Research Library

This community-based research study provides new data collected from 25 in-depth individual interviews with immigrant women HCAs who were working in LTC in Calgary, Alberta between January 1 and March 30, 2021. The data, analysed through the lens of intersectional exclusion, highlight how the pandemic has impacted the working lives of immigrant women employed in LTC facilities on a daily basis, as well as their suggestions for enhancing their safety and employment conditions. Two key themes emerged during the process of data analysis: (a) HCA experiences of economic exclusion and workplace precarity—many of which pre-dated the pandemic but have been exacerbated by current policies and practices that prioritize profits over quality of community care, and (b) experiences of broader social exclusion, many of which are tied to being considered “just HCAs” who are doing “immigrant’s work”, rather than including HCAs in broader conversations about how to reform and improve the LTC sector for future. Concluding thoughts discuss how to improve policy to support low wage workers within LTC in order to address intersectional inequalities and to better support front-line care workers during current and future health pandemic recovery efforts. This community-based research study provides new data collected from 25 in-depth individual interviews with immigrant women HCAs who were working in LTC in Calgary, Alberta between January 1 and March 30, 2021. The data, analysed through the lens of intersectional exclusion, highlight how the pandemic has impacted the working lives of immigrant women employed in LTC facilities on a daily basis, as well as their suggestions for enhancing their safety and employment conditions. Two key themes emerged during the process of data analysis: (a) HCA experiences of economic exclusion and workplace precarity—many of which pre-dated the pandemic but have been exacerbated by current policies and practices that prioritize profits over quality of community care, and (b) experiences of broader social exclusion, many of which are tied to being considered “just HCAs” who are doing “immigrant’s work”, rather than including HCAs in broader conversations about how to reform and improve the LTC sector for future. Concluding thoughts discuss how to improve policy to support low wage workers within LTC in order to address intersectional inequalities and to better support front-line care workers during current and future health pandemic recovery efforts.
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We investigated health risks associated with climate and air pollution hazards and community covariates to generate insights into the resilience of older adults and immigrants at the community level in a northern urban center in the Canadian prairies (i.e. Edmonton, AB). Communities with higher proportions of older adults were associated with increased cardiovascular, injury, mental, and respiratory health event rates. Notably, heat effects on injury rates impacted communities with higher percentages of older adults (Prevalence Rate Ratio (PRR) [95%CI] 1.110 [1.011, 1.219] at 25% ≥65 years). Ozone effects on cardiovascular event rates exhibited similar trends. Areas with higher percentages of immigrants generally had lower rates of health events. However, increasing diurnal temperature range became a risk factor for respiratory health rates where there were higher percentages of refugees (PRR 1.205 [1.004, 1.447] at 20%). Industrial emission effects on injury and respiratory health rates also amplified in areas with higher percentages of refugees (PRR 1.127 [1.058, 1.200]; 1.130 [1.050, 1.216] at 20%). Similar effects were observed for mental health event rates and total immigrants. Greater neighborhood material and social deprivation were significant risk factors for increased health event rates across outcomes. Future work should focus on disproportionately affected vulnerable populations to address community-level resilience. We investigated health risks associated with climate and air pollution hazards and community covariates to generate insights into the resilience of older adults and immigrants at the community level in a northern urban center in the Canadian prairies (i.e. Edmonton, AB). Communities with higher proportions of older adults were associated with increased cardiovascular, injury, mental, and respiratory health event rates. Notably, heat effects on injury rates impacted communities with higher percentages of older adults (Prevalence Rate Ratio (PRR) [95%CI] 1.110 [1.011, 1.219] at 25% ≥65 years). Ozone effects on cardiovascular event rates exhibited similar trends. Areas with higher percentages of immigrants generally had lower rates of health events. However, increasing diurnal temperature range became a risk factor for respiratory health rates where there were higher percentages of refugees (PRR 1.205 [1.004, 1.447] at 20%). Industrial emission effects on injury and respiratory health rates also amplified in areas with higher percentages of refugees (PRR 1.127 [1.058, 1.200]; 1.130 [1.050, 1.216] at 20%). Similar effects were observed for mental health event rates and total immigrants. Greater neighborhood material and social deprivation were significant risk factors for increased health event rates across outcomes. Future work should focus on disproportionately affected vulnerable populations to address community-level resilience.
This publication has no Abstract to dispaly

This study investigates the motivation for Nigerian migration to Canada for undergraduate education, with a focus on parent-sponsored undergraduate Nigerian students in Canadian universities. The study shows that middle-class and upper-class Nigerians send their children to Canadian universities for undergraduate education because the student visa provides employment opportunities for international students, during and after studies, and Canadian permanent residence upon graduation. It is demonstrated in the paper that migration for higher education fits the neoliberal agenda of the current Canadian immigration policies and practices that target “designer im/migrants,” that is, im/migrants that are young, skilled, highly productive, educated, and self-sufficient. It is claimed throughout the paper that migration for higher education is not fortuitous for the parents and their children and the Canadian state, as higher tuition paid by international students augments the declining public funding of post-secondary institutions in Canada and avails international students the opportunity of employment and permanent residence in Canada. The study in essence reveals the contradiction in the claim that the neoliberal state is a neutral entity as evidence shows that Canada’s post-secondary institutions implement neoliberal programs with the aid of the Canadian state. This study investigates the motivation for Nigerian migration to Canada for undergraduate education, with a focus on parent-sponsored undergraduate Nigerian students in Canadian universities. The study shows that middle-class and upper-class Nigerians send their children to Canadian universities for undergraduate education because the student visa provides employment opportunities for international students, during and after studies, and Canadian permanent residence upon graduation. It is demonstrated in the paper that migration for higher education fits the neoliberal agenda of the current Canadian immigration policies and practices that target “designer im/migrants,” that is, im/migrants that are young, skilled, highly productive, educated, and self-sufficient. It is claimed throughout the paper that migration for higher education is not fortuitous for the parents and their children and the Canadian state, as higher tuition paid by international students augments the declining public funding of post-secondary institutions in Canada and avails international students the opportunity of employment and permanent residence in Canada. The study in essence reveals the contradiction in the claim that the neoliberal state is a neutral entity as evidence shows that Canada’s post-secondary institutions implement neoliberal programs with the aid of the Canadian state.
This publication has no Abstract to dispaly

Recent decades have seen an increase in the popularity of international education. Approximately 500,000 international students were in Canada in 2018 and this number is projected to grow. While we know that many international students decide to stay in Canada, we do not fully understand the decision-making process employed by international students regarding staying in Canada or going back home after completing their education. The purpose of this study was to explore how international students make decisions about their post-graduation destination and what factors they see as pivotal in shaping their decision-making process. Our findings suggest that the meaning students attach to staying in Canada varies from obtaining permanent residency to working for a few months upon graduation. We also demonstrate that for most students, the decision to stay in Canada is formed gradually and is shaped by familial obligations, cultural climate they experience in Canada, employment opportunities available to them upon graduation, and the possibility of obtaining permanent residency. Recent decades have seen an increase in the popularity of international education. Approximately 500,000 international students were in Canada in 2018 and this number is projected to grow. While we know that many international students decide to stay in Canada, we do not fully understand the decision-making process employed by international students regarding staying in Canada or going back home after completing their education. The purpose of this study was to explore how international students make decisions about their post-graduation destination and what factors they see as pivotal in shaping their decision-making process. Our findings suggest that the meaning students attach to staying in Canada varies from obtaining permanent residency to working for a few months upon graduation. We also demonstrate that for most students, the decision to stay in Canada is formed gradually and is shaped by familial obligations, cultural climate they experience in Canada, employment opportunities available to them upon graduation, and the possibility of obtaining permanent residency.
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In this qualitative study, researchers conducted interviews with 11 participants who had entered Canada through the Temporary Foreign Worker Program and who had since loss status. Findings show policy changes, abuse and exploitation by employers, language barriers, and misinformation and language gaps drive workers out of status. Once without status, people often remain in Canada because they are motivated by issues related to family. These can include the continued desire to bring family members to Canada, financial responsibilities for family members in countries of origin, the desire to stay with Canadian partners or children, or the breakdown of family ties which dissuades the desire to return. Challenges of living without status include mental health struggles, financial strain, and barriers to service access. Interplays between factors driving status loss and experiences of those who live without status in Canada show that the state plays an important role in creating precarity through restrictive immigration and residency policies. Understandings the state’s role in the production of precarity may inform effective policy changes moving forward. In this qualitative study, researchers conducted interviews with 11 participants who had entered Canada through the Temporary Foreign Worker Program and who had since loss status. Findings show policy changes, abuse and exploitation by employers, language barriers, and misinformation and language gaps drive workers out of status. Once without status, people often remain in Canada because they are motivated by issues related to family. These can include the continued desire to bring family members to Canada, financial responsibilities for family members in countries of origin, the desire to stay with Canadian partners or children, or the breakdown of family ties which dissuades the desire to return. Challenges of living without status include mental health struggles, financial strain, and barriers to service access. Interplays between factors driving status loss and experiences of those who live without status in Canada show that the state plays an important role in creating precarity through restrictive immigration and residency policies. Understandings the state’s role in the production of precarity may inform effective policy changes moving forward.
This publication has no Abstract to dispaly

This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic. This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic.
This publication has no Abstract to dispaly

Children with disabilities are among the most at-risk groups for marginalization due to compounded disadvantages from the intersection of risk factors such as refugee status and disability status. Despite this high risk, there is no systematic data collected on this group and scant literature on the topic contributing to a feeling of invisibility. We conducted a narrative inquiry on the experiences of two Syrian refugee families with children living with disabilities. Narrative inquiry is a way to understand experience as a storied phenomenon. In order to understand the complexities of the experience as a refugee with a child living with disabilities, attending to the lived and told stories is essential. In hearing the narration of these experiences across time, place, and social contexts various narrative threads emerged. The narrative threads that resonated across the experiences of two families included waiting and a struggle for agency, as well as disruption and continuity. Children with disabilities are among the most at-risk groups for marginalization due to compounded disadvantages from the intersection of risk factors such as refugee status and disability status. Despite this high risk, there is no systematic data collected on this group and scant literature on the topic contributing to a feeling of invisibility. We conducted a narrative inquiry on the experiences of two Syrian refugee families with children living with disabilities. Narrative inquiry is a way to understand experience as a storied phenomenon. In order to understand the complexities of the experience as a refugee with a child living with disabilities, attending to the lived and told stories is essential. In hearing the narration of these experiences across time, place, and social contexts various narrative threads emerged. The narrative threads that resonated across the experiences of two families included waiting and a struggle for agency, as well as disruption and continuity.
This publication has no Abstract to dispaly

The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy. The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy.
This publication has no Abstract to dispaly

The Canadian Society for Exercise Physiology (CSEP) Youth Physical Activity Guidelines are the national criterion standard for youth physical activity. Minimal research exists regarding CSEP Guideline adherence in immigrant youth despite this population’s significance in Canada. The purpose of this study was to foster an understanding of physical activity guideline adherence in Albertan immigrant youth. The study objectives were to determine Albertan immigrant youth’s adherence levels, barriers to adherence, recommendations to improve adherence, and the impact of the COVID-19 pandemic on adherence. A qualitative exploratory design was used. Purposive sampling from Edmonton community-agencies occurred to generate a sample of 6 community service-workers who have experience with Canadian immigrant youth and physical activity. Data collection occurred through virtual semi-structured interviews. Data analysis occurred via Braun and Clarke’s Six Thematic Analysis Steps. This study’s findings can optimize nursing health promotion efforts and organizational policies, inform health promotion protocols in nursing education, and guide further research that would enhance the breadth of current literature. Collectively, this study helps provide a foundation for promoting the health of Albertan immigrant youth. The Canadian Society for Exercise Physiology (CSEP) Youth Physical Activity Guidelines are the national criterion standard for youth physical activity. Minimal research exists regarding CSEP Guideline adherence in immigrant youth despite this population’s significance in Canada. The purpose of this study was to foster an understanding of physical activity guideline adherence in Albertan immigrant youth. The study objectives were to determine Albertan immigrant youth’s adherence levels, barriers to adherence, recommendations to improve adherence, and the impact of the COVID-19 pandemic on adherence. A qualitative exploratory design was used. Purposive sampling from Edmonton community-agencies occurred to generate a sample of 6 community service-workers who have experience with Canadian immigrant youth and physical activity. Data collection occurred through virtual semi-structured interviews. Data analysis occurred via Braun and Clarke’s Six Thematic Analysis Steps. This study’s findings can optimize nursing health promotion efforts and organizational policies, inform health promotion protocols in nursing education, and guide further research that would enhance the breadth of current literature. Collectively, this study helps provide a foundation for promoting the health of Albertan immigrant youth.
This publication has no Abstract to dispaly

Despite changes to Canadian immigration policy to address declining labour market outcomes, many highly educated immigrants still face challenges when searching for career-related employment. Interviews with newcomers in Edmonton, Alberta and Winnipeg, Manitoba illustrate challenges and barriers in employment searching in Canada. Despite changes to Canadian immigration policy to address declining labour market outcomes, many highly educated immigrants still face challenges when searching for career-related employment. Interviews with newcomers in Edmonton, Alberta and Winnipeg, Manitoba illustrate challenges and barriers in employment searching in Canada.
This publication has no Abstract to dispaly