Brenda Gamble

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Audrey Laporte

University of Toronto

Deanne Taylor

Stephen Duckett

La Trobe University

Mohammed Al-Hassan

University of Lethbridge

Siegrid Deutschlander

Stirling Lafrance

Sarah Cooper

Carole Estabrooks

University of Alberta

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Papers by Brenda Gamble

COMMENTARY Open Access

The evolving role of health care aides in the long-term care and home and community care sectors ... more

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Health-care management in the Canadian forces health services: a comparative study on military and civilian health leadership skills

Establishing Community, Academic, and Industry Partnerships to Support Experiential Learning Within a Community-Based Research Collaborative

Sudden cardiac arrest (SCA) is a common but potentially reversible cause of death. Unfortunately,... more Sudden cardiac arrest (SCA) is a common but potentially reversible cause of death. Unfortunately, few communities have attempted to improve survival using a holistic approach to resuscitation science including preventative, clinical, and rehabilitative care. The Durham Region Resuscitation Research Collaborative (DRRRC) has been established to identify research priorities, leverage regional community and health care services, and provide experiential learning and training opportunities within the resuscitation science continuum of care. Our objective is to provide an overview of the DRRRC and to present the collaborative learning experiences that link learners, stakeholders, research, and knowledge users in a communitybased resuscitation laboratory. We used a case study approach that illustrated the opportunities for learning within the context of DRRRC’s first initiative focused on improving communitybased cardiopulmonary resuscitation (CPR). To date, this community-based resuscita...

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Origins: The Community Mental Health and Wellness Futures Forum

Journal of Military, Veteran and Family Health

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Life With HIV in a Canadian Suburban Community

Journal of the Association of Nurses in AIDS Care

HIV has been examined in urban and rural contexts, but the suburban gradient has not been suffici... more HIV has been examined in urban and rural contexts, but the suburban gradient has not been sufficiently described, despite the fact that many Canadians live in suburbia. Using qualitative description, we investigated how people living with HIV in a suburban community in Ontario, Canada, accessed health care and social services. Posters at the regional AIDS Service Organization and snowball sampling were used to recruit and interview 13 adult participants with various experiences and perspectives. A content analysis identified three meta-themes in the interviews: (a) transportation cost and time: barriers to access, (b) isolation, and (c) defective primary care: unmet and deflected needs. The findings have implications for the (a) development of community-based groups, (b) the role of transportation in health care and social services utilization, (c) community-based, interprofessional health and social care services, and (d) aging with HIV.

Alumni perceptions of a health services management program: An assessment

ABSTRACT One goal of healthcare management programs is to provide the necessary education to faci... more ABSTRACT One goal of healthcare management programs is to provide the necessary education to facilitate the transition from clinician to manager. The Association of University Programs in Health Administration (AUPHA) provides a set of standards to guide undergraduate healthcare management education. Our university has adopted this gold standard model to help create successful managers. Ryerson&#39;s undergraduate degree in Health Services Management is the first program of its kind in Canada to be certified by AUPHA and is comprised of course work and a practicum requirement. Similar to undergraduate health administration programs in the US, it has core requirements covering a variety of content areas. There have been very few studies which have examined whether students perceive that their healthcare management education has been supportive in their transition to employment. Thus, the alumni of the Health Services Management program were surveyed to address this knowledge gap. Eighty-six alumni, with a mean time of two years since graduation, responded to the survey. Most indicated that they had a strong clinical background prior to their entry into the program and many of them assumed management positions or increased their management responsibilities during their program training. Their responses reinforced the need for continual promotion of key requirements outlined by AUPHA to create an undergraduate management program suitable for preparation in the field.

Strategies for Supporting and Building Student Resilience in Canadian Secondary and Post-Secondary Educational Institutions

SciMedicine Journal, Jun 1, 2020

Communication, problem-solving skills, emotional intelligence, and mental health and well-being a... more Communication, problem-solving skills, emotional intelligence, and mental health and well-being are key characteristics of a resilient student. These skills are also needed to navigate increasingly complex life and work environments in the 21st century. In addition, resilient students are dedicated to learning, are focused on academic success, and are better equipped to adapt to change and the evolving workplace. An interdisciplinary team from both secondary and postsecondary educational institutions situated at Ontario Tech University, Oshawa, Canada have collaborated to develop and implement strategies and curricula to support and enhance student resilience. The Mental Health Commission of Canada recommends "increase collaboration between (these) institutions-sharing best practices and processes for effective strategy development, and implementation" to better support student reliance and the successful transition from secondary to post-secondary education. We present the overall rationale and approach taken to support capacity building for student resilience in post-secondary institutions. As well as highlighting specific curricula and virtual strategies implemented (e.g., Graphic Novel, Mandalas, Resiliency Handbook) to engage students in building and maintaining resilience.

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Ensuring accountability through health professional regulatory bodies: the case of conflict of interest

Healthcare Policy, 2014

How do self-regulated health professions' regulatory bodies address financial conflict of int... more How do self-regulated health professions' regulatory bodies address financial conflict of interest (coi) and ensure accountability to the public? using document analysis, we examined how four ontario regulatory colleges (physicians, nurses, physiotherapists, audiologists/speech-language pathologists) defined coi and the education, guidance and enforcement they provided for coi-related issues. These colleges are upholding the mandates to define, identify and address financial coi by providing regulations or standards and guidelines to their membership; they differed in the amount of educational materials provided to their registrants and in the possible coi scenarios they presented. Although there were few disciplinary hearings pertaining to financial coi, findings for the hearings that did occur were documented and posted on the college public registers (the listing of all registered college members along with all relevant practice information), informing the public of any limit...

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Accountability in the City of Toronto's 10 long-term care homes

Healthcare Policy, 2014

Long-term care (LTC) residential homes provide a supportive environment for residents requiring n... more Long-term care (LTC) residential homes provide a supportive environment for residents requiring nursing care and assistance with daily living activities. The LTC sector is highly regulated. We examine the approaches taken to ensure the delivery of quality and safe care in 10 LTC homes owned and operated by the City of Toronto, Ontario, focusing on mandatory accountability agreements with the Local Health Integration Networks (LHINs). Results are based on document review and seven interviews with LTC managers responsible for the management and operation of the 10 LTC homes. One issue identified was the challenges associated with implementing new legislative and regulatory requirements to multiple bodies with differing requirements, particularly when boundaries do not coincide (e.g., the City of Toronto's Long-Term Care Homes and Services Division must establish 10 different accountability agreements with the five LHINs that span into the City of Toronto's geographic area).

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The Canada Health Act for the Twenty-First Century?

Health law in Canada, 2017

As the participants in the Canada Health Act, Version 2.0 conference made clear, there is a stron... more As the participants in the Canada Health Act, Version 2.0 conference made clear, there is a strong case to be made that this key piece of legislation no longer captures some key challenges to managing health care in Canada. Particular issues include 'portability' across provincial/territorial boundaries, and the definition of insured services. However, the CHA is not a barrier to reform; it acts as a floor, rather than a ceiling. Health reform may thus require a combination of new legislation to set conditions for which new services should be insured, and developing mechanisms to identify priorities, ensure appropriateness, and improve efficiency, which are unlikely to be addressed through overarching legislation. The CHA should thus be maintained, recognizing that it is necessary, but not sufficient.

Canadian Stakeholders’ Views About the Boundaries of Publicly Funded Health Care: What are the Consequences for Women Caregivers?

The debate about the sustainability of Canada’s health care model has focussed on updating what s... more The debate about the sustainability of Canada’s health care model has focussed on updating what services should be publicly funded. Full public coverage is only guaranteed for services delivered in hospitals or by physicians. Many reports have recommended expanding public coverage to include community-based services. A national survey of 2,523 policy elites demonstrated that implementation of this policy direction will be difficult. The inability to implement policy that supports publicly financing community-based services could result in a shift of the delivery of care from the formal sector to the informal sector. Moreover, a shift of this nature will undoubtedly result in a higher reliance on the unpaid work of women caregivers. Consequently, there is a need to explore the impact that economic and social restructuring has on the well-being of women caregivers within both the formal and informal sectors.

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Simulation Interventions for the Classroom to Support the Acquisition of Interprofessional Competencies

Cureus, 2021

Interprofessional collaboration (IPC) supports the delivery of quality and safe healthcare. The a... more Interprofessional collaboration (IPC) supports the delivery of quality and safe healthcare. The acquisition of interprofessional competencies both pre-licensure and post-licensure are key to implementing this approach in the healthcare workplace. This report documents the development and implementation of a simulation intervention to support interprofessional education (IPE) in the undergraduate classroom for pre-licensure learners. The learning activity framework includes an exposure phase (e.g., didactic classroom instruction) and an immersion phase (e.g., simulation intervention and debriefing). Details on the debriefing process are included as it is key to achieving the learning objectives. The three learning activity pilot tests (n=150) revealed that learners recognized that interprofessional competencies were an important asset to support IPC. The pilot tests identified the need for further development in order for students to make a connection with the mastery phase (i.e., cl...

Approaches to Accountability: The Role of Ontario Laboratory Accreditation

“We are accountable fiscally first to our executive vice president for maintaining a balanced bud... more “We are accountable fiscally first to our executive vice president for maintaining a balanced budget...accountability for performance to meet the anticipated customer demands and align ourselves with the strategic plan....we are accountable through performance indicators which are chosen and monitored to ensure that we are meeting the performance of expectations of our customers and includes things like turnaround time and accuracy...... so from a patient safety point of view we have direct accountability to the medical director and from the operational piece around fiscal management and performance to the VP , we have a dual accountability.”

An Innovative Virtual Learning Environment to Enhance Age-Friendly Cultural Competencies

2021 IEEE 45th Annual Computers, Software, and Applications Conference (COMPSAC)

In Canada, the City of Oshawa recently became a member of the World Health Organization’s (WHO’s)... more In Canada, the City of Oshawa recently became a member of the World Health Organization’s (WHO’s) Global Network for Age-friendly Cities and Communities to promote healthy, active aging and good quality of life for older residents. Part of this strategy includes educating municipal employees on age-friendly cultural competencies. To facilitate this, we have developed an innovative and immersive virtual environment that couples serious gaming with a gamified educational network learning management system. The virtual environment will provide an interactive and engaging learning platform to teach age-friendly cultural competencies to municipal staff.

Resilient minds: Strategies to enhance student transitions from secondary to post-secondary education settings

Journal of Military, Veteran and Family Health

Students transitioning from secondary to post-secondary education find the experience overwhelmin... more Students transitioning from secondary to post-secondary education find the experience overwhelming. This article reports on the strategies developed and implemented to support first-year students’ transition to programs in the Faculty of Health Sciences at Ontario Tech University. The strategies developed are targeted at the development and nurturing of skills to build and strengthen student resilience. Resilience theory recommends that a holistic approach to resilience is needed that includes both health promoting strategies and strategies to address symptoms of anxiety and stress once exhibited. The strategies reported in this article address the former approach and include a graphic novel, mandala art activity, a resilience handbook and workshop. Each of the strategies have been developed and implemented. Overall, preliminary results indicate the strategies are innovative, engaging, informative and deal with real-life experiences. The next steps include the development of an eval...

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A systems approach to address the impact of second victim phenomenon

Health Services Management Research

Over the last decade, second victim phenomenon (SVP) has been identified as a serious issue for h... more Over the last decade, second victim phenomenon (SVP) has been identified as a serious issue for healthcare workers (HCWs). Results from a 2018 survey of Canadian HCWs demonstrated that the majority of those who responded had experienced SVP and indicated that there was a lack of support in the workplace. The overall objectives of this paper are to a) heighten the awareness about SVP and its impact on HCWs and 2) to recommend an organizational/systems approach to support HCWs as second victims. This will be accomplished by first defining SVP and its relationship to patient safety. We will apply a health geography framework which incorporates the concepts of location, place, human interaction, movement and region to demonstrate the variability across care settings and the need for a systems approach to support HCWs. A human geography approaches to SVP would allow policymakers, leadership teams and managers within a health care setting to uniquely tailor their support systems to their ...

Strategies for Supporting and Building Student Resilience in Canadian Secondary and Post-Secondary Educational Institutions

SciMedicine Journal

Communication, problem-solving skills, emotional intelligence, and mental health and well-being a... more Communication, problem-solving skills, emotional intelligence, and mental health and well-being are key characteristics of a resilient student. These skills are also needed to navigate increasingly complex life and work environments in the 21st century. In addition, resilient students are dedicated to learning, are focused on academic success, and are better equipped to adapt to change and the evolving workplace. An interdisciplinary team from both secondary and post-secondary educational institutions situated at Ontario Tech University, Oshawa, Canada have collaborated to develop and implement strategies and curricula to support and enhance student resilience. The Mental Health Commission of Canada recommends “increase collaboration between (these) institutions - sharing best practices and processes for effective strategy development, and implementation” to better support student reliance and the successful transition from secondary to post-secondary education. We present the over...

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Relationships between work outcomes, work attitudes and work environments of health support workers in Ontario long-term care and home and community care settings

Human resources for health, Jan 22, 2018

Our overarching study objective is to further our understanding of the work psychology of Health ... more Our overarching study objective is to further our understanding of the work psychology of Health Support Workers (HSWs) in long-term care and home and community care settings in Ontario, Canada. Specifically, we seek novel insights about the relationships among aspects of these workers' work environments, their work attitudes, and work outcomes in the interests of informing the development of human resource programs to enhance elder care. We conducted a path analysis of data collected via a survey administered to a convenience sample of Ontario HSWs engaged in the delivery of elder care over July-August 2015. HSWs' work outcomes, including intent to stay, organizational citizenship behaviors, and performance, are directly and significantly related to their work attitudes, including job satisfaction, work engagement, and affective organizational commitment. These in turn are related to how HSWs perceive their work environments including their quality of work life (QWL), their...

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Accountability in the City of Toronto's 10 long-term care homes

Healthcare policy = Politiques de santé, 2014

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Where Are Ontario's Respiratory Therapists Working?

Healthcare Policy, 2011

Registered respiratory therapists (RRTs) aid in the diagnosis and treatment of respiratory illnes... more Registered respiratory therapists (RRTs) aid in the diagnosis and treatment of respiratory illness and cardiopulmonary disorders, conditions that are increasingly being managed in settings other than the hospital sector. However, analysis of a longitudinal data set of Ontario's RRTs (2,903) from 1996 to 2007 demonstrates that the majority of RRTs work full-time in the hospital sector, where retention is high. Despite a policy direction encouraging the shift of the site of care from the hospital sector to the community/home, this has had little impact on where RRTs work, raising the question of who is providing respiratory services in the community.

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COMMENTARY Open Access

The evolving role of health care aides in the long-term care and home and community care sectors ... more

Download

Health-care management in the Canadian forces health services: a comparative study on military and civilian health leadership skills

Establishing Community, Academic, and Industry Partnerships to Support Experiential Learning Within a Community-Based Research Collaborative

Download

Origins: The Community Mental Health and Wellness Futures Forum

Journal of Military, Veteran and Family Health

Download

Life With HIV in a Canadian Suburban Community

Journal of the Association of Nurses in AIDS Care

Alumni perceptions of a health services management program: An assessment

Strategies for Supporting and Building Student Resilience in Canadian Secondary and Post-Secondary Educational Institutions

SciMedicine Journal, Jun 1, 2020

Download

Ensuring accountability through health professional regulatory bodies: the case of conflict of interest

Healthcare Policy, 2014

Download

Accountability in the City of Toronto's 10 long-term care homes

Healthcare Policy, 2014

Download

The Canada Health Act for the Twenty-First Century?

Health law in Canada, 2017

Canadian Stakeholders’ Views About the Boundaries of Publicly Funded Health Care: What are the Consequences for Women Caregivers?

Download

Simulation Interventions for the Classroom to Support the Acquisition of Interprofessional Competencies

Cureus, 2021

Approaches to Accountability: The Role of Ontario Laboratory Accreditation

An Innovative Virtual Learning Environment to Enhance Age-Friendly Cultural Competencies

2021 IEEE 45th Annual Computers, Software, and Applications Conference (COMPSAC)

Resilient minds: Strategies to enhance student transitions from secondary to post-secondary education settings

Journal of Military, Veteran and Family Health

Download

A systems approach to address the impact of second victim phenomenon

Health Services Management Research

Strategies for Supporting and Building Student Resilience in Canadian Secondary and Post-Secondary Educational Institutions

SciMedicine Journal

Communication, problem-solving skills, emotional intelligence, and mental health and well-being a... more Communication, problem-solving skills, emotional intelligence, and mental health and well-being are key characteristics of a resilient student. These skills are also needed to navigate increasingly complex life and work environments in the 21st century. In addition, resilient students are dedicated to learning, are focused on academic success, and are better equipped to adapt to change and the evolving workplace. An interdisciplinary team from both secondary and post-secondary educational institutions situated at Ontario Tech University, Oshawa, Canada have collaborated to develop and implement strategies and curricula to support and enhance student resilience. The Mental Health Commission of Canada recommends “increase collaboration between (these) institutions - sharing best practices and processes for effective strategy development, and implementation” to better support student reliance and the successful transition from secondary to post-secondary education. We present the over...

Download

Relationships between work outcomes, work attitudes and work environments of health support workers in Ontario long-term care and home and community care settings

Human resources for health, Jan 22, 2018

Download

Accountability in the City of Toronto's 10 long-term care homes

Healthcare policy = Politiques de santé, 2014

Download

Where Are Ontario's Respiratory Therapists Working?

Healthcare Policy, 2011

Download

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