A5086993588- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Frailty in Older Adults
- Interprofessional Education and Collaboration
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Practices
- Global Cancer Incidence and Screening
- Mobile Health and mHealth Applications
- Nutrition and Health in Aging
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- COVID-19 and healthcare impacts
- Health, Medicine and Society
- Interpreting and Communication in Healthcare
- Geriatric Care and Nursing Homes
- Childhood Cancer Survivors' Quality of Life
- Medication Adherence and Compliance
- Economic and Financial Impacts of Cancer
- Nursing Roles and Practices
- Family Support in Illness
- Diabetes Management and Education
- Health Literacy and Information Accessibility
- Identity, Memory, and Therapy
- Telemedicine and Telehealth Implementation
- Food Security and Health in Diverse Populations
University of Ontario Institute of Technology
2016-2025
First Technical University
2021-2024
University Health Network
2023
Université de Sherbrooke
2023
Lakeridge Health
2008-2021
Regional Municipality of Durham
2017-2021
Burlington College
2015
Instituts Universitaires de Technologie
2015
Cancer Care Ontario
2015
Laurentian University
1995-1997
PURPOSE American Society of Clinical Oncology recommends that older adults with cancer being considered for chemotherapy receive geriatric assessment (GA) and management (GAM), but few randomized controlled trials have examined its impact on quality life (QOL). PATIENTS AND METHODS The 5C study was a two-group parallel 1:1 single-blind multicenter trial GAM 6 months versus usual oncologic care. Eligible patients were age 70+ years, diagnosed solid tumor, lymphoma, or myeloma, referred...
While the "social determinants of health" view compels us to explore how social structures shape health outcomes, it often ignores role individual agency plays. In contrast, approaches that focus on choice and personal responsibility for overlook influence structures. Amartya Sen's "capabilities" framework its derivative "health capabilities" (HC) approach attempts accommodate both points view, acknowledging individuals function under conditions over which they have little control, while...
Background Telehomecare monitoring (TM) in patients with cancer is a complex intervention. Research shows variations the benefits and challenges TM brings to equitable access care, therapeutic relationship, self-management, practice transformation. Further investigation into these factors will improve implementation processes produce effective outcomes. Objective This study aims concurrently analyze evaluate effectiveness of for receiving anticancer oral therapy. The objectives are (1)...
Background Adherence to diet and medical therapies are key improving heart failure (HF) outcomes; however, nonadherence is common. While mobile apps may be a promising way support patients with adherence via education monitoring, HF patient perspectives regarding the use of for management in unknown. This data critical these tools successfully developed, implemented, adopted optimize improve outcomes. Objective To determine patients’ needs, motivations, challenges on management. Methods A...
Introduction Geriatric assessment and management is recommended for older adults with cancer referred chemotherapy but no randomised controlled trial has been completed of this intervention in the oncology setting. Trial design A two-group parallel single blind multi-centre a companion trial-based economic evaluation from both payer societal perspectives process evaluation. Participants total 350 participants aged 70+, diagnosed solid tumour, lymphoma or myeloma, first/second line...
Parallel to the shortage of clinical nurses is diminishing pool who aspire leadership roles in healthcare. The authors this paper report on evaluation an intervention administered a group Canadian designed assist participants value and develop knowledge, skills attitudes required for effective leadership. A one-group pre-test, post-test quasi-experimental design guided study. All received five-day residential development intervention. Participants acted as their own controls were assessed,...
There is a shortage of registered nurses in developed countries, and this due to the aging nursing workforce, demand for healthcare services, professors teach students. In order increase number clinical placements students, authors implemented collaborative preceptorship model between Canadian University Public Health Department facilitate experiences Bachelor Science Nursing (BScN) This paper describes Team Preceptorship Model which guided experience nine students 14 preceptors. It also...
The objective of this study was to explore the role oncology nurse navigators (ONN) in facilitating continuity care for adult lung cancer patients during diagnostic phase care.A phenomenological approach used and involved semi-structured patient interviews an navigators' focus group.Eight individuals participated, including four with navigators. Themes regarding organizational functions ONN were identified: patient-focused care, needs assessments, shared decision-making, accessibility,...
The Canadian Association of Nurses in Oncology (CANO) Standards Care (2001) provides a framework that delineates oncology nursing roles and responsibilities. purpose this study was to explore how nurses perceive their responsibilities compared the CANO Care. Six focus groups were conducted 21 registered (RNs) from community-based hospital participated study. Transcripts analyzed using qualitative inductive content analysis. Three themes identified: (1) gap between defined reality daily...
Nonadherence to diet and medical therapies in heart failure (HF) contributes poor HF outcomes. Mobile apps may be a promising way improve adherence because they increase knowledge behavior change via education monitoring. Well-designed with input from health care providers (HCPs) can lead successful adoption of such practice. However, little is known about HCPs' perspectives on the use mobile support management.The aim this study determine (needs, motivations, challenges) patients...
A purposive sample of 14 immigrants living in Ontario, Canada, participated two focus groups. The researchers used semi-structured interviews to collect data and five themes emerged from the data: beliefs about diabetes were centered on diverse factors, preserving culture through food preferences preparation, cultural practices stay healthy, determined number servings fruit vegetables per day, engaging physical activity healthy. Findings indicated how health influenced behavior preventing...
The introduction of rapid diagnostic clinics for breast cancer increases oncology nurses' (ONs) responsibility patient education and coordination multidisciplinary care. Developed as an outcome the E-Mentorship Oncology Nursing Program, this paper proposes new roles these nurses to respond effectively competently such innovation. Oslo Manual Conceptual Framework Innovation inspired idea change in prospective ONs' roles, corroborated by Canadian Association Nurses Oncology's Standards...
Geriatric assessment and management (GAM) is recommended by professional organizations recently several randomized controlled trials (RCTs) demonstrated benefits in multiple health outcomes. GAM typically leads to one or more recommendations for the older adult on how optimize their health. However, little known about well are adhered to. Understanding these issues vital designing clinical programs. Therefore, aim of this study was examine number made adherence satisfaction with intervention...
The objective of this study was to explore the role oncology nurse navigators (ONN) in enhancing patient empowerment for adult patients with lung cancer during diagnostic phase care.A qualitative descriptive design used. Data were gathered through individual interviews and a focus group ONNs.Eight individuals participated: four navigators. Themes regarding clinical functions ONN identified: advocate, educational support, personalized symptom management, resource navigation.ONNs are key...
Community-based health and social resources can help individuals with complex needs achieve their goals. However, there is often inadequate access to these due a lack of physician patient awareness available the presence barriers that limit an individual's ability reach services. Navigation services, where person tasked helping connect patients community resources, embedded within primary care may facilitate strengthen continuity for patients.This study aims describe protocol assess whether...
Abstract Objectives The need for palliative care (PC) will continue to increase in Canada with population aging. Many older adults prefer “age place” and receive their own homes. Currently, there is a lack of standardized quality indicators (QIs) PC delivered the community Canada. Methods A one-day workshop collected expert opinions on what should be measured capture PC. Three brainstorming sessions were focused addressing following questions: (1) important measure support PC, regardless...
We present the results of third phase in a three part study developing an application to reduce obesity levels adolescents with mobile fitness that encourages youth engage activity by providing social networking tools facilitate motivation. In first phase, we studied effecting positive attitudinal changes towards fitness. The second physical improvements our target group. This tests efficacy socialization for motivating both and contained thirteen distinct exercises subjects could using...
In Ontario, there are significant geographical disparities in colorectal cancer incidence. particular, the northern region of Timiskaming has highest incidence Ontario while southern Peel displays lowest. We aimed to identify non-nutritional modifiable environmental factors that may be associated with its diverging rates when compared Peel.We performed a systematic review established and proposed incidence, created an assessment questionnaire tool regarding these exposures, applied this...