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Biomedical subjects

Judith C Kulig

Publications and source records attributed to Judith C Kulig.

9 recordsLinked to original sources
PubMed2006

Violence in rural communities: youth speak out!

INTRODUCTION: The current available literature does not present the viewpoints of rural youths regarding the meaning of violence. DESIGN: A mixed method exploratory, descriptive study was conducted to generate information from rural youth about violence. The qualitative phase of the exploratory, descriptive study is reported here. RESULTS: Interviews with fifty-two youth (20 males and 32 females), ranging in age from 11 to 19 years in grades 7-12 in the public school system were conducted in two rural communities. The participants initially defined violence as a physical act with intent to harm, but did not consider weapon carrying as an issue in their communities. They identified alcohol consumption as a trigger for violence and described planned fights that occurred away from school grounds. Physical fights were not limited to the male students. The youth openly stated that violence exists in rural communities and felt isolated from adults with regard to understanding the youths' experiences with violence. CONCLUSION: It is important to generate information about violence directly from rural youth. Programs to reduce violence that include the youth are important to pursue.

Adolescent↗
PubMed2006

Insights from a national study.

Aboriginal registered nurses have been identified as an essential group in the delivery of health services in First Nations communities. Despite this, there is a lack of information about this group of nurses in Canada. This article presents information about this group taken from two components of a national study, The Nature of Nursing Practice in Rural and Remote Canada: documentary analysis and a national survey of nurses. The aboriginal nurse participants were predominantly female, between the ages of 40 and 49, diploma prepared and with licensure for less than 10 years. The survey data showed 41.4 per cent returned to their home communities to work. The participants noted how they enjoyed the challenges of rural and remote nursing and wanted to raise their families in these small communities. They have been able to create supportive work environments, particularly with their nursing colleagues. The nurses are committed to working in rural and remote communities.

Attitude of Health Personnel↗
PubMed2005

A profile of registered nurses in rural and remote Canada.

Research on nursing practice issues in rural and remote areas of Canada is very limited. This report describes the method and initial results of a comprehensive survey of registered nurses (RNs) practising outside the commuting zones of large urban centres, designed to determine: who practises nursing in rural and remote Canada; the nature and scope of their nursing practice; and their satisfaction with their work, community, and practice supports. Using a mailed questionnaire with persistent follow-up, the data-collection frame included a stratified random sample of rural RNs and the full population of RNs who worked in the northern territories and outpost ("remote") settings. The analyses focus on regional comparisons of demographics and primary work settings and on provincial comparisons of satisfaction levels related to work and community. The survey is part of a larger multi-method project intended to inform policy on rural nursing practice in Canada.

Adult↗
PubMed2004

Kanadier Mennonites: a case study examining research challenges among religious groups.

In this article, the authors address the research issues experienced in carrying out a study with the Kanadier Mennonites, members of the Anabaptist religious group who support a lifestyle that demonstrates separation from mainstream society. The authors provide a brief description of the Kanadiers along with the purpose of the research and a synopsis of the sample. They focus primarily on discussing the methodological challenges in approaching this group. In addition, they place emphasis on addressing the research questions in ways that are respectful and nonintrusive. They discuss the lessons learned from the study within the context of qualitative cross-cultural research.

Christianity↗
PubMed2004

Maximizing the involvement of rural nurses in policy.

Rural health issues are increasingly recognized as needing attention, but many health policies in Canada are developed for the urban context and universally applied to rural settings. Addressing rural nurses' opportunities for involvement in policy will contribute to our general understanding of rural health while improving community health services. Rural nurses are in a unique position to assist because of their intimate knowledge of their communities and their position as informal community leaders. Challenges to their involvement include decreased numbers and lack of educational preparation about policy. A strength is the higher percentage of rural nurses who are managers compared to their urban counterparts. Nursing education programs need to include theoretical content and practical opportunities related to health policy. Managers need to support rural nurses' attempts in policy development by providing opportunities for membership on policy committees. Finally, once obtaining skills in the policy arena, rural nurses need to work within their communities and workplaces to help develop and implement more appropriate rural-based policies.

Attitude of Health Personnel↗
PubMed2004

Childbearing practices in anadier Mennonite women.

Cross-cultural nursing practices call for attention to be paid to the unique beliefs and practices of the groups with which nurses come in contact. The Kanadier Mennonites are a conservative religious group who live in Alberta, Manitoba and Ontario. An exploratory, descriptive study was conducted with this group in southern Alberta to generate information about their health and illness beliefs. This article focuses on their knowledge, beliefs and practices in relation to childbearing. Interviews were conducted with 45 women, the majority of whom were married and had been born in Mexico. Among the sample there had been a range of one to 16 pregnancies. The participants noted that childbearing is not a topic openly discussed with others. Women learn about childbearing from their mothers and other women but also from physicians and books. During pregnancy there are particular activities to be avoided including the use of strong cleaning fluids and hand milking of cows. Foods such as milk need to be ingested to ensure a healthy pregnancy Prenatal care was not emphasized in Mexico nor has it become a customary practice in Canada but deliveries in hospital are the norm in both these countries. During the postpartum the women receive support from their immediate and extended family in order to recuperate. Nurses need to explore individual Kanadier Mennonite beliefs regarding childbearing and work with this group in developing acceptable health promotion programs to help ensure healthy pregnancy outcomes. The blending of nursing practice knowledge in a non-intrusive manner with a group of people with differing belief systems is a necessary and achievable goal.

Adult↗
PubMedDate not supplied

Refusals and delay of immunization within southwest Alberta. Understanding alternative beliefs and religious perspectives.

BACKGROUND: Immunization is a necessary component of well child services within public health. Despite the documented effectiveness of vaccines, some parents choose to refuse or delay immunization for their children. Adherence to different beliefs has affected immunization coverage in one Regional Health Authority in Southwest Alberta. METHODS: This qualitative study involved exploratory, descriptive open-ended interviews with a sample of 47. The sample included people of Dutch ethnic background, Hutterites, and parents and practitioners who engage in alternative health beliefs and practices. RESULTS: Major findings include: 1) among the Dutch, most noted their decision to refuse to immunize was based on religious beliefs; 2) the Hutterites' decision not to immunize was due to their experiences with adverse reactions but was further supported by their use of alternative health; and, 3) the alternative health group are more concerned with the safety of vaccines with regard to the short- and long-term effects on their children's health. DISCUSSION: All three groups conveyed a common concern of child health and safety. Educational initiatives need to be implemented to allay parents' fears. Community development activities with individuals of the groups included here who support immunization will increase acceptance of immunization.

Adult↗
PubMedDate not supplied

Rural youth violence: it is a public health concern!

Youth violence is a significant issue for public health because of the potential for long-term impacts on individuals, families and communities. Limited exposure to violence is seen as a component of healthy living. However, there is limited understanding of violence from a public health perspective within rural communities. Rural refers to those communities with a population less than 10,000 outside the main commuting zone of a large urban area. Population health approaches, including the social determinants of health, are well supported by public health officials. Generating information about rural youth violence from a Canadian perspective would add to our understanding of these social determinants while providing guidance for policy and program development. Current understandings of youth violence are limited to an urban, and oftentimes, American perspective. An ongoing two-phase Canadian study on rural youth violence included qualitative interviews with 52 youth and the completion of a questionnaire that had been developed from the qualitative responses. The questionnaire has been completed by a larger sample of rural youth. The findings generated from this ongoing study will be useful in linking violence with social factors that impact health and thereby guide population health programs and policies. In this way, the role of public health to develop policies and implement programs will be directly influenced by evidence while addressing an ongoing public health concern.

Adolescent↗