Browsing by Author "Read, Emily"
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Item Aging in place: older adults' perspective of home support services in New Brunswick(University of New Brunswick, 2019) Chinho, Norma; Read, EmilyCountries facing aging population challenges have to address them in patient-oriented, and evidence-based ways. Seniors desire to age in place. This concept in which one lives in his or her own home for as long as possible carries two-fold benefits. Seniors could live out their days in their homes and the government could potentially reduce seniors' hospitalizations and emergency visits. This would significantly decrease public health spending and improve the quality of life for the elderly. Previous senior home support services investigations in New Brunswick have used province-wide and Francophone perspectives, however, this study utilized a uniquely Anglophone point of view to add to the existing body of knowledge. An interpretive description methodology studied the perspectives of seniors receiving home support services which are publicly funded in New Brunswick. The knowledge gained from this investigation has the potential to further inform policy on serving seniors more effectively and efficiently with input from their own voices. Eight participants aged 65 and older and one caregiver were interviewed for this study. Findings show that seniors desire to age in their own homes and home support services enable this thus assist seniors to carry out successful daily life. However, seniors are experiencing significant gaps in home supports, with the most glaring ones occurring in rural New Brunswick. These gaps include home support worker staffing challenges and professional conduct issues which inevitably lead to unmet home support service needs. More still needs to be done to effectively address these gaps for seniors in the province of New Brunswick.Item Correlates of new graduate nurses’ experiences of workplace mistreatment(Lippincott, 2013) Read, Emily; Laschinger, Heather K.Objective: This study explores antecedents and consequences of new graduate nurses’ experiences of workplace mistreatment. Background: New graduate nurses’ experiences of workplace mistreatment negatively influence organizational and personal health outcomes. Three types of workplace mistreatment are bullying, co-worker incivility, and supervisor incivility. It is unclear whether the relationships between precipitating factors and outcomes are similar when new graduate nurses experience these different types of workplace mistreatment. Methods: We surveyed 342 new graduate nurses in Ontario to examine the exploratory model related to each negative workplace behavior experience. Results: Community had a stronger correlation to co-worker incivility (-.58) than supervisor incivility (-.32) and bullying (-.44). Structural empowerment was more related to bullying (-.34) and co-worker incivility (-.30) than supervisor incivility (-.22). Bullying had stronger correlations to all outcome variables. Job satisfaction, emotional exhaustion, and personal health outcomes were all negatively related to workplace mistreatment. Conclusions: New graduate nurses’ experiences of three types of workplace mistreatment have similar relationships to precipitating factors and outcomes with stronger correlations to bullying than incivility.Item Effectiveness of an online game in promoting positive attitudes towards nursing homes among youth(University of New Brunswick, 2020) Folkins, Cassandra; Read, Emily; Bateman, ScottNursing homes in New Brunswick are facing a workforce shortage as a result of a rapidly aging population. In response, the nursing home sector has developed an online video game to promote the sector and engage youth as part of a long-term recruitment strategy. The objective of this research is to evaluate the effectiveness of this game in promoting positive attitudes towards nursing homes among youth. A focus group study was conducted with youth aged 11 – 16 years to examine their experiences playing the game and to discuss any impact the game had on their attitudes towards nursing homes and towards working in nursing homes. Qualitative analysis found two core themes emerged from the focus group data: Game Experience and Perceptions of Nursing Homes. Findings indicate players did experience some positive change in their attitudes towards nursing homes after playing the game. Implications of the findings and study limitations are discussed.Item Feasibility of the Diabetes and Technology for Increased Activity (DaTA) Study: A Pilot Intervention in High-Risk Rural Adults(Human Kinetics Journals, 2014) Read, EmilyBackground: Rural Canadians are at increased risk of metabolic syndrome. Physical inactivity is a primary target for preventing and reversing metabolic syndrome. Adherence to lifestyle interventions may be enhanced using cell phones and self-monitoring technologies. This study investigated the feasibility of a physical activity and self-monitoring intervention targeting high-risk adults in rural Ontario. Methods: Rural adults (n = 25, M=57.0 ± 8.7 years) with ≥2 criteria for metabolic syndrome participated in an 8-week stage-matched physical activity and self-monitoring intervention. Participants monitored blood glucose, blood pressure, weight, and physical activity using self-monitoring devices and BlackberryTM Smart phones. VO2max, stage of change, waist circumference, weight, blood lipids, and HbA1c were measured at weeks 1, 4, and 8. Results: Adherence to self-monitoring was >94%. Participants’ experiences and perceptions of the technology were positive. Mean stage of change increased 1 stage, physical activity increased 26%, and predicted VO2max increased 17% (p<0.05). Significant changes in weight, waist circumference, diastolic blood pressure, LDL cholesterol, and total cholesterol were found. Conclusions: This stage-matched technology intervention for increased physical activity was feasible and effective. Keywords: Metabolic syndrome, physical activity, cardiovascular health, technology, ruralhealthItem High users of primary care services among Canadian armed forces veterans(University of New Brunswick, 2019) Murray, Ryan; Read, Emily; Montelpare, WilliamThis research aimed to identify the characteristics associated with being a high user of primary care services among a nationally representative sample of Canadian Armed Forces (CAF) Veterans, as well as to identify healthcare utilization patterns among these high users. Quantitative analysis of Veterans Affairs Canada’s 2016 Life After Service Survey was conducted, which includes indicators of well-being in domains of health, finances, employment or other meaningful activity, life skills and preparedness, and social integration. Descriptive analysis, bivariate logistic regression, and multiple logistic regression identified many military, demographic, and well-being characteristics that were significantly associated with being a high user of primary care. High users were also more likely to use other healthcare services. These findings provide evidence for the development of policies and practices aimed at improving the clinical and social care of CAF Veterans and reducing their healthcare utilization, in addition to informing future research in this area.Item New nurses’ perceptions of professional practice behaviours, quality of care, job satisfaction and career retention(Wiley, 2016) Laschinger, Heather K. Spence; Zhu, Junhong; Read, EmilyAim: To test a model examining the effects of structural empowerment and support for professional practice on new graduate nurses’ perceived professional practice behaviours, perceptions of care quality, and subsequent job satisfaction and career turnover intention. Background: The Nursing Worklife Model describes the relationship between environmental factors that support nursing practice and nurse and patient outcomes. The influence of support for professional practice on new nurses’ perceptions of professional nursing behaviours within this model has yet to be tested. Method: Structural equation modeling in Amos software was used to analyze data from a national survey of new graduate nurses across Canada (n = 393). Findings: The model fit the data reasonably well: χ² (124) = 360.054, χ/df=2.904, CFI=. 913, IFI=. 914, RMSEA=.070. The results supported our hypothesized model. The professional practice behaviours, as an individual contributor, mediated the relationship between organizational empowerment, support for professional practice and quality of care, which in turn negatively associated with career turnover intention among new nurses. All paths in the model were significant. Conclusion: The results suggest that job satisfaction and career retention of new nurses are related to their perceptions of work environment factors that support their professional practice behaviours and high quality care. Implications for nursing managers: To diminish nurse job dissatisfaction and intention of career turnover, and to enable them to deliver high quality patient care, nurse managers need to encourage individual professional behaviours, and employ organizational empowerment strategies to support nurses’ professional practice. Keywords: empowerment, nursing, professional practice behaviours, patient care quality, job satisfaction, career turnoverItem The effect of structural empowerment on burnout and subsequent quality of patient care in mental health nurses in New Brunswick(University of New Brunswick, 2022-09) Agnew, Rebecca E.; Read, EmilyAlthough nursing burnout has been generally associated with lack of empowerment and poorer patient outcomes, research about the mental health nurse population is sparse. This study tested a hypothesized model examining the associations between structurally empowering work environments on burnout and subsequent quality of patient care amongregistered nurses working in mental health care in New Brunswick. A cross-sectional survey was conducted and SPSS was used to analyze descriptive statistics, correlations, and three mediation models using Hayes’ PROCESS macro. Significant correlations were found between scales for structural empowerment and cynicism (-.42), interpersonal strain and access to information (-.36), and interpersonal strain and quality of care (-.39).Results showed that the direct association of structural empowerment on cynicism was significant (r = -.48, β = -.32, t = -2.69, p = .01, R2 = 16.7). The COVID-19 pandemic prevented further participant recruitment, leading this study to act as a pilot for further research. Keywords: structural empowerment, burnout, quality of care, mental health nurse, psychiatric nurseItem The effects of authentic leadership and occupational coping self-efficacy on new graduate nurses’ burnout and mental health: A cross-sectional study(Elsevier, 2015) Laschinger, Heather K. Spence; Borgogni, Laura; Consiglio, Chiara; Read, EmilyBackground – New nurse burnout has personal and organizational costs. The combined effect of authentic leadership, person-job fit within areas of worklife, and occupational coping self-efficacy on new nurses’ burnout and emotional wellbeing has not been investigated. Objectives - This study tested a model linking authentic leadership, areas of worklife, occupational coping self-efficacy, burnout, and mental health among new graduate nurses. We also tested the validity of the concept of interpersonal strain at work as a facet of burnout. Design – A cross-sectional national survey of Canadian new graduate nurses was conducted. Participants – Registered nurses working in direct patient care in acute care settings with less than 3 years of experience were selected from provincial registry databases of 10 Canadian provinces. A total of 1009 of 3743 surveyed new graduate nurses were included in the final sample (useable response rate 27%). Methods - Participants received a mail survey package that included a letter of information, study questionnaire, and a $2 coffee voucher. To optimize response rates non-responders received a reminder letter four weeks after the initial mailing, followed by a second survey package four weeks after that. Ethics approval was obtained from the university ethics board prior to starting the study. Descriptive statistics and scale reliabilities were analyzed. Structural equation modeling with maximum likelihood estimation was used to test the fit between the data and the hypothesized model and to assess the factor structure of the expanded burnout measure. Results - The hypothesized model was an acceptable fit for the data (χ2 (164) = 1221.38; χ2 ratio =7.447; CFI =.921; IFI =.921; RMSEA =.08). All hypothesized paths were significant. Authentic leadership had a positive effect on areas of worklife, which in turn had a positive effect on occupational coping self-efficacy, resulting in lower burnout, which was associated with poor mental health. Conclusions - Authentic leaders may play an important role in creating positive working conditions and strengthening new nurses’ confidence that help them cope with job demands, thereby protecting them from developing burnout and poor mental health. Leadership training to develop supervisors’ authentic leadership skills may promote the development of person-job fit, thereby increasing occupational self-efficacy and new nurses’ wellbeing. Keywords: authentic leadership, areas of worklife, new graduate nurses, occupational coping self-efficacy, burnout, mental healthItem Transition experiences of new graduate nurses from accelerated and traditional nursing programs(Elsevier, 2017) Read, Emily; Laschinger, Heather K.S.Background: With increasing numbers of new graduate nurses from accelerated nursing programs entering the workforce, it is important to understand their transition experiences, as they may differ from those of traditional graduates. Objectives: The aim of this study was to describe and compare the intrapersonal resources, transition experiences, and retention outcomes of these two groups. Design: A descriptive cross-sectional comparison study was conducted. Participants: A random sample of 3655 registered nurses with < 3 years of nursing experience were invited to participate from across Canada; 1020 responded (27.9%). The final sample included 230 nurses from accelerated programs and 768 from four-year programs (total n = 998). Methods: Following ethics approval, participants were mailed a questionnaire to their home address. One month later non-responders were sent a reminder letter, followed by a second questionnaire one month later (January to March, 2013). Descriptive statistics were conducted using SPSS. Group differences were assessed using independent samples t-tests for continuous variables and χ2 tests for categorical variables. Results: Overall, there were few significant differences between new graduate nurses from accelerated and traditional programs. Nurses in both groups had high levels of intrapersonal resources, positive transition experiences, were satisfied with their jobs and their choice of nursing as a career, and their intentions to leave were low. Conclusions: All new graduate nurses need to have a strong educational preparation and transition support, regardless of their age and previous work and career experiences.