Research Library

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.
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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.
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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.
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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.
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The civil war in Syria caused an upheaval to all aspects of life for its citizens, resulting in an unprecedented number of Syrians arriving in Canada as refugees. While government and settlement agencies responded by addressing their immediate needs, other aspects of their integration, specifically their social integration, were much less prioritized and minimally resourced. This study drew on Ager & Strang’s (2008) Domains of Integration Framework and their description of social bridging to explore this aspect of social integration of refugees in greater detail. A qualitative descriptive methodology was applied to explore how Syrian refugees describe their experiences of building social bridges in Canada, and how these bridges impact their sense of belonging and overall integration. Semi-structured interviews were conducted with twelve adult members of the Syrian refugee community, and thematic analysis was used to interpret the data. The civil war in Syria caused an upheaval to all aspects of life for its citizens, resulting in an unprecedented number of Syrians arriving in Canada as refugees. While government and settlement agencies responded by addressing their immediate needs, other aspects of their integration, specifically their social integration, were much less prioritized and minimally resourced. This study drew on Ager & Strang’s (2008) Domains of Integration Framework and their description of social bridging to explore this aspect of social integration of refugees in greater detail. A qualitative descriptive methodology was applied to explore how Syrian refugees describe their experiences of building social bridges in Canada, and how these bridges impact their sense of belonging and overall integration. Semi-structured interviews were conducted with twelve adult members of the Syrian refugee community, and thematic analysis was used to interpret the data.
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Non-status migrants are individuals who do not hold a valid immigration document or official status to stay in Canada. This case study in Calgary, AB conducted interviews on the experiences of non-status Filipino migrants seeking access to health, social, and community services. Challenges and risks to accessing services are discussed. Non-status migrants are individuals who do not hold a valid immigration document or official status to stay in Canada. This case study in Calgary, AB conducted interviews on the experiences of non-status Filipino migrants seeking access to health, social, and community services. Challenges and risks to accessing services are discussed.
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Despite the lack of a shared definition of integration, this concept word addresses the physical, psychological, and social progress of newcomers, and more. Newcomers are both immigrants and new-to-town individuals, meaning those who have relocated within Canada from other provinces or regions. By exploring literature and lived experiences, this research examines how accurately models of integration reflect and represent the views and experiences of newcomers. Our qualitative case study uses thematic coding of in-depth interviews with newcomers and settlement organizations. Results suggest that models and factors of integration do not fully or effectively reflect the process and desires of newcomers. Though new-to-town individuals possess advantages in their relocation process (e.g., not having to learn a new language or build a cultural foundation in their new location), they do not meet nor do they aspire to meet all the various factors and considerations of integration included in the models. Newcomers seek first to meet their own core needs followed by self-directed needs. In this article, an acculturation model is put forward that encompasses dynamics of individual newcomers’ peculiarities of circumstances. The conclusion is two-fold: Newcomers place priority on immediate core needs and strive to meet other needs leading to place attachment; and their sense of belonging can be brought into question with experiences of discrimination and racism. Despite the lack of a shared definition of integration, this concept word addresses the physical, psychological, and social progress of newcomers, and more. Newcomers are both immigrants and new-to-town individuals, meaning those who have relocated within Canada from other provinces or regions. By exploring literature and lived experiences, this research examines how accurately models of integration reflect and represent the views and experiences of newcomers. Our qualitative case study uses thematic coding of in-depth interviews with newcomers and settlement organizations. Results suggest that models and factors of integration do not fully or effectively reflect the process and desires of newcomers. Though new-to-town individuals possess advantages in their relocation process (e.g., not having to learn a new language or build a cultural foundation in their new location), they do not meet nor do they aspire to meet all the various factors and considerations of integration included in the models. Newcomers seek first to meet their own core needs followed by self-directed needs. In this article, an acculturation model is put forward that encompasses dynamics of individual newcomers’ peculiarities of circumstances. The conclusion is two-fold: Newcomers place priority on immediate core needs and strive to meet other needs leading to place attachment; and their sense of belonging can be brought into question with experiences of discrimination and racism.
This publication has no Abstract to dispaly

Data on immigrant and refugees’ access to services in Canada does not typically focus on children. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators (things that help) for mental health care for their children in Edmonton, Alberta, Canada. Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications. Data on immigrant and refugees’ access to services in Canada does not typically focus on children. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators (things that help) for mental health care for their children in Edmonton, Alberta, Canada. Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications.
This publication has no Abstract to dispaly

Currently, there is a strong debate on whether School Resource Officers (SROs) should be removed from Edmonton schools. SROs are often not given specialized training to work in schools or with youth—they rely on basic police training. Illustrating this point, some students in Edmonton have claimed that officers at their schools view students as potential threats and criminals rather than as young students. The debate to remove SROs is part of the growing conversation around Black Lives Matter and police brutality. Many argue that SROs extend police involvement, discrimination, and brutality into the lives of BIPOC youth and children, which brings them into—and keeps them entrenched in— the criminal justice system. Currently, there is a strong debate on whether School Resource Officers (SROs) should be removed from Edmonton schools. SROs are often not given specialized training to work in schools or with youth—they rely on basic police training. Illustrating this point, some students in Edmonton have claimed that officers at their schools view students as potential threats and criminals rather than as young students. The debate to remove SROs is part of the growing conversation around Black Lives Matter and police brutality. Many argue that SROs extend police involvement, discrimination, and brutality into the lives of BIPOC youth and children, which brings them into—and keeps them entrenched in— the criminal justice system.
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Canada is commended as a country that celebrates multicultural diversity; however, literature suggests that this may not universally be the case for individual Canadians. This research study utilizes the Social Dominance Orientation 7 scale (SDO7 scale) as well as an Immigrant Attitudes Measure with undergraduate students attending a university in Southern Alberta. Questionnaires and interviews were used to achieve the purpose of this research study: to examine the socio-demographic factors, perceptions, and beliefs held by Canadian-born undergraduate students attending a university in Southern Alberta and how these elements may influence SDO and attitudes held about immigrants by these students. Using thematic analysis, six themes were established from the interviews and non-parametric statistical testing was used to establish relationships between variables. As both a member of the Canadian host society and a second-generation immigrant, the researcher also uses journaling to report personal reflections gleaned during the interview process. Canada is commended as a country that celebrates multicultural diversity; however, literature suggests that this may not universally be the case for individual Canadians. This research study utilizes the Social Dominance Orientation 7 scale (SDO7 scale) as well as an Immigrant Attitudes Measure with undergraduate students attending a university in Southern Alberta. Questionnaires and interviews were used to achieve the purpose of this research study: to examine the socio-demographic factors, perceptions, and beliefs held by Canadian-born undergraduate students attending a university in Southern Alberta and how these elements may influence SDO and attitudes held about immigrants by these students. Using thematic analysis, six themes were established from the interviews and non-parametric statistical testing was used to establish relationships between variables. As both a member of the Canadian host society and a second-generation immigrant, the researcher also uses journaling to report personal reflections gleaned during the interview process.
This publication has no Abstract to dispaly