Healthcare services are increasingly being provided in the home. At the same time, these home contexts are changing as global migration has brought unprecedented diversity both in the recipients of care, and home health workers. In this paper, we present findings of a Canadian study that examined the negotiation of religious and ethnic plurality in home health. Qualitative analysis of the data from interviews and observations with participants-clients, administrators, home healthcare workers-revealed how religion is expressed and 'managed' in home health services

No abstract

As the history of nursing as a field of scholarship expands its global consciousness, it seems timely to join other scholars of international history in rethinking conventional approaches to historiography. The lament by mission scholars at the invisibility of nurses and indigenous workers in historical mission records coincides with calls by China scholars to reconsider traditional reliance on English-language data generation and interpretation for an English-speaking audience. In a similar way, nursing scholars are challenging historians of nursing to find ways to build a body of scholarship and a cadre of scholars that can open up new linguistic and cultural space for vibrant discussion and dialogue. Drawing on Sonya Grypma's research on the role of missionary nurses in the development of modern nursing in China and based on a series of interviews by the authors in China of participants with ties to a former Canadian mission hospital, we explore methodological and ethical challenges in global nursing historiography. By offering insights gleaned from our early attempts to capture voices not included in conventional mission records, we hope to stimulate more dialogue about conceptual and structural issues central to a "new" global nursing historiography.

No abstract

No abstract

Background Although many studies explore the experiences of persons with type 1 diabetes, most examine the experience of children, adolescents, or persons in transition to adulthood. Few studies focus on the person living long term with type 1 diabetes. Purpose The purpose of this study was to explore the facilitators and barriers for people living well with type 1 diabetes over the long term. Methods An inductive interpretive description approach was used to explore living with type 1 diabetes for a duration of 40 years or more. Qualitative semistructured interviews with a convenience sample (n = 8) were conducted. Results Four dialectic themes were identified: accommodating and battling the disease, convenience and constraint of technology and treatment, self-reliance and reliance on others, and external and personal knowledge. Conclusions Recommendations for the health-care team emphasize person-centered care with acknowledgment of the person as expert and as more than their condition. Further research with this population would strengthen the implications for practice. Specifically, research is needed on diabetes distress, losses experienced due to diabetes, how to meet their educational needs, and how to tap into their expertise for the benefit of those with type 1 following them.

In 1925, Canadian nurse leader Ethel Johns was hired by the Rockefeller Foundation to study the status of black women in nursing in the United States. Despite the acknowledged excellence of her report, the study was shelved. It remained "buried" in the basement of the Rockefeller headquarters for almost 60 years until American historian Darlene Clark Hine discovered it there in the 1980s. The aim of this article is to extend current understandings of Johns based on this and other evidence not accessible to her biographer in 1973. The discussion will illuminate her commitment to social equality by highlighting the 1925 report that perceived and articulated the racist character of relations between white institutions and black nurses in an era when few others would do so. It seems vital that this study be recognized as a focal point in Johns's outstanding nursing career, and that her success in leadership be acknowledged as inextricably linked with her passion for justice and equality.

The shift of missionary nursing from the center to the margins of nursing practice can be traced to the unceremonious closure of China as a mission field in the late 1940s. Building on a larger study of Canadian missionary nursing at the United Church of Canada North China Mission between 1888 and 1947, this paper traces Clara Preston's experiences during the last tumultuous days of the mission during the height of China's civil war. Drawing on rich data from the United Church of Canada/ Victoria University Archives, private family collections (photos, letters, memoirs) as well as from three on-site visits to the Weihui Hospital in Henan, China, this paper focuses on the questions 'what happened during the last days of Canadian missionary nursing in China?' and 'why is so little known about missionary nursing?' According to this study, three issues contributed to the silencing of missionary nursing after 1947: the self-censorship of repatriated missionaries, the mission identity crises catalyzed by the 'failure' of the missionary enterprise in China, and the equating of the missionary movement with colonialism and imperialism in academic discourse.