The factors that influence patient healthcare experiences are complex and connected to place. In northern Canada, the socio-historical context and the inequitable distribution of health services are unique influences on patients. The objective of this study was to examine the characteristics of patient healthcare experiences as reported through news media in the Northwest Territories. We used a case series design to examine patient healthcare experiences reported in news media articles. We conducted a systematic search for articles published between 2008 and 2017 in the online database of a media outlet in the Northwest Territories. We used descriptive statistics to summarise the article characteristics and thematic analysis to understand patient experiences in 128 articles related to 71 cases. Most often, cases involved women, concerned mental health, suicidality, or chronic diseases, and were predominantly negative. Patient experiences included problems associated with medical travel, communication difficulties with providers, lack of cultural safety, and barriers in accessing care resulting in poor-quality care, particularly for Indigenous patients. Broadly, these experiences are rooted in the colonial history in the North. Understanding patient experiences and including Indigenous patients in health system decision-making can help focus policies and clinical care on cultural safety and equity.

Quantitative drug imaging in live cells is a major challenge in drug discovery and development. Many drug screening techniques are performed in solution, and therefore do not consider the impact...

This study focused on the experiences of grandparents raising grandchildren in rural, Prince Edward Island, Canada. Termed grand-families, there are numerous reasons why grandparents must step up and step in to care for their grandchildren. Often these reasons are related to their adult children’s struggles with mental illness and substance use disorders. Adopting Clandinin and Connelly’s approach to narrative inquiry, we present findings from the conversational interviews conducted with 12 grandparents raising their grandchildren. Interview data were analyzed through the narrative dimensions of time, place, and relationship. Findings are presented as rich narratives which illuminate the evolution and storied experiences of grand-families. Particularly revealing are the challenges grandparents face as they navigate various systems, including health care, that do not acknowledge the uniqueness of their family form. Nurses work with grand-families across varied clinical settings. Grounded within the philosophy of Patient and Family Centered Care and family nursing theory, this article offers recommendations for supportive interventions that nurses can implement when caring for grand-families across clinical settings. This study has the potential to facilitate the development of evidence-based supports and services, which are responsive to the needs, realities, and complexities of grand-families.

Purpose To provide financial institutions an overview of the developments in cybersecurity regulation of financial institutions during 2015 by the United States, the United Kingdom, and the European Union, as well as guidance for developing effective cyber-risk management programs in light of evolving cyber-threats and cyber-regulatory expectations. Design/methodology/approach Reviews US, UK and EU regulatory developments in the cybersecurity area and provides several best practice tips financial institutions should consider and implement to improve their cybersecurity compliance programs. Findings While cyber-threats and financial regulators’ expectations for cyber-security are constantly evolving, recent guidance and enforcement efforts by the US, UK and EU illustrate the need for financial institutions to develop effective cybersecurity programs that address current regulatory compliance requirements and prepare for emergency cyber responses. Practical implications Financial institutions should utilize the Federal Financial Institutions Examination Council’s Cybersecurity Assessment Tool to assess their cyber-risk profile and cyber-preparedness. Originality/value Practical guidance from experienced financial regulatory and privacy lawyers that provides a survey of the current regulatory environment and recommendations for cyber-security compliance.