Jennifer Knopp-Sihota

Jennifer Knopp-Sihota
Athabasca University · Faculty of Health Disciplines

PhD

About

48
Publications
7,147
Reads
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1,074
Citations
Additional affiliations
July 2013 - present
University of Alberta
Position
  • Research Assistant
August 2007 - present
Athabasca University
Position
  • Professor (Assistant)
Education
January 2007 - June 2012
University of Alberta
Field of study
  • Nursing, epidemiology

Publications

Publications (48)
Article
Full-text available
Objectives Pain is common in long-term care residents. We examined the effectiveness of interventions involving healthcare aides that aim to manage pain for these residents. Design A systematic review which follows PRISMA reporting guidelines. Setting and Participants We examined controlled trials and intervention studies that included long-term...
Preprint
Full-text available
Background: The increased complexity of residents and increased needs for care in long term care (LTC) have not been met with increased staffing. There remains a need to improve the quality of care. Care aides, providers of the bulk of direct care, are well placed to contribute to quality improvement efforts but are often excluded from so doing. Th...
Article
Full-text available
Background Complex interventions are increasingly applied to healthcare problems. Understanding of post-implementation sustainment, sustainability, and spread of interventions is limited. We examine these phenomena for a complex quality improvement initiative led by care aides in 7 care homes (long-term care homes) in Manitoba, Canada. We report on...
Article
Full-text available
Objectives Pain, a complex subjective experience, is common in care home residents. Despite advances in pain management, optimal pain control remains a challenge. In this updated systematic review, we examined effectiveness of interventions for treating chronic pain in care home residents. Design A Cochrane-style systematic review and meta-analysi...
Article
Full-text available
Background Nursing home residents require daily support. While care aides provide most of this support they are rarely empowered to lead quality improvement (QI) initiatives. Researchers have shown that care aide-led teams can successfully participate in a QI intervention called Safer Care for Older Persons in Residential Care Environments (SCOPE)....
Preprint
Full-text available
Background: Nursing home residents require daily support. While care aides provide most of this support they are rarely empowered to lead quality improvement (QI) initiatives. A previous proof of principle study, called Safer Care for Older Persons in Residential Care Environments (SCOPE), demonstrated that care aide-led teams can successfully part...
Article
Full-text available
In Canadian and many international long-term care (LTC) facilities, pain assessment frequently relies on data from the Resident Assessment Instrument – Minimum Data Set 2.0 (RAI-MDS). The RAI-MDS produces a two-item scale, measuring both pain frequency and pain intensity. This scale correlates well with self-reported pain in cognitively intact LTC...
Article
Full-text available
Background: Implementation scientists and practitioners, alike, recognize the importance of sustaining practice change, however post-implementation studies of interventions are rare. This is a protocol for the Sustainment, Sustainability and Spread Study (SSaSSy). The purpose of this study is to contribute to knowledge on the sustainment (sustaine...
Article
Full-text available
Background: The main objective is to better understand the prevalence of depressive symptoms, in long-term care (LTC) residents with or without cognitive impairment across Western Canada. Secondary objectives are to examine comorbidities and other factors associated with of depressive symptoms, and treatments used in LTC. Methods: 11,445 residen...
Article
Full-text available
In Canadian and many international long-term care (LTC) facilities, pain assessment frequently relies on data from the Resident Assessment Instrument – Minimum Data Set 2.0 (RAI-MDS). The RAI-MDS produces a two-item scale, measuring both pain frequency and pain intensity. This scale correlates well with self-reported pain in cognitively intact LTC...
Article
Objectives: The burden of pain in nursing home residents is substantial; unfortunately, many times it goes undiagnosed and is inadequately treated. To improve identification of pain in this population, we aimed to review and synthesize findings from qualitative studies that report primary barriers and facilitators to pain assessment in nursing home...
Article
Objectives: To assess (1) temporal changes (2008-2015) in nursing home (NH) length of stay (LoS) in 3 Canadian health jurisdictions (Edmonton, Calgary, Winnipeg), (2) resident admission characteristics associated with LoS, and (3) temporal changes of admission characteristics in each of the 3 jurisdictions. Design: Retrospective cohort study usi...
Article
Background: The burden of pain in nursing homes is substantial; however, pain assessment for both acute and chronic conditions remain inadequate resulting in inappropriate or inadequate treatment. Complexities in assessing resident pain have been attributed to factors (barriers and facilitators) arising at the resident, health care provider and he...
Article
Background: Despite emerging frameworks for quality improvement (QI) implementation, little is known about how the implementation process works, particularly in nursing home settings. A study was conducted to describe "how"' a complex frontline worker-led QI program was implemented in nursing homes. Methods: Six focus groups were conducted in Fe...
Article
Full-text available
Background: Asthma exacerbations can be frequent and range in severity from mild to life-threatening. The use of magnesium sulfate (MgSO₄) is one of numerous treatment options available during acute exacerbations. While the efficacy of intravenous MgSO₄ has been demonstrated, the role of inhaled MgSO₄ is less clear. Objectives: To determine the...
Article
Background: Poor health of health care workers affects quality of care, but research and health data for health care workers are scarce. Our aim was to compare physical/mental health among health care worker groups 1) within nursing homes and pediatric hospitals, 2) between the 2 settings and 3) with the physical/mental health of the Canadian popu...
Article
Full-text available
The core of the TREC research program is the TREC Measurement System (TMS): a longitudinal, representative study in urban nursing homes in Western Canada, using staff surveys and resident data (RAI-MDS 2.0) to monitor, examine and modify factors influencing organizational context, staff health/well-being, and care quality. TMS data provides outcome...
Article
Full-text available
Care aides work long hours providing care to an increasingly complex nursing home population. Because of related stresses, workers are at greater risk for health problems (e.g., burnout). The SF-8™, an abbreviated version of the original SF-36™, is a psychometrically sound self-report survey used to evaluate physical and mental health status. This...
Article
The majority of direct care in Canadian nursing homes is provided by care aides. This body of unregulated, variably trained staff is rarely encouraged to lead in quality improvement initiatives. SCOPE is a controlled, cluster randomised study which examines the effect of engaging and empowering care aide led teams to effect system change at the cli...
Article
Pain management is a hallmark of quality end-of-life care. This presentation will define pain trajectories in nursing home (NH) residents’ last six months of life, and show how these trajectories are influenced by health care aides (HCAs) and their working environment. This observational study utilizes the RAI-Minimum Data Set (MDS) linked to the T...
Article
Full-text available
The Advice Seeking Networks in Long Term Care Study used social network analysis to understand the informal advice networks of senior leaders in Canadian long term care (LTC), with the goal of using this knowledge to inform future efforts to more effectively disseminate quality improvement innovations. In this abstract we describe one main componen...
Article
Objectives: To determine the impact of education on nurses' knowledge of delirium, knowledge and perception of a validated screening tool, and delirium screening in the ICU. Methods: A quasi-experimental single group pretest-post-test design. Setting: A 16 bed ICU in a Canadian urban tertiary care centre. Main outcome measures: Nursing knowl...
Article
Full-text available
Background Initiatives to accelerate the adoption and implementation of evidence-based practices benefit from an association with influential individuals and organizations. When opinion leaders advocate or adopt a best practice, others adopt too, resulting in diffusion. We sought to identify existing influence throughout Canada’s long-term care sec...
Article
Full-text available
Background: More than one-half of nursing home residents experience a complex mix of pain. Despite this, assessment and treatment of pain remain inadequate. Methods: Using techniques of the Cochrane Collaboration and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we assessed efficacy of interventions aime...
Article
Background The success of evidence-based practice depends on clearly and effectively communicating often complex data to stakeholders. In our program of research, Translating Research in Elder Care (TREC), we focus on improving the quality and safety of care delivered to nursing home residents in western Canada. More specifically, we investigate as...
Article
Objectives: Burdensome symptoms and potentially inappropriate care practices are common at the end of life for nursing home residents. Appropriately managing symptoms and limiting aggressive care practices is key to high-quality end-of-life care. Little research is available, however, on the opinions of nursing home care providers about the impact...
Article
To describe the nature, frequency and factors associated with care that was rushed or missed by health care aides in western Canadian nursing homes. The growing number of nursing home residents with dementia has created job strain for frontline health care providers, the majority of whom are health care aides. Due to the associated complexity of ca...
Article
Full-text available
In recent years, improving the quality of care for nursing home residents has generated a considerable amount of attention. In response, quality indicators (QIs), based on available evidence and expert consensus, have been identified within the Resident Assessment Instrument -- Minimum Data Set 2.0 (RAI-MDS 2.0), and validated as proxy measures for...
Article
Increasing age and a diagnosis of dementia both dramatically increase the risk of serious osteoporosis-related sequela. We sought to examine the factors associated with osteoporosis treatment, in relation to dementia diagnosis, in older adults with osteoporosis. This was a population-based, retrospective, nested, case-control study utilizing admini...
Article
Full-text available
We aimed to examine physical trauma as a risk factor for the subsequent diagnosis of MS. We searched for observational studies that evaluated the risk for developing MS after physical trauma that occurred in childhood (≤20years) or "premorbid" (>20years). We performed a meta-analysis using a random effects model. We identified 1362 individual studi...
Article
Full-text available
Background Although the precise etiology of multiple sclerosis is largely unknown, there is some speculation that a prior history of surgery may be associated with the subsequent risk for developing the disease. Therefore, we aimed to examine surgery as a risk factor for the diagnosis of multiple sclerosis. Methods We searched for observational st...
Article
Full-text available
Background Oral bisphosphonates are commonly used to prevent / treat osteoporosis. However, bisphosphonate treatment is not without risk and serious adverse effects, including upper gastrointestinal bleeding (UGIB) have been described. We sought to determine if new users of bisphosphonate drugs were more likely to suffer a serious UGIB within 120 d...
Article
Background: Asthma exacerbations can be frequent and range in severity from relatively mild to status asthmaticus. The use of magnesium sulfate (MgSO(4)) is one of numerous treatment options available during acute exacerbations. While the efficacy of intravenous MgSO(4) has been demonstrated, little is known of the role of inhaled MgSO(4). Object...
Article
Aim: Increasing age and a diagnosis of dementia both dramatically increase the risk of serious osteoporosis-related sequela. We sought to examine the factors associated with osteoporosis treatment, in relation to dementia diagnosis, in older adults with osteoporosis. Methods: This was a population-based, retrospective, nested, case–control study ut...
Article
Full-text available
Vertebral collapse is a common fracture associated with osteoporosis. Subsequent pain may be severe and often requires medications and bed rest. Several studies have suggested the use of calcitonin for the treatment of fracture pain. We sought to determine the analgesic efficacy of calcitonin for acute and chronic pain of osteoporotic vertebral com...
Article
Full-text available
Vertebral collapse is one of the most common fractures associated with osteoporosis. The subsequent back pain is severe and often requires medications, bed rest and hospitalization to control pain and improve mobilization. The purpose of this systematic review was to assess the effects of calcitonin versus placebo for the treatment of acute pain in...
Article
The use of MgSO(4) is one of numerous treatment options available during exacerbations of asthma. While the efficacy of therapy with IV MgSO(4) has been demonstrated, little is known about inhaled MgSO(4). A systematic review of the literature was performed to examine the effect of inhaled MgSO(4) in the treatment of patients with asthma exacerbati...
Article
BACKGROUND: The use of MgSO(4) is one of numerous treatment options available during exacerbations of asthma. While the efficacy of therapy with IV MgSO(4) has been demonstrated, little is known about inhaled MgSO(4). OBJECTIVES: A systematic review of the literature was performed to examine the effect of inhaled MgSO(4) in the treatment of patient...
Article
Background: Asthma exacerbations can be frequent and range in severity from relatively mild to status asthmaticus. The use of magnesium sulfate (MgSO4) is one of numerous treatment options available during acute exacerbations. While the efficacy of intravenous MgSO4 has been demonstrated, little is known about inhaled MgSO4. Objectives: To exami...
Article
Background Asthma exacerbations can be frequent and range in severity from relatively mild to status asthmaticus. The use of magnesium sulfate (MgSO4) is one of numerous treatment options available during acute exacerbations. While the efficacy of intravenous MgSO4 has been demonstrated, little is known about inhaled MgSO4. Objectives To examine th...
Article
This is the protocol for a review and there is no abstract. The objectives are as follows: The objective of this review is to determine the effect(s) of aerosolized magnesium sulphate administered in acute asthma. Specific aims: To quantify the effects of aerosolized magnesium sulphate alone or in combination with inhaled beta2 agonists compared to...

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Project (1)
Project
Translating Research in Elder Care (TREC) is a research program focused on developing solutions for improving the quality of care provided to nursing home residents, enriching the work life of their caregivers, and enhancing system efficiency.