Gender, the complex of social relations and practices attached to biological sex, is one of the m... more Gender, the complex of social relations and practices attached to biological sex, is one of the most important socio-cultural factors influencing health and health-related behavior. Although a large body of health research suggests that men with similar social disadvantages as women experience poorer health outcomes in relation to disability, chronic illness, injury rates and mortality, men's health is rarely deconstructed through the lens of gender. The purpose of this article is to increase understanding of the
The purpose of this study is to examine the complexities of recruiting overweight and obese adole... more The purpose of this study is to examine the complexities of recruiting overweight and obese adolescent boys for qualitative research, discuss specific recruitment considerations for this population, and offer guidance to researchers interested in recruiting overweight adolescent boys. Three overweight adolescent boys and six community professionals participated in this study. Data collection methods included fieldwork observations (60 hours) and person-centered interviews (N=9). Emergent themes revealed that establishing trust, understanding the sensitivities of discussing obesity, and considering adolescent boys' fears of sharing personal information may have enhanced recruitment success. Researchers should consider the importance of building relationships with professionals who can recruit vulnerable adolescents, as well as the time required to establish trust with both overweight adolescent boys and their parents.
This paper forms the foundation for the promotion of mental health with rural Mi'kmaq youth ... more This paper forms the foundation for the promotion of mental health with rural Mi'kmaq youth through a community based participatory research project. Western understandings of mental health and illness are compared and contrasted with Aboriginal understandings. Mainstream mental health services that accommodate cultural differences do not speak to the totality of Aboriginal understandings of mental health or to self-determination and self-reliance of Aboriginal peoples. The paper comprises three sections. Differences in the major understandings of mental health and illness are examined in the first section and common understandings associated with these concepts are addressed in the second section. Within the third section an analysis of three exemplar models of Aboriginal mental health and illness services is conducted. These models illustrate similarities and differences, and provide evidence of the effectiveness of health promotion that is inclusive of difference. The paper ...
This paper forms the foundation for the promotion of mental health with rural Mi’kmaq youth throu... more This paper forms the foundation for the promotion of mental health with rural Mi’kmaq youth through a community based participatory research project. Western understandings of mental health and illness are compared and contrasted with Aboriginal understandings. Mainstream mental health services that accommodate cultural differences do not speak to the totality of Aboriginal understandings of mental health or to self-determination and self-reliance of Aboriginal peoples. The paper comprises three sections. Differences in the major understandings of mental health and illness are examined in the first section and common understandings associated with these concepts are addressed in the second section. Within the third section an analysis of three exemplar models of Aboriginal mental health and illness services is conducted. These models illustrate similarities and differences, and provide evidence of the effectiveness of health promotion that is inclusive of difference. The paper concl...
The transcripts of 21 individual interviews and three focus groups of Canadian men in nursing gen... more The transcripts of 21 individual interviews and three focus groups of Canadian men in nursing generated by the SSHRC funded study “Contradictions and Tensions in the Lives of Men: Exploring Masculinities in the Numerically Female Dominated Professions of Nursing and Elementary School Teaching,” underwent secondary qualitative thematic analysis. Informed by the theoretical framework of masculinity theory, the study’s purpose was to describe how men nurses’ caring was conceptualized and expressed in their interviews. The contextual performance of masculinity and caring constituted the core theme, and a thematic map illustrated the relationships between eight performance sub-themes, two contextual sub-themes, and eight contextual elements accounted by this overarching theme. Consideration of the generated themes in the context of existing literature demonstrated considerable support for the study findings, and clearly identified the performance of masculinity as a significant influence...
The Federal Government of Canada presents the Indian Health Transfer Policy as a framework for ac... more The Federal Government of Canada presents the Indian Health Transfer Policy as a framework for achieving self-determination in health by Canada's native people. Health transfer permits indigenous bands and communities to engage in local administrative control over aspects ...
While it is widely accepted that adopting a systems perspective is important for understanding an... more While it is widely accepted that adopting a systems perspective is important for understanding and addressing patient safety issues, nurse educators typically address these issues from the perspective of individual student performance. In this study, the authors explored unsafe patient care events recorded in 60 randomly selected clinical learning contracts initiated for students in years 2, 3, and 4 of the undergraduate nursing program at the University of Manitoba. The contracts had been drawn up for students whose nursing care did not meet clinical learning objectives and standards or whose performance was deemed unsafe. Using qualitative content analysis, the authors categorized data pertaining to 154 unsafe patient care events recorded in these contracts.Thirty-seven students precipitated these events. Most events were related to medication administration (56%) and skill application (20%). A breakdown of medication administration events showed that the highest number were error...
Canada does not have enough aboriginal nurses and aboriginal nursing faculty. Consequently, there... more Canada does not have enough aboriginal nurses and aboriginal nursing faculty. Consequently, there is an inadequate number of nurses to meet both on- and off-reserve and community health care staffing needs. In 2002, Health Canada asked the Canadian Association of University Schools of Nursing to facilitate a national task force that would examine aboriginal nursing in Canada. The task force engaged in an extensive literature review, conducted a national survey of nursing programs, and explored recruitment and retention strategies. In 2007, the association prepared an update on the current status. In this article, the authors review the progress made during the intervening five years in the recruitment, retention and education of aboriginal nursing students.
Journal of the American Association of Nurse Practitioners, Jan 5, 2015
To further understand the interactions between nurse practitioners (NPs) and patients, King's... more To further understand the interactions between nurse practitioners (NPs) and patients, King's nursing theory of goal attainment was applied as the conceptual framework to describe the interactions between NPs and patients in the primary care setting. Six dyads of NPs and their patients were video- and audio-taped over three consecutive clinic visits. For the purposes of this arm of the study, the audio-taped interactions were transcribed and then coded using King's concepts in her theory of goal attainment. King's theory was applicable to describe NP practice. King's concepts and processes of nurse-patient interactions, such as disturbances, mutual goal setting, and transactions, were observed in NP-patient interactions. Disturbances during clinical encounters were essential in the progression toward goal attainment. Elements, such as social exchange, symptom reporting, role explanation, and information around clinical processes facilitated relationship building. NPs...
Nurse educators in Canada and the United States have a tremendous responsibility in relation to l... more Nurse educators in Canada and the United States have a tremendous responsibility in relation to leadership and the nursing profession. Nursing schools are charged with ensuring that graduates are competent practitioners. Moreover, graduates must actualize leadership within the profession. Leadership occurs at those relationship intersections where nurses come into contact with the public: patients and families, agencies and institutions, the healthcare system and government at all levels. The seeds of leadership are planted in entry-to-practice programs, taking root and growing strong in supportive practice settings. It is at the master's and doctoral levels of education that many of our leaders fully blossom in all nursing domains: practice, education, administration and research. When we (Gregory, Russell) reflect on our roles as clinicians, educators, researchers and education administrators over the past two decades, we can make two major observations: • The development of our leadership skills was mostly ad hoc, "on the job" and occasionally "post-hoc." There was no systematic or integrated leadership immersion within and across the programs we completed. The seeds of leadership were scattered haphazardly. Ongoing and sustained nurturing with respect to leadership was lacking. Leaders most often grew by chance, in spite of what was or was not done to enhance that growth. • Explicit leadership connections among education, practice, administration and research were often
The Nursing Division of the Saskatchewan Institute of Applied Science and Technology (SIAST) firs... more The Nursing Division of the Saskatchewan Institute of Applied Science and Technology (SIAST) first included systems and patient safety as a priority in its institutional business and strategic plan in 2003. Three interrelated leading-edge, twoyear projects (2004-2006) were launched: Best Practice, Mentorship and Patient Safety, with the intent that each project would enhance the others. This case study focuses on the work of the Patient Safety Project Team. The team developed a project framework and strategic plan, conducted a literature review and identified key concepts related to systems and patient safety. Strategies to integrate these concepts into the school's 15 nursing education programs are being implemented.
We explored the experiences of immigrant women and their journeys before and after coming to Cana... more We explored the experiences of immigrant women and their journeys before and after coming to Canada and focused on their resilience in overcoming challenges faced during their resettlement process. Considering the many challenges recent immigrant women encountered during their settlement and the associated potential for negative impact, it was important to focus on how the participants withstood adversity and demonstrated resilience. Qualitative methodology made use of repeated in-depth person-centered interviews (n=14) with five women who recently migrated to Canada under immigrant status (other than refugee). Thematic analysis was applied to the qualitative data set. Three major themes emerged from the data: Life before Canada; A journey of compound stressors; and Resilience: Not giving up on life. The study extends the literature on immigrants’ resilience in two ways. First, the study moved beyond an exploration of post-migration experience and considered women’s lives before and after migration to render a more holistic understanding of their resilience. Second, the study examined how resilience was constituted among the women within their spousal-dyads, and their families. To understand an immigrant woman’s resilience is also to understand her life prior to arrival in Canada, the resilience of her marriage and that of her family. Finally, suggestions for future research are also addressed in this study.
In this article, the authors explore the home care experience as described by older physically im... more In this article, the authors explore the home care experience as described by older physically impaired individuals and their caregiving spouses. Separate face-to-face semistructured interviews were carried out with each spouse from nine couples. Analysis of the interview data revealed four themes. For care receivers the themes were Independence and Developing a Trusting Relationship With Home Care Workers. Relief and Continuity were voiced by the caregiving spouses. The authors show how these themes relate to the participants' sense of security, which emerged as a key underlying concept in the home care experience. This study adds to the home care and caregiving literature as it expands our understanding of the relationship between formal and informal caregiving, highlights issues and concerns older couples face as they receive home-based care, and includes both older spouse caregivers and their direct-care recipients.
Mcn-the American Journal of Maternal-child Nursing - MCN-AM J MATERN-CHILD NURS, 2004
To explore factors women consider in determining their perceptions of pregnancy risk, and to comp... more To explore factors women consider in determining their perceptions of pregnancy risk, and to compare and contrast factors considered by women with complicated and uncomplicated pregnancies. Descriptive qualitative study in which women described factors they considered in making personal risk assessments. Of the 205 women in the study, half (n = 103) had pregnancy complications, while the other half (n = 102) had no known complications. Written responses to three open-ended questions were used to determine factors women considered in assessing their risks. A qualitative content analysis approach was used to interpret the data. Four major themes emerged that influenced perception of risk for both groups: self image, history, healthcare, and "the unknown." Women with complications voiced greater risk perceptions and identified specific risks, while women with no complications mentioned potential risks that were diffuse and hypothetical.
Gender, the complex of social relations and practices attached to biological sex, is one of the m... more Gender, the complex of social relations and practices attached to biological sex, is one of the most important socio-cultural factors influencing health and health-related behavior. Although a large body of health research suggests that men with similar social disadvantages as women experience poorer health outcomes in relation to disability, chronic illness, injury rates and mortality, men's health is rarely deconstructed through the lens of gender. The purpose of this article is to increase understanding of the
The purpose of this study is to examine the complexities of recruiting overweight and obese adole... more The purpose of this study is to examine the complexities of recruiting overweight and obese adolescent boys for qualitative research, discuss specific recruitment considerations for this population, and offer guidance to researchers interested in recruiting overweight adolescent boys. Three overweight adolescent boys and six community professionals participated in this study. Data collection methods included fieldwork observations (60 hours) and person-centered interviews (N=9). Emergent themes revealed that establishing trust, understanding the sensitivities of discussing obesity, and considering adolescent boys' fears of sharing personal information may have enhanced recruitment success. Researchers should consider the importance of building relationships with professionals who can recruit vulnerable adolescents, as well as the time required to establish trust with both overweight adolescent boys and their parents.
This paper forms the foundation for the promotion of mental health with rural Mi'kmaq youth ... more This paper forms the foundation for the promotion of mental health with rural Mi'kmaq youth through a community based participatory research project. Western understandings of mental health and illness are compared and contrasted with Aboriginal understandings. Mainstream mental health services that accommodate cultural differences do not speak to the totality of Aboriginal understandings of mental health or to self-determination and self-reliance of Aboriginal peoples. The paper comprises three sections. Differences in the major understandings of mental health and illness are examined in the first section and common understandings associated with these concepts are addressed in the second section. Within the third section an analysis of three exemplar models of Aboriginal mental health and illness services is conducted. These models illustrate similarities and differences, and provide evidence of the effectiveness of health promotion that is inclusive of difference. The paper ...
This paper forms the foundation for the promotion of mental health with rural Mi’kmaq youth throu... more This paper forms the foundation for the promotion of mental health with rural Mi’kmaq youth through a community based participatory research project. Western understandings of mental health and illness are compared and contrasted with Aboriginal understandings. Mainstream mental health services that accommodate cultural differences do not speak to the totality of Aboriginal understandings of mental health or to self-determination and self-reliance of Aboriginal peoples. The paper comprises three sections. Differences in the major understandings of mental health and illness are examined in the first section and common understandings associated with these concepts are addressed in the second section. Within the third section an analysis of three exemplar models of Aboriginal mental health and illness services is conducted. These models illustrate similarities and differences, and provide evidence of the effectiveness of health promotion that is inclusive of difference. The paper concl...
The transcripts of 21 individual interviews and three focus groups of Canadian men in nursing gen... more The transcripts of 21 individual interviews and three focus groups of Canadian men in nursing generated by the SSHRC funded study “Contradictions and Tensions in the Lives of Men: Exploring Masculinities in the Numerically Female Dominated Professions of Nursing and Elementary School Teaching,” underwent secondary qualitative thematic analysis. Informed by the theoretical framework of masculinity theory, the study’s purpose was to describe how men nurses’ caring was conceptualized and expressed in their interviews. The contextual performance of masculinity and caring constituted the core theme, and a thematic map illustrated the relationships between eight performance sub-themes, two contextual sub-themes, and eight contextual elements accounted by this overarching theme. Consideration of the generated themes in the context of existing literature demonstrated considerable support for the study findings, and clearly identified the performance of masculinity as a significant influence...
The Federal Government of Canada presents the Indian Health Transfer Policy as a framework for ac... more The Federal Government of Canada presents the Indian Health Transfer Policy as a framework for achieving self-determination in health by Canada's native people. Health transfer permits indigenous bands and communities to engage in local administrative control over aspects ...
While it is widely accepted that adopting a systems perspective is important for understanding an... more While it is widely accepted that adopting a systems perspective is important for understanding and addressing patient safety issues, nurse educators typically address these issues from the perspective of individual student performance. In this study, the authors explored unsafe patient care events recorded in 60 randomly selected clinical learning contracts initiated for students in years 2, 3, and 4 of the undergraduate nursing program at the University of Manitoba. The contracts had been drawn up for students whose nursing care did not meet clinical learning objectives and standards or whose performance was deemed unsafe. Using qualitative content analysis, the authors categorized data pertaining to 154 unsafe patient care events recorded in these contracts.Thirty-seven students precipitated these events. Most events were related to medication administration (56%) and skill application (20%). A breakdown of medication administration events showed that the highest number were error...
Canada does not have enough aboriginal nurses and aboriginal nursing faculty. Consequently, there... more Canada does not have enough aboriginal nurses and aboriginal nursing faculty. Consequently, there is an inadequate number of nurses to meet both on- and off-reserve and community health care staffing needs. In 2002, Health Canada asked the Canadian Association of University Schools of Nursing to facilitate a national task force that would examine aboriginal nursing in Canada. The task force engaged in an extensive literature review, conducted a national survey of nursing programs, and explored recruitment and retention strategies. In 2007, the association prepared an update on the current status. In this article, the authors review the progress made during the intervening five years in the recruitment, retention and education of aboriginal nursing students.
Journal of the American Association of Nurse Practitioners, Jan 5, 2015
To further understand the interactions between nurse practitioners (NPs) and patients, King's... more To further understand the interactions between nurse practitioners (NPs) and patients, King's nursing theory of goal attainment was applied as the conceptual framework to describe the interactions between NPs and patients in the primary care setting. Six dyads of NPs and their patients were video- and audio-taped over three consecutive clinic visits. For the purposes of this arm of the study, the audio-taped interactions were transcribed and then coded using King's concepts in her theory of goal attainment. King's theory was applicable to describe NP practice. King's concepts and processes of nurse-patient interactions, such as disturbances, mutual goal setting, and transactions, were observed in NP-patient interactions. Disturbances during clinical encounters were essential in the progression toward goal attainment. Elements, such as social exchange, symptom reporting, role explanation, and information around clinical processes facilitated relationship building. NPs...
Nurse educators in Canada and the United States have a tremendous responsibility in relation to l... more Nurse educators in Canada and the United States have a tremendous responsibility in relation to leadership and the nursing profession. Nursing schools are charged with ensuring that graduates are competent practitioners. Moreover, graduates must actualize leadership within the profession. Leadership occurs at those relationship intersections where nurses come into contact with the public: patients and families, agencies and institutions, the healthcare system and government at all levels. The seeds of leadership are planted in entry-to-practice programs, taking root and growing strong in supportive practice settings. It is at the master's and doctoral levels of education that many of our leaders fully blossom in all nursing domains: practice, education, administration and research. When we (Gregory, Russell) reflect on our roles as clinicians, educators, researchers and education administrators over the past two decades, we can make two major observations: • The development of our leadership skills was mostly ad hoc, "on the job" and occasionally "post-hoc." There was no systematic or integrated leadership immersion within and across the programs we completed. The seeds of leadership were scattered haphazardly. Ongoing and sustained nurturing with respect to leadership was lacking. Leaders most often grew by chance, in spite of what was or was not done to enhance that growth. • Explicit leadership connections among education, practice, administration and research were often
The Nursing Division of the Saskatchewan Institute of Applied Science and Technology (SIAST) firs... more The Nursing Division of the Saskatchewan Institute of Applied Science and Technology (SIAST) first included systems and patient safety as a priority in its institutional business and strategic plan in 2003. Three interrelated leading-edge, twoyear projects (2004-2006) were launched: Best Practice, Mentorship and Patient Safety, with the intent that each project would enhance the others. This case study focuses on the work of the Patient Safety Project Team. The team developed a project framework and strategic plan, conducted a literature review and identified key concepts related to systems and patient safety. Strategies to integrate these concepts into the school's 15 nursing education programs are being implemented.
We explored the experiences of immigrant women and their journeys before and after coming to Cana... more We explored the experiences of immigrant women and their journeys before and after coming to Canada and focused on their resilience in overcoming challenges faced during their resettlement process. Considering the many challenges recent immigrant women encountered during their settlement and the associated potential for negative impact, it was important to focus on how the participants withstood adversity and demonstrated resilience. Qualitative methodology made use of repeated in-depth person-centered interviews (n=14) with five women who recently migrated to Canada under immigrant status (other than refugee). Thematic analysis was applied to the qualitative data set. Three major themes emerged from the data: Life before Canada; A journey of compound stressors; and Resilience: Not giving up on life. The study extends the literature on immigrants’ resilience in two ways. First, the study moved beyond an exploration of post-migration experience and considered women’s lives before and after migration to render a more holistic understanding of their resilience. Second, the study examined how resilience was constituted among the women within their spousal-dyads, and their families. To understand an immigrant woman’s resilience is also to understand her life prior to arrival in Canada, the resilience of her marriage and that of her family. Finally, suggestions for future research are also addressed in this study.
In this article, the authors explore the home care experience as described by older physically im... more In this article, the authors explore the home care experience as described by older physically impaired individuals and their caregiving spouses. Separate face-to-face semistructured interviews were carried out with each spouse from nine couples. Analysis of the interview data revealed four themes. For care receivers the themes were Independence and Developing a Trusting Relationship With Home Care Workers. Relief and Continuity were voiced by the caregiving spouses. The authors show how these themes relate to the participants' sense of security, which emerged as a key underlying concept in the home care experience. This study adds to the home care and caregiving literature as it expands our understanding of the relationship between formal and informal caregiving, highlights issues and concerns older couples face as they receive home-based care, and includes both older spouse caregivers and their direct-care recipients.
Mcn-the American Journal of Maternal-child Nursing - MCN-AM J MATERN-CHILD NURS, 2004
To explore factors women consider in determining their perceptions of pregnancy risk, and to comp... more To explore factors women consider in determining their perceptions of pregnancy risk, and to compare and contrast factors considered by women with complicated and uncomplicated pregnancies. Descriptive qualitative study in which women described factors they considered in making personal risk assessments. Of the 205 women in the study, half (n = 103) had pregnancy complications, while the other half (n = 102) had no known complications. Written responses to three open-ended questions were used to determine factors women considered in assessing their risks. A qualitative content analysis approach was used to interpret the data. Four major themes emerged that influenced perception of risk for both groups: self image, history, healthcare, and "the unknown." Women with complications voiced greater risk perceptions and identified specific risks, while women with no complications mentioned potential risks that were diffuse and hypothetical.
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Papers by David Gregory