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University of British Columbia nursing student journal, Vol. 2, no. 1 Kwon, Jae-Yung 2013-09

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UNIVERSITY OF BRITISH COLUMBIAJOURNALNursing StudentFACULTY INTERVIEWSGeertje BoschmaGlennis Zilm & Ethel WarbinekHelen ShoreFEATURED ARTICLEAttitudes & Beliefs of Nurses? Towards Pushing Method in the Second Stage of LabourALSO INSIDEHighlights From The Graduate Student Symposium 2013VOLUME 2 ? NUMBER 1  SEPTEMBER 2013Letter from the Director  ...........................................................................................................................................  3Letter from the Editor  ................................................................................................................................................  4Faculty Interviews Geertje Boschma  .................................................................................................................................................................  6Glennis Zilm and Ethel Warbinek  ..............................................................................................................................  9Helen Shore  ......................................................................................................................................................................... 12Graduate Student Symposium 2013:  Innovation in Practice, Research and Scholarship  .................... 15Nurse Practitioner Communities of Practice: Developing, Sharing, and  Stewarding Knowledge ( Alicia Faye Hornsberger )  ............................................................................................................................................ 17A Qualitative Investigation of Community Health Nurses? Adaptation to Systems Change ( Kathleen Lounsbury )  .................................................................................................................................................... 18The HOUR is NOW Project: Fostering Leadership and Advocacy Qualities Amongst Nursing Studentsat Selkirk College ( Tessa Munro )  .................................................................................................................................................................. 19Complementary Medicine (CAM) Decision Support Coaching for Cancer Patient and Families: A Nurse-led Intervention ( Tracy Truant, Lynda Balneaves, Brenda Ross, Margurite Wong, Carla Hilario, Marja Verhoef, & Antony Porcino )  ................................................................................................................................................................ 20Oral Chemotherapy & Biotherapy: Effective Care and Support for Patients ( Haley Back & Tyrone Maguire )  ............................................................................................................................... 21Critical Thinking in Clinical Education ( Sarah Desrosiers )  .........................................................................................................................................................  22Mental Health Nurses Perceptions of Aggression in Children ( Lorelei Faulkner-Gibson )  ........................................................................................................................................... 23Intellectual Backwater? Examining the Nature and Status of Historical Inquiry in Nursing Epistemology ( Catherine Haney )  .......................................................................................................................................................... 24UBC Nursing Student Journal, Vol.2, Issue 1. 2ContentsSocial Connectedness and the Mental Health of Southeast Asian Youth: Results from a Population-based Survey in British Columbia ( Carla Hilario, Elizabeth Saewyc, Joy Johnson, & Dzung Vo )  ........................................................................ 25Adhering to Adjuvant Endocrine Therapy after Breast Cancer: What?s the Problem? ( Leah K. Lambert, Lynda G. Balneaves, & Sabrina T. Wong )  ......................................................................... 26Manufactured Controversy: A Critical Analysis of the Construction of ?Cesarean Delivery on Maternal Request? ( Sarah Munro )  ................................................................................................................................................................. 27Care Aesthetics Unlocked: Photographs of Nursing Inside Correctional Unit #1 ( Katie Adam & Kate Hunc )  .......................................................................................................................................... 28The Extended Care Paramedic (ECP) Program: An Innovative Approach to Sustainable Patient-Centred Care ( Katie Adam & Kate Hunc )  .......................................................................................................................................... 29Polycystic Ovary Syndrome: An Opportunity to Reduce the Incidence and Burden of Ischemic Heart Disease among Young Women? ( Kristi Panchuk, Martha Mackay, Karin Humphries, Anthony Cheung, & Priscilla Taipale )  .......... 30Sexual Health Education for Gay, Lesbian, Bisexual, Trans-gendered and Questioning (GLBTQ) Youth ( Nicole Warren )  .............................................................................................................................................................. 31So, What?s Happening With Health Promotion in Public Health? ( Ranjit Dhari )  .................................................................................................................................................................... 32Stories of Women Who Support Trans Men: An Autoethnographic Novel ( Lyn Merryfeather )  ......................................................................................................................................................... 33Graduate Student Symposium 2013: Best Poster Award .................................................................  34Peer-reviewed SectionResearch Proposal: Attitudes and Beliefs of Nurses' Towards Pushing Method in the Second Stage of Labour( Susan Lin )  ........................................................................................................................................................................  35UBC Nursing Student Journal, Vol.2, Issue 1. 3Letr tfomrerhDteit fftecft fmih.tf.rerihti3tecftEhrdf4 reFti3ta4rer ctuilyInrvw tsy4 rhDtGey.fhetjiy4hvltBtsGjt6t4fv.Ft3i4tZ4f  tvh.tLtvItcihiy4f.teitmiherhyftfhmiy4vDrhDt ey.fhe trhtecfr4tZy4 yreti3t mcilv4lFtfh.fvdi4 WtuihD4veylverih teitecft ey.fhetlfv.f4 tbcitcvdftidf4 ffhtecr t fmih.tf.rerihktvh.teitvllteci fkt ey.fhe kt3vmyleFktvh.tmiIIyhreFtZv4ermrZvhe ktbcitv4ftZv4eti3tecr tm4fverih9tLetcv tnffhtfomrerhDteitnfmiIftZv4eti3tecr tdrn4vhektZv  rihvefktrhefllrDfhektmvZvnlfktvh.tDrdrhDtmiIIyhreFti3thy4 f kthy4 ftf.ymvei4 ktvh.tmiIIyhreFtZv4ehf4 9tEautGmciilti3tsy4 rhDtmiherhyf teitcvdftvtZ4f erDriy t4f fv4mct4fmi4.tZ4idrhmrvllFkthverihvllFktvh.trhef4hverihvllFtvh.tbftmiherhyfteitf.ymveftvh.tZ4fZv4ftfoe4fIflFtmiIZfefhetZ4vmererihf4 tbcit.fIih e4veftnf etZ4vmermf tvh.t4f3lfmerdftvmerih 9tHflverih crZ tcvdftD4fvetIfvhrhDt3i4tecft mciiltvh.tre tIfInf4 9tSi41tbrectZ4vmermftZv4ehf4 ktfhDvDfIfhetnFtvlyIhrkt24i3f  i4tpIf4rerktvh.tmiIIyhreFtZv4ehf4 ktvllt4fdildftv4iyh.t4flverih crZ 9t0cftGFhecf r t24i:fme t4f3lfmef.trhtecr t:iy4hvlt3imy tihtv4fv trIZi4evheteitZ4vmermftecvet4fPyr4ftmli f4tvhvlF r tvh.t F efIvermt ey.F9t, t ey.fhe tfoZli4ftecftlref4vey4fktfovIrhftecft4f fv4mctvh.tnf etZ4vmermf ktvh.tIffetbrect1fFt ev1fcil.f4 ktecfFt.fdfliZtvtIfvhrhD3yltZ4i.ymetbcrmctr tZ4f fhef.teitecftZ4vmermft feerhD9tRrhvltZi ef4tZ4f fheverih tv4ft.ihft3i4tecftZ4vmermftvh.tvmv.fIrmtmiIIyhreFtvllibrhDt3i4t.rvliDyftvh.miherhyf.tlfv4hrhD9t0cftsGjtey4h teci ftZ4i:fme trheitZvZf4 trhtvtbvFtecvet.r  fIrhvef tecftrh3i4IverihtfdfhtIi4ftn4iv.lF9tLetr trIZi4evhet3i4tiy4t3yey4fthy4 f teitnft3rf4mftv.dimvef t3i4tecftdirmfti3thy4 rhDtrhtZynlrmtZilrmFkteitcflZt.fmr rih6Iv1f4 tyh.f4 evh.tecftyhrPyftvh.tdvlyvnlftmihe4rnyerih tecvethy4 rhDtmvhtIv1ft3i4tIvhFtcfvlectmv4ft F efItZ4inlfI ktvh.teithfdf4tcf revefteitmcvllfhDftecft evey tPyi9tLtmvhhietecrh1ti3tvtnfeef4tbvFteit4fZ4f fhetecvet3yey4ftecvhtec4iyDctecf mcilv4 crZktfhDvDfIfhektvh.tmillvni4verihti3tEautsy4 rhDt ey.fhe trhtecr t:iy4hvltBtmihD4veylverih tihtvt:intbfllt.ihfWSuzanne H. Campbell, PhD, RN, IBCLCAssociate Professor and DirectorUniversity of British Columbia School of NursingEautsy4 rhDtGey.fhetjiy4hvlkt5il9NktL  yftC9 gLetter from the DirectorLetr tfomhfmDicm.e33c..mhEmhedmEtd.Dmc tDthf4mFcmiaucmlhuc mEhdFad mFtDimafhDicdmcy3tDtfomc tDthfImnicmdc.cad3imitoirtoiDmEhdmDit.mvcadw.mc tDthfmt.mDicmsda eaDcmGDe cfDmGvljh.telmB6ZW4mhdoaftbc mkvmDicmsda eaDcmGDe cfD.mtfm9ed.tfomH..h3taDthfmSs9GH1Im2cmiaucmar.hma  c mtfDcdutcF.mEdhlmDicm.vljh.telmaFad mFtffcd4mfhDakrcmEa3erDvmlclkcd.ma.mFcrrma.mamfcFmjccdpdcutcFc m.c3Dthfma.mamrcadftfomhjjhdDeftDvmEhdmDicm.De cfDmdcutcFcd.mDhmef cd.Daf mihFmDicmdcutcF.mFhd0maDmDicmhDicdmcf mhEmDicm.eklt..thfmjdh3c..ImLvmef cd.Daf tfomkhDimcf .mhEmDicm:hedfarm.eklt..thfmaf mdcutcFmjdh3c..4mFcmkcrtcucmDiaDm.De cfD.madcmkcDDcdmjh.tDthfc mDhmkcmlhdcmdcErc3Dtucmaf mDhmcfoaocmtfm3hfDtfehe.mrcadftfoImnit.m:hedfarm3her mfhDmiaucm3hfDtfec mFtDiheDmDicm.ejjhdDmEdhlmDicmEa3erDv4m.De cfD.4maf m.DaEEmtfmDicmG3ihhrmhEm9ed.tfoIm2cmFher 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coK moEc feSl c3DReblo.e wwIE SlepoffeBDewID.DcmDve .eomeIDf mD.emEemlDeSrIIDcme.omr moEceoceHIomo.le4EfrFBo 6e cvelEpemlDecDpeocdEIF moEce3DcDI mDveBaemlo.e.mrvaeS ceBDermofoKDve cve v wmDveocewrBfoS(SEFFrcoma(SEFFrcomaelD fmle SIE..e4 c v Re9H4eyrI.oc3esmrvDcmeAErIc f6e)EfR76ei..rDeQR Q?Complementary Medicine (CAM) Decision Support Coaching for Cancer Patient and Families: ANurse-led InterventionTracy Truanta, RN., MSN; Lynda Balneavesb, RN, PhD; Brenda Rossc, RN; Margurite Wongd, RN, MSN; Carla Hilarioe, RN, MSN; Marja Verhoeff, PhD; Antony Porcinog, PhD.aDoctoral Student, UBC School of Nursing; CAMEO Co-InvestigatorbAssociate Professor, UBC School of Nursing; CAMEO Principal InvestigatorcBC Cancer Agency; CAMEO Research Nurse CoordinatordClinical Educator, Vancouver Coastal HealtheDoctoral Student, UBC School of Nursing; CAMEO Research AssistantfProfessor, University of Calgary, Department of Community Health Servicesg CAMEO Project DirectorBackground: Up to 80% of cancer patients use complementary medicine (CAM), yet most do not receive adequate decision support from health professionals to safely integrate CAM into their cancertreatment plan. This gap in care leads to concerns about safety when combining CAM with cancer treatments, and possible missed benefits from CAM therapies for which positive evidence exists.Purpose: This presentation outlines the development and pilot testing of a nurse-led intervention to address this gap in care. The one-on-one CAM decision support coaching intervention (CAM DSCI) offers cancer patients with complex CAM decision support needs (e.g. multiple CAM therapy use, high distress levels, considering conventional treatment delays) a structured approach to accessing and contextualizing evidence-informed CAM information to their unique clinical and personal situation.Methods: Using a convenience sample and mixed methods approach, the pilot study evaluated a) participants? CAM decision support needs, b) how the CAM DSCI affects select patient outcomes, and c) CAM DSCI feasibility (time, resources, expertise). Findings: All participants (N=20) demonstrated improvements post CAM DSCI in CAM knowledge, decision quality, and decisional regret and described reduced anxiety and confusion when making CAM decisions. A range of CAM decision support needs were identified and feasibility of the intervention for the practice setting was established, including development of a practice-ready CAMassessment and decision support tool for health professionals.Implications: The pilot study offers preliminary support for feasibility and effectiveness of the CAM DSCI to meet complex patient CAM decision support needs. This intervention also highlights an innovative role for nurses in the growing field of CAM/Integrative Medicine.UBC Nursing Student Journal, Vol.2, Issue 1. 20Letr fomhDiometc. 3 EdDiometc.4 Faamuidlm ftem tyI nvccDei aDe wtidmyisGtrm. 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