Kimberley Lamarche - Academia.edu (original) (raw)

Papers by Kimberley Lamarche

Journal of Advanced Nursing

Advanced Practice Nurses' emotional and spiritual well-being and resilience has been significantl... more Advanced Practice Nurses' emotional and spiritual well-being and resilience has been significantly impacted during the COVID-19 pandemic.

I attended the conference on April 12 and 13th and shared my work with colleagues. I was also abl... more I attended the conference on April 12 and 13th and shared my work with colleagues. I was also able to network with peers and current AU students who where in attendance. PDF of the posters are attached.

Canadian Family Practice Guidelines, 2019

Nurse Practitioner (NP) education in Canada is evolving rapidly as the role gains a foothold in t... more Nurse Practitioner (NP) education in Canada is evolving rapidly as the role gains a foothold in the fabric of health care. Expectations for existing NP faculty to be clinicians, teachers and researchers, as well as the increasing demand for NP graduates have created challenges and opportunities for inventive ways to expand the cadre of available NP teachers. The experiences of a group of Master of Nursing (Advanced Nursing Practice) graduates provide an innovative approach to filling this need. This narrative expository inquiry focuses on the student-to-teacher transition experiences of this group of NP sessional instructors as they transitioned from the student to teacher role in facilitating online NP courses. Their journey evolved into a unique extension of the student role; not only did the participants survive their student days and the transition from registered nurse to nurse practitioner, but they also made the shift to instructor and partnered as novice researchers short...

Fabulous networking took place, and ideas were shared. An added benefit to AU was that out of 120... more Fabulous networking took place, and ideas were shared. An added benefit to AU was that out of 120 registered NPs or NP students there were 35 AU grads/students – by far the most representative! Two of the presentations (DNP & Independent practice) were the presentations with the most in attendance for the conference. Thank you for the funding support.

I presented two poster presentations (attached) which were well accepted by the conference delega... more I presented two poster presentations (attached) which were well accepted by the conference delegates. Opportunities for future research collaborations were also made with like-minded researchers. At the Biannual General Meeting I was also fortunate to be elected as president-elect of the Canadian Association of Advance Practice Nurses. This position will help place Athabasca University on the national stage for Advance Practice Nurses.

International Emergency Nursing, 2020

Background: Increasing emergency department (ED) visits per capita, combined with an aging popula... more Background: Increasing emergency department (ED) visits per capita, combined with an aging population and ongoing budgetary constraints in Canada's health care system necessitate continuous improvements to ensure that patients remain safe and continue to receive high quality care. Addressing ED nursing job satisfaction is a cost-effective way of improving safety and quality of hospital care. Methods: A scoping literature review was conducted to examine the breadth of job satisfaction literature and identify the factors that specifically influence the job satisfaction of ED nurses. Results and discussion: A review of 161 journal articles revealed 34 articles fitting the inclusion criteria, which were included in the final analysis. There were ten predominant factors that allowed for workplace interventions, including six that did not achieve consensus. The ten factors are presented in the form of a practical model for implementation based on the Herzberg two-factor theory and the Maslow hierarchy of needs theory. Conclusion: The model informs healthcare leaders how to pragmatically understand job satisfaction specific to ED nurses. This information in turn can be used to design interventions that increase job satisfaction while maintaining safety and quality of care.

International Nursing Review, 2017

AimTo examine the level of job satisfaction of nurse practitioners/advanced practice nurses in de... more AimTo examine the level of job satisfaction of nurse practitioners/advanced practice nurses in developing and developed countries.BackgroundThe nurse practitioner/advanced practice nurse has the advanced, complex skills and experience to play an important role in providing equitable health care across all nations.IntroductionKey factors that contribute to health disparities include lack of access to global health human resources, the right skill mix of healthcare providers and the satisfaction and retention of quality workers.MethodsThe study utilized a descriptive analysis and cross‐sectional survey methodology with quantitative and qualitative sections of 1419 job satisfaction survey respondents from an online survey.ResultsAge, number of hours worked in a week and length of time that nurse practitioners/advanced practice nurses worked in their current jobs were statistically significant in job satisfaction. A key barrier was the lack of respect from supervisors and physicians.Dis...

The Journal of Educators Online, 2009

This descriptive study explored online graduate students' perceptions of effective instructor fee... more This descriptive study explored online graduate students' perceptions of effective instructor feedback. The objectives of the study were to determine the students' perceptions of the content of effective instructor feedback ("what should be included in effective feedback?") and the process of effective instructor feedback ("how should effective feedback be provided?"). The participants were students completing health-related graduate courses offered exclusively online. Data were collected via a survey that included open ended questions inviting participants to share their perspectives regarding effective online instructor feedback. Thematic analysis revealed five major themes: student involvement/individualization, gentle guidance, being positively constructive, timeliness and future orientation. We conclude that effective instructor feedback has positive outcomes for the students. Future studies are warranted to investigate strategies to make feedback a mutual process between instructor and student that supports an effective feedback cycle.

Significant knowledge gaps exist in how students and clinicians recognize the meaning or coherenc... more Significant knowledge gaps exist in how students and clinicians recognize the meaning or coherence of using mobile technology in practice, and how they have used this technology to develop communities or learners. In investigating these gaps, our research has looked at various elements including what social or organizational factors influence the normalization of the practice of using mobile technology in clinical education, and as students' transition to licensed clinician. This descriptive research currently in progress uses qualitative and quantitative methods over a six year period (three within nursing education, three as licensed clinicians) to ascertain the confidence of our participants in information and communication technology, usage information, and their views on factors which promote or inhibit successful normalization of mobile technology at the point of care. Preliminary data based on Normalization Process Theory and the Unified Theory of Acceptance and Use of Technology model indicates that mobile technology is being normalized in our students' social realm but hindered in the clinical realm by health care policy and lack of understanding of the affordances available through the technology.

The Journal for Nurse Practitioners, 2015

Abstract The influence of marketing activities on prescribing practices of primary health care pr... more Abstract The influence of marketing activities on prescribing practices of primary health care professionals represents a potential risk to patient health and the integrity of the health profession. Although Canadian nurse practitioners (NPs) identify similar concerns to their American counterparts, acknowledging potential influences of pharmaceutical marketing practices and some of the ethical issues arising from conflict of interest, challenges faced by NPs in Canada are confounded by the lack of authorization to dispense sample medications. NPs identify this as a barrier to effective practice. Work is needed to address educational deficiencies and to provide reliable information on new drugs that remains evidence based.

The Canadian nurse, 2013

Although nurse practitioners are well placed to counsel patients about getting enough exercise, l... more Although nurse practitioners are well placed to counsel patients about getting enough exercise, little abstract is known about their attitudes and practice in this area of health promotion. The authors used a self-administered Internet-based questionnaire to explore how Canadian NPs perceive their competence in prescribing physical activity and the importance they ascribe to doing so. Participants were asked to identify factors that most commonly prompt physical activity prescription. Overall, the respondents felt fairly competent in their ability to prescribe physical activity (mean score 4.49/6.0, SD = .90) and felt that this function was important (mean score 4.82/6.0, SD = .85). Competence in prescribing physical activity and a perception that this intervention is important were both positively correlated with frequency of prescribing. The most commonly reported barrier to prescribing physical activity was a lack of time. On average, respondents prescribed physical activity to 5...

Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional, 2007

Case Study: Mrs. O Mrs. O is a pleasant, alert 72-year-old woman with a history of atrial fibrill... more Case Study: Mrs. O Mrs. O is a pleasant, alert 72-year-old woman with a history of atrial fibrillation. She takes warfarin (Coumadin) daily, self-monitoring and self-adjusting her dosage on the basis of her physician’s order. She has been very stable on this regimen for the past 3 years, so her nurse practitioner has instructed her to check her international normalized ratio (INR) level every 2 months. Interestingly, Mrs. O’s husband is receiving home healthcare services as he recovers from a fractured hip. As you perform care for Mr. O, his wife informs you that the previous week she started drinking green tea 3 times per day on the advice of her granddaughter, who states it has properties that will help keep her mind sharp.

Evidence-Based Nursing, 2008

M J Eisenberg Dr M J Eisenberg, Sir Mortimer B Davis Jewish General Hospital, Montreal, Quebec, C... more M J Eisenberg Dr M J Eisenberg, Sir Mortimer B Davis Jewish General Hospital, Montreal, Quebec, Canada; mark.eisenberg@mcgill.ca How do various pharmacotherapies compare for smoking cessation? Studies selected compared any pharmacotherapy with placebo and reported biochemically validated measures of smoking abstinence. Trials that were unblinded or that evaluated reduced cigarette use, spontaneous cessation among smokers unwilling to quit, or smokers with chronic disease were excluded. Outcome was smoking cessation. Medline, EMBASE/Excerpta Medica, Cochrane Library , and US Centers for Disease Control and Prevention’s Tobacco Information and Prevention database were searched for randomised controlled trials (RCTs). 69 RCTs (n = 32 908) …

Evidence-Based Nursing, 2007

The full back archive is now available for EBN. Institutional subscribers may access the entire a... more The full back archive is now available for EBN. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006, back to volume 1 issue 1.

Evidence-Based Nursing, 2007

Wenner R, Askari SK, Cham PM, et al. Duct tape for the treatment of common warts in adults: a dou... more Wenner R, Askari SK, Cham PM, et al. Duct tape for the treatment of common warts in adults: a double-blind randomized controlled trial. Arch Dermatol 2007;143:309–13. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Home Healthcare Nurse, 2012

Parents of children with chronic illnesses experience tremendous burden when caring for their chi... more Parents of children with chronic illnesses experience tremendous burden when caring for their children at home. There are many challenges that are present throughout the course of chronic illnesses. To provide better care to the family caring for an ill child at home, clinicians must understand the experiences family members go through on a daily basis. The purpose of this article is to help clinicians better understand these parental experiences; by increasing clinicians' awareness, strategies can then be used, which will improve the outcome for the child, parents, and siblings.

Spiritual Dimensions of Advanced Practice Nursing, 2021

The integration of spirituality by Advanced Practice Nurses (APN) in Canada occurs in the context... more The integration of spirituality by Advanced Practice Nurses (APN) in Canada occurs in the context of a remarkably diverse citizenry. This diversity requires that the APN bring together self-awareness with literacy about spiritual practices, how religious diversity is respected and accommodated, and how spirituality can serve as a pathway to social inclusion and healing. In Canada, this includes responses to the 2015 Truth and Reconciliation Commission with its calls to address the impacts of colonization and intergenerational trauma on Indigenous communities. A case study is presented to demonstrate how the Availability and Vulnerability framework can be integrated into the Two-Eyed Seeing Framework to provide a lens to understand the importance of spirituality within APN practice.

Journal of Advanced Nursing

Advanced Practice Nurses' emotional and spiritual well-being and resilience has been significantl... more Advanced Practice Nurses' emotional and spiritual well-being and resilience has been significantly impacted during the COVID-19 pandemic.

I attended the conference on April 12 and 13th and shared my work with colleagues. I was also abl... more I attended the conference on April 12 and 13th and shared my work with colleagues. I was also able to network with peers and current AU students who where in attendance. PDF of the posters are attached.

Canadian Family Practice Guidelines, 2019

Nurse Practitioner (NP) education in Canada is evolving rapidly as the role gains a foothold in t... more Nurse Practitioner (NP) education in Canada is evolving rapidly as the role gains a foothold in the fabric of health care. Expectations for existing NP faculty to be clinicians, teachers and researchers, as well as the increasing demand for NP graduates have created challenges and opportunities for inventive ways to expand the cadre of available NP teachers. The experiences of a group of Master of Nursing (Advanced Nursing Practice) graduates provide an innovative approach to filling this need. This narrative expository inquiry focuses on the student-to-teacher transition experiences of this group of NP sessional instructors as they transitioned from the student to teacher role in facilitating online NP courses. Their journey evolved into a unique extension of the student role; not only did the participants survive their student days and the transition from registered nurse to nurse practitioner, but they also made the shift to instructor and partnered as novice researchers short...

Fabulous networking took place, and ideas were shared. An added benefit to AU was that out of 120... more Fabulous networking took place, and ideas were shared. An added benefit to AU was that out of 120 registered NPs or NP students there were 35 AU grads/students – by far the most representative! Two of the presentations (DNP & Independent practice) were the presentations with the most in attendance for the conference. Thank you for the funding support.

I presented two poster presentations (attached) which were well accepted by the conference delega... more I presented two poster presentations (attached) which were well accepted by the conference delegates. Opportunities for future research collaborations were also made with like-minded researchers. At the Biannual General Meeting I was also fortunate to be elected as president-elect of the Canadian Association of Advance Practice Nurses. This position will help place Athabasca University on the national stage for Advance Practice Nurses.

International Emergency Nursing, 2020

Background: Increasing emergency department (ED) visits per capita, combined with an aging popula... more Background: Increasing emergency department (ED) visits per capita, combined with an aging population and ongoing budgetary constraints in Canada's health care system necessitate continuous improvements to ensure that patients remain safe and continue to receive high quality care. Addressing ED nursing job satisfaction is a cost-effective way of improving safety and quality of hospital care. Methods: A scoping literature review was conducted to examine the breadth of job satisfaction literature and identify the factors that specifically influence the job satisfaction of ED nurses. Results and discussion: A review of 161 journal articles revealed 34 articles fitting the inclusion criteria, which were included in the final analysis. There were ten predominant factors that allowed for workplace interventions, including six that did not achieve consensus. The ten factors are presented in the form of a practical model for implementation based on the Herzberg two-factor theory and the Maslow hierarchy of needs theory. Conclusion: The model informs healthcare leaders how to pragmatically understand job satisfaction specific to ED nurses. This information in turn can be used to design interventions that increase job satisfaction while maintaining safety and quality of care.

International Nursing Review, 2017

AimTo examine the level of job satisfaction of nurse practitioners/advanced practice nurses in de... more AimTo examine the level of job satisfaction of nurse practitioners/advanced practice nurses in developing and developed countries.BackgroundThe nurse practitioner/advanced practice nurse has the advanced, complex skills and experience to play an important role in providing equitable health care across all nations.IntroductionKey factors that contribute to health disparities include lack of access to global health human resources, the right skill mix of healthcare providers and the satisfaction and retention of quality workers.MethodsThe study utilized a descriptive analysis and cross‐sectional survey methodology with quantitative and qualitative sections of 1419 job satisfaction survey respondents from an online survey.ResultsAge, number of hours worked in a week and length of time that nurse practitioners/advanced practice nurses worked in their current jobs were statistically significant in job satisfaction. A key barrier was the lack of respect from supervisors and physicians.Dis...

The Journal of Educators Online, 2009

This descriptive study explored online graduate students' perceptions of effective instructor fee... more This descriptive study explored online graduate students' perceptions of effective instructor feedback. The objectives of the study were to determine the students' perceptions of the content of effective instructor feedback ("what should be included in effective feedback?") and the process of effective instructor feedback ("how should effective feedback be provided?"). The participants were students completing health-related graduate courses offered exclusively online. Data were collected via a survey that included open ended questions inviting participants to share their perspectives regarding effective online instructor feedback. Thematic analysis revealed five major themes: student involvement/individualization, gentle guidance, being positively constructive, timeliness and future orientation. We conclude that effective instructor feedback has positive outcomes for the students. Future studies are warranted to investigate strategies to make feedback a mutual process between instructor and student that supports an effective feedback cycle.

Significant knowledge gaps exist in how students and clinicians recognize the meaning or coherenc... more Significant knowledge gaps exist in how students and clinicians recognize the meaning or coherence of using mobile technology in practice, and how they have used this technology to develop communities or learners. In investigating these gaps, our research has looked at various elements including what social or organizational factors influence the normalization of the practice of using mobile technology in clinical education, and as students' transition to licensed clinician. This descriptive research currently in progress uses qualitative and quantitative methods over a six year period (three within nursing education, three as licensed clinicians) to ascertain the confidence of our participants in information and communication technology, usage information, and their views on factors which promote or inhibit successful normalization of mobile technology at the point of care. Preliminary data based on Normalization Process Theory and the Unified Theory of Acceptance and Use of Technology model indicates that mobile technology is being normalized in our students' social realm but hindered in the clinical realm by health care policy and lack of understanding of the affordances available through the technology.

The Journal for Nurse Practitioners, 2015

Abstract The influence of marketing activities on prescribing practices of primary health care pr... more Abstract The influence of marketing activities on prescribing practices of primary health care professionals represents a potential risk to patient health and the integrity of the health profession. Although Canadian nurse practitioners (NPs) identify similar concerns to their American counterparts, acknowledging potential influences of pharmaceutical marketing practices and some of the ethical issues arising from conflict of interest, challenges faced by NPs in Canada are confounded by the lack of authorization to dispense sample medications. NPs identify this as a barrier to effective practice. Work is needed to address educational deficiencies and to provide reliable information on new drugs that remains evidence based.

The Canadian nurse, 2013

Although nurse practitioners are well placed to counsel patients about getting enough exercise, l... more Although nurse practitioners are well placed to counsel patients about getting enough exercise, little abstract is known about their attitudes and practice in this area of health promotion. The authors used a self-administered Internet-based questionnaire to explore how Canadian NPs perceive their competence in prescribing physical activity and the importance they ascribe to doing so. Participants were asked to identify factors that most commonly prompt physical activity prescription. Overall, the respondents felt fairly competent in their ability to prescribe physical activity (mean score 4.49/6.0, SD = .90) and felt that this function was important (mean score 4.82/6.0, SD = .85). Competence in prescribing physical activity and a perception that this intervention is important were both positively correlated with frequency of prescribing. The most commonly reported barrier to prescribing physical activity was a lack of time. On average, respondents prescribed physical activity to 5...

Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional, 2007

Case Study: Mrs. O Mrs. O is a pleasant, alert 72-year-old woman with a history of atrial fibrill... more Case Study: Mrs. O Mrs. O is a pleasant, alert 72-year-old woman with a history of atrial fibrillation. She takes warfarin (Coumadin) daily, self-monitoring and self-adjusting her dosage on the basis of her physician’s order. She has been very stable on this regimen for the past 3 years, so her nurse practitioner has instructed her to check her international normalized ratio (INR) level every 2 months. Interestingly, Mrs. O’s husband is receiving home healthcare services as he recovers from a fractured hip. As you perform care for Mr. O, his wife informs you that the previous week she started drinking green tea 3 times per day on the advice of her granddaughter, who states it has properties that will help keep her mind sharp.

Evidence-Based Nursing, 2008

M J Eisenberg Dr M J Eisenberg, Sir Mortimer B Davis Jewish General Hospital, Montreal, Quebec, C... more M J Eisenberg Dr M J Eisenberg, Sir Mortimer B Davis Jewish General Hospital, Montreal, Quebec, Canada; mark.eisenberg@mcgill.ca How do various pharmacotherapies compare for smoking cessation? Studies selected compared any pharmacotherapy with placebo and reported biochemically validated measures of smoking abstinence. Trials that were unblinded or that evaluated reduced cigarette use, spontaneous cessation among smokers unwilling to quit, or smokers with chronic disease were excluded. Outcome was smoking cessation. Medline, EMBASE/Excerpta Medica, Cochrane Library , and US Centers for Disease Control and Prevention’s Tobacco Information and Prevention database were searched for randomised controlled trials (RCTs). 69 RCTs (n = 32 908) …

Evidence-Based Nursing, 2007

The full back archive is now available for EBN. Institutional subscribers may access the entire a... more The full back archive is now available for EBN. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006, back to volume 1 issue 1.

Evidence-Based Nursing, 2007

Wenner R, Askari SK, Cham PM, et al. Duct tape for the treatment of common warts in adults: a dou... more Wenner R, Askari SK, Cham PM, et al. Duct tape for the treatment of common warts in adults: a double-blind randomized controlled trial. Arch Dermatol 2007;143:309–13. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Home Healthcare Nurse, 2012

Parents of children with chronic illnesses experience tremendous burden when caring for their chi... more Parents of children with chronic illnesses experience tremendous burden when caring for their children at home. There are many challenges that are present throughout the course of chronic illnesses. To provide better care to the family caring for an ill child at home, clinicians must understand the experiences family members go through on a daily basis. The purpose of this article is to help clinicians better understand these parental experiences; by increasing clinicians' awareness, strategies can then be used, which will improve the outcome for the child, parents, and siblings.

Spiritual Dimensions of Advanced Practice Nursing, 2021

The integration of spirituality by Advanced Practice Nurses (APN) in Canada occurs in the context... more The integration of spirituality by Advanced Practice Nurses (APN) in Canada occurs in the context of a remarkably diverse citizenry. This diversity requires that the APN bring together self-awareness with literacy about spiritual practices, how religious diversity is respected and accommodated, and how spirituality can serve as a pathway to social inclusion and healing. In Canada, this includes responses to the 2015 Truth and Reconciliation Commission with its calls to address the impacts of colonization and intergenerational trauma on Indigenous communities. A case study is presented to demonstrate how the Availability and Vulnerability framework can be integrated into the Two-Eyed Seeing Framework to provide a lens to understand the importance of spirituality within APN practice.