Table of Contents
International Journal of Palliative Care
Volume 2014, Article ID 157536, 11 pages
http://dx.doi.org/10.1155/2014/157536
Review Article

Why Did an Out-of-Hospital Shift of Death and Dying Occur in Canada after 1994?

1Faculty of Nursing, University of Alberta, Edmonton, AB, Canada T6G 2C9
2Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada T6G 2G4
3Family Medicine, University of Calgary, Calgary, AB, Canada T2N 4N1

Received 28 June 2013; Accepted 11 November 2013; Published 2 February 2014

Academic Editors: L. Deliens and R. Viola

Copyright © 2014 Donna M. Wilson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. K. Meeussen, L. van den Block, M. A. Echteld et al., “End-of-Life care and circumstances of death in patients dying as a result of cancer in Belgium and The Netherlands: a retrospective comparative study,” Journal of Clinical Oncology, vol. 29, no. 32, pp. 4327–4334, 2011. View at Publisher · View at Google Scholar · View at Scopus
  2. D. M. Wilson, “The duration and degree of end-of-life dependency of home care clients and hospital inpatients,” Applied Nursing Research, vol. 15, no. 2, pp. 81–86, 2002. View at Publisher · View at Google Scholar · View at Scopus
  3. D. M. Wilson, H. C. Northcott, C. D. Truman et al., “Location of death in Canada: a comparison of 20th-century hospital and nonhospital locations of death and corresponding population trends,” Evaluation and the Health Professions, vol. 24, no. 4, pp. 385–403, 2001. View at Publisher · View at Google Scholar · View at Scopus
  4. D. M. Wilson, C. D. Truman, R. Thomas et al., “The rapidly changing location of death in Canada, 1994–2004,” Social Science and Medicine, vol. 68, no. 10, pp. 1752–1758, 2009. View at Publisher · View at Google Scholar · View at Scopus
  5. Statistics Canada, “Deaths by geography—in hospital or elsewhere,” 2012, http://www.statcan.gc.ca/pub/84f0211x/2008000/t012-eng.htm.
  6. B. Gomes, N. Calanzani, and I. J. Higginson, “Reversal of the British trends in place of death: time series analysis 2004–2010,” Palliative Medicine, vol. 26, no. 2, pp. 102–107, 2012. View at Publisher · View at Google Scholar · View at Scopus
  7. S. M. Hansen, S. W. Tolle, and D. P. Martin, “Factors associated with lower rates of in-hospital death,” Journal of Palliative Medicine, vol. 5, no. 5, pp. 677–685, 2002. View at Google Scholar · View at Scopus
  8. R. J. Torraco, “Writing integrative literature reviews: guidelines and examples,” Human Resource Development Review, vol. 4, no. 3, pp. 356–367, 2005. View at Publisher · View at Google Scholar
  9. L. Di Matteo and R. Di Matteo, “Public Homecare expenditures in Canada,” Canadian Public Policy, vol. 27, no. 3, pp. 313–334, 2001. View at Google Scholar · View at Scopus
  10. D. J. Emery, A. J. Forster, K. G. Shojania, M. Tubman, and T. E. Feasby, “Management of MRI wait lists in Canada,” Health Care Policy, vol. 4, no. 3, pp. 76–86, 2009. View at Google Scholar
  11. J. T. McDonald and H. Conde, “Does geography matter? the health service use and unmet health care needs of older Canadians,” Canadian Journal on Aging, vol. 29, no. 1, pp. 23–37, 2010. View at Publisher · View at Google Scholar · View at Scopus
  12. C. L. McWilliam, “Sharpening the focus of research on in-home and community care for older persons,” Canadian Journal of Nursing Research, vol. 40, no. 1, pp. 5–8, 2008. View at Google Scholar · View at Scopus
  13. A. M. Williams, V. A. Crooks, K. Whitfield et al., “Tracking the evolution of hospice palliative care in Canada: a comparative case study analysis of seven provinces,” BMC Health Services Research, vol. 10, article 147, 2010. View at Publisher · View at Google Scholar · View at Scopus
  14. A. DiCenso, “Evidence-based nursing practice: how to get there from here,” Canadian Journal of Nursing Leadership, vol. 16, no. 4, pp. 20–26, 2003. View at Google Scholar · View at Scopus
  15. H. B. MacDonald, “Milk products: an investment in one's future,” Canadian Nurse, vol. 99, no. 6, article 8, 2003. View at Google Scholar · View at Scopus
  16. B. Simpson, “Evidence-based nursing practice: the state of the art,” Canadian Nurse, vol. 92, no. 10, article 29, pp. 22–25, 1996. View at Google Scholar · View at Scopus
  17. M. Nichols, “Cancer mortality rates in Canada,” Maclean'S Magazine, vol. 112, no. 43, 1999. View at Google Scholar
  18. M. R. McIntyre, “Understanding living with dying,” Canadian Nurse, vol. 93, no. 1, pp. 19–25, 1997. View at Google Scholar · View at Scopus
  19. M. A. Achille and J. R. P. Ogloff, “When is a request for assisted suicide legitimate? Factors influencing public attitudes toward euthanasia,” Canadian Journal of Behavioural Science, vol. 29, no. 1, pp. 19–27, 1997. View at Google Scholar · View at Scopus
  20. B. Parke and J. Mulgrew, “End-of-life care in old age,” Canadian Nurse, vol. 96, no. 9, pp. 12–13, 2000. View at Google Scholar · View at Scopus
  21. R. G. Steele, “Trajectory of certain death at an unknown time: children with neurodegenerative life-threatening illnesses,” Canadian Journal of Nursing Research, vol. 32, no. 3, pp. 49–67, 2000. View at Google Scholar · View at Scopus
  22. G. Boscoe, “Active euthanasia,” Canadian Nurse, vol. 94, no. 6, pp. 13–14, 1998. View at Google Scholar
  23. Special Senate Committee on Euthanasia and Assisted Suicide, “Of life and death—final report,” 1995, http://www.parl.gc.ca/content/sen/committee/351/euth/rep/lad-e.htm.
  24. Standing Senate Committee on Social Affairs, Science and Technology, “Subcommittee to update, ‘of life and death’,” Quality end-of-life care: the right of every Canadian, 2000, http://www.parl.gc.ca/Content/SEN/Committee/362/upda/rep/repfinjun00-e.htm.
  25. B. Mildon, L. Shepard, and G. Hozack, “Hospital without walls,” Canadian Nurse, vol. 94, no. 9, pp. 31–34, 1998. View at Google Scholar · View at Scopus
  26. M. Sutherland and B. Bruce, “Same-day pediatric surgery,” Canadian Nurse, vol. 94, no. 4, pp. 36–39, 1998. View at Google Scholar · View at Scopus
  27. S. A. McDaniel, “Health care policy in an aging Canada: the “Alberta” experiment,” Journal of Aging Studies, vol. 11, no. 3, pp. 211–227, 1997. View at Google Scholar · View at Scopus
  28. M. J. McGregor, R. B. Tate, L. A. Ronald, and K. M. McGrail, “Variation in site of death among nursing home residents in British Columbia, Canada,” Journal of Palliative Medicine, vol. 10, no. 5, pp. 1128–1136, 2007. View at Publisher · View at Google Scholar · View at Scopus
  29. E. Alexander, J. E. Rennick, F. Carnevale, and M. Davis, “Daily struggles: living with long-term childhood technology dependence,” Canadian Journal of Nursing Research, vol. 34, no. 4, pp. 7–14, 2002. View at Google Scholar · View at Scopus
  30. C. I. Neutel, M. L. Bishop, S. D. Harper, and L. A. Gaudette, “Proportion of cancer deaths occuring in hospital, Canada 1994–2000,” Canadian Journal of Public Health, vol. 96, no. 4, pp. 264–268, 2005. View at Google Scholar · View at Scopus
  31. S. M. Gallagher, M. Relf, and R. McKim, “Primary health care. Integrated services in northeast Edmonton,” Canadian Nurse, vol. 99, no. 1, pp. 25–29, 2003. View at Google Scholar · View at Scopus
  32. N. C. Keating, “Bridging policy and research in eldercare,” Canadian Journal on Aging/Canadian Public Policy, vol. 23, pp. 22–41, 1997. View at Google Scholar · View at Scopus
  33. M. Collins and V. MacDonald, “Managing postoperative pain at home,” Canadian Nurse, vol. 96, no. 7, pp. 26–29, 2000. View at Google Scholar · View at Scopus
  34. D. L. Wells, D. K. Martin, A. Moorhouse, D. Craig, and J. M. Foley, “An integrated model of discharge planning for acutely-ill elderly patients,” Canadian Journal of Nursing Leadership, vol. 12, no. 3, pp. 6–12, 1999. View at Google Scholar · View at Scopus
  35. Canadian Nurses Association, “Telehealth: great potential or risky terrain?” Canadian Nurse, vol. 96, no. 10, pp. 5–8, 2000. View at Google Scholar
  36. S. Goodwin, “Telephone nursing: an emerging practice area,” Canadian Journal of Nursing Leadership, vol. 20, no. 4, pp. 37–45, 2007. View at Google Scholar · View at Scopus
  37. S. Griffin and B. Layton, “Bringing care closer to home,” Canadian Nurse, vol. 104, no. 6, pp. 12–13, 2008. View at Google Scholar · View at Scopus
  38. B. Korabek, C. Slauenwhite, P. Rosenau, and L. Ross, “Innovations in seniors' care: home care/physician partnership,” Canadian Journal of Nursing Leadership, vol. 17, no. 3, pp. 65–78, 2004. View at Google Scholar · View at Scopus
  39. L. M. Nagle, “Show me the way to stay home,” Canadian Journal of Nursing Leadership, vol. 21, no. 4, pp. 29–32, 2008. View at Google Scholar
  40. P. G. Hawranik and L. A. Strain, “Giving voice to informal caregivers of older adults,” Canadian Journal of Nursing Research, vol. 39, no. 1, pp. 156–172, 2007. View at Google Scholar · View at Scopus
  41. S. C. Peacock and D. A. Forbes, “Interventions for caregivers of persons with dementia: a systematic review,” Canadian Journal of Nursing Research, vol. 35, no. 4, pp. 88–107, 2003. View at Google Scholar · View at Scopus
  42. Department of Justice, Canada Labour Code (R.S., 1985, c. L-2), 2010, http://laws.justice.gc.ca/en/L-2/FullText.html.
  43. M. Hurst, “About the living will,” Canadian Nurse, vol. 101, no. 4, p. 4, 2005. View at Google Scholar · View at Scopus
  44. C. Patterson, D. W. Molloy, G. H. Guyatt et al., “Systematic implementation of an advance health care directive in the community,” Canadian Journal of Nursing Administration, vol. 10, no. 2, pp. 96–108, 1997. View at Google Scholar · View at Scopus
  45. S. S. Motiwala, R. Croxford, D. N. Guerriere, and P. C. Coyte, “Predictors of place of death for seniors in Ontario: a population-based cohort analysis,” Canadian Journal on Aging, vol. 25, no. 4, pp. 363–371, 2006. View at Google Scholar · View at Scopus
  46. V. Micevski, L. Korkola, S. Sarkissian et al., “University Health Network framework for advanced nursing practice: development of a comprehensive conceptual framework describing the multidimensional contributions of advanced practice nurses,” Canadian Journal of Nursing Leadership, vol. 17, no. 3, pp. 52–64, 2004. View at Google Scholar · View at Scopus
  47. P. Pogue, “The nurse practitioner role: into the future,” Canadian Journal of Nursing Leadership, vol. 20, no. 2, pp. 35–39, 2007. View at Google Scholar
  48. S. Sidani, D. Irvine, and A. DiCenso, “Implementation of the primary care nurse practitioner role in Ontario,” Canadian Journal of Nursing Leadership, vol. 13, no. 3, pp. 13–19, 2000. View at Google Scholar · View at Scopus
  49. H. Broughton, “The shift to wellness,” Canadian Nurse, vol. 91, no. 7, p. 5, 1995. View at Google Scholar · View at Scopus
  50. G. Hartrick, D. Brown, M. Eastman et al., “The synergy of health promotion practice/research/education,” Canadian Journal of Nursing Leadership, vol. 12, no. 4, pp. 25–29, 1999. View at Google Scholar · View at Scopus
  51. R. Martin-Misener, J. McNab, I. S. Sketris, and L. Edwards, “Collaborative practice in health systems change: the Nova Scotia experience with the Strengthening Primary Care Initiative,” Canadian Journal of Nursing Leadership, vol. 17, no. 2, pp. 33–45, 2004. View at Google Scholar · View at Scopus
  52. C. Todd, M. Howlett, M. MacKay, and B. Lawson, “Family practice/primary health care nurses in Nova Scotia,” Canadian Nurse, vol. 103, no. 6, pp. 23–27, 2007. View at Google Scholar · View at Scopus
  53. K. Brazil, D. Howell, M. Bedard, P. Krueger, and C. Heidebrecht, “Preferences for place of care and place of death among informal caregivers of the terminally ill,” Palliative Medicine, vol. 19, no. 6, pp. 492–499, 2005. View at Publisher · View at Google Scholar · View at Scopus
  54. K. I. Stajduhar, D. E. Allan, S. R. Cohen, and D. K. Heyland, “Preferences for location of death of seriously ill hospitalized patients: perspectives from Canadian patients and their family caregivers,” Palliative Medicine, vol. 22, no. 1, pp. 85–88, 2008. View at Publisher · View at Google Scholar · View at Scopus
  55. D. Wilson, J. Cohen, L. Deliens, and D. Houttekier, “The preferred place of last days: results of a representative population-based survey,” Journal of Palliative Medicine, vol. 16, no. 5, 2013. View at Publisher · View at Google Scholar
  56. D. M. Wilson, L. Fillion, R. Thomas, C. Justice, P. P. Bhardwaj, and A.-M. Veillette, “The “good” rural death: a report of an ethnographic study in Alberta, Canada,” Journal of Palliative Care, vol. 25, no. 1, pp. 21–29, 2009. View at Google Scholar · View at Scopus
  57. L. M. Nagle, “Informatics around the globe,” Canadian Journal of Nursing Leadership, vol. 22, no. 3, pp. 21–25, 2009. View at Google Scholar · View at Scopus
  58. P. Fortin, “The great Canadian slump,” Canadian Journal of Economics, vol. 29, no. 4, pp. 761–787, 1996. View at Google Scholar · View at Scopus
  59. J. Aronson and S. M. Neysmith, “Manufacturing social exclusion in the home care market,” Canadian Public Policy, vol. 27, no. 2, pp. 151–165, 2001. View at Google Scholar · View at Scopus
  60. L. Boon, “Caring practices and the financial bottom line,” Canadian Nurse, vol. 94, no. 3, pp. 27–32, 1998. View at Google Scholar · View at Scopus
  61. A. Casebeer, C. Scott, and K. Hannah, “Transforming a health care system: managing change for community gain,” Canadian Journal of Public Health, vol. 91, no. 2, pp. 89–93, 2000. View at Google Scholar · View at Scopus
  62. L. Liu, J. Hader, B. Brossart, R. White, and S. Lewis, “Impact of rural hospital closures in Saskatchewan, Canada,” Social Science and Medicine, vol. 52, no. 12, pp. 1793–1804, 2001. View at Publisher · View at Google Scholar · View at Scopus
  63. M. J. Penning, M. E. Brackley, and D. E. Allan, “Home care and health reform: changes in home care utilization in one Canadian province, 1990–2000,” Gerontologist, vol. 46, no. 6, pp. 744–758, 2006. View at Google Scholar · View at Scopus
  64. M. Armstrong-Stassen, S. J. Cameron, J. Mantler, and M. E. Horsburgh, “The impact of hospital amalgamation on the job attitudes of nurses,” Canadian Journal of Administrative Sciences, vol. 18, no. 3, pp. 149–162, 2001. View at Google Scholar · View at Scopus
  65. R. J. Burke, “Restructuring stressors and perceived hospital effectiveness,” Canadian Journal of Nursing Leadership, vol. 14, no. 1, pp. 21–26, 2001. View at Google Scholar · View at Scopus
  66. I. Daiski, “Restructuring: a view from the bedside,” Canadian Journal of Nursing Leadership, vol. 17, no. 3, pp. 33–44, 2004. View at Google Scholar
  67. D. G. Morgan, N. J. Stewart, C. D'Arcy, and A. L. Cammer, “Creating and sustaining dementia special care units in rural nursing homes: the critical role of nursing leadership,” Canadian Journal of Nursing Leadership, vol. 18, no. 2, pp. 74–99, 2005. View at Google Scholar · View at Scopus
  68. A. Landesman, “Restructuring hospitals, restructuring nursing,” Canadian Nurse, vol. 92, no. 2, pp. 27–30, 1996. View at Google Scholar · View at Scopus
  69. L. Little, “Nurse migration: a Canadian case study,” Health Services Research, vol. 42, no. 3, pp. 1336–1353, 2007. View at Publisher · View at Google Scholar · View at Scopus
  70. S. Regan, S. Thorne, and B. Mildon, “Uncovering blind spots in education and practice leadership: towards a collaborative response to the nurse shortage,” Canadian Journal of Nursing Leadership, vol. 22, no. 2, pp. 30–40, 2009. View at Google Scholar · View at Scopus
  71. S. D. Smith, “The need for a national nursing strategy,” Canadian Journal of Nursing Leadership, vol. 13, no. 2, p. 4, 2000. View at Publisher · View at Google Scholar · View at Scopus
  72. M. Fletcher, “Pollara survey: Canadians more concerned about health care system,” Canadian Nurse, vol. 98, no. 1, article 10, 2002. View at Google Scholar
  73. M. Harris and V. Richman, “Health care delivery. The waiting list reality,” Canadian Nurse, vol. 98, no. 4, pp. 16–20, 2002. View at Google Scholar · View at Scopus
  74. J. M. Trypuc and A. R. Hudson, “Waiting lists and nursing,” Canadian Journal of Nursing Leadership, vol. 18, no. 4, pp. 36–40, 2005. View at Google Scholar · View at Scopus
  75. Health Canada, “Canada health action, building on the legacy,” 2004, http://www.hc-sc.gc.ca/hcs-sss/pubs/renewal-renouv/1997-nfoh-fnss-v1/index-eng.php.
  76. J. Ritchie, “Whatever happened to the national forum on health?. Interview by Barbara Sibbald,” Canadian Nurse, vol. 94, no. 2, pp. 24–26, 1998. View at Google Scholar · View at Scopus
  77. R. J. Romanow, “Building on values: the future of health care in Canada,” 2002, http://www.hc-sc.gc.ca/hcs-sss/hhr-rhs/strateg/romanow-eng.php.
  78. Standing Senate Committee on Social Affairs, Science and Technology, “Subcommittee to update, “Of life and death.” Quality end-of-life care: the right of every Canadian,” 2000, http://www.parl.gc.ca/Content/SEN/Committee/362/upda/rep/repfinjun00-e.htm.
  79. Parliament of Canada, “The health of Canadians—the federal role. Final report,” 2002, http://www.parl.gc.ca/content/sen/committee/372/soci/rep/repoct02vol6-e.htm.
  80. W. Nicklin, H. Mass, D. D. Affonso et al., “Patient safety culture and leadership within Canada's Academic Health Science Centres: towards the development of a collaborative position paper,” Canadian Journal of Nursing Leadership, vol. 17, no. 1, pp. 22–34, 2004. View at Google Scholar · View at Scopus
  81. G. R. Baker, P. G. Norton, V. Flintoft et al., “The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada,” Canadian Medical Association Journal, vol. 170, no. 11, pp. 1678–1686, 2004. View at Publisher · View at Google Scholar · View at Scopus
  82. “Engelhart M. The heart of the matter: why surviving cardiac arrest in Canada is so difficult.,” Maclean's Magazine, September 2009, http://www2.macleans.ca/2009/09/10/the-heart-of-the-matter/.
  83. J. M. Conly and B. L. Johnston, “SARS: a tale of two epidemics,” Canadian Journal of Infectious Diseases, vol. 14, no. 3, pp. 147–149, 2003. View at Google Scholar · View at Scopus
  84. M. Fletcher, “More elderly women use herbal products but don't tell health care providers,” Canadian Nurse, vol. 97, no. 4, article 10, 2001. View at Google Scholar
  85. J. McClennon-Leong and J. R. Kerr, “Alternative health care options in Canada,” Canadian Nurse, vol. 95, no. 10, pp. 26–30, 1999. View at Google Scholar · View at Scopus
  86. L. Tropmann, T. Johns, and K. Gray-Donald, “Natural health product use in Canada,” Canadian Journal of Public Health, vol. 93, no. 6, pp. 426–430, 2002. View at Google Scholar · View at Scopus
  87. J. Keefe, J. Légaré, and Y. Carrière, “Developing new strategies to support future caregivers of older Canadians with disabilities: projections of need and their policy implications,” Canadian Public Policy, vol. 33, pp. S65–S80, 2007. View at Publisher · View at Google Scholar · View at Scopus
  88. D. M. Wilson, J. Cohen, S. Birch et al., “‘No one dies of old age’: implications for research, practice, and policy,” Journal of Palliative Care, vol. 27, no. 2, pp. 148–156, 2011. View at Google Scholar · View at Scopus
  89. E. Latif, “Labour supply effects of informal caregiving in Canada,” Canadian Public Policy, vol. 32, no. 4, pp. 413–429, 2006. View at Publisher · View at Google Scholar · View at Scopus
  90. J. Alexander, “Theorizing the good society: hermeneutic, normative and empirical discourses,” Canadian Journal of Sociology, vol. 25, no. 3, pp. 271–309, 2000. View at Google Scholar · View at Scopus
  91. Z. Bauman, “Ethics of individuals,” Canadian Journal of Sociology, vol. 25, no. 1, pp. 83–96, 2000. View at Google Scholar · View at Scopus
  92. L. Beaman, “Sexual orientation and legal discourse: legal constructions of the, “normal” family,” Canadian Journal of Law and Society, vol. 14, no. 2, pp. 173–202, 1999. View at Google Scholar
  93. D. G. Casswell, “Moving toward same-sex marriage,” Canadian Bar Review, vol. 80, no. 3, pp. 810–857, 2001. View at Google Scholar
  94. S. Gavigan, “Legal forms and family norms: what is a spouse?” Canadian Journal of Law and Society, vol. 14, no. 1, pp. 127–158, 1999. View at Google Scholar
  95. A. H. Young, “The changing family, rights discourse and the Supreme Court of Canada,” Canadian Bar Review, vol. 80, no. 1-2, pp. 749–793, 2001. View at Google Scholar
  96. A. Colantonio, A. J. Kositsky, C. Cohen, and L. Vernich, “What support do caregivers of elderly want? Results from the Canadian Study of Health and Aging,” Canadian Journal of Public Health, vol. 92, no. 5, pp. 376–379, 2001. View at Google Scholar · View at Scopus
  97. V. A. Crooks, A. Williams, K. I. Stajduhar, D. E. Allan, and S. R. Cohen, “The information transfer and knowledge acquisition geographies of family caregivers: an analysis of Canada's compassionate care benefit,” Canadian Journal of Nursing Research, vol. 39, no. 3, pp. 36–54, 2007. View at Google Scholar · View at Scopus
  98. C. Dempsey, “Elderly immigrants in Canada: income sources and self-sufficiency,” Canadian Issues, vol. 44, 2005. View at Google Scholar
  99. D. W. L. Lai and S. Surood, “Types and factor structure of barriers to utilization of health services among aging South Asians in Calgary, Canada,” Canadian Journal on Aging, vol. 29, no. 2, pp. 249–258, 2010. View at Google Scholar · View at Scopus
  100. S. G. Prus, R. Tfaily, and Z. Lin, “Comparing racial and immigrant health status and health care access in later life in Canada and the United States,” Canadian Journal on Aging, vol. 29, no. 3, pp. 383–395, 2010. View at Google Scholar · View at Scopus
  101. M. Stewart, L. Reutter, E. Makwarimba et al., “Determinants of health-service use by low-income people,” Canadian Journal of Nursing Research, vol. 37, no. 3, pp. 104–131, 2005. View at Google Scholar · View at Scopus
  102. P. W. R. Bowlby, “Diasporic religions in Canada: opportunities and challenges,” Canadian Issues, vol. 1, 2003. View at Google Scholar
  103. V. Danyluk, “Major cities in the 21st century,” Canadian Issues, vol. 1, 2003. View at Google Scholar
  104. L. Driedger, “Immigrant/ethnic/racial segregation: Canadian big three and prairie metropolitan comparison,” Canadian Journal of Sociology, vol. 24, no. 4, pp. 485–509, 1999. View at Google Scholar · View at Scopus
  105. D. Hiebert, “Immigration and the changing Canadian cities,” Canadian Geographer, vol. 1, 2003. View at Google Scholar
  106. D. Norris and C. Bryant, “Demographic change in Canada's urban areas: results from the 2001 census,” Canadian Issues, vol. 1, 2001. View at Google Scholar
  107. S. Guruge and G. Donner, “Transcultural nursing in Canada,” Canadian Nurse, vol. 92, no. 8, pp. 36–40, 1996. View at Google Scholar · View at Scopus
  108. Statistics Canada, “Immigration and ethnocultural diversity in Canada,” 2011, http://www12.statcan.gc.ca/nhs-enm/2011/as-sa/99-010-x/99-010-x2011001-eng.cfm.
  109. C. Trainsnel, “Combining local distinctiveness and cultural diversity: immigration and cultural diversity in the identify discourse of nationalisms of protest in Quebec. Acadaia and Wallonia,” Canadian Issues, pp. 34–39, 2008. View at Google Scholar
  110. B. Vissandjée, P. Carignan, and M. Bourdeau-Marchand, “New immigrant women and health,” Canadian Nurse, vol. 95, no. 4, pp. 35–41, 1999. View at Google Scholar · View at Scopus
  111. D. S. Whalen, “Commentary: cultural sensitivity: a matter of respect,” Canadian Nurse, vol. 95, no. 9, pp. 43–44, 1999. View at Google Scholar
  112. S. N. Eisenstadt, “Note on society/note société: multiple modernities in an age of globalization,” Canadian Journal of Sociology, vol. 24, no. 2, p. 283, 1999. View at Google Scholar · View at Scopus
  113. M. R. Nakhaie and R. M. Pike, “Social origins, social statuses and home computer access and use,” Canadian Journal of Sociology, vol. 23, no. 4, pp. 427–450, 1998. View at Google Scholar · View at Scopus
  114. M. A. Bakitas, “Self-determination: analysis of the concept and implications for research in palliative care,” Canadian Journal of Nursing Research, vol. 37, no. 2, pp. 22–49, 2005. View at Google Scholar · View at Scopus
  115. J. Haines, “Giving human rights a helping hand,” Canadian Nurse, vol. 94, no. 10, p. 3, 1998. View at Google Scholar · View at Scopus
  116. M. Fletcher, “‘Manifesto’ promotes better pain management,” Canadian Nurse, vol. 97, no. 6, 2001. View at Google Scholar
  117. J. Jedwab, “Internet use and Canadian cultural choices,” Canadian Issues, pp. 41–48, 2007. View at Google Scholar
  118. C. Jillings and S. Thorne, “Shifting the rhythm of chronic illness care,” Canadian Journal of Nursing Research, vol. 40, no. 3, pp. 5–6, 2008. View at Google Scholar · View at Scopus
  119. S. M. Dupuis-Blanchard, “Building a new nest: the experience of women relocating to a seniors-designated apartment building,” Canadian Journal of Nursing Research, vol. 39, no. 4, pp. 136–153, 2007. View at Google Scholar · View at Scopus
  120. D. M. Wilson and C. D. Truman, “Long-term-care residents,” Canadian Journal of Public Health, vol. 95, no. 5, pp. 382–386, 2004. View at Google Scholar · View at Scopus
  121. K. Fassbender, R. Fainsinger, C. Brenneis, P. Brown, T. Braun, and P. Jacobs, “Utilization and costs of the introduction of system-wide palliative care in Alberta, 1993-2000,” Palliative Medicine, vol. 19, no. 7, pp. 513–520, 2005. View at Publisher · View at Google Scholar · View at Scopus
  122. B. J. Lawson, F. I. Burge, P. McIntyre, S. Field, and D. Maxwell, “Can the introduction of an integrated service model to an existing comprehensive palliative care service impact emergency department visits among enrolled patients?” Journal of Palliative Medicine, vol. 12, no. 3, pp. 245–252, 2009. View at Publisher · View at Google Scholar · View at Scopus
  123. D. Wilson, C. D. Truman, J. Huang, S. Sheps, R. Thomas, and T. Noseworthy, “The possibilities and the realities of home care,” Canadian Journal of Public Health, vol. 96, no. 5, pp. 385–389, 2005. View at Google Scholar · View at Scopus
  124. D. M. Wilson, C. Truman, J. Huang et al., “Home care evolution in Alberta: how have palliative clients fared?” Health Care Policy Journal, vol. 2, no. 4, pp. 44–56, 2007. View at Google Scholar
  125. D. Wilson, B. Goodwin, and J. Hewitt, “An examination of death education in introductory nursing programs across Canada,” Nursing Research and Practice, vol. 2011, Article ID 907172, 5 pages, 2011. View at Publisher · View at Google Scholar
  126. L. Atack and R. Kenny, “Care co-ordination. An expanded role for nurses,” Canadian Nurse, vol. 94, no. 7, pp. 41–45, 1998. View at Google Scholar · View at Scopus
  127. J. Chobanuk, E. Pituskin, L. Kashuba, and J. Bates, “Telephone triage in acute oncology,” Canadian Nurse, vol. 95, no. 1, pp. 30–32, 1999. View at Google Scholar · View at Scopus
  128. B. Davies, B. Eng, R. Arcand, J. Collins, and N. Bhanji, “Canuck place: a hospice for dying children,” Canadian Nurse, vol. 92, no. 4, pp. 22–25, 1996. View at Google Scholar · View at Scopus
  129. G. M. Johnston, F. I. Burge, C. J. Boyd, and M. MacIntyre, “End-of-life population study methods,” Canadian Journal of Public Health, vol. 92, no. 5, pp. 385–386, 2001. View at Google Scholar · View at Scopus
  130. M. Fletcher, “Canadian virtual hospice service reaches out,” Canadian Nurse, vol. 100, no. 3, article 16, 2004. View at Google Scholar
  131. M. B. Harrison, C. Toman, and J. Logan, “Hospital to home evidence-based education for CHF,” Canadian Nurse, vol. 94, no. 2, pp. 36–42, 1998. View at Google Scholar · View at Scopus
  132. A. G. Tilley, “Caregivers of elderly parents at home,” Canadian Nurse, vol. 92, no. 2, article 19, 1996. View at Google Scholar
  133. P. Brink, T. F. Smith, and M. Kitson, “Determinants of do-not-resuscitate orders in palliative home care,” Journal of Palliative Medicine, vol. 11, no. 2, pp. 226–232, 2008. View at Publisher · View at Google Scholar · View at Scopus
  134. F. Burge, B. Lawson, and G. Johnston, “Trends in the place of death of cancer patients, 1992–1997,” Canadian Medical Association Journal, vol. 168, no. 3, pp. 265–270, 2003. View at Google Scholar · View at Scopus
  135. I. R. McWhinney, M. J. Bass, and V. Orr, “Factors associated with location of death (home or hospital) of patients referred to a palliative care team,” Canadian Medical Association Journal, vol. 152, no. 3, pp. 361–367, 1995. View at Google Scholar · View at Scopus
  136. V. H. Menec, S. Nowicki, A. Blandford, and D. Veselyuk, “Hospitalizations at the end of life among long-term care residents,” Journals of Gerontology A, vol. 64, no. 3, pp. 395–402, 2009. View at Publisher · View at Google Scholar · View at Scopus
  137. P. Cantwell, S. Turco, C. Brenneis, J. Hanson, C. M. Neumann, and E. Bruera, “Predictors of home death in palliative care cancer patients,” Journal of Palliative Care, vol. 16, no. 1, pp. 23–28, 2000. View at Google Scholar · View at Scopus
  138. K. Chunlestskul, L. E. Carlson, J. R. Koopmans, and M. J. Angen, “Lived experiences of Canadian women with metastatic breast cancer in preparation for their death: a qualitative study. Part II: enabling and inhibiting factors; the paradox of death preparation,” Journal of Palliative Care, vol. 24, no. 1, pp. 16–25, 2008. View at Google Scholar · View at Scopus
  139. J. U. Vohra, K. Brazil, S. Hanna, and J. Abelson, “Family perceptions of end-of-life care in long-term care facilities,” Journal of Palliative Care, vol. 20, no. 4, pp. 297–302, 2004. View at Google Scholar · View at Scopus