A5083475176- Palliative Care and End-of-Life Issues
- Frailty in Older Adults
- Cancer survivorship and care
- Ethics in medical practice
- Nutrition and Health in Aging
- Economic and Financial Impacts of Cancer
- Global Health Workforce Issues
- Patient Dignity and Privacy
- Nursing Education, Practice, and Leadership
- Ethics in Clinical Research
- Cultural Competency in Health Care
- BRCA gene mutations in cancer
- Global Cancer Incidence and Screening
- Patient-Provider Communication in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Aging and Gerontology Research
- Childhood Cancer Survivors' Quality of Life
- Mobile Health and mHealth Applications
- Advances in Oncology and Radiotherapy
- Ethics in Business and Education
- Geriatric Care and Nursing Homes
- Mental Health and Patient Involvement
- Health Literacy and Information Accessibility
- Nursing Diagnosis and Documentation
- Global Health and Surgery
University of Victoria
2009-2024
Camosun College
2013-2019
Centres Intégré Universitaires de Santé et de Services Sociaux
2018
McGill University
2018
Jewish General Hospital
2018
BC Cancer Agency
2014
Dorset County Hospital NHS Foundation Trust
2011
University of Bristol
1971
Moral distress is a phenomenon of increasing concern in nursing practice, education and research. Previous research has suggested that moral associated with perceptions ethical climate, which implications for practice patient outcomes. In this study, randomly selected sample registered nurses was surveyed using Corley’s Distress Scale Olson’s Hospital Ethical Climate Survey (HECS). The reported moderate levels intensity. intensity frequency were found to be inversely correlated climate. Each...
Research on moral distress has paid limited attention to nurses’ responses and actions. In a survey of perceptions ethical climate, 292 nurses answered three open-ended questions about situations that they considered morally distressing. Participants identified range as distressing, including witnessing unnecessary suffering, being forced provide care compromised values, negative judgments patients. They linked these contextual constraints such workload described responses, feeling...
Background: Attention to ethical leadership in nursing has diminished over the past several decades. Objectives: The aim of our study was investigate how frontline nurses and formal nurse leaders envision leadership. Research design: Meta-ethnography used guide analysis synthesis four studies that explored notion Participants research context: These original were conducted from 1999-2008 Canada with 601 participants. Ethical considerations: approval covered future analysis. Findings: Using...
Although ethical leadership by formal nurse leaders is critical to enhancing health-care practice, research has shown that many nurses feel unsupported their leaders. In this article, we consider the limited attention directed toward of and how our own on compares other in field. searching Nursing Ethics since its inception 20 years ago, found only a dozen articles directly addressed topic. We then reviewed nurses' professional codes ethics Canada significant retractions guidelines for...
Abstract Moral imagination is a central component of moral agency and person‐centred care. Becoming agents who can sustain attention on patients their families through illness suffering involves imagining the other, what possibilities are available, choices to make, how one wants be. This relationship between agency, imagination, personhood be effaced by focus task‐driven technical rationality within multifaceted challenges contemporary healthcare. Similarly, facilitating students' also...
Abstract Aim To learn from two jurisdictions with mature genomics‐informed nursing policy infrastructure—the United States (US) and the Kingdom (UK)—to inform development for oncology practice education in Canada. Design Comparative document analysis drawing on 3i + E framework. Methods We drew principles of a rapid review identified academic literature, grey literature documents through systematic search databases, website national genomics organizations US UK, recommendations subject...
Poor cancer survival rates in the United Kingdom are often blamed on delayed medical care. A local audit of endometrial revealed a variety preventable delays. We surveyed practice South West England to see if this was an isolated or widespread problem.All 15 hospitals collected information prospectively from all women with over 3 months spring 2009.There were delays stages uterine pathway. Excluding extraneous cases, 52% waited more than month and 12% 6 their GP onset symptoms. Almost half...
Nurses are frequently portrayed in the literature as being silent about ethical concerns that arise their practice. This silence is often represented a lack of voice. However, our study, we found nurses who responded to questions moral distress were not so much silenced. These enacting agency by engaging diverse, multiple and time-consuming actions response situations identified morally distressing with families, colleagues, physicians, educators or managers. In many situations, they took...
To describe physical, emotional and practical concerns access to help of Canadian cancer survivors aged 75+ years following treatment. A survey was designed identify across three supportive care domains for 1-3 post-treatment. Random samples were drawn from 10 provincial registries. Survey packages mailed 40 790 with option reply by mail or online in French English. Descriptive analysis conducted. In total, 3274 (25%) responded the survey. Fifty-five per cent men, 72% had not experienced...
Within Canada's fast-paced, ever-changing healthcare environment, providers are experiencing difficulty practising according to their professional ethical standards, leading many experience moral or distress. Limited attention has been paid improvements in the climate settings research focusing on nurses' workplaces. In this three-year study, we focused how delivery can be improved and use of participatory action methods lead continued enhancements lasting changes services delivery....
My intent here is to explore the relationship between concepts of validity and reflexivity.Recognizing long-standing debate over what constitutes (e.g., Angen, 2000) how these conceptualizations influence/interact/interfere with reflexivity, it not my goal define two from any particular theoretical perspective but instead "develop an understanding range [their] use" become clearer about understandings as a result (Griffith, cited in Cheek & Gough, 2005, p. 302).Quite contrary other scholarly...
In Canada, 45% of new cancer cases and 63% deaths occur amongst Canadians 70 years older. These older people with their families present particular needs concerns that often remain under-recognized unmet. As the number is expected to more than double in next 25 years, we must integrate understanding aging into oncology nursing practice, education, policy, research, developing models care optimize appropriate outcomes for adults. We Canadian Association Nurses Oncology (CANO) Aging Special...
There is increasing emphasis on the need for collaboration between practice and academic leaders in health care research. However, many problems can arise owing to differences clinical goals timelines. In order research move forward it important name address these issues early a project. this article we use an example of participatory action study ethical nursing highlight some that are not frequently discussed identify impact things not-named. Further, offer our insights others who wish be...
Background The intersection of race and older age compounds existing health disparities experienced by historically marginalised communities. Therefore, racialised adults with cancer are more disadvantaged in their access to clinical trials compared age-matched counterparts. To determine what has already been published this area, the rapid scoping review question are: barriers, facilitators potential solutions for enhancing among adults? Methods We will use a methodology which we follow...
<sec> <title>UNSTRUCTURED</title> Overview of a qualitative pilot study exploring older adult cancer survivors’ (N=5) use digital tools to inform subsequent quantitative health literacy survey. </sec>