Browsing by Author "Jackson, Margot"
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- ItemA virtual, simulated code white for undergraduate nursing students(2022) Stephen, Tracey; King, Keith; Taylor, Mischa; Jackson, Margot; Hilario, CarlaBackground Nurses and nursing students are increasingly vulnerable to workplace violence, both verbal and physical, as health care settings and clients cope with unprecedented challenges including the COVID-19 pandemic. Concurrently, clinical learning opportunities for nursing students have been curtailed by public health restrictions and limited capacity. While virtual simulations have been promoted as an alternative to clinical hours, their effectiveness as an educational intervention on workplace violence has yet to be assessed. Purpose The authors sought to evaluate a virtual, simulated code white—a set of organized responses to a client, visitor, or staff member exhibiting the potential for violence—involving 4th year undergraduate nursing students, randomly sorted into an intervention group and a control group. Methods Pre and post test measures of knowledge and attitudes about mental health, workplace violence and virtual simulation were collected, as well as qualitative data from focus groups. Findings While the sample size (n = 24) was insufficient to detect meaningful differences between the intervention and control groups, descriptive statistics and focus group data revealed significant gaps in participants’ knowledge around managing workplace violence. Participants rated the virtual simulation highly for its realism and the opportunity to experience working in a virtual environment, while they felt the preamble and debrief were too short. Conclusions The findings illustrate a virtual code white simulation has clear educational benefits, and that multiple iterations, both virtual and in person, would most likely increase the benefits of the intervention.
- ItemA visual narrative inquiry into the experiences of youth who are homeless and seek mental health care(2013) Jackson, Margot; Richter, Solina; Caine, VeraOur study, a narrative inquiry into the experiences of at risk youth who experience precarious housing situations and mental health needs, is a collaborative conceptualization among representatives of iHuman staff, youths and researchers. Key findings relate to: the number of distinct and disconnected services youth have had contact with in their lives; the life situations and events that at risk youth have experienced over time; their feelings and emotions on what it is like to be homeless; as well as the youths’ suggestions and recommendations for services they deem important for themselves and future generations. [Taken from report]
- ItemAccess to mental health for Black youths in Alberta(2021) Salami, Bukola; Denga, Benjamin; Taylor, Robyn; Ajayi, Nife; Jackson, Margot; Asefaw, Msgana; Salma, JordanaIntroduction: The objective of this study was to examine the barriers that influence access to and use of mental health services by Black youths in Alberta. Methods: We used a youth-led participatory action research (PAR) methodology within a youth empowerment model situated within intersectionality theory to understand access to health care for both Canadian-born and immigrant Black youth in Alberta. The research project was co-led by an advisory committee consisting of 10 youths who provided advice and tangible support to the research. Seven members of the advisory committee also collected data, co-facilitated conversation cafés, analyzed data and helped in the dissemination activities. We conducted in-depth individual interviews and held four conversation café-style focus groups with a total of 129 youth. During the conversation cafés, the youths took the lead in identifying issues of concern and in explaining the impact of these issues on their lives. Through rigorous data coding and thematic analysis as well as reflexivity and member checking we ensured our empirical findings were trustworthy. Results: Our findings highlight key barriers that can limit access to and utilization of mental health services by Black youth, including a lack of cultural inclusion and safety, a lack of knowledge/information on mental health services, the cost of mental health services, geographical barriers, stigma and judgmentalism, and limits of resilience. Conclusion: Findings confirm diverse/intersecting barriers that collectively perpetuate disproportional access to and uptake of mental health services by Black youths. The results of this study suggest health policy and practice stakeholders should consider the following recommendations to break down barriers: diversify the mental health service workforce; increase the availability and quality of mental health services in Black dominated neighbourhoods; and embed anti-racist practices and intercultural competencies in mental health service delivery.
- ItemBeyond deficits: shifting perspectives in child and youth mental health(2019) Jackson, MargotThe social significance of the dominant narrative in mental health is one of particular concern to the author and one that has emerged during the course of this narrative inquiry. This chapter shares personal stories of the author's experiences as a nurse and researcher working within the realm of child and youth mental health and provide an intimate look at the life of one young woman whom she met at CAY. The young woman had a tremendous impact on the author's understanding of mental health, of developing personal strength, and of overcoming adversity; her life story is a guide and inspiration for other youth who have shared a similar narrative, as well as those touched by mental health. The narrative approach places personal experience as the focal point to facilitate understanding, insight, and change; it allows individual voices to be heard and places value on all that is shared. Thus, this chapter provides the reader with an understanding of child and youth mental health through a narrative inquiry lens and encourages alternative ways of learning and knowing. To provide care and support for youth they need to be viewed in a different light, focusing on their strengths and potentials and as always becoming.
- ItemCommunity health nursing practice(2019) Eastlick Kushner, Kaysi; Jackson, MargotToday's health care climate is rapidly changing in response to economic pressures, technological and medical advances, and client participation in health care. As a result, many clients are receiving care in the community rather than in a hospital. There is a growing need to deliver health care where people live, work, and learn (Community Health Nurses of Canada [CHNC],2011). Community health nursing care focuses on health promotion and protection, disease and injury prevention, and restorative and palliative care. The goals of community health nursing are to keep individuals healthy, encourage client participation and choice in care, promote health-enhancing social and physical environments, and provide in-home care for ill or disabled clients.
- ItemConfidentiality and treatment decisions of minor clients: a health professional’s dilemma & policy makers challenge(2014) Jackson, Margot; Kovacs Burns, Katharina; Richter, Magdalena S.Issues relating to confidentiality and consent for physical and mental health treatment with minor clients can pose challenges health care providers. Decisions need to be made regarding these issues despite the absence of clear, direct, or comprehensive policies and legislation. In order to fully understand the scope of this topic, a systemic review of several pieces of legislation and guidelines related to this topic are examined. These include the: Canadian Human Rights Act, Children’s Rights: International and National Laws and Practices, Health Information Act, Gillick Competence and Medical Emancipation, Freedom of Information and Protection of Privacy Act, Child, Youth and Family Enhancement Act, Common Law Mature Minor Doctrine, and Alberta Health Services Consent to Treatment/Practice(s) Minor/Mature Minor. In order to assist health professionals with decisions regarding confidentiality and treatment with minor clients a case study and guide for decision-making is also presented.
- ItemHealth and wellness(2019) Eastlick Kushner, Kaysi; Jackson, MargotConcepts of health and what determines health have changed significantly since the 1970s. This conceptual change has major implications for Canadian nursing in the twenty-first century because how you as a nurse perceive health—and what determines it—influences the nature and scope of nursing practice. The importance of health to nursing is reflected in nursing models and frameworks, in which health is one of the “metaparadigm” concepts along with person, environment, nursing, and, more recently, social justice (see Chapter 4). In each framework, health concepts are congruent with the assumptions and focus of the model. Moreover, knowledge of health and health determinants is identified as an essential component of nursing education in Canada (Canadian Association of Schools of Nursing [CASN],2015).
- Item“Hear me”: collaborating with youth to address sexual exploitation(2019) Jackson, Margot; Caine, Vera; Huber, Janice; Vastani, Muneerah AminEngaging with the youth as narrative inquirers as we collaboratively attend to sexual exploitation has required their collective, ongoing attentiveness to the complexity and layeredness of lives. Staying in this process of relationally developing interventions that attend to the lives of children and youth at risk for sexual exploitation, and that situate their experiences as leading change, has been a slow, gradual unfolding. This unfolding has required attentiveness to each of our multiplicities and the tensions present in both the meeting of our lives with one another's lives and in the meeting of our lives with dominant social, cultural, and institutional narratives that may, instead, encourage us, as researchers, to look away from or to silence the many long-term personal and professional relational ethical responsibilities that these relationships and this inquiry continue to shape. Perhaps the most significant contribution of our work is that we made the youth themselves central to the efforts of developing early interventions within the context of sexual exploitation. 'Hear me!' their voices continue to call us; their voices continue to work on us, on the youth, and our relationships with them.
- ItemMethodological challenges faced in doing research with vulnerable women: reflections from fieldwork experiences(2019) Jackson, Margot; Thummapol, Onouma; Park, Tanya; Barton, SylviaMethodological challenges of qualitative research involving people considered vulnerable are widely prevalent, for which many novice researchers are not well equipped or prepared for. This places great physical and emotional demands on the researchers. However, a discussion to bring to light the issues related to the researchers’ experiences and practical concerns in the field remains largely invisible in the literature. This article presents the reflective accounts of a doctoral researcher’s fieldwork experience, particularly in relation to the methodological challenges encountered in carrying out research with vulnerable women in rural and northern Thailand. Four of these challenges pertain to selecting a field site and acquiring access, recruiting and building trust, maintaining privacy and confidentiality, and being vulnerable as a researcher. Suggestions from the literature and practical strategies the researcher employed to deal with such challenges and real dilemmas are discussed. This article calls for more formal safeguards during the research process and suggests that researchers reflect upon their experiences and emotions in undertaking a field research, making the accounts of their research journey heard and beneficial to other novice and/or experienced researchers.
- ItemMsit No'kmaq: an exploration of positionality and identity in Indigenous research(2020) Jackson, Margot; Hurley, EricaIn this paper I explore the Mi’kmaq words Mist No’kmaq, which can be translated as ‘all my relations’. Msit No'kmaq is not only at the center of who I am as a person, but also who I am becoming as a researcher. Reflecting on how to honor all my relations within research, has allowed me to explore my beliefs about research, thereby developing a clear understanding of the purpose and intentions of engaging in Indigenous research. Rather than seeing researchers as insiders or outsiders within the context of Indigenous communities, I argue that it is important to engage in reflexive processes that make visible a researcher’s positionality and who they are and are becoming.
- ItemNarrative research in education(2017) Jackson, Margot; Clandinin, D. Jean; Caine, VeraWhile the study of narratology has a long history, narrative research became a methodology for the study of phenomena in the social sciences in the 1980s. Since that time there has been what some have called a narrative revolution, which is reflected in the rapid uptake in the use of narrative methodology across disciplines. There are diverse definitions of narrative research with different ontological and epistemological commitments, which range from semiotic studies and discourse analysis of spoken and written text to analysis of textual structures of speech and performances of texts as in narrative analysis to the relational studies of narrative inquiry where a focus on lived and told experience is central.
- ItemPerceptions and experiences of Pakistani-descent female adolescents living in Canada, on developing sexuality and self-identity(2022) Punjani, Neelam Saleem; Hegadoren, Kathleen; Hirani, Saima; Mumtaz, Zubia; Jackson, Margot; Papathanassoglou, ElizabethImmigrant adolescents make up a substantial proportion of newcomers to Canada. Most newcomer youth from South Asia aged 15 to 24 are from racialized “visible minority” backgrounds. The sexual health needs of female immigrant adolescents in Canada have been largely unmet and have increased in magnitude over the last few years. For immigrant female adolescents, the silence around issues of sexuality needs can affect their physical, emotional, sexual health, and overall well-being as well as their ability to reach their full potential. Evidence suggests that immigrant adolescents lack sexual and reproductive health knowledge and use fewer sexual health-related services and sex education resources than non-immigrant youth. In Pakistani immigrant adolescents, this difference appears to be associated with socio-cultural and religious practices. The purpose of this study was to qualitatively explore the experience of developing sexuality and its relationship to well-being in middle- to late-female adolescents of Pakistani-descent, living in a large urban area in Canada. The study aimed to establish space for dialogue and to bridge the perceived cultural divide on issues of sexuality using the postmodern feminist lens, which often arises between individuals from different cultural backgrounds. Using the interpretive descriptive methodology, a purposive sample of 21 female adolescents who were of first- or second-generation Pakistan-descent was obtained. Participants included female adolescents aged from 14 to 19 years. Data were collected using a semi-structured interview guide and a timeline. A total of 21 first interviews and seven follow up interviews were conducted. The narratives and timelines presented in this study tell the story of female Pakistani adolescents, their narratives, and the timelines reflect the complexities of the sexuality of female adolescents and how they perceive and attribute meanings to their experiences. The study found that living in a bicultural world can cause significant stress and anxiety among female adolescents, especially when making personal life decisions related to sexuality. Moreover, silence around all aspects of female sexuality negatively affects the capacity for desire and pleasure. In addition, the intersection of gender and patriarchy have created layers of power and oppression in adolescent lives that tightly control their sexuality. The participants’ stories reveal the complex interaction of factors that influence the behavior of female adolescents related to sexuality and sexual health. These findings establish the need for cultural awareness while viewing each girl’s experience in relation to the intersectionality of social spheres such as race, ethnicity, culture, and religion. Finally, this study provides implications to policymakers to revise the existing policies and create youth-friendly policies for immigrant youth to draw attention to the hidden voices of female adolescents and increase the awareness of ways to address issues arising in evolving sexuality.
- ItemPossibilities, potential and promise: understanding the experiences of at-risk youth and mental health(2021) Jackson, MargotThis article highlights findings from an inquiry into the mental health experiences of Canadian youth who are considered at-risk. The term at-risk suggests that the youth are exposed to situations that place them in danger of being harmed physically, developmentally, and/or psychologically. This research focused on the lives and experiences of at-risk youth, ages 12–22 years who attended an inner-city youth agency in a large urban center in Western Canada. Narrative inquiry methodology was used to engage in relationships with the youth helped identify common themes in the lives of the youth which include: intergenerational stories, intergenerational stories of mental health, living amidst violence, disruption of family stories and composing forward looking stories without privilege. The intent of this work is to make visible the possibilities, potential and promise of each youth and to challenge negative and damaging terms such as at risk which highlight deficits in the lives of the youth. By shifting the focus away from this deficits-based approach towards one of hope and positivity, harmful labeling and stereotypes can be mitigated.
- ItemPublic library users: perspectives of socially vulnerable populations(2019) Richter, Solina; Jackson, Margot; Dashora, Pushpanjali; Surette, Soleil; Lee, L. D.; Bell, J.Modern public libraries strive for inclusivity. Part of this effort involves enhancing staff capacity for engaging with socially vulnerable populations. This paper presents the outcomes of a study on library use by homeless adults, one of the most vulnerable of populations. The study employed a mix of methods. Part one was quantitative: a survey of library patrons. A second, qualitative phase involved focus groups – two of which were comprised of homeless patrons. Several areas of concern and need emerged, including physical space, safety, library services, and interactions with the library staff.
- ItemSharing stories of mothering, academia and the COVID 19 pandemic: multiple roles, messiness and family wellbeing(2022) Croxen, Hanneke; Jackson, Margot; Asirifi, Mary; Symonds-Brown, HollyThe Coronavirus (COVID-19) pandemic has caused disruption. Responsibilities increased especially for people who identify as mothers needing to balance work and caring for their child(ren). Through the use of personal narratives, we explored our experiences as mothers who work in academia. The purpose of this commentary is to explore the commonalities of our experiences of trying to maintain the multiple roles and responsibilities demanded from us as mothers and academics during the COVID-19 pandemic. Two themes emerged: multiple roles and responsibilities and embracing the ‘messiness’. The need to take on multiple roles simultaneously such as working from home and parenting was challenging. Embracing the ‘messiness’ demonstrated that caring for our children while working from home caused their needs and our time to focus on them to be compromised. Our work and productivity were impacted with minimal available support but this was not acknowledged within the business as usual practices of the university. The conditions that negatively impact us, also negatively impact our children. Children have needed to adjust to pandemic conditions and their support has been compromised due to the other competing demands mothers face. As academics, our future work will be informed and shaped from this experience, and so too will the growth and development of our children. Our experiences from this pandemic highlight the gendered inequities present within academia and the potential negative effects on child well-being. We call attention to this issue to help promote change and advocate for mothers working in academia and elsewhere.