The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmières
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This paper provides an overview of Canadian home-care utilization, highlights the health-policy assumptions that have resulted in an increasing reliance on in-home services, and assesses the current roles of the private and public sectors in the financing of home care. Significant interprovincial variations in per capita home-care expenditures and potential inequalities in access to home care call for resolution by federal and provincial governments. There is a need for consensus with respect to medically and socially necessary services that are subject to national standards, irrespective of the setting in which services are sought, received, and delivered. The development and enforcement of national home-care standards that complement the principles of the Canada Health Act would be a useful first step in ensuring that the Canadian health-care system is ready to confront the challenges of the new millennium.
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Despite increasing societal concern about sexual harassment in the workplace and in academia, to date sexual harassment has been neglected by nurses as a health issue among adolescents. Sexual harassment includes a wide range of unwelcome sexually oriented and gender-offensive behaviours that contribute to a hostile environment. Although the research is limited and lacking in rigour, early findings, along with evidence abstracted from the workplace-harassment and stress and coping literature, suggest that peer sexual harassment may adversely affect young women's mental and physical health, health-related behaviours, and future relationships. The author makes recommendations for further sexual-harassment research, specific to the adolescent population, based on a conceptual framework derived from the transactional stress and coping literature.