Greta G Cummings

Greta G Cummings
University of Alberta | UAlberta · Faculty of Nursing

PhD RN FCAHS FAAN FCAN

About

309
Publications
198,732
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12,864
Citations
Additional affiliations
July 2017 - June 2022
University of Alberta
Position
  • Head of Faculty

Publications

Publications (309)
Article
Nurses represent the highest proportion of healthcare workers globally and have played a vital role during the COVID-19 pandemic. The pandemic has shed light on multiple vulnerabilities that have impacted the nursing workforce including critical levels of staffing shortages in Canada. A review sponsored by the Royal Society of Canada investigated t...
Article
Background and objectives: Older adults (≥65 years) are living longer with complex health needs and wish to remain at home as their care needs change. We aimed to determine which factors influence older persons' transitions from home living to facility-based care (FBC) settings such as long-term care facilities or assisted living. Research design...
Article
Objective: This paper aims to spur thought-provoking practical debates on current nurse workforce staffing and scheduling systems in relation to a critical review of Ang and colleagues' (2018) article entitled "Nurse workforce scheduling in the emergency department: A sequential decision support system considering multiple objectives."Design: Discu...
Article
Background and objectives: Frailty has been investigated for decades with a proliferation of frailty instruments attributed to many existing conceptual models and operational criteria. The purpose of this systematic review was to understand how instruments were developed to assess frailty in community dwelling older adults. Research design and me...
Article
Full-text available
Aim To explore how an ecological approach be used to explore relationships among workplace empowerment, authentic leadership, trust in management, areas of work life and co‐worker incivility experiences of new graduate nurses. Design Key concepts related to new graduate nurses' incivility experience informed the research question building on the f...
Article
Background: Long-term care (LTC) residents frequently experience transitions in the location of more advanced care delivery, including receiving emergency department (ED) care. In this proof-of-concept study, we aimed to determine if we could identify measures in quality of care across transitions from LTC to the ED, via emergency medical services...
Article
Full-text available
In the Dutch nursing context, work remains in strengthening the voice of nurses serving as frontline health care providers and board members alike. Conceptual clarity of Public Opinion Leadership (POL) in nursing practice is needed to provide attributes, antecedents and consequences for nurses and nurse leaders so they can contribute in the public...
Article
Full-text available
Policy advocacy is a fundamental component of nursing's social mandate. While it has become a core function of nursing organizations across the globe, the discourse around advocacy has focused largely on the responsibilities and accountabilities of individual nurses, with little attention to the policy advocacy work undertaken by nursing organizati...
Conference Paper
Background: At the moment, it is unknown where optimal safe nurse staffing levels are located. Park's Optimized Nurse Staffing (Sweet Spot) Estimation Theory may help pinpoint the optimal safe staffing levels to maximize quality of care outcomes relative to cost in home health nursing. However, theory testing is necessary to verify testability and...
Conference Paper
Full-text available
Objective: This paper aims to spur thought-provoking practical debates on current nurse workforce staffing and scheduling systems in relation to a critical review of Ang and colleagues' (2018) article entitled “Nurse workforce scheduling in the emergency department: A sequential decision support system considering multiple objectives.” Design: Disc...
Preprint
Full-text available
OBJECTIVES: Long term care (LTC) facilities are essential in the provision of daily care needs for older adults experiencing frailty. In times of acute medical distress, LTC residents may require transfer to emergency departments (ED). However, many transfers from the LTC to ED may not be required and residents could instead be treated within LTC u...
Article
Objective To identify the barriers and strategies perceived by orthodontists when obtaining consent from their adult patients concerning patients’ comprehension or recollection of treatment information. Settings and Sample Population The sample comprised 12 orthodontists working in 8 different cities in Alberta, Canada. Methods An exploratory inve...
Article
A better way to care for Long Term Care residents (LTC) in times of medical urgency: improving acute care for LTC residents. Leanna Wyer, Shawna Reid, Abraham Munene, Eddy Lang, Vivian Ewa, Heather Hair, Greta Cummings, Patrick McLane, Eldon Spackman, Peter Faris, Dominic Alaazi, Marian George, Jayna Holroyd-Leduc Background: Many LTC residents are...
Article
The objective of this study is to determine the association between biases related to attrition, missing data, and the use of intention to treat (ITT) and changes in effect size estimates in Physical Therapy (PT) randomized trials. A meta-epidemiological study was conducted. A random sample of RCTs included in meta-analyses in the PT discipline wer...
Article
Introduction Health care aides (personal support workers and nursing assistants) provide ~80%–90% of direct care to residents in nursing homes; it is therefore important to understand whether supervision of health care aides affects quality of care. We sought to determine whether health care aide reporting practices are associated with resident out...
Article
Objectives People are living longer with complex health needs and wish to remain in their homes as their care needs change. We examined which client factors (sociodemographic, health service use, health, and function) influenced older persons’ (≥65 years) time to transition from home living to assisted living (AL) or long-term care (LTC) facilities...
Article
We identified quality indicators (QIs) for care during transitions of older persons (≥ 65 years of age). Through systematic literature review, we catalogued QIs related to older persons’ transitions in care among continuing care settings and between continuing care and acute care settings and back. Through two Delphi survey rounds, experts ranked r...
Article
Transitions for older persons from long-term care (LTC) to the emergency department (ED) and back, can result in adverse events. Effective communication among care settings is required to ensure continuity of care. We implemented a standardized form for improving consistency of documentation during LTC to ED transitions of residents 65 years of age...
Article
Full-text available
Aims To describe strategies nursing leaders use to promote evidence‐based practice implementation at point‐of‐care using data from health systems in Australia, Canada, England and Sweden. Design A descriptive, exploratory case‐study design based on individual interviews using deductive and inductive thematic analysis and interpretation. Methods F...
Article
Background In this meta-epidemiological study, we aimed to examine associations between treatment effect size estimates and sponsorship bias in oral health randomized clinical trials. Methods We selected oral health related meta-analyses that included a minimum of five randomized controlled trials. We extracted data, in duplicate, related to influ...
Article
Background Front-line nurse managers provide direct oversight of healthcare delivery to ensure organizational expectations are enacted to achieve optimal patient and staff outcomes. Ensuring the job satisfaction of front-line nurse managers is key to retaining these individuals in their integral roles. Understanding factors influencing job satisfac...
Article
Background Nursing leadership plays a vital role in shaping outcomes for healthcare organizations, personnel and patients. With much of the leadership workforce set to retire in the near future, identifying factors that positively contribute to the development of leadership in nurses is of utmost importance. Objectives To identify determining fact...
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Residents of long-term care (LTC) whose deaths are imminent are likely to trigger a transfer to the emergency department (ED), which may not be appropriate. Using data from an observational study, we employed structural equation modeling to examine relationships among organizational and resident variables and death during transitions between LTC an...
Article
Full-text available
Objective: To investigate relationships among flexible and hierarchical organizational cultures, quality improvement domains, and authentic leadership competencies in Canadian healthcare facilities. Method: Observational cross-sectional study conducted in Alberta, Canada. Nurse managers (n=226) completed a survey including validated measures of or...
Article
Full-text available
Background: Effective communication among interdisciplinary healthcare teams is essential for quality healthcare, especially in nursing homes (NHs). Care aides provide most direct care in NHs, yet are rarely included in formal communications about resident care (e.g., change of shift reports, family conferences). Audit and feedback is a potentiall...
Article
Aim: To identify predictors of toxic leadership behaviour in nurse managers. Background: Toxic leadership is becoming increasingly prevalent in nursing; however, the literature provides very limited evidence of the different factors that promote toxic leadership behaviour in nurse managers. Methods: A descriptive, cross-sectional design was used....
Article
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Purpose: To analyze the leadership network structure among nursing leaders in Spain identified through the Grupo40Enfermeras y Universidad event. Methods: A descriptive cross-sectional study using social network analysis was used. Study sample consisted of 210 individuals, of whom 119 received nominations as referents. Structural analysis of the ne...
Article
Background The concept of prefrailty lacks clarity. Often, prefrailty is defined in relation to frailty and less often as a distinct concept. Theoretical evidence for prefrailty is minimal unlike frailty, which has been examined for decades although consensus about how to measure frailty has not been achieved. Objective The aim of this study was t...
Article
Full-text available
Aim: This paper describes the development and testing of the psychometric property of the Toxic Leadership Behaviors of Nurse Managers Scale (ToxBH-NM). Background: Toxic leadership is growing increasingly pervasive in the field of nursing. However, the current literature lacks comprehensive attempts to explain how toxic leadership disrupts work...
Article
Background: Sponsorship bias could affect research results to inform decision makers when using the results of these trials. The extent to which sponsorship bias affect results in the field of physical therapy has been unexplored in the literature. Therefore, the main aim of this study was to evaluate the influence of sponsorship bias on the treat...
Preprint
Full-text available
Background Effective communication among interdisciplinary healthcare teams is essential for quality healthcare, especially in nursing homes (NHs). Care aides provide most direct care in NHs, yet are rarely included in formal communications about resident care (e.g., change of shift reports, family conferences). Audit and feedback is a potentially...
Preprint
Full-text available
Background: Effective communication among interdisciplinary healthcare teams is essential for quality healthcare, especially in nursing homes (NHs). Care aides provide most direct care in NHs, yet are rarely included in formal communications about resident care (e.g., change of shift reports, family conferences). Audit and feedback is a potentially...
Chapter
Kislov and colleagues draw on multiple qualitative case studies of evidence-based nursing conducted in Sweden, Canada, Australia and the UK to describe the chain of codified knowledge which reflects the institutionalisation of evidence-based practice as organisational “business as usual”. This chain is dominated by performance standards, policies a...
Article
Full-text available
Emergency transfers of seniors in long-term care facilities (LTCF) aged >65 to hospital emergency departments (ED) are common and carry with them risks that can lead to less-than-optimal quality of care and quality of life. Pressure ulcers are one such risk. We used data from the Older Persons Transitions in Care (OPTIC; N=637) study, conducted in...
Article
Full-text available
Studies examining risk of death during acute care transitions have highlighted potential predictors of death during transition. However, they have not closely examined the relationships and directional effects of organizational context, care processes, resident demographics and health conditions on death during transition. By employing structural e...
Article
A population's health is dependent on the availability of skilled health professionals. We know little about retirement decision-making among publicly employed Canadian registered nurses (RNs) and allied health professionals (AHPs). We identified and compared factors reported to influence early versus 65+ retirement decisions among RNs (n = 794) an...
Conference Paper
NTRODUCTION: Availability of health professionals is fundamental to a population’s health. Despite shortages, we know little about retirement decision-making among publicly-employed, Canadian Registered Nurses (RNs) and allied health professionals (AHPs). Limited data on RN/AHP “supply” inhibits the effectiveness of health workforce planning. OBJEC...
Article
Aim: To identify demographic-, individual-, and organizational-level predictors of job satisfaction among managers in residential long-term care (LTC) facilities. Background: Job satisfaction predicts turnover among managers in LTC settings. However, factors affecting job satisfaction among LTC facility managers remain poorly understood. Method...
Article
Full-text available
Background: Early retirement (before age 65) is the norm among registered nurses (RNs) and allied health professionals (AHPs) employed in Canada's public system. As a country whose population is rapidly aging, it is in Canada's best interest to try and extend the work lives of RNs and AHPs. Objectives: (1) To test the predictive validity of our...
Article
A Profile of Regulated Nurses Employed in Canadian Long-Term Care Facilities—CORRIGENDUM - Volume 38 Issue 2 - Janet E. Squires, Jennifer Baumbusch, Melissa Demery Varin, Ibo MacDonald, Stephanie Chamberlain, Anne-Marie Boström, Genevieve Thompson, Greta Cummings, Carole A. Estabrooks
Article
Aim To evaluate effectiveness of specific policy and practice changes to the process of registration for internationally educated nurses. Background Little research exists to inform registration policy for internationally educated health professionals. Introduction Internationally educated nurse employment can help address nursing shortages. Regu...
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Full-text available
Drawing on multiple qualitative case studies of evidence‐based health care conducted in Sweden, Canada, Australia, and the United Kingdom, the authors systematically explore the composition, circulation, and role of codified knowledge deployed in the organizational enactment of evidence‐based practice. The article describes the “chain of codified k...
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RÉSUMÉ Le personnel infirmier autorisé (PIA) et les infirmiers auxiliaires (I aux ) fournissent le volet spécialisé des soins infirmiers dans les centres de soins de longue durée au Canada. Cependant, peu d’études se sont penchées sur cette main-d’œuvre importante. Une enquête a été réalisée chez 309 PIS et 448 I aux provenant de 91 centres pour pe...
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Aim To examine predictors of Canadian new graduate nurses’ health outcomes over 1 year. Design A time‐lagged mail survey was conducted. Method New graduate nurses across Canada (N = 406) responded to a mail survey at two time points: November 2012–March 2013 (Time 1) and May–July 2014 (Time 2). Multiple linear regression (mental and overall healt...
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Full-text available
Stigma is commonly experienced by people living with HIV/AIDS and by those providing care to HIV/AIDS patients. Few intervention studies have explored the impact of workplace policies and/or quality improvement on stigma. We examine the contribution of health care workplace policies, procedures and quality assurance initiatives, and self- and peer-...
Article
Objective: For long-term care (LTC) residents, transfers to emergency departments (EDs) can be associated with poor health outcomes. We aimed to describe characteristics of residents transferred, factors related to decisions during transfer, care received in emergency medical services (EMS), ED settings, outcomes on return to LTC, and times of tra...
Article
Background The approach and style of leaders is known to be an important factor influencing the translation of research evidence into nursing practice. However, questions remain as to what types of roles are most effective and the specific mechanisms through which influence is achieved. Objectives The aim of the study was to enhance understanding...
Article
Full-text available
RÉSUMÉ Les aides-soignants non réglementés fournissent la majorité des soins directs dans les résidences pour personnes âgées. Nos travaux précédents ont rapporté un premier profil démographique des aides-soignants de l’ouest du Canada par le programme de recherche Translating Research in Elder Care (TREC; 2007-2022) visant les services de santé ap...
Article
The roles and responsibilities of oncology nurses have rapidly transformed over the past century from general nurses providing bedside comfort care with few technological advances to advanced practice oncology nurses responsible for everything from performing invasive procedures to diagnostic interpretation and screening for cancer prevention. As c...
Article
Full-text available
Aim To explore the organisational antecedents related to horizontal violence among nurses and the extent to which policy initiatives reduce its incidence. Background Organisational re‐engineering initiatives affect registered nurse roles, adding complexity to organisational antecedents related to horizontal violence and policy. No previous systema...
Article
Purpose The purpose of this paper is to examine relationships between internationally educated nurses’ (IENs’) performance in a registered nurse competency assessment process and the outcomes of their nursing registration applications. Assessments of nursing practice competencies, IEN applicant characteristics and registration outcomes were explore...
Conference Paper
Background: Early retirement (before age 65) is the norm among Registered Nurses (RNs) and allied health professionals (AHPs) employed in Canada’s public health system. As a country whose population is rapidly aging, it is in Canada’s best interest to try and extend the work lives of RNs and AHPs. Objectives: To test a previously validated model of...
Article
Background: Scholarship cites health care managers (HCMs) as not using research evidence in their management practice. The purpose of this review was to evaluate the effectiveness of interventions to enhance HCMs use of research evidence in practice. Methods: We carried out a systematic review and focus groups to validate the review findings. We...
Article
RESUMÉ La disponibilité des professionnels de la santé est fondamentale pour la santé de la population. Plusieurs tendances contribuent cependant à la pénurie de ces professionnels. Objet : Élaborer et valider des modèles conceptuels de retraite hâtive et de retraite involontaire pour les infirmières et les professionnels paramédicaux (PP). Méthode...
Article
Most transfers of long-term care (LTC) facility residents to the emergency department (ED) via 911 calls are necessary. Avoidable transfers can have adverse effects including increased confusion and dehydration. Around 20% of transfers are perceived to be avoidable or unnecessary, yet decision making around transfers is complex and poorly understoo...
Conference Paper
Objectives It is usually taken for granted that ‘the best available evidence’ is represented by the findings of rigorous scientific research which, in turn, directly inform the development of recommendations for practice in the form of clinical guidelines. We challenge this assumption and examine the role played in the enactment of evidence-based h...
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Full-text available
Background: Recent methodologic evidence suggests that lack of blinding in randomized trials can result in under- or overestimation of the treatment effect size. The objective of this study is to quantify the extent of bias associated with blinding in randomized controlled trials of oral health interventions. Methods: We selected all oral health...
Article
Aims To present a discussion and model depicting most effecting work life experience contextual factors that influence commitment and turnover intentions for nurses in Sri Lanka. Background Increasing demand for nurses has made the retention of experienced, qualified nursing staff a priority for health care organizations and highlights the need to...
Article
Background: Leadership is critical in building quality work environments, implementing new models of care, and bringing health and wellbeing to a strained nursing workforce. However, the nature of leadership style, how leadership should be enacted, and its associated outcomes requires further research and understanding. We aimed to examine the rel...
Article
Background: Leaders are essential in every organization to achieve patient safety and healthy work environments. Authentic leadership is a relational leadership style purported to promote healthy work environments that influence staff performance and organizational outcomes. Given recent growth in authentic leadership research in healthcare and th...
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This study aimed to identify the impact of hospital accreditation programs from the nurses' perspective. This quantitative, descriptive, exploratory study was performed in a private general hospital. This institution is accredited with Excellence (Level III, the highest) by the Brazilian National Accreditation Organization. Data collection was cond...