PubMed | University of Minnesota, University of Wisconsin - Madison, University of North Carolina, McMaster University and 8 more.
Type: Journal Article | Journal: Journal of the American Medical Directors Association | Year: 2016
In response to the International Association of Gerontology and Geriatrics global agenda for clinical research and quality of care in long-term care homes (LTCHs), the International Consortium on Professional Nursing Practice in Long Term Care Homes (the Consortium) was formed to develop nursing leadership capacity and address the concerns regarding the current state of professional nursing practice in LTCHs. At its invitational, 2-day inaugural meeting, the Consortium brought together international nurse experts to explore the potential of registered nurses (RNs) who work as supervisors or charge nurses within the LTCHs and the value of their contribution in nursing homes, consider what RN competencies might be needed, discuss effective educational (curriculum and practice) experiences, health care policy, and human resources planning requirements, and to identify what sustainable nurse leadership strategies and models might enhance the effectiveness of RNs in improving resident, family, and staff outcomes. The Consortium made recommendations about the following priority issues for action: (1) define the competencies of RNs required to care for older adults in LTCHs; (2) create an LTCH environment in which the RN role is differentiated from other team members and RNs can practice to their full scope; and (3) prepare RN leaders to operate effectively in person-centered care LTCH environments. In addition to clear recommendations for practice, the Consortium identified several areas in which further research is needed. The Consortium advocated for a research agenda that emphasizes an international coordination of research efforts to explore similar issues, the pursuit of examining the impact of nursing and organizational models, and the showcasing of excellence in nursing practice in care homes, so that others might learn from what works. Several studies already under way are also described.
Mohaupt J.,Conestoga College |
Van Soeren M.,Care Innovations |
Andrusyszyn M.-A.,University of Western Ontario |
MacMillan K.,Humber Institute of Technology and Advanced Learning |
And 3 more authors.
Journal of Interprofessional Care | Year: 2012
The importance and necessity of interprofessional collaboration (IPC) present challenges for educators as they determine how best to achieve IPC through interprofessional education (IPE). Simulation-based teaching has been shown to enhance students' understanding of professional roles and promote positive attitudes toward team members; yet, empirical evidence providing direction on the conditions necessary to promote these positive outcomes is lacking. This study used a quasi-experimental design with a pre-/post-test to examine changes in undergraduate healthcare students' perceptions and attitudes toward IPC following their participation in an interprofessional simulation program. Allport's (1954) intergroup contact theory was used to help understand the nature of this IPE workshop and its reported outcomes. Participants included students in the final year of their respective programs (n = 84) such as pharmacy technician, paramedic, nursing and occupational therapy assistant/physical therapy assistant programs. These students were engaged in simulation exercises with interactive contact opportunities. Using the interdisciplinary education perceptions scale, statistically significant increases in positive attitudes in three of four sub-scales were found. An analysis of the structure and format of the workshop suggests that this IPE initiative fulfilled the key conditions suggested by intergroup contact theory. Attention to the key conditions provided by Allport's theory in the context of successful intergroup relationships may help provide direction for educators interested in planning IPE initiatives with student groups enrolled in various health programs. © 2012 Informa UK, Ltd.
Prognostic indicators of assisted reproduction technology outcomes of cycles with ultralow serum antimüllerian hormone: a multivariate analysis of over 5,000 autologous cycles from the Society for Assisted Reproductive Technology Clinic Outcome Reporting System database for 2012-2013
PubMed | Oregon Health And Science University, Stanford University, Redshift Technologies and Conestoga College
Type: Journal Article | Journal: Fertility and sterility | Year: 2016
To assess cycle outcomes when antimllerian hormone (AMH) is ultralow (0.16ng/mL) and to determine which parameters contribute to the probability of cycle cancellation and/or outcome.Retrospective analysis.Not applicable.5,087 (7.3%) fresh and 243 (1.5%) thawed cycles with ultralow AMH values.Linear and logistic regression, comparison with age-matched cycles with normal AMH concentrations.Cancellation rate; number of retrieved oocytes, embryos, transferred embryos, and cryopreserved embryos; clinical pregnancy, live-birth, and multiple birth rates.The total cancellation rate per cycle start for fresh cycles was 54%. Of these, 38.6% of the cycles were canceled before retrieval, and 3.3% of cycles obtained no oocytes at time of retrieval. Of all retrieval attempts, 50.7% had three oocytes or fewer retrieved, and 25.1% had no embryo transfer. The live-birth rates were 9.5% per cycle start. Cycles with ultralow AMH levels compared with age-matched normal AMH cycles demonstrated more than a fivefold greater pre-retrieval cancellation rate, a twofold less live-birth rate per cycle and a 4.5-fold less embryo cryopreservation rate.Refusing treatment solely on the basis of ultralow AMH levels is not advisable, but patients should be counseled appropriately about the prognostic factors for cancellation and outcomes.
News Article | October 29, 2016
Kinetics Noise Control, Inc. (“Kinetics”) is excited to announce the formation of a Canadian Sales Office located in Cambridge, Ontario, Canada. This office will support all of Kinetics’ sales and marketing efforts for the commercial duct silencer, industrial and environmental markets in Canada. Two experienced Kinetics employees, Kristen Graham and David Aquilina, P.Eng, will be managing the office. Kristen will be the Canadian Commercial, Industrial and Environmental Sales Manager, and David will be the Canadian Commercial, Industrial and Environmental Engineering Manager. “We are excited that Kristen and David will be leading our Canadian Sales Office and continuing to market our high quality sheet metal and industrial products. Their collective knowledge and experience, combined with their relationships with engineers, consultants and independent representatives, will allow Kinetics to continue providing solutions to noise problems across the Canadian marketplace,” said Kirk Hendricks, Kinetics Noise Control President. The office can be contacted at: Toll Free: 1-800-684-2766 Phone: 905-670-4922 Fax: 905-670-1698 Email: canadiansales(at)kineticsnoise(dot)com David Aquilina, P.Eng, has spent over 10 years in the noise control sector, covering such roles as laboratory product testing, Computational Fluid Dynamic, silencer design and development, along with integrated noise control system design ranging from commercial to heavy industrial projects. In addition to his time in noise control, David has spent 5 years in the consulting field, designing HVAC systems and specification writing. David is a graduate of the University of Toronto, with a Bachelor of Applied Science in Mechanical Engineering. Kristen Graham has quickly risen to the position of Canadian Commercial, Industrial, and Environmental Sales Manager since joining Kinetics in 2014. She has developed a thorough understanding of both noise control products and the noise control market. She has also developed and fostered strong relationships with new and long-term sales partners. Prior to joining the company, Kristen developed her knowledge of the sheet metal design and engineering through her time with sheet metal fabrication and machine shops. Kristen is a graduate of Conestoga College with a Bachelor’s of Engineering in Mechanical Systems Engineering. About Kinetics Noise Control Kinetics Noise Control, Inc. (“Kinetics”) has extensive experience in designing and manufacturing innovative products to control noise and vibration. Established in 1958 as industrial consultants focused on the control of sound and vibration, Kinetics now produces the industry’s largest selection of innovative products and solutions to control airborne noise, isolate structure-borne vibration, enhance room acoustics, create quiet spaces, and restrain non-structural building systems. Kinetics features an experienced staff of engineering, customer support, and sales representatives worldwide who are ready to work with you. Previous trade names include Consolidated Kinetics, Peabody Noise Control and Vibron Products Group.
Nasiri A.M.,University of Waterloo |
Nasiri A.M.,Harbin Institute of Technology |
Li L.,University of Waterloo |
Kim S.H.,University of Waterloo |
And 4 more authors.
Welding Journal | Year: 2011
A diode laser brazing procedure has been developed for joining AZ31B-H24 Mg alloy sheet to aluminum-coated, cold-rolled carbon steel sheet in the single flare bevel lap joint configuration using a Mg-Al based welding wire. In this process, the Mg-Al based filler metal and a shallow surface layer of the Mg alloy sheet were melted simultaneously by a diode laser beam, while no melting of the steel sheet occurred. The results of this study suggest that feasibility of this process depends strongly on the preexisting Al-12Si coating layer on the steel sheet that promotes wetting of the Mg-Al filler alloy as well as formation of a layer of θ-Fe(Al,Si) 3 intermetallic compound along the braze/steel interface. From the middle part of the braze/steel interface to the root of the joint, the Al-Si layer melted and mixed into the braze alloy and the intermetallic layer grew up to 8 μm thick. From the middle part of the braze/steel interface to the top of the joint, both the Al-Si and the intermetallic layer were dissolved. These two simultaneous phenomena led to an intermetallic layer with nonuniform thickness ranging from 0 to 8 μm along the braze/steel interface. The average fracture load of the joint was 767 N, representing a 72% joint efficiency relative to the steel sheet. Failure occurred when cracks propagated along the intermetallic layer starting at the root of the bevel joint and moved into the braze metal at the upper part of the joint.
Heckman G.A.,University of Waterloo |
Boscart V.M.,Conestoga College |
Mckelvie R.S.,Hamilton Health Sciences
Future Cardiology | Year: 2014
Heart failure, a condition that affects up to 20% of older persons residing in long-term care facilities, is an important cause of morbidity, health service utilization and death. Effective and interprofessional heart failure care processes could potentially improve care, outcomes and quality of life and delay decline or hospital admission. This article reviews the clinical aspects of heart failure, and the challenges to the diagnosis and management of this condition in long-term care residents who are frail and are affected by multiple comorbidities. © 2014 Future Medicine Ltd.
Dickinson J.K.,National Research Council Canada |
Woodard P.,National Research Council Canada |
Canas R.,National Research Council Canada |
Ahamed S.,National Research Council Canada |
Lockston D.,Conestoga College
Electronic Journal of Information Technology in Construction | Year: 2011
In collaboration with a college teaching construction trades, the authors engaged in developing and deploying a serious game focussed on teaching trench health and safety lessons as an initial investigation into applying edutainment in the construction trades. This paper reviews the background of using interactive technology in construction trades training and presents the observations taken from the developers, teachers and students involved and subsequent conclusions drawn based on these observations. The broad lessons learnt indicate that serious games offer an engaging and innovative medium for delivering training to students who are more comfortable with hands-on learning for a hands-on trade. Although studies are still underway in assessing the long term benefits in retention, the students and teachers involved found the use of gaming technology to be an overall positive experience with some immediately demonstrable benefits. Furthermore, the potential for adopting serious games in educational programs will only grow as interactive computer technology only becomes more and more ubiquitous in society. This said, challenges remain in measuring the long term impact, and costs associated with developing and delivering the interactive content to the students and subsequently finding ways to reduce those costs and maximise the positive benefits attained using such technology. © 2011 The authors.
PubMed | Conestoga College, Lakehead University, Institute for Work & Health, University of Waterloo and McMaster University
Type: Journal Article | Journal: Canadian journal on aging = La revue canadienne du vieillissement | Year: 2015
Heart failure (HF) is common among long-term care (LTC) residents, and may account for 40 per cent of acute-care transfers. Canadian Cardiovascular Society HF guidelines endorse standard therapies; yet LTC residents are less likely to receive treatment. This qualitative study employed focus groups to explore perceptions, from 18 physicians and nurse practitioners in three Ontario homes, on HF care practices and challenges. For example, participants reported challenges with HF diagnostic skills and procedural knowledge. They also identified the need for interprofessional collaboration and role clarification to improve HF care and outcomes. To address these challenges, multimodal interventions and bedside teaching are required. Leadership was viewed as essential to improve HF care. Several concerns arose regarding knowledge gaps and clinical deficits among primary-care providers who manage heart failure in LTC residents. Multimodal, clinically focused educational and interprofessional solutions are needed to improve HF care in long-term care.
PubMed | McMaster University, Hamilton Health Sciences and Conestoga College
Type: | Journal: Nurse education in practice | Year: 2016
Ongoing curricular renewal is a necessary phenomenon in nursing education to align learning with ever-changing professional practice demands. The McMaster Mohawk Conestoga BScN Program in Hamilton, Ontario, Canada recently engaged in a comprehensive curriculum renewal. The purpose of this study was to evaluate the impact of curricular changes on students deep learning. Faculty perceptions about student learning outcomes during final year clinical placements were gathered through a combination of individual interviews and focus groups using Interpretive Descriptive qualitative research methodology. Twenty five faculty members who supervised BScN students in clinical placements before and after curriculum renewal shared perceptions of changes in students overall performance. The chosen clinical learning outcomes were: changes in students performance related to person-centred care, clinical reasoning and judgment, pathophysiology, and evidence-informed decision-making. Faculty described three major themes in students performance 1) pulling it all together, 2) seeing the whole person, and 3) finding their nursing voices. This reflected a shift to person-centred care, increasing professional confidence, and improved clinical reasoning and judgment and no changes to integrating pathophysiology or evidence-informed decision-making. In this study curriculum renewal provided an excellent starting point for the scholarship of teaching and learning within nursing education.
News Article | November 23, 2016
GUELPH, Ontario--(BUSINESS WIRE)--Fort McMurray nonprofits accelerate wildfire recovery efforts with creative help; Alchemy and Conestoga College in Guelph help 12 nonprofits meet the needs of a devastated community