Denise Cloutier
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View article: The Sounds of Silence: Problematizing Voicelessness in Nursing Practice
The Sounds of Silence: Problematizing Voicelessness in Nursing Practice Open
A positive healthcare environment and effective nurse recruitment are widely recognized as interconnected factors that improve outcomes for patients, families, and staff. Despite this, frontline nurses and their managers often have conflic…
View article: Lightening the Load: The Relationship Between Gait and Cognition for Persons Living with Dementia Engaged in a Non-Pharmacological Intervention
Lightening the Load: The Relationship Between Gait and Cognition for Persons Living with Dementia Engaged in a Non-Pharmacological Intervention Open
Objectives: Relatively little research has explored whether gait and cognition are systematically associated within-persons across time, especially in persons living with dementia (PLwD). Understanding a shared mechanism between gait and c…
View article: Choir Mitigates Distress for Caregivers of Those With Dementia: The Voices in Motion Project
Choir Mitigates Distress for Caregivers of Those With Dementia: The Voices in Motion Project Open
Music-based interventions show promise for attenuating caregiver distress (CD) in informal dementia caregivers; however, research on comparable dyadic interventions is limited. This study aimed to provide a novel evaluation of whether a dy…
View article: The Challenges of Advance Care Planning for Acute Care Registered Nurses
The Challenges of Advance Care Planning for Acute Care Registered Nurses Open
Study Background The practice of acute care nurses is shaped by organizational factors such as lack of privacy, heavy workloads, unclear roles, lack of time, and lack of specific policies and procedures. We know little about the social and…
View article: Breadlines, victory gardens, or human rights?: Examining food insecurity discourses in Canada
Breadlines, victory gardens, or human rights?: Examining food insecurity discourses in Canada Open
Long before the exacerbating effects of COVID-19, household food insecurity (HFI) has been a persistent yet hidden problem in wealthy nations such as Canada, where it has been perpetuated in part through dominant discourses and practices. …
View article: Planning for Seniors Housing in Changing Cities: Lessons Learned From a Cross-National Exchange
Planning for Seniors Housing in Changing Cities: Lessons Learned From a Cross-National Exchange Open
Across North America, a growing number of older adults have a core housing need and lack access to affordable, suitable or adequate housing. Although federal, state/provincial and local backdrops vary across Canadian and American contexts,…
View article: Depressive symptoms in adults in rural and urban regions of Canada: a cross-sectional analysis of the Canadian Longitudinal Study on Aging
Depressive symptoms in adults in rural and urban regions of Canada: a cross-sectional analysis of the Canadian Longitudinal Study on Aging Open
Objectives Previous studies on depression in rural areas have yielded conflicting results. Features of rural areas may be conducive or detrimental to mental health. Our objective for this study was to determine if there are rural–urban dis…
View article: Life satisfaction in adults in rural and urban regions of Canada - the Canadian Longitudinal Study on Aging
Life satisfaction in adults in rural and urban regions of Canada - the Canadian Longitudinal Study on Aging Open
Rural-urban differences in life satisfaction were found, with higher levels of life satisfaction in rural populations compared to urban populations. Preventing and treating common chronic illness, and also reducing inequalities in income, …
View article: ‘Bare-bones’ to ‘silver linings’: lessons on integrating a palliative approach to care in long-term care in Western Canada
‘Bare-bones’ to ‘silver linings’: lessons on integrating a palliative approach to care in long-term care in Western Canada Open
Background ‘Whole-person’ palliative approaches to care (PAC) are important for enhancing the quality of life of residents with life-limiting conditions in long-term care (LTC). This research is part of a larger, four province study, the ‘…
View article: Functional status in rural and urban adults: The Canadian Longitudinal Study on Aging
Functional status in rural and urban adults: The Canadian Longitudinal Study on Aging Open
Purpose To document the prevalence of functional impairment in middle‐aged and older adults from rural regions and to determine urban‐rural differences. Methods We have conducted a secondary analysis using data from an ongoing population‐b…
View article: A prospective clinical and transcriptomic feasibility study of oral‐only hormonal therapy with radiation for unfavorable prostate cancer in men 70 years of age and older or with comorbidity
A prospective clinical and transcriptomic feasibility study of oral‐only hormonal therapy with radiation for unfavorable prostate cancer in men 70 years of age and older or with comorbidity Open
BACKGROUND Androgen deprivation therapy (ADT) improves outcomes in unfavorable‐risk prostate cancer (PCa) treated with radiation therapy (RT). It was hypothesized that replacing luteinizing hormone‐releasing hormone (LHRH) agonists with a …
View article: “We are to be like machines…fill the bed before it gets cold”: Exploring the emotional geographies of healthcare providers caring for dying residents in long-term care facilities
“We are to be like machines…fill the bed before it gets cold”: Exploring the emotional geographies of healthcare providers caring for dying residents in long-term care facilities Open
The end-of-life context is imbued with emotions, with death and dying transforming everyday places, like long-term care facilities, into entirely new emotional topographies that can evoke profound effects on those who live and work within …
View article: A prospective trial of stereotactic body radiation therapy for unresectable pancreatic cancer testing ablative doses
A prospective trial of stereotactic body radiation therapy for unresectable pancreatic cancer testing ablative doses Open
This aggressive SBRT regimen demonstrated limited 30-day morbidity, a moderate degree of local control, and a moderate risk for late GI bleeding. Further work is necessary to define the most appropriate hypofractionated radiation therapy (…
View article: Is health literacy of family carers associated with carer burden, quality of life, and time spent on informal care for older persons living with dementia?
Is health literacy of family carers associated with carer burden, quality of life, and time spent on informal care for older persons living with dementia? Open
Introduction Family carers are cornerstones in the care of older people living with dementia. Family carers report extensive carer burden, reduced health-related quality of life (HRQoL), and extensive time spent on informal care (Time). He…
View article: Team-Based Integrated Knowledge Translation for Enhancing Quality of Life in Long-term Care Settings: A Multi-method, Multi-sectoral Research Design
Team-Based Integrated Knowledge Translation for Enhancing Quality of Life in Long-term Care Settings: A Multi-method, Multi-sectoral Research Design Open
Multi-sectoral, interdisciplinary health research is increasingly recognizing integrated knowledge translation (iKT) as essential. It is characterized by diverse research partnerships, and iterative knowledge engagement, translation proces…
View article: ALL THE SINGLE LADIES’: PERSPECTIVES ON IDENTITY AND WELL-BEING ACROSS THE LIFESPAN
ALL THE SINGLE LADIES’: PERSPECTIVES ON IDENTITY AND WELL-BEING ACROSS THE LIFESPAN Open
Singlehood may or may not be a choice; but it is often a statement about identity for many women. Historically, singlehood has been a deviant identity. One that signals a personal flaw or eccentricity. However, high divorce rates, and incr…
View article: Changing Roles of Care Team Members within New Models of Care Delivery in Residential Care Facilities: Implications for the Delivery of Quality of Care
Changing Roles of Care Team Members within New Models of Care Delivery in Residential Care Facilities: Implications for the Delivery of Quality of Care Open
Providing quality of care (QoC) to older adults in residential care settings is an ongoing challenge given the increasingly complex needs of this population and the escalating economic constraints within which health authorities operate. W…
View article: “When I Said I Wanted to Die at Home I Didn’t Mean a Nursing Home”: Care Trajectories at the End of Life
“When I Said I Wanted to Die at Home I Didn’t Mean a Nursing Home”: Care Trajectories at the End of Life Open
Despite calls for minimizing hospital-based deaths and maximizing home-based deaths, older LTC recipients often experience EOL care trajectories that end in death in a nursing home care setting. Our findings point to the value of a structu…
View article: Janus at the Crossroads: Perspectives on Long-term Care Trajectories for Older Women With Dementia in a Canadian Context
Janus at the Crossroads: Perspectives on Long-term Care Trajectories for Older Women With Dementia in a Canadian Context Open
A life-course perspective, and qualitative and quantitative data facilitate understanding the care journeys-health and service trajectories of older women with dementia.
View article: A Tale of Two Sites: Lessons on Leadership from the Implementation of a Long-term Care Delivery Model (CDM) in Western Canada
A Tale of Two Sites: Lessons on Leadership from the Implementation of a Long-term Care Delivery Model (CDM) in Western Canada Open
Residential, long-term care serves vulnerable older adults in a facility-based environment. A new care delivery model (CDM) designed to promote more equitable care for residents was implemented in a health region in Western Canada. Leaders…
View article: DEVELOPING AN INVENTORY ASSESSING NURSES’ BEHAVIOR TO MAINTAIN FUNCTION AMONG NURSING HOME RESIDENTS
DEVELOPING AN INVENTORY ASSESSING NURSES’ BEHAVIOR TO MAINTAIN FUNCTION AMONG NURSING HOME RESIDENTS Open
This paper outlines some of the most common trajectories experienced by older adults as they transition through long-term care (including home care, assisted living, and residential care).The overall sequencing of care transitions is consi…