Exploring the experience of involuntary spousal separation in Ontario, Canada: A Participatory Action Research Study
Notice bibliographique
Résumé
Background: In Ontario, the current long-term care (LTC) system continuously fails to support the needs of separated spouses in LTC, leading to adverse effects on the mental health of both residents and their spouses. To support separated spouses, additional research is needed to understand the unique experiences of involuntary separated spouses, as well as exploring separation across different contexts. \nObjective: The primary aim of this dissertation was to explore spouses’ experiences of involuntary separation in Ontario, Canada. \nMethods: The design of this dissertation involves two phases. First, a qualitative systematic review using the Joanna Briggs Institute methodology situated this work within evidence pertaining to the impact of spousal separation. Second, a qualitative multi-case study with 11 couples used a participatory action research approach to explore the experience of spousal separation. \nResults: The Phase I systematic review revealed that loneliness and depression are prevalent among spouses involuntarily separated. However, there was a notable gap in the literature, as researchers often fail to include both spouses as participants, particularly those living in LTC. Additionally, the findings highlight a significant lack of literature investigating the strategies and approaches needed to support separated spouses at the organizational and systemic levels. Phase II of this research identified four overarching themes describing spouses' experiences with separation, including: 1) Spouses face organizational ageism within the policies, procedures and lack of support during their separation, 2) Separated spouses have no voice or inclusion in the LTC decision-making process, 3) Spousal separation is impacted by staff and organizations capacity of care for the spouse living in LTC, and 4) Separated spouses need more education, knowledge, and access to LTC policies and supports. \nConclusion: The findings from this dissertation highlight the importance of an inclusive and proactive advocacy approach to improving the services, programs, and policies supporting spouses experiencing involuntary separation. Findings will be used for multiple knowledge dissemination and translation efforts led by participants, including publishing a novel on spousal separation, conducting public talks with stakeholders, researchers, and government officials, and involving older adults in decision-making processes pertaining to spousal separation.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».