- Dialysis and Renal Disease Management
- Central Venous Catheters and Hemodialysis
- Geriatric Care and Nursing Homes
- Mobile Health and mHealth Applications
- Nursing education and management
- Diabetes Management and Education
- Interprofessional Education and Collaboration
- Palliative Care and End-of-Life Issues
- Vascular Procedures and Complications
- Healthcare professionals’ stress and burnout
- Family and Patient Care in Intensive Care Units
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Patient Satisfaction in Healthcare
- Mental Health and Patient Involvement
- Childhood Cancer Survivors' Quality of Life
- Patient-Provider Communication in Healthcare
- Optimism, Hope, and Well-being
- Health Literacy and Information Accessibility
- Family Caregiving in Mental Illness
- Adolescent and Pediatric Healthcare
- Nursing Education, Practice, and Leadership
- Pediatric Pain Management Techniques
- Patient Safety and Medication Errors
- Telemedicine and Telehealth Implementation
London Health Sciences Centre
2015-2024
Western University
2012-2024
Victoria Hospital
2011-2024
American Nephrology Nurses Association
2022-2023
Chapter Arts Centre
2022-2023
Lawson Health Research Institute
2022
Dayton Children's Hospital
2021
The University of Sydney
2019
University of Alberta
2012-2014
Canadian Society of Nephrology
2013
Aims and objectives To examine the personal structural facilitators barriers for home‐dialysis decision‐making older adults with chronic kidney disease. Background Chronic illness is a global problem. Older disease form large growing segment of dialysis population in many high‐income countries but are less likely to uptake despite its benefits. Design This qualitative ethnography framed social theory took place Canada included not on dialysis, than 65 years age. Methods Thirteen people...
Background Supporting patients to self-manage their chronic kidney disease (CKD) has been identified as a research priority by with CKD and those who care for them. Self-management shown slow progression improve the quality of life individuals living disease. Previous work need person-centered, theory-informed, web-based tool self-management that can be individualized patient’s unique situation, priorities, preferences. We addressed this gap using an integrated knowledge translation method...
Patients with chronic kidney disease (CKD) are asked to choose a renal replacement therapy or conservative management. Education and knowledge transfer play key roles in this decision-making process, yet they remain partially met need.We sought understand the dialysis modality process through exploration of predialysis patient experience better inform educational process.Qualitative descriptive study.Kidney Care Centre London Health Sciences London, Ontario, Canada.Twelve patients CKD, 4 on...
Electronic health (e-health) tools may support patients' self-management of chronic kidney disease. We aimed to identify preferences patients with disease, caregivers and care providers regarding content features for an e-health tool disease self-management.A patient-oriented research approach was taken, 6 patient partners (5 1 caregiver) involved in study design, data collection review results. Patients, clinicians from across Canada participated a 1-day consensus workshop June 2018. Using...
<sec> <title>BACKGROUND</title> Care for mild to moderate chronic kidney disease (CKD) entails self-management from patients and clinical support primary care nephrology. In response a gap in resources this population, My Kidneys Health was co-developed of CKD. While is patient-facing tool, health providers play critical role the implementation patient </sec> <title>OBJECTIVE</title> This study develops evaluates strategies implement into routine general nephrology care....
Shorter travel times and distance to dialysis clinics have been associated with improved patient outcomes a higher health-related quality of life (HRQOL). The objective this study was compare HRQOL between prevalent in-center satellite patients, as well travel-related factors that contribute satellite-based patients. DESIGN, SETTING, PARTICIPANTS, & MEASURES: London Health Sciences Centre is tertiary care center regional hemodialysis units. Patients who consented completed questionnaire (n =...
Arteriovenous fistulas (AVFs) are the preferred access for hemodialysis (HD) yet they underutilized. Cannulation of fistula is a procedure requiring significant skill development and refinement if not done well can have negative consequences patients. The nurses' approach, attitude with cannulation impacts greatly on patient experience. Complications from miscannulation or an inability to needle result in increased use central venous catheters. Some nurses remain state 'perpetual novice'...
Despite the availability of clinical guidelines for timing dialysis initiation in both United States and Canada, patients continue to start at very low levels predicted glomerular filtration rate (GFR). A cross-sectional study was performed determine demographic characteristics who started hemodialysis, their level GFR, mortality 1 2 years following dialysis. Retrospective data were collected on all eligible commenced chronic hemodialysis tertiary care center Canada from March 2001 February...
Abstract Quotidian/intensive hemodialysis (short daily and nocturnal) has variable effects on health‐related quality of life ( HRQOL ) as measured by standard tools. We sought to understand the perceived benefits limitations quotidian dialysis interviewing patients who had switched from conventional home dialysis. used a qualitative, phenomenological approach explore 10 using either short or nocturnal at tertiary health care center in London , C anada. The varied gender, age, employment...
harwood l., wilson b. & sontrop j. (2011) Sociodemographic differences in stressful experience and coping amongst adults with chronic kidney disease. Journal of Advanced Nursing 67(8), 1779–1789. Aim. This secondary data analysis aims to determine whether experiences behaviours differ across age, gender education level if sociodemographic factors are independently associated behaviour after controlling for stress. Background. Chronic disease is individuals their families; however, little...
There is limited research of electronic tools for self-management patients with chronic kidney disease (CKD). We sought to evaluate participant engagement, perceived self-efficacy and website usage in a preliminary evaluation My Kidneys Health, patient-facing eHealth tool Canada.We conducted an explanatory sequential mixed-methods study adults CKD who were not on replacement therapy had access Health 8 weeks. Outcomes included acceptance (measured by the Technology Acceptance Model), Chronic...
Emerging from a pandemic only to enter nursing shortage has placed strain on the health human resources of healthcare system. Little attention been given nurse practitioners' (NPs') burnout, resilience and job satisfaction. In this quantitative cross-sectional study using Maslach Burnout Inventory, Misener NP Job Satisfaction Scale Connor-Davidson Resilience Scale, an alarming level (80.9%) NPs reported high moderate levels burnout (emotional exhaustion), average, minimal satisfaction...
Background: The COVID-19 pandemic notably disrupted care for patients with chronic kidney disease (CKD) care, necessitating a rapid shift to telemedicine. Despite the growing use of telemedicine, impact this transition on patients’ experiences, particularly in Canada and considering sociocultural factors, remains underexplored. This study aims investigate CKD perspectives telemedicine versus in-person offer recommendations enhancing services. Objective: objective was understand views clinics...