- ItemImmunization rejection in southern Alberta: a comparison of the perspectives of mothers and health professionals(Ingram School of Nursing, 2015) Vandenberg, Shannon Y.; Kulig, Judith CeleneQualitative grounded theory was used to compare and contrast the understanding and decision-making process of non-immunizing mothers and health professionals’ perceptions of these mothers’ understanding and decision-making process. The sample comprised 8 mothers with purposefully unimmunized children under the age of 6 years and 12 health professionals. Semi-structured interviews were conducted and the data generated were analyzed using data immersion, memo-writing, and 3 stages of coding. The mothers and health professionals identiﬁed similar, interrelated factors inﬂuencing the mothers’ decision, categorized into 4 groups: emotions, beliefs, facts, and information. Three primary themes were evident: the health professionals emphasized the influence of religion in decision-making to a greater extent than did the mothers, the meaning of evidence appeared to differ for mothers and health professionals, and mothers revealed a mistrust of health professionals. Immunization is a public health issue; collaboration and understanding are necessary to promote positive health outcomes in children.
- ItemDiversity in rural communities: palliative care for the low German Mennonites(Rural Development Institute, Brandon University, 2014) Fan, Hai Y.; Kulig, Judith CeleneMulticulturalism is an important concept in Canada although there has been limited examination of its meaning in rural settings. To expand this knowledge base, this article presents the Low German (LG) Mennonites as a case example within a context of providing palliative care to this diverse population which is one of the Anabaptist groups that practice adult baptism and focus on a literal interpretation of the Bible. Findings from a mixed methods study and a graduate thesis conducted within the framework of this study focus on three main ideas to understand the perspectives related to death and dying among this group: faith-based healthcare facilities; family, community and mutual aid; and, keeping the dying connected. Implications of these concepts to health and social service providers are included. Canada has prided itself in being a multicultural country, but there has been little indepth examination of cultural or religious diversity in rural settings. This article presents the research related to understanding death and dying among the Low German (LG) Mennonites as a case example to illustrate the complexity of providing care to a unique religious group in rural Canada. The mixed methods and qualitative research were conducted in both Canada and Mexico. The findings are presented according to the following three ideas: (1) faith-based healthcare facilities; (2) family, community and mutual aid; and, (3) keeping the dying connected. The significance of the findings for the provision of care of this group are also included.
- ItemNurses who work in rural and remote communities in Canada: a national survey(BioMed Central, 2017) MacLeod, Martha L. P.; Stewart, Norma J.; Kulig, Judith Celene; Anguish, Penny; Andrews, Mary E.; Banner, Davina; Garraway, Leana; Hanlon, Neil; Karunanayake, Chandima; Kilpatrick, Kelley; Koren, Irene; Kosteniuk, Julie; Martin-Misener, Ruth; Mix, Nadine; Moffitt, Pertice; Olynick, Janna; Penz, Kelly; Sluggett, Larine; Van Pelt, Linda; Wilson, Erin; Zimmer, LelaBackground: In Canada, as in other parts of the world, there is geographic maldistribution of the nursing workforce, and insufficient attention is paid to the strengths and needs of those providing care in rural and remote settings. In order to inform workforce planning, a national study, Nursing Practice in Rural and Remote Canada II, was conducted with the rural and remote regulated nursing workforce (registered nurses, nurse practitioners, licensed or registered practical nurses, and registered psychiatric nurses) with the intent of informing policy and planning about improving nursing services and access to care. In this article, the study methods are described along with an examination of the characteristics of the rural and remote nursing workforce with a focus on important variations among nurse types and regions. Methods: A cross-sectional survey used a mailed questionnaire with persistent follow-up to achieve a stratified systematic sample of 3822 regulated nurses from all provinces and territories, living outside of the commuting zones of large urban centers and in the north of Canada. Results: Rural workforce characteristics reported here suggest the persistence of key characteristics noted in a previous Canada-wide survey of rural registered nurses (2001-2002), namely the aging of the rural nursing workforce, the growth in baccalaureate education for registered nurses, and increasing casualization. Two thirds of the nurses grew up in a community of under 10000 people. While nurses’ levels of satisfaction with their nursing practice and community are generally high, significant variations were noted by nurse type. Nurses reported coming to rural communities to work for reasons of location, interest in the practice setting, and income, and staying for similar reasons. Important variations were noted by nurse type and region. Conclusions: The proportion of the rural nursing workforce in Canada is continuing to decline in relation to the proportion of the Canadian population in rural and remote settings. Survey results about the characteristics and practice of the various types of nurses can support workforce planning to improve nursing services and access to care.
- ItemParticipatory action research with a group of urban First Nations grandmothers: decreasing inequities through health promotion(University of Western Ontario, 2015) Ginn, Carla S.; Kulig, Judith CeleneInequities experienced by Aboriginal people in Canada due to residual effects of colonization and assimilation are evident; research is needed focusing on positive strategies for health and healing in urban settings. Participatory action research (PAR) is identified as an appropriate method of research for engaging collaboratively with Aboriginal people. This study involved seven First Nations grandmothers in a small urban community in Alberta, Canada. The grandmothers linked personal health with family and community health,and practiced health promotion through maintaining cycles of support between themselves, their families, and communities. These grandmothers recognized their invaluable roles as leaders in health promotion in families and communities. The collective knowledge of Aboriginal grandmothers has potential to affect health inequities on a broader scale.
- ItemMental health beliefs and practices among Low German Mennonites: application to practice(University of Lethbridge, 2016) Kulig, Judith Celene; Fan, HaiYan (LingLing)The purpose of this mixed-methods study was to identify the cultural and religious understandings and beliefs related to mental health wellness and illness in general among the LG Mennonites, with the intention of applying what was learned to assist in the development and deployment of more appropriate healthcare services for the LG Mennonite communities.