Pamela Elizabeth Baxter

McMaster University | McMaster · School of Nursing

The COVID-19 pandemic caused a global health crisis directly impacting the healthcare system. Healthcare leaders influence and shape the ability of an organization to cope with and recover from a crisis such as the COVID-19 pandemic. Their actions serve to guide and support nurses’ actions through unpredictable health service demands. The purpose o...

Resident-to-resident aggression (RRA) is a prevalent issue in long-term care (LTC) settings with serious consequences. Research from the U.S. has found that approximately 20% of residents experience RRA each month and this issue is associated with several physical/mental health morbidities. Very little RRA research has been conducted in LTC setting...

Aim To identify and explore tools that measured and detected complexity of care among community dwelling people aged 65 years and older. Data Sources Databases were searched for articles published up to 23 September 2022 including CINAHL, EMBASE and MEDLINE, Cochrane database for trials and grey literature. Methods A scoping review was conducted...

Purpose: The purpose of this paper is to assess the extent to which the LEADS Framework guided health-care leaders through organizational change and the COVID-19 pandemic in a western Canadian province. Design/methodology/approach: A qualitative exploratory inquiry assessed the extent to which health leaders applied competencies that aligned wit...

Introduction Unpaid caregiving, care provided by family/friends, is a public health issue of increasing importance. COVID-19 worsened the mental health conditions of unpaid caregivers, increasing substance/drug use and early development of chronic disease. The impact of the intersections of race and ethnicity, sex, age and gender along with unpaid...

Carers of a person who is living with dementia in long‐term care experience transitions which can challenge their mental health. My Tools for Care‐In Care (MT4C‐In Care) is an online psychoeducational intervention that aims to offer informational, appraisal, and emotional support to assist carers to adapt to the transitions they experience. This pr...

Background Family carers of persons living with dementia who are residing in long term care (LTC), often experience significant changes in their roles and relationships which affects mental and physical health. Research has focused on describing the carers’ experience, but not on how they deal with these changes or their perceptions of support need...

Hospitals across our nation are seeking to implement models of care that meet the primary goals of Quadruple Aim: Improved population health, cost-effective care delivery, and patient and provider satisfaction. In an effort to address the Quadruple Aim and our patients’ care needs, Hamilton Health Sciences (HHS) embarked on a model of care delivery...

Nurses and nurse leaders are working in unprecedented intense and demanding environments, and the COVID-19 pandemic continues to place strain on their mental well-being. If stressful work conditions remain at extraordinary high levels, nurses and leaders may ultimately leave their positions, creating even more uncertainty in the workforce. Enhancin...

Background: When a family member resides in long term care facility (LTC), family carers continue caregiving and have been found to have decreases in mental health. The aim of My Tools 4 Care - In Care (an online intervention) is to support carers of persons living with dementia residing in LTC through transitions and increase their self-efficacy,...

Objective: The aim of this study was to describe the transition-to-practice experience of new-graduate nurses (NGNs) in long-term-care (LTC) settings. Background: Transitioning to professional practice is a challenging time for an NGN. This experience is scarcely described for RNs outside of acute care settings and not described for the LPN. Me...

Background:. There is a dearth of research regarding the impact of evidence-based medicine (EBM) tools, such as evidence summaries, in developing countries. The goals of this study were to: investigate accessibility, use, and impact of an online EBM knowledge dissemination portal in orthopaedic surgery in India; explore whether receiving daily targ...

Aim To describe the transition to practice experience of new graduate nurses in long‐term care. Background Nursing is facing increasing pressures related to outpaced demands and a greater acuity of patients accessing services. Hiring new graduate nurses into long‐term care is a strategy to counteract these pressures, however, little is known about...

Purpose: Women continue to be disproportionately represented in top leadership positions. Leadership development programs typically focus on skills attainment. The purpose of this paper is to explore the perceptions and experiences of academic leaders in order to inform how leadership development programs may more effectively address the gender ga...

A qualitative case study protocol for an exploration of the transition to practice of new graduate nurses in long-term care is presented. For the new graduated nurse, the transition to professional practice is neither simple nor easy. This time of transition has been examined within the hospital setting, but little work has been done from the persp...

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...

Background. Despite acceptance of the merits of evidence-based practice, health care managers are cited as discounting research evidence to inform management practice. The purpose of this review was to evaluate the effectiveness of interventions to enhance health care managers’ use of research in their management practice. Methods. We searched ten...

Aims: A discussion of partnership in the context of family-centred care in the acute paediatric setting, through a critical analysis of partnership models. Background: Paediatric healthcare practitioners understand the importance of family-centred care, but struggle with how to translate the core tenets into action and are confused by several ri...

Background: Research in the fields of human performance technology and human computer interaction are challenging the traditional macro focus of usability testing arguing for methods that help test moderators assess “use in context” (ie, cognitive skills, usability understood over time) and in authentic “real world” settings. Human factors in these...

Background: Use of the Internet to deliver cognitive behavioural therapy, a frontline treatment for anxiety disorders, is emerging as an option to increase access to treatment among adolescents with anxiety disorders. This study examined the usability of the Internet-based component of Breathe, a CBT program designed for adolescents with mild to m...

Simulation learning has become a widely accepted and valuable methodology within nursing education. This study assessed whether student and faculty perceptions regarding simulation learning have changed since curricular integration of simulation activities within an undergraduate nursing program. Q-methodology was used to identify unique and simila...

Providing cost-effective, accessible, high quality patient care is a challenge to governments and health care delivery systems across the globe. In response to this challenge, two types of hospital funding models have been widely implemented: (1) activity-based funding (ABF) and (2) pay-for-performance (P4P). Although health care leaders play a cri...

In 2012, and in pursuit of excellent, equitable health care, Ontario, Canada began to shift 91 hospitals to a patient-based funding (PBF) approach.1 This approach funds patient activity rather than institutions, and pays health care organizations based on the number of patients treated with select procedures known as quality-based procedures (QBPs)...

Background. Improved quality of care and control of healthcare costs are important factors influencing decisions to implement nurse practitioner (NP) and clinical nurse specialist (CNS) roles. Objective. To assess the quality of randomized controlled trials (RCTs) evaluating NP and CNS cost-effectiveness (defined broadly to also include studies mea...

Aim To explain the process of adopting and incorporating simulation as a teaching strategy in undergraduate nursing programs, define uptake, and discuss potential outcomes. Background In many countries simulation is increasingly adopted as a common teaching strategy. However, there is a dearth of knowledge related to the process of adoption and in...

Purpose. To create a substantive mid-range theory explaining how the organizational cultures of undergraduate nursing programs shape the adoption and incorporation of mid-to high-level technical fidelity simulators as a teaching strategy within curricula. Method. A constructivist grounded theory was used to guide this study which was conducted in O...

Background. Implementing simulation requires a substantial commitment of human and financial resources. Despite this, little is known about the strategies used by academic nursing leaders to facilitate the implementation of a simulation program in nursing curricula. Methods. A constructivist grounded theory study was conducted within 13 nursing pro...

Background: Confidence is required for effective engagement in interprofessional collaboration. New graduate nurses often lack confidence in interprofessional interactions, and this may compromise the delivery of safe and effective healthcare. Objectives: The overall objective of this study was to explore new graduate nurse confidence in interprof...

Abstract Although engagement in collaborative practice is reported to support the role transition and retention of new graduate (NG) nurses, it is not known how to promote collaborative practice among these nurses. This mixed methods study explored the team and organizational factors that may predict NG nurse engagement in collaborative practice. A...

To analyse critically the barriers and facilitators to new graduate nurse engagement in interprofessional collaboration. The acculturation of new graduate nurses must be considered in strategies that address the global nursing shortage. Interprofessional collaboration may support the transition and retention of new graduate nurses. Whittemore and K...

To determine the factors that attract and retain Registered Nurses in the first-line nurse manager role. The first-line nurse manger role is pivotal in health-care organisations. National demographics suggest that Canada will face a first-line nurse manager shortage because of retirement in the next decade. Determination of factors that attract and...

In long-term care (LTC), the complexity of residents' conditions and their treatment requirements present challenges for nurses managing medications. The purpose of this qualitative descriptive study was to explore medication management as described by licensed nurses working in LTC. A total of 22 licensed nurses from 2 LTC facilities located in th...

The Council of Ontario University Programs in Nursing offers a nine-university, consortium-based primary health care nurse practitioner education program and on-line continuing education courses for primary health care nurse practitioners. Our study sought to determine the continuing education needs of primary health care nurse practitioners across...

This study examined and compared the effectiveness of videotape training versus hands-on instruction in preparing senior nursing students to respond to emergency clinical situations. Fourth year nursing students (n=27) were randomly assigned to one of three groups; one group received videotaped instruction, one group engaged in a hands-on experienc...

The aim of this study was to examine senior year nursing students' ability to self-assess their performance when responding to simulated emergency situations. Self-assessment is viewed as a critical skill in nursing and other health professional programmes. However, while students may spend considerable time completing self-assessments, there is li...

Staff educators know the importance of orientation for nurses and strive to develop effective orientation programs in both general and specialized clinical areas. However, little is written about what constitutes a 'good' orientation, especially for the new graduate. This article provides a summary of the current literature on nursing orientation a...

RÉSUMÉ Cette étude a examiné la prévalence pendant 6 mois, à l’aide des services de soutien à domicile, des facteurs de risque et des coûts de chutes de personnes âgées qui sont à risque de chute. Des 109 participants, 70,6 pour cent ont indiqué une chute dans les six mois précédents et 27,5 pour cent ont éprouvé plusieurs chutes. Bien qu’il n’y av...

RÉSUMÉ Cette étude a déterminé les effets et les coûts d’une approche d’équipe multifactoriel et interdisciplinaire à la prévention des chutes. Essai contrôlé aléatoire de 109 adultes plus âgés qui sont à risque de chutes. Ce fut une stratégie de prévention multifactoriel fondée sur des données probantes de 6 mois, impliquant une équipe interdiscip...

This paper is a report of a study exploring the perceptions of long-term care team members and nurse managers about barriers and facilitators to optimal use of nurse practitioners to manage residents' pain in long-term care settings. Considering the high rates of pain in long-term care, research is needed to explore innovations in health-services d...

Qualitative case study methodology provides tools for researchers to study complex phenomena within their contexts. When the approach is applied correctly, it becomes a valuable method for health science research to develop theory, evaluate programs, and develop interventions. The purpose of this paper is to guide the novice researcher in identifyi...

In an attempt to address a shortage of clinical nursing placements, the rising complexity of care and to increase preparedness of students entering clinical settings, the provincial government of Ontario invested significant funding for the purchase of simulation equipment in undergraduate Schools of Nursing. What students believe about simulation...

In this study nursing faculty perceptions of the implementation of simulation in schools of nursing across Ontario, Canada, were explored using the Q-methodology technique. Following Q-methodology guidelines, 104 statements were collected from faculty and students with exposure to simulation to determine the concourse (what people say about the iss...

Providing care for older home care clients 'at risk' of falling requires the services of many health care providers due to predisposing chronic, complex conditions. One strategy to ensure that quality care is delivered is described in the integrated care literature; interprofessional collaboration. Engaging in an interprofessional team approach to...

Many researchers who have explored nurse decision making have concluded that decision making is a learned skill that must be taught by nurse educators. Yet little research has been conducted to explore nursing students' decision making. If nurse educators are to teach this skill, it is necessary to have a better understanding of the kinds of decisi...

In many parts of Canada, nursing care is provided by registered nurses (RNs) and licensed/registered practical nurses (L/RPNs). The profession, regulatory bodies and employers are struggling to define their similarities and differences in their attempts to ensure patients are receiving the right care by the right care provider. An understanding of...

Objectives: This article describes the background and design of a study that is currently in progress. The objective of the study is to evaluate the 6-month effects and costs of a multifactorial and interdisciplinary team approach to fall prevention compared with usual home care for frail older people at risk for falls. The barriers and facilitator...

Clinical supervision of nursing students is a key component of nursing education. The clinical setting provides students with an opportunity to develop a professional identity, knowledge base, and the ability to transfer classroom knowledge to the clinical setting. This paper suggests a model of clinical supervision that will address how to bridge...

h4>ABSTRACT Unethical behavior in both classroom and clinical settings is a concern for nurse educators and has the potential to greatly influence the quality of patient care. A review of the literature suggests that students may view unethical clinical behaviors as different from unethical classroom behaviors because they recognize that clinical...

H4>ABSTRACT This qualitative, intrinsic case study explored the decision-making activities of baccalaureate nursing students in the second year of a 4-year program. It sought to discover how second-year students determine the need to make a clinical decision, how they respond to a pending clinical decision, the types of decisions made in the clini...

This project, which used a qualitative case-studying design, explored the development of decision making as nurses progressed through a baccalaureate education. More specifically, the study focussed on the types of decisions students made and the factors that influenced their decision making. Students from all four years, enrolled in problem based...