Importance of collaboration and contextual factors in the development and implementation of social participation initiatives for older adults living in rural areas

Abstract : To encourage isolated and vulnerable older adults to accomplish meaningful social activities, occupational therapists and other healthcare workers must collaborate with community organisations and municipalities to develop and implement initiatives fostering social participation. In a rural Regional County Municipality in Quebec (Canada), four social participation initiatives were selected and implemented: 1) Benevolent Community, 2) urban transportation system, 3) creation of a website on social participation activities, and 4) social participation workshop. Little is known about contextual factors such as the structures and organisations, stakeholders, and physical environment that influence the development and implementation of such initiatives

EHS Rapid Guideline: Evidence-Informed European Recommendations on Parastomal Hernia Prevention—With ESCP and EAES Participation

Background: Growing evidence on the use of mesh as a prophylactic measure to prevent parastomal hernia and advances in guideline development methods prompted an update of a previous guideline on parastomal hernia prevention.Objective: To develop evidence-based, trustworthy recommendations, informed by an interdisciplinary panel of stakeholders.Methods: We updated a previous systematic review on the use of a prophylactic mesh for end colostomy, and we synthesized evidence using pairwise meta-analysis. A European panel of surgeons, stoma care nurses, and patients developed an evidence-to-decision framework in line with GRADE and Guidelines International Network standards, moderated by a certified guideline methodologist. The framework considered benefits and harms, the certainty of the evidence, patients’ preferences and values, cost and resources considerations, acceptability, equity and feasibility.Results: The certainty of the evidence was moderate for parastomal hernia and low for major morbidity, surgery for parastomal hernia, and quality of life. There was unanimous consensus among panel members for a conditional recommendation for the use of a prophylactic mesh in patients with an end colostomy and fair life expectancy, and a strong recommendation for the use of a prophylactic mesh in patients at high risk to develop a parastomal hernia.Conclusion: This rapid guideline provides evidence-informed, interdisciplinary recommendations on the use of prophylactic mesh in patients with an end colostomy. Further, it identifies research gaps, and discusses implications for stakeholders, including overcoming barriers to implementation and specific considerations regarding validity

L’enseignement féministe universitaire au Québec

L'objet de ce dossier est de discuter des enjeux liés à l'enseignement féministe en rendant compte de la création récente du Réseau des études féministes universitaires du Québec (REFUQ). L'auteure décrit l'état de l'enseignement féministe universitaire et les types de programmes d'études féministes dans le réseau québécois et elle souligne deux enjeux de l'enseignement féministe universitaire : la stratégie d'élaboration et d'implantation de structures d'enseignement féministe et la relève dans l'enseignement et la rechercheféministes universitaires.The purpose of this article is to discuss issues in feminist studies in relation to the recent creation of the Réseau des études féministes universitaires du Québec (REFUQ), a network for feminist studies in Québec universities. The author describes the status of feminist studies in universities and the types of programs of studies offered in Québec. She underscores two issues in university-level feminist studies: strategies for designing and implementing feminist studies structures, and the new generation of university-level feminist research and studies