Nelly D Oelke
Dados Biográficos
| ID | 207289 |
|---|---|
| NOME | Nelly D Oelke |
| PRENOMES | Nelly D |
| SOBRENOME | Oelke |
| ASSINATURA | OELKE N D |
| AFILIAÇÕES | University of British Columbia |
| ORCID | 0000-0002-1666-5360 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAÇÕES | 69 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2009 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Facilitating integrated care through a restorative approach
Background: Healthcare harm continues to occur in our health and social care systems. In Canada, adverse events in healthcare occur every minute and eighteen seconds, resulting in 28,000 deaths per year. Not only does healthcare harm include traditional adverse events, but it includes racism, discrimination, lateral violence amongst healthcare providers, and a culture that lacks relational practices. Our current health human resource challenges c…
Appreciative dialogue using the Partnership Pentagram Plus model and Appreciative Inquiry to facilitate actions for integrated care
Background: Our health systems provincially, nationally and internationally are experiencing serious challenges such as health human resource issues, an aging population, higher rates of chronic disease, and climate change impacts. In British Columbia (BC), Canada, in rural and remote health, innovative dialogue approaches have been undertaken to discuss and develop actions to address key health services delivery challenges in our health systems.…
Putting the ‘to’ in Participatory Research to Action
Background: Co-design methods have become increasingly popular for realizing more inclusive research practices with end-user experts-by-experience who have a variety of important roles related to integrated care in their communities—from citizen to patient, provider, care partner, leader, decision-maker and beyond. While this methodological shift has resulted in positive trends related to democratizing science and enhancing creativity in the rese…
Developing recommendations and actions for integrated services delivery through primary health care teams in Canada
An Interpretive Description of Nurses’ Perspectives on Rural Child and Youth Mental Health and Substance Use Care
Mental health and substance use (MHSU) disorders are the primary contributors to disability among children and youth, often with an early age of onset. Rural communities face added challenges in accessing care. Nurses may be a key professional support for rural children and youth needing MHSU care, but there is a gap in the literature about nurses' roles in this practice area. This interpretive descriptive study explored the insights of rural nur…
Understanding policy supports for Team-Based primary healthcare models
Background: Industrialized countries are facing pressure to address the complexity of populations who experience high needs with significant costs to the health system. Interprofessional team-based care (TBC) is an essential component of integrated care strategies to respond to these complex needs. However, TBC models operate within complex policy environments that can facilitate or constrain their activities. The main goal of this project is to …
Integrating mental health conversations into home and community-based healthcare practice
Background: The Canadian healthcare system tends to focus on older adults’ physical needs, which leads to missed opportunities for integrated mental health support, care and treatment. Health and social care providers who work in community settings develop trusting therapeutic relationships with their clients, often in home environments—providing many insights into personal circumstances. These providers are well-positioned to talk about mental h…
The Impacts of Team Culture on Primary Care Teams
Background: Integrated services delivery in primary care is essential, particularly given the current challenges in primary care in Canada. Primary care teams (PCT) provide a way to facilitate integrated care. PCTs in British Columbia (BC) have evolved with widespread implementation of primary care networks, urgent and primary care centres, and community health centres. Team culture can have significant impacts on team functioning and processes, …
Understanding policy supports that enhance equity in the Primary Health Care System
Background: Promoting government efforts to transition to team-based care models in Canada is essential; it aligns with the imperative of ensuring health equity within primary healthcare (PHC) settings. By addressing the fundamental principle of fairness and striving to mitigate disparities in access, quality, and outcomes, these team-based care initiatives can foster a more inclusive and effective healthcare system. This study, part of a larger …
Cultivating a common language for change
Introduction/Background: Systemic ageism, overmedicalization, stigma, and misunderstandings about mental health as a unidimensional or dichotomous construct, contribute to aging Canadians holistic needs going unnoticed, undiscussed, and ultimately unmet. A common language is needed by home and community care providers to leverage their routine care interactions for meaningful conversations about mental health. This national study aimed to co-desi…
Leveraging Innovation to Improve Rural and Remote Emergency Health Services in British Columbia
Background: Almost twenty percent of BC population live in rural settings; yet accessing healthcare, particularly emergency health services (EHSs), is challenging for rural and remote populations as they continue to experience systemic inequities, higher incidence of chronic illnesses, and lower access to healthcare services. Access to EHSs is essential for integrated health services for these populations. Despite the challenges, healthcare provi…
Relational practices for meaningful inclusion in health research
INTRODUCTION: The importance of including people affected by research (e.g., community members, citizens or patient partners) is increasingly recognized across the breadth of institutions involved in connecting research with action. Yet, the increasing rhetoric of inclusion remains situated in research systems that tend to reward traditional dissemination and uphold power dynamics in ways that centre particular (privileged) voices over others. In…
Building consensus in research partnerships
Background: Research partnership approaches that engage community members within the research team (for example, integrated knowledge translation, community-based participatory research) are typically used to enhance the relevance and usefulness of research findings. However, research outcomes generated through partnered research do not de facto address the priorities of those most affected nor take inclusion or power dynamics into consideration.…
Co-designing action-oriented mental health conversations
Background: The COVID-19 pandemic has reinforced concerns for the mental health and wellness of older adults worldwide. Older adults experiencing poor mental health may face both mental health stigma and ageism, which act as barriers to talking about mental health and seeking needed supports, care, and treatment. In Canada and elsewhere, there is a lack of mental health parity. The healthcare system’s focus on the physical healthcare needs of old…
Community stakeholder‐driven technology solutions towards rural health equity
BACKGROUND: Technology holds great potential for promoting health equity for rural populations, who have more chronic illnesses than their urban counterparts but less access to services. Yet, more participatory research approaches are needed to gather community-driven health technology solutions. The purpose was to collaboratively identify and prioritize action strategies for using technology to promote rural health equity through community stake…
Patient, family member and caregiver engagement in shaping policy for primary health care teams in three Canadian Provinces
INTRODUCTION: Improving health services integration through primary health care (PHC) teams for patients with chronic conditions is essential to address their complex health needs and facilitate better health outcomes. The objective of this study was to explore if and how patients, family members, and caregivers were engaged or wanted to be engaged in developing, implementing and evaluating health policies related to PHC teams. This patient-orien…
Adapting patient and public involvement in patient‐oriented methods research
BACKGROUND: Processes of the patient and public involvement (PPI) in health research shifted quickly during 2020. Faced with large-scale issues, such as the COVID-19 pandemic, the need to adapt processes of PPI to uphold commitments to nurturing the practice of 'nothing about us without us' in research has been urgent and profound. We describe how processes of PPI in research on patient-oriented methods of knowledge translation and implementation…
Internet access is a necessity
These analyses found four different patterns of impact related to social, health, financial, and daily living challenges in the context of COVID. Social needs were evident across the four groups; however, we also found nearly 1 in 5 rural-living individuals were impacted by an array of challenges. Access to reliable internet and devices has the potential to support individuals to manage these challenges
Integration through primary healthcare teams
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 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Integrated People-Centred Care in Canada – Policies, Standards, and Implementation Tools to Improve Outcomes
Implementing integration strategies requires that we create and sustain a culture of continuous improvement and learning. Key lessons from the development process focused on the importance of co-design, embedding people-centred practices throughout the standard, formal yet iterative methodology inclusive of broad consultation, clear accountability for both policy makers and system partners, tools that support action and can be adapted to local co…
An interprofessional, community-based integrated care model for individuals with fibromyalgia
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
Facilitating Integration Through Team-Based Primary Healthcare
Heterogeneity of the implementation of PHC teams across Canadian provinces provides an opportunity to learn and improve interprofessional care and integrated health services across jurisdictions
Facilitating integrated care through primary healthcare teams
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
Rural Stories of Getting Back Home
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
What Is Rural Adversity, How Does It Affect Wellbeing and What Are the Implications for Action
A growing body of literature recognises the profound impact of adversity on mental health outcomes for people living in rural and remote areas. With the cumulative effects of persistent drought, record-breaking bushfires, limited access to quality health services, the COVID-19 pandemic and ongoing economic and social challenges, there is much to understand about the impact of adversity on mental health and wellbeing in rural populations. In this …
Health systems integration
Healthcare is likely too complex for a one-size-fits-all integration solution. It is important for decision makers and planners to choose a set of complementary models, structures and processes to create an integrated health system that fits the needs of the population across the continuum of care. However, in order to have evidence available, decision makers and planners should include evaluation for accountability purposes and to ensure a bette…
Management of a Large Qualitative Data Set
Health services research is multifaceted and impacted by the multiple contexts and stakeholders involved. Hence, large data sets are necessary to fully understand the complex phenomena (e.g., scope of nursing practice) being studied. The management of these large data sets can lead to numerous challenges in establishing trustworthiness of the study. This article reports on strategies utilized in data collection and analysis of a large qualitative…
Everything Is Related and It All Leads Up to My Mental Well-Being
Indigenous peoples in Canada often experience a greater burden of poor health and wellness relative to non-Indigenous Canadians due to a legacy of colonisation and racism. However, Indigenous mental wellness outcomes vary by community, and it is essential to understand how a community has been impacted by the determinants to improve mental wellness outcomes. This article shares insight from a research partnership with the Ki-Low-Na Friendship Soc…
Integrated People-Centred Care in Canada – Policies, Standards, and Implementation Tools to Improve Outcomes
Implementing integration strategies requires that we create and sustain a culture of continuous improvement and learning. Key lessons from the development process focused on the importance of co-design, embedding people-centred practices throughout the standard, formal yet iterative methodology inclusive of broad consultation, clear accountability for both policy makers and system partners, tools that support action and can be adapted to local co…
Indicators and Measurement Tools for Health Systems Integration
Continued progress towards integrated care depends on our ability to evaluate the success of strategies across different levels and context. This study has identified 114 tools that measure integrated care across 16 domains, supporting efforts towards a unified measurement framework
Facilitating Integration Through Team-Based Primary Healthcare
Heterogeneity of the implementation of PHC teams across Canadian provinces provides an opportunity to learn and improve interprofessional care and integrated health services across jurisdictions
Understanding the Life Histories of Pregnant-Involved Young Aboriginal Women With Substance Use Experiences in Three Canadian Cities
Despite attention paid to substance use during pregnancy, understandings of young Aboriginal women's experiences based on their perspectives have been virtually absent in the published literature. This study's objective was to understand the life experiences of pregnant-involved young Aboriginal women with alcohol and drugs. Semi-structured interviews to gather life histories were conducted with 23 young Aboriginal women who had experiences with …
Health systems integration
Healthcare is likely too complex for a one-size-fits-all integration solution. It is important for decision makers and planners to choose a set of complementary models, structures and processes to create an integrated health system that fits the needs of the population across the continuum of care. However, in order to have evidence available, decision makers and planners should include evaluation for accountability purposes and to ensure a bette…
Management of a Large Qualitative Data Set
Health services research is multifaceted and impacted by the multiple contexts and stakeholders involved. Hence, large data sets are necessary to fully understand the complex phenomena (e.g., scope of nursing practice) being studied. The management of these large data sets can lead to numerous challenges in establishing trustworthiness of the study. This article reports on strategies utilized in data collection and analysis of a large qualitative…
Optimising the collaborative practice of nurses in primary care settings using a knowledge translation approach
The role of nurses in primary care is poorly understood and many are not working to their full scope of practice. Building on previous research, this knowledge translation (KT) project's aim was to facilitate nurses’ capacity to optimise their practice in these settings. A Summit engaging Alberta stakeholders in a deliberative discussion was the primary KT method used. Participants developed ten recommendations for the effective utilisation of nu…
Indicators and measurement tools for health systems integration
Background: Health systems integration continues to be an important mechanism to enhance quality of care and improve health outcomes. In a prior study (Suter et al, 2009), we identified 10 key principles that need to be considered for successful health systems integration. The principles include: 1) comprehensive services, 2) patient focus, 3) geographic coverage and rostering, 4) standardized care delivery through interprofessional teams, 5) per…
Patient/User Perceptions on the Principles of Integration / Las percepciones del paciente/usuario sobre los Principios de la Integración
Ten key principles have been identified to facilitate successful health systems integration. The principles include: 1) comprehensive services, 2) patient focus, 3) geographic coverage and rostering, 4) standardized care delivery through interprofessional teams, 5) performance management, 6) information technology, 7) organizational culture and leadership, 8) physician integration, 9) governance structure, and 10) financial management. To our kno…
Enhancing patients value through Integrated Care Transitions / Mejorando el valor del pacientes a través de la transicion a la Atención Integrada
Introduction: Care transitions are not well managed in health care; there is limited research focusing on care transitions from ED to community. The Integrated Care Transitions Project between the emergency department (ED) of a university hospital and primary health care (PHC) services in a large city in southern Brazil was the focus of this study. Care transitions occurred through telephone contact for patients discharged from the ED to PHC
Aboriginal Homelessness
Homelessness among Indigenous peoples is an important issue in Canada and internationally. Research was conducted in seven metropolitan areas in the four western provinces of Canada to explore current services with the aim of developing a best practices framework to end homelessness for Aboriginal peoples. Sequential mixed methods were used. Key results found agreement that Aboriginal peoples were overrepresented among the homeless and policy det…
Measuring intersectoral collaboration in a health care setting
Introduction: The importance of integration across the continuum of care is not limited to the health care sector. Coordinating client care between sectors and including supportive services such as education and social services is considered an essential part of building a fully integrated health system. Building on previous integration research, this study is a part of a comprehensive systematic review focused on identifying indicator and measur…
Supporting the mental health needs of adults 50 and over
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 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Results of a knowledge synthesis identifying indicator domains and measures of health system integration
Introduction: Health systems integration is a cornerstone for health system reform enhancing quality of care and health outcomes. Health systems planners invest significant resources to create fully integrated health systems. However, impacts of these efforts are difficult to determine due to the lack of well-defined indicators and tools to measure progress towards integration. The goal of this study was to identify indicator domains and measurem…
Indicators and Measurement Tools for Health Systems Integration
Continued progress towards integrated care depends on our ability to evaluate the success of strategies across different levels and context. This study has identified 114 tools that measure integrated care across 16 domains, supporting efforts towards a unified measurement framework
Understanding the Life Histories of Pregnant-Involved Young Aboriginal Women With Substance Use Experiences in Three Canadian Cities
Despite attention paid to substance use during pregnancy, understandings of young Aboriginal women's experiences based on their perspectives have been virtually absent in the published literature. This study's objective was to understand the life experiences of pregnant-involved young Aboriginal women with alcohol and drugs. Semi-structured interviews to gather life histories were conducted with 23 young Aboriginal women who had experiences with …
Health in All Policies utilization by municipal governments
The aim of this scoping review was to examine the utilization of a Health in All Policies (HiAP) approach in municipal government settings. Specific objectives included: to review peer reviewed and grey literature, to identify common themes from the literature, and to highlight gaps in the evidence base for HiAP. An iterative scoping review method was used. Documents were identified through searches of academic databases, reference lists and jour…
Everything Is Related and It All Leads Up to My Mental Well-Being
Indigenous peoples in Canada often experience a greater burden of poor health and wellness relative to non-Indigenous Canadians due to a legacy of colonisation and racism. However, Indigenous mental wellness outcomes vary by community, and it is essential to understand how a community has been impacted by the determinants to improve mental wellness outcomes. This article shares insight from a research partnership with the Ki-Low-Na Friendship Soc…
What Is Rural Adversity, How Does It Affect Wellbeing and What Are the Implications for Action
A growing body of literature recognises the profound impact of adversity on mental health outcomes for people living in rural and remote areas. With the cumulative effects of persistent drought, record-breaking bushfires, limited access to quality health services, the COVID-19 pandemic and ongoing economic and social challenges, there is much to understand about the impact of adversity on mental health and wellbeing in rural populations. In this …
An interprofessional, community-based integrated care model for individuals with fibromyalgia
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
Facilitating Integration Through Team-Based Primary Healthcare
Heterogeneity of the implementation of PHC teams across Canadian provinces provides an opportunity to learn and improve interprofessional care and integrated health services across jurisdictions
Facilitating integrated care through primary healthcare teams
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
Rural Stories of Getting Back Home
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
Community stakeholder‐driven technology solutions towards rural health equity
BACKGROUND: Technology holds great potential for promoting health equity for rural populations, who have more chronic illnesses than their urban counterparts but less access to services. Yet, more participatory research approaches are needed to gather community-driven health technology solutions. The purpose was to collaboratively identify and prioritize action strategies for using technology to promote rural health equity through community stake…
Patient, family member and caregiver engagement in shaping policy for primary health care teams in three Canadian Provinces
INTRODUCTION: Improving health services integration through primary health care (PHC) teams for patients with chronic conditions is essential to address their complex health needs and facilitate better health outcomes. The objective of this study was to explore if and how patients, family members, and caregivers were engaged or wanted to be engaged in developing, implementing and evaluating health policies related to PHC teams. This patient-orien…
Adapting patient and public involvement in patient‐oriented methods research
BACKGROUND: Processes of the patient and public involvement (PPI) in health research shifted quickly during 2020. Faced with large-scale issues, such as the COVID-19 pandemic, the need to adapt processes of PPI to uphold commitments to nurturing the practice of 'nothing about us without us' in research has been urgent and profound. We describe how processes of PPI in research on patient-oriented methods of knowledge translation and implementation…
Internet access is a necessity
These analyses found four different patterns of impact related to social, health, financial, and daily living challenges in the context of COVID. Social needs were evident across the four groups; however, we also found nearly 1 in 5 rural-living individuals were impacted by an array of challenges. Access to reliable internet and devices has the potential to support individuals to manage these challenges
Integration through primary healthcare teams
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 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Integrated People-Centred Care in Canada – Policies, Standards, and Implementation Tools to Improve Outcomes
Implementing integration strategies requires that we create and sustain a culture of continuous improvement and learning. Key lessons from the development process focused on the importance of co-design, embedding people-centred practices throughout the standard, formal yet iterative methodology inclusive of broad consultation, clear accountability for both policy makers and system partners, tools that support action and can be adapted to local co…
Political science (25 obras) · Medicine (24 obras) · Health care (23 obras) · Computer Science (22 obras) · Psychology (17 obras) · Business (15 obras) · Nursing (15 obras) · Primary Care and Health Outcomes (15 obras) · Interprofessional Education and Collaboration (14 obras) · Knowledge management (13 obras)