Sedgwick, Monique

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    Rural healthcare professionals’ participation in Medical Assistance in Dying (MAiD): beyond a binary decision.
    (Springer Nature, 2024) Sedgwick, Monique; Brassolotto, Julia; Manduca-Barone, Alessandro
    Background Medical Assistance in Dying (MAiD) was legalized in Canada in 2016 and amended in 2021. At the time that this study was conducted, the federal government was considering expanding the eligibility criteria to include patients whose death was not reasonably foreseeable. The purpose of this study was to better understand rural healthcare professionals’ experiences with assisted dying set against the backdrop of legislative expansion. Methods A qualitative exploratory study was undertaken with general rural practice physicians, nurse practitioners, registered nurses, ethicists, patients, and patient families in rural Southern Alberta, Canada. For this paper, data from 18 audio-recorded and transcribed semi-structured interviews with healthcare professionals were analyzed using thematic analysis. Categories and patterns of shared meaning that linked to an overarching theme were identified. Results Between the binary positions of full support for and conscientious objection to assisted dying, rural healthcare professionals’ decisions to participate in MAiD was based on their moral convictions, various contextual factors, and their participation thresholds. Factors including patient suffering; personal and professional values and beliefs; relationships with colleagues, patients and family, and community; and changing MAiD policy and legislation created nuances that informed their decision-making. Conclusions The interplay of multiple factors and their degree of influence on healthcare professionals’ decision making create multiple decision points between full support for and participation in MAiD processes and complete opposition and/or abstention. Moreover, our findings suggest evolving policy and legislation have the potential to increase rural healthcare professionals’ uncertainty and level of discomfort in providing services. We propose that the binary language typically used in the MAiD discourse be reframed to reflect that decision-making processes and actions are often fluid and situational
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    MAiD in southern Alberta: report of findings
    (University of Lethbridge, 2022) Brassolotto, Julia; Manduca-Barone, Alessandro; Sedgwick, Monique
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    Nurses' perceptions of climate sensitive vector-borne diseases: a scoping review
    (Wiley, 2023) Vandenberg, Shannon Y.; Chircop, Andrea; Sedgwick, Monique; Scott, David R.
    Objective Nurses are well positioned to play an integral role in the mitigation of climate change and climate-driven vector-borne diseases, however, they lack awareness and knowledge about their role. The purpose of this scoping review was to map existing literature on nurses’ perceptions, knowledge, attitudes, and experiences with vector-borne diseases, specifically Lyme disease and West Nile virus. Design A scoping review was conducted using Joanna Briggs Institute (JBI) scoping review methodology. CINAHL, ProQuest Nursing & Allied Health Premium, MEDLINE, APA PsycINFO, ProQuest Dissertations & Theses, and Web of Science were searched for English-language publications. The PRISMA-ScR was used. After initial screening as per study protocol, a total of 33 items were reviewed independently by four reviewers. Results Thirty-three articles, including seven sources from grey literature, met the criteria for this scoping review. Results were mapped according to the five domains of the Guidelines for Undergraduate Nursing Education on Climate-Driven Vector-Borne Diseases. Conclusions Findings from the review indicate that nurses play a role in climate-related health effects and should be knowledgeable about vector-borne diseases. However, scant literature exists on nurses’ knowledge, perceptions, attitudes toward vector-borne diseases, and practice readiness, signifying a need for further research on this emerging topic.
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    A scoping review of the integration of ethics education in undergraduate nursing high-fidelity human simulation-based learning
    (Wiley, 2020) Sedgwick, Monique G.; Yanicki, Sharon M.; Harder, Nicole; Scott, David R.
    Aims and objectives: To systematically assemble, examine and map the extant literature pertaining to the integration of ethics education in high-fidelity simulation-based learning experiences in nursing undergraduate programs. Background: The value of ethics education for undergraduate nursing students is well established in the literature. Whether high-fidelity human simulation (HFHS) supports the development of ethical reasoning, or positively impacts the acquisition of ethical knowledge and reasoning skills in undergraduate nursing students is inconsistently addressed. Design: A scoping review was conducted using the Arksey and O’Malley framework. Method: CINAHL, ProQuest Nursing & Allied Health Source, ProQuest Dissertations & Theses A&I, MEDLINE, Web of Science, ERIC, Scopus, PsycINFO, and the Joanna Briggs Institute EBP databases were searched for English language manuscripts published between 2012-2020. The PRISMA-ScR was used. Results: Eight papers that met the inclusion criteria were extracted for this review. Three broad categories were identified: the ‘what’ in ethics education, the ‘how’ of ethics education and, the ‘when’ of ethics education in high-fidelity human simulation. Conclusion: The integration of ethics education into simulation-based learning has the potential to positively promote nursing students’ ability to develop knowledge of and skills in ethical practice. However, the inclusion of ethics education scenarios in HFHS is a relative new teaching innovation in undergraduate nursing education. As such, there continues to be no consensus on the ‘what’, ‘how’ or ‘when’ of ethics education for best practice in ethics education for undergraduate nursing programs. Relevance to Clinical Practice: Quality improvement processes and research studies are needed to determine: the types of ethical dilemmas and debriefing sessions and optimal timing of HFHS ethics simulation in undergraduate nursing education, student support needed for running HFHS, and the learning needs of nurse educators seeking to incorporate ethics within HFHS.
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    Pilot study: nursing students' perceptions of the environment in two different clinical models
    (Elsevier, 2016) Perry, Robert D.; Press, Madeline M.; Rohatinsky, Noelle; Compton, Roslyn M.; Sedgwick, Monique G.
    Purpose: This pilot study aimed to assess the reliability and validity of a modified Dundee Ready Educational Environment Measure (m-DREEM) tool used to evaluate the effects of different pedagogical approaches in a clinical learning environment on nursing students' learning perceptions. Methods: A sample consisting of 130 nursing students in two different models of clinical education was surveyed. Results: This pilot study demonstrated that m-DREEM yields a high internal consistency. This tool can be used to evaluate nursing students' perceptions of their clinical learning environment on the basis of five sub-scales: students' learning perceptions, facilitators, academic self-perception, atmosphere, social self-perception, and mentorship. Conclusion: A definitive and inferential relationship between sub-scales and clinical models, namely, block and non-block dispersed models, could not be determined because of the small sample size of the block clinical model. Hence, further research should be performed.