Alice Gaudine - Academia.edu (original) (raw)

Papers by Alice Gaudine

Canadian Journal on Aging / La Revue canadienne du vieillissement

The coronavirus disease (COVID-19) pandemic necessitated a rapid uptake of remote health care ser... more The coronavirus disease (COVID-19) pandemic necessitated a rapid uptake of remote health care services. This qualitative descriptive study was designed to gain an understanding of older adults’ experiences of remote care (telephone or online video conference appointments) for specialized health services during the COVID-19 pandemic. Twenty-one older adults (ages 65 years and older; 8 men and 13 women) living in eastern Canada participated in a semi-structured telephone interview. Data were analysed using qualitative content analysis. The vast majority of older adults were overall satisfied with their remote experiences of specialist care. Advantages to remote care for specialized services included convenience, safety during the pandemic, comfort, efficiency, and ease of visit. Disadvantages included communication not as effective, feeling depersonalized or disembodied, missing the human relationship, and wanting reassurance of physical assessment. It is important that health profess...

Sigma's 30th International Nursing Research Congress, Jun 28, 2019

Sigma Theta Tau International's 28th International Nursing Research Congress, Jul 21, 2017

한국간호과학회 학술대회, Nov 1, 2007

JBI database of systematic reviews and implementation reports, May 1, 2019

JBI evidence synthesis, Feb 16, 2021

Review question: The question of this review is: what are the experiences of older adults accessi... more Review question: The question of this review is: what are the experiences of older adults accessing specialized health care services in rural or remote areas?

PubMed, Aug 19, 2007

With the ever-increasing number of persons requiring treatment for kidney disease, the need for c... more With the ever-increasing number of persons requiring treatment for kidney disease, the need for competent hemodialysis (HD) nurses continues. Professional organizations support the use of nursing orientation programs, which have been shown to decrease staff turnover. An instructor's manual, student's handbook and learner's manual for HD orientation were developed in response to this need. Morrison, Ross & Kemp's (2004) instructional design model guided the creation of this material, while Bandura's concept of self-efficacy (1997) and Knowles' Adult Learning Theory (1984) gave direction for implementing this program. The focus of this paper is to outline how the instructional development model, self-efficacy concept and adult learning theory supported the development of this HD orientation. The materials developed for the orientation program should enable new HD nurses to provide improved holistic care to their patients and families.

SAGE Open, 2022

There is a large body of international literature on most aspects of workplace bullying, yet ther... more There is a large body of international literature on most aspects of workplace bullying, yet there are only a few research articles dealing with bullying of bosses, managers, and leaders by their subordinates and staff members. Over time the term “upwards bullying” has been accepted as the generic term to describe this phenomenon but using these search terms does not provide a comprehensive indication of relevant publications. This literature review identifies and collates English language research on upwards bullying to document its research status, its lack of visibility in the workplace, and to connect upwards bullying with related research on aggression against supervisors and managers. Included is research that specifically labels the phenomena as upwards or upward bullying, along with related terms of subordinate-initiated bullying, supervisor-targeted bullying, bottom-up bullying, bullying the manager, and bullying the boss. Nonacademic publications are not included, nor is research on related workplace misbehavior such as cyberbullying, legal action resulting from upwards bullying or whistle blowers, and extortion or blackmail. Areas for further exploration in the field are identified with indicators of how this type of workplace bullying differs from lateral and downward bullying. Coverage up to the year 2020 is provided with the expectation that the trend of working from home driven by safety considerations during the COVID-19 epidemic could change employee responses and reactions to their workplace leaders and management.

Journal of Emergency Nursing, Jul 1, 2020

The current literature on cancer patients with febrile neutropenia indicates that febrile neutrop... more The current literature on cancer patients with febrile neutropenia indicates that febrile neutropenia is a potentially life-threatening condition requiring timely treatment in the emergency department. This article contributes to help emergency nurses identifying the aspects of care that can be inconsistent with the recommended evidence. Key implications for emergency nursing practice found in this article are in strengthening emergency department care to reduce the gap between evidence-based and actual care.

Online Journal of Rural Nursing and Health Care, Jun 1, 2011

Nurse recruitment and retention in rural Newfoundland and Labrador (NL) can prove to be a challen... more Nurse recruitment and retention in rural Newfoundland and Labrador (NL) can prove to be a challenge for rural healthcare managers due to a variety of issues and factors. The characteristics of rural communities along with vast nursing shortages throughout Canada and the world can certainly contribute to those challenges. Research on the topic of nurse recruitment and retention in rural NL is limited, particularly from the perspective of rural healthcare managers. The purpose of this study is to explore and describe the experiences of rural NL healthcare managers contending with nurse recruitment and retention by using a qualitative descriptive design and using content analysis to analyze the data. The findings were categorized to outline barriers and facilitators to nurse recruitment and retention. Implications for further research on this topic are discussed, as well as implications for nursing practice and education.

Clinical Simulation in Nursing, Oct 1, 2017

Journal of Nursing Management, Dec 5, 2011

Effects of absenteeism feedback and goal-setting interventions on nursesÕ fairness perceptions, d... more Effects of absenteeism feedback and goal-setting interventions on nursesÕ fairness perceptions, discomfort feelings and absenteeism Aim A longitudinal field experiment was conducted to test the effects of absenteeism feedback and goal-setting interventions on nursesÕ (1) fairness perceptions, (2) discomfort feelings and (3) absenteeism. NursesÕ obstacles to reducing absenteeism were also explored. Background Absenteeism is a significant issue in health care and there is a need to avoid interventions that are seen to be negative, punitive or lead to sick nurses coming to work. Method Sixty-nine nurses working in a hospital in Eastern Canada received either: (1) absenteeism feedback with individual goal-setting, (2) absenteeism feedback with group goal-setting, or (3) no intervention, and were asked questions about how they could reduce their absenteeism. Results There was a significant decrease in the total number of days absent but no decrease in absent episodes, and a significant effect on fairness perceptions and discomfort feelings for the nurses in the absenteeism feedback conditions. Six categories of obstacles to reducing absenteeism were identified. Conclusions The interventions made nurses feel their absence rate was less fair and to experience greater feelings of discomfort. Implications for nursing management The studyÕs interventions may lead to a reduction in absence without the negative outcomes of a harsh absenteeism policy.

Research and Theory for Nursing Practice, Sep 1, 2006

Limited attention has been paid to experiences of individuals with siblings diagnosed with schizo... more Limited attention has been paid to experiences of individuals with siblings diagnosed with schizophrenia. The purpose of this article is to address this gap by exploring the impact of having a brother or sister with schizophrenia. The lived experience of 6 individuals with a sibling with schizophrenia was explored using van Manen’s (1997) Hermeneutic Phenomenology. Four themes were identified: struggling to understand, struggling with the system, caring for the sibling, and seeing beyond the illness. Health care providers need to re-evaluate current approaches for assisting individuals to cope with having a sibling with schizophrenia. Inclusion in the plan of care and recognition of their struggle is essential for individuals having a sibling with schizophrenia.

Global qualitative nursing research, 2019

Research is limited on how nurses in community settings manage ethical conflicts. To address this... more Research is limited on how nurses in community settings manage ethical conflicts. To address this gap, we conducted a study to uncover the process of behaviors enacted by community nurses when experiencing ethical conflicts. Guided by Glaserian grounded theory, we developed a theoretical model (Moral Compassing) that enables us to explain the process how 24 community nurses managed challenging ethical situations. We discovered that the main concern with which nurses wrestle is moral uncertainty ("Should I be addressing what I think is a moral problem?"). Moral Compassing comprises processes that resolve this main concern by providing community nurses with the means to attain the moral agency necessary to decide to act or to decide not to act. The processes are undergoing a visceral reaction, self-talk, seeking validation, and mobilizing support for action or inaction. We also discovered that community nurses may experience continuing distress that we labeled moral residue.

JBI database of systematic reviews and implementation reports, Mar 1, 2018

Phenomena of interest The phenomenon of interest is the experience of older nurses in providing d... more Phenomena of interest The phenomenon of interest is the experience of older nurses in providing direct nursing care. This review excluded studies consisting entirely of enrolled nurses, licensed practical nurses, and licensed vocational nurses. Context The provision of direct nursing care on any type of in-patient hospital nursing unit (i.e., including but not limited to medical/surgical units, intensive care units, critical care units, perioperative units, palliative care units, obstetrical units, emergency departments, and rehabilitative care units. Types of studies Qualitative data including, but not limited to the following methodologies: phenomenology, grounded theory, ethnography, action research and feminist research. Search strategy A three-step search strategy was used. An initial limited search of the databases PubMed (MEDLINE), and CINAHL, was undertaken followed by an analysis of the text words contained in the title and abstract. A second search using all identified keywords and index terms within these databases was then undertaken across all included databases (CINAHL, Pub Med, PsycINFO, Embase, AgeLine, Sociological Abstracts and SocINDEX). The search for unpublished articles included Dissertation Abstracts International, MEDNAR, OpenGrey, OAlster, Google Scholar, and Google. Thirdly, the reference lists of included papers were then searched for any The ConQual approach 1 was used to assess and report confidence in the results of this qualitative systematic review. The 12 studies included in this review were assessed for dependability. For synthesized finding 1, of the nine studies included, two addressed five of the dependability questions, two addressed four, four addressed three, and one addressed two. For synthesized finding 2, of the seven articles included, two addressed five of the dependability questions, one addressed four, and four addressed three. For synthesized finding 3, of the seven articles included, two addressed five of the questions, four addressed three, and one addressed two. Credibility of the findings was graded at three levels: those that could not be challenged were graded unequivocal (U), those that could be challenged were graded credible (C), and those that could not be supported by data were graded unsupported (Unsupported) (Appendix I). The level of credibility of each finding was based on consensus between the two reviewers.

Scholarly inquiry for nursing practice, Jun 1, 2003

Much research exists on quality of life issues with breast cancer survivors. However, there has b... more Much research exists on quality of life issues with breast cancer survivors. However, there has been little done on the waiting experience itself, and on the experience of follow-up from the women's perspective. Women who have been diagnosed and treated for breast cancer live with the condition for a minimum of 5 years, waiting for the next medical intervention; waiting for the next battery of tests; waiting for the next physician checkup. Throughout most of these years they may feel healthy, but they experience visits to cancer clinics, medical testing, and physician interactions. Women's accounts of their experiences of waiting and life during follow-up for breast cancer has not been the focus of research on the quality of life of breast cancer survivors. In particular research that uses a qualitative approach, in which women recount their experiences in their own language, has been missing. This study used a phenomenological approach, telling the stories of waiting and life throughout follow-up of nine women. The women's experiences are captured in four themes: life-changing; a sense of belonging; uncertainty; needing to know.