A5029853380- COVID-19 and Mental Health
- Family and Patient Care in Intensive Care Units
- Sepsis Diagnosis and Treatment
- Misinformation and Its Impacts
- Emergency and Acute Care Studies
- Complementary and Alternative Medicine Studies
- Palliative Care and End-of-Life Issues
- Intensive Care Unit Cognitive Disorders
- Clinical Reasoning and Diagnostic Skills
- Primary Care and Health Outcomes
- Hospital Admissions and Outcomes
- Empathy and Medical Education
- Vaccine Coverage and Hesitancy
- Health Policy Implementation Science
- Venous Thromboembolism Diagnosis and Management
- Child and Adolescent Psychosocial and Emotional Development
- Patient Safety and Medication Errors
- Resilience and Mental Health
- Diversity and Career in Medicine
- COVID-19 epidemiological studies
- Nursing Diagnosis and Documentation
- Disaster Response and Management
- Healthcare cost, quality, practices
- Pain Management and Opioid Use
- Medical Education and Admissions
University of Calgary
2005-2025
Dalhousie University
2024
Alberta Health Services
2022-2023
O'Brien Institute
2019
Introduction Efforts to mitigate the global spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing Corona Virus Disease-19 (COVID-19) have largely relied on broad compliance with public health recommendations yet navigating high volume evolving information can be challenging. We assessed self-reported perceptions related COVID-19 including, beliefs (e.g., severity, concerns, health), knowledge transmission, sources), and behaviors physical distancing) understand...
Abstract Background The COVID-19 pandemic has led to global shortages in the resources required care for critically ill patients and protect frontline healthcare providers. This study investigated physicians’ perceptions experiences of caring context actual or anticipated resource strain during pandemic, explored implications workforce delivery patient care. Methods We recruited a diverse sample critical physicians from 13 Canadian Universities with adult training programs. conducted...
Abstract Background Sepsis is a life-threatening complication of the body’s response to fighting an infection. The global burden sepsis incredibly high, accounting for estimated 20% percent all deaths as well high hospitalization costs and long-term multifaceted sequelae. As most starts in community, public knowledge essential rapid identification medical intervention. current study part multi-study collaborative research program. Following scoping review national survey assess sepsis, we...
We sought in-depth understanding on the evolution of factors influencing COVID-19 booster dose and bivalent vaccine hesitancy in a longitudinal semi-structured interview-based qualitative study. Serial interviews were conducted between July 25th September 1st, 2022 (Phase I: univalent availability), November 21st, January 11th, 2023 II: availability). Adults (≥18 years) Canada who had received an initial primary series not eligible for Phase I, subsequently invited to participate II....
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Abstract Background Sepsis is a life-threatening complication of the body’s response to infection. The financial, medical, and psychological costs sepsis individuals healthcare system are high. Most cases originate in community, making public awareness essential early diagnosis treatment. There has been no comprehensive examination adult’s knowledge Canada. Methods We administered an online structured survey English- or French-literate adults questionnaire comprised 28 questions three...
Objective To compare and contrast illustrative examples of the adoption high value practices de-adoption low practices. Design (1) Retrospective, population-based audit molecular weight heparin (LMWH) for venous thromboembolism (VTE) prophylaxis (high practice) albumin fluid resuscitation (low (2) cross-sectional survey healthcare providers. Setting Data were collected from nine adult medical-surgical intensive care units (ICUs) in two large Canadian cities. Patients are managed these ICUs...
We sought to explore the lived experiences of a professionally diverse sample healthcare workers (HCWs) in single intensive care unit (ICU) serving large and generalizable Canadian population. aimed understand how working during COVID-19 pandemic affected their professional personal lives, including perceptions institutional support, inform interventions ameliorate impacts future pandemics. In this qualitative descriptive study, 23 ICU HCWs, identified using convenience purposive sampling,...
Abstract Objective COVID-19 transmission, emergence of variants concern, and weakened immunity have led to recommended vaccine booster doses for COVID-19. Vaccine hesitancy challenges broad immunization coverage. We deployed a cross-national survey investigate knowledge, beliefs, behaviours toward continued vaccination. Methods administered national, cross-sectional online among adults in Canada between March 16 26, 2022. utilized descriptive statistics summarize our sample, tested...
Abstract Background Providers have traditionally established priorities for quality improvement; however, patients and their family members recently become involved in priority setting. Little is known about how to reconcile of different stakeholder groups into a single prioritized list that actionable organizations. Objective To describe the decision‐making process establishing consensus used by diverse panel stakeholders two sets improvement (provider/decision maker n=9; patient/family...
Patients leaving the intensive care unit (ICU) often experience gaps in due to deficiencies discharge communication, them vulnerable increased stress, adverse events, readmission ICU, and death. To facilitate written summaries have been implemented provide patients their families with information on medications, activity diet restrictions, follow-up appointments, symptoms expect, who call if there are questions. While for utilized frequently surgical, rehabilitation, pediatric settings, few...
Objective: Effective communication between clinicians is essential for seamless discharge of patients care settings. Yet, summaries are commonly not available and incomplete. We implemented evaluated a structured electronic health record–embedded (eDischarge) summary tool discharged from the ICU to hospital ward. DESIGN: Multiple baseline trial with randomized staggered implementation. SETTING: Adult medical-surgical ICUs at four acute hospitals serving single Canadian city. PATIENTS: Health...
Introduction Many patients in the intensive care unit (ICU) cannot communicate. For these patients, family caregivers (family members/ close friends) could assist pain assessment. We previously adapted Critical Care Pain Observation Tool (CPOT) for caregiver use (CPOT-Fam). In this study, we conducted preliminary clinical evaluation of CPOT-Fam to inform further tool development.Methods testing: collected 1) assessments ICU from (CPOT-Fam) and nurses determined degree agreement (kappa...
Abstract Introduction Efforts to mitigate the global spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have largely relied on broad compliance with public health recommendations yet navigating high volume evolving information and misinformation related SARS-CoV-2 can be challenging. We assessed national perceptions (e.g., severity, concerns, health), knowledge transmission, sources), behaviors physical distancing) COVID-19 in Canada understand perspectives inform future...
OBJECTIVES: We sought to identify and prioritize improvement strategies that Critical Care Medicine (CCM) programs could use inform advance gender equity among physicians in CCM. DESIGN: This study involved three sequential phases: 1) scoping review identified improve all medical specialties; 2) modified consensus process with 48 CCM stakeholders rate rank strategies; 3) in-person stakeholder meeting refine discuss facilitators barriers their implementation. SETTING: SUBJECTS: (physicians,...
Abstract Background Perceived severity and susceptibility of disease are predictors individual behaviour during health crises. Little is known about how beliefs influence intentions to adhere public guidelines periods crises, access consumption information these intentions. This study investigated behavioural beliefs, normative control their on the COVID-19 pandemic. Methods Participants were recruited from a related conducted by our team, through snowball sampling in subsequent. Using...