A5007386654- Primary Care and Health Outcomes
- Global Health Workforce Issues
- COVID-19 and healthcare impacts
- Nursing Roles and Practices
- Healthcare Policy and Management
- COVID-19 and Mental Health
- Patient Satisfaction in Healthcare
- Telemedicine and Telehealth Implementation
- Interprofessional Education and Collaboration
- Dental Education, Practice, Research
- Public Health Policies and Education
- Healthcare cost, quality, practices
- Vaccine Coverage and Hesitancy
- Geriatric Care and Nursing Homes
- Diversity and Career in Medicine
- Sports Performance and Training
- Healthcare professionals’ stress and burnout
- Global Health and Surgery
- Cardiac, Anesthesia and Surgical Outcomes
- Patient-Provider Communication in Healthcare
- Global Cancer Incidence and Screening
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare innovation and challenges
- Global Health Care Issues
- Disaster Response and Management
Memorial University of Newfoundland
2015-2025
Western University
2022-2025
Université de Sherbrooke
2024
Thames Valley Children's Centre
2023
University of Wisconsin–Parkside
2023
Health Sciences Centre
2023
Dalhousie University
2023
Simon Fraser University
2023
St Joseph's Health Care
2023
Université du Québec à Montréal
2017
Family physicians play important roles throughout all stages of a pandemic response; however, actionable descriptions outlining these are absent from current plans. Using multiple case study design, we conducted document analysis and interviewed 68 family in four Canadian regions. We identified performed by five distinct response: pre-pandemic, phased closure re-opening, acute care crisis, vaccination, recovery. In addition to adopting public health guidance ensure continued access primary...
Prior to the pandemic, Canada lagged behind other Organisation for Economic Cooperation and Development countries in uptake of virtual care. The onset COVID-19, however, resulted a near-universal shift primary care minimise exposure risks. As jurisdictions enter pandemic recovery phase, balance between in-person visits is reverting, though it unlikely return pre-pandemic levels. Our objective was explore Canadian family physicians' perspectives on rapid move during COVID-19 inform both...
Planning for surge capacity, that is, the ability of a health service to expand beyond normal capacity and meet an increased demand clinical care, is essential component public emergency preparedness. During COVID-19 pandemic, family physicians (FPs) were called upon provide in settings such as hospital units departments while also maintaining their primary care responsibilities. Most research reports on projection models, settings, or use virtual with limited focus firsthand experiences FPs...
Primary care nurses, including nurse practitioners (NPs), registered nurses (RNs), and licensed practical nurses/registered (LPNs/RPNs), play a pivotal role in pandemic management outbreak planning. There is extensive literature surrounding COVID-19 vaccination efforts Canada; however, limited research addresses the involvement of primary as well organization integration these into settings. This study aimed to describe organizational challenges, barriers, facilitators nurses' roles...
Patient satisfaction is an important element of quality improvement and patient-centered care, indicator the public's confidence in health care system. Although shorter wait times are believed intuitively to lead higher satisfaction, studies have demonstrated importance many other factors which contribute patients' with their time experiences. The current study explores that shape overall (i.e. from symptom treatment). We conducted qualitative interviews 60 breast, prostate, lung, or...
A Delphi (consensus) process was used to obtain national agreement on competencies for registered nurses (RNs) in primary care. draft of developed by key informants. Following this, with care experience/expertise completed a survey rate the importance competency statements six-point Likert scale. Statements not reaching consensus (agreement ≥80%) were modified and included second (final) round. The first 63% (n = 86/137) participants 84% 72/86) these survey. Most 45) achieved after survey;...
Introduction Given the recurrent risk of respiratory illness-based pandemics, and important roles family physicians play during public health emergencies, development pandemic plans for primary care is imperative. Existing in Canada, however, do not adequately incorporate physicians’ perspectives. This policy planning oversight has become increasingly evident with emergence novel coronavirus disease, COVID-19, pandemic. study designed to inform through evidence from four provinces Canada:...
Purpose Strong leadership in primary care is necessary to coordinate an effective pandemic response; however, descriptions of roles for family physicians are absent from previous plans. This study aims describe the and functions played during COVID-19 Canada identify supports barriers formalizing these future Design/methodology/approach conducted semi-structured qualitative interviews with across four regions as part a multiple case study. During interviews, participants were asked about...
Introduction Early in the COVID-19 pandemic, Canadian primary care practices rapidly adapted to provide virtually. Most family physicians lacked prior training or expertise with virtual care. In absence of formal guidance, they made individual decisions about in-person versus remote based on clinical judgement, their longitudinal relationships patients, and personal risk assessments. Our objective was explore physicians’ perspectives strengths limitations implementation for patient...
Background: Medical professionals experienced high rates of burnout and moral distress during the COVID-19 pandemic. In Canada, has been linked to a growing number family physicians (FPs) leaving workforce, increasing patients without access regular doctor. This study explores different factors that impacted FPs’ experience with pandemic, goal identifying systembased interventions aimed at supporting FP well-being improving retention. Methods: We conducted semi-structured qualitative...
Successive waves of primary care reforms have focused on expanding team-based across Canada, frequently through the addition registered nurses (RNs). Reforms varied, however, in teams' funding, compensation and organization. In this environmental scan, we sought to identify describe existing practice models Canada. Through structured snowball searching, identified extracted data from 189 sources, yielding 44 55 models. While information RNs' was lacking, physician remuneration model...
Nurses in primary care play critical roles during public health crises; however, nursing leadership was underutilized the COVID-19 response. This study explores nurses' pandemic and their perspectives on value of care. We conducted qualitative interviews with 76 nurses across four Canadian regions. Participants described barriers facilitators encountered pandemic. used thematic analysis examined themes relevant to leadership. Three emerged: actualizing leadership, leveraging experience...
Registered nurses have increasingly taken on new, integrated roles across a variety of health care settings, thus leading to lack clarity among titles used identify registered nurses. Protected titles, such as "registered nurse," regulated professionals, whereas informal job by their education or practice area. The variation in requirements and the inconsistency primary internationally limits ability compare research findings policies countries. There is also minimal documentation specific...
Abstract Background Family physicians (FPs) fill an essential role in public health emergencies yet have frequently been neglected pandemic response plans. This exclusion harms FPs their clinical roles and has unintended consequences the management of concurrent personal responsibilities, many which were amplified by pandemic. The objective our study was to explore experiences during first year COVID-19 better understand how they managed competing professional priorities. Methods We...
Abstract Background Over the past two decades, Canadian provinces and territories have introduced a series of primary care reforms in an attempt to improve access quality services, resulting diverse organizational structures practice models. We examine impact these on family physicians’ (FPs) ability adapt their roles during COVID-19 pandemic, including provision routine care. Methods As part larger case study, we conducted semi-structured qualitative interviews with FPs four regions:...
Background As the first point of contact in health care, primary care providers play an integral role pandemic response. Despite this, has been overlooked previous plans, with a lack emphasis on ways which unique characteristics family practice could be leveraged to create more effective Aim To explore physicians’ perceptions integration COVID-19 Design and setting Descriptive qualitative approach examining physician roles during across four regions Canada. Method Semi-structured interviews...
Abstract Background Despite well-documented increased demands and shortages of personal protective equipment (PPE) during previous disease outbreaks, health systems in Canada were poorly prepared to meet the need for PPE COVID-19 pandemic. In primary care sector, impacted delivery services contributed workload, fear, anxiety among providers. This study examines family physicians’ (FPs) response first year pandemic inform future planning. Methods As part a multiple case study, we conducted...
Using qualitative interviews with 68 family physicians (FPs) in Canada, we describe practiceand system-based approaches that were used to mitigate COVID-19 exposure primary care settings across Canada ensure the continuation of delivery.Participants described how they applied infection prevention and control procedures (risk assessment, hand hygiene, environment, administrative control, personal protective equipment) relied on centralized services directed patients outside care, such as...
Abstract Introduction Health system disruptions, caused by unexpected emergencies such as disease outbreaks, natural disasters, and cybercrimes, impact the delivery of routine preventative care. As comprehensive care providers, family physicians (FPs) devote significant time to prevention. However, without emergency pandemic plans in place primary care, FPs face added barriers prioritizing sustaining when health systems are strained, which was evident during COVID-19 pandemic. This study...
Introduction Providing family physicians (FPs) with the information they need is crucial for their participation in a coordinated pandemic or health emergency response, and to allow them effectively run practices. Most planning documents do not address communication plans specific FPs. This study describes FPs' experiences challenges management during COVID-19 Canada. Methods We conducted semi-structured qualitative interviews FPs across four Canadian regions asked about roles different...
Throughout the COVID-19 pandemic, primary care nurses were often redeployed to areas outside of mitigate staffing shortages. Despite this, there is a scarcity literature describing their perceptions and experiences with redeployment during pandemic.