This paper identified and synthesizes the limited existing international research on the health and social care needs of older persons with dementia living in correctional settings. Although existing research is scant, this review highlights the need for increased awareness of dementia as a concern among older persons living in correctional settings. As well, the review findings emphasize that enhanced screening and interventions, particularly tailored approaches, are imperative to support those living with dementia in correctional settings.

A Review of the Effects of Physical Therapy on Self-Esteem in Postpartum Women With Lumbopelvic Dysfunction.

This study sought to determine the impact of physical therapy for lumbopelvic dysfunction on self-esteem in postpartum women. Systematic searches were carried out in CINAHL, Embase, PsycINFO, Medline (OVID), Cochrane, and Web of Science by a health sciences librarian using various combinations of subject headings and key words. A dual review process was used first to assess titles and abstracts and then to examine the full text. Conflicts were resolved through discussion or a third reviewer as needed. Dual data extraction was completed using a standardized collection form. Pairs of reviewers met to discuss conflicts. Data quality was assessed using the Cochrane Collaboration's Risk of Bias Tool, the Joanna Briggs Critical Appraisal Tool, and the Critical Appraisal Skills Programme Checklist. Thirteen articles were included in the review. None of the articles assessed self-esteem specifically; however, each article assessed aspects of self-esteem (self-concept, self-efficacy, self-worth, depression, quality of life, general well-being, or physical function). All articles reported improvements in the selected outcome measures compared with baseline; two studies that compared two different physical therapy interventions found no significant differences between the interventions. To our knowledge, there is no literature explicitly evaluating self-esteem in postpartum women following physical therapy intervention for lumbopelvic dysfunction. Low self-esteem is shown to predict depression and anxiety; therefore, interventions that increase self-esteem may be useful in reducing the risk of depression.

Healthcare Transition in Pediatrics and Young Adults With Inflammatory Bowel Disease: A Scoping Review.

The incidence of inflammatory bowel disease has steadily increased in children within the last decade. As young adults transition into the adult healthcare system, lack of support can lead to disease exacerbations and disease-related complications. The purpose of this scoping review was to examine the current healthcare transition literature in pediatrics and young adults with inflammatory bowel disease, with a particular focus on assessment or screening tools to evaluate healthcare transition readiness. Five most relevant databases were searched. Of these, 22 articles met the inclusion criteria and key findings from these are summarized. The majority of articles focused on adolescents or young adults with inflammatory bowel disease and were primarily published in the United States. Since 2008, there has been a growing trend in publications of inflammatory bowel disease healthcare transition literature. Articles were often described as healthcare transition readiness assessment tools, patient outcomes following transition, or transition experiences and barriers. An understanding of the current literature on the readiness assessment and support strategies is required to promote an improved quality of life for pediatric and young adult patients living with inflammatory bowel disease.

Knowledge of journal impact factors among nursing faculty: a cross-sectional study.

OBJECTIVE: The research assessed nursing faculty awareness and knowledge of the journal impact factor (JIF) and its impact on their publication choices. METHODS: A qualitative cross-sectional questionnaire was developed using Fluid Survey and distributed electronically to nursing faculty and instructors at three post-secondary institutions in Saskatchewan. Data were collected on place and status of employment, knowledge and awareness of JIFs, and criteria used to choose journals for publication. RESULTS: A total of forty-four nursing faculty and instructors completed the questionnaire. The authors found that faculty lack awareness or complete understanding of JIFs and that JIFs are not the most important or only criterion used when they choose a journal for publication. CONCLUSIONS: There are various reasons for choosing a journal for publication. It is important for librarians to understand faculty views of JIFs and their criteria for choosing journals for publication, so that librarians are better equipped to guide researchers in considering their academic goals, needs, and personal values.