Ideas Incubator

May 2016

As has been previously communicated, due to the demonstrated successes of the network and the generosity of MSFHR, funding for the network through its initial award was extended to a current end date of May 31, 2016. At this juncture we are pleased to announce that the network will transition to become the communications platform for the emerging BC SUPPORT Unit (BC Support for People and Patient-Oriented Research and Trials Unit),  a multi-partner organization transitioning from start-up phase to regular operations, preparing to support, streamline and increase patient-oriented research throughout BC.

Read more about our transition here: http://www.inspirenet.ca/Special-Message


Members are able to submit ideas for research topics in the area of health services research using the Share Your Ideas icon. Members can contact the submitter to discuss the idea - you must be logged in to access the database.   

Research Idea

Submitter's InspireNet
Database Profile

►Use of medical marijuana for pain management in autoimmune disease.

Laura Frith

►Clinical documentation for mental health areas of health care such as in the acute inpatient setting, tertiary mental health rehab, outpatient and community clinics etc. It is challenging to try and use a DARP or SOAP focus charting format in an area that is not problem/illness focused as in mental health the recovery model is used which is strengths based. Further, in the outpatient and community settings the focus of care if different, perhaps more therapy based. I have not been able to find charting standards or best practice guidelines about clinical documentation in mental health.

Michelle Danda

►NG/OG tube placement in the NICU: Using bedside ultrasound confirmation to increase patient safety

Lani Wittmann

►Older Adults & Alcohol: Health Canada supports the public by providing alcohol information and links to programs, and safe consumption guidelines document called Low-Risk Alcohol Drinking; however, the guidelines do not include older adult alcohol consumption. On the Ministry of British Columbia web site a different Low-Risk Alcohol Drinking page appears which does not present the facts with regards to our senior population. Vital information is missing including the fact that when alcohol is consumed with or without food it damages mucus membranes preventing the absorption of Vitamin B (thiamine) by as much as 90% (Thomson et al., 1970; Gastaldi et al., 1989), many signs and symptoms of thiamine deficiency and have been seen to be in relation to alcohol misuse since thiamine deficiency appears non-specific (Thomas & Marshall 2005). In 2002 on the Health Canada website, presented an in-depth document called “Best Practices - Treatment and Rehabilitation for Seniors with Substance Use Problems.” To the writer, this represents an opportunity for nurse research.

Charmaine Cusack

►Breastfeeding and/or skin-to-skin and whether this mitigates pain for an infant/child requiring painful procedures. This could inform policy such as whether to breastfeed or do skin-to-skin while babies are having blood samples taken.

Sidney Harper

►Babies in foster care: prenatal exposure to drugs and alcohol, development, speech and language, infant mental health.

Madeline Rigg

►Mediterranean diet as a tool to prevent and/or improve health conditions. I am interested in exploring the effect of Mediterranean diet on older adults living in the community (independently) or in residential long-term care units (nursing homes).

Anastasia Mallidou

►Bedsharing (in relation to newborns and parents) - a complex public health message re the risks, benefits, and realities of bedsharing is often reduced to simplistic messaging to the public 'Don't sleep with your baby'. Yet research from the UK demonstrates that for a variety of reasons, from 50-70% of families will sleep with their infant in some way, shape, or form -often unsafely. What are the BC/Canada stats? What is the impact of our current messaging? Does it result in safer infant sleep practices? Does it open the door for a dialogue between HCP's and families? If not, what approach would?

Meggie Ross

►Crushing Medications In Residential Care Setting: Risk vs Benefits, explore kinds of medications, desired outcome/ effectiveness when crushed, ethical issues, explore other options, who decides, is it an evidence base practice practice?

Juliet Quiddam

►Assessing the need for and development of a comprehensive concurrent disorder approach in mental health nursing in the Vancouver area.

Michelle Danda

►I would like to see research done related to women's health issues. What is currently available and best practices world wide when it comes to dealing with often debilitating health issues. I am seeing a lot of access issues, no follow up, and lack of knowledge (both patients and healthcare providers) when it comes to issues like: urinary incontinence, abnormal blood loss, pelvic pain, sexual dysfunction, breast health, multiple pregnancy loss, fertility issues, cervical cancer,eating disorders, immune disorders, peri menopause/ menopause, PMS and I am sure there are more. I also hear from many women that when they do go and see their physician, they sometimes do get referred elsewhere, but if the person they have been referred to is unable to diagnose/ help, they are sent away and no follow up takes place. There must be areas in the world where this is done better, while still maintaining a cost efficient system.

Marijke Henkemans

►What are the implications of the permanent assignment component of current long-term care service delivery models on care aides’ use of banked sick time and relational abilities (as compared to the rotating assignment / teamwork)?

Elizabeth Andersen

►I am interested in exploring the impact of contemporary models of long-term care service delivery on workplace climate (long-term care). Contemporary models of long-term care service delivery such as the Eden Alternative® are generally supportive of shifts in staffing patterns towards residential care given primarily by care aides, enhanced responsibilities for care aides, and permanent assignment of residents to care aides. Promotional information about the Eden Alternative® (aimed at families, residents and managers of long-term care organizations) is easily accessible online. Current empirical research has focused on resident and family satisfaction but there is very limited research evaluating the impact of specific components of contemporary models on workplace climate and on care aides who provide the majority of services to the residents. Components that require further empirical investigation are: permanent assignments of residents to care aides versus rotating assignments and/or teamwork, the impact of expanded duties for care aides, and outcomes of the new “versatile” or “universal worker” role for care aides.

Elizabeth Andersen

►Exploring "entitlement" as a parental "attitude" when it comes to taking away Nursing Support Services hours after a child has been found to not require the skills of an RN. ie: care can be safely delegated to and unlicensed careprovider.

Leanne Johnson

►Trial the use of Craniosacral Therapy in the management of chronic musculo-skeletal pain.

Joan Neuman

►Innovative student practice education models in tertiary ambulatory care settings: nursing specific, and interprofessional.

Grace Mickelson

►How do nurses from other countries or from across our own country meld into our hospitals with our standards of practice especially in specialty areas? Of course all people are not trained the same. But do they need more time to orientate before being expected to put out in the workforce? Some of them seem to struggle. Patient safety is sometimes a concern.

Bonnie Rogers

►The role of hypnosis in chronic disease management (changing behaviours)

Harveer Sihota

►Youth, high school aged 12-18, mental health awareness and stigma reduction with a specific focus as a means of substance abuse prevention:

  • Research into what this population (age group) self-identifies as most important and needed for their role as peers and as a primary support system.
  • Review of what programs are currently in place and what relevant material is already available.
  • Development of content information/curriculum to fill the gaps as identified from the above, in knowledge and information.
  • Development of implementation strategies to fill this need.
Kathleen Harris

►Using tablets for patient education and care, including translation. Are women, children, youth and families open to using tablets for seeking and learning information including immigrant and refugee families? Which tablets are best for for patient education and translation?

Leslie Clough

 

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