Research Online at MacEwan :: Browsing by Author "Reisdorfer, Emilene"

Browsing by Author "Reisdorfer, Emilene"

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Adverse childhood experiences (ACEs) as a predictor of homelessness in mothers: a narrative review
(2022) Kohler, Ashley; Reisdorfer, Emilene
Increasingly, research is conducted focusing on mothers and families experiencing homelessness. Mothers experiencing homelessness present as a uniquely vulnerable population. Current research tends to focus on the immediate factors causing homelessness like loss of employment, intimate partner violence, and other economic pressures. The aim of this integrative review was to analyze what research is currently available regarding the lifelong experiences that lead mothers into homelessness. The focus is on the predictability of adverse childhood experiences (ACEs) as a contributing factor of homelessness during adulthood. After the initial search on CINAHL, PsycINFO, and SocINDEX databases, 303 studies were retrieved, and 9 of those studies were included in this project after further screening. These studies were analyzed for repeating patterns, similarities, and differences. The findings lay groundwork for future research in nursing and interdisciplinary health professions. Future directions should consider early nursing intervention in childhood as a preventative measure of family homelessness. Additionally, knowing that ACEs are a predictor of homelessness could assist nurses in tailoring trauma informed treatment when working with homeless families.
Adverse childhood experiences, mothers and homelessness: a narrative review and recommendations
(2024) Kohler, Ashley; Pylypchuk, Nicole; Reisdorfer, Emilene
Homelessness is a complex and pervasive worldwide social crisis that profoundly affects a diverse range of individuals and communities. Adverse childhood events (ACEs) are traumatic events that can lead to significant negative effects during adulthood, including homelessness. In women who are mothers, the pathways to loss of housing include, but are not limited to: a history of ACEs, weak social networks, sexual violence, and intimate partner violence. This narrative review of the literature aimed at examining the evidence of adverse childhood experiences and homelessness in adult women who are mothers and to providing recommendations for practice. Across the eight articles included and analyzed, six common themes emerged: family fragmentation, out-of-family placement, abuse, learned substance abuse, a lack of formal and informal education, and normalization and internalization of ACEs. The results showed that children who experience ACEs and become mothers in adulthood might have increased chances of becoming homeless and repeating an intergenerational cycle of trauma onto their children.
Alcohol health warning labels: a rapid review with action recommendations
(2022) Giesbrecht, Norman; Reisdorfer, Emilene; Rios, Isabelle
A rapid review of research on health warning labels located on alcohol containers (AWLs) was conducted. Using five search engines (Embase, Medline, Pubmed, Scopus, Psyinfo), 2975 nonduplicate citations were identified between the inception date of the search engine and April 2021. Of those, 382 articles were examined and retrieved. We selected 122 research papers for analysis and narrative information extraction, focusing on population foci, study design, and main outcomes. Research included public opinion studies, surveys of post-AWL implementation, on-line and in-person experiments and real-world quasi-experiments. Many studies focused on the effects of the 1989 United States Alcoholic Beverage Labeling Act on perceptions, intentions and behavior. Others focused on Australia, Canada, the United Kingdom, England or Scotland, Italy and France. There was substantial variation in the design of the studies, ranging from small-scale focus groups to on-line surveys with large samples. Over time, evidence has been emerging on label design components, such as large size, combination of text and image, and specific health messaging, that is likely to have some desired impact on knowledge, awareness of risk and even the drinking behavior of those who see the AWLs. This body of evidence provides guidance to policy-makers, and national and regional authorities, and recommendations are offered for discussion and consideration.
Care management instruments used by nurses in the emergency hospital services
(2021) Rabelo, Simone Kroll; Lima, Suzinara Beatriz Soares de; Santos, Jose Luís Guedes dos; Santos, Tanise Martins dos; Reisdorfer, Emilene; Hoffmann, Daniela Rodrigues
Objective: To describe the instruments used by nurses for the management of care in face of the demands of the emergency hospital service. Method: This is a qualitative study, with triangulation of data from interviews, focus groups, and documents, conducted with nurses from an Emergency Hospital Service in a state in southern Brazil. Data were subjected to thematic content analysis. Results: Seventeen nurses participated in the study. The categories emerging from this study were view of the whole picture, definition of priorities, and physical instruments. These instruments are used by nurses to manage multiple tasks and provide adequate care to patients with different levels of complexity, in the face of an intense and unpredictable work process due to the constant demand for care. Conclusion: The instruments used by nurses in their work process are mainly skills and attitudes developed as a coping strategy at an intense and complex work environment.
Client perceptions of healthcare professionals (HCP) who have visible body art: a scoping review
(2023) Wildeman, Amy; Reisdorfer, Emilene
Background: In healthcare settings, physical appearance plays a significant role in a patient's first impression of a healthcare professional’s competence, compassion, performance, and quality of care. Given that nurses are an essential part of the patient care team, it is imperative for them and other healthcare providers to recognize what the client’s response might be to their use of personal body art (i.e., tattoos, piercings, and designs using skin as a medium), while still achieving therapeutic relationships with clients. Purpose: This scoping review aims to answer the following question: What is known from the existing literature about the clients' perceptions of healthcare professionals (HCP) who have visible body art, including its possible effects on the patient’s perception of patient care. Methods: Electronic databases of PubMed, Medline, PsycINFO, Web of Science, CINAHL, and Scopus were searched to identify studies published until 2022. They were assessed for quality using the Appraisal tool for Cross-Sectional Studies (AXIS) tool. The following stages were followed: identifying the research question, identifying relevant studies, study selection, charting the data, and collating, summarizing, and reporting the results. A total of 435 studies published until January 2022 were identified, of which 8 met the inclusion criteria. Implications: Out of eight studies included in this review, six identified that body art is negatively associated with patient care, and two found there is no impact on body art and patient perceptions of care. Conclusion: Results show that clients attribute a higher degree of professionalism to HCP without visible body art. Finally, some studies indicate that female HCP with visible tattoos were perceived as being less professional than their male counterparts. It is essential to understand patient perceptions of healthcare professionals with and without body art and determine if appearances can alter the relationship between patient and provider.
Ethical dilemmas and considerations for nurses during the MAID process: a literature review
(2022-11-11) Hoyer, Kaitlyn; Reisdorfer, Emilene
This literature review aims to investigate the ethical dilemmas nurses face following the legalization of Medical Assistance in Dying (MAID) in Canada and identifies recommendations to mitigate moral distress felt within the nursing community. The CINAHL database was used to conduct a search for primary studies inclusive of MAID relating to the ethics within nursing and published since 2018. From the search results, three peer-reviewed articles were used to compare and contrast the ethical dilemmas that have arised from MAID within the nursing community. A vast majority of the moral conflicts presented are rectifiable and have occurred due to misinformation, lack of adequate education, distress caused by misunderstandings and judgment, and a lack of collegial support. To mitigate these moral tensions, it is recommended that education and training on MAID be implemented, as well as opening up conversations about ethics and MAID to help ensure nurses feel supported emotionally and professionally throughout the MAID process.
Heutagogy: a pedagogical framework for cultivating critical consciousness in nursing students
(2024) Reisdorfer, Emilene; Maykut, Colleen; Kempfer, Silvana Silveira; Rodrigues, Maria Eduarda de Carli
Background: Nursing education has traditionally utilized andragogical principles with the recent adoption of universal design learning to inform curricular decisions. What is missing is cultural safety and humility to ensure a justice, equity, diversity, and inclusion (JEDI) perspective. Cultivating critical consciousness in nursing education involves restructuring curricula and faculty development. Heutagogy, a unique learning approach, promotes mutual learning through critical self-reflection, self-directed goals, and ongoing professional and societal transformation. Objective: This study described a nursing course that incorporated a critical consciousness theoretical approach and heutagogy as a pedagogical framework to delve into the real-life experiences of individuals living with addiction. Results: Learners viewed themselves as continuously evolving through their learning journey. This perspective aligns with heutagogy, where individuals embrace lifelong learning consciousness and personal responsibility. At this stage, they became self-directed learners, in an innate and internal process of critical [missing text]. Conclusions: Seamlessly blending heutagogy and c critical consciousness offered a comprehensive framework for disseminating not only the requisite skills and knowledge but offering a profound understanding of their role in championing the social and ethical dimensions of health care. These meaningful learning experiences empowered learners to emerge as catalysts for change, diligently and ethical working towards equitable and just healthcare systems.
The impact of an online mindfulness-based practice program on the mental health of Brazilian nurses during the COVID-19 pandemic
(2023) Gherardi-Donato, Edilaine Cristina da Silva; Díaz-Serrano, Kranya Victoria; Barbosa, Marina Rodrigues; Fernandes, Maria Neyrian de Fatima; Gonçalves-Ferri, Walusa Assad; Camargo Júnior, Elton Brás; Reisdorfer, Emilene
This quantitative, before-after study was developed to evaluate the usefulness of an online mindfulness practices program to help nursing professionals deal with stress in the challenging context of the COVID-19 pandemic through the assessment of perceived stress, anxiety and depression, levels of mindfulness, and participants’ satisfaction with the program. Eligible participants were assessed at baseline to receive the online mindfulness training program for eight weeks and were appraised again at the end of the program. Standardized measures of perceived stress, depression, anxiety, and one-dimensional and multidimensional mindfulness were performed. Participant satisfaction was also studied. Adherence to treatment was 70.12%. The perceived stress, depression, and anxiety scores were significantly lower after the intervention. The mindfulness measure increased significantly, as well as the sense of well-being and satisfaction with life, study, and/or work. The participants showed high satisfaction with the program and would recommend it to other professionals. Our results indicate that mindfulness-based interventions represent an effective strategy for nurses in the face of the need for self-care with mental health and mechanisms that guarantee the sustainability of their capacities to continue exercising health care.
The impacts of alcohol marketing and advertising, and the alcohol industry’s views on marketing regulations: systematic reviews of systematic reviews
(2024) Giesbrecht, Norman; Reisdorfer, Emilene; Shield, Kevin
Issues: Advertising and marketing affect alcohol use; however, no single systematic review has covered all aspects of how they affect alcohol use, and how the alcohol industry views alcohol marketing restrictions. Approach: Two systematic reviews of reviews were performed according to the Preferred Reporting Items on 2 February 2023. Results were analysed using a narrative synthesis approach. Key Findings: Twenty-three reviews were included in the systematic reviews. The first systematic review examined youth and adolescents (11 reviews), digital or internet marketing (3 reviews), alcohol marketing's impact on cognition (3 reviews), and alcohol marketing and policy options (2 reviews). The second systematic review focused on alcohol industry (i.e., importers, producers, distributors, retailers and advertising firms) response to advertising restrictions (four reviews). The reviews indicated that there is evidence that alcohol marketing (including digital marketing) is associated with increased intentions to drink, levels of consumption and harmful drinking among youth and young adults. Studies on cognition indicate that advertisements focusing on appealing contexts and outcomes may be more readily accepted by adolescents, and may be less easily extinguished in this population. The review of the alcohol industry found a strong desire to self-regulate alcohol advertising. Implications: We found alcohol advertising and marketing is associated with increased drinking intentions, consumption and harmful drinking. Thus, policies which restrict advertising may be an effective way to reduce alcohol use. Conclusion: More research is needed to assess all aspects of the observed associations, especially as to how marketing policies impact women and people with alcohol dependence.
In situ simulation educational intervention in emergency care nursing: from identifying learning needs to developing clinical and transferable skills
(2024) Batista, Viviane Faria; dos Santos Nogueira de Góes, Fernanda; Reisdorfer, Emilene; de Camargo, Rosangela Andrade Aukar; Toneti, Bruna Francielle
Introduction: The nursing team is crucial in emergency care (EC) settings, serving as patients’ first point of contact. However, gaps in their training have been hindering the effectiveness of care and patient survival. In situ simulation (ISS) has been recognized as a valuable tool in EC education, uncovering hidden risks in clinical care areas. This study aimed to analyse how an ISS educational intervention in the EC department impacted participants’ clinical and transferable skills. Methods: To assess the effectiveness of an educational intervention on the 37 EC nursing professionals, a 12-month study quasi-experimental study was conducted. The study consisted of a survey to identify participants’ learning needs and four workshops tailored to meet the team’s specific needs, culminating in an ISS session. Knowledge levels were evaluated using pre- and post-tests administered before (T0) and after (T1) the workshops, along with a formative assessment with an Objective Structured Clinical Examination (OSCE) holistic marking guide to measure the clinical and transferable skills acquired during the ISS. Results: The primary participant’s learning needs centred around cardiopulmonary arrest caused by acute myocardial infarction, including interpreting electrocardiogram and teamwork. These topics were used to develop the workshop and the simulation scenario. A significant difference (p < 0.001) was observed in the levels of learning between T0 and T1, indicating a marked improvement in the participants’ performance. The nursing professionals displayed proficient clinical and transferable skills during the ISS, successfully completing over 80% of the OSCE items. Discussion: These findings suggested that a customized educational intervention incorporating participatory learning and ISS effectively enhances clinical and transferable skills among nursing professionals. The positive outcomes observed in post-tests and OSCE holistic assessment highlighted the effectiveness of this intervention for the EC nursing team. The results of this study demonstrate that active participation in workshops facilitates knowledge acquisition. Furthermore, the OSCE results illustrate the practical application of clinical and transferable skills during the ISS.
The influence of social media on alcohol consumption of mothers of children and adolescents: a scoping review of the literature
(2023) Reisdorfer, Emilene; Nesari, Maryam; Krell, Kari; Johnston, Sharon; Dunlop, Randi Ziorio; Chute, Andrea; dos Santos Nogueira de Góes, Fernanda; Singh, Inder
Alcohol misuse is a common problem in many countries, where alcohol is often portrayed as a fun and interactive coping strategy for mothers to manage the demands of motherhood. Social media platforms have established themselves as a popular forum for mothers to share information and create an environment in which mothers may be exposed to and influenced by alcohol-related content. Given the increased social acceptance and normalization of drinking among mothers, especially during the recent pandemic, a critical analysis of social media influences on alcohol behaviours and consumption is warranted. A scoping review mapped the evidence on social media influences and alcohol consumption among mothers of children and teenagers younger than eighteen years old. Several databases were consulted, and the evidence was collated into two themes and seven subthemes. Factors related to alcohol consumption in motherhood include (1) community and social support, (2) coping and mental health, (3) motherhood expectations and identity, (4) alcohol consumption, (5) marketing strategies, (6) everyday issues, and (7) social media influence. Numerous social, economic, and health problems are associated with alcohol misuse. The current literature suggests that social media is a powerful tool to disseminate messages about alcohol and normalize mothers’ drinking behaviours.
Investigating the fundamental levels of a signature pedagogy in nursing education: a scoping review
(2023) Maykut, Colleen; Reisdorfer, Emilene; Ben-Ahmed, Houssem Eddine; Martinez, Rudolf Cymorr Kirby; Miller, Kathleen; Kempfer, Silvana Silveira
Background A signature pedagogy is a unique approach that provides a blueprint for curricular decision-making, as it reflects how we teach (surface structures), why we teach (deep structures), and what we believe are vital concepts or values all learners should embody (implicit structures). Objective To investigate what is known from the existing literature about a signature pedagogy to support undergraduate nursing education. Design This scoping review adopted Arksey and O’Malley's framework to guide the analysis of data. Two electronic databases were used to explore studies on educational strategies, content, and values published in Arabic, English, Filipino, French, Portuguese, and Spanish between 1972 and 2022. Results A total of 258 articles were included in this review. The analysis revealed that the majority of articles were at the surface (n = 189), followed by the deep (n = 123), with the least number examining the implicit level (n = 90) associated with signature pedagogy levels. Results reflect a limited focus on implicit level; the core concepts and values that all learners should understand and grasp for their future practice to construct their professional identity and engage in healthcare transformation. Conclusions The findings from this scoping review, should not be an isolated movement within nursing education. The first step is to engage in discourse amongst all stakeholders, educational and healthcare nurse leaders, regarding the state of the profession. As a profession we need to understand what is the preferred future of nursing and what are the necessary educational processes to ensure the profession is actualizing their mandate. A call to action to develop a unique signature pedagogy should provide synergy between education and practice to enhance learner's competencies as a future professional.
Mindfulness practice reduces hair cortisol, anxiety and perceived stress in university workers: randomized clinical trial
(2023) Gherardi-Donato, Edilaine Cristina da Silva; Gimenez, Larissa Bessani Hidalgo; Fernandes, Maria Neyrian de Fatima; Lacchini, Riccardo; Camargo Júnior, Elton Brás; Diaz-Serrano, Kranya Victoria; Melchior, Melissa; Perez, Raquel Garcia; Riquelme-Galindo, Jorge; Reisdorfer, Emilene
Background: Anxiety and stress are common mental health conditions reported by university workers. Practices of mindfulness represent one promising approach as an effective and feasible means to reduce stress, improve mental health and promote well-being; however, there are no clinical trials that have combined long-term stress biomarkers (hair cortisol) and psychometric assessments in a sample of university workers. Objective: This study investigated the effectiveness of a mindfulness-based program on long-term stress, by measuring hair cortisol concentration and perceived stress and anxiety among workers who were undergoing high levels of stress. Method: We conducted a randomized clinical trial at work among the employees of a public university. We compared a group that received the eight-week mindfulness intervention with the wait list group who received no intervention. Results: A total of 30 participants were included in the study, with n = 15 subjects in the intervention group and n = 15 in the control group. Hair cortisol, perceived stress and anxiety significantly reduced after the intervention compared to the control group, which had no appreciable decline in the measured variables. Conclusion: This clinical trial showed the effectiveness of a mindfulness program on mental health psychometric measures (perceived stress and anxiety) and on a long-term stress biomarker (hair cortisol). It can be concluded that an eight-week mindfulness program could be implemented as an effective strategy to reduce stress biomarkers (hair cortisol) as well as perceived stress and anxiety, improving the mental health of university workers.
Nurses’ work process in an emergency hospital service
(2020) Rabelo, Simone Kroll; Lima, Suzinara Beatriz Soares de; Santos, Jose Luis Guedes dos; Costa, Valdecir Zavarese da; Reisdorfer, Emilene; Santos, Tanise Martins dos; Gracioli, Jocelaine Cardoso
Objectives: to analyze the nurses’ work process in an Emergency Hospital Service. Methods: a qualitative, exploratory and descriptive research conducted with 17 nurses from the emergency service of a high complexity hospital in southern Brazil. Data were collected through interviews, focus group and document analysis. Data analysis followed the thematic content analysis framework. Results: four categories emerged: Work environment characteristics; Assistance dimension; Management dimension; Care management. Final Considerations: the nurses’ work process in Emergency Hospital Service is characterized by the peculiarities of the setting, with centrality in care and care management aiming at quality care and safety to patients.
Perceptions of clients about healthcare professionals (HCP) who have visible body art: a scoping review of the literature
(2022) Graff, Sheri; Wildeman, Amy; Reisdorfer, Emilene
In healthcare, appearance plays a significant role in a patient's first impression of a healthcare worker's competence, compassion, performance, and quality of care. Given that nurses are an essential part of the patient care team, it is imperative for nurses and other healthcare providers to recognize the use of personal expressions such as tattoos while still being able to achieve therapeutic relationships with clients. This scoping review aims to answer the following question: What is known from the existing literature about clients' perceptions about healthcare professionals who have visible body art? Keywords included terms related to body art, healthcare professionals, and to perceptions and understanding. A total of 435 studies published until January 2022 were identified, of which 8 met the inclusion criteria. Out of eight studies included in this review, six identified that body art is negatively associated with patient care, and two found there is no impact on body art and patient perceptions. Additionally, results show that clients attribute a higher degree of professionalism to HCP without visible body art. Finally, some studies indicate that female HCP with visible tattoos were perceived as being less professional than their male counterparts. It is essential to understand patient perceptions of healthcare professionals with and without body art and determine if appearances can alter the relationship between patient and provider.
Research recast(ed): S3E6 - Improving the quality of healthcare through supporting health care professionals and caring for the community
(2023) Leschyshyn, Brooklyn; Smadis, Natalie; Reisdorfer, Emilene
On today's episode, we talked to Dr. Emilene Reisdorfer about her research in the field of healthcare and nursing. Her focus is on improving the quality of nursing services provided to individuals who are struggling with mental health and addiction disorders. We discuss her work in developing pedagogical approaches that support post-secondary nursing education and how to implement empirically-driven studies that contribute to a better understanding of professional nursing practice. Additionally, we explore ways to support effective public health policy formulation.

Browsing by Author "Reisdorfer, Emilene"

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