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Article ; Online: A nurturing and caring environment to facilitate nursing students' professional development in Rwanda: a focused ethnographic study.

Umubyeyi, Benoite / Babenko-Mould, Yolanda / Hynie, Michaela / Regan, Sandra / Leipert, Beverly

International journal of nursing education scholarship

2024 Volume 21, Issue 1

Abstract: Objectives: To explore the values, practices, and behaviours that support nursing students' professional development in practice-based learning environments in Rwanda.: Methods: A focused ethnographic approach was used. Nursing students (n=12), ... ...

Abstract	Objectives: To explore the values, practices, and behaviours that support nursing students' professional development in practice-based learning environments in Rwanda. Methods: A focused ethnographic approach was used. Nursing students (n=12), nurses (n=11), clinical instructors (n=7) and nurse leaders (n=8) from three teaching hospitals and an educational program participated in the study. Data was collected trough individual interviews and participant observation. Results: Participants embraced a culture of preparing nursing students for their professional roles as a professional responsibility, and a means of securing the nursing profession. Modeling the appropriate behaviours to students and respecting them as learners and humans constituted the caring attributes that sustain a positive learning environment for their professional growth. Conclusions: Nurturing and caring environments offer students opportunities to integrate caring attitudes into their interactions with patients and to develop professionally. Implications for international audience: Findings underscore the need to enhance caring values within nursing curricula.
MeSH term(s)	Humans ; Students, Nursing ; Rwanda ; Curriculum ; Learning ; Education, Nursing, Baccalaureate
Language	English
Publishing date	2024-01-03
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2162109-3
ISSN	1548-923X ; 2194-5772
ISSN (online)	1548-923X
ISSN	2194-5772
DOI	10.1515/ijnes-2023-0064
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Research priorities to improve stroke outcomes.

Hill, Georgina / Regan, Sandra / Francis, Richard

The Lancet. Neurology

2022 Volume 21, Issue 4, Page(s) 312–313

MeSH term(s)	Humans ; Research ; Stroke/therapy ; Stroke Rehabilitation
Language	English
Publishing date	2022-03-18
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	2081241-3
ISSN	1474-4465 ; 1474-4422
ISSN (online)	1474-4465
ISSN	1474-4422
DOI	10.1016/S1474-4422(22)00044-8
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Article: Predicting Registered Nurses' Behavioural Intention to Use Electronic Documentation System in Home Care: Application of an Adapted Unified Theory of Acceptance and Use of Technology Model.

Ibrahim, Sarah / Donelle, Lorie / Regan, Sandra / Sidani, Souraya

Nursing leadership (Toronto, Ont.)

2019 Volume 32, Issue 2, Page(s) 48–70

Abstract: The use of electronic documentation systems (EDS) has the potential to ensure timely, up-to-date and comprehensive patient health-related information is available and accessible to nurses regardless of their physical location. Despite the benefits of EDS, ...

Abstract	The use of electronic documentation systems (EDS) has the potential to ensure timely, up-to-date and comprehensive patient health-related information is available and accessible to nurses regardless of their physical location. Despite the benefits of EDS, nurses' low intention to use such systems is well documented, which may predict behavioural usage. Further, limited knowledge exists about nurses' intention to use EDS in the context of home care. The aim of the study was to examine factors that influence nurses' intention of using EDS in home care practice. The conceptual model framing this study is adapted from the Unified Theory of Acceptance and Use of Technology (UTAUT). A cross-sectional design was used. Nurses (N = 217) currently practicing within the home care sector in Ontario participated in the study. An online survey using adapted and psychometrically sound quantitative instruments was administered. Data were analyzed with descriptive statistics and hierarchical linear regression. Performance expectancy, attitude, social influence and facilitating conditions had significant, positive and direct effects on nurses' behavioural intention. Effort expectancy and nurses' individual characteristics (i.e., age, level of education and technology experience) were not found to have a direct and/or moderating influence on nurses' intention to use EDS in home care practice. Theory, practice and research implications for the findings are presented and discussed.
MeSH term(s)	Adult ; Attitude of Health Personnel ; Cross-Sectional Studies ; Disruptive Technology/methods ; Documentation/methods ; Documentation/standards ; Documentation/trends ; Female ; Home Care Services/standards ; Home Care Services/trends ; Humans ; Intention ; Male ; Middle Aged ; Nurses/psychology ; Nurses/statistics & numerical data ; Ontario
Language	English
Publishing date	2019-10-14
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2115337-1
ISSN	1910-622X ; 1481-9643
ISSN	1910-622X ; 1481-9643
DOI	10.12927/cjnl.2019.25961
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Article ; Online: A Qualitative Content Analysis of Nurses' Comfort and Employment of Workarounds With Electronic Documentation Systems in Home Care Practice.

Ibrahim, Sarah / Donelle, Lorie / Regan, Sandra / Sidani, Souraya

The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres

2019 Volume 52, Issue 1, Page(s) 31–44

MeSH term(s)	Cross-Sectional Studies ; Documentation ; Home Care Services/organization & administration ; Humans ; Nursing Process ; Qualitative Research
Language	English
Publishing date	2019-06-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	1036826-7
ISSN	1705-7051 ; 0844-5621
ISSN (online)	1705-7051
ISSN	0844-5621
DOI	10.1177/0844562119855509
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Article ; Online: A "Co-CREATES" framework to foster a positive learning environment for nursing students' professional development in Rwanda.

Umubyeyi, Benoite / Babenko-Mould, Yolanda / Hynie, Michaela / Regan, Sandra / Leipert, Beverly

Nurse education in practice

2021 Volume 53, Page(s) 103053

Abstract: Aim: The future of the nursing profession in Rwanda in large part depends on the students who join the workforce and the education they have received. Preparing students with the necessary knowledge, values and judgement requires practice settings to be ...

Abstract	Aim: The future of the nursing profession in Rwanda in large part depends on the students who join the workforce and the education they have received. Preparing students with the necessary knowledge, values and judgement requires practice settings to be learner-centered. This study aimed at exploring strategies that might improve the current practice-based learning environment. Design: A focused ethnographic approach was used. Methods: Nursing students, staff nurses, clinical instructors and nurse leaders from three hospitals and an educational program participated in individual interviews. Results: Five key areas of improvement emanated from study data: 1) strengthening institutional support; 2) improving school-hospital collaboration; 3) building the capacity of nurses and clinical instructors; 4) restructuring clinical placement; and 5) reviewing the current supervision model. Based on these findings a "Co-CREATES" framework grounded in the actions of collaboration, care, recognizing, empowering, actively engaging, transforming, enhancement and support was developed. The framework offers a collaborative approach that engages every stakeholder in "cocreating" conditions that build positive practice environments which are conducive to preparing students as professional nurses. Conclusion: The positive outcomes stemming from such a collaborative approach can further enhance a positive culture of collaboration in nursing education and practice.
MeSH term(s)	Clinical Competence ; Education, Nursing ; Education, Nursing, Baccalaureate ; Humans ; Learning ; Rwanda ; Students, Nursing
Language	English
Publishing date	2021-04-07
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	2058575-5
ISSN	1873-5223 ; 1471-5953
ISSN (online)	1873-5223
ISSN	1471-5953
DOI	10.1016/j.nepr.2021.103053
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Article: Tokenism and Mending Fences: How Rural Male Farmers and Their Health Needs Are Discussed in Health Policy and Planning Documents.

Hiebert, Bradley / Regan, Sandra / Leipert, Beverly

Healthcare policy = Politiques de sante

2018 Volume 13, Issue 4, Page(s) 50–64

Abstract: Rural male farmers (RMFs) are an understudied population with high mortality, morbidity and co-morbidities due to preventable injury, most of which occur on-farm. This study examines how RMFs and their health needs are discussed in Ontario rural health ... ...

Abstract	Rural male farmers (RMFs) are an understudied population with high mortality, morbidity and co-morbidities due to preventable injury, most of which occur on-farm. This study examines how RMFs and their health needs are discussed in Ontario rural health policy documents. A retrospective analysis of policy was conducted to analyze the content of Ontario rural healthcare policy documents published since 2006. Discussions of RMFs were categorized by two themes: tokenism and mending fences. Tokenism refers to RMFs' invisibility, except when farming stereotypes were used to describe rural areas. Mending fences captures the desire of rural communities to be included in healthcare decisions, and to position RMFs as key stakeholders for healthcare organizations to engage with to improve how they are perceived by rural communities. This study asserts that including RMFs in health policy formation can improve rural healthcare delivery and relationships between rural healthcare organizations and the communities they serve.
MeSH term(s)	Farmers/statistics & numerical data ; Health Planning ; Health Policy ; Health Services Needs and Demand ; Humans ; Male ; Ontario ; Retrospective Studies ; Rural Health Services
Language	English
Publishing date	2018-07-26
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2481657-7
ISSN	1715-6572
ISSN	1715-6572
DOI	10.12927/hcpol.2018.25494
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Article: Youth Homelessness: The Impact of Supportive Relationships on Recovery.

Gasior, Sara / Forchuk, Cheryl / Regan, Sandra

The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres

2018 Volume 50, Issue 1, Page(s) 28–36

Abstract: Background Homeless youth are the fastest growing sub-group within the homeless population. They face impaired access to health services and are often left unsupported. They lack social and family support or relationships with service providers. ... ...

Abstract	Background Homeless youth are the fastest growing sub-group within the homeless population. They face impaired access to health services and are often left unsupported. They lack social and family support or relationships with service providers. Unsupported homeless youth often become homeless adults. Purpose To test a model based on Peplau's Theory of Interpersonal Relations, examining the influence of a network of service providers, perceptions of social supports, and family relations on a homeless youth's perceptions of recovery. Methods This study is a secondary analysis and used a sample (n = 187) of data collected as part of the original Youth Matters in London study. A cross-sectional design was used to analyze the relationship between variables. Participants were interviewed at 6-month intervals over a 2.5-year period. Hierarchical multiple regression analysis was used. Results Network of service providers, perceived social supports, and perceived family relations explained 21.8% of the variance in homeless youth perceptions of recovery. Perceived social support and family relations were significantly, positively correlated to perceptions of recovery. Network of service providers was not significantly correlated to perceptions of recovery. Conclusions The findings suggest that stronger social supports and family relations may contribute to increased perceptions of recovery among homeless youth.
MeSH term(s)	Adolescent ; Adult ; Cross-Sectional Studies ; Homeless Persons ; Humans ; Interpersonal Relations ; London ; Models, Psychological ; Social Support ; Young Adult
Language	English
Publishing date	2018-01-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	1036826-7
ISSN	1705-7051 ; 0844-5621
ISSN (online)	1705-7051
ISSN	0844-5621
DOI	10.1177/0844562117747191
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Article: Fewer graduates able to find full-time employment.

Regan, Sandra

Nursing BC

2004 Volume 36, Issue 5, Page(s) 14–15

MeSH term(s)	Attitude of Health Personnel ; British Columbia ; Employment/statistics & numerical data ; Humans ; Nursing Staff/supply & distribution ; Students, Nursing/statistics & numerical data
Language	English
Publishing date	2004-12
Publishing country	Canada
Document type	Journal Article
ZDB-ID	1073169-6
ISSN	1185-3638 ; 0048-7104
ISSN	1185-3638 ; 0048-7104
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Article ; Online: Rural Men's Health, Health Information Seeking, and Gender Identities: A Conceptual Theoretical Review of the Literature.

Hiebert, Bradley / Leipert, Beverly / Regan, Sandra / Burkell, Jacquelyn

American journal of men's health

2016 Volume 12, Issue 4, Page(s) 863–876

Abstract: Beginning as early as 2009, recent shifts in Canadian health care delivery indicate that access to health information is essential to promote and maintain a healthy population. It is important to understand how and where various populations, such as ... ...

Abstract	Beginning as early as 2009, recent shifts in Canadian health care delivery indicate that access to health information is essential to promote and maintain a healthy population. It is important to understand how and where various populations, such as underresourced rural populations, access health information so that public health agencies can develop and deliver appropriate information with, for, and in these contexts. There is a paucity of research that specifically examines how rural Canadian men seek health information; therefore, this review aimed to conceptualize this process based on three dynamic key constructs: health patterns of rural Canadians, health information-seeking behaviors, and rural gender identities. This conceptual theoretical literature review included 91 articles at the intersection of these three constructs. Discussion focuses on how residing in a rural region influences men's health and health care access. Health information-seeking behaviors are discussed in terms of social networks and framed with a rural context. Connell's theory of masculinity provides a useful approach to dissecting how rural men's gender identities influence their health attitudes, and how such attitudes are embedded in rural social and cultural norms. Each major construct-health in rural Canada, health information seeking, and rural gender identities-is discussed to highlight how specific embodiments of masculinity may promote and inhibit men's health information-seeking and positive health behaviors.
MeSH term(s)	Canada ; Delivery of Health Care/standards ; Delivery of Health Care/trends ; Gender Identity ; Health Behavior/physiology ; Humans ; Information Seeking Behavior ; Male ; Masculinity ; Men's Health ; Patient Acceptance of Health Care/psychology ; Patient Acceptance of Health Care/statistics & numerical data ; Psychology ; Rural Health Services/organization & administration ; Rural Population
Language	English
Publishing date	2016-05-11
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2275106-3
ISSN	1557-9891 ; 1557-9883
ISSN (online)	1557-9891
ISSN	1557-9883
DOI	10.1177/1557988316649177
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Article ; Online: Heterosexual female adolescents' decision-making about sexual intercourse and pregnancy in rural Ontario, Canada.

Ezer, Paulina / Leipert, Bev / Evans, Marilyn / Regan, Sandra

Rural and remote health

2016 Volume 16, Issue 1, Page(s) 3664

Abstract: Introduction: Rural female adolescents experience unique circumstances to sexual health care and information as compared to urban adolescents. These circumstances are largely due to their more isolated geographical location and rural sociocultural ... ...

Abstract	Introduction: Rural female adolescents experience unique circumstances to sexual health care and information as compared to urban adolescents. These circumstances are largely due to their more isolated geographical location and rural sociocultural factors. These circumstances may be contributing factors to an incidence of adolescent pregnancy that is higher in rural areas than in urban cities. Thus, this higher incidence of pregnancy may be due to the ways in which rural adolescents make decisions regarding engagement in sexual intercourse. However, the rural female adolescent sexual decision-making process has rarely, if ever, been studied, and further investigation of this process is necessary. Focusing on rural female adolescents aged 16-19 years is especially significant as this age range is used for reporting most pregnancy and birth statistics in Ontario. Methods: Charmaz's guidelines for a constructivist grounded theory methodology were used to gain an in-depth understanding of eight Ontario rural female adolescents' decision-making process regarding sexual intercourse and pregnancy, and how they viewed rural factors and circumstances influencing this process. Research participants were obtained through initial sampling (from criteria developed prior to the study) and theoretical sampling (by collecting data that better inform the categories emerging from the data). Eight participants, aged 16-19 years, were invited to each take part in 1-2-hour individual interviews, and four of these participants were interviewed a second time to verify and elaborate on emerging constructed concepts, conceptual relationships, and the developing process. Data collection and analysis included both field notes and individual interviews in person and over the telephone. Data were analyzed for emerging themes to construct a theory to understand the participants' experiences making sexual decisions in a rural environment. Results: The adolescent sexual decision-making process, Prioritizing Influences, that emerged from the analysis was a complex and non-linear process that involved prioritizing four influences within the rural context. The influences that participants of this study described as being part of their sexual decision-making process were personal values and circumstances, family values and expectations, friends' influences, and community influences. When influences coincided, they strengthened participants' sexual decisions, whereas when influences opposed each other, participants felt conflicted and prioritized the influence that had the most effect on their personal lives and future goals. Although these influences may be common to all adolescents, they impact the rural female adolescent sexual decision-making process by influencing and being influenced by geographical and sociocultural factors that make up the rural context. Conclusions: This study reveals important new and preliminary information about rural female adolescents' sexual decision-making process and factors that affect it. Findings improve understanding of how rural female adolescents make choices regarding sexual intercourse and pregnancy and can be used to guide future research projects that could facilitate effective development of sexual health promotion initiatives, inform rural health policy and practices, and enhance existing sexual education programs in rural communities.
MeSH term(s)	Adolescent ; Adolescent Behavior/psychology ; Contraception Behavior/psychology ; Decision Making ; Female ; Humans ; Ontario ; Peer Group ; Pregnancy ; Pregnancy in Adolescence/psychology ; Psychology, Adolescent ; Risk-Taking ; Rural Population/statistics & numerical data ; Sexual Abstinence/psychology ; Sexual Behavior/psychology
Language	English
Publishing date	2016-01
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2105620-1
ISSN	1445-6354 ; 1445-6354
ISSN (online)	1445-6354
ISSN	1445-6354
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