No abstract

As a new approach, abductive reasoning could enhance reasoning abilities of novice clinicians. It can not only incorporate various ways of knowing but also its holistic approach to learning appears to be promising in problem-based learning. As nursing literature on abductive reasoning is predominantly philosophical, practical consequences of abductive reasoning warrant further research.

To promote students' ability to identify the integrated nature of the fundamentals of care, practising clinicians and nurse educators need to role model and incorporate all the fundamental care needs for their patients.

Community and health services often overlook health care needs of persons experiencing homelessness, which leads to deterioration in health and increased utilization of emergency services. Since homeless people are underrepresented in health service research, little is known about their unmet health care needs, particularly in smaller cities where resources are limited. This community-based participatory research explored the experiences of small-city homeless service users (HSUs) with unmet health care needs and community service providers (CSPs) who work with them to determine barriers to health care access affecting them. Structured interviews were conducted with 65 HSUs and 15 CSPs in interior British Columbia, Canada. These interviews were audio-recorded, and the retrieved data were analyzed thematically. The three themes uncovered included: a lack of access to health care and risk of stigma, a lack of trust and fear of discrimination, and a need for community navigation and social support. The findings indicate that HSUs do not receive equitable care and face challenges in accessing appropriate and timely foot care, which contributes to increased foot-related emergency visits, loss of trust in the health care system, and disabilities due to worsening foot conditions. Various social determinants of health also impact HSUs, such as low socioeconomic status, lack of housing, decreased social support, unhealthy behaviors, and inequitable access to health services. By collaborating with HSUs, community and health services need to develop innovative outreach programs that provide better community resources as the first step toward equitable access to health care.

The purpose of this descriptive survey study was to determine the comfort of nurse practitioner (NP) students with webcam invigilation of online examinations and the effectiveness of webcam invigilation in preventing students from cheating. An online questionnaire was developed for NP students currently enrolled in Ontario's Primary Health Care Nurse Practitioner program, in which online examinations are invigilated through a webcam. All students were contacted via e-mail and invited to participate in the online questionnaire. The response rate was 77%. Data were collected and analyzed. Results demonstrated that webcam invigilation can be an uncomfortable experience and that cheating on webcam-invigilated examinations is possible. The results will contribute to the scarce literature available on webcam invigilation of online examinations, but research with a larger sample is needed if results are to be generalized to the webcam invigilation process.