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Biomedical subjects

Judith MacIntosh

Publications and source records attributed to Judith MacIntosh.

7 recordsLinked to original sources

Tackling work place bullying.

In a qualitative study of experiences of work place bullying in a rural area, participants explored ways of diminishing, eliminating, or addressing bullying behaviours. They described effective strategies that they had used to protect themselves and to begin to address bullying at a number of different levels. A brief overview of the research method and findings is given. This paper presents participants' strategies for intervening to address work place bullying at personal, group, organizational, public, and policy levels. The paper includes implications for practitioners, employers, and the public to tackle the pervasive issue of work place bullying.

Aggression↗

Experiences of workplace bullying in a rural area.

Employed people spend most of their waking hours in workplaces, but sometimes workplaces are made unbearable by bullying. This study examined how 21 people experienced workplace bullying in a rural and small city context and explored strategies for stopping workplace abuse. The research method of the learning circle was used because of its potential to reduce the isolation typically experienced by targets of workplace bullying, and its potential for peer dialogue and learning. This paper focuses on signs and experiences of workplace bullying, a phenomenon which produces both physical and emotional symptoms and often requires counseling.

Adult↗

Interprovincial partnership in nursing education.

The Canadian Nurses Association endorsed the position that baccalaureate education is essential to practise nursing. Provincial adoption of this position began efforts to increase seats in baccalaureate programs as early as the late 1980s. These efforts have generated many different models of collaborative baccalaureate nursing programs in Canada. One model, the UNB-Humber Collaborative Nursing Program, began to offer nursing courses in the fall of 2001. As UNB already offered its basic baccalaureate program in four New Brunswick sites and Humber College had well-established nursing diploma and continuing education programs, a partnership approach to nursing education seemed beneficial to both institutions. This article describes, from the perspective of one faculty member in Ontario and one in New Brunswick, how the development and implementation of this collaborative program and its curriculum were guided by a similar philosophy. The authors describe how the curriculum values of primary health care, social justice and caring influenced their relationships in the program development process. They also discuss strategies the partnership has used for developing the curriculum collaboratively, ensuring similarity of courses across sites, addressing academic freedom and sharing and learning together.

Cooperative Behavior↗

Reworking professional nursing identity.

In spite of professional socialization through nursing education programs, new graduates experience stress as they become working professionals. This grounded theory study explores experienced nurses' perceptions of how they became professional. The central problem for nurses was dissonance between expectations and experiences; they addressed this through an iterative, three-stage process of reworking professional identity. The stages of this process are assuming adequacy, realizing practice, and developing a reputation. Iterations of this process occur as new discrepancies are noticed, enhanced awareness dawns, practice changes, learning is undertaken, or experienced nurses become relative novices in another work area. Nurses move through stages more quickly and at different levels with each iteration. Three contextual factors influence the process: expectation; perception of the status accorded by others to nursing; and supportiveness by acceptance, assistance, and advocacy from others in the workplace. These findings expand knowledge about professional socialization and how nurses themselves understand developing professional identity.

Attitude of Health Personnel↗

Primary health care: a framework for policy development.

Primary health care has utility for policy development at all levels of organization in any nation, including policies influencing the health of persons living with severe and persistent mental illnesses. Using the primary health care framework, policies to improve health and housing for this population evolve from intersectoral collaboration. Active participation by those persons whose essential health is compromised by housing that is not acceptable, adequate, suitable, and affordable is required. Appropriate and affordable methods that address health challenges are identified. Access to services meeting essential health care needs of citizens has potential for healthy outcomes.

Canada↗

Development of a program logic model to measure the processes and outcomes of a nurse-managed community health clinic.

Evaluation is an essential process that permits assessing the effectiveness and efficiency of planned programs. In implementing a new nurse-managed Community Health Clinic targeting services for the homeless and underserved, the stakeholders considered an evaluation process integral to the planning stage of the clinic as a whole as well as of all the different programs being offered. The program logic model was chosen and modified to guide evaluation. Work to develop the evaluation model and its components began before the clinic opened. This article describes the development of the modified program logic model, how it was modified, and the rationale for its modifications. We highlight the process of developing the evaluation model because we found limited descriptions of the process in the literature. The evaluation process itself will be evaluated on an ongoing basis to determine if it is capturing the evaluation needs of the clinic project accurately.

Community Health Services↗

Discovering co-learning with students in distance education sites.

Distance education is promoted as an effective way to reach more students, but how effective are interactive learning strategies in distance nursing courses? The authors discuss how nursing students adjusted to distance technologies and became actively involved in creating an environment that enabled development of supportive co-learning relationships. Learner perspectives on teaching strategies, distance learning, and becoming nurses are described.

Adaptation, Psychological↗