Zeitschriftenartikel: „Alberta. Further Education Services“

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Mercier, Danielle, Matthew Douma und Carmel Montgomery. „Inpatient supervised consumption services: A nursing perspective“. Canadian Journal of Emergency Nursing 45, Nr. 3 (13.12.2022): E3—E5. http://dx.doi.org/10.29173/cjen200.

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Harm reduction reduces the risk of negative effects of health behaviours. Supervised consumption services (SCS) provide clean, safe and supervised locations for substance use. They are one strategy to reduce unintentional overdose and spread of infectious disease. The first in-hospital SCS in Edmonton, Alberta continues to offer services to inpatients. Nurses provide supervision of substance use, health promotion and education to clients. SCS staff also provide education to hospital nursing staff who refer clients for SCS. Despite existing community and hospital SCS, nursing frameworks for SCS and federal and provincial policies that support SCS, implementation of SCS in hospitals is uncommon. Nurses should be informed about SCS and their potential for further implementation. Existing programs can be useful templates for future implementation in hospitals. Nurses can be advocates for harm reduction strategies in their workplace that include SCS.

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Bisch, Steven P., Leah Gramlich und Gregg Nelson. „Aplicación del programa ERAS® como una política de salud pública en el sistema de salud de Alberta, Canadá“. Revista Argentina de Cirugía 113, Nr. 2 (01.06.2021): 169–75. http://dx.doi.org/10.25132/raac.v113.n2.eras03spb.ei.

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Enhanced Recovery After Surgery (ERAS®) was implemented across Alberta Health Services, a single payer publicly funded provincial health system starting in 2013. Implementation across multiple provincial sites in colorectal surgery reduced postoperative complications by 12% and median length of stay by one day. Subsequent implementation in gynecologic oncology reduced postoperative complications by 17% and length of stay by 2 days in high complexity surgery. Implementation has had an estimated net savings in the province of $7.22 million Canadian dollars (CAD) over 5 years with a return on investment of $1.05 to $7.31 for every dollar invested in the project. Patient involvement enabled success of the program, with support, education, and mitigation of patient stress identified as key components for success. Provider knowledge and motivation were essential to ensure ongoing compliance with ERAS guidelines. Provider education, and demonstration of improvement in patient outcomes using audit is one method to ensure continued motivation from care providers. Systemlevel leadership is essential to provide consistent messaging and support for initiatives, while providerlevel leadership in the form of physician champions and nurse coordinators ensures compliance and appropriate integration of ERAS into daily practice. Implementation of ERAS across a unified health care system has improved patient outcomes while saving resources. Further research into expansion of the program to community hospitals and all surgical domains is underway.

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Horlick, Sidney, Jacqueline A. Krysa, Katelyn Brehon, Kiran Pohar Manhas, Katharina Kovacs Burns, Kristine Russell, Elizabeth Papathanassoglou, Douglas P. Gross und Chester Ho. „Exploring Rehabilitation Provider Experiences of Providing Health Services for People Living with Long COVID in Alberta“. International Journal of Environmental Research and Public Health 20, Nr. 24 (13.12.2023): 7176. http://dx.doi.org/10.3390/ijerph20247176.

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Background: COVID-19 infection can result in persistent symptoms, known as long COVID. Understanding the provider experience of service provision for people with long COVID symptoms is crucial for improving care quality and addressing potential challenges. Currently, there is limited knowledge about the provider experience of long COVID service delivery. Aim: To explore the provider experience of delivering health services to people living with long COVID at select primary, rehabilitation, and specialty care sites. Design and setting: This study employed qualitative description methodology. Semi-structured interviews were conducted with frontline providers at primary care, rehabilitation, and specialty care sites across Alberta. Participants were interviewed between June and September 2022. Method: Interviews were conducted virtually over zoom, audio-recorded, and transcribed with consent. Iterative inductive qualitative content analysis of transcripts was employed. Relationships between emergent themes were examined for causality or reciprocity, then clustered into content areas and further abstracted into a priori categories through their interpretive joint meaning. Participants: A total of 15 participants across Alberta representing diverse health care disciplines were interviewed. Results: Main themes include: the importance of education for long COVID recognition; the role of symptom acknowledgement in patient-centred long COVID service delivery; the need to develop recovery expectations; and opportunities for improvement of navigation and wayfinding to long COVID services. Conclusions: Provider experience of delivering long COVID care can be used to inform patient-centred service delivery for persons with long COVID symptoms.

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Nowlan, Sarah-Emily, Neil J. MacKinnon, Ana Hincapie und Matt Tachuk. „A survey of Alberta pharmacists’ attitudes, comfort and perceived barriers to a community-based naloxone program“. Canadian Pharmacists Journal / Revue des Pharmaciens du Canada 154, Nr. 4 (18.06.2021): 262–70. http://dx.doi.org/10.1177/17151635211018254.

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Background: Community pharmacists play an important role in the wellness of patients, families and friends affected by prescription and illicit opioid drugs. They are key partners of the Community Based Naloxone (CBN) Program in Alberta and similar programs across other Canadian jurisdictions. This publicly funded program is an evidence-based response to the opioid overdose crisis, facilitating access to and distribution of naloxone kits through pharmacies. The study aimed to describe Alberta community pharmacists’ practices, training, comfort levels and views in dispensing naloxone kits through the CBN program and detail potential perceived barriers to program participation. Methods: The study was conducted as a cross-sectional online survey of Alberta pharmacists. Data collected from the survey were descriptive and evaluated using Microsoft Excel. Fisher exact tests were used to study the associations in responses among several demographic characteristics and related to dispensing practices, pharmacists’ beliefs and perceived barriers. Results: A total of 255 responses were included in the final analysis, with 89.8% of pharmacists replying “yes” to CBN program participation. Pharmacists on average were “comfortable” dispensing naloxone to patients for varying indications, with 85% reporting always providing education when dispensing naloxone to an individual for the first time. About 41% of pharmacists reported no barriers to the program, with the most common perceived barriers being lack of time (29%), demand (20%) and funding (19%). Conclusion: Most community pharmacists who responded to the survey participate in the CBN program in Alberta. They held positive beliefs about their role in screening patients for the risk of opioid overdose and are confident in their abilities to recommend and educate on naloxone kits. Proactive screening appeared lower, however, and dispensing kits were potentially variable. Addressing factors such as time, funding for services and demand may help further pharmacist uptake and success of the program. Can Pharm J (Ott) 2021;154:xx-xx.

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Carlson, Linda E., Safiya Karim und Laura E. Labelle. „The ACTION Centre as a Model for Patient Engagement and Knowledge Translation in Integrative Oncology Practice, Training, and Research“. Integrative Cancer Therapies 21 (Januar 2022): 153473542211032. http://dx.doi.org/10.1177/15347354221103277.

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Integrative Oncology (IO) programs are increasingly emerging at cancer centers and universities worldwide; often these include some combination of clinical service, research, and/or training. However, one gap that often occurs is in moving research results into practice, due to complexities and differences between research and service delivery models and priorities. We recently created the ACTION (Alberta Complementary Therapy and Integrative Oncology) Centre with the goal of partnering with the provincial public health service to promote and facilitate evidence-based integrative oncology care throughout Alberta. The Centre bridges the silos of academia and clinical care by embodying 3 core principles, to be (1) Patient-oriented, (2) Collaborative, and (3) Evidence-based. The ACTION Centre oversees the implementation of clinical research and academic training, and supports the development of clinical services, as well as patient and provider education. The ACTION Centre has five components which include: (1) Patient and healthcare provider education; (2) Individualized IO consultation and treatment planning; (3) Supporting access to complementary therapies; (4) Clinical trials of IO interventions, and; (5) Student training through the TRACTION (Training in Clinical Trials and Integrative Oncology) program. We offer this model of shareholder collaboration in the hopes that other IO programs may be able to use it as a template to further their own progress, working collaboratively toward the ultimate goal of advancing evidence-based, comprehensive, integrative healthcare to improve the lives of people affected by cancer.

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Smith, Mary, und Nazilla Khanlou. „An Analysis of Canadian Psychiatric Mental Health Nursing through the Junctures of History, Gender, Nursing Education, and Quality of Work Life in Ontario, Manitoba, Alberta, and Saskatchewan“. ISRN Nursing 2013 (28.04.2013): 1–13. http://dx.doi.org/10.1155/2013/184024.

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A society that values mental health and helps people live enjoyable and meaningful lives is a clear aspiration echoed throughout our Canadian health care system. The Mental Health Commission of Canada has put forth a framework for a mental health strategy with goals that reflect the virtue of optimal mental health for all Canadians (Mental Health Commission Canada, 2009). Canadian nurses, the largest group of health care workers, have a vital role in achieving these goals. In Canada, two-thirds of those who experience mental health problems do not receive mental health services (Statistics Canada, 2003). Through a gendered, critical, and sociological perspective the goal of this paper is to further understand how the past has shaped the present state of psychiatric mental health nursing (PMHN). This integrative literature review offers a depiction of Canadian PMHN in light of the intersections of history, gender, education, and quality of nursing work life. Fourteen articles were selected, which provide a partial reflection of contemporary Canadian PMHN. Findings include the association between gender and professional status, inconsistencies in psychiatric nursing education, and the limitations for Canadian nurse practitioners to advance the role of the psychiatric mental health nurse practitioner.

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Sperber, Robert I. „The Reform of the Brookline Public Schools Special Education Program: A Retrospective“. Journal of Education 180, Nr. 2 (April 1998): 57–75. http://dx.doi.org/10.1177/002205749818000205.

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In the fall of 1964, Robert Sperber, the newly appointed superintendent of schools in Brookline, Massachusetts, surveyed the schools under his direction and found the “scope of services to children with special needs woefully inadequate.” He enlisted the help of specialists in the Department of Special Education, Boston University, asking them to investigate and develop recommendations leading to reform. This article is Professor Sperber's substantive account of the collaboration between a university and a public school system. The university team—Professors Burton Blatt, Frank Garfunkel, and Albert Murphy—studied all aspects of special needs education in Brookline and in 1965 presented a report calling for a new administrative structure, the appointment of a clinical coordinator, and major attention to the problems of differential diagnosis. Professor Sperber goes on to recount the implementation of these and many other recommendations and the further development of the Brookline program during his tenure (1964–1982). He concludes with comments on the current situation, locally and nationally, particularly the issue of division of resources and the cost of providing extraordinary services such as nurse-attendants for individuals.

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Vorobeichik, Allen, Hannah Yaphe, Amber Feldmann, Noolifar Taghizadeh, Dongmei Wang und Eddy Lang. „Impact of Calgary’s supervised consumption site on opioid-related emergency health care usage“. Canadian Journal of Emergency Nursing 45, Nr. 2 (12.07.2022): 6–7. http://dx.doi.org/10.29173/cjen183.

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Background: Opioid overdoses have been an increasing public health problem in North America for several years. Supervised consumption sites (SCSs) – hygienic and medically supervised spaces to use illicit substances – are one harm reduction strategy intended to decrease morbidity and mortality, with literature suggesting they reduce emergency department (ED) visits, overdoses, and deaths. Calgary’s sole SCS opened in 2017 and received over 6000 monthly visits prior to the COVID-19 pandemic, but recent provincial policy has jeopardized its longevity. To our knowledge, there has not been an evaluation of its effectiveness, so we sought to investigate its impact on opioid-related ED visits. Methods: Calgary’s SCS was not implemented in our institution specifically. It was implemented for the Calgary region by Safeworks, an outreach program under the Alberta Health Services (AHS) umbrella, after obtaining a Health Canada exemption and funding from the provincial government. Implementation also required close collaboration with public services (e.g., Calgary Police Services) and the municipal government. The Safeworks SCS opened on October 30, 2017 and remains the only supervised consumption facility in the Calgary region. It is currently located in the Sheldon Chumir Health Centre in downtown Calgary. In addition to supervised consumption, the SCS also offers all clients harm reduction supplies (e.g., naloxone kits), health services (e.g., testing and counselling for sexually transmitted infections, referral to Calgary Opioid Dependency Program), education (e.g., vein care), and access to social services (e.g., housing supports). Evaluation Methods: This was a retrospective observational study examining the impact of the SCS on two markers of opioid related morbidity (EMS responses and ED visits). Calgary EMS responses, wherein the opioid overdose protocol was activated or naloxone was administered, were queried from the Alberta Health Services (AHS) information management database. ED visits due to opioid toxicity were queried from AHS using ICD-10 codes T40.0-T40.4 and T40.6. Data was collected from January 2014 to February 2020. The impact of Calgary’s SCS was analyzed with an interrupted time series using ordinary least squares regression with Newey-West standard errors. Results: Our data query yielded 9208 EMS responses and 8442 ED visits related to opioid use over the 74-month period. There were no months with missing data. Prior to the opening of Calgary’s SCS, monthly EMS responses and ED visits increased significantly by 3.69 [3.08, 4.30] and 7.09 [5.92, 8.26] visits/month, respectively (p<0.001). After the SCS’ opening, the trends in EMS responses and ED visits declined significantly, relative to the pre-intervention trends, by 7.14 [5.72, 8.56] (p<0.001) and 15.34 [12.21, 18.48] (p<0.001) visits/month, respectively. After the intervention, EMS responses declined at a rate of 3.45 visits per month (p <0.001) and ED visits declined at a rate of 8.25 visits per month (p< 0.001). Our interrupted time series suggest that Calgary’s SCS led to a significant change (and in fact, a reversal) in the trends of opioid-related EMS responses and ED visits. This evidence suggests that ongoing access to Calgary’s SCS has a favourable impact. Advice and Lessons Learned: 1) Similar studies in the future should consider partnering with their local SCSs (e.g., Safeworks) to conduct a multi-faceted program evaluation, including organization-driven outcomes. This could also facilitate respectful and ethical patient engagement. 2) Evaluating mortality data or other more direct markers of morbidity in addition to ED visits may be high yield in future research as it provides greater insight into the breadth of medical outcomes and further informs advocacy efforts. 3) Our study did not consider the impacts of other opioid-related interventions in Calgary/Alberta. This was a deliberate choice, however it is ultimately difficult to estimate the impact of an isolated intervention. One option would be to evaluate all relevant interventions as a group of interventions, given that substance misuse and associated harms is a multifaceted problem that requires a multidisciplinary approach

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Rahman, Amaly, Sarah Curtis, Beth DeBruyne, Sunil Sookram, Denise Thomson, Shari Lutz und Samina Ali. „Emergency Medical Services Provider Comfort with Prehospital Analgesia Administration to Children“. Prehospital and Disaster Medicine 30, Nr. 1 (08.12.2014): 66–71. http://dx.doi.org/10.1017/s1049023x14001277.

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AbstractIntroductionThe undertreatment of pediatric pain is a significant concern among families, clinicians, and researchers. Although some have examined prehospital pain management, the deterrents to pediatric analgesia administration by Emergency Medical Services (EMS) have not yet been examined in Canada.ProblemThis study describes EMS pain-management practices and prehospital provider comfort treating pediatric pain. It highlights differences in pain management between adults and children and assesses the potential barriers, misconceptions, difficulties, and needs related to provision of pediatric analgesia.MethodsA study-specific survey tool was created and distributed to all Primary Care Paramedics (PCPs) and Advanced Care Paramedics (ACPs) over four mandatory educational seminars in the city of Edmonton (Alberta, Canada) from September through December 2008.ResultsNinety-four percent (191/202) of EMS personnel for the city of Edmonton completed the survey. The majority of respondents were male (73%, 139/191), aged 26-35 (42%, 80/191), and had been in practice less than 10 years (53%, 101/191). Seventy-four percent (141/191) of those surveyed were ACPs, while 26% (50/191) were PCPs. Although the majority of respondents reported using both pain scales and clinical judgement to assess pain for adults (85%, 162/191) and adolescents (86%, 165/191), children were six times more likely than adults (31%, 59/191 vs 5%, 10/191) to be assessed by clinical judgement alone. Emergency Medical Services personnel felt more comfortable treating adults than children (P < .001), and they were less likely to treat children even if they were experiencing identical types and intensities of pain as adults (all P values <.05) and adolescents (all P values < .05). Twenty-five percent of providers (37/147) assumed pediatric patients required less analgesia due to immature nervous systems. Three major barriers to treating children's pain included limited clinical experience (34%, 37/110), difficulty in communication (24%, 26/110) and inability to assess children's pain accurately (21%, 23/110).ConclusionEmergency Medical Services personnel self-report that children's pain is less rigorously measured and treated than adults’ pain. Educational initiatives aimed at increasing clinical exposure to children, as well as further education regarding simple pain measurement tools for use in the field, may help to address identified barriers and discomfort with assessing and treating children.RahmanA, CurtisS, DeBruyneB, SookramS, ThomsonD, LutzS, AliS. Emergency Medical Services provider comfort with prehospital analgesia administration to children. Prehosp Disaster Med. 2015;30(1):1-6.

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Zivot, Chloe, Cate Dewey, Meghan Brockington, Chioma Nwebube, Ghaid Asfour, Natasha Vattikonda, Debbie Bell, Sharada Srinivasan und Matthew Little. „Experiences of wellbeing and resilience among refugee mothers and families in Calgary during the COVID-19 pandemic, and the role of participation in HIPPY, a home visiting program“. AIMS Public Health 9, Nr. 3 (2022): 521–41. http://dx.doi.org/10.3934/publichealth.2022036.

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<abstract> <p>In order to provide meaningful and effective support to refugees in Canada during the COVID-19 pandemic, as well as during post-pandemic recovery efforts, it is critical to explore the experiences of refugee mothers and families during the pandemic, and to identify sources of resilience that can be leveraged to promote individual and household wellbeing. From November 2020 to June 2021, we conducted in-depth interviews with mothers from refugee backgrounds (n = 28) who resettled in Calgary, Alberta and are currently participating in the Multicultural Home Instruction for Parents of Preschool Youngsters (HIPPY) program. Interviews were conducted virtually using Microsoft Teams; we sought to better understand the pathways and barriers to wellbeing experienced by refugee mothers during the pandemic. The results indicate that the refugee mothers and families in our study experienced widespread disruptions to education and employment and increased motherhood burden, contributing to diminished wellbeing. Mental health was further impacted by heightened levels of worry, stress and social isolation, as well as intense fear pertaining to the spread of SARS-CoV-2. Some mothers reported experiencing barriers to accessing healthcare services and reliable health information during the pandemic. In the face of these challenges, the mothers demonstrated great resilience and identified tangible individual, household and extra-household factors and resources that supported them in coping with the impact of the COVID-19 pandemic. Additionally, our findings suggest that participation in HIPPY played a significant role in fostering the resilience of the participating mothers and families during the pandemic, speaking to the potential of home visiting intervention models in mitigating household hardship during current and future public health crises.</p> </abstract>

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Shalaby, R., B. Agyapong, W. Vuong und V. Agyapong. „Apparent effective Text4Hope online mental health support for male subscribers during the COVID-19 pandemic- Naturalistic randomized controlled trial“. European Psychiatry 66, S1 (März 2023): S860. http://dx.doi.org/10.1192/j.eurpsy.2023.1821.

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IntroductionMental illness is not uncommon among males. While the estimates of the males who are dissatisfied with their lives, die by suicide, become alcohol-dependent and drug users are high, low numbers seek mental health support.ObjectivesIn this study, we aimed to assess Text4Hope, a texting mental health support service, provided to people in Alberta during the COVID-19 pandemic, and examine its effectiveness among male subscribers.MethodsIn a naturalistic randomized controlled trial design, a comparison was run between two populations of Text4Hope male subscribers; an intervention group (IG, Text4Hope subscribers who received once-daily supportive text messages for 6 weeks) and a control group (CG, Text4Hope subscribers who joined the program in the same time frame but were yet to receive text messages). The severity and the prevalence of likely stress, anxiety, and depression were examined between the two groups, using the Perceived Stress Scale (PSS-10), the Generalized Anxiety Disorder 7-item (GAD-7), and the Patient Health Questionnaire-9 (PHQ-9), and defined the Composite Mental Health (CMH) score as the sum of these three. T-test, Chi-squared association, and binary logistic regression analyses were applied.ResultsThere were 286 male subscribers to Text4Hope. The majority were above 40 years, white, employed, had postsecondary education, were in a relationship, and owned a home. Mean scores of PSS-10, GAD-7, and PHQ-9 scales and the CMH were significantly higher for the CG compared to the IG, 11.4, 28.8, 25.8, and 18.7%, respectively. Similarly, there was a statistically significant lower prevalence in IG, compared to the CG, on likely MDD (58.15 vs. 37.4%) and likely GAD (50 vs. 30.8%), with a small effect size. The IG was a significant predictor for lower odds of both likely MDD and likely GAD while controlling for sociodemographic characteristics.ConclusionsText4Hope is an effective tool for mental health support for male subscribers, during the COVID-19 pandemic. Compared to the subscribers who didn’t receive the service, those who received it were in a better mental health condition. Further efforts are still needed to encourage males to participate in such online services that can provide adequate support, particularly during crisis time.Disclosure of InterestNone Declared

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Jacobs, Philip, und Alain Lesage. „The Public Cost of Mental Health– and Addiction-Related Services for Youth (Ages 12-17) in Alberta“. Canadian Journal of Psychiatry 64, Nr. 5 (29.08.2018): 323–28. http://dx.doi.org/10.1177/0706743718795676.

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Objective: To measure the provincial government cost of mental health–related activities for youth ages 12 to 17 in Alberta in 2014 to 2015. Methods: The target population was Alberta youth ages 12 to 17 (the federal justice definition) who received or were funded for mental health–related or complementary services from Alberta Health Services, Alberta Health, Alberta Human Services, Alberta Justice and Solicitor General, and Alberta Education (public schools). Data on services and expenditures were obtained from each source for the target youth population. Results: Costs for mental health–related services for all ministries were $175 million for 27,169 youth who used mental health services as defined by Policy Wise, $6460 per youth. Public school special education supplements for youth with emotional problems was the largest group, amounting to 30% of all costs. Other prominent sources of expenditures were hospital inpatient mental health services (18%), community mental health services (11%), physician mental health services (10%), and secure services with treatment requiring judicial approval (9%). Conclusion: Economists in several countries have developed countrywide measures of mental health expenditures and have used these to generate national benchmarks for mental health spending. We have estimated spending for Alberta provincial mental health and addiction services for a distinct and highly vulnerable group. This measure can be used to develop measures and benchmarks for other provinces, which will be valuable policy indicators.

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Turin, Tanvir C., Sujoy Subroto, Mohammad M. H. Raihan, Katharina Koch, Robert Wiles, Erin Ruttan, Monique Nesset und Nashit Chowdhury. „Identifying Challenges, Enabling Practices, and Reviewing Existing Policies Regarding Digital Equity and Digital Divide Toward Smart and Healthy Cities: Protocol for an Integrative Review“. JMIR Research Protocols 11, Nr. 12 (08.12.2022): e40068. http://dx.doi.org/10.2196/40068.

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Background Digital equity denotes that all individuals and communities have equitable access to the information technology required to participate in digital life and can fully capitalize on this technology for their individual and community gain and benefits. Recent research highlighted that COVID-19 heightened the existing structural inequities and further exacerbated the technology-related social divide, especially for racialized communities, including new immigrants, refugees, and ethnic minorities. The intersection of challenges associated with racial identity (eg, racial discrimination and cultural differences), socioeconomic marginalization, and age- and gender-related barriers affects their access to health and social services, education, economic activity, and social life owing to digital inequity. Objective Our aim is to understand the current state of knowledge on digital equity and the digital divide (which is often considered a complex social-political challenge) among racialized communities in urban cities of high-income countries and how they impact the social interactions, economic activities, and mental well-being of racialized city dwellers. Methods We will conduct an integrative review adapting the Whittemore and Knafl methodology to summarize past empirical or theoretical literature describing digital equity issues pertaining to urban racialized communities. The context will be limited to studies on multicultural cities in high-income countries (eg, Calgary, Alberta) in the last 10 years. We will use a comprehensive search of 8 major databases across multiple disciplines and gray literature (eg, Google Scholar), using appropriate search terms related to digital “in/equity” and “divide.” A 2-stage screening will be conducted, including single citation tracking and a hand search of reference lists. Results will be synthesized using thematic analysis guidelines. Results As of August 25, 2022, we have completed a systematic search of 8 major academic databases from multiple disciplines, gray literature, and citation or hand searching. After duplicate removal, we identified 8647 articles from all sources. Two independent reviewers are expected to complete the 2-step screening (title, abstract, and full-text screening) using Covidence followed by data extraction and analysis in 4 months (by December 2022). Data will be extracted regarding digital equity–related initiatives, programs, activities, research findings, issues, barriers, policies, recommendations, etc. Thematic analysis will reveal how barriers and facilitators of digital equity affect or benefit racialized population groups and what social, material, and systemic issues need to be addressed to establish digital equity for racialized communities in the context of a multicultural city. Conclusions This project will inform public policy about digital inequity alongside conventional systemic inequities (eg, education and income levels); promote digital equity by exploring and examining the pattern, extent, and determinants and barriers of digital inequity across sociodemographic variables and groups; and analyze its interconnectedness with spatial dimensions and variations of the urban sphere (geographic differences). International Registered Report Identifier (IRRID) DERR1-10.2196/40068

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Daniel Grigat, Monique Fernquist, Andrea Allen, Tanya Drescher, Andrew Fisher, Katelyn Wieringa, Heather Hair und Marni Bercov. „Helping kids and youth in times of emotional crisis“. Canadian Journal of Emergency Nursing 43, Nr. 2 (25.05.2020): 12–13. http://dx.doi.org/10.29173/cjen48.

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Background In 2017 the Emergency Strategic Clinical Network (ESCN) and Addiction and Mental Health Strategic Clinical Network (AMH SCN) of Alberta Health Services (AHS) launched a survey to understand the experience of young people seeking help in an Emergency Department (ED) for a mental health concern. Over 1500 surveys were completed, and qualitative results were analyzed thematically and interpreted in partnership with focus groups. A major theme of the responses was the feeling of being stigmatized when seeking help for a mental health concern, and that health care professionals’ understanding, empathy, and competencies with youth mental health needs to be improved. In response to this finding, a nurse education workshop has been developed and is being piloted and evaluated. Implementation The ESCN and the AMH SCN are working together to develop, pilot, and evaluate new training for ED nurses. The education will debunk common misperceptions and associated stigma about the causes of mental illness and addictions by presenting the medical paradigm of a physical illness with a complex etiology including genetic and environmental influences. The objective of these workshops is that nurses receive training to increase knowledge of the science and determinants of addiction and mental health issues to enable them to provide care that is compassionate and trauma informed. Pilot workshops have been delivered to a lived-experience advisory committee, as well as four cohorts of ED nurses. The impact of the workshops is being evaluated to inform further implementation. Evaluation Methods Nurses participating in the pilots will complete a 10 question survey to establish a baseline of their knowledge, compassion, and confidence. This survey has been adapted from the Mental Health Commission of Canada Healthcare Providers Questionnaire, and the Attitudes Towards Child Mental Health Questionnaire. Upon completion of the workshop nurses are be asked to complete a second brief survey reflecting on how this training will impact their clinical practice, and the barriers to practice change. Finally, 90-days post-training nurses will be re-administered the 10 question baseline survey. In addition, they will be asked if their goals for clinical practice change have been achieved. Results Four cohorts consisting of 39 emergency department nurses have completed the workshop. All 39 nurses completed the baseline survey and the workshop survey. The baseline survey results were that 90% of respondents agreed that mental illness and addiction deserves as much attention as physical illness, and 92% agreed that healthcare providers need to advocate for people with mental illness and addiction. However, 79% of respondents reported that they were more comfortable treating physical illness than mental illness or addiction. Further, while 95% of respondents disagreed that mental illness was the result of a weak personality, only 74% disagreed that substance abusers have no self-control. Finally, when asked if adverse social circumstances can result in mental illness or addiction 8% of respondents disagreed and 49% were unsure. Following the workshop 100% of respondents agreed that the workshop was applicable to their clinical practice, and 92% agreed that they understood better how to support these patients. Important themes arising from the qualitative questions were the need to show more empathy and compassion, and the realization that although an ED nurse cannot resolve an underlying mental illness or addiction they do have an important role to play in stabilizing an acute crisis. Advice and Lessons Learned Youth and their caregivers often do not know where to go in a time of emotional crisis. Their experience in the emergency department can be a source of further distress, and presents an opportunity to provide compassionate and trauma informed care. Approaching the topic of improving care in the ED requires the involvement of multiple stakeholders, including emergency operational and strategic leadership, addiction and mental health specialists, front line clinicians, and the youth and caregivers receiving care. A major barrier to providing higher quality care for youth experiencing an emotional crisis is knowledge of how to assess these patients and communicate them, as well as knowledge of and access to appropriate resources that can be leveraged in patient care.

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Blaak, Johanna, Rachel DiMaio, Julia Kupis, Ross Sweetzir, Conny Betuzzi, Corey Dowler, Krista McIntytre et al. „The Utility of Interaction Design as a Novel Tool to Improve Hand Hygiene Frequency on a Pediatric Hematology-Oncology Ward“. Infection Control & Hospital Epidemiology 41, S1 (Oktober 2020): s411. http://dx.doi.org/10.1017/ice.2020.1065.

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Johanna Blaak, W21C, University of Calgary; Rachel DiMaio, University of Calgary; Julia Kupis, University of Calgary; Ross Sweetzir, Cisco Systems; Conny Betuzzi, Alberta Children’s Hospital, Alberta Health Services; Corey Dowler, Alberta Children’s Hospital, Alberta Health Services; Krista McIntytre, Alberta Children’s Hospital, Alberta Health Services; Jaime Kaufman, University of Calgary; Greg Hallihan, University of Calgary; John Conly, Foothills Medical Centre; Joseph Vayalumkal, Alberta Childrens HospitalBackground: Interaction design offers a novel interventional strategy to enhance hand-hygiene compliance (HHC) and reduce hospital-acquired infections (HAIs) in the pediatric setting. A quality improvement initiative in collaboration with the University of Calgary and Alberta Health Services led to the implementation of a pilot project with sensor-embedded alcohol -based hand rub (ABHR) dispensers at a hematology-oncology and hematopoietic stem cell transplant unit at Alberta Children’s Hospital (ACH). Methods: Internet of things (IoT) sensors were installed in ABHR dispensers (n = 3) on the unit. Usage data were transmitted to a local server using an MQTT messaging protocol for 16 weeks. Real-time data visualization was presented on a central display next to the nursing station with 11 unique pediatric themes including dinosaurs, transportation, and Canadian animals. Data were collected with and without visualization, and frequency of use (FoU) was determined for both periods. Qualitative interviews with unit stakeholders (n = 13) were held to determine perceptions of the intervention. Results: During the first 8 weeks of the study period, the mean daily use without visualization was 47 times (SD, 14.5) versus 99 times (SD, 23.9) with visualization. When accounting for novelty, by removing the first week of data, the mean daily use was 92 (SD 19.6). The percentage increase from period 1 to period 2 was 96.6%, accounting for novelty. Qualitative interviews with stakeholders (n = 13) on the unit indicated that the intervention increased their personal awareness of hand hygiene (75%) and acted as a constant reminder to perform hand hygiene for everyone on the unit including nonclinical staff, patients, and family members (92%). Conclusions: These limited data suggest that interaction design may improve HH frequency and show promise as a tool for increased HH awareness and education. Interaction design provides a unique, innovative, and acceptable hand hygiene improvement strategy for staff, patients, and families in the pediatric inpatient setting.Funding: NoneDisclosures: None

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Danyluk, Patricia, Maureen Plante und Samara Wessel. „Integrating Indigenous Perspectives into Teacher Education in Alberta“. Papers on Postsecondary Learning and Teaching 6 (23.03.2023): 28–35. http://dx.doi.org/10.55016/ojs/pplt.v6y2023.75694.

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Anti-Indigenous racism is the result of a lack of knowledge about Indigenous peoples according to Senator Murray Sinclair (Ho, 2019). Teacher education is one of the most powerful ways to combat racism towards Indigenous peoples as it impacts not only pre-service teachers but in-service teachers, their students, and their families. Alberta’s new Teaching Quality Standard was released in 2018 (TQS, 2020) and requires all Alberta teachers to possess and apply a foundational knowledge of Indigenous peoples. The study examines how teacher education institutions in Alberta are integrating Indigenous perspectives into their programming and how they plan to further this integration through collaboration between institutions and connections with schools.

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Huang, Xu, Wen Yue, Kunfeng Qiu, Huicui Sun und Lan Ma. „The Inspiration of the International Student Management Service Mechanism of the University of Alberta to Universities in China - Taking China University of Geosciences (Beijing) as an example“. Journal of Educational Research and Reviews 11, Nr. 7 (04.12.2023): 105–12. http://dx.doi.org/10.33495/jerr_v11i7.23.119.

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As the window of China's education opens to the outside world and the boost of "double first-class" construction, how to strengthen the construction of management and service mechanism of education for students studying in China is an important issue facing the management workers of education for students studying in China. China University of Geosciences (Beijing) has made certain achievements by adopting the convergent management mode for education for students studying in China, but there are still some problems in the standardized process, departmental coordination, staff quality and information network level. The University of Alberta in Canada provides services for international students, and the time dimension covers four stages before arrival, when coming to the university, during study and after graduation, and the service team is specialized and student-oriented, and the successful experience achieved has great significance for the international study management services of Chinese universities, and Chinese universities can improve the service concept, improve the service quality, strengthen the team construction, form the service cooperation, enhance the Chinese universities, and can promote the connotative development of education for students studying in China by improving service concept, improving service quality, strengthening team building, forming service cooperation, improving service level, and doing a good job of alumni. Keywords: University of Alberta, International Students, International Student Services, China University of Geosciences (Beijing).

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Weaver, Linda, und Dorothy Spence. „Application of business case analysis in planning a province-wide telehealth network in Alberta“. Journal of Telemedicine and Telecare 6, Nr. 1_suppl (Februar 2000): 87–89. http://dx.doi.org/10.1258/1357633001934267.

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A strategy for implementing telemedicine throughout Alberta was developed. The model was based on a comprehensive evaluation of the four clinical specialties chosen as representative telemedicine services – radiology, psychiatry, emergency services and continuing education. The goals of the telemedicine network were to improve access to health services, provide support for rural health-care providers and increase the efficiency of specialized services. The findings showed that the success factors in a national telemedicine programme depend on a clear organizational structure, with appropriate technical standards and support.

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Rocha, Juliana, Renata L. Stanzione, Gabriela Fernandes Aranha, Dida Capobianco, Jose Claudio Cyrineu Terra und Nelson Hamerschlak. „Digital Platform for Evidence-Based Medicine in Hematology (non-malignant and malignant conditions) in a Developing Country“. Blood 136, Supplement 1 (05.11.2020): 31. http://dx.doi.org/10.1182/blood-2020-142068.

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Introduction: The SARS-COV2 pandemic has transformed several aspects of our daily lives, we have already experienced profound changes in our society and behavior, and it was only possible to keep part of the gear of life functioning thanks to technology. But it is not possible to talk about technology without talking about digital transformation. The technology applied to medicine provides health professionals with greater access to information and tools that convey evidence-based medicine are essential. Among them we can mention databases such as Medline, PubMed, Embase, Cochrane and UpToDate platform. The COVID 19 pandemic has further accelerated this digital transformation process, instituting changes that are here to stay. Objectives: Today in Brazil, we have an average of 7,000 oncologists and 3,000 hematologists. We know that access to information in a foreign language, even English, is still a problem. The excess of information, and the difficulty of reading scientific publications critically, are another obstacle in medical education in a developing country. The objective of this project is to expand access to information, in continues medical education model, to improve public and private health in the area of hematology. Methods: The hematology team at Hospital Israelita Albert Einstein (HIAE), associated with the HIAE digital transformation laboratory, developed a healthtech platform, called hematolog.app, aiming to make available several updated technical content in different formats: podcasts, videos , discussion of clinical cases, analysis of scientific articles in the form of visual abstracts, reviews of relevant topics in text format. The initiative is supported by the most important national hematology Societies. Discussion: We know that healthtech platforms have transformed medical practice. An online survey of clinicians at the Massachusetts General Hospital and Brigham and Women's Hospital described the following effects among UpToDate users: 95% reported that UpToDate was integral for making decisions, 94% reported that they had changed diagnosis, 95% reported that UpToDate led to a change in patient management, 97% said UpToDate helps them provide the best care for their patients, 90% reported that UpToDate makes them a better doctor, 96% reported made them more comfortable with their decisions. PubMed makes it possible to identify references and summaries of articles from the Medline database, maintained by the National Library of Medicine. PubMed provides several tools to make the search more efficient, unknown to most doctors. Conclusion: The development of hematolog.app aims to create a digital platform that integrates specialists in the area, creating a continuous process of education, and integrating professionals in a developing country, seeking to standardize medical practice in different regions and health services in Brazil, creating an interconnected social network and practicing evidence-based medicine. Disclosures No relevant conflicts of interest to declare.

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Wang, E., A. Chan, K. Lendvoy, E. C. Sayre, M. Canseco, C. L. Koehn und T. L. Fox. „OP0289 INEQUITIES IN ARTHRITIS CARE IN CANADA: AN INTERSECTIONAL ANALYSIS OF BIPOC WOMEN“. Annals of the Rheumatic Diseases 82, Suppl 1 (30.05.2023): 189.1–189. http://dx.doi.org/10.1136/annrheumdis-2023-eular.1033.

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BackgroundIndividuals that belong to ethnic minority groups are at greater risk of developing different forms of arthritis and often experience poorer health outcomes when compared to white patients[1]. BIPOC women are especially susceptible to inequities due to the social determinants of health such as education, income and housing[2]; yet interventions are rarely targeted to meet their specific needs, preferences and values.ObjectivesThe aim of this community-led Survey was to identify observable disparities in access to and benefits from health care (HC) services between white and Black, Indigenous and Person of Colour (BIPOC) respondents who identified as Women.MethodsACE conducted a 33-question online Survey (Aug 2-19, 2022) in English and French. The Survey was conducted in partnership with Research Co., a public opinion firm. Respondents answered questions regarding sociodemographic information, HC access, HC providers, unfavourable experiences, and information seeking habits. Data were analysed in subgroups and aggregate (including incomplete survey responses). Chi-square tests (exact tests where possible) were used to test for associations.ResultsA total of 1,249 responses were received. 732 (59%) respondents identified as women, 484 (39%) men, 16 (1%) non-binary. Of the women who responded, 163 (22%) identified as BIPOC (including 39 Black, 58 Indigenous, 86 POC), and 569 (78%) as white.Women reported greater barriers to accessing HC compared to men, namely travel (29% vs. 19%) and previous unpleasant experiences (18% vs. 10%). More BIPOC women (68%) experienced barriers compared to white women (56%), the most prominent being time (40% vs. 30%) and language (21% vs. 5%).Overall, interactions with HC providers and rheumatologists were rated similarly between BIPOC women and white women. However, significantly less BIPOC women reported being comfortable asking about medications (27% vs 39%), discomfort (30% vs 43%), and pain (39% vs 50%). When asked what characteristics they looked for in HC providers, significant differences were revealed between BIPOC and white women[Figure 1].Overall BIPOC women (14%) reported experiencing discrimination based on gender twice as often as white women (7%), and seven times as often as white men (2%). Further, BIPOC women were seven times as likely to report experiencing ethnicity-based discrimination “often” (8.7%), when compared to white women (1.2%). Results were even more profound for Indigenous women who were 16 times as likely to report experiencing ethnicity-based discrimination “often” (19.6%), when compared to white women (1.2%).Both BIPOC men and women more often turn to family, friends, coworkers, traditional healers, and elders for health information when compared to white respondents. BIPOC women reported being less trusting of certain information sources when compared to white women, specifically patient organizations (11% vs 21%) and official public health websites (55% vs 70%).ConclusionOur findings suggest that BIPOC women face unique and disproportionate barriers as well as complex experiences of discrimination when accessing arthritis care. Importantly, BIPOC respondents, in particular BIPOC women, seem to benefit less from their HC interactions. The data further reinforce current literature that calls for the creation of culturally safe spaces and culturally sensitive resources. It is critical for all levels of the health care system to adopt an intersectional lens to better understand and address systemic inequities.References[1]Barnabe C, Joseph L, Belisle P, et al. Prevalence of systemic lupus erythematosus and systemic sclerosis in the First Nations population of Alberta, Canada. Arthritis Care Res. 2012;64(1):138-143. doi:10.1002/ACR.20656[2]Carter RT, Lau MY, Johnson V, Kirkinis K. Racial Discrimination and Health Outcomes Among Racial/Ethnic Minorities: A Meta-Analytic Review. J Multicult Couns Devel. 2017;45(4):232-259. doi:10.1002/JMCD.12076Figure 1.Preferred characteristics of HC providers (white vs BIPOC women)AcknowledgementsThis work was made possible by the survey participants, and they have our deepest respect and gratitude.Disclosure of InterestsNone Declared.

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Fatoye, Francis, Tadesse Gebrye und Lawrence W. Svenson. „Direct health system costs for systemic lupus erythematosus patients in Alberta, Canada“. PLOS ONE 16, Nr. 5 (07.05.2021): e0251409. http://dx.doi.org/10.1371/journal.pone.0251409.

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Systemic lupus Erythematosus (SLE) is a chronic multi-system autoimmune disease that can affect a person’s physical, mental, and social life. It imposes a substantial economic burden up on patients, carers, healthcare systems, and wider society. This is the first study to examine the direct health care costs of SLE in Alberta using real-world data. Alberta maintains a publicly funded, universally available health care system. Health service use and direct healthcare costs of SLE and non-SLE cases were determined from inpatient hospital services, fee-for-physician services, emergency services, and ambulatory care services. All costs were estimated for calendar year 2016. Data were analysed using central measures specifically the mean to determine the annual costs of SLE and non-SLE. A total number of 10,932 (Male = 2,546; Female = 8,386), and 41,851,36 (Male = 21,157,76; Female = 20,693,60) of SLE and non-SLE cases, respectively were included in this study. The mean annual costs of SLE, and non-SLE per case were $7,740.19 (Male = $7,986.59; Female = $7,665.38), and $2,479.53 (Male = $2,265.57; Female = $2,698.30), (p < 0.001) respectively. The mean annual costs of fee-for-physician services (SLE = $2,160.03; non-SLE = $840.00) (p < 0.001), inpatient hospital services (SLE = $3,462.86; non-SLE = $1,007.29), (p < 0.001) emergency services (SLE = $440.28; non-SLE = $176.65), (p < 0.001) and ambulatory care services (SLE = $1,677.03; non-SLE = $455.05) (p < 0.001) per case were estimated. The findings showed that the costs of SLE were considerably high for patients and healthcare system. This highlights the importance of appropriate treatment and management of SLE. Further studies are required to fully investigate both the direct and indirect economic burden of SLE including out-of-pocket expenses, costs to patients and caregivers and productivity loss.

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Wright, Jean. „Student Services in Further Education: Specialist Roles“. Pastoral Care in Education 10, Nr. 3 (September 1992): 10–12. http://dx.doi.org/10.1080/02643949209470801.

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Gray, Genevieve. „Promoting collaboration between health science disciplines at the university of Alberta, Canada“. Texto & Contexto - Enfermagem 14, Nr. 3 (September 2005): 358–63. http://dx.doi.org/10.1590/s0104-07072005000300006.

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Interdisciplinary education, research and practice, improves health care, scholarly productivity, professionals career opportunities and patients/clients and health professionals satisfaction with care and work, respectively. However, it can engender disinterest, suspicion and antagonism if it is not adequately resources. Adequate resourcing requires both highly visible commitment from the key leaders in universities and health services and separate, realistic budgets to support initiatives. In addition, and to ensure that the specialist contribution of all health disciplines to human well-being is fostered the practice, research and education of specialist disciplines must also be adequately supported. This is what the Health Sciences Council at the University of Alberta since its inception - tried to do. That it has been successful is reflected in its recognition as national leader in interdisciplinarity in health education and research in Canada.

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Gerlach, Alison, Meghan Sangster, Vandna Sinha und First Nations Health Consortium. „Insights from a Jordan’s Principle Child First Initiative in Alberta“. International Journal of Indigenous Health 15, Nr. 1 (05.11.2020): 21–33. http://dx.doi.org/10.32799/ijih.v15i1.33991.

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In 2016 Canada was ordered to implement Jordan’s Principle by the Canadian Human Rights Tribunal. In response to the order Canada created the Child First Initiative to provide federal funding for provincial and territorial organizations supporting First Nation’s children’s health, education, and social service needs, including service coordination. In the shifting national landscape of Child First Initiative funding, there is a lack of evidence on how pediatric healthcare services are addressing the serious health and healthcare inequities experienced by many First Nations children. This paper describes the implementation of a Child First Initiative by the First Nations Health Consortium in the Alberta region, and research findings that provide insights into the complexity and challenges of advancing First Nations children’s health and health equity within the current federal Child First Initiative mandate in this province. This paper highlights the need for transformative pediatric healthcare approaches that expand beyond an individual and demand-driven system and orient towards practices and policies that are socially-responsive. Also, that First Nations leaders and Jordan’s Principle initiatives play a leading role in the design and delivery of all pediatric healthcare services with First Nation communities, families and children across Canada.

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Leal-Ferman, Paola A., Charlene Weight und Eric Latimer. „PROGRAMS AND SERVICES OFFERED TO YOUNG PEOPLE TRANSITIONING OUT OF CARE IN CANADA: A LITERATURE REVIEW“. International Journal of Child, Youth and Family Studies 14, Nr. 1 (24.03.2023): 7–29. http://dx.doi.org/10.18357/ijcyfs141202321282.

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Little research has been carried out on young people transitioning out of care in Canada. The objective of this paper was to describe and comment on the services provided to youth leaving care systems in Canada, with a focus on the four provinces with the largest populations (Ontario, Quebec, British Columbia, and Alberta). The Quebec government offers only one limited-access transition program, which has just been extended to age 25. Ontario, British Columbia, and Alberta offer several transition programs, which include financial, education, and life skills components. In British Columbia, these offer support up to age 29. The 6 remaining provinces and the 3 territories offer support to a maximum age that ranges from 21 to 26. Most offer a general financial allowance, and some offer additional supports that can include a housing allowance, tuition waivers, and job training. British Columbia and Ontario offer the most supports, including medical assistance, tuition waivers, and mental health supports. Research is needed to find out which supports are most beneficial, and under which circumstances.

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McLane, Patrick, und Eddy Lang. „Alberta Health Services Emergency Strategic Clinical Network Quality Improvement and Innovation forum 2021“. Canadian Journal of Emergency Nursing 44, Nr. 2 (20.07.2021): 1–2. http://dx.doi.org/10.29173/cjen150.

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The Alberta Health Services Emergency Strategic Clinical Network Quality Improvement and Innovation forum 2021. Patrick McLane and Eddy Lang on behalf of the Emergency Strategic Clinical Network Evidence-based research and quality improvement work are pivotal to health systems meeting their goals. Translating findings and disseminating innovative practices to new settings occurs in part through knowledge translation events, such as conferences and workshops. The Emergency Strategic Clinical NetworkTM (ESCN) Quality Improvement and Innovation forum fills a gap between local and national events. It is devoted to sharing methods and results of emergency department projects in Alberta among those working in emergency care. 2021 was the third consecutive year the ESCN has held this event. The event provides an opportunity for those working on quality improvement in emergency medicine to network with one another, share innovative projects, share know how and translate promising works to new settings. In addition, the event provides an opportunity to identify projects for potential development through local, provincial, or national funding opportunities. In light of the ongoing pandemic, this year’s forum was held virtually with the support of the University of Calgary Continuing Medical Education group. Funding was kindly provided by the College of Physicians and Surgeons of Alberta. Nineteen teams presented their projects orally. Invited nurse and clinician scientists ranked all submissions to the forum, and the top ranked submissions were recognized in the following categories:Submissions by ESCN staff and the event sponsor were not eligible for recognition. A new feature this year was a presentation by ESCN patient advisors on their perspectives on quality improvement, which was well received by all. Strong attendance shows the value practitioners see in the forum. In 2021, the forum was attended by approximately 140 educators, managers, nurses, physicians and researchers from across Alberta. This is a marked increase over previous years. Post-event evaluation survey feedback suggests that the online format was greatly appreciated and made the event more accessible. Requests for more rural oriented content in event feedback may also indicate that the event drew more rural attendees this year. We are pleased to partner with the Canadian Journal of Emergency Nursing to make abstracts from the event widely available. Individual presenters have had the option of submitting their abstracts for publication in CJEN. In some instances, abstracts have already been published through other conferences and so could not be submitted to CJEN. The findings presented in the abstracts are solely the work of the submitting authors. The ESCN does not guarantee the accuracy of any reported information. The views expressed in the abstracts are solely the views of the authors and do not represent the ESCN or Alberta Health Services. Correspondence to: emergencyscn@ahs.ca

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Sutherland, L., E. Igras, R. Ulmer und P. Sargious. „A laboratory for testing the interoperability of telehealth systems“. Journal of Telemedicine and Telecare 6, Nr. 2_suppl (August 2000): 74–75. http://dx.doi.org/10.1258/1357633001935671.

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Interoperability allows telehealth equipment to interact to achieve predictable results. To address the need for telehealth interoperability, the Alberta Research Council has been working with the Alberta Health and Wellness organization in Canada, and others, to create guidelines and a facility for testing telehealth equipment for compliance with technical interoperability standards. The laboratory consists of two rooms (7m x 7 m) in a new building. The rooms are wired with easy-to-configure copper and fibre networks for telephone, Switch-56, ISDN, ATM, wireless and satellite services. One room specializes in teleconsultation and tele-education, while the other has facilities for teleradiology and telemonitoring. The rooms are interconnected in order to perform interoperability tests between realtime and store-and-forward equipment. The laboratory was piloted in the summer of 1999.

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Kitscha, Catherine E., Kim Brunet, Anna Farmer und Diana R. Mager. „Reasons for Non-Return to A Pediatric Weight Management Program“. Canadian Journal of Dietetic Practice and Research 70, Nr. 2 (Juli 2009): 89–94. http://dx.doi.org/10.3148/70.2.2009.89.

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Purpose: Obesity in childhood has become a major public health concern because of increasing rates of overweight and obesity. To address this epidemic, effective dietetic interventions must be developed. We examined parent/caregiver and/or patient reasons for not returning for follow-up clinical care in the Alberta Health Services, Edmonton Area's Nutrition Services Pediatric Weight Management Program (NS PWMP) in Edmonton, Alberta. Methods: A qualitative telephone survey was developed to identify reasons for non-return to the NS PWMP. Face validity was evaluated by five pediatric registered dietitians (RDs). Results: The survey was administered to parents/caregivers of children or adolescents aged 2.5 to 14.2 years (n=21) who attended fewer than two appointments in the NS PWMP. The major reasons for non-return included physical barriers (scheduling, parking, location), organizational barriers (clinic environment), and program educational content (type of educational tools, the focus of lifestyle education on the individual rather than the family, physical activity interventions, and appropriateness of information for the parent or child). Conclusions: Development and delivery of effective dietetic interventions for children and adolescents at risk of overweight and obesity may be achieved by emphasizing skill building within the child and the family. Analysis of child and family feedback on clinical RD services is critical to optimization of care in a pediatric weight management program.

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Tulli, Mia, Bukola Salami, Lule Begashaw, Salima Meherali, Sophie Yohani und Kathleen Hegadoren. „Immigrant Mothers’ Perspectives of Barriers and Facilitators in Accessing Mental Health Care for Their Children“. Journal of Transcultural Nursing 31, Nr. 6 (04.02.2020): 598–605. http://dx.doi.org/10.1177/1043659620902812.

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Introduction: Data on immigrant and refugees’ access to services in Canada typically focus on adult populations generally but not children specifically. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators for mental health care for their children in Edmonton, Alberta, Canada. Method: In this qualitative descriptive study, researchers conducted 18 semistructured interviews with immigrant and refugee mothers who live in Edmonton, self-identify as women, and have children living in Canada. Results: Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Discussion: Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications.

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Au, Bianca, Deonne Dersch-Mills, Sunita Ghosh, Jennifer Jupp, Carole Chambers, Frances Cusano und Melanie Danilak. „Implementation of additional prescribing authorization among oncology pharmacists in Alberta“. Journal of Oncology Pharmacy Practice 25, Nr. 3 (16.01.2018): 584–98. http://dx.doi.org/10.1177/1078155217752076.

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Purpose To describe the practice settings and prescribing practices of oncology pharmacists with additional prescribing authorization. Methods A descriptive, cross-sectional survey of all oncology pharmacists in Alberta was conducted using a web-based questionnaire over four weeks between March and April 2016. Pharmacists were identified from the Cancer Services Pharmacy Directory and leadership staff in Alberta Health Services. Descriptive statistics were used to describe the practice setting, prescribing practices, motivators to apply for additional prescribing authorization, and the facilitators and barriers of prescribing. Logistic regression was used to explore factors associated with having additional prescribing authorization. Results The overall response rate was 41% (71 of 175 pharmacists). Oncology pharmacists with additional prescribing authorization made up 38% of respondents. They primarily worked in urban, tertiary cancer centers, and practiced in ambulatory care. The top 3 clinical activities they participated in were medication reconciliation, medication counseling/education, and ambulatory patient assessment. Respondents thought additional prescribing authorization was most useful for ambulatory patient assessment and follow-up. Antiemetics were prescribed the most often. The median number of prescriptions written in an average week of clinical work was 5. Competence, self-confidence, and the potential impact on patient care/perceived impact on work environment were the strongest facilitators of prescribing. The strongest motivators to apply for additional prescribing authorization were relevancy to practice, the potential for increased efficiency, and advancing the profession. Conclusion The current majority of oncology pharmacist prescribing in Alberta occurs in ambulatory care with a large focus on antiemetic prescribing. Pharmacists found additional prescribing authorization most useful for ambulatory patient assessment and follow-up.

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Watson-Jarvis, Kay, Cyne Johnston und Camillia Clark. „Evaluation of a Family Education Program: For Overweight Children and Adolescents“. Canadian Journal of Dietetic Practice and Research 72, Nr. 4 (Dezember 2011): 191–96. http://dx.doi.org/10.3148/72.4.2011.191.

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Increased child and youth overweight and obesity, as well as significant health effects associated with obesity, have led to recommendations for multicomponent prevention programs. In 2005 to 2006, the former Calgary Health Region (now Alberta Health Services) had an opportunity to develop, deliver, and evaluate an early intervention service for families with children at risk for overweight and obesity. Using available evidence and with access to key advisors, core team members developed and implemented a curriculum for a family-focused, behaviour-based education program entitled Make It HAPPEN. A health-centred approach based on the physical, mental, and social well-being of the whole child was used. Physical, selfesteem, and quality-of-life measures were included in program evaluation. After the program, statistically significant reductions in body mass index (BMI) percentile and z-score were seen, as were increases in quality of life. Self-esteem improved significantly for children with initial BMI percentiles of at least 98. Evaluation results indicate that an effective program can be developed with limited resources to meet best practice needs. Potentially, such programs could be integrated into other community obesity prevention programs or within primary health services models.

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Kilborn, Michelle, Jason Cabaj, Lynn Navratil, Angela Torry und Richelle Schindler. „Addressing Health Inequities in Environmental Public Health in Alberta“. Environmental Health Review 62, Nr. 4 (Dezember 2019): 121–24. http://dx.doi.org/10.5864/d2019-027.

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Environmental health related inequities can occur when environmental hazards or disasters disproportionally impact vulnerable populations, when environmental protection activities place a disproportionate burden on marginalized groups through a lack of inclusion or representation, and through creation of policies or programs that address only the immediate environment rather than the broader structural determinants that have created it ( Gore and Anita, 2013 ). Environmental public health (EPH) practitioners are well positioned to reduce inequities when they are empowered to include an equity lens in their work and identify opportunities to act on the social determinants of health (SDH). This focus group project identified ways in which public health inspectors in Alberta Health Services Calgary zone understand the concepts of equity and SDH as relevant to their work, revealed gaps in understanding and practice, and generated ideas to operationalize the integration of an equity lens into EPH practice. This project helps reinforce the importance of providing health equity education and opportunities for collaboration as a catalyst for action to integrate SDH and health equity into professional competencies and address organizational/operational barriers. Sharing these results will be helpful in moving towards fulfilling the key inequity-reducing role of EPH practice.

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Urquhart, Christine, Rhian Thomas, Siân Spink, Roger Fenton, Alison Yeoman, Ray Lonsdale, Chris Armstrong et al. „Student use of electronic information services in further education“. International Journal of Information Management 25, Nr. 4 (August 2005): 347–62. http://dx.doi.org/10.1016/j.ijinfomgt.2005.04.006.

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Borowski, Henry Z., Jon Brehaut und David Hailey. „Linking evidence from health technology assessments to policy and decision making: The Alberta Model“. International Journal of Technology Assessment in Health Care 23, Nr. 2 (April 2007): 155–61. http://dx.doi.org/10.1017/s0266462307070250.

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Objectives: The objective of this study was to develop and implement a decision-making process for public funding of health services that links policy areas with health technology assessment and input from interested parties.Methods: Health authorities, assessment organizations, and healthcare professionals were consulted as a follow-up to recommendations of an expert panel established by the Alberta government. The methods involved formulation of an eight-stage, collaborative process that incorporates identification through the health ministry of health technologies requiring review, assessment of the technologies using expert groups in Alberta, and consultation and formulation of advice within the ministry to inform ministerial funding decisions.Results: All components of the decision process have been put in place and have collaborated to provide advice to inform policy on provincial health services. Of nineteen technologies selected for review, five have been completed and decisions made: laparoscopic adjustable gastric banding, fetal fibronectin assay for premature labor, newborn screening for cystic fibrosis, newborn screening for inborn errors of metabolism, and gastric electrical stimulation. A further six reviews are in progress, and reviews of the remaining technologies are planned for 2007.Conclusions: Bridging the evidence-to-policy gap is more likely to succeed when the policy community is actively engaged and an explicit model is used to put health technology assessment into practice.

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Fisher, Andrew, Patrick McLane und Eddy Lang. „The Alberta Health Services Emergency Strategic Clinical Network™ Quality Improvement and Innovation Forum presented on February 22, 2022.“ Canadian Journal of Emergency Nursing 45, Nr. 2 (12.07.2022): 1. http://dx.doi.org/10.29173/cjen191.

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Evidence-based research and quality improvement work are pivotal to health systems meeting their goals. Translating findings and disseminating innovative practices to new settings occurs in part through knowledge translation events, such as conferences and workshops. The Emergency Strategic Clinical Network™ (ESCN) Quality Improvement and Innovation Forum fills a gap between local and national events. It is devoted to sharing methods and results of emergency department projects in Alberta among those working in emergency care. Despite the challenges presented by the COVID-19 pandemic, 2022 was the fourth consecutive year the ESCN has held this event. The event provides an opportunity for those working on quality improvement in emergency medicine to network with one another, share innovative projects, share know how and translate promising works to new settings. In addition, the event provides an opportunity to identify projects for potential development through local, provincial, or national funding opportunities. This year’s forum was, again, held virtually due to the ongoing pandemic. 18 teams provided oral presentations including the ESCN patient advisors who shared details of how to engage patients in quality improvement work.. Not all abstracts are published in this collection, as some abstracts will have been previously published elsewhere. Strong attendance shows the value practitioners see in the forum. In 2022, approximately 121 educators, managers, nurses, physicians and researchers from across Alberta and British Columbia, attended the forum. Post-event evaluation survey feedback suggests that the online format was greatly appreciated and many of the initiatives presented would be pursued further by participants. The findings presented in the abstracts are solely the work of the submitting authors. The ESCN does not guarantee the accuracy of any reported information. The views expressed in the abstracts are solely the views of the authors and do not represent the ESCN or Alberta Health Services.

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Vos, Larissa J., Clement K. Ho, Bryan J. Donnelly, J. Dean Reuther und Marc Kerba. „A population-based study examining the influence of a specialized rapid-access cancer clinic on initial treatment choice in localized prostate cancer“. Canadian Urological Association Journal 12, Nr. 7 (15.03.2018): E314–7. http://dx.doi.org/10.5489/cuaj.4866.

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Introduction: Treatment decisions in localized prostate cancer are complicated by the available choices. A rapid-access cancer clinic (RAC) has been unique to Calgary, AB, since 2007. This RAC offers multidisciplinary prostate cancer education by a urologist, medical oncologist, and radiation oncologist. It is hypothesized that treatment utilization data from decisions taken at RAC may serve to benchmark the appropriateness of treatment decisions on a population level.Methods: Records of patients with clinically localized prostate cancer in Alberta between October 1, 2007 and September 30, 2009 were reviewed with ethics approval. Records were linked to the Alberta Cancer Registry database. Clinical, treatment, and health services characteristics pertaining to patients attending RAC were compared to the general population. The primary endpoint was utilization rates of each initial treatment.Results: During this two-year period, 2838 patients were diagnosed with localized prostate cancer; 375 attended RAC. The utilization rates among RAC patients vs. the whole Alberta population were: prostatectomy 60.3% (95% confidence interval [CI] 55.3–65.2) vs. 48.0% (95% CI 47.1‒50.7; χ2 p<0.001); active surveillance 16.0% (95% CI 12.3‒19.7%) vs. 13.5% (95% CI 12.2‒15.8; χ2 p=0.214); radiotherapy 11.7% (95% CI 8.5‒15.0) vs. 18.0% (95% CI 16.9‒20.5; χ2 p=0.002); and hormone therapy 8.0% (95% CI 5.2‒10.8) vs. 17.4% (95% CI 16.1‒18.9; χ2 p<0.001).Conclusions: A specialized clinic for localized prostate cancer may be associated with a higher likelihood of receiving surgery or active surveillance as initial treatment compared to the prostate cancer population in Alberta.

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Coret, Marian, Meridith Yohemas, Roxanne Goldade und Ben Gibbard. „DIAGNOSTIC AND COLLABORATION NEEDS REGARDING ASD BY COMMUNITY PAEDIATRICIANS IN SOUTHERN ALBERTA“. Paediatrics & Child Health 23, suppl_1 (18.05.2018): e35-e35. http://dx.doi.org/10.1093/pch/pxy054.091.

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Abstract BACKGROUND Paediatricians play a central role in the screening and diagnosis for autism spectrum disorder (ASD). Current diagnostic procedures rely on a history, screening and diagnostic tools, and collaboration with developmental specialists. The assessment process may vary among paediatricians due to the variety of available screening and diagnostic tools and opportunities to collaborate. As part of a quality improvement initiative through Child Development Services at the Alberta Children’s Hospital, paediatricians were surveyed about their present ASD screening and diagnostic practice. OBJECTIVES To examine ASD screening and diagnostic practices among paediatricians for 4 to 6 year-old children in southern Alberta. DESIGN/METHODS Paediatricians were recruited from southern Alberta to complete an anonymous online survey. Data were analyzed using descriptive statistics. RESULTS The response rate was 40% (36/90). The majority of participants (86%) reported using an ASD screening tool, and (56%) reported experiencing one or more barriers related to screening tool use. All participants reported experiencing one or more barriers to ASD diagnosis. Despite these barriers, 69% of participants reported making an ASD diagnosis within the last 12 months, and 61% of paediatricians indicated feeling confident in their ability to diagnose ASD. Most participants (57%) indicated that they would prefer to make an ASD diagnosis themselves, rather than have this be undertaken by another clinician. CONCLUSION Paediatricians in southern Alberta report important barriers in screening and diagnostic practices related to ASD. Further discussion with community paediatricians is required related to addressing these barriers to develop care pathways for this population.

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Bay, K. S., M. J. Long und J. C. Ross Kerr. „Utilization of Hospital Services by the Elderly: Geriatric Crisis in one Canadian Single Payer System“. Health Services Management Research 10, Nr. 1-2 (Februar 1997): 42–57. http://dx.doi.org/10.1177/095148489701000106.

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As the number and proportion of elderly persons in the Canadian population increase, utilization of health services by the elderly becomes a growing concern for health service insurers, financial managers and policy makers, as well as for care providers. The purpose of this paper is to present the results of a study to analyse the use of hospital services by the elderly in Alberta since the introduction of a universal single payer health care insurance system in 1970. The study period coincides with the implementation of publicly-financed comprehensive medical and hospital insurance programmes for all Alberta residents, making it possible to perform historical and population-based utilization analyses. Thus the data used for the study included all hospital discharge abstracts generated by all Alberta hospitals from 1971 to 1991. Trends in hospital service utilization by the elderly in terms of total number of separations, patient-days, and per case measures such as average length of stay as well as per capita utilization rates were reviewed to identify utilization patterns over the study period. Further, relative per capita utilization measures, in comparison with the base year (1971), age group 15–44, male, metropolitan residents, were derived and historical trends identified. A series of regression analyses were carried out to estimate the effects of age, sex and origin on utilization rates. In addition, for the period of 1984–1991, Diagnosis Related Groups (DRG) case weights were used to measure per capita and per case rates and to analyse historical relative utilization rates over the 8-year period. In general, there has been a significant decline in hospital utilization by Albertans under the publicly-financed single payer system, but utilization rates for the elderly have remained high, resulting in high relative utilization rates in comparison with other age groups. It was also noted that per capita utilization rates for rural residents were substantially higher than urban residents. It appears that these higher utilization rates by the elderly and rural residents in combination with tight bed and financial control by the government have been causing significant bed shortage problems for non-elderly elective patients in urban areas.

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Krebs, L., C. Alexiu, C. Villa-Roel, S. W. Kirkland, L. Gaudet, B. R. Holroyd, M. Ospina et al. „LO84: Computed tomography use for headache presentations to emergency departments in Alberta: regional, site and physician level variation“. CJEM 19, S1 (Mai 2017): S57. http://dx.doi.org/10.1017/cem.2017.146.

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Introduction: Headaches are a common emergency department (ED) presentation. Evidence demonstrates that computed tomography (CT) imaging varies significantly within and across sites. This study explored CT ordering and variation among headache presentations across Alberta EDs. Methods: Administrative health data for Alberta were obtained from the National Ambulatory Care Reporting System (NACRS) for all adult (>17 years) headache (ICD-10-CA: G44, G43, R51) ED visits from 2011-2015. Patients with a primary or secondary diagnosis code of headache were included. Exclusions were: sites without CT scanners, Canadian Triage and Acuity Scale score of 1, patients with trauma or external mechanism of injury (e.g., ICD-10-CA S,T,V,W,X,Y), or enhanced/contrast CTs. NACRS data were linked with Alberta Health Services’ (AHS) diagnostic imaging data. Preliminary analysis on imaging variation at the zone, ED site, and physician level was completed using SAS (v.9.4). Physicians who saw less than an average of 10 headache patients per year were excluded. Results: Overall, 98,804 headache presentations were recorded (~20,000/year; 8.5% average annual increase) in 30 EDs. The average proportion of visits receiving CT was 25.1% with an average 6.2% increase per year. CT ordering varied across AHS zones (Variation [V]:23%; range:9.6-32.7%). Site ordering variation was more dramatic (V:45%; range:1.4-46.5%). The greatest variation was observed among physicians (V:84 %; range: 0.0-83.7%) with mean ordering proportion of 28.7%. Conclusion: From 2011-2015, headache presentations and CT imaging for these patients in the ED increased. Substantial variation in CT ordering exists at multiple levels in Alberta. Further exploration of CT appropriateness is urgently needed.

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Vass, Eliza, Zia Bhanji, Bisi Adewale und Salima Meherali. „Sexual and Reproductive Health Service Provision to Adolescents in Edmonton: A Qualitative Descriptive Study of Adolescents’ and Service Providers’ Experiences“. Sexes 3, Nr. 1 (03.02.2022): 98–114. http://dx.doi.org/10.3390/sexes3010009.

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The goal of adolescent sexual reproductive health (SRH) services is to provide information, education and healthcare to promote safe health practices and protect adolescents from negative health outcomes; however, access to timely, effective, and affordable SRH services by adolescents in Edmonton, Canada remains relatively unknown. Our study sought to understand the perspectives and experiences of adolescent girls and service providers in relation to availability, accessibility, and quality of SRH services available in Edmonton. The study objectives were to explore SRH services adolescents seek, uncover barriers in accessing SRH services and identify areas to improve accessibility. Qualitative description design was employed to conduct this study. Five service providers specializing in SRH, and eight females (ages 17–20 years) that access SRH services were recruited from the Alberta Health Services Birth Control Centre (BCC). Semi-structured interviews took place via Zoom. Thematic analysis was conducted using NVIVO software. Findings consisted of four primary themes: (1) views and current SRH practices; (2) barriers to accessibility; (3) the effects of COVID-19 on accessibility; (4) identified gaps in SRH care. The findings from our study support the development of knowledge translation strategies and make recommendations to improve the present quality of SRH services in Edmonton.

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Rault, Dawn, Melanie Rock, Morgan Mouton und Melissa Parkinson. „‘One Health’ promotion in a model city for dog-aggression policy: A qualitative inquiry in the City of Calgary“. Canadian Journal of Emergency Nursing 43, Nr. 2 (25.05.2020): 19–20. http://dx.doi.org/10.29173/cjen46.

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Background Dog-bite injuries remain a perennial problem, especially in pediatric emergency services. Nonetheless, few researchers have examined how local-level policies may contribute to primary prevention. We do so with qualitative research and an emphasis on implementation. This study highlights the potential benefit of coordination in Alberta between municipalities and emergency health services. Implementation This study mainly took place in the City of Calgary, which has earned a sterling reputation, in Canada and internationally, for the results of its animal-control policy in reducing dog-aggression incidents. We attribute part of this achievement to the high compliance of licensing in Calgary. The City estimates 80-90% of all dogs in Calgary have been licensed (by comparison, the City of Toronto estimates 35% compliance with mandatory licensing for dogs). The City of Calgary earmarks revenue from licensing for human-animal services, including public education, assessment of dogs’ behavior, and a state-of-the-art shelter oriented towards rehoming. Here, we frame the City of Calgary’s dog-aggression policy as a ‘One Health’ issue. This concept refers to human-animal-environment interdependencies as the basis for health. Whereas most One Health research has focused on preventing zoonotic infections or environmental toxins, our approach emphasizes health promotion, in which ‘caring for one’s self and others’ as the foundation for improving longevity and quality of life. Over the years, we have informed and learned from the City of Calgary’s implementation of its dog-aggression policy framework. Evaluation Methods Related research (Caffrey et al., 2019) has analyzed the City of Calgary’s administrative data on dog-bite incidents, statistically and spatially. Previously our team partnered with the Emergency Services Strategic Clinical Network on an analysis of emergency services utilization for dog-bite injuries across Alberta (Jelinski et al., 2016). We have also highlighted risks to occupational health and safety amongst officers who enforce dog-aggression policies, in Alberta and worldwide (Rault et al., 2018). In this presentation, we delve into how these officers act on municipal data when investigating dog-aggression incidents in the City of Calgary. Our main sources of information were semi-structured interviews and participant-observation. Results High compliance with dog-licensing bylaws in Calgary assists officers in efficiently locating dogs following a dog-aggression complaint. In turn, citizens lodge complaints because they view the City of Calgary’s human-animal services as effective and humane. References Caffrey, N., Rock, M., Schmidtz, O., Anderson, D., Parkinson, M., Checkley, S.L. Insights about the epidemiology of dog bites in a Canadian city using a dog aggression scale and administrative data. Animals, 9(6). doi: 10.3390/ani9060324. Jelinski, S.E., Phillips, C., Doehler, M., Rock, M. (May, 2016). The epidemiology of emergency department visits for dog-related injuries in Alberta. Canadian Journal of Emergency Medicine, 18(S1). doi: 10.1017/cem.2016.68 Rault, D., Nowicki, S., Adams, C., Rock, M. (2018). To protect animals, first we must protect law enforcement officers. Journal of Animal and Natural Resource Law, XIV, pp.1-33.

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Tarraf, R., M. Stiphout, A. Fraser, H. Hair, E. Lang, B. Holroyd und S. Hastings. „MP01: Just another day on the job: Workforce experience with violence in emergency departments and urgent care centres“. CJEM 22, S1 (Mai 2020): S42. http://dx.doi.org/10.1017/cem.2020.149.

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Introduction: Compared to other areas in Alberta Health Services (AHS), internal data show that emergency departments (EDs) and urgent care centres (UCCs) experience a high rate of workforce violence. As such, reducing violence in AHS EDs and UCCs is a key priority. This project explored staff's lived experience with patient violence with the goal of better understanding its impact, and what strategies and resources could be put in place. Methods: To obtain a representative sample, we recruited staff from EDs and a UCC (n = 6) situated in urban and rural settings across Alberta. As the interviews had the potential to be upsetting, we conducted in-person interviews in a private space. Interviews were conducted with over 60 staff members including RNs, LPNs, unit clerks, physicians, and protective services. Data collection and analysis occurred simultaneously and iteratively until saturation was reached. The analysis involved data reduction, category development, and synthesis. Key phrases and statements were first highlighted. Preliminary labels were then assigned to the data and data was then organized into meaningful clusters. Finally, we identified common themes of participants’ lived experience. Triangulation of sources, independent and team analysis, and frequent debriefing sessions were used to enhance the trustworthiness of the data. Results: Participants frequently noted the worry they carry with them when coming into work, but also said there was a high threshold of acceptance dominating ED culture. A recurring feature of this experience was the limited resources (e.g., no peace officers, scope of security staff) available to staff to respond when patients behave violently or are threatening. Education like non-violent crisis intervention training, although helpful, was insufficient to make staff feel safe. Participants voiced the need for more protective services, the addition of physical barriers like locking doors and glass partitions, more investment in addictions and mental health services (e.g., increased access to psychiatrists or addictions counsellors), and a greater shared understanding of AHS’ zero tolerance policy. Conclusion: ED and UCC staff describe being regularly exposed to violence from patients and visitors. Many of these incidents go unreported and unresolved, leaving the workforce feeling worried and unsupported. Beyond education, the ED and UCC workforce need additional resources to support them in feeling safe coming to work.

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Hayashi, Meagan, und Chad A. Bousman. „Experience, Knowledge, and Perceptions of Pharmacogenomics among Pharmacists and Nurse Practitioners in Alberta Hospitals“. Pharmacy 10, Nr. 6 (26.10.2022): 139. http://dx.doi.org/10.3390/pharmacy10060139.

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Background: Despite evidence of clinical utility and the availability of prescription guidelines, pharmacogenomics (PGx) is not broadly used in institutional settings in Canada. To inform future implementation, this study aimed to identify healthcare provider knowledge, experience, and perceptions of PGx in Alberta, Canada. Methods: An online 44-item survey was distributed to pharmacists, nurse practitioners, and physicians employed or contracted with Alberta Health Services from January to May 2022. Questions included: demographics, professional history, PGx education and exposure, knowledge, and ability to use PGx, and attitudes towards, feasibility, clinical utility, education, and implementation. Results: Ninety-one pharmacists, 37 nurse practitioners, and 6 physicians completed the survey. Fifty-nine percent had 10 or more years of experience, and 71% practiced in urban settings. Only one-third had training in PGx, and one-quarter had used PGx. Most respondents (63%) had no knowledge of PGx resources, including the Pharmacogenomics Knowledge Base (75%), or the Clinical Pharmacogenetics Implementation Consortium guidelines (85%). While participants agreed that they understood genetic (75%) and PGx (63%) concepts, most disagreed with their ability regarding practical applications of PGx such as translating genotype to phenotype (74%) or counselling patients on results (66%). Participants agreed on the clinical utility of PGx in preventing adverse drug reactions (80%) and enhancing medication efficacy (77%), and identified oncology (62%), cardiovascular/stroke (60%), and psychiatry (56%) as therapeutic areas to consider implementation. At present, healthcare provider knowledge (87%), cost (81%), and limited guidelines/evidence (70%) are seen as the greatest barriers to implementation. Conclusion: Alberta healthcare providers have limited training, experience, or knowledge in PGx. However, most appear to have a positive outlook regarding clinical utility, especially within oncology, cardiology, and psychiatry. More effort is required to socialize the availability and quality of evidence and guidelines for the interpretation of PGx test results, address other knowledge gaps, and improve financial limitations.

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Melssen, Maria. „Canadian Healthcare Practitioners’ Access to Evidence Based Information is Inequitable“. Evidence Based Library and Information Practice 8, Nr. 2 (12.06.2013): 267. http://dx.doi.org/10.18438/b8fw3w.

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Objective – To determine what services and resources are available to health professionals through national Canadian and Alberta based health professional associations and licensing colleges and if those resources and services are being used. Also, to assess the associations’ perceptions of what resources and services Canadian health professionals actually need and if those needs are being met, membership satisfaction with the resources and services provided, and challenges the associations have with providing resources and services. Design – Structured telephone interview. Setting – Health professional associations and licensing colleges in Canada. Subjects – 23 health professional associations: 9 Alberta-based associations and 14 national-level professional associations and licensing colleges. Methods – A librarian, communications officer, or another individual in a comparable position at each association was invited via email to participate in the study. Individuals willing to participate in the interview were emailed the interview questions in advance. Telephone interviews were conducted in July and August of 2009. For those who did not respond to the email request or who did not wish to participate in the interviews, information was collected from the association’s website. Main Results – Of the 23 contacted associations 12 agreed to be interviewed: less than 50% response rate. Data was collected from websites of seven associations that either declined to be interviewed or did not respond to the authors’ email request. Data were unavailable for four associations due to data being in members only sections of the websites. Data were analyzed both qualitatively and quantitatively. Resources and services provided by the associations and licensing colleges range from none to reference services provided by a librarian and access to licensed databases. None of the three licensing colleges or the two provincial associations interviewed maintains usage statistics or surveys their members. Nor do they grant access to licensed databases or offer information services, such as having a librarian or other information professional available to answer reference questions or to perform mediated literature searches. The two provincial associations and the three licensing colleges interviewed do supply information pertinent to health professionals, for example insurance information and funding. Seven national associations were interviewed: two permit access to databases developed by that association and three grant access to licensed databases such as Medline. All seven national associations provide access to journals (four of the seven only provide access to their own association’s journal) and five offer information services. Four maintain usage statistics and five survey their members. Of the seven associations not interviewed, none grant access to licensed databases and one permits access to databases developed by that association. Five provide access to their own association’s journal and one provides book loans. Only one offers information services. Cost and the priority to provide resources to staff over members are barriers when trying to provide association members’ services and resources. Conclusion – Health professionals’ access to health information varies depending on the professional’s area of specialization, location in Canada, and particular association memberships. There is no consistency as to what health information is available to all health professionals in Canada, specifically Alberta. The majority of the associations do not provide resources and services, nor do they survey members to assess their usage, desires, needs, or satisfaction with resources and services. Usage rates are low for the associations that do track resource and service usage. A resource list of freely available online health information should be generated to mitigate existing disparities without accruing additional cost factors. Also, a partnership between hospital and academic libraries with various associations is needed to promote the usage of licensed and freely available resources accessible at institutions. This study has several limitations. The low response rate and excluding associations and licensing colleges in other provinces make this an incomplete assessment of all associations which provide resources and services to health professionals in Canada, specifically Alberta. To compensate for this deficit, the authors had collected information from seven associations’ websites; however, because much of the needed information was within members-only pages, some data may be missing. Due to the study’s limitations, further research is needed to better assess health professionals’ information needs and barriers to their use of available resources and services.

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Baxter, Andrew, Yifeng Wei, Stan Kutcher und David Cawthorpe. „School-based mental health literacy training shifts the quantity and quality of referrals to tertiary child and adolescent mental health services: A Western Canada regional study“. PLOS ONE 17, Nr. 11 (15.11.2022): e0277695. http://dx.doi.org/10.1371/journal.pone.0277695.

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Background We aimed to improve mental health referral quality of young people by helping educators build capacity for early identification of youth at risk of mental illness and facilitate referrals between the education and health systems. Methods We applied the Go-To Educator mental health literacy training for early identification, triage and support in 208 schools in Calgary, Alberta between 2013 and 2016. Students presenting to mental health services during this time were compared on a number of clinical, system, and demographic variables, based on the training status of the school (untrained schools; before and after training schools), using retrospective cohort design. Based on clinical and system data, bivariate and multivariable logistic regression analysis were employed to compare the three school status domains. Results After training, referrals differed significantly from control and pre-training schools. Students presenting to services from these schools were younger, from single parent families; were referred more because of adjustment and learning/attention problems; had complex social/family issues; thought disturbances, and harmful behavior/thoughts towards others. While they waited longer to be admitted they stayed longer in services; had more provisional comorbid diagnoses and demonstrated positive treatment outcomes. Conclusions The Go-To Educator training may be an effective intervention helping educators identify students at risk of mental disorders and in substantial need of mental health services, demonstrating improved linkages between education and health sectors.

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Holroyd, B. R., G. Innes, A. Gauri, S. E. Jelinski, M. J. Bullard, J. A. Bakal, C. McCabe, P. McLane und S. Dean. „LO64: Variation in Alberta emergency department patient populations“. CJEM 20, S1 (Mai 2018): S29. http://dx.doi.org/10.1017/cem.2018.126.

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Introduction: Increasing pressures on the health care system, particularly in emergency departments (EDs), make it critical to understand changing ED case-mix, patient demographics and care needs, and resource utilization. Our objective is to assess Alberta (AB) ED volumes, utilization and case mix, stratified by ED type. This knowledge will help identify opportunities for system change and quality improvement. Methods: Data from Alberta Health Services administrative databases, including the National Ambulatory Care Reporting System, ED Admission/Discharge/Transfer data, and Comprehensive Ambulatory Care Classification System codes, were linked for all ED visits from 2010-17. Data were stratified by seven facility categories: tertiary referral (TR), regional referral (RR), community<5,000 inpatient discharges (CL), community>600 inpatient discharges (CM), community <600 inpatient discharges (CS), community ambulatory care (CA), and free-standing EDs (FS). Results: We analyzed 11,327,258 adult patient visits: 13% at TR, 34 % at RR, 24% at CL, 16% at CM, 9% at CS, 1% at CA, and 3% at FS sites. Acuity was highest at TR and RR hospitals, with 76%, 63%, 25%, 26%, 22%, 12% and 55% of patients falling into CTAS levels 1-3, for TR, RR, CL, CM, CS, CA, and FS respectively. Admission rates were highest at TR and RR hospitals, (23%, 13%, 5%, 5%, 4%, 0% and 0%), as were left without being seen rates, (5%, 4%, 1%, 2%, 1%, 0% and 5%). The most common ICD-10 diagnoses were chest pain/abdominal pain in TR and RR centres, and IV (antibiotic) therapy in all levels of community and FS EDs. Conclusion: Acuity and case-mix are highly variable across ED categories. Acuity, admission rates and LWBS rates are highest in TR and RR centres. Administrative data can reveal opportunities for health system re-engineering, e.g. potentially avoidable IV antibiotic visits. Further investigation will clarify the type of ED care provided, variability in resource utilization by case-mix, and allocation, and will help identify the optimal metrics to describe ED case-mix.

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Tremblay, Melissa Krystal, Tracy Mastrangelo und Jacqueline Pei. „Building School Capacity to Support Students with Complex Needs Through the Wellness, Resiliency, and Partnerships (WRaP) Project“. Alberta Journal of Educational Research 67, Nr. 1 (03.03.2021): 83–99. http://dx.doi.org/10.55016/ojs/ajer.v67i1.56966.

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Schools across the province of Alberta are increasingly diverse in terms of student backgrounds, circumstances, and needs (Alberta Education, 2017). In order to respond to the needs of a diverse student population, many schools are providing supports targeted to children and youth identified as being at risk for poor outcomes. The Wellness, Resiliency, and Partnerships (WRaP) project, initiated in 2009, was born out of recognition for the need to provide individualized, strength-based supports to students with Fetal Alcohol Spectrum Disorder (FASD). For eight years, WRaP success coaches aimed to provide innovative, collaborative, strength-based services and supports to promote the success of students with FASD in Alberta schools. The project initially targeted junior and senior high school students with FASD. Over the project’s most recent two years, the project expanded to serve elementary schools, as well as students with complex needs in addition to those that arise due to FASD. The aims of the project were to maximize school engagement, increase academic success, and enhance social, emotional, and physical well-being. In addition, coaches worked to enhance school and family capacity to support students with complex needs, and to build partnerships for youth to access supports at home, at school, and in their communities. Overall, the WRaP project demonstrated significant growth and positive outcomes in terms of building school capacity to support students with complex needs including FASD. We will draw on data from four years of annual interviews and focus groups conducted with WRaP success coaches and school personnel to describe the key processes, successes, and challenges involved in building school capacity through the WRaP project in Alberta schools. Key words: Fetal alcohol spectrum disorder; community-based participatory research; school capacity building; mentorship; students with complex needs Partout en Alberta, les écoles servent une population d’élèves dont les antécédents, les circonstances et les besoins sont de plus en plus diversifiés (Alberta Education, 2017). Afin de répondre aux besoins d’une population d’élèves diversifiée, plusieurs écoles fournissent des appuis visant les enfants et les jeunes identifiés comme étant à risque de connaitre de mauvais résultats scolaires. Le projet WRaP (Wellness, Resiliency, and Partnerships; c.-à-d., bien-être, résilience et partenariats), initié en 2009, est né de la reconnaissance du besoin d’offrir des appuis individualisés et axés sur les besoins des élèves atteints du syndrome de l'alcoolisation fœtale (SAF). Pendant huit ans, les entraineurs motivateurs de WRaP ont œuvré pour fournir des services et des appuis innovateurs et collaboratifs qui visaient les besoins des élèves albertains atteints du SAF. Initialement, le projet visait les élèves albertains de la 7e à la 12e année atteints du SAF, mais au cours des deux dernières années, le projet a été étendu pour inclure les écoles élémentaires ainsi que les élèves ayant des besoins complexes au-delà de ceux qui découlent du SAF. Les objectifs du projet étaient de maximiser la participation à l’école, augmenter la réussite académique et rehausser le bien-être social, émotionnel et physique. Les entraineurs ont également travaillé au renforcement de la capacité des écoles et des familles pour soutenir les élèves ayant des besoins complexes et à la création de partenariats permettant aux jeunes d’accéder aux appuis à la maison, à l’école et dans leurs communautés. Globalement, le projet WRaP a démontré des progrès significatifs et des résultats positifs quant au renforcement de la capacité des écoles pour soutenir les élèves ayant des besoins complexes, y compris le SAF. Puisant dans des données provenant de quatre séries d’entrevues annuelles et de groupes de discussion formés d’entraineurs motivateurs et de personnel scolaire, nous décrivons les processus clés, les réussites et les défis liés au renforcement de la capacité scolaire par le biais du projet WRaP dans les écoles en Alberta. Mots clés : syndrome de l'alcoolisation fœtale; recherche participative basée sur la communauté; renforcement de la capacité scolaire; mentorat; élèves ayant des besoins complexes

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Jacobs, P., und E. M. Hall. „Estimating the Cost of Outpatient Hospital Care“. Healthcare Management Forum 8, Nr. 4 (Dezember 1995): 36–38. http://dx.doi.org/10.1016/s0840-4704(10)60930-1.

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Hospital services can be divided into inpatient, outpatient and non-patient areas; outpatient care can be further subdivided into emergency room care, general and special clinic care, day procedures and non-admitted day/night care. Using 1992–93 Statistics Canada data on expenditures and outpatient activity from the Part One form for 29 Alberta hospitals, we estimated the average cost of each of the four outpatient areas. The estimated cost per visit was $183 for clinic visits, $166 for day/night care, $69 per emergency visit and $627 per day procedure. These estimates can be used in cost-effectiveness studies and, if supplemented with outpatient case weights and volumes, in provincial funding systems.

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Apedaile, Sarah, und Cheryl Whitelaw. „Roots and Connections: A Culturally Integrated Approach to EAL Instruction“. TESL Canada Journal 30, Nr. 1 (17.02.2013): 127. http://dx.doi.org/10.18806/tesl.v30i1.1130.

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This article describes a culturally integrated approach to teaching English as an Additional Language (EAL) through Roots and Connections: A Culturally Inte- grated ESL Curriculum for Community Orientation in Alberta. This was devel- oped by the Centre for Intercultural Education to integrate intercultural sensitivity into English-language instruction. Based on a Canadian Language Benchmarks (CLB) approach to language development, it integrates supported community connections and cultural knowledge to provide effective early social integration supports through survival-level language development. This resource is a response to community needs determined through the Rural ESL Enhance- ment Project. Many rural communities in Alberta were struggling to support the needs of increasingly culturally diverse newcomers, including language pro- gramming, settlement services for newcomers, and intercultural sensitivity for community-service providers. This called for a culturally integrated resource in which the content, process, and instructor supports were intentionally designed to meet survival language needs and to develop intercultural sensitivity among all participants, in the service of broader community integration goals. This proj- ect demonstrates the enhanced effectiveness of EAL programming that explicitly engages the diversity of its learners using intercultural communication processes and supports the adoption of a culturally integrated approach to other kinds of part- and full-time EAL programming.Cet article décrit une approche tenant compte de la culture pour l’enseignement de l’anglais en tant que langue supplémentaire par le biais du programme Roots and Connections: A Culturally Integrated ESL Curriculum for Commu- nity Orientation in Alberta. Ce programme a été développé par le centre pour l’éducation interculturelle de sorte à intégrer la sensibilité culturelle dans l’édu- cation de langue anglaise. Reposant sur l’approche au développement langagier des niveaux de compétence linguistique canadiens, cette démarche intègre l’appui communautaire et les connaissances culturelles pour fournir un appui précoce en intégration sociale par le biais du développement langagier visant la survie. Cette ressource a été développée en réaction aux besoins communautaires tels que déterminés par un projet visant l’amélioration de l’ALS en milieux ruraux. Plusieurs communautés rurales en Alberta avaient du mal à répondre aux besoins des nouveaux arrivants d’origines culturelles de plus en plus diverses, y compris la programmation linguistique, les services d’établissement pour nouveaux venus et la sensibilité interculturelle pour les prestataires de services communautaires. Il fallait une ressource adaptée culturellement dont le contenu, le processus et les appuis aux enseignants étaient expressément conçus pour répondre aux besoins linguistiques (de survie) et pour développer la sensibilité interculturelle chez tous les participants, au service des objectifs plus vastes d’intégration communautaire. Ce projet démontre l’efficacité accrue d’une programmation en anglais comme langue supplémentaire qui fait explicitement appel à la diversité des apprenants par le biais de processus de communication interculturelle et qui appuie l’adoption d’une approche tenant compte de la culture au sein de d’autres programmes à temps partiel ou à temps plein.

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Capicio, Michelle, Simran Panesar, Heather Keller, Leah Gramlich, Naomi Popeski, Carlota Basualdo-Hammond, Marlis Atkins und Catherine B. Chan. „Nutrition Risk, Resilience and Effects of a Brief Education Intervention among Community-Dwelling Older Adults during the COVID-19 Pandemic in Alberta, Canada“. Nutrients 14, Nr. 5 (06.03.2022): 1110. http://dx.doi.org/10.3390/nu14051110.

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Up to two-thirds of older Canadian adults have high nutrition risk, which predisposes them to frailty, hospitalization and death. The aim of this study was to examine the effect of a brief education intervention on nutrition risk and use of adaptive strategies to promote dietary resilience among community-dwelling older adults living in Alberta, Canada, during the COVID-19 pandemic. The study design was a single-arm intervention trial with pre–post evaluation. Participants (N = 28, age 65+ years) in the study completed a survey online or via telephone. Questions included the Brief Resilience Scale (BRS), SCREEN-14, a brief poverty screen, and a World Health Organization-guided questionnaire regarding awareness and use of nutrition-related services and resources (S and R). A brief educational intervention involved raising participant awareness of available nutrition S and R. Education was offered via email or postal mail with follow-up surveys administered 3 months later. Baseline and follow-up nutrition risk scores, S and R awareness and use were compared using paired t-test. Three-quarters of participants had a high nutrition risk, but very few reported experiencing financial strain or food insecurity. Those at high nutrition risk were more likely to report eating alone, compared to those who scored as low risk. There was a significant increase in awareness of 20 S and R as a result of the educational intervention, but no change in use. The study shows increasing individual knowledge about services and resources in the community is not sufficient to change use of these services or improve nutrition risk.

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