Justine Giosa
Dados Biográficos
| ID | 6576130 |
|---|---|
| NOME | Justine Giosa |
| PRENOMES | Justine |
| SOBRENOME | Giosa |
| ASSINATURA | GIOSA J |
| AFILIAÇÕES | University of Waterloo |
| ORCID | 0000-0002-2863-393X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 33 |
| TOTAL DE CITAÇÕES | 2 |
| TOTAL COMO AUTOR | 33 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2018 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Examining the Influence of Integrated Home and Community Care Programs on Quadruple Aim and Health Equity Outcomes Across the Health Care System
Future research should adopt a balanced approach, incorporating all Quadruple Aim and Health Equity domains. A learning health system model, linking data, knowledge and practice, is recommended to enable continuous improvement and resource alignment
From Understanding to Action
Background: To remain in their community, a person’s combination of self-care abilities, family support and formal care must match their level of need. When this does not happen, the individual can experience negative outcomes such as unmet needs, caregiver burnout, or increased use of facility-based care. Having an accurate understanding of care needs is critical not only at an individual level, but also at a program or population level for orga…
Identifying priority questions for aging and mental health research in partnership with experts-by-experience
Background: Mental health is an essential component of overall health across the life course that should be integrated into research, policy, and practice for sustainable health and well-being. However, in Canada, research and care provision related to aging, mental health and physical health are often siloed. There is a need for intentional partnerships with experts-by-experience to collaboratively generate a meaningful aging and mental health r…
Caring in Changing Times
Background: Having a skilled workforce is essential for the delivery of high quality, integrated home and community care. Home Health Nursing (HHN) Competencies provide a unified understanding of the knowledge, skills and attributes required for safe and ethical care, serving as a resource to support consistency in care delivery across locations of care. However, to be used effectively for workforce training and development, competencies must ref…
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…
Workplace wellbeing for sustainable and equitable provision of Hospice for Homeless Populations
Background: Sustaining and growing integrated hospice palliative care (HPC) for homeless populations, hinges on staff and volunteer workforce capacity to deliver high-quality specialized care focused on trauma-informed, compassionate, and anti-oppression approaches. However, multiple compounding work-related stressors may put these providers at risk for burnout, including heavy workloads, workplace harassment, and vicarious trauma. Burnout can le…
Building a Sustainable Home and Community Care Workforce
Background: Availability of high-quality integrated home and community care is essential to providing older adults with more opportunities to age in their communities. However, health human resource challenges continue to pose a barrier to expanding home and community care capacity. Skill gaps, where differences exist between employer expectations and the skills the workforce possesses, can result in negative outcomes for both providers and patie…
Building, scaling and spreading community-based transitional care programs—Bold change leadership for evidence-based integrated care
Background: Since 205, SE Health has been on a bold change leadership journey to operationalize transitional models of home and community care with 20+ system partners including hospitals and regional health authorities. Join us to learn and share successes, challenges, and opportunities for scale and spread of community-driven integrated care solutions. Audience: As one of Canada largest not-for-profit social enterprises working across the care …
The Participatory Research to Action (PR2A) Framework
Participatory approaches to health services research represent a paradigm shift that values the knowledge of experts-by-experience, including patients, caregivers, members of the general public, healthcare providers, and decision-makers. While many frameworks have been developed, they are generally tailored to a sector, health condition, research stage, or research design. After an extensive literature scan and our team's deep expertise in commun…
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…
Valuing the patient voice
Introduction: Around the world, people are living longer in their communities. To support aging in place, understanding a person’s holistic care needs, including information about caregiver support, is essential to develop meaningful plans for integrated care centered around preferences, strengths, and needs. Using evidence-based assessment instruments to support these discussions are essential for meaningful engagement and shared decision-making…
Examining the influence of integrated home and community care on Quadruple Aim and Health Equity outcomes across the health system
Introduction: Many countries with publicly funded health systems, such as Canada, are looking to transform how people receive long-term care and services by shifting more care into the community and strengthening community-based options . Despite the potential of integrated home and community care to address the needs of an aging population in their desired location, the influence of these programs on the broader health system is not well underst…
Meeting in the middle
Introduction/Background: For Canada to realize the goal of high-quality integrated care, macro-level health system and policy changes are necessary, but these can take time. Researchers can partner with meso-level organizations to take immediate action on meaningful, collaborative and evidence-based change leading the way for larger scale improvements across the system. Approach: Applied health researchers serve as a critical link between meso-le…
Observe, Coach, Assist, Report
Background: In Canada, most paid home care is provided by an unregulated workforce of personal support (PS) providers. Given their frequent and consistent interactions with clients, PS providers are well-positioned to identify unaddressed client needs; however little infrastructure exists to communicate these observations with the broader home care team. To support deeper integration of PS providers and their contributions into home care teams, t…
Is this really equity? Engaging experts-by-experience in Learning Health Systems to generate meaningful change solutions
Background:Learning Health Systems (LHS) require rigorous integration of evidence, experience, expertise, and values as a formula to produce equitable and meaningful change solutions for population health and wellbeing. The Participatory Research to Action (PR2A) Framework can guide authentic engagement of experts-by-experience across the LHS learning cycle. Audience:To produce equity-driven solutions in a learning health system, a rigorous appro…
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…
Integrated palliative care for all
Background: Approximately 235,000 people experience homelessness or structural vulnerability in Canada in any given year, and many would benefit from hospice palliative care (HPC) due to their complex health and social care needs. Sustaining and growing integrated HPC for all, including people experiencing homelessness, hinges on staff and volunteer workforce capacity to deliver high-quality specialized HPC.Our program of research focuses on skil…
Understanding the role of ‘care managers’ across the health care system
Background: Older adults receive care from multiple health care providers and across sectors, making it difficult to coordinate care. Ineffective care coordination leads to poor health outcomes, greater service use, and increased system costs. One proposed solution to better integrate care across the system is through the implementation of a care manager role - someone to organize and oversee care. Based on previous research, we know that one poi…
Facilitating delivery of goal-oriented care through the collection, presentation, and use of meaningful data
Background: Use of routinely collected health and social care data has potential to drive population health improvements. Many organizations are data rich but information poor; collecting large amounts of data but having limited ability to transform data into actionable insights. Learning health systems aim to produce these types of insights not through stand-alone research, but as by-products of care delivery, using the care environment as a liv…
Development, testing and international opportunities for a novel Patient Reported Experience Measure (PREM) of integrated home and community care
BACKGROUND: As health systems transition to more integration, it is important to measure whether the aims of integration are being achieved, including health equity and patient experience. One way to do this is by gathering self-reported data through patient-reported experience measures (PREMs). Integrating PREM data into health system improvement initiatives has been shown to improve health outcomes. As health systems around the world seek to ex…
Nursing competencies for integrated home and community care
Background: Workforce stabilization is critical to sustainability and expansion of home and community care, given rising demand for care outside facility-based settings. Continuous knowledge and skill-building, rooted in up-to-date and evidence-based competencies and resources, is central to ensuring home health nurses are equipped to deliver care in dynamic community care contexts that include: increasing use of digital health tools, rising comp…
The Reflection Room ®
We developed, implemented, and evaluated a participatory arts-based storytelling initiative called the Reflection Room project. Our aim was to investigate if visiting a Reflection Room, (1) creates opportunities for disclosing emotions and processing thoughts, (2) increases comfort discussing dying and death, and (3) supports advance care planning (ACP), conversations. In the pilot phase of the Reflection Room project, a Reflection Room was insta…
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…
Think aloud and tell us everything that comes to mind”
Background: Ontario’s health system goal is to put clients at the centre with the right care, at the right time, in the right place. To do this there is a need to integrate home care with community-based services. This type of integration should, in theory, better support people to continue living well, with dignity and safety, in their homes and communities for as long as possible. A critical component of improving integrated home and community …
Designing meaningful surveys
Background: People want to live well in their homes and communities for as long as possible. To support this, some home care services in Ontario, Canada are restructuring to integrate medical and personal care, with community-based social care and services (e.g., friendly visiting, meals, and transportation). Measures of client experience, referred to as ‘patient-reported experience measures’ (PREMs) are important for guiding health system improv…
Person‐ and family‐centred goal‐setting for older adults in Canadian home care
Goal-setting with older adults in home care is often inhibited by a lack of structure to support person- and family-centred care planning, paternalistic decision-making and task-oriented delivery models. The objective of this research study was to determine how goal-setting practices for older adults could be re-oriented around individuals' self-perceived goals, needs and preferences. Solution-focused semi-structured key informant interviews were…
Co-designing a framework for integrated home care planning with older adults, family caregivers and health care providers
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)
Person‐ and family‐centred goal‐setting for older adults in Canadian home care
Goal-setting with older adults in home care is often inhibited by a lack of structure to support person- and family-centred care planning, paternalistic decision-making and task-oriented delivery models. The objective of this research study was to determine how goal-setting practices for older adults could be re-oriented around individuals' self-perceived goals, needs and preferences. Solution-focused semi-structured key informant interviews were…
The Reflection Room®
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
Long-term life care at 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
Aging and mental health in Canada
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
Improved partnerships between caregivers and care providers of persons living with dementia
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
The Reflection Room ®
We developed, implemented, and evaluated a participatory arts-based storytelling initiative called the Reflection Room project. Our aim was to investigate if visiting a Reflection Room, (1) creates opportunities for disclosing emotions and processing thoughts, (2) increases comfort discussing dying and death, and (3) supports advance care planning (ACP), conversations. In the pilot phase of the Reflection Room project, a Reflection Room was insta…
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…
Think aloud and tell us everything that comes to mind”
Background: Ontario’s health system goal is to put clients at the centre with the right care, at the right time, in the right place. To do this there is a need to integrate home care with community-based services. This type of integration should, in theory, better support people to continue living well, with dignity and safety, in their homes and communities for as long as possible. A critical component of improving integrated home and community …
Designing meaningful surveys
Background: People want to live well in their homes and communities for as long as possible. To support this, some home care services in Ontario, Canada are restructuring to integrate medical and personal care, with community-based social care and services (e.g., friendly visiting, meals, and transportation). Measures of client experience, referred to as ‘patient-reported experience measures’ (PREMs) are important for guiding health system improv…
Integrating health and social care in the community to support a new model of Long-term Life Care at home
Background: Long-term care (LTC) reform was an international priority well before the COVID-19 pandemic. While strategies to promote de-institutionalization, rehabilitation, caregiver support and enhanced home and community care have varied by country in terms of implementation and success, the pandemic universally reinforced existing system-specific barriers and weaknesses. In Canada, heightened access issues and silo-ed delivery of community-ba…
Operationalizing a holistic health definition as a framework to guide comprehensive assessment at the point of care
Background: Holistic assessment of client needs is an important component of person-centred care planning. However, the comprehensive nature of some standardized assessment tools from a documentation perspective, such as the internationally validated interRAI Home Care (interRAI HC) assessment tool, can make conducting and experiencing the assessment as a person-centred and conversational process challenging for both the assessor and the client1.…
Building, scaling and spreading community-based transitional care programs—Bold change leadership for evidence-based integrated care
Background: Since 205, SE Health has been on a bold change leadership journey to operationalize transitional models of home and community care with 20+ system partners including hospitals and regional health authorities. Join us to learn and share successes, challenges, and opportunities for scale and spread of community-driven integrated care solutions. Audience: As one of Canada largest not-for-profit social enterprises working across the care …
The Participatory Research to Action (PR2A) Framework
Participatory approaches to health services research represent a paradigm shift that values the knowledge of experts-by-experience, including patients, caregivers, members of the general public, healthcare providers, and decision-makers. While many frameworks have been developed, they are generally tailored to a sector, health condition, research stage, or research design. After an extensive literature scan and our team's deep expertise in commun…
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…
Valuing the patient voice
Introduction: Around the world, people are living longer in their communities. To support aging in place, understanding a person’s holistic care needs, including information about caregiver support, is essential to develop meaningful plans for integrated care centered around preferences, strengths, and needs. Using evidence-based assessment instruments to support these discussions are essential for meaningful engagement and shared decision-making…
Examining the influence of integrated home and community care on Quadruple Aim and Health Equity outcomes across the health system
Introduction: Many countries with publicly funded health systems, such as Canada, are looking to transform how people receive long-term care and services by shifting more care into the community and strengthening community-based options . Despite the potential of integrated home and community care to address the needs of an aging population in their desired location, the influence of these programs on the broader health system is not well underst…
Meeting in the middle
Introduction/Background: For Canada to realize the goal of high-quality integrated care, macro-level health system and policy changes are necessary, but these can take time. Researchers can partner with meso-level organizations to take immediate action on meaningful, collaborative and evidence-based change leading the way for larger scale improvements across the system. Approach: Applied health researchers serve as a critical link between meso-le…
Observe, Coach, Assist, Report
Background: In Canada, most paid home care is provided by an unregulated workforce of personal support (PS) providers. Given their frequent and consistent interactions with clients, PS providers are well-positioned to identify unaddressed client needs; however little infrastructure exists to communicate these observations with the broader home care team. To support deeper integration of PS providers and their contributions into home care teams, t…
Is this really equity? Engaging experts-by-experience in Learning Health Systems to generate meaningful change solutions
Background:Learning Health Systems (LHS) require rigorous integration of evidence, experience, expertise, and values as a formula to produce equitable and meaningful change solutions for population health and wellbeing. The Participatory Research to Action (PR2A) Framework can guide authentic engagement of experts-by-experience across the LHS learning cycle. Audience:To produce equity-driven solutions in a learning health system, a rigorous appro…
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…
Integrated palliative care for all
Background: Approximately 235,000 people experience homelessness or structural vulnerability in Canada in any given year, and many would benefit from hospice palliative care (HPC) due to their complex health and social care needs. Sustaining and growing integrated HPC for all, including people experiencing homelessness, hinges on staff and volunteer workforce capacity to deliver high-quality specialized HPC.Our program of research focuses on skil…
Understanding the role of ‘care managers’ across the health care system
Background: Older adults receive care from multiple health care providers and across sectors, making it difficult to coordinate care. Ineffective care coordination leads to poor health outcomes, greater service use, and increased system costs. One proposed solution to better integrate care across the system is through the implementation of a care manager role - someone to organize and oversee care. Based on previous research, we know that one poi…
Facilitating delivery of goal-oriented care through the collection, presentation, and use of meaningful data
Background: Use of routinely collected health and social care data has potential to drive population health improvements. Many organizations are data rich but information poor; collecting large amounts of data but having limited ability to transform data into actionable insights. Learning health systems aim to produce these types of insights not through stand-alone research, but as by-products of care delivery, using the care environment as a liv…
Development, testing and international opportunities for a novel Patient Reported Experience Measure (PREM) of integrated home and community care
BACKGROUND: As health systems transition to more integration, it is important to measure whether the aims of integration are being achieved, including health equity and patient experience. One way to do this is by gathering self-reported data through patient-reported experience measures (PREMs). Integrating PREM data into health system improvement initiatives has been shown to improve health outcomes. As health systems around the world seek to ex…
Health care (25 obras) · Medicine (22 obras) · Nursing (18 obras) · Integrated care (17 obras) · Geriatric Care and Nursing Homes (14 obras) · Business (13 obras) · Computer Science (13 obras) · Political science (13 obras) · Psychology (13 obras) · Health Policy Implementation Science (8 obras)