Abe Oudshoorn

Abe Oudshoorn
The University of Western Ontario | UWO · Arthur Labatt Family School of Nursing

Doctor of Philosophy

About

79
Publications
28,150
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543
Citations
Introduction
My research focuses on the juncture of poverty and health, with a particular focus on homelessness, including housing policy. I am currently exploring implications of Housing First with sub-populations of people experiencing homelessness.

Publications

Publications (79)
Article
Full-text available
Background: Youth mental health challenges are an emerging and persistent global public health issue despite efforts for improvement. As part of a broader social innovation study to transform youth mental health systems, this scoping review assesses interventions that aim for systems-level changes to improve the mental well-being of transitional a...
Article
Full-text available
Temporary housing programs (THPs) aim to serve the homeless population. This article explores the impacts of a THP, the Winter Interim Solution to Homelessness (WISH) in London, Canada, which applied a barrier-free, harm reduction model. Adopting an intersectional lens and interpretive description methodology, we analyzed data collected from WISH r...
Article
Full-text available
Homelessness is a pervasive challenge caused by poverty which continues to grow in economically developed countries, posing significant health impacts (Fazel et al., Lancet, 384: 1529–1540, 2014). While food security related to poverty and low income has been investigated, this review specifically explores the experience of food security during and...
Article
Background and objective: There is a lack of consensus on the definition of mentoring, and a lack of agreement on the role and functions of mentors in nursing education. It is critical to clarify the concept of mentorship in nursing education for mentoring to be used effectively in mentorship programs. The aim of this paper is to provide an in-dept...
Conference Paper
Full-text available
Background: Mental illness stigma appears in many forms, with the most pervasive being public or social stigma, and the least being familial stigma. Familial mental illness stigma implies stigma perpetuated by family members or close relatives of persons with mental illnesses. Familial mental illness stigma is rarely talked about in literature and...
Article
Full-text available
Research has shown high levels of housing precarity among government-assisted refugees (GARs) connected to difficult housing markets, limited social benefits, and other social and structural barriers to positive settlement (Lumley-Sapanski, 2021). The COVID-19 pandemic has likely exacerbated this precarity. Research to date demonstrates the negativ...
Article
Methamphetamine (MA) use among individuals who experience homelessness has tripled in recent years. This is a problematic trend given the harmful impacts of this substance on health and social well-being. While there is a large body of literature on the relationship between substance use and trauma, little is known about the scope of existing empir...
Article
Full-text available
The COVID-19 pandemic has disproportionately impacted older adults, particularly those residing in long-term care homes (LTCHs), causing immense loss of life and resulting in overall health declines in LTCH residents. These vulnerable older adults have also experienced extreme loneliness, anxiety and depression. Social connectedness is an important...
Preprint
Full-text available
Introduction: UNICEF estimates that there are as many as 100 million street-involved youth (SIY) globally. Marginalized conditions put SIY at higher risk of HIV and adverse outcomes once HIV-positive. The objective of this analysis was to describe barriers and facilitators of accessing HIV prevention, testing, and treatment services as Phase I of a...
Article
Critical ethnography and intersectionality are increasingly engaged in nursing and refugee research. Both approaches study marginalized populations and explore how their daily experiences of inequality and marginalization are influenced by various forms of oppression, power structures, and cultural context. A blended approach of critical ethnograph...
Article
The purpose of this paper is to critically analyze the Tidal Model of Mental Health Recovery. This examination consolidates the existing knowledge used in developing and implementing this model in order to add clarity and explores how its theory relates to practice, research, and educational activities. This paper follows Chinn and Kramer’s theory...
Article
Purpose People experiencing homelessness are uniquely vulnerable to the impacts of a pandemic, such as COVID-19. Therefore, governments across Canada have been implementing a patchwork of responses to address the needs of those who are homeless at this time. The purpose of this study is to both compile and assess the varying responses by exploring...
Article
People living with mental illnesses and their families may conceal their conditions to avoid prejudice and discrimination. Stigma often prevents people from receiving adequate health care and other social support services which could exacerbate social and health consequences such as unemployment, homelessness, substance use, and compulsory hospital...
Article
Full-text available
We are launching the International Journal on Homelessness in order to share knowledge globally for preventing and ending homelessness.
Article
Although research to date has shown that there can be no health or sustainable development without good mental health, mental illness continues to significantly impact societies. A major challenge confronting people with mental illnesses and their families is the stigma that they endure. In this study, empirical literature was reviewed to assess po...
Technical Report
Full-text available
While unhoused, persons who have experienced homelessness are frequently consumed with securing the necessary conditions to meet their basic needs including finding a place to stay for the night, finding food, and keeping safe. It is frequently assumed that when individuals secure a tenancy following homelessness, that their life naturally improves...
Article
Full-text available
Background The stigma associated with mental illness is important to address when teaching nursing students about mental health. While previous research demonstrated that in-person clinical mental health experiences reduce stigma, no parallel studies have been conducted on simulated clinical experiences. Method This project compared students who a...
Poster
Full-text available
Everyone comes from a family which is the basic unit of society. Assuming you get up one day and you find out that the very family you cherish so much now discriminates against you due to a mental illness diagnosis. This can be very devastating. Isn’t it? This is what some people with mental illnesses grapple with every day. This is the focus of th...
Article
As we struggle with the impacts of a global pandemic, there is growing evidence of the inequitable impacts of this crisis. In this commentary, we argue that actions on health equity to date have been insufficient despite significant scholarship to guide both practice and policy. To move from talk to action on health equity, we propose the following...
Article
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After publication of the original article [1], the authors identified an error in the author name of Marlene Janzen Le Ber. The given name and family name were erroneously transposed.
Article
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Aims and Objectives The purpose of this study was twofold: examine the relationships among new graduate nurses’ (NGNs) structural empowerment, experience of workplace bullying, and their job turnover intention and assess the relationships between sex, workplace bullying, and job turnover intention. Background Nursing research has highlighted the i...
Article
Background The high prevalence of inadequately managed chronic pain indicates the need for alternative and multimodal treatment options. Use of cannabinoids in medicine is becoming a growing area of interest, specifically in the context of chronic pain. The efficacy of cannabinoids for the treatment of chronic pain is not well established. Aims Th...
Article
Full-text available
Background Globally, communities are struggling to gain support for harm reduction strategies being implemented to address the impacts of substance use. A key part of this discussion is understanding and engaging with people who use drugs to help shape community harm reduction strategies. This study focused on how an overdose prevention site has in...
Preprint
Full-text available
Background Globally, communities are struggling to gain support for harm reduction strategies being implemented to address the impacts of substance use. A key part of this discussion is understanding and engaging with people who use drugs to help shape community harm reduction strategies. This study focused on how an overdose prevention site has in...
Article
Full-text available
_ Ending homelessness also includes effective prevention of home-lessness. For families experiencing homelessness, one potential opportunity is diversion, based on the unique pathways into homelessness they experience. With growing concern regarding the increase of refugees in family shelters, this research sought to understand pathways of refugee...
Article
Aim: This paper provides a critical analysis of the concept of professional intimacy in nursing practice. Background: Professional intimacy is a key attribute to the therapeutic nurse-patient relationship. However, there is a lack of clarity on the concept from a nursing perspective and little research has been done to explore the multiple dimen...
Article
Objective: The aim of this scoping review was to explore what is known about the health seeking behaviors among Syrian refugee women within hospital and community settings. The objectives were to explore health seeking behaviors of Syrian refugee women and highlight specific issues that are important to Syrian refugee women related to seeking for h...
Article
Full-text available
Introduction: In Canada, Veteran homelessness is an increasing concern. It is estimated that approximately 2,950 Veterans experienced homelessness in 2016. Some may also have substance use disorders, which has been linked to loss of housing and homelessness many years after exiting military service. A strategy that facilitates housing stability and...
Article
Full-text available
While some progress has been made in addressing chronic homelessness through supportive models, a comprehensive solution for housing loss must include prevention. The purpose of this article is twofold: to conduct a review of the literature on the domains of the Framework for Homelessness Prevention; and to use literature on the concept of quaterna...
Article
Full-text available
Objective Redesigning of health care through patient engagement at policy levels has been declared as the 21st‐century solution to improving health outcomes of patients, enhancing patient safety, and reducing climbing health care costs. Despite these optimistic claims, conceptual clarity regarding patient engagement is lacking, thereby limiting the...
Article
Full-text available
Homelessness has negative implications for mental well-being and quality of life. This paper identifies the quality of life variables that contribute to positive or negative wellbeing, reporting on a regression analysis from 343 individuals experiencing homelessness in Canada. Results indicate that a lack of sleep duration and quality reduced menta...
Article
Full-text available
Institutionalization of people living with mental illness has evolved over the years, especially in the 19th and early 20th century. This has created overcrowdedness in various psychiatric institutions, specifically in low and-middle-income countries, including Ghana. The objective of this study is to use Bronfenbrenner’s Social-Ecological Model (1...
Chapter
Full-text available
Homelessness is often considered to be an outcome of individual behaviours and shortcomings, or individual conditions. However, research has demonstrated that there are several policy factors that are strong predictors of homelessness at state or national levels. In fact, policies from sectors as various as the justice system, health system, income...
Article
Full-text available
In February 2014, the Government of Canada under Stephen Harper introduced the 'Fair Elections Act'. This reform to the elections act removed provisions for access to voting for individuals lacking certain forms of identification. Noting that this would have a disproportionate impact on people experiencing homelessness, nursing advocates joined wit...
Article
Full-text available
Aim: The aim of this article is to clarify the concept of knowledge translation (KT) to close the gap that exists between research knowledge and actionable nursing practice. Background: KT addresses the research to practice gap that exists in healthcare. KT is often confused with other terms and needs to be defined further as a concept for clari...
Article
Full-text available
Family homelessness is a growing social challenge throughout the developed world. The purpose of this study was to understand the experiences of family homelessness in a mid-sized Canadian city and, particularly, the role that gender plays in these experiences with a primary focus on women. This project was a secondary analysis situated within a cr...
Article
Full-text available
AIM The aim of the study was to provide an in-depth analysis on the concept of debriefing for professional practice placements within baccalaureate nursing education. BACKGROUND When conducted properly, debriefing leads to positive outcomes on undergraduate nursing students' learning. However, if debriefing is conducted poorly, it can inhibit stude...
Article
Full-text available
The purpose of this study was to understand the subjective resettlement experiences of Syrian refugees to Canada. The Canadian government committed to accepting 25,000 Syrian refugees between November 2015 and February 2016. Since that time, increased pressure has been placed on settlement agencies to find suitable housing for these families in a s...
Article
Full-text available
Purpose The purpose of this paper is to report the findings of a scoping review on the health challenges of families experiencing homelessness. There is a bi-directional relationship between health and homelessness in that poor health can increase the risk of housing loss, and experiencing homelessness is bad for one’s health. The experience of hom...
Article
Full-text available
Introduction Rwanda healthcare insurance coverage aims to help Rwandans with access to healthcare. However, some individuals face difficulties with obtaining healthcare insurance. This paper provides a critical analysis of policy factors hindering the attainment of total coverage. Methods A critical policy analysis framework devised from discourse...
Article
Full-text available
Purpose People experiencing homelessness are high-users of hospital care in Canada. To better understand the scope of the issue, and how these patients are discharged from hospital, a national survey of key stakeholders was conducted in 2017. The paper aims to discuss this issue. Design/methodology/approach The Canadian Observatory on Homelessness...
Article
Full-text available
Opiate substitution therapy (OST) is an interdisciplinary treatment method for individuals experiencing opiate addictions. Municipalities internationally are working through a process of responding to both the need for OST clinics and community concerns around these clinics. The purpose of this quantitative descriptive study was to better understan...
Article
Full-text available
Background: People experiencing homelessness have some of the highest morbidity rates and lowest age of mortality in Canada yet face many barriers to care, in particular the attitudes of healthcare providers. Objectives: In this critical ethnographic study, power within client–provider relationships in health care with people experiencing homelessn...
Article
Full-text available
Background Arteriovenous fistulas (AVFs) are the preferred access for hemodialysis (HD) yet they are underutilized. Cannulation of the fistula is a procedure requiring significant skill development and refinement and if not done well can have negative consequences for patients. The nurses' approach, attitude and skill with cannulation impacts great...
Article
Full-text available
Aims and objectivesTo determine whether the perpetual novice phenomenon exists beyond nephrology nursing where it was first described.Background The perpetual novice is a state in which nurses are unable to progress from a novice to an expert in one or more essential clinical skills which are used in their practice area. Maintaining clinical compet...
Article
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Background Nurse educators are challenged to find suitable clinical placements which allow students to develop understanding of the intricacies of mental health care. This article describes an educational innovation using simulation to teach undergraduate nursing students about mental health challenges, from diagnosis to maintenance. Methods A ser...
Article
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Cannulation of the arteriovenous fistula (AVF) is an essential skill for hemodialysis (HD) nurses. With declining rates of AVFs, opportunities to develop expert cannulation skills have become limited. This study explored the concept of perpetual novice and AVF cannulation from the perspective of the novice cannulator. Nine hemodialysis nurses were...
Article
Full-text available
Homelessness is an experience of being displaced. Once removed from their personal places, homeless people are barred access to healthy places in which to be. Health clinics for people who are experiencing homelessness offer an opportunity to create health-promoting places. In this study, we explore how place is experienced within a community healt...
Article
Full-text available
ABSTRACT The hours of unpaid elder care by family members are projected to triple by 2038. Because living with dementia can inhibit decision-making abilities, family members are often besought to assist in this process. In this ethnographic study, relationships within home-based dementia care were critically examined through face-to-face interviews...
Article
OUDSHOORN A, WARD-GRIFFIN C, FORCHUK C, BERMAN H and POLAND B. Nursing Inquiry 2012 [Epub ahead of Print] Client-provider relationships in a community health clinic for people who are experiencing homelessness Recognizing the importance of health-promoting relationships in engaging people who are experiencing homelessness in care, most research on...
Article
Full-text available
While home care has received much attention lately, little research to date has drawn on the experiences of rural multidisciplinary teams providing in-home care. Home care is typically studied in urban areas, with the tendency to expand urban practices to rural settings, often with problematic results. This paper presents findings regarding unique...
Article
Full-text available
The multiple relationships involved in home-based end-of-life care have received little systematic analysis. As part of a focused ethnographic study examining client-caregiver-provider relational care experiences within the sociocultural context of home-based end-of-life care, this article describes the provision of end-of-life care to older adults...
Article
Full-text available
Providing palliative care in the home presents a variety of challenges for nurses and other care providers. As part of a focused ethnographic study examining client/caregiver/care-provider relationships within the socio-cultural context of home-based palliative care, this paper describes the provision of palliative care to Canadian seniors with adv...
Article
Full-text available
With the number of people living with dementia expected to more than double within the next 25 years, the demand for dementia home care services will increase. In this critical ethnographic study, we drew upon interview and participant data with persons with dementia, family caregivers, in-home providers, and case managers in nine dementia care net...
Article
To promote evidence-based refinement of quality health and social services delivery and care, decision makers, researchers, and practitioners often undertake intervention research. Intervention research tests and describes new strategies for achieving desired outcomes. But theoretical, methodological, and practical issues continue to plague even al...
Article
Full-text available
The native arteriovenous fistula (AVF) is the vascular access of choice for patients on chronic hemodialysis (HD) because of its longevity and lower complication rate. Yet from 2001 to 2004 in Canada, there has been a notable increase in both incident and prevalent central venous catheter (CVC) use with a corresponding decrease in AVF use over the...
Article
Full-text available
Across practice settings, most nursing care is provided to older adults. Yet most nurses receive limited education to care for older adults, especially those with complex needs. A Knowledge Exchange Institute for Geriatric Nursing Education brought together 31 Canadian nursing faculty members and nursing doctoral students and provided them with too...
Article
Full-text available
In order to gain an understanding of double duty caregiving (DDC), defined here as the provision of care to elderly relatives by practising health professionals, a DDC scale has been developed. This study tests the psychometric properties of the scale. Survey data were collected from a random sample of 187 female registered nurses who were employed...
Article
Full-text available
In order to gain an understanding of double duty caregiving (DDC), defined here as the provision of care to elderly relatives by practising health professionals, a DDC scale has been developed. This study tests the psychometric properties of the scale. Survey data were collected from a random sample of 187 female registered nurses who were employed...
Article
Full-text available
Palliative care involves dynamic relationships among clients, their families, and professionals, all with unique perceptions and approaches to the sociocultural construction of end-of-life care. In the home care context, this subculture may be particularly complex, because clients relate more readily as people than as patients, and professionals ar...
Article
Full-text available
This study piloted a knowledge translation (KT) intervention promoting evidence-based home care through social interaction. A total of 33 providers organized into 5 heterogeneous, geographically defined action groups participated in 5 researcher-facilitated meetings based on the participatory action model. The KT evidence reflects an empowering par...
Article
Full-text available
This study piloted a knowledge translation (KT) intervention promoting evidence-based home care through social interaction. A total of 33 providers organized into 5 heterogeneous, geographically defined action groups participated in 5 researcher-facilitated meetings based on the participatory action model. The KT evidence reflects an empowering par...
Article
To elicit an in-depth understanding of the sources of power and how power is exercised within client-nurse relationships in home-based palliative care. As in all social relations, power is present within client-nurse relationships. Although much research has focused on interpersonal relationships in nursing, the concept of power within the client-n...
Article
Full-text available
Evidence suggests that intergenerational caregiving between mothers and daughters will become increasingly common, and yet, we know very little about the specific relationships between adult daughters and their mothers with dementia. Guided by socialist-feminist theory and a life-course perspective, 15 mother-adult daughter dyads participated in tw...
Article
Full-text available
The caregiving experience within Alzheimer disease is fairly well documented. However, little research has been conducted from the perspective of the person living with dementia. The purpose of this study, part of a larger qualitative investigation of mother-daughter relationships within the care process of dementia, was to elicit the perceptions a...
Article
Full-text available
Le vécu inhérent à la prestation des soins aux personnes atteintes d'Alzheimer est relativement bien documenté. Toutefois, peu de recherches ont été réalisées du point de vue de la personne souffrant de démence. L'objectif de cette étude, qui s'inscrit dans une recherche qualitative sur les relations mères-filles en contexte de démence, notamment s...
Article
Full-text available
Two key concepts in health promotion within the nurse-client relationship are power and empowerment. Theorists and researchers have not achieved consensus on how they are to be defined and addressed. However, both power and empowerment are recognized to occur at macro and micro levels, and as such need to be addressed at each level. Using a critica...
Article
Full-text available
Evidence suggests that intergenerational caregiving between mothers and daughters will become increasingly common, and yet, we know very little about the specific relationships between adult daughters and their mothers with dementia. Guided by socialist-feminist theory and a life-course perspective, 15 mother-adult daughter dyads participated in tw...

Questions

Question (1)
Question
We are doing a rapid review of how municipalities are supporting (or not) those experiencing homelessness during the pandemic. Is there any good pre-print articles related to municipal responses to date?

Projects

Project (1)
Project
Mental health and substance use challenges are prevalent among those living in social housing. This project seeks to uncover the strengths and challenges faced by tenants and social housing providers, and to identify solutions for improving both the social housing environment and supports available to this vulnerable group to more effectively address the health and social challenges they face.