Ivy Lynn Bourgeault
Datos Biográficos
| ID | 79564 |
|---|---|
| NOMBRE | Ivy Lynn Bourgeault |
| NOMBRES | Ivy Lynn |
| APELLIDO | Bourgeault |
| FIRMA | BOURGEAULT I L |
| AFILIACIONES | University of Ottawa |
| ORCID | 0000-0002-5113-9243 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 78 |
| TOTAL DE CITAS | 266 |
| TOTAL COMO AUTOR | 70 |
| TOTAL COMO EDITOR | 8 |
| PRIMER AÑO DE PUBLICACIÓN | 1993 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 9 |
Co-developing an inclusive interprofessional health workforce minimum data standard for enhanced planning and decision-making
BACKGROUND: Comprehensive and standardized health workforce data are the foundation of more robust planning and evidence-informed decision-making in the face of multiple crises. OBJECTIVE: This paper describes the process, results, and lessons learned in co-developing an inclusive, interprofessional health workforce minimum data standard (MDS) for planning. METHODS: A four-phase development process was undertaken: 1) we gathered existing data sta…
Health Service Needs for Urban Indigenous Women with Co-Occurring Health Concerns
Addressing inequities in health service access and utilization among Indigenous Peoples is complex, especially for urban Indigenous women with co-occurring health conditions and addiction issues. Services for co-occurring health conditions are compartmentalized and disjointed. Urban Indigenous women are particularly at risk of falling through the cracks of the service system. With this in mind, we designed a study that would provide information a…
Influence of the pandemic on the mental health of professional workers
Interventions to address the mental health consequences of the pandemic, including their unique gendered and professional dimensions, should consider the intersecting influences and differences revealed through our analysis. In addition to being gender sensitive, interventions need to take into account the unique circumstances of each profession to better respond to the mental health needs of all genders within each professional group
Building Capacity for Health Workforce Planning
Background: Health workforce planning holds promise for enhancing access to integrated care, supporting proactive and evidence-based workforce decision-making, promoting workforce sustainability, and ensuring equitable distribution of resources. Approach: Ontario Health Toronto and the Canadian Health Workforce Network co-developed and operationalized an integrated primary care workforce planning process in Toronto. The process has four iterative…
If you build it they may not come
Background: The importance of maintaining positive mental health in the workplace is a priority for many organizations worldwide. How mental health challenges are addressed continues to evolve as awareness and stigma are brought to the forefront. Effective support needs to consider innovative strategies that promote mental well-being across the system, organization, team, and individual levels. Approach: The creation of mental health toolkits is …
Generating Academic Capital Through Travel
Travel contributes to the accumulation of academic capital, specifically the social and symbolic capital valued in academic contexts, which in turn supports career success. The expectations of mobility associated with academic travel are experienced differently by academic mothers who also face expectations related to norms for ideal motherhood. The norms of the ideal mobile academic and the ideal mother come into conflict most clearly in terms o…
Sending State Perspectives on the Global Migration of Indian Nurses
India has become one of the key sources for the global nursing labour force. While there is significant research on the experiences of Indian‐trained nurses in destination countries and their motivations to migrate, relatively less work explores the role of the sending state in this policy field, and rarely are subregional differences considered. In this paper, we focus on the policies and processes that are designed to or otherwise affect nurse …
Favoriser le recrutement éthique des infirmières diplômées hors Canada
Au Canada, le recrutement des infirmières diplômées hors du pays devient de plus en plus un sujet d’actualité, soulevant un questionnement éthique dans les médias et les écrits scientifiques. En effet, bien que la pénurie de la main-d’oeuvre infirmière soit un problème global, le Canada, plus spécifiquement au niveau provincial et territorial, ainsi que d’autres pays développés ont activement mis en place des campagnes de recrutement internationa…
Work & life stress experienced by professional workers during the pandemic
The COVID-19 pandemic impacted work and home life exacerbating pre-existing stressors and introducing new ones. These impacts were notably gendered. In this paper, we explore the different work and home life related stressors of professional workers specifically as a result of the COVID-19 pandemic through the gender-based analysis of two pan Canadian surveys: The Canadian Community Health Survey (2019, 2020, 2021) and the Healthy Professional Wo…
Even if you build it, they may not come
It is critical to ground toolkits in the experiential evidence of workplace mental health as is linking these to evidence-informed interventions that correspond to workplace concerns. Organizational readiness to adopt and adapt resources and implement changes is a key consideration. Ultimately, user engagement is what brought these toolkits to life
On-Demand and Marketplace Platforms
With worker shortages and the need for care workers projected to grow, personal care work through digital labour platforms (DLPs) is important to understand. This paper considers DLPs used by gig care workers providing personal care in Ontario, Canada. We recruited 20 women gig care workers for interviews. We examined socio-technical processes such as signing up on platforms, creating profiles, and searching for jobs. We draw on Institutional Eth…
Team Primary Care
To address the growing crisis in primary care access and sustainability in Canada, Team Primary Care brings together 65+ health professional organizations to enhance the capacity of interprofessional, comprehensive primary care through improved training for practitioners, supports for teams and tools for planners and employers. Team Primary Care targets the primary care workforce including family physicians, primary care nurse practitioners, fami…
Weight Communication
This study aimed to investigate how health professionals (HPs) communicate about weight with their patients. Semi-structured interviews were conducted with 33 health professionals (7 family physicians, 13 nurse practitioners, and 13 dietitians) working in multidisciplinary healthcare settings in Canada. Thematic analysis revealed four main approaches used by HPs to communicate about weight: 1) Analyzing patient perspectives, 2) focusing on overal…
Teacher Mental Health and Leaves of Absences
The literature reports high levels of occupational stress for teachers, exacerbated by heavy loads of emotional labour in the classroom. We know less, however, about teacher mental health concerns as they relate to leaves of absences and returns to work, and the role gender may play related to leaves of absences and returns to work. Our pilot study aimed to address these gaps using a survey (n= 67) and follow up interviews (n = 8). We found that …
Integrated primary care workforce planning in the City of Toronto
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
How equitable has the Covid-19 response been in Canada
Women and gender equity in academia through the conceptual lens of care
Even though academics are routinely engaged in care activities for their students, colleagues, institutions, and families, care is often overlooked in the culture of academia. This study focuses on how care work affects gender equity in academia, along with work and personal lives of women academics. Through female professors, the study explores the extent, variety, and lived experiences of care practices in academia. Utilizing care and gender th…
A Gendered Analysis of Work, Stress and Mental Health, Among Professional and Non-Professional Workers
This study examines the differences in mental health experiences of workers in professional and non-professional roles, with a particular focus on the influence of gender. We examine: i) the perceived mental health of a subset of professional workers including accounting, academia, dentistry, medicine, nursing, and teaching, chosen because they represent different gender composition and sectors; and ii) work stress and work absences. Statistical …
Evidence use in equity focused health impact assessment
The findings of this study provide a realist perspective on evidence use in practice, specifically for EFHIA. These findings can inform ongoing development and refinement of various knowledge translation interventions, particularly for practitioners delivering front-line public health services
This policy sucks and it’s stupid
First Nations women who live on rural and remote reserves in Canada leave their communities between 36 and 38 weeks gestational age to receive labor and birthing services in large urban centers. The process and administrative details of this process are undocumented despite decades of relocation as a routine component of maternity care. Using data from 32 semistructured interviews and information from peer-reviewed literature, grey literature, an…
A complex adaptive system framework of barriers and facilitators to integrated care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
I don't see gender
Academic experts share their ideas, as well as contribute to advancing health science by participating in publishing as an author, reviewer and editor. The academy shapes and is shaped by knowledge produced within it. As such, the production of scientific knowledge can be described as part of a socially constructed system. Like all socially constructed systems, scientific knowledge production is influenced by gender. This study investigated one l…
Healthcare workers 'on the move
Many healthcare workers are 'on the move' as part of their employment, travelling often great distances to such places as patients'/clients' homes and community clinics. Healthcare workers' experiences of this employment-related geographic mobility have been relatively invisible even though mobility is necessary for home and community care. Interviews with professional (e.g. nurses) and paraprofessional (e.g. personal care assistants) healthcare …
A gender analysis of a national community health workers program
Gender equity can be a neglected issue in health system reforms. This paper explores the multiple layered gender dynamics of the Afghan Community Health Worker (CHW) Program within broader health system reforms in Afghanistan using a qualitative research design. We interviewed policy makers, health managers, CHWs and community members in 16 sites in 2013 and 2014. We found that gendered societal norms interact and influence the Afghan CHW program…
The Relationship of Safety with Burnout for Mobile Health Employees
Employees' confidence in occupational safety while addressing work responsibilities on the road has implications for their experience of job burnout
Decentred comparative research
Understanding the social organisation of maternity care systems
Theories of professions and healthcare organisation have difficulty in explaining variation in the organisation of maternity services across developed welfare states. Four countries - the United Kingdom, Finland, the Netherlands and Canada - serve as our case examples. While sharing several features, including political and economic systems, publicly-funded universal healthcare and favourable health outcomes, these countries nevertheless have dis…
Decline vs. retention of medical power through restratification
Though some argue that medical power is declining, others disagree. In particular, Freidson assets that medicine is being restratified with medical elites retaining control over health care though practitioners are losing their individual autonomy to these elites. We use the case of state‐medicine relationships in Ontario to examine the restratification thesis. Our findings indicate that the state partially controls medicine through restratificat…
Conceptualizing mainstream health care providers' behaviours in relation to complementary and alternative medicine
Qualitative research and the politics of knowledge in an age of evidence
Delivering the 'new' Canadian midwifery
This paper addresses the impact on midwifery of its recent integration into the provincial health care system in Ontario, Canada. Data are derived from participant-observation, primary and secondary source documents, and key informant interviews. Based on these data, I argue that midwifery has changed throughout the integration process but it has also successfully resisted change. Specifically, the organisation of the midwifery community evolved …
Collaborative health care teams in Canada and the USA
There has been a renewed interest in collaborative models of health care delivered by ‘interdisciplinary teams’ of providers across several health care systems. This growing phenomenon raises a host of issues related to the management of professional boundaries and the contemporary state of medical dominance. In this paper, we undertake a critical analysis of the factors both promoting and impeding collaborative care models of primary and mental …
Integration lay and nurse-midwifery into the U.S. and Canadian health care systems
Patient control over dying
Wasting Away
Reconfiguring Finnish welfare service workforce
Purpose This study seeks to examine the reconfiguration of professional groups in welfare service work through the lens of gendered inequalities in order to develop an inclusive research horizon that extends to the middle grade of care workers. Design/methodology/approach The research design positions workforce change within a wider social and cultural context by highlighting occupational, educational and unionist orders from the viewpoint of Fin…
Gender, professions and public policy
Purpose This article aims to provide an overview on key trends in public sector policy and professional development and how they intersect with gender and diversity. It seeks to explore new configurations in the relationship between gender and the professions and to develop a matrix for the collection of articles presented in this volume. Design/methodology/approach The authors link social policy and governance approaches to the study of professi…
I don't see gender
Academic experts share their ideas, as well as contribute to advancing health science by participating in publishing as an author, reviewer and editor. The academy shapes and is shaped by knowledge produced within it. As such, the production of scientific knowledge can be described as part of a socially constructed system. Like all socially constructed systems, scientific knowledge production is influenced by gender. This study investigated one l…
Professional integration as a process of professional resocialization
The Employment and Recruitment of Immigrant Care Workers in Canada
This paper examines the employment and recruitment of immigrant care workers in the older adult care sector in Canada, based on data from interviews with 77 workers and 24 employers in care settings, as well as from 149 online employer surveys conducted in 2007–08. We find that workers enter this sector largely through social networks. Although recruitment agencies do not play a critical role in the employment and recruitment of immigrant workers…
Women and gender equity in academia through the conceptual lens of care
Even though academics are routinely engaged in care activities for their students, colleagues, institutions, and families, care is often overlooked in the culture of academia. This study focuses on how care work affects gender equity in academia, along with work and personal lives of women academics. Through female professors, the study explores the extent, variety, and lived experiences of care practices in academia. Utilizing care and gender th…
The shield of professional status
This article examines the intersecting roles of gender, ethnicity, and professional status in shaping the experiences of internationally educated health professionals in Canada. The article is based on 140 semi-structured qualitative interviews with internationally trained nurses and physicians who came to Canada within past 10 years with the intention to practice their profession. Describing the challenging process of professional integration in…
Introduction
Unpacking gendered professional power in the welfare state
Purpose Recent scholarship reveals the imagery of the professional as the “ideal citizen”. The linkage between professionalism and citizenship is here approached from the perspective of democratic social justice in order to examine the persistence of gendered inequalities in the health care system. The paper aims to examine the ideas framing professionalism, both in sociological theory and historically, asking what gendered hierarchies mean in mo…
Everyday experiences of implicit rationing
Managed Care in the U.S. is one of the more controversial strategies to implicitly ration health care. It has also been creeping into Canada where care is similarly being managed albeit in a different socio-political environment. Based on nine group interviews with 35 RNs in California and 10 group interviews with 39 RNs in British Columbia, we find that the price to be paid for the promise of cheaper, more efficient health care through manageria…
Canada’s Live-In Caregiver Program
Encountering Globalization
The market for professional services is increasingly international but comparisons have not been made between different professions nor on how state policies affect opportunities for mobility. This article considers three professions: engineers, physicians and psychologists and explores the similarities and differences in international labour market demand for occupations. It examines how state policies in four countries, Canada, Finland, France …
Gendering social work in Russia
Purpose This article seeks to uncover the gendered nature of discourses in social services and social work textbooks and their impact on the professional identity of social workers in Russia. Design/methodology/approach It is based on qualitative methodology, referring to interview material, and discourse analysis of the Russian textbooks used in social care education. It addresses three dimensions of gender: labour market policies and women's wo…
Who staffs the US leaning tower? Organisational change and diversity
Purpose The paper aims to argue that US colleges and universities resemble a “leaning tower” with ever expanding layers of administrators and managers who control and dominate university life. This set of institutional changes has altered the way that college administrators are recruited. Design/methodology/approach The paper uses recent developments in institutional theories of organisations to explain the changing environment facing US colleges…
On-Demand and Marketplace Platforms
With worker shortages and the need for care workers projected to grow, personal care work through digital labour platforms (DLPs) is important to understand. This paper considers DLPs used by gig care workers providing personal care in Ontario, Canada. We recruited 20 women gig care workers for interviews. We examined socio-technical processes such as signing up on platforms, creating profiles, and searching for jobs. We draw on Institutional Eth…
Patient control over dying
Regulation and legislation of the dying process
Because of radical changes that have been effected by medical advances in the process of dying, it is now frequently necessary for patients to make an explicit decision on whether to forego life-prolonging medical therapies. We report physicians' and nurses' perceptions of the need for, feasibility of, and value of regulations and legislation to govern the dying process. In-depth, semistructured interviews were conducted with a sample of 20 physi…
Decline vs. retention of medical power through restratification
Though some argue that medical power is declining, others disagree. In particular, Freidson assets that medicine is being restratified with medical elites retaining control over health care though practitioners are losing their individual autonomy to these elites. We use the case of state‐medicine relationships in Ontario to examine the restratification thesis. Our findings indicate that the state partially controls medicine through restratificat…
Decline vs. retention of medical power through restratification
Decline vs. retention of medical power through restratification
Integration lay and nurse-midwifery into the U.S. and Canadian health care systems
Wasting Away
Delivering the 'new' Canadian midwifery
This paper addresses the impact on midwifery of its recent integration into the provincial health care system in Ontario, Canada. Data are derived from participant-observation, primary and secondary source documents, and key informant interviews. Based on these data, I argue that midwifery has changed throughout the integration process but it has also successfully resisted change. Specifically, the organisation of the midwifery community evolved …
Everyday experiences of implicit rationing
Managed Care in the U.S. is one of the more controversial strategies to implicitly ration health care. It has also been creeping into Canada where care is similarly being managed albeit in a different socio-political environment. Based on nine group interviews with 35 RNs in California and 10 group interviews with 39 RNs in British Columbia, we find that the price to be paid for the promise of cheaper, more efficient health care through manageria…
Heal Thyself
Reconceiving Midwifery
Conceptualizing mainstream health care providers' behaviours in relation to complementary and alternative medicine
Understanding the social organisation of maternity care systems
Theories of professions and healthcare organisation have difficulty in explaining variation in the organisation of maternity services across developed welfare states. Four countries - the United Kingdom, Finland, the Netherlands and Canada - serve as our case examples. While sharing several features, including political and economic systems, publicly-funded universal healthcare and favourable health outcomes, these countries nevertheless have dis…
Push
In the 1980s there were few midwives in Canada and their practice was neither legal nor officially recognized. Ontario midwives and their supporters pushed to integrate midwifery into provincial health care systems and by 1993 had established an internationally renowned model. Ivy Lynn Bourgeault analyses the struggle to professionalize midwifery in the context of the negotiations between women, as both consumers and providers of health care, and…
Making a Better Living from Caregiving
Plusieurs stratégies ont été utilisées implicitement ou explicitement afin d'améliorer le taux de rémunération des prestataires de soins, pour la plupart des femmes. Ces tactiques comprennent: élever les titres de compétences requis pour exercer la profession; organiser et syndicaliser; exiger la parité salariale; solliciter du financement public pour leurs services. Alors que plusieurs chercheurs ont étudié le processus et les effets de ces stra…
The Caring Dilemma in Midwifery
The caring dilemma, first described by Reverby in 1987, denotes the tension caused by being obliged to provide care without the right to determine how that care is to be provided. Such a dilemma is salient in the practice of midwifery based on a continuity of care model that has recently emerged or been implemented in various jurisdictions. Briefly, this model involves the provision of care by a single midwife or pair of midwives to a woman throu…
Decentred comparative research
Collaborative health care teams in Canada and the USA
There has been a renewed interest in collaborative models of health care delivered by ‘interdisciplinary teams’ of providers across several health care systems. This growing phenomenon raises a host of issues related to the management of professional boundaries and the contemporary state of medical dominance. In this paper, we undertake a critical analysis of the factors both promoting and impeding collaborative care models of primary and mental …
Finding the Right Mix
The purpose of this research was (i) to describe the factors that affect collaboration among mental health service providers of different disciplines, (ii) to understand the mix of providers in existing collaborative care models, and (iii) to develop a framework to better understand the barriers and facilitators to interdisciplinary collaborative mental health delivery using Ontario as a case example. We draw upon the academic and policy literatu…
Les ressources humaines en santé au xxi e siècle
Health Human Resources Policy in the 21 st Century
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Accessing Maternity Care in Rural Canada
Drawing upon a comparative, qualitative study of the experiences of rural women accessing maternity care in two Canadian provinces, we demonstrate that availability of services, having economic and informational resources to access the services offered, and the appropriateness of those services in terms of gender, continuity of care, confidentiality, quality of care, and cultural fit are key to an accurate understanding of health care access. We …
Caring Beyond Borders
Unpacking gendered professional power in the welfare state
Purpose Recent scholarship reveals the imagery of the professional as the “ideal citizen”. The linkage between professionalism and citizenship is here approached from the perspective of democratic social justice in order to examine the persistence of gendered inequalities in the health care system. The paper aims to examine the ideas framing professionalism, both in sociological theory and historically, asking what gendered hierarchies mean in mo…
Reconfiguring Finnish welfare service workforce
Purpose This study seeks to examine the reconfiguration of professional groups in welfare service work through the lens of gendered inequalities in order to develop an inclusive research horizon that extends to the middle grade of care workers. Design/methodology/approach The research design positions workforce change within a wider social and cultural context by highlighting occupational, educational and unionist orders from the viewpoint of Fin…
Political science (56 obras) · Medicine (41 obras) · Sociology (40 obras) · Nursing (33 obras) · Health care (32 obras) · Law (26 obras) · Economics (22 obras) · Law (21 obras) · Psychology (19 obras) · Public relations (19 obras)