
Helen BrownUniversity of British Columbia | UBC · School of Nursing
Helen Brown
PhD Nursing
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56
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Publications (56)
In this paper, we engage in philosophical inquiry to consider the relevance of Indigenous Knowledges (IKs) for reimagining dementia care for individuals living with dementia. We outline the limitations of philosophical perspectives aligned with Eurocentric academic knowledge, arguing that such knowledge relies on an individualistic view of self and...
Critically-oriented health research often engages participants whose lives are shaped by structural inequities and structural violence. As scholars who engage in critical theoretical, praxis-oriented research, including research with social justice and decolonizing aims, we are cognizant of the histories of exploitation and structural violence ofte...
Background
Burn injuries are a significant public health concern, closely linked to housing conditions and socioeconomic status. Residents in socioeconomically deprived neighbourhoods are at increased risk of exposure to hazards due to older and poorer housing conditions and limited access to fire protection measures. Individual behaviours such as...
This paper explores temporalities and experiences of time drawn from an analysis of interview data from a critical narrative inquiry of the experiences of young adults living with home mechanical ventilation (HMV). The analysis centers the ideological effects of dominant discourses that shape understandings of time in the Euro-Western world and the...
Background
There is a growing body of evidence demonstrating the effectiveness of peer-led services in supporting community reintegration for people released from prison. This study aims to document the guiding principle of a peer-led service for people released from prison, from the perspective of peer mentors.
Methods
Data were collected using f...
Child-led tours alongside intersectional feminist theory and child standpoint theory provide promising methodological insights regarding meaningful engagement and research approaches with young children that can inform intersectoral pediatric healthcare practice and policy. However, research has paid little attention to the dynamics between childre...
Purpose
This study aimed to explore the challenges of access to treatment and quality of life in female cancer survivors living in rural areas of Iran within the global pandemic context (COVID-19).
Methods
We conducted a qualitative exploratory study where we recruited nine female-identifying individuals diagnosed with cancer, 23 family members, a...
Canadian Schools of Nursing rest upon white, colonial legacies that have shaped and defined what is valued as nursing knowledge and pedagogy. The diversity that exists in clinical nursing and is emerging within the graduate student population is not currently reflected within nursing faculty and academic leadership. Black, Indigenous, and People of...
[Note: This article is open access through Nursing Inquiry's website and can be accessed through the DOI link in the article information above] ...
ABSTRACT: A goal of living as well as possible is central to practice and research with young adults living with home mechanical ventilation (HMV). Significant effort has been put into conceptualizing...
Background: There is a growing body of evidence demonstrating the effectiveness of peer-led services in supporting community reintegration for people released from prison. This study aims to describe the guiding principles that Unlocking the Gates Services Society (UTGSS) (a not-for profit organization) staff practice in the provision of peer-led s...
The Mental Health Act (1996) is legislation that directs voluntary and involuntary psychiatric treatment for people experiencing mental health issues in British Columbia (BC), Canada. This critical discursive analysis explores how BC’s Mental Health Act (1996) and the Guide to the Mental Health Act (2005) structure involuntary psychiatric treatment...
In this article, we share findings from a community-based Participatory Action Research project, titled Sanala, which means to be whole in Kwak’wala—the language of the Kwakwaka’wakw (Kwak̓wala-speaking people; a First Nation from what is now called Canada). In response to community priorities, the Sanala team initiated regalia as a weekly programm...
In Canada, the Eurocentric epistemological foundations of knowledge translation (KT) approaches and practices have been significantly influenced by the Canadian Institutes of Health Research (CIHR) KT definition. More recently, integrated knowledge translation (IKT) has emerged in part as epistemic resistance to Eurocentric discourse to critically...
This qualitative study aimed to explore Iranian women's life stories living with compulsive sexual behaviour. Data were collected between 2014 and 2016 in two cities. Forty‐four semi‐structured interviews were conducted by using theoretical sampling and constant comparative analysis. Four thematic categories were constructed from the data, includin...
The Canadian carceral system is purposefully designed to disconnect and isolate people. Ongoing colonialism in Canada at the intersection of carceral, social service, health and child welfare systems has resulted in the disproportionate and unjust representation of Indigenous Peoples across each stage of the penal process. Given the ongoing silenci...
Background:
The advent of direct-acting antiviral (DAA) medications has facilitated opportunities to treat hepatitis C virus (HCV) among people who inject drugs (PWID). However, there remains a need for data about how to optimally support PWID throughout DAA post-treatment trajectories, including with regard to re-infection prevention. The objecti...
Background
The advent of highly tolerable and efficacious direct-acting antiviral (DAA) medications has transformed the hepatitis C virus (HCV) treatment landscape. Yet, people who inject drugs (PWID) – a population with inequitably high rates of HCV and who face significant socio-structural barriers to healthcare access – continue to have dispropo...
Background: The advent of highly tolerable and efficacious direct-acting antiviral (DAA) medications has transformed the hepatitis C virus (HCV) treatment landscape. Yet, people who inject drugs (PWID) – a population with inequitably high rates of HCV and who face significant socio-structural barriers to healthcare access – continue to have disprop...
Background: The advent of highly tolerable and efficacious direct-acting antiviral (DAA) medications has transformed the hepatitis C virus (HCV) treatment landscape. Yet, people who inject drugs (PWID) – a population with inequitably high rates of HCV and who face significant socio-structural barriers to healthcare access – continue to have disprop...
This mixed methods study examined the impact of a prison–community partnership, entitled Work 2 Give. The partnership supports a program in which federally incarcerated men in Canada make items to donate to Indigenous communities. Qualitative interviews were conducted with participating men (n = 32), recipient community members (n = 29), and other...
The birth of preterm multiple new-borns, especially triplets or more, creates numerous psychological and clinical challenges for parents during the neonatal and infancy period. This study investigated parents’ experiences of parenting preterm multiple-birth new-borns. A qualitative study was undertaken using an interpretive phenomenology study meth...
Background: Healthcare transition has been established as a significant topic of interest in pediatric rehabilitation. Healthcare transition research has primarily focused on barriers to self-management and achievement of a productive adulthood. Healthcare transition experts have recently called for further attention to social structural factors. T...
Aims and objectives:
The purpose of this study was to explore how undergraduate students perceive and make decisions regarding mental health nursing as a career following completion of an inpatient mental health practicum.
Background:
Among nursing students, mental health is consistently perceived as the least desirable nursing career path. Howe...
Many Indigenous communities in Canada experience disproportionate rates of food insecurity and diet-related diseases impacted by historic and ongoing colonialism. Barriers to health and wellbeing associated with ongoing colonial processes also have resulted in inequities for Indigenous peoples within the criminal justice system. A prison garden pro...
Purpose:
The purpose of this study was to investigate physicians' and nurses' perspectives on the challenges of implementing the FCC in the neonatal intensive care unit.
Design and method:
The study employed a qualitative design to conduct five focus groups with 25 nurses and 15 physicians (n = 40). All of the nurse participants identified as fe...
Indigenous communities in Canada have and continue to face racism, socio-economic marginalization, and inequitable treatment across health, social and criminal justice systems. This has resulted in unjust and disproportionate rates of incarceration. In this context a prison initiative in British Columbia, Canada, provides Indigenous men with opport...
Correctional agriculture and gardening have become more popular in recent years, and evidence points to physical, social and mental health benefits, as well as impacts on inmate rehabilitation and recidivism. Many correctional agriculture programs focus on the benefits of growing fruits and vegetables, using resulting produce to offset institutiona...
Objective:
The aim of this study was to compare the incidence of different criteria of maternal near miss in women admitted to an obstetric intensive care unit and their sensitivity and specificity in identifying cases that have evolved to morbidity.
Method:
A cross-sectional analytical epidemiological study was conducted with women admitted to th...
Mental health challenges are a leading health issue, and while nurses should be well positioned to provide care to this client population, nurses are not adequately prepared for this role during their education. This qualitative narrative inquiry explored nursing students' (N = 15) experiences within their mental health practicums. Analyzed through...
Moral distress is a well-recognized and ubiquitous aspect of health care professional practice in the neonatal intensive care unit (NICU) context. We used interpretive description methodology to guide a critical exploration of the dynamics of moral distress experience as reflected in the accounts of 28 health care professionals working in this sett...
Objective
to analyze the scientific evidence about the factors influencing maternal near miss cases and possible guidelines for reducing maternal morbidity and mortality.
Methods
integrative review with 2895 articles found and 17 selected articles.
Results
the factors influencing the near miss cases were: delays in obstetric care; unprepared heal...
Despite numerous studies on formal interprofessional education programes, less attention has been focused on informal interprofessional learning opportunities. To provide such an opportunity, a collaborative peer review process (CPRP) was created as part of a peer-reviewed journal. Replacing the traditional peer review process wherein two or more r...
HIV rates continue to increase among heterosexual couples in many countries including Uganda. This article examines approaches to antenatal care and heterosexual partners' HIV testing in Amuru subcounty, northern Uganda, drawing on findings derived from fieldwork and interviews. The study findings reveal how institutional structures influence the u...
The provision of gifts to new mothers in Uganda is laden with significance that varies by the social location of the giver and receiver and the context and conditions under which the gift is made available. Here, we examine the act of gift giving and receiving within a Ugandan maternity care setting, describing the connections between these materia...
Background:
Depression is the leading cause of disability for childbearing women. We examined three specific research questions among Punjabi-speaking women residing in the Fraser Health Authority: 1) What are the prevalence rates of prenatal depressive symptoms? 2) Do Punjabi-speaking women have a higher likelihood of reporting depressive symptom...
Providing rehabilitation services to address the health needs of rural residents requires overcoming the challenges of geography, limited referral options and a shortage of occupational therapists (OTs) and physical therapists (PTs). However, little is known about how rehabilitation professionals in rural areas enact their practice to meet and over...
Clinical learning is an essential component of becoming a nurse. However at times, students report experiencing challenging clinical learning environments (CCLE), raising questions regarding the nature of a challenging clinical learning environment, its impact on students' learning and how students might respond within a CCLE. Using an Interpretive...
Background
Despite clear evidence regarding how social determinants of health and structural inequities shape health, Aboriginal women’s birth outcomes are not adequately understood as arising from the historical, economic and social circumstances of their lives. The purpose of this study was to understand rural Aboriginal women’s experiences of ma...
For contemporary Indigenous people, colonial relations (past and present) intersect with neoliberal policies and practices to create subtle forms of dispossession.These undermine the health of Indigenous peoples and create barriers restricting access to appropriate health services. Integrating insights from the critical geographer David Harvey, the...
L'entrecroisement des relations coloniales (passées et actuelles) et des politiques et pratiques néolibérales créent des formes subtiles de dépossession qui nuisent à la santé des Autochtones d'aujourd'hui et limitent leur accès à des services de santé appropriés. S'appuyant sur des idées du géographe critique David Harvey, les auteures montrent co...
In Indigenous Methodologies Margaret Kovach invites the reader to join her in a thoughtful and critical exploration of the place of Indigenous inquiry within contemporary academic contexts. Orienting the reader to praxis and social justice in the opening chapter, she outlines the need for research that honours Indigenous knowledge systems and their...
It has been established that the birthing experiences and outcomes of rural women are shaped by poverty, isolation, limited economic opportunities, and diminishing maternity services. We lack research into how these dynamics are compounded by intersecting forms of oppression faced by Aboriginal women, to impact on their birthing experiences and out...
It has been established that the birthing experiences and outcomes of rural women are shaped by poverty, isolation, limited economic opportunities, and diminishing maternity services. We lack research into how these dynamics are compounded by intersecting forms of oppression faced by Aboriginal women, to impact on their birthing experiences and out...
An ontological focus has been embedded within nursing education since its inception. There has been a strong emphasis on teaching students to become safe, competent nurses by translating knowledge into clinical action. But how would nursing education shift if we were to more intentionally orient the educative process ontologically and explicitly pu...
This paper reports the results of a qualitative study of nurses' ethical decision-making. Focus groups of nurses in diverse practice contexts were used as a means to explore the meaning of ethics and the enactment of ethical practice. The findings centre on the metaphor ofa moral horizon--the horizon representing "the good" towards which the nurses...
This paper reports the results of a qualitative study of nurses' ethical decision-making. Focus groups of nurses in diverse practice contexts were used as a means to explore the meaning of ethics and the enactment of ethical practice. The findings centre on the metaphor of a moral horizon — the horizon representing "the good" towards which the nurs...
The limitations of rational models of ethical decision making and the importance of nurses’ human involvement as moral agents is increasingly being emphasized in the nursing literature. However, little is known about how nurses involve themselves in ethical decision making and action or about educational processes that support such practice. A rece...
While contemporary ethical theory is of tremendous value to nursing, the extent to which such theory has been informed by the concerns and practices of nurses has been limited.
With a view to complementing extant ethical theory, a study was undertaken to explore, from the perspective of nurses, the meaning of ethics and the enactment of ethical pra...
In this paper we describe a research project in nursing ethics aimed at exploring the meaning of ethics for nurses providing direct care with clients. This was a practice-based project in which participants who were staff nurses, nurses in advanced practice, and students in nursing were asked to tell us (or describe to us) how they thought about et...