It is unlikely that a single standardized format or programme will meet all the specific learning needs of parents. Multiple approaches that will allow people to access information or education at a time and in a format that suits them may be of value. The importance of the transition to parenthood and its impact on parent and child wellbeing warrant careful consideration of current programming and careful evaluation of future initiatives.
Objective: To determine how accessible health care services are for people who are experiencing homelessness and to understand from their perspectives what impact clinician bias has on the treatment they receive. Methods: Narrative interviews were conducted with 53 homeless/vulnerably housed individuals in Ontario, Canada. Visit history records were subsequently reviewed at 2 local hospitals, for 52 of the interview participants. Results: Of the 53 participants only 28% had a primary care provider in town, an additional 40% had a provider in another town, and 32% had no access to a primary care provider at all. A subset of the individuals were frequent emergency department users, with 15% accounting for 75% of the identified hospital visits, primarily seeking treatment for mental illness, pain, and addictions. When seeking primary care for these 3 issues participants felt medication was overprescribed. Conversely, in emergency care settings participants felt prejudged by clinicians as being drug-seekers. Participants believed they received poor quality care or were denied care for mental illness, chronic pain, and addictions when clinicians were aware of their housing status. Conclusion: Mental illness, chronic pain, and addictions issues were believed by participants to be poorly treated due to clinician bias at the primary, emergency, and acute care levels. Increased access to primary care in the community could better serve this marginalized population and decrease emergency department visits but must be implemented in a way that respects the rights and dignity of this patient population.
Changing social structures and technology have influenced the way in which new parents access support. Social connections fostered in the parenting environment have the potential to enhance wellbeing for parents and thus contribute to children's positive development. Nurses are in a position to advocate for the use of evidence-informed approaches when planning programs and services for parents.
This article describes an innovation in baccalaureate nursing education that is intended to assist in the preparation of nursing students for careers in which evidence-informed practice is an imperative. The innovation involves the combination of central aspects of the internationally recognized Registered Nurses' Association of Ontario Best Practice Guidelines Program with existing curricular goals and themes in a baccalaureate nursing program at a small university in southern Ontario in Canada.
Ten-year plans to end homelessness have become common in communities across Canada, yet homelessness persists. This study brings together experts in the field of homelessness to gain insight into whether homelessness can be ended and what steps need to be taken to accomplish this. Twenty-six Canadian homelessness researchers participated in video-recorded structured interviews in the summer of 2021. They were asked whether, and how, homelessness could be ended in Canada. Interviews were transcribed and analyzed for recurring themes. There was widespread agreement across the participants that homelessness could be ended in Canada by focusing on four distinct yet related areas. First, all levels of government must be held accountable for policy decisions they make, and they must learn from other countries, such as Finland, where social welfare policies are more robustly integrated. Second, Canada must continue to implement policies and laws that prioritize housing as a human right rather than a commodity. Third, there is a need for individualized choice-based supports, following the principles of Housing First, which emphasize community integration. Finally, preventive measures must be prioritized with a focus on improved systems alignment and discharge planning between institutions. This paper does not offer a blueprint for change, recognizing the extent of public and social policies, tax restructuring, and ideological shifts that will need to occur. Rather, it provides a thoughtful reflection from researchers on where we as a nation should focus our attention if we want to end homelessness in Canada.
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