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LAWRENCE S. BLOOMBERG FACULTY OF NURSING

2 LAWRENCE S. BLOOMBERG FACULTY OF NURSING

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DEAN’S MESSAGE

ASSOCIATE DEAN’S MESSAGE

PUBLISHER LINDA McGILLIS HALL

EDITOR AND WRITER SUSAN PEDWELL

DESIGN GIL MARTINEZ for BIGGUYSTUDIO.CA

ASSOCIATE EDITOR AND PHOTOGRAPHER LINDSAY CURTIS

EDITORIAL ASSISTANT MARIAN SMITH

HAVING A GLOBAL IMPACT

Bloomberg Nursing’s new Strategic Academic Plan makes

internationalization a priority and embeds it across all of our domains of activity, including research.

International research collab-orations offer multiple benefits. They allow researchers to maximize their research expertise by partner-ing with universities in different countries. They enhance the volume and quality of research by increas-ing access to international funding sources. They also enable research findings to go from having a local influence to having a global impact.

We recently signed an Erasmus+ agreement with the Universitat de Lleida that will give MN and PhD students the opportunity to study in Spain where they can gain new understandings and be exposed to different research methodologies.

Having lived and worked in several countries around the world, I’ve come to understand that the healthcare priorities are the same no matter where you are. Researchers in all countries are working toward the same thing: health for all.

Linda Johnston, PhD, FEANS, FAANDean, Bloomberg Nursing

OUR PLACE IN THE WORLD

Again this year, QS World University Ranking by Subject

ranked Bloomberg Nursing #1 in Canada among schools of nursing. Much of this ranking emerges from our research citations. This is impressive given the competi-tive healthcare research funding environment in Canada.

Some funding opportunities have declined in frequency. Others have closed entirely. There are few new investigator competitions now, and we have always been successful at obtaining funding support for our emerging scholars.

Despite these challenges, Bloomberg Nursing has not only sustained its leadership in research, it has improved its research output. Our researchers consistently publish in top-ranked journals, as do our doctoral and post-doctoral students. And our faculty members continue to be recognized with international awards and distinctions.

Bloomberg Nursing’s continued research leadership attracts the top students and researchers from around the globe.

Linda McGillis Hall, RN, PhD, FAAN, FCAHSAssociate Dean, Research

& External Relations

CONTENTS

Meet the Research Faculty ..................... 3

Bloomberg Nursing by the Numbers ........................ 4

New Faculty Appointment ....... 5

Improving Maternal and Infant Health...................... 6

Preventing and Managing Procedural Pain in Infants ...... 8

Healthcare off the Beaten Path...................... 10

Accentuating the Positive ..... 11

The Cardiac Gender Divide .... 12

Forum Attracts Emerging Nurse Researchers ................ 14

Our International Reach ........ 16

Building Future Researchers ............... 18

Awards and Distinctions ........ 19

Research Collaborations ....... 20

Research Funding Awarded, 2016–2017 ............................. 22

Publications ........................... 30

Research Impact Spotlight .... 38

http://www.bigguystudio.ca

ANNUAL RESEARCH REPORT 2016-2017 3

MEET THE RESEARCH FACULTY

PUBLICATIONS & AWARDS SUMMARY

PROF. ARLENE BIERMANImproving access, quality of care and out-

comes for older adults with chronic illness

[email protected]

PROF. CINDY-LEE DENNISMaternal and paternal health outcomes

and postpartum depression

[email protected]

PROF. LISA CRANLEYKnowledge translation supporting

healthcare providers’ decision-making

[email protected]

PROF. EDITH HILLANThe health of women and newborns

from a global perspective

[email protected]

PROF. SAMANTHA MAYOOptimizing long-term health

of cancer survivors

[email protected]

PROF. CARLES MUNTANERSocial inequities in health, social

epidemiology and health disparities

[email protected]

PROF. KATHERINE McGILTONEnhancing care of the older adult

with cognitive impairment

[email protected]

PROF. MONICA PARRYSupportive care to improve health out-

comes for those with chronic disease

[email protected]

PROF. BONNIE STEVENSAssessment and management

of pain in infants and children

[email protected]

PROF. KIM WIDGERImproving paediatric palliative

and end-of-life care

[email protected]

PROF. ROBYN STREMLERImproving sleep and health outcomes

in infants, children and parents

[email protected]

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PROF. KRISTIN CLEVERLEYMental health nursing practice,

research and education

[email protected]

PROF. DENISE GASTALDOHealth as a social phenomenon,

with focus on migration and gender

[email protected]

PROF. CRAIG DALEFundamental nursing care needs

of acute and critically ill adults

[email protected]

PROF. DORIS HOWELLOptimizing quality of cancer care

and empowering patients

[email protected]

PROF. LIANNE JEFFSPatient safety, quality improvement

and knowledge translation

[email protected]

PROF. LINDA JOHNSTONPain management and long-term out-

comes in the neonatal care environment

[email protected]

PROF. LINDA McGILLIS HALLNurse workforce policy, work

environments and patient safety

[email protected]

PROF. SIOBAN NELSONHistory of the nursing profession

[email protected]

PROF. KELLY METCALFEPrevention and treatment of

hereditary breast and related cancers

[email protected]

PROF. ELIZABETH PETEREthical concerns in community nursing,

especially home care

[email protected]

PROF. MARTINE PUTSGeriatric frailty and oncology,

and the health of older adults

[email protected]

PROF. LOUISE ROSECare and management of patients

requiring mechanical ventilation

[email protected]

PROF. JENNIFER STINSONPain and symptom management of

children and youth with chronic pain

[email protected]

PROF. ANN TOURANGEAUNursing-related determinants

of health care outcomes

[email protected]

BOOK CHAPTERS

AWARDS AND DISTINCTIONS

JOURNAL ARTICLES


BLOOMBERG NURSING BY THE NUMBERS

journal articles

published in

high-impactjournals

#6

Cochrane reviews

Nursing Faculty in the World

(QS RANKINGS, 2017)

#1NURSING FACULTY

IN CANADA(QS RANKINGS,

2017)

Fellows of the American Academy of Nursing

Fellows of the Canadian Academy of Health Sciences

undergraduate students partnered

with faculty researchers in Summer 2016

in North America for most citated in nursing publications

23 Number of countries we have research relationships with

25 faculty members involved in international research collaborations


NEW FACULTY APPOINTMENT

Craig Dale’s research builds the evidence base for improving the oral care of critically ill patients

Craig Dale joined the Lawrence S. Bloomberg Faculty of Nursing as an Assist-

ant Professor in 2014. In 2016, his research proposal to the Canadian Institutes for Health Research (CIHR) ranked second among the applications that the committee reviewed, and he received the Embedded Clinician Researcher Award.

This $300,000 award, delivered over four years, gives Dr. Dale the opportunity to dedicate a portion of his time to research. He is now en-gaged as the CIHR embedded clinician scientist in oral health at Sunnybrook Health Sciences Centre, an internationally renowned research hospital affiliated with the University of Toronto.

As a clinician researcher, Dale is developing his program of research by investigating how to improve the delivery of oral care to adults in intensive care units. He’ll use innovative meth-ods, including videography, to understand how patients and healthcare professionals approach this aspect of care.

“The issue of oral care is crucial,” says Dale. “In its most serious manifestation, poor oral health can lead to higher rates of infection, such as pneu-monia, and thus longer hospitalizations and higher mortality for patients. Poor oral care can also lead to significant dental complications. For adults without dental coverage, the dental treatments that are needed to manage these complications can be expen-sive, if not out of reach.”

Dale is enriching his research program with a variety of collaborations. For example, his appointment as a Scientist with the U of T Centre for the Study of Pain allows him to focus on pain related to oral health.

And Dale’s international profile is growing. In 2015, he was appointed a member of the International Learning Collaborative (ILC), which was established

in 2008 as a joint collabora-tion between the University of Adelaide in Australia and Green Templeton College of the University of Oxford in the United Kingdom. ILC’s goal is to unite all involved in healthcare to improve the standard of the fundamentals of care in high-technology environments. n

Curriculum Vitae

CRAIG DALEBloomberg Nursing› Postdoctorate 2014› PhD 2013

Ryerson University, Toronto› BSc 2006

33%Percentage of

ICU patients who receive invasive

ventilation


In June 2016, Cindy-Lee Dennis was appointed to the Women’s Health Research Chair at U of T

and St. Michael’s Hospital. The chair enables Dennis to further her research program that emphasizes improving breastfeeding outcomes, preventing and treating perinatal depression and anxiety, examin-ing the health of immigrant women and children, and developing interventions that involve fathers. It’s not the only chair she holds. Dr. Dennis also has the distinction of holding a Canada Research Chair in Perinatal Community Health at U of T. “Time is very precious to researchers, and both chairs enable me to fully engage in my research program,” she says.

The chairs foster exchange, partnership and dialogue with researchers, clinicians and deci-sion-makers around the world. Currently, Dennis is a co-investigator on more than 26 studies in countries as diverse as Australia, Cuba, Brazil, Sweden, India, South Africa and the United Kingdom.

Her research has informed the Ontario Min-istry of Child and Youth Services’ “Healthy Babies Healthy Children” program, which assesses the majority of new mothers in the province for postpartum depression (PPD). But the influence

of her research extends far beyond Canada. For her master’s thesis, Dennis developed the Breastfeeding Self-Efficacy Scale. Since it was published in 1999, it has become the most widely used breastfeeding scale in the world, with researchers and clinicians in more than 30 countries using it to identify mothers at high risk of dis-continuing breastfeeding.

“The scale has provided many international research opportunities,” says Dennis. “It has been translated into

more than 20 languages, and every day someone contacts me for permission to use it.”

Last year, the International Consortium for Health Outcomes Measurement, which is dedicat-ed to transforming healthcare systems worldwide by measuring and reporting patient outcomes in a standardized way, included Dennis’ Breastfeeding Self-Efficacy Scale in its pregnancy and childbirth publication. This is further increasing the inter-national use of her scale.

INTO THE LIGHT

Funded by the Canadian Institutes of Health Re-search, Dennis has just completed recruiting 6,400 postpartum women and their partners across Can-ada to advance our understanding of the mediating and moderating effects of single (maternal or pa-ternal) parental PPD in contrast to dual (maternal and paternal) parental PPD on child development. Four PPD risk models (no parental PPD, maternal only PPD, paternal only PPD, dual parental PPD) are being tested. The study results will produce urgently needed, innovative knowledge that will assist in the development of targeted interventions based on whether the family has one or two par-ents with PPD and whether the depressed parent is the mother or the father.

“Much of the perinatal mental health research has, unfortunately, excluded fathers despite good evidence suggesting that approximately one in 10 fathers experiences PPD,” says Dennis. “This study will help move paternal mental health out of the shadows.”

In addition, Dennis is examining other com-mon mental health problems in the perinatal per-iod that have also been ignored. She just published the first meta-analysis examining the prevalence of antenatal and postnatal anxiety. Overall, 102 studies conducted in 34 countries were included, and the results suggest that one in four women has a high level of anxiety during pregnancy; this ratio decreases to one in six women in the first year

IMPROVING MATERNAL AND INFANT HEALTH

Professor Cindy-Lee Dennis is an international authority on breastfeeding and postpartum depression

Curriculum Vitae

CINDY-LEE DENNISUniversity of British Columbia, Vancouver› Postdoctorate 2002

Bloomberg Nursing› PhD 1999

University of Western Ontario, London› MScN 1995

Bloomberg Nursing› BScN 1991

WILL BE HIGHLY ANXIOUS DURING

PREGNANCY


postpartum. Rates were significantly higher in low- to middle-income countries. She is also con-ducting research on co-morbidity where women are both highly depressed and anxious and have very poor clinical outcomes.

PEERS CAN HELP

Dennis has developed innovative ways to prevent PPD. One of her randomized controlled trials found that telephone-based support from trained mothers who had previously experienced PPD cut the rate of PPD by 50 per cent in new mothers with beginning depressive symptoms. “Peers can normalize difficulties while also providing encour-agement, positive feedback and a sense of belong-ing,” says Dennis. “They can help new mothers overcome loneliness and isolation.” She has also shown that telephone-based peer support can significantly increase breastfeeding duration and exclusivity rates.

Her research has inspired other investigators to look for new ways to prevent PPD. At the Emerging Nurse Scholars Forum that Bloomberg Nursing initiated to support the early-career development of nurse researchers around the world, Dennis met Shefaly Shorey from Singapore in 2015. Shorey asked Dennis to be a mentor, and now Shorey is de-signing, developing and testing the “Home But Not Alone” app for new parents. “Shefaly is replicating the effect of peer support using a different mode,” explains Dennis. In April 2017, Shorey, Dennis and others published the study in the Journal of Advanced Nursing. n

“I’m looking forward to continuing to find ways to improve the health of women and infants not just in Canada, but globally as well.”

– Professor Cindy-Lee Dennis

WILL DEVELOP POSTPARTUM DEPRESSION

AFTER HIS PARTNER GIVES BIRTH

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In July 2016, Professor Bonnie Stevens embarked on a seven-year

research program focused on pre-venting and managing procedural pain in infants. “We’re doing a better job of assessing pain and managing certain types of infant pain, such as post-operative pain,” says Dr. Stevens, the director of the U of T Centre for the Study of Pain and co-director of the Hospital for Sick Children’s (HSC’s) Centre for Pain Manage-ment, Research and Education. “But the management of procedural pain

in infants still needs improvements. That’s why we’re focusing on pain from tissue-damaging procedures such as needle pokes, heel lances and IV starts.” The Canadian Institutes of Health Research (CIHR) funded the research program.

Stevens is a world leader in nursing for know-ledge translation (KT). This funding provides the platform for furthering her KT work in managing pain in infants.

“We’re trying to prevent and minimize pain in infants not just for the humanitarian benefits,” she says. “Research shows that repeated painful events without adequate pain treatment in infancy affects brain development and leads to physio-logical, emotional and social problems.”

SWEET SOLUTIONS

The goals of this research program include gener-ating new knowledge on the safety and effective-ness of sucrose when administered repeatedly over time to relieve pain. “While there has been over

a decade of research on sucrose and other sweet solutions, researchers have looked at its effective-ness during only one heel poke or one IV start,” says Stevens. “But for the babies who are in the hospital over weeks and months and get hundreds of painful procedures, the questions we need to answer are: Can we safely use sucrose for all of those painful procedures? Does it remain effect-ive? Are there any untoward effects?

“To address these questions, we’re looking at determining the minimally effective dose,” she continues. “There has been a broad range in the amount of sucrose that clinicians have adminis-tered to mitigate procedural pain in infants. We need to know how to get the best effect with the least amount of sucrose.”

BRIDGING THE RESEARCH-PRACTICE GAP

Another major focus for the CIHR grant is devel-oping a web-based KT resource, Implementation of Infant Pain Practice Change (ImPaC), that will aid in implementing new research findings, such as those from the sucrose study, into prac-tice. “Changing clinical practice to prevent or minimize procedural pain in babies and young children is lagging behind the research results and is of continuing concern,” says Stevens, who received the prestigious CIHR Knowledge Translation Award in 2014 in recognition of her exemplary leadership in KT efforts and activities. “You want to disseminate as broadly as you can. We used that prize money for the prototype for our French resource tool.”

To disseminate knowledge about infant pain management first nationally and then inter-nationally, Stevens is developing ImPaC as a seven-step process of change for hospital units. A unit is to designate a small group of “cham-pions,” that includes both managers and nurses at the point of care, who meet every week or two. They will spend about 30 minutes with the web-based resource, learning new ideas about how to

PREVENTING AND MANAGING PROCEDURAL PAIN IN INFANTS

The Canadian Institutes of Health Research awarded Professor Bonnie Stevens a seven-year Foundation grant to further her research program

“Children still do go through a lot of painful procedures without the benefit of pain management.”

– Professor Bonnie Stevens

Curriculum Vitae

BONNIE STEVENSMcGill University, Montreal› PhD 1993

Bloomberg Nursing› MScN 1983

McMaster University, Hamilton› BScN 1974


generate aims and deciding on the most effective strategies for changing practice. Then the cham-pions spend the next few months implementing what they learned and evaluating the effectiveness of their efforts.

The ImPaC resource lists six pain-management strategies – including breastfeeding, skin-to-skin care and sucrose – for infants and advocates for a multi-pronged approach. “For example, if a baby can be put in skin-to-skin contact and breastfeed at the same time, that’s a dual benefit,” explains Stevens, who is also a senior scientist and the associate chief of nursing research at HSC. “Or if the mother isn’t breastfeeding, then the baby can be in skin-to-skin care and provided with sucrose.”

To reinforce the behaviour change of nurses, ImPaC provides reminders in the form of pain-management screensavers, stickers, lanyards and other prompts. “They serve to remind the clinician: Did you provide the baby

with some sort of pain management intervention?” says Stevens.

By the summer of 2017, the research team hopes to be ready to pilot ImPaC at HSC and then test it at several hospi-tals across Canada in the coming year. Later, as part of a randomized con-trolled trial, Stevens will recruit paedi-atric units around the world. “We want to find an effective way to disseminate the knowledge as broadly as we can,” she says. n

“Pain in early life can get in the way of relationships. Infants who have experienced a lot of pain can have problems relating to their parents.” – Professor Bonnie Stevens

Skin-to-skin contact Breastfeeding Non-nutritive sucking Swaddling/bundling Facilitated tucking Sucrose

PAIN-MANAGEMENT STRATEGIES FOR INFANTS OUTLINED IN ImPaC:


Edith Hillan’s current research examines the health of women and

newborns from a global perspective. She is particularly interested in health technologies that can improve access to high-quality healthcare in rural and remote settings.

“It is well-recognized that the availabil-ity of and access to healthcare, particu-larly in low-income countries, is inversely related to health needs,” she says. “In most high-income countries, healthcare systems make use of the latest technological solu-tions, while in low- and middle-income countries basic primary healthcare is often unavailable or inaccessible.”

Dr. Hillan, who served as vice-pro-vost, academic, of U of T for 10 years, conducts research that is highly inter-disciplinary. The research she is working on now concentrates on the development of low-cost technologies that can be used to help prevent avoidable deaths of mothers and newborns in low-resource settings. It focuses on:› The development of “clinic-in-a-box”

technologies for the provision of emer-gency obstetric care, and the support of preterm and low-birthweight babies;

› Point-of-care assays that allow high-precision, lab-based detection techniques that can be taken directly to the individual, irrespective of the setting; and

› Field-based education programs aimed at reducing birth-related com-plications.

TEAMWORK

In the summer, two Bloomberg Nursing students, Joanna Heathcote

and Courtney Osborne, assisted Hillan through the Faculty’s Undergraduate Student Summer Research Program. These Class of 2017 students supported Hillan’s research by developing the evidence base for the key elements of technology that could be incorporated into an integrated, low-cost suite of devices for maternal, child and primary care in low-resource settings.

To be useful in the field, the clinic-in-a-box needed to integrate an efficient power supply, information technology (especially electronic health records), diagnostics and communication mod-ules. A more complete system needed to include diagnostic devices, such as tests for nutritional status and infection, while adding a communications layer to access electronic patient records.

One of Hillan’s collaborators is her husband, Stewart Aitchison, a U of T engineering professor who holds the Nortel Chair in Emerging Technology. Dr. Aitchison is internationally recognized as a leader in the field of micro- and nano-scale photonic devices for non-linear optics and integrated bio-sensors. Since 2013, Aitchison has been the associate scientific director for the India-Canada Centre for Innovative Multidisciplinary Partnerships to Accelerate Community Transformation and Sustainability (IC-IMPACTS). This federally funded Network Centre of Excellence supports research, training and knowledge mobilization in infra-structure, clean water and mobile health.

IC-IMPACTS involves three Can-adian universities – the University of To-ronto, University of British Columbia and University of Alberta – with each uni-

versity taking responsibility for a specific strategic theme. Professor Aitchison leads the global public health theme, which focuses on the development of mobile technologies that can be used in remote and rural communities, and Hillan is a member of the core research team.

Based on the work that Hillan and her students undertook, Aitchison and his team of fourth-year design students in electrical and computer engineer-ing took on the challenge of building a proof-of-concept demonstration of an off-the-grid clinic-in-a-box with the built-in communication ability to send results to external medical experts for advice, if needed. The devices within the box are powered by solar panels and batteries, and

HEALTHCARE OFF THE BEATEN PATH

Taking a global perspective in her research, Professor Edith Hillan aims to end the preventable deaths of mothers and newborns in remote areas

“There is an urgent need to develop technologies that can improve access to high-quality healthcare in rural and remote settings around the world.”

– Professor Edith Hillan


the team incorporated hardware to store patient data and a user interface to display diagnostic results to operators who may have limited medical backgrounds.

The clinic-in-a-box can even provide treatments; for example, oxygen therapy and phototherapy to treat infant jaun-dice. The next steps involve optimizing the power delivery system, the user interface and the devices that can be in-tegrated to provide a rugged easy-to-use system that can be tested in the field. n

ACCENTUATING THE POSITIVE

Curriculum Vitae

EDITH HILL ANUniversity of Glasgow, Scotland› MPhil 1994› PhD 1990

University of Strathclyde, Glasgow› MSc 1983

The clinic-in-a-box encrypts and stores data. Access to the data is by fingerprint.

In March, Donna Sullivan Havens, our 2016-2017 Frances Bloomberg International Distin-

guished Visiting Professor, presented a one-day workshop titled “Shaping Systems to Promote Desired Outcomes.” Forty-four Toronto Academic Health Science Network executives, including several chief nursing officers, attended.

Many of the participants were already familiar with Dr. Havens’ work. The University of North Carolina at Chapel Hill nursing professor developed the Decisional Involvement Scale (DIS), which identifies actual and preferred degrees of staff nurse involvement in workplace policy and practice deci-sions. The scale has proven so effective that it is used in at least 18 countries, including Canada.

At the workshop, Havens confided that the DIS was “only a sidebar” in her PhD dissertation. “A few years after completing my PhD I discovered that people were actually using it,” she said. “Who would have guessed?”

Havens’ research includes developing positive nursing practice environments; in particular, in furthering participative management and communi-cation. “Strengthening nurse involvement in making decisions that improve the culture of the workplace is a key factor for improving nurse, patient and organiza-tional outcomes,” she says.

Not every nurse, though, is keen to join in the deci-sion-making. Havens told the workshop participants that Generation X nurses, who are in their 40s and 50s, want to be the least involved in decision-making while mil-lennials, in their 20s and early 30s, want to be more involved. Are managers willing to share

Our Frances Bloomberg International Distinguished Visiting Professor shared affirming leadership skills with nursing executives

PHILADELPHIA

BALTIMORE

VILLANOVA

ALLENTOWN

GLASGOW


THE CARDIAC GENDER DIVIDE

decision-making? “Many managers feel the staff should be less involved, so that makes an interesting conversation in itself,” she said.

CHANGING THE CONVERSATION

Havens also presented on the growing science of positive organizational scholarship (POS). “This approach focus-es on strengths, not deficits,” she explained. “What people have been taught is to look

for problems, for barriers. POS is a paradigm change.”

To put POS into action, Havens suggests starting a meeting by asking what is going well. “The light in the staff members’ eyes comes on when they talk about what is going or went right. Then at the end of the meeting, critique it. Ask the attendees what they liked best about the meeting.

“Do you have meetings like this at work?” asked Havens.

“Absolutely,” reported a participant. “By focusing on the positive, we’ve had some of the best conversations we’ve had in years.”

Havens also promotes positive questions. “The act of asking questions begins change,” she says. “Ask: What is working well? What would ‘excellence’ look like? What would you need to do to achieve excellence?”

“What if you can’t do everything you need to do to achieve excellence?” asked one participant.

“Pick one thing that you can do,” Havens answered, “even if it’s small.” n

Curriculum Vitae

DONNA SULLIVAN HAVENSUniversity of Pennsylvania, Philadelphia› Postdoctorate 2000

University of Maryland, Baltimore› PhD 1991

Villanova University, Pennsylvania› MSN 1983

Cedar Crest College, Allentown, Pennsylvania› BS 1981› BS 1972

The Tom Kierans International Postdoc-toral Fellowship gives a junior scholar the

opportunity to work on a research program at Bloomberg Nursing for one year. This year’s fellow is Ann Kristin Bjørnnes from Oslo, Norway, who arrived in August 2016. Just six months later, she received the 2017 Trainee Award in Women’s Heart Health from the Heart and Stroke Foun-dation of Canada (HSFC). “It was a wonderful surprise,” she exclaims.

Bjørnnes’ doctoral research focused on the self-management of postoperative cardiac pain and the impact of an educational pain-management booklet that she developed. It led to three articles being published in international journals including the European Journal of Cardiovascular Nursing.

COMMON INTERESTS

The former assistant professor of nursing at the Oslo and Akershus University College of Applied Sciences is collaborating with Associate Professor Monica Parry whose research program also includes the management of postoperative cardiac pain. Drs Bjørnnes and Parry are developing HEARTPA N, an integrated smartphone and web-based inter-vention to help women self-manage their cardiac pain. It will help women track their pain, sleep, mood, physical activity and fatigue. “There’s also an interactive coping-skills toolbox that suggests self-management strategies to relieve pain and improve function,” adds Bjørnnes.

By February 2017, Bjørnnes and Parry were be-ing celebrated as an award-winning team. HSFC and the Canadian Institutes of Health Research in conjunction with other healthcare organizations held a national Women’s Heart Health Hacka-thon that drew together researchers from across disciplines to spark innovative ways to address

This Kierans international postdoctoral fellow’s research promotes women’s heart health

“Don’t focus on what’s wrong, but on what’s going right.”

– Donna Sullivan Havens, 2016-2017 Frances Bloomberg International Distinguished Visiting Professor


Not only can women experience difficulty iden-tifying their pain as being related to their heart, many have a tendency to downplay their discom-fort. “Women tend to minimize their symptoms,” says Bjørnnes. “Women in general tend to think of other people. They put others first. They don’t want to bother people.

“Consequently, women delay going to the emergency room, the ER, with cardiac pain,” she continues. “And research shows that once they go to the ER with cardiac pain, they will likely have fewer tests and be prescribed fewer analgesics than men.” n

the challenges facing women’s heart health. Bjørnnes, Parry and team came up with the idea of “Her Heart, Her Story,” a collection of personal stories about cardiac health. It won first prize for Best Group Project and came with a grant to get the project started.

DISTURBING DATA

Bjørnnes’ research goals include helping

women recognize cardiac symptoms. “A woman’s heart attack is often unlike a man’s,” begins Bjørnnes. “Women with coronary artery disease describe their pain as sharp and burning, with additional symptoms of discomfort in the jaw, neck, shoulders and back. But the symptoms can be vague and vary in frequency and distribution.”

OSLOVOLDABERGEN

ANN KRISTIN BJØRNNESUniversity of Oslo, Norway› PhD 2016

Volda University College, Norway› Master’s in Health and Social Sciences 2008

Bergen University College, Norway› Master’s equivalent, Midwifery 1999

Lovisenberg Diaconal University College, Oslo› BScN 1996

Curriculum Vitae

“While a man experiencing acute pain typically presents as being afraid, a woman with acute pain presents as frustrated.”– Ann Kristin Bjørnnes, Tom Kierans International Postdoctoral Fellow

The average time from the onset of a woman’s

cardiac symptoms to her arrival at the ER. This de-lay has remained constant

over the last decade.


FORUM ATTRACTS EMERGING NURSE RESEARCHERS

In early May, Bloomberg Nursing welcomed 23 nurse scholars from six countries to its third

Emerging Nurse Scholars Forum. The Faculty initiated the forum in 2013 to support the early- career development of nurse scholars embarking on a research career.

The forum is deliberately small to allow the dele-gates to closely engage with other elite scholars at a similar stage in their career. To maximize oppor-tunities for exchange and dialogue, attendance is by invitation only. Attendees are doctoral candidates and outstanding researchers who recently completed a doctorate or postdoctoral fellowship.

Throughout the two-day forum, Bloomberg Nursing faculty members shared their expertise. They spoke on building a research program and encouraged the delegates to approach people at the forum and at conferences to introduce themselves. They emphasized that

the forum is an opportunity for international networking.

IDEAS UNLIMITED

New knowledge was plentiful at the forum as each delegate presented his or her research. Jing-Yu Tan, a PhD candidate at Hong Kong Polytechnic Uni-versity in Kowloon, Special Administrative Region, shared his research on the use of auricular acupres-sure in the treatment of chemotherapy-induced nausea and vomiting in breast cancer patients. Tan’s study offers preliminary evidence that applying acupressure on specific acupoints of the outer ear is a convenient, safe intervention to treat nausea and vomiting due to chemotherapy and is particularly effective in managing acute nausea.

A recent PhD graduate from the University of Melbourne in Australia, Suzanne Kapp spoke on her “Self-Treatment of Wounds” study. Kapp demonstrated the need to develop educational

Top new nurse scientists travelled from the four corners of the Earth to attend our Emerging Nurse Scholars Forum

AUSTRALIA

CHINA

SCOTLAND

ENGLAND

UNITED STATES

CANADA

Dean Linda Johnston greets the international delegates

“Bloomberg Nursing has

a passion for inquiry, knowledge

creation and, ultimately,

the betterment of patient

care.”– Dean Linda

Johnston


FORUM ATTRACTS EMERGING NURSE RESEARCHERS

resources for people in the community who self-treat chronic wounds and the need for a tool to appraise self-treatment capacity.

Louise Bramley, who recently completed her doctorate at the University of Nottingham in England, presented her research on advanced care planning with the frail elderly. “The study found that this population experiences profound uncertainty associated with rapid changes to their physical and/or mental state,” she said. “They don’t like to project into the future, and many have difficulty imagining a future. They live in the mo-ment.” Bramley concluded that current policies and practices relating to advance care planning in the U.K. don’t align with the dynamic nature of frailty.

UNSETTLING CONCLUSIONS

Some investigators at the forum admitted to being shocked by their research conclusions. Farinaz Havaei, who just earned a PhD at the University of British Columbia in Vancouver, presented her findings that nurses who work in teams report a higher number of tasks undone compared to nurses who work alone. She also concluded that team nursing was negatively related to quality and safety outcomes. “This surprised me,” said Havaei. “I was so immersed in the team approach.”

For his doctoral dissertation, Jacob Kariuki, who recently completed his doctorate at the University of Massachusetts in Boston, worked on validating the Non-Laboratory Based Framingham Cardiovascular Disease Risk Assessment Algorithm in the “biracial atherosclerosis risk in communities” dataset. The advantages of the algorithm include that it only takes 10 minutes to complete, can be performed by nurses and doesn’t require the patient to return for blood test results.

The algorithm substitutes body mass index (BMI) for lipids in the lab-based Framingham algorithm. Kariuki had what he called an “ah-ha moment” when he realized that BMI is not particularly useful in determining the risk of cardiovascular disease. “Clinicians and patients get too focused on one thing, especially weight, to the extent that they miss the big picture of cardiovascular risk,” he said. That point was further driven home at a focus group that Kariuki was leading; he had to take the leanest person in the group to an emergency room because her blood pres-sure was so high. “The absolute risk assessment algorithms introduce objectivity in discriminating risk,” he said. n

“We need to understand the whole patient including

the patient’s genome.”– Nicole Osier, a delegate

from Mount Airy, Maryland

Associate Dean Linda McGillis Hall outlines the two-day event

The forum hosted

23nurse scholars

from

6countries


In the 2016-17 academic year, we had five postdoctoral and six doctoral students who came

from other countries to study at Bloomberg Nurs-ing in Toronto, Canada. These students probed important global issues as you’ll see in meeting Paola Galbany-Estragués from Spain and Ziad Alostaz from Jordan.

The exodus of Spanish nurses

For one year, Paola Galbany- Estragués from Barcelona did a postdoctorate at Bloomberg Nursing under the supervision of Professor Sioban Nelson. The for-mer senior instructor at the Autonomous University of Barcelona investigated nurs-ing migration from Spain between 1999 and 2014.

“After the 2008 financial crisis, more and more nurses from Spain were going abroad to work,” says Galbany- Estragués. “The negative

impact of the economic crisis was apparent by 2010, when the number of employed nurses per capita fell.

“This problem in Spain had not been studied, and as a nursing historian I was interested in exploring it,” continues Galbany-Estragués, whose PhD dissertation charted the evolution of nursing care in Spain through a case study of a 20th cen-tury tuberculosis sanatorium.

A PAINSTAKING PROCESS

For her postdoctorate, Galbany-Estragués reviewed the scholarly literature on nurse migration that had been written in Spanish and English, and also exam-ined Spanish mobility laws and European directives.

“Sioban taught me a lot,” says Galbany-Estragués, who is now dean of the Faculty of Health Science and Welfare at the University of Vic near Bar-celona. “She taught me to explore the essence of causes, to understand why certain phenomena, such as nurse migrations, occur at a historical level.

“In the study, I showed that Spain stopped hir-ing nurses or hired fewer staff nurses at specialized healthcare facilities after the crisis of 2008. There was a reduction in public spending, and the labour market reforms affected nurses. They migrated because of decreased job security due to reduced public spending and healthcare transformation.”

SPREADING THE WORD

Galbany-Estragués shared her findings in Spain by writing articles about the issue for Spanish print and online newspapers. “The articles opened up the lines of communication about Spanish nursing migration,” she says.

In addition, the International Journal of Nursing Studies published Drs Nelson and Galbany-Estragués’ “Migration of Spanish Nurses 2009–2014” article in its November 2016 issue.

Changing restraint use in ICUs

First-year doctoral student Ziad Alostaz from Irbid, Jordan, is investigating how to mini-

mize the use of physical restraints in Intensive Care Units (ICUs). His research will provide clinicians

OUR INTERNATIONAL REACH

Bloomberg Nursing attracts graduate students from around the world

Curriculum Vitae

PAOLA GALBANY-ESTRAGUÉSBloomberg Nursing› Postdoctorate 2016

University of Barcelona, Spain› PhD in Nursing Sciences 2012

Ramon Llull University, Barcelona› Postgraduate degree in Critical Care 2007

University of Barcelona› Bachelor’s and master’s degrees in Social and Cultural Anthropology 2001

BARCELONA

Spain’s RN to population ratio

2010

3.21:1,000

2013

3.10:1,000

“Spain is transforming from a stable nursing labour market to one that is

increasingly producing nurses for foreign markets, principally in Europe.”

– Paola Galbany-Estragués, postdoctoral student

Paola Galbany-Estragués


with evidence-based strategies to minimize the use of this type of restraint, which most commonly involves fastening the patient’s wrists and ankles to the bed.

As a lecturer at Al-Baha University in Saudi Arabia, Alostaz learned that U of T’s nursing pro-gram is the best in Canada, where he is a landed immigrant. The more Alostaz learned about the Bloomberg Nursing doctoral program, the more he wanted to move to Toronto to study. He was especially excited about the possibility of being supervised by Associate Professor Louise Rose, who is recognized internationally for her work on improving the experience and outcomes of mech-anically ventilated patients in ICUs and other care settings.

After several email exchanges, Dr. Louise Rose and Alostaz arranged to Skype in March 2015. “I was struck by Ziad’s enthusiasm for and commitment to entering the doctoral program,” says Louise Rose. Alostaz started our program in September 2016.

THE PREVALENCE OF PHYSICAL RESTRAINT

What piqued Alostaz’s interest in examining physical restraints were the different rates of use in ICUs around the world. “In Canada and the U.S., up to 76 per cent of patients are restrained at least once during mechanical ventilation. But in some Scandinavian

countries, the use of physical restraint is very limited, and sometimes it’s not used at all,” he says.

Physical restraint addresses clinician concerns about patient and clinician safety, and is intended to prevent the patient from removing medical devices such as an endotracheal tube, and cen-tral venous and arterial lines. The use of physical restraint, though, risks both physical and psycho-logical harm, explains Alostaz.

Physical harm can include interrupting the blood flow to the extremities, bruising the wrists and an-kles, and causing pressure ulcers. “Negative psycho-logical consequences include disorientation, agitation and delirium,” says Alostaz. “After patients are transferred out of the ICU where they were physically restrained, they may experience anxiety, delusional memories and post-traumatic stress disorder.”

RESEARCH TO PRACTICE

While several healthcare authorities and nursing organizations recommend minimizing physical re-straint use in all hospital settings, the recommenda-tions lack specificity. For his doctoral thesis, Alostaz will explore alternative techniques that clinicians can implement instead of physical restraints.

He will interview ICU survivors and family members who visited the patient while he or she was restrained to ask them for their thoughts and ideas about how the healthcare team can minimize the use of physical restraints in the ICU. One of the ques-tions Alostaz will ask is: What alternatives to physical restraint use do you think would have been effective?

Based on patient and family member suggestions, Alostaz will explore interventions to replace the use of physical restraints. Then, to ensure their practicality, he’ll explore the alternatives with clinicians to identify the facilitators as well as the barriers to implementing the new strategies in the ICU. n

“In some hospitals, physical restraint use is routine even

if the patient is under sedation. If the patient is sedated,

why restrain him?”– Ziad Alostaz, doctoral student

Curriculum Vitae

ZIAD ALOSTAZJordan University of Science and Technology, Irbid› Master’s in acute adult care nursing 2011› Bachelor’s in nursing 2007

AL-BAHA, SAUDI ARABIA

IRBID, JORDAN

Ziad Alostaz

OUR INTERNATIONAL REACH


“The Undergraduate Student Summer Research Program broadened my understanding of the role of a nurse and opened up a whole new area of nursing.” – Melissa Heisey, Class of 2017

BUILDING FUTURE RESEARCHERS

Our summer program inspires undergraduate students to consider research

Over the summer months, first-year BScN students have the

opportunity to help our esteemed faculty members with their research. In the summer of 2016, 29 students were select-ed to participate in the Undergraduate Student Summer Research Program.

Bloomberg Nursing’s undergraduate program is a second-entry program that requires applicants to have at least 10 university course credits. But this year, all 174 students entering the two-year program had at least one university de-gree, and some arrived with a graduate degree, or two.

The Summer Research Program matches undergraduates and faculty members according to their areas of interest and expertise. So it was no surprise that BScN student Will Byker, who has a Biology and Pharmacology degree, was matched with Assistant Professor Samantha Mayo, whose research program includes investigating the biological mechanisms of symptoms that occur after pharmacological treat-ments for cancers of the blood. In addi-tion, Mayo is investigating the long-term outcomes of cancer treatment.

Classmate Mark Alm, who has a Kinesiology degree and an interest in the long-term health effects of hospitaliza-tion, also worked with Mayo. Byker and

research assistants with Mayo during the next academic year.

Mei Huang, a BScN student with a Master’s in Neuroscience Research, was matched with Assistant Professor Lisa Cranley, whose research program aims to improve the quality of healthcare de-livery to older adults in long-term care. Dr. Cranley uses qualitative and mixed method approaches. While earning her master’s, Huang developed an expertise in quantitative research but had little under-standing of qualitative research until her research with Cranley.

Over the summer, classmate Melissa Heisey, who has an Honours Bachelor of Arts degree, and Huang contributed to a qualitative pilot study that explored how to improve shared decision-mak-ing in nursing homes. They compiled a list of Toronto long-term care facilities, selected those that met the criteria that Cranley had set, recruited participants in one facility, collected data and looked for common themes. The students observed as Cranley conducted interviews with the healthcare staff, residents and their most-involved family members.

“Through the summer research pro-gram, I learned about the different types of research and ways to disseminate research findings,” says Heisey. “We worked on a number of different projects, including a systematic review, scoping review, grant proposals and articles for publication.”

In the fall, Huang and Heisey shared what they learned in a poster presentation at the regional conference of the Canadian Nursing Students’ Association in Toronto. n

Alm contributed to a scoping review on the biomarkers of cancer-related cognitive impairment. After two weeks of working on the review, the students had identified 154,000 titles and abstracts. Then they narrowed it down to 47 articles from which they could extract data about bio-markers in the blood that are associated with cognitive impairment in those who have received cancer treatment.

“It was a privilege to work with Sam, who sees the full potential of her students and wanted us to be exposed to as much as possible,” says Byker.

Mayo even asked the two under-graduates to give a presentation at Princess Margaret Cancer Centre to an interprofessional group of researchers comprised of experts in hematology, molecular biology and translational research. They reported what they had learned about blood-based biomarkers in the 47 articles and the next steps they’ll take as they continued to participate in the scoping review process. “Presenting to researchers who are incredibly know-ledgeable was a bit intimidating,” says Alm. “But Sam built our skills so we were prepared to do this – and more.”

In fact, Byker and Alm grew so proficient in their research techniques that Mayo asked them to continue to work with her. They became part-time

From left: Will Byker, Samantha Mayo, Mark Alm

Lisa Cranley (left) and Melissa Heisey

AWARDS AND DISTINCTIONS

INDUCTED INTO THE AMERICAN ACADEMY OF NURSING

In October 2016, the American Academy of Nursing inducted Profes-

sor Kelly Metcalfe, RN PhD, FAAN, as a Fellow. At the Washington, D.C., ceremony, she was recognized for her vital research contributions that expand our understanding of how to prevent and treat breast and ovarian cancers in women with a BRCA1 or BRCA2 genetic mutation.

Fellows of the American Academy of Nursing represent the foremost nurse leaders in 28 countries around the world. An invitation to fellowship is one of the greatest honours a nurse can receive. The Lawrence S. Bloomberg Faculty of Nurs-ing is privileged to be home to 11 Fellows of the American Academy of Nursing.

Metcalfe’s international studies have resulted in seminal research on the treatment of breast cancer in women with a genetic predisposition to devel-oping breast and ovarian cancer. She has developed and tested interventions aimed at increasing the uptake of cancer prevention options in women at high risk of developing these cancers, and created patient decision-aids to help women choose the cancer treatments that are right for them.

At Bloomberg Nursing, Metcalfe holds the Limited-Term Professorship in Cancer Genetics (2015-2020).

Bobbie Berkowitz (right), president of the American Academy

of Nursing, welcomes Professor Kelly Metcalfe as a Fellow

Linda McGillis Hall with her International Nurse Researcher Hall

of Fame award

PH

OTO

: E

DD

IE A

RR

OS

SI

Sigma Theta Tau International Honor Society of Nursing International Nurse Researcher Hall of Fame

Linda McGillis Hall, Bloomberg Nursing’s Associate Dean, Re-

search & External Relations, has been inducted into STTI’s International Nurse Researcher Hall of Fame. The hall celebrates nurse researchers who have made significant achievements and been recognized nationally and/or internationally for their work.

McGillis Hall is our Kathleen Russell Distinguished Professor and is internationally known for her research in nursing health services and systems, particularly as they relate to health hu-man resources, work environments and outcomes.

Also, McGillis Hall, RN, PhD, FAAN, FCAHS, is a Fellow of the Canadian Academy of Health Sci-ences, and has received the Canadian Nurses Association’s Order of Merit for Nursing Research and the Award of Excellence in Nursing Research from the Canadian Association of Schools of Nursing. She was the first nurse in Canada to be named a Fellow of the American Academy of Nursing.

Sigma Theta Tau International Honor Society of Nursing Lambda-Pi-at-Large Chapter Award for Excellence in Nursing Research

In recognition of her exceptional research in mental health nursing

practice, Assistant Professor Kristin Cleverley, RN, PhD, CPMHN(C), has received the 2016 Dorothy M. Pringle Award for Excellence in Nursing Research. This award acknowledges the importance of nursing research to the development of nursing science and ultimately to nursing practice.

Cleverley’s current research focuses on how to help youth with mental ill-ness make the transition to adult mental health services.

She holds the Centre for Addiction and Mental Health Chair in Mental Health Nursing Research at U of T.

Registered Nurses’ Association of Ontario Leadership Award in Nursing Research

Assistant Professor Craig Dale, RN, PhD, CNCC(C), received

the 2017 RNAO Leadership Award in Nursing Research. The award is presented to an individual who actively explores innovative ideas in nursing research and enhances the image of nursing by engaging in efforts to dis-seminate research knowledge.

Dale’s research aims to improve the oral health of critically ill patients in in-tensive care units. He applies innovative research methods, such as video eth-nography, to engage patients, caregivers and nurses.

Dale is a CIHR embedded clinician scientist in oral health at Sunnybrook Health Sciences Centre and a scientist at the U of T Centre for the Study of Pain.

Massey College Senior Fellow

Professor Emerita Patricia McKeever, RN, PhD, has been

named a Senior Fellow of Massey College. McKeever, a leader in the child health field, has focused her re-search on children with severe chronic illnesses and/or disabilities, assistive technologies, as well as on how and where these children live, attend school and receive care.

Massey College, which is independ-ent from but affiliated with U of T, recognizes leaders in a variety of fields through its Senior Fellows program. n

19ANNUAL RESEARCH REPORT 2016-2017


Seattle

Atlanta

Pittsburgh

TallahasseeTampa

Chapel Hill

U.S.

BRAZIL

Quebec CitySt. John’sCalgary

Edmonton

Vancouver

Halifax

Montreal

Sao Paulo

Florianópolis

Jataí

St. Catharines

BostonNew York

Washington

Ottawa

CANADA

FortQu’Appelle

Cutler

TorontoSudbury

LondonChicago

Hamilton

NEW ZEALAND

Nelson

Acre

DuarteLos Angeles

Philadelphia

Morgantown

MinneapolisOmaha

San Francisco

Waterloo

OshawaSurrey

Nashville

SIOBAN NELSONSpain› Murcia› Barcelona

MONICA PARRYCanada› St. John’s, NL› Hamilton› St. Catharines,

ON› London, ONNorway› OsloU.S.› Tallahassee, FL

ELIZABETH PETERBrazil› Acre› Sao PauloCanada› Hamilton› Oshawa, ON› Waterloo, ONSpain› PalmaU.S.› Minneapolis

MARTINE PUTSBelgium› LeuvenCanada› Montreal› Ottawa› Surrey, BCFrance› Lyon› ParisNew Zealand› NelsonU.S.› Chapel Hill, NC› Duarte, CA› Philadelphia

LOUISE ROSEAustralia› Melbourne› SydneyDenmark› CopenhagenThe Netherlands› Amsterdam› ApeldoornSweden› GothenburgU.K.› London› Belfast› Edinburgh

DORIS HOWELLCanada› Hamilton

LIANNE JEFFSAustralia› Adelaide

LINDA JOHNSTONAustralia› BrisbaneBrazil› FlorianópolisChina› Hangzhou› Hong KongGermany› MunichU.K.› Belfast

SAMANTHA MAYOU.S.› Washington, D.C.

LINDA McGILLIS HALLBelgium› LeuvenCanada› Halifax› Edmonton› Ottawa› Quebec CityU.S.› New York, NY› Chapel Hill, NC› Pittsburgh

KATHY McGILTONAustralia› SydneyCanada› Cutler, ON› Sudbury, ON› Fort Qu’Appelle, SK› HalifaxSpain› Lleida

KELLY METCALFEAustralia› MelbourneAustria› ViennaPoland› SzczecinU.K.› LondonU.S.› Chicago› Los Angeles› Nashville, TN› Omaha, NE› Tampa, FL

CARLES MUNTANERSpain› Barcelona

ARLENE BIERMANU.S.› Washington, D.C.

KRISTIN CLEVERLEYCanada› Hamilton› Montreal

LISA CRANLEYCanada› EdmontonU.S.› Chapel Hill, NCU.K.› Leeds

CRAIG DALEAustralia› AdelaideDenmark› RoskildeU.K.› London

CINDY-LEE DENNISCanada› Calgary› Hamilton› Montreal› VancouverSingapore› SingaporeSouth Africa› Bellville› Cape Town› Johannesburg› PotchefstroomUnited Arab Emirates› Dubai› SharjahU.S.› Seattle

DENISE GASTALDOBrazil› FlorianópolisCanada› London, ONSpain› Alicante› Lleida› Madrid› Palma› Santander

EDITH HILLANIndia› Bangalore› Delhi› Hyderabad› MumbaiU.K.› Edinburgh› Glasgow› London

RESEARCH COLLABORATIONSA snapshot of our national and

international research partnerships


Melbourne

Perth SydneyAdelaide

Brisbane

AUSTRALIA

Bellville

Cape Town

PotchefstroomJohannesburg

EldoretKENYA

AccraKasoa

GHANA

Hangzhou

Hong Kong

CHINA

Bangalore

INDIA

SINGAPORE

DubaiSharjah

UNITED ARAB EMIRATES

BELGIUM

Murcia

Barcelona

BelfastGlasgow

London

Galway

Apeldoorn

MunichVienna

Leuven

Lleida

EdinburghGothenburg

Bern

Oslo

Copenhagen

Basel

Amsterdam

U.K.

SWEDEN

GERMANY AUSTRIA

DENMARK

THE NETHERLANDS

SPAIN

SWITZERLAND

IRELAND

NORWAYUtrecht

Leeds

RoskildeSzczecin

Mumbai

Delhi

Hyderabad

PalmaMadrid

Santander

Alicante

Paris

Lyon

SOUTH AFRICA

POLAND

ROBYN STREMLERCanada› Edmonton› Halifax› Montreal› VancouverU.S.› Morgantown, WV› San Francisco

ANN TOURANGEAUAustralia› Perth

KIM WIDGERCanada› Ottawa› Hamilton› Vancouver

BONNIE STEVENSBrazil› Jataí› Sao PauloGhana› Kasoa› AccraKenya› EldoretSwitzerland› Basel› BernU.S.› Boston

JENNIFER STINSONCanada› Ottawa› Halifax› VancouverIreland› GalwayThe Netherlands› UtrechtU.S.› Seattle› Atlanta

RESEARCH COLLABORATIONS


INVESTIGATORS SPONSOR PROGRAM TITLE OF RESEARCH PROJECT AWARDED

D. Korczak (PI), Y. Finkelstein, M. Barwick, P. Szatmari, K. Cleverley, G. Chaim, J. Henderson, S. Monga, D. Juurlink, M. Moretti

Centre for Addiction and Mental Health

Cundill Centre for Child and Youth Depression

A focused suicide prevention strategy for youth presenting to the emergency department with suicide-related behaviour

$147,071

K. Bennett, P. Sundar, P. Szatmari (Co-PIs), G. Chaim, A. Charach, A. Cheung, K. Cleverley, D. Gorman, J. Henderson, R. Santos, D. Korczak, J. McLennan, A. Newton, H. Schunemann, P.P. Tellier

Canadian Institutes of Health Research (CIHR)

Planning and Dissemination Grant

Disseminating child and youth mental health practice guidelines: The development of a user-informed, social media integrated mobile website

$10,000

K. Cleverley (PI), P. Szatmari, J. Henderson, K. Bennett, L. Jeffs, D. O’Brien, G. Chaim, A. Pignatiello

CIHR CIHR-Strategy for Patient-Oriented Research (SPOR) collaboration

Prioritizing youth and caregivers as experts of mental health care transitions: A national Delphi study

$24,977

A.S. Wagg, C.A. Estabrooks (Co-PIs), E.A. Andersen, C.L. Anderson, R.A. Anderson, J.L. Baumbusch, W.B. Berta, F.M. Clement, M.I. Collins, L.A. Cranley, G. Cummings, L.D. Dacombe, J.W. Dearing, M.B. Doupe, et al.

CIHR Project Grant SCOPE: Safer Care for Older Persons in (Residential) Environments

$913,577

C. Dale CIHR Embedded Clinician Scientist

Improving oral care delivery for critically ill older adults

$300,000

S. Lye, S. Norris, L. Richter (Co-PIs), B.A. Fallon, J. Jamieson, P. Awadalla, D.G. Bassini, Z.A. Bhutta, L. Briollais, D.W. Cameron, T.F. Chirwa, L. Chola, C.-L. Dennis, C.M. Gray, J.K. Hamilton, et al.

CIHR Team Grant: Healthy Life Trajectories Initiative – South Africa

Building the foundation for healthy life trajectories: A prospective South African Developmental Origins of Health and Disease Cohort

$5,000,000

J. Maguire (PI), C. Birken, C.-L. Dennis, P. Gill, A. Guttman, J. Hoch, M. Janus, A. Laupacis, C. MacArthur, H. Manson, D. O’Connoar, J. Omand, P. Parkin, et al.

CIHR SPOR Mentorship Chair in Innovative Clinical Trials

Capacity building in innovative clinical trials to optimize children’s physical, mental and educational wellbeing

$500,000

S. Shore (PI), C.-L. Dennis, C.Y. Sent, C.Y. Huak, L. Ying

National University Health System (Singapore)

National University Health System O-CRG

Evaluation of telephone-based peer-support intervention programme for preventing postnatal depression: A randomized controlled trial

$158,120

H. Radwan (PI), C.-L. Dennis, R. Rakhry

Sheik Hamdan Organization (United Arab Emirates)

Medical Research Grant

Examining breastfeeding self-efficacy, infant feeding method, and perinatal mental health among women in United Arab Emirates: A cohort study

$147,000

RESEARCH FUNDING AWARDED, 2016-2017


RESEARCH FUNDING AWARDED, 2016-2017

INVESTIGATORS SPONSOR PROGRAM TITLE OF RESEARCH PROJECT AWARDEDH. Brown (PI), C.-L. Dennis, C. Mill, D. Telner, L. Graves

Women’s Xchange $15K Challenge Pilot randomized controlled trial of an interconception intervention provided by public health nurses to improve reproductive and perinatal outcomes

$15,000

S. Wanigaratne, C.-L. Dennis (Co-PIs), K. Sekhar, M. Urquia, J. Ray, A. Pulver, A. Brar

Women’s Xchange $15K Challenge Son-based sex ratios in the South Asian Community – A dialogue and pilot education intervention to make progress on gender equity

$15,000

P. Tryphonopoulos, N. Letourneau (Co-PIs), G. Currie, C.-L. Dennis, L. Duffett-Leger, D. Findlay, D. Kingston, D. McNeil, M. Oxford

CIHR Project Grant Video-feedback interaction guidance for improving interactions between depressed mothers and their infants

$250,000

A. Dalfen, L. Wasserman (Co-PIs), C.-L. Dennis, S. Vigod

University of Toronto

Excellence Funds Virtual psychiatric care for perinatal depression (Virtual-PND): A pilot randomized controlled trial

$24,000

D. Gastaldo, U. Bajwa, E. Di Ruggiero (Co-PIs)

Social Sciences and Humanities Research Council (SSHRC)

Knowledge Synthesis Pathways to precarity facing Canadians in the Global Gig Economy: Implications for public policy

$25,000

U. Bajwa, C. Bilbao-Joseph, G. Betancourt (Co-PIs), D. Gastaldo, A. Cortinois, A. Escrig-Pinol, E. Ortigoza


Institute of Global Health Equity and Innovation

Trans Latinas overcoming radical socio-economic exclusion

$25,000

M. Mojahedi, S. Sidhi, E.M. Hillan, M. Varma, P. Pal

Canada-India Research Centre of Excellence

India-Canada Centre for Innovative Multidisciplinary Partnerships to Accelerate Community Transformation and Sustainability

A portable fever kit for dengue and chikungunya

$110,630

J.S. Aitchison (PI), Y.-L. Chen, E.M. Hillan

University of Toronto, Faculty of Engineering

Dean’s Strategic Fund

Low-cost mycotoxin detection in food and blood $60,000

A. Bilton (PI), and Co-Is including E. Hillan

University of Toronto, Faculty of Engineering

Dean’s Strategic Fund

Public Health Diagnostics Initiative $554,000

L. Barbera, C. Earle, D. Howell, N. Mittman, H. Seow, R. Sutradhar

Canadian Cancer Society Research Institute (CCSRI)

Innovation Grants What is the impact of a provincial program to screen for symptoms on health service use?

$193,417

D. Howell, L. Moody (Co-PIs), L. Burnett, T. Harth, J. Avery, D. Bryant-Lukosius, J. Cafazzo, J. Jones, E. Kennedy, J. Kirkey, M. Krzyzanowska, V. Kukreti, G. Liu, S. Mayo, et al.

CIHR Catalyst Grant: Health Services and Economics Research in Cancer Control

A web-based self-management support program to promote adaptation to cancer in the acute treatment phase: Usability and feasibility of the “I-Can Manage Cancer” intervention

$100,000



D. Howell, M. Krzyzanowska (Co-PIs), R. Maguire, V. Kukreti, G. Liu, J.A. Cafazzo, P. Morita, S. Moradian, J. Bender, L.W. Le, A. Husain, M. Puts, E. Amir

CCSRI Innovation Grant 1 -2017

Adaptation, feasibility and acceptability study of the advanced symptom monitoring and management system (ASyMS) mobile health intervention to reduce chemotherapy toxicities in Canadian cancer patients

$200,000

M.K. Krzyzanowska, L. Moody, D.M. Howell (Co-PIs), E. Rerdwood, L. Barbera, D.E. Bryant-Lukosius, T. Harth, V. Kukreti, M.A. O’Brien, D.E. Wiljer

CIHR Partnerships for Health System Improvement for Cancer Control

Decreasing cancer burden: Testing a proactive model of care to improve the quality of toxicity management through patient activation for cancer self-management during the active treatment phase. (Letter of intent)

$19,388

C. Zimmerman (PI), D. Howell, A. Oza, D. Warr, J. Knox, S. Sridhar, M. Krzyzanowska, N. Leighl. B. Hannon, G. Rodin, M. Li, C. Lo

Ontario Ministry of Health and Long-Term Care and Ontario Medical Association

AFP Innovation Fund Symptom screening with Targeted Early Palliative care (STEP) for patients with advanced cancer: A pilot trial

$199,340

D. Stacey (PI), D. Howell, C. Kuziemsky, K. Linden, L. Barbera, A. Patry, K. Dennis, L. Jolicoeur, J. Renaud, A. Killam, J. Newton, B. Ballantyne, F. Crawley, et al.

Ontario Institute of Cancer Research

KT Research Network Cancer symptom management by radiation therapists: Evaluating implementation of evidence-informed practice guides

$71,236

G. Liu, D. Howell (Co-PIs), M. Brundage, A. Hope, G. Rodin, L. Barbera, P. Bradbury, R. Hung, R. Kim, N. Leighl, M. Li, N. Mittman, J. Waldron, R. Wong, et al.

Cancer Care Ontario

On-PROST: Ontario Patient Reported Outcomes of Symptoms and Toxicity

$177,735

S. Moradian (PI), D. Howell Canadian Association of Nurses in Oncology

Research Grant Promoting self-management and patient activation through e-health: A systematic literature review and meta-analysis of clinical trials

$5,000

P.A. Rochon, S.E. Bronskill (Co-PIs), P.C. Austin, C.M. Bell, B. Farrell, S.S. Gill, A. Gruneir, N. Hermann, L.P. Jeffs, L.M. Lix, L. McCarthy, C.J. Metge, D.P. Seitz, R.E. Upshur

CIHR Project Scheme (Bridging Funds)

A multi-method approach to exploring prescribing cascades

$100,000

S. Mayo (PI), J. Kuruvilla, J. Jones, D. Howell

CIHR Planning and Dissemination Grants

Health services for lymphoma survivors in Canada: A patient-focused stakeholder consultation

$10,000

B. Coleman (PI), A. McGeer, E. Dubé, J. Powis, K. Katz, L. Holness, S. McNeil, L. McGillis Hall

CIHR Project Grant Bridge Funding

Recurring adverse events following influenza vaccination: Impact on healthcare workers

$120,000

I.L. Bourgeault, O.B. Adams, G. Ballinger, K. Connell, K. Grimes (Co-PIs), M.L. Barer, C.L. Covell, M. Lavoie-Tremblay, M. Mathews, L. McGillis Hall, O. Salami, K.R. Thiessen, G.G. Tomblin Murphy

CIHR Planning and Dissemination Grant

Canadian Health Workforce Conference 2016: Optimizing the Canadian health workforce

$10,000



L. McGillis Hall, M. Lalonde Ontario Ministry of Advanced Education and Skills Development

Ontario Human Capital Research and Innovation Fund

Understanding the human capital impact of the change to the NCLEX-RN for Canadian nurse licensing

$100,000

J.E. McElhaney, G. Daybutch, C.A. Bourassa, K.M. Jacklin (Co-PIs), G. Boehme, F.E. McKenna, J. Otowadjiwan, P. Williamson, M.K. Andrew, S. Cote-Meek, K.S. McGilton, T. Moeke-Pickering, J. Walker

CIHR Challenge of Dementia in Indigenous Populations

Aging in place in First Nations communities: A community-based approach to supporting older indigenous people with dementia

$500,000

K. McGilton, M. Puts, J. Bethell (Co-PIs), M. Andrew, S. Sidani, M. Andrew, J. McElhaney, M. Fitch, H. Bergman, C. Frank

Canadian Frailty Network

Research Priority Setting Competition

Canadian Frailty Priority Setting Partnership $77,360

K. McGilton, M. Puts (Co-PIs), H. Bergman, M. Andrew, D. Morgan, I. Vedel, A. Ayal, V. Dube, E. Marshall, J. Pleog, J. Walker, W. Wodchis, J. McElhaney

CIHR SPOR Primary & Integrated Health Care Innovations Network – Knowledge Synthesis

Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: A scoping review

$50,000

K. McGilton, L. Whitham, M. Keatings, J. McElhaney, D. Seitz (Co-PIs), L. Beaupre, G. Fernie, K. Gervais, C. Levy, D. McNeil, J. Clarke, A. Davis, J. Flannery, F. John, A. Iaboni, D. Morgan, W. Wodchis

CIHR Catalyst Grant: SPOR Innovative Clinical Trials

Implementing person-centred rehabilitative models of care for older Ontarians post-hip fracture

$99,992

C. Poulus, M. Gresham, R. Poulos, L. Clemson, K. McGilton, I. Cameron

National Health and Medical Research Council (Australia)

Cognitive Decline Partnership Centre (Australia)

Development of evidence-based dementia reablement guidelines and programs deliverable to people with early-moderate dementia

$120,000

K. Metcalfe, A. Eisen, S. Narod, M. Akbari

Canadian Breast Cancer Foundation

Research Grant Breast cancer treatment in women with PALB2 mutations

$447,718

J. Kotsopoulos (PI), M.R. Akbari, K.A. Metcalfe, S.A. Narod

CIHR Project Grant Evaluating the utility of circulating cell-free or tumor DNA as a tool for the early diagnosis of BRCA1-associated breast cancer

$409,009

K. Metcalfe CIHR Travel Grant Fear of cancer recurrence among non-Caucasian, multi-ethnic survivors of adult cancers: A secondary analysis. (J. Galica, doctoral student)

$1,000

K. Metcalfe, A.M. Peter, A.F. Eisen (Co-PIs), S.R. Strasberg, L. Bordeleau, M. Cotterchio, J.P. Lerner-Ellis, S.A. Narod

CIHR Partnerships for Health System Improvement for Cancer Control

The development of a sustainable province-wide model of care for cancer prevention in women at high-risk for breast cancer. (Letter of intent)

$18,500



E. Paradis (PI), H.S. Boon, S. Nelson, S.M. Spadafora, C. Whitehead

CIHR Project Grant The collaborative ideal in Canadian healthcare delivery: Its rise, practice and future

$300,000

J. Lok (PI), E. Cambly, M. Parry, S. Kanofsky, Lebouthillier, A.P. Ayala, N. MacInnes


Instructional Technology Innovation Fund

Arterial blood gas interpretation: Development of an innovative, technology-enabled assessment module for undergraduate nursing, nurse practitioner and physician assistant students

$1,980

M. Parry, A.K. Bjørnnes, L. Cooper, L. Eder, P. Harvey, C. Lalloo, J. Price, D. Richards, J. Stinson, J. Watt-Watson, L. Wilhelm

Women’s Xchange $15K Challenge Her heart, her story: A grassroots approach to understanding cardiac pain in women with arthritis

$14,952

M. Parry CIHR Hacking the Knowledge Gap Trainee Award in Women’s Heart Health

Recognition and management of cardiac pain in women. (A.K. Bjørnnes, postdoctoral fellow)

$8,000

M. Parry, H.A. Clarke (Co-PIs), A.K. Bjørnnes, L.K. Cooper, A.S. Gordon, P.J. Harvey, C. Lalloo, M. Leegard, S.M. Lefort, J.A. McFetridge-Durdle, M.H. McGillion, et al., including J.N. Stinson, J.H. Watt-Watson

CIHR Knowledge Synthesis Self-management programs for women with cardiac pain: An integrated mixed methods systematic review

$100,000

S. Harris, I. Cornelia (Co-PIs), K. Bananasiak, P.I. Bowser, D. Dannenbaum, A.J. Elliott Rose, J.E. Hux, W. Johnson, M. Joudry, J. LaPlante, P.M. MacDonald, H.L. Mcdonald, S. Musgrave, A.P. Picard, et al., including M. Parry

CIHR Team Grant: Pathways to Health Equity for Aboriginal People – Implementation Research Team Grants, Component 2

Transformation of indigenous primary healthcare delivery (FORGE AHEAD): Enhancement and adaptation of community-driven innovations and scale-up toolkits

$652,110

S. Harris, A.M. McComber (Co-PIs), D. Dannenbaum, H.L. Mcdonald, D.E. Barre, K.G. Dawson, R.F. Dyck, M.E. Green, A.J. Hanley, A. Katz, B. Lavallee, A.C. Macaulay, M.J. Parry, S.M. Reichert, et al.

CIHR Team Grant: Pathways to Health Equity for Aboriginal People – Implementation Research Team Grants, Component 2

Transformation of indigenous primary healthcare delivery (FORGE AHEAD): Enhancement and adaptation of community-driven innovations and scale-up toolkits. (Letter of intent)

$5,744

M. McGillion, P.J. Devereaux, T. Scott (Co-PIs), D. Bender, A. Turner, J. Yost, S. Carroll, K. Krull, E. Peter, P. Ritvo, A. Lamy, M. Parry and the SMArTVIEW Community

Ontario Centres of Excellence

Health Technology Fund, Stream II Pre-Market Evaluation

Getting the SMArT VIEW CoVeRed in Ontario: TecHnology Enabled Self-ManagemenT: Vision for patient remote monitoring and EmpoWerment following Cardiac and VasculaR surgery

$499,313



M. Puts, C. Mariano, D. Wan-Chow-Wah, E. Szumacher, M. Krahn, R. Mehta, S. Alibhai, U. Emmenegger, E. Amir, F. Beland, J. Monette, M. Krzyzanowska, et al.

CCSRI – IMPACT Clinical and Cost-effectiveness of Comprehensive geriatric assessment plus integrated care plan in Canadian elders receiving Chemotherapy: The 5C Study

$900,816

M. Puts Technology Evaluation in the Elderly

Frailty Competition A Interventions to prevent and treat frailty in community-dwelling older adults: A scoping review of the literature and international policies

$50,000

M. Puts CIHR - Summer Program in Aging

The role of self-management interventions in frailty. (S. Toubasi, doctoral student)

$575

L. Rose Mitacs Elevate Fellowship

Development and pilot evaluation of an online peer support program for family caregivers of ventilator-assisted individuals living in the community. (M. Bastawrous, postdoctoral fellow)

$100,000

L. Rose (PI), M. Nonoyama, M. Bastawrous-Wasilewski, D. McKim, R. Jeremy, D. Leasa, R. Goldstein, J. King, C.-L. Dennis

Muscular Dystrophy Canada

Research Grant Development and pilot evaluation of an online peer support program for family caregivers of ventilator-assisted individuals with neuromuscular disease living in the community

$49,998

C. Gelinas, D.P. Laporta (Co-PIs), F. Bernard, M. Bérubé, M. Boitor, L. Burry, E. Charbonney, F. Chiocchio, M. Choinière, M. De Marchie, J.-N. Dubé, J. Houle, M. Lavoie-Tremblay, et al., including L. Rose

CIHR Project Grant Bridging Funds

Managing pain in collaboration in the intensive care unit (MPIC-ICU): A stepped wedge cluster randomized trial

$100,000

L. Rose (PI), C. Dale, L. Kure, G. Walter, K. McCormick, S. Ishida, V. Bali, T. Sinuff

Sunnybrook Health Sciences Centre

Practice-Based Research Initiative

Optimization of patient safety for physically restrained critically ill adults

$9,998

J. Lee, M. Tierney, L. Rose, M. Chignell

Spark Fund Innovations Preventing emergency department visits using tablet technology to identify people with unrecognized dementia

$49,998

J. Johnston (PI), I. Ball, R. Cartin-Ceba, E. Charbonney, L. Chau, D. Cook, J. Dionne, P. Dodek, E. Duan, G. Garber, M. Girard, E. Golan, R. Hall, et al., including L. Rose

CIHR Project Grant PROSPECT: Probiotics to prevent severe pneumonia and endotracheal colonization trial

$1,272,893

L. Rose (PI), L. Istaboulian, I. Fraser, A.A. Soledad, E. Fan, M. Herridge, L. Burry, C. Dale, V. Lo, V. Campbell, D. Varma

Michael Garron Hospital

Community-Based Research Fund

Quality metrics for patients experiencing persistent critical illness: A program of research

$25,000

E. Papathanasoglou (PI), S. Bagshaw, K.M. Hegadoren, D.J. Kutsogiannis, C. Norris, T.M. Park, L. Rose, Y. Skrobik, H.T. Stelfox, T.A. Tanguay

CIHR Project Grant Relaxation for critically ill Patient Outcomes and Stress-coping Enhancement (REPOSE): Clinical trial of an integrative intervention to improve critically ill patients’ delirium and related outcomes

$187,302



B. Cutherbertson, S. Murthy, L. Rose, C. Misak, G. Garber (Co-PIs), A.J. McGeer, C. Quach-Than, L. Richards, L.J. Billot, K.E. Burns, M. Campbell, B.A. Coburn, C. Dale, N. Daneman, N.D. Ferguson, R.A. Fowler, A.C. Gordon, et al.

CIHR Operating Grant: SPOR Innovative Clinical Trial Multi-Year Grant

The SuDDICU study: A study of the impact of preventative antibiotics (SDD) on patient outcome and antibiotic resistance in the critically ill in intensive care

$2,950,000

B. Stevens (PI), M. Barwick, C. Chambers, M. Campbell-Yeo, C. Estabrooks, S. Gibbins, D. Harrison, W. Isaranu-watchai, S. LeMay, M. Noel, J. Slotta, J. Stinson, A. Synnes, et al.

CIHR Foundation Grant Effective knowledge translation strategies for enhancing impact and improving outcomes in infant pain

$3,823,346

J. Stinson, T. Palermo, C. Dampier (Co-PIs)

U.S. National Institutes of Health

Eunice Kennedy Shriver National Institute of Child Health and Human Development

iCanCope with sickle cell disease $3,817,902

J. Stinson CIHR Clinical Fellowship Improving pediatric acute post-operative pain: Assessing usability, feasibility and effectiveness of a smartphone app. (K. Birnie, postdoctoral fellow)

$80,000

J. Stinson CIHR Travel Grant My Post-Operative Pain (MyPOP): A smartphone-based app to address gaps in post-operative pain self-management for youth. (K. Birnie, postdoctoral fellow)

$1,500

J. Stinson (PI), A. Rapoport, E. Cohen, F. Campbell, J. Hamilton, C. Lalloo

Ontario Ministry of Health and Long-Term Care

A demonstration of pediatric project ECHO® in Ontario for pain, bariatric care, complex care and palliative care

$2,996,248

J. Stinson, O. Abla, K. Birnie, L. Jibb, K. Positano

SickKids/Garron Family Cancer Centre

Research Fund Virtual reality to reduce procedural pain in children with cancer: Intervention evaluation and a pilot randomized controlled trial

$59,947

R.S. Yeung, S. Benseler, J. Swart, N.M. Wulffraat (Co-PIs), J. Guzman, R. Ten Cate, C. Bombardier, J.A. Cafazzo, N. Eijkelkamp, A. Goldenberg, M. Ijzerman, D.A. Marshall, Q.D. Morris, B.J. Prakken, N.D. Rosenblum, et al., including J.N. Stinson

CIHR Personalized Medicine in Inflammation Network; with Dutch Arthritis Foundation and The Netherlands Organization for Health Research and Development (ZonMw)

UCAN CAN-DU: Canada-Netherlands Personalized Medicine Network in Childhood Arthritis and Rheumatic Disease

$7,967,500

J.N. Stinson CIHR Institute of Human Development, Child and Youth Health

Using a humanoid robot to reduce procedural pain and distress in children with cancer: A pilot randomized controlled trial

$750



S. Lindsay (PI), J. Stinson, M. Stergiou-Kita, J. Leck, W. Shen

CIHR/SSHRC Healthy and Productive Work

Partners for enhancing healthy and productive work for young men and women with disabilities

$348,000

J. Stinson (PI), S. Ahola Kohut, P. Forgeron, A. Huber, L. Tucker, L. Spiegel, C. Duffy, K. Watanabe Duffy, M. Moretti, B. Feldman

Arthritis Society Research Grant The iPeer2Peer program for youth with juvenile idiopathic arthritis: A multisite randomized controlled trial

$359,621

H. Skinner (PI), D. William, J. Cafazzo, J. Stinson, et al.

Federal Economic Development Agency for Southern Ontario

Health Ecosphere: An innovation pipeline for commercial health solutions

$15,000,000

J. Stinson (PI), P. Nathan, L. Jibb SickKids Garron Family Cancer Centre and Pain Centre

User-centred refinement of the Pain Squad+ pain management app for adolescents with cancer: A usability study

$47,436

A. Yeh (PI), S. Grover, S. Stephens, G. Lognoni, R. Motl, M. Finlayson, J. Stinson

MS Society of Canada

Hermès Canada | MS Society Wellness Research Innovation Grant

Development and usability testing of the ATOMIC (Active Teens MultIple sClerosis) mobile app to increase physical activity levels in youth with multiples sclerosis

$40,000

F. Campbell (PI), J. Stinson, G. Wells, D. Brooks, K. Toupin-April

Hospital for Sick Children

Achy Penguin: Usability testing of a smartphone-based tool to improve pain assessment and management in children aged 4-7 years

$9,900

L. Brosseau (PI), S. Cavallo, J. Stinson, G. Wells, D. Brooks, K. April-Toupin

Arthritis Health Professions Association

Are popular structured physical activity programs promising for the pain-management of juvenile idiopathic arthritis? A pilot randomized controlled trial

$5,000

L. Caes (PI), J. Stinson, B. McGuire Wellcome Trust Irish cultural adaptation and usability testing of the Teens Taking Charge: Managing Arthritis Online Program

$8,710

C. Chambers (PI), M. Barwick, J. Stinson, H. Witteman

Nova Scotia Health Research Foundation

#ItDoesntHaveToHurt video initiative $10,000

R. Stremler, K. Keilty Ronald MacDonald House

An examination of sleep in family caregivers of seriously ill children who are hospitalized

$50,000

N. Feeley (PI), M. Aita, L. Charbonneau, M. Lavoie-Tremblay, R. Stremler, P. Zelkowitz

Jewish General Hospital (Canada)

Research and Development Fund

NICU design: Phase 2 $16,000

K. Widger (PI), S. Gupta, A. Rapoport, H.-Y. Seow, H. Siden, P. Tanuseputro, C.M. Vadeboncoeur

CIHR Analysis of Existing Canadian Cohorts and Databases Related to Reproductive, Child and Maternal Health

End-of-life health care use for children with life-threatening conditions: A national population based study

$75,000


PUBLICATIONS April 1, 2016, to March 31, 2017

Journal articles

› Abbass-Dick J, & Dennis CL . (2017). Breast-feeding coparenting framework: A new framework to improve breast-feeding duration and exclusivity. Fam Community Health, 40(1) , 28-31.

› Ahola Kohut S, Stinson JN , Ruskin D, Forgeron P, Harris L, … Campbell F. (2016). iPeer2Peer program: A pilot feasibility study in adolescents with chronic pain. Pain, 157(5) , 1146-55.

› Avila ML, Brandão LR, Williams S, Montoya MI, Stinson J , … Feldman BM. (2016). Development of CAPTSureTM – a new index for the assessment of pediatric postthrombotic syndrome. J Thromb and Haemost, 14(12) , 2376-85.

› Avila ML, Brandão LR, Williams S, Ward LC, Montoya MI, … Feldman BM (including Stinson J ). (2016). Pediatric post-thrombotic syndrome in children: Toward the development of a new diagnostic and evaluative measurement tool. Thromb Res, 144 , 184-91.

› Bierman AS , & Tinetti ME. (2016). Precision medicine to precision care: Managing multimorbidity. (Comment). Lancet, 388(10061) , 2721-3.

› Bjørnnes AK, Parry M , Lie I, Fagerland MW, Watt-Watson J , ... Leegaard M. (2016). Pain experiences of men and women after cardiac surgery. J Clin Nurs, 25(19-20) , 3058-68.

› Bjørnnes AK, Parry M , Lie I, Fagerland MW, Watt-Watson J , ... Leegaard M. (2017). The imapct of an educational pain management booklet intervention on postoperative pain control after cardiac surgery. Eur J Cardiovasc Nurs, 16(1) , 18-27.

› Borrell C, Malmusi D, & Muntaner C. (2017). Introduction to the “Evaluating the impact of structural policies on health inequalities and their social determinants and fostering change” (SOPHIE) project. Int J Health Serv, 47(1) , 10-7.

› Brosseau L, Toupin-April K, Wells G, Smith CA, Pugh AG, … Bisch M (including Stinson JN ). (2016). Ottawa Panel evidence-based clinical practice guidelines for foot care in the management of juvenile idiopathic arthritis. Arch Phys Med Rehabil, 97(7) , 1163-81.

› Brown HK, Cobigo V, Lunsky Y, Dennis CL , & Vigod S. (2017). Perinatal health of women with intellectual and developmental disabilities and comorbid mental illness. Can J Psychiat, 61(11) , 714-23.

› Brown HK, Hussain-Shamsy N, Lunsky Y, Dennis CL , & Vigod SN. (2017). The association between antenatal exposure to selective serotonin reuptake inhibitors and autism: A systematic review and meta-analysis. J Clin Psychiat, 78(1) :e48-e58.

› Brunet J, Wurz A, O’Rielly C, Howell D , Bélanger M, & Sussman J. (2017). The effectiveness of health care provider physical activity recommendations in cancer survivors: A systematic review and meta-analysis protocol. Syst Rev, 6(1) , 66.

› Burns KE, Prats CJ, Maione M, Lanceta M, Zubrinich C, … Canadian Critical Care Trials Group (including Rose L , & Jeffs L ). (2017). The experience of surrogate decision makers on being approached for consent for patient participation in research. A multicenter study. Ann Am Thorac Soc, 14(2) , 238-45.

› Burry L, Scales D, Williamson D, Foster J, Mehta S, … Rose L . (2017). Feasibility of melatonin for prevention of delirium in critically ill patients: A protocol for a multicentre, randomised, placebo-controlled study. BMJ Open, 7(3) , e015420.

› Burry LD, Hutton B, Guenette M, Williamson D, Mehta S, … Rose L . (2017). Comparison of pharmacological and non-pharmacological interventions to prevent delirium in critically ill patients: A protocol for a systematic review incorporating network meta-analyses. Syst Rev, 5(1) , 153.

› Cameron JI, Chu LM, Matte A, Tomlinson G, Chan L, … RECOVER Program Investigators (Phase 1: towards RECOVER), Canadian Critical Care Trials Group (including Rose L ). (2016). One-year outcomes in caregivers of critically ill patients. New Engl J Med, 374(19) , 1831-41.

› Camprubí L, Malmusi D, Mehdipanah R, Palència L, Molnar A, Muntaner C , & Borrell C. (2016). Façade insulation retrofitting policy implementation process and its effects on health equity determinants: A realist review. Energ Policy, 91(1) , 303-14.

among Canada’s top-15 research

universities for citations in nursing

publications


› Choi H, Chung H, Muntaner C , Lee M, Kim Y, … Cho SN. (2016). The impact of social conditions on patient adherence to pulmonary tuberculosis treatment. Int J Tuberc Lung D, 20(7) , 948-54.

› Chu CH, Ploeg J, Wong R, Blain J, & McGilton KS . (2016). An integrative review of the structures and processes related to nurse supervisory performance in long-term care. Worldviews Evid Based Nurs, 13(6) , 411-9.

› Cleverley K , Bennett K, & Jeffs L . (2016). Identifying process and outcome indicators of successful transitions from child to adult mental health services: Protocol for a scoping review. BMJ Open, 6(7) , e012376.

› Corazzini KN, Meyer J, McGilton KS , Scales K, McConnell ES, … Ekman I. (2016). Person-centered nursing home care in the United States, United Kingdom, and Sweden: Why building cross-comparative capacity may help us radically rethink nursing home care and the role of the RN. Nord J Nurs Res, 36(2) , 59-61.

› Dale CM , Angus JE , Sinuff T, & Rose L. (2016). Ethnographic investigation of oral care in the intensive care unit. Am J Crit Care, 25(3) , 249-56.

› Dale CM , Sinuff T, Morrison LJ, Golan E, & Scales DC. (2016). Understanding early decisions to withdraw life-sustaining therapy in cardiac arrest survivors. A qualitative investigation. Ann Am Thorac Soc, 13(7) , 1115-22.

› Daoud N, Haque N, Gao M, Nisenbaum R, Muntaner C , & O’Campo P. (2016). Neighborhood settings, types of social capital and depression among immigrants in Toronto. Soc Psychiatry Psychiatr Epidemiol, 51(4) , 529-38.

› Dennis CL . (2017). Psychological treatment is one of the several important components to the effective management of postpartum depression. Evid Based Nurs, 20(1) , 9.

› Dennis CL . (2016). ‘Time for self ’ appears to be a proactive strategy for the prevention of postpartum depression. Evid Based Nurs, 19(4) , 114.

› Dennis CL , Brown HK, & Morrell J. (2016). Interventions (other than psychosocial, psychological and pharmacological) for preventing postpartum depression. Cochrane Database Syst Rev, 5 , CD012201.

› Dennis CL , Falah-Hassani K, Brown HK, & Vigod SN. (2016). Identifying women at risk for postpartum anxiety: A prospective population-based study. Acta Psychiat Scand, 134(6) , 485-93.

› Dennis CL , Merry L, & Gagnon AJ. (2017). Postpartum depression risk factors among recent refugee, asylum-seeking, non-refugee immigrant, and Canadian-born women: Results from a prospective cohort study. Soc Psychiatry Psychiatr Epidemiol, 52(4) , 411-22.

› Dennis CL , Merry L, Stewart D, & Gagnon AJ. (2016). Prevalence, continuation, and identification of postpartum depressive symptomatology among refugee, asylum-seeking, non-refugee immigrant, and Canadian-born women: Results from a prospective cohort study. Arch Womens Ment Health, 19(6) , 959-67.

› Desveaux L, Agarwal P, Shaw J, Hensel JM, Mukerji G, … Bhatia RS (including Jeffs L ). (2016). A randomized wait-list control trial to evaluate the impact of a mobile application to improve self-management of individuals with type 2 diabetes: A study protocol. BMC Med Inform Decis Mak, 16(1) , 144.

› Falah-Hassani K, Shiri R, & Dennis CL . (2016). Prevalence and risk factors for comorbid postpartum depressive symptomatology and anxiety. J Affect Disorders, 198 , 142-7.

› Ferron EM, & Tourangeau AE . (2017). Part-time nurse faculty intent to remain employed in academia: A cross-sectional study. Open J Nurs, 7 , 202-21.

› Foster J, Burry LD, Thabane L, Choong K, Menon K, … Rose L . (2016). Melatonin and melatonin agonists to prevent and treat delirium in critical illness: A systematic review protocol. Syst Rev, 5(1) , 199.

› Fowler M, Tschudin V, & Peter E . (2016). Tributes to Sr. Marie Simone Roach, Sister of St. Martha of Antigonish, Canada 30th July 1922 to 2nd July 2016. Nurs Ethics, 23(5) , 487-9.

› Gagliese L, Rodin R, Chan V, Stevens B , & Zimmermann C. (2017). How do healthcare workers judge pain in older palliative care patients with delirium near the end of life? Palliat Support Care, 14(2) , 151-8.

› Gagnon MM, Hadjistavropoulos T, Hampton AJ, & Stinson J . (2016). A systematic review of knowledge translation (KT) in pediatric pain: Focus on health care providers. Clin J Pain, 32(11) , 972-90.


› Galbany-Estragués P, & Nelson S . (2016). Migration of Spanish nurses 2009-2014. Underemployment and surplus production of Spanish nurses and mobility among Spanish registered nurses: A case study. Int J Nurs Stud, 63 , 112-23.

› Gea-Sánchez M, Alconada-Romero Á, Briones-Vozmediano E, Pastells R, Gastaldo D , & Molina F. (2017). Undocumented immigrant women in Spain: A scoping review on access to and utilization of health and social services. J Immigr Minor Health, 19(1) , 194-204.

› Gea-Sánchez M, Gastaldo D , Molina-Luque F, & Otero-García L. (2017). Access and utilisation of social and health services as a social determinant of health: The case of undocumented Latin American immigrant women working in Lleida (Catalonia, Spain). Health Soc Care Comm, 25(2) , 424-34.

› Gea-Sánchez M, Terés-Vidal L, Briones-Vozmediano E, Molina F, Gastaldo D , & Otero-García L. (2016). Conflictos entre la ética enfermera y la legislación sanitaria en España [Conflicts between nursing ethics and health care legislation in Spain]. Gaceta Sanitaria, 30(3) , 178-83.

› Gehrs M, Ling S, Watson A, & Cleverley K . (2016). Capacity building through a professional development framework for clinical nurse specialist roles: Addressing addiction population needs in the healthcare system. Nurs Leadersh (Tor Ont), 29(3) , 23-36.

› Ghodraty-Jabloo V, Alibhai SM, Breunis H, & Puts MT . (2016). Keep your mind off negative things: Coping with long-term effects of acute myeloid leukemia (AML). Support Care Cancer, 24(5) , 2035-45.

› Giuliani ME, Milne RA, Puts M , Sampson LR, Kwan JY, … Jones J (including Howell D ). The prevalence and nature of supportive care needs in lung cancer patients. Curr Oncol, 23(4) , 258-65.

› Hahn RA, Barnett WS, Knopf JA, Truman BI, Johnson RL, … Hunt PC (including Muntaner C ); Community Preventive Services Task Force. (2016). Early childhood education to promote health equity: A community guide systematic review. J Public Health Manag Pract, 22(5) , E1-8.

› Harrison D, Larocque C, Bueno M, Stokes Y, Turner L, … Stevens B . (2017). Sweet solutions to reduce procedural pain in neonates: A meta-analysis. Pediatr, 139(1) , pii:e20160955.

› Hawker GA, Croxford R, Bierman AS , Harvey P, Ravi B, … Lipscomebe L. (2017). Osteoarthritis-related difficulty walking and risk for diabetes complications. Osteoarthr Cartilage, 25(1) , 67-75.

› Hayward MN, Mequanint S, Paquette-Warren J, Bailie R, Chirila A, … Harris S; FORGE AHEAD Program Team (including Parry M ). (2017). The FORGE AHEAD clinical readiness consultation tool: A validated tool to assess clinical readiness for chronic disease care mobilization in Canada’s First Nations. BMC Health Serv Res, 17(1) , 233.

› Henderson JL, Cheung A, Cleverley K , Chaim G, Moretti ME, … Szatmari P. (2017). Integrated collaborative care teams to enhance service delivery to youth with mental health and substance use challenges: Protocol for a pragmatic randomised controlled trial. BMJ Open, 7(2) , e014080.

› Hensel JM, Shaw J, Jeffs L , Ivers NM, Desveaux L, … Bhatia RS. (2016). A pragmatic randomized control trial and realist evaluation on the implementation and effectiveness of an internet application to support self-management among individuals seeking specialized mental health care: A study protocol. BMC Psychiatry, 16(1) , 350.

› Herridge MS, Chu LM, Matte A, Tomlinson G, Chan L, … Carmeron JI; RECOVER Program Investigators (Phase 1: Towards RECOVER); Canadian Critical Care Trials Group (including Rose L ). (2016). The RECOVER Program: Disability risk groups and 1-year outcome after 7 or more days of mechanical ventilation. Am J Respir Crit Care Med, 194(7) , 831-44.

› Hill AD, Fowler RA, Burns KE, Rose L , Pinto RL, & Scales DC. (2017). Long-term outcomes and health care utilization after prolonged mechanical ventilation. Ann Am Thorac Soc, 14(3) , 355-62.

› Howell D , Harth T, Brown J, Bennett C, & Boyko S. (2017). Self-management education interventions for patients with cancer: A systematic review. Support Care Cancer, 25(4) , 1323-55.

› Huguet A, Tougas ME, Hayden J, McGrath PJ, Chambers CT, Stinson JN , & Wozney L. (2016). Systematic review of childhood and adolescent risk and prognostic factors for recurrent headaches. J Pain, 17(8) , 855-73.e8.

› Huguet A, Tougas ME, Hayden J, McGrath PJ, Stinson JN , & Chambers CT. (2016). Systematic review with meta-analysis of childhood and adolescent risk and prognostic factors for musculoskeletal pain. Pain, 157(12) , 2640-56.


› Hutton B, Burry LD, Kanji S, Mehta S, Guenette M, … Rose L . (2016). Comparison of sedation strategies for critically ill patients: A protocol for a systematic review incorporating network meta-analyses. Syst Rev, 5(1) , 157.

› Iqbal J, Nussenzweig A, Lubinski J, Byrski T, Eisen A, … Narod SA; Hereditary Breast Cancer Research Group (including Metcalfe K ). (2016). The incidence of leukaemia in women with BRCA1 and BRCA2 mutations: An international prospective cohort study. Br J Cancer, 114(10) , 1160-4.

› Jeffs L , Indar A, Harvey B, McShane J, Bookey-Bassett S, … Maione M. (2016). Enabling role of manager in engaging clinicians and staff in quality improvement: Being present and flexible. J Nurs Care Qual, 31(4) , 367-72.

› Jeffs L , McShane J, Flintoft V, White P, Indar A, … Scavuzzo L. (2016). Contextualizing learning to improve care using collaborative communities of practices. BMC Health Serv Res, 16 , 464.

› Jeffs L , Scavuzzo L, & Lopez AJ. (2016). Making the case for graduate students and quality improvement. Nurs Manag, 47(7) , 18-9.

› Jordan J, Rose L , Dainty KN, Noyes J, & Blackwood B. (2016). Factors that impact on the use of mechanical ventilation weaning protocols in critically ill adults and children: A qualitative evidence-synthesis. Cochrane Database Syst Rev, 10 , CD011812.

› Julià M, Ollé-Espluga L, Vanroelen C, De Moortel D, Mousaid S, … Benach J (including Muntaner C ). (2017). Employment and labor market results of the SOPHIE Project: Concepts, analyses, and policies. Int J Health Serv, 47(1) , 18-39.

› Kassam A, Sutradhar R, Widger K , Rapoport A, Pole JD, … Gupta S. (2017). Predictors of and trends in high-intensity end-of-life care among children with cancer: A population-based study using health services data. J Clin Oncol, 35(2) , 236-42.

› Kaufman JS, & Muntaner C . (2016). The association between intelligence and lifespan is mostly genetic. Int J Epidemiol, 45(2) , 576-7.

› Kerlin MP, Adhikari NK, Rose L , Wilcox ME, Bellamy CJ, … Cooke CR; ATS Ad Hoc Committee on ICU Organization. (2017). An official American Thoracic Society systematic review: The effect of nighttime intensivist staffing on mortality and length of stay among intensive care unit patients. Am J Respir Crit Care Med, 195(3) , 383-93.

› Kim JY, Lee J, Muntaner C , & Kim SS. (2016). Who is working while sick? Nonstandard employment and its association with absenteeism and presenteeism in South Korea. Int Arch Occup Environ Health, 89(7) , 1095-101.

› Kim Y, Son I, Wie D, Muntaner C , Kim H, & Kim SS. (2016). Don’t ask for fair treatment? A gender analysis of ethnic discrimination, response to discrimination, and self-rated health among marriage migrants in South Korea. Int J Equity Health, 15(1) , 112.

› Kirst M, Shankardass K, Singhal S, Lofters A, Muntaner C , & Quiñonez C. (2017). Addressing health inequities in Ontario, Canada: What solutions do the public support? BMC Public Health, 17(1) , 7.

› Knopf JA, Finnie RK, Peng Y, Hahn RA, Truman BI, … Fullilove MT (including Muntaner C ); Community Preventive Services Task Force. (2016). School-based health centers to advance health equity: A community guide systematic review. Am J Prev Med, 51(1) , 114-26.

› Kohut SA, & Stinson J . (2016). Psychological therapies for the management of chronic and recurrent pain in children and adolescents. Paediatr Child Health, 21(5) , 258-9.

› Kokkinen L, & Muntaner C . (2016). Government, politics and health policy: Ways forward from Mackenbach and McKee’s study. Health Policy, 120(7) , 856-9.

› Korzeniowski M, Kalyvas M, Mahmud A, Shenfield C, Tong C, … Brundage M (including Howell D ). (2016). Piloting prostate cancer patient-reported outcomes in clinical practice. Support Care Cancer, 24(5) , 1983-90.

› Kotsopoulos J, Huzarski T, Gronwald J, Singer CF, Moller P, … Narod SA (including Metcalfe K ); Hereditary Breast Cancer Clinical Study Group. (2017). Bilateral oophorectomy and breast cancer risk in BRCA1 and BRCA2 mutation carriers. J Natl Cancer Inst, 109(1) , 1-7.

› Lalonde M, & McGillis Hall L . (2016). Preceptor characteristics and the socialization outcomes of new graduate nurses during a preceptorship programme. Nurs Open, 4(1) , 24-31.

› Lalonde M, & McGillis Hall L . (2017). The socialisation of new graduate nurses during a preceptorship programme: Strategies for recruitment and support. J Clin Nurs, 26(5-6) , 774-83.

› Laschinger HK, Cummings G, Leiter M, Wong C, MacPhee M, … Read E (including Jeffs L ). (2016). Starting out: A time-lagged study of new graduate nurses’ transition to practice. Int J Nurs Stud, 57 , 82-95.


› Letourneau N, Duffett-Leger L, Stewart M, Secco L, Colpitts J, & Dennis CL . (2016). Development of a telephone-based peer support program for new mothers with postpartum depression. Curr Womens Health Rev, 12(1) , 48-57.

› Leung YW, Brown C, Cosio AP, Dobriyal A, Malik N, … Howell D . (2016). Feasibility and diagnostic accuracy of the Patient-Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care. Cancer, 122(18) , 2906-17.

› Liaschenko J, & Peter E . (2016). Fostering nurses’ moral agency and moral identity: The importance of moral community. Hastings Cent Rep, 46 Suppl 1 , S18-21.

› Luo Y, Parry M , Huang YJ, Wang XH, & He GP. (2016). Nursing students’ knowledge and attitudes toward urinary incontinence: A cross-sectional survey. Nurse Educ Today, 40 , 134-9.

› Manworren RC, & Stinson J . (2016). Pediatric pain measurement, assessment, and evaluation. Semin Pediatr Neurol, 23(3) , 189-200.

› Mayo S , Messner HA, Rourke SB, Howell D , Victor JC, … Metcalfe K. (2016). Relationship between neurocognitive functioning and medication management ability over the first 6 months following allogeneic stem cell transplantation. Bone Marrow Transplant, 51(6) , 841-7.

› McGillion M, Yost J, Turner A, Bender D, Scott T, … Devereaux PJ (including Parry M , Stevens B , Stremler R). (2016). Technology-enabled remote monitoring and self-management - vision for patient empowerment following cardiac and vascular surgery: User testing and randomized controlled trial protocol. JMIR Res Protoc, 5(3) , e149.

› McGillis Hall L , Lalonde M, & Kashin J. (2016). People are failing! Something needs to be done: Canadian students’ experience with the NCLEX-RN. Nurse Educ Today, 46 , 43-9.

› McGilton KS , Chu CH, Naglie G, van Wyk PM, Stewart S, & Davis AM. (2016). Factors influencing outcomes of older adults after undergoing rehabilitation for hip fracture. J Am Geriatr Soc, 64(8) , 1601-9.

› McGilton KS , Chu CH, Shaw AC, Wong R, & Ploeg J. (2016). Outcomes related to effective nurse supervision in long-term care homes: An integrative review. J Nurs Manag, 24(8) , 1007-26.

› McGilton KS , Höbler F, Campos J, Dupuis K, Labreche T, … Wittich W. (2016). Hearing and vision screening tools for long-term care residents with dementia: Protocol for a scoping review. BMJ Open, 6(7) , e011945.

› McGilton KS , Rochon E, Sidani S, Shaw A, Ben-David BM, … Pichora-Fuller MK. (2017). Can we help care providers communicate more effectively with persons having dementia living in long-term care homes? Am J Alzheimers Dis Other Demen, 32(1) , 41-50.

› Metcalfe KA , Dennis CL , Poll A, Armel S, Demsky R, … Narod SA. (2016). Effect of decision aid for breast cancer prevention on decisional conflict in women with a BRCA1 or BRCA2 mutation: A multisite, randomized, controlled trial. Genet Med, 19(3) , 330-6.

› Metcalfe KA , Semple J, Quan ML, Holloway C, Wright F, … Zhong T. (2017). Why some mastectomy patients opt to undergo delayed breast reconstruction: Results of a long-term prospective study. Plast Reconstr Surg, 139(2) , 267-75.

› Meyer JD, Muntaner C , O’Campo P, & Warren N. (2016). Longitudinal assessment of effort-reward imbalance and job strain across pregnancy: A preliminary study. Matern Child Health J, 20(7) , 1366-74.

› Meyer JD, O’Campo P, Warren N, & Muntaner C . (2017). Association of birthweight with maternal trajectories of effort-reward imbalance and demand-control across pregnancy. J Occup Env Med, 59(2) , 169-76.

› Moran O, Nikitina D, Royer R, Poll A, Metcalfe K , … Kotsopoulos J. (2017). Revisiting breast cancer patients who previously tested negative for BRCA mutations using a 12-gene panel. Breast Cancer Res Treat, 161(1) , 135-42.

› Morrell CJ, Sutcliffe P, Booth A, Stevens J, Scope A, … Stewart-Brown S (including Dennis CL ). (2016). A systematic review, evidence synthesis and meta-analysis of quantitative and qualitative studies evaluating the clinical effectiveness, the cost-effectiveness, safety and acceptability of interventions to prevent postnatal depression. Health Technol Assess, 20(37) , 1-414.

› Muntaner, C . (2016). Global precarious employment and health inequalities: Working conditions, social class, or precariat? Cad Saúde Pública, 32(6) , pii: S0102-311X2016000600501.

› Muntaner, C . (2016). The missing link in precariousness research. Cad Saúde Pública, 32(6) , pii: S0102-311X2016000600506.

› Naik H, Howell D , Su S, Qiu X, Brown MC, … Liu G. (2017). EQ-5D health utility scores: Data from a comprehensive Canadian cancer centre. Patient, 10(1) , 105-15.


› Naik H, Qiu X, Brown MC, Eng L, Pringle D , … Liu G (including Howell D ). (2016). Socioeconomic status and lifestyle behaviours in cancer survivors: Smoking and physical activity. Curr Oncol, 23(6) , e546-e555.

› Naik H, Qiu X, Brown MC, Mahler M, Hon H, … Mittmann N (including Howell D ). (2016). Cancer patients? Willingness to routinely complete the EQ-5D instrument at clinic visits. J Popul Ther Clin Pharmacol, 23(3) , e196-e204.

› Naqshbandi Hayward M, Paquette-Warren J, Harris SB, and the FORGE AHEAD Program Team (including Parry M ). (2016). Developing community-driven quality improvement initiatives to enhance chronic disease care in Indigenous communities in Canada: The FORGE AHEAD program protocol. Health Res Policy Syst, 14(1) , 55.

› Ng E, Muntaner C , & Chung H. (2016). Welfare states, labor markets, political dynamics, and population health: A time-series cross-sectional analysis among East and Southeast Asian nations. Asia Pac J Public Health, 28(3) , 219-31.

› Nghiem T, Louli J, Treherne SC, Anderson CE, Tsimicalis A, … Thorstad K (including Stinson JN ). (2017). Pain experiences of children and adolescents with osteogenesis imperfecta: An integrative review. Clin J Pain, 33(3) , 271-80.

› Orr T, Campbell-Yeo M, Benoit B, Hewitt B, Stinson J , & McGrath P. (2016). Smartphone and Internet preferences of parents: Information needs and desired involvement in infant care and pain management in the NICU. Adv Neonatal Care, 17(2) , 131-8.

› Papaconstantinou EA, Hodnett E , & Stremler R . (2016). A behavioral-educational intervention to promote pediatric sleep during hospitalization: A pilot randomized controlled trial. Behav Sleep Med, 15 , 1-17.

› Pillai Riddell R, Fitzgerald M, Slater R, Stevens B , Johnston C, & Campbell-Yeo M. (2016). Using only behaviours to assess infant pain: A painful compromise? Pain, 157(8) , 1579-80.

› Puig-Barrachina V, Ruiz ME, García-Calvente MDM, Malmusi D, Sánchez E, … Borrell C (including Muntaner C ). (2017). How to resist austerity: The case of the gender budgeting strategy in Andalusia. Gend Work Organ, 1(1) , 34-55.

› Puts MT , Sattar S, McWatters K, Lee K, Kulik M, … Alibhai SM (including Tourangeau A ). (2017). Chemotherapy treatment decision-making experiences of older adults with cancer, their family members, oncologists and family physicians: A mixed methods study. Support Care Cancer, 25(3) , 879-86.

› Ran T, Chattopadhyay SK, Hahn RA, the Community Preventive Services Task Force (including Muntaner C ). (2016). Economic evaluation of school-based health centers: A community guide systematic review. Am J Prev Med, 51(1) , 129-38.

› Redi Labo R, Peter E , & Bógus CM. (2017). Harm reduction and distrust in a mental health service: A qualitative approach. Subst Abuse Treat Prev Policy, 12(1) , 12.

› Rice K, Te Hiwi B, Zwarenstein M, Lavallee B, Barre DE, the FORGE AHEAD program team (including Parry M ). (2016). Best practices for the prevention and management of diabetes and obesity-related chronic disease among indigenous peoples in Canada: A review. Can J Diabetes, 40(3) , 216-25.

› Rivera J, McPherson A, Hamilton J, Birken C, Coons M, … Stinson J . (2016). Mobile apps for weight management: A scoping review. JMIR Mhealth Uhealth, 4(3) , e87.

› Rochon-Terry G, Gruneir A, Seeman MV, Ray JG, Rochon P, … Vigod SN (including Dennis CL ). (2016). Hospitalizations and emergency department visits for psychiatric illness during and after pregnancy among women with schizophrenia. J Clin Psychiatry, 77(4) , 541-7. doi: 10.4088/JCP.14m09697.

› Rose L , Adhikari NK, Leasa D, Fergusson DA, & McKim D. (2017). Cough augmentation techniques for extubation or weaning critically ill patients from mechanical ventilation. Cochrane Database Syst Rev, 1 , CD011833.

› Rose L , Adhikari NK, Poon J, Leasa D, McKim DA; CANuVENT Group. (2016). Cough augmentation techniques in the critically ill: A Canadian national survey. Respir Care, 61(10) , 1360-8.

› Rose L , Burns K, Dodek P, Mallick R, Cook D, …Mehta S for the SLEAP investigators and Canadian Critical Care Trials Group. (2016). Spontaneous breathing trials in patients managed with a sedation protocol or a sedation protocol with daily interruption. Anaesth Critic Care Med J, 1(2) , 000110.

› Rose L , Dale C , Smith OM, Burry L, Enright G, … Mehta S. (2016). A mixed-methods systematic review protocol to examine the use of physical restraint with critically ill adults and strategies for minimizing their use. Syst Rev, 5(1) , 194.


› Rose L , Scales DC, Atzema C, Burns KE, Gray S, … Lee JS. (2016). Emergency department length of stay for critical care admissions. A population-based study. Ann Am Thorac Soc, 13(8) , 1324-32.

› Sanchón-Macias MV, Bover-Bover A, Prieto-Salceda D, Paz-Zulueta M, Torres B, & Gastaldo D . (2016). Determinants of subjective social status and health among Latin American women immigrants in Spain: A qualitative approach. J Immigr Minority Health, 18(2) , 436-41.

› Sattar S, Alibhai SM, Spoelstra SL, Fazelzad R, & Puts MT . (2016). Falls in older adults with cancer: A systematic review of prevalence, injurious falls, and impact on cancer treatment. Support Care Cancer, 24(10) , 4459-69.

› Sauthier M, Rose L , & Jouvet P. (2017). Pediatric prolonged mechanical ventilation: Considerations for definitional criteria. Respir Care, 62(1) , 49-53.

› Scales DC, Golan E, Pinto R, Brooks SC, Chapman M, … Morrison LJ (including Dale CM ); Strategies for Post-Arrest Resuscitation Care Network. (2016). Improving appropriate neurologic prognostication after cardiac arrest. A stepped wedge cluster randomized controlled trial. Am J Respir Crit Care Med, 194(9) , 1083-91.

› Sears K, O’Brien-Pallas L , Stevens B , & Murphy GT. (2016). The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors. J Pediatr Nurs, 31(4) , e283-90.

› Shahidi FV, De Moortel D, Muntaner C , Davis O, & Siddiqi A. (2016). Do flexicurity policies protect workers from the adverse health consequences of temporary employment? A cross-national comparative analysis. SSM - Popul Health, 2(1) , 674-82.

› Shariff A, Olson J, Santos Salas A, & Cranley L . Nurses’ experiences of providing care to bereaved families who experience unexpected death in intensive care units: A narrative overview. Can J Crit Care Nurs, 28(1) , 21-9.

› Shen AH, Howell D , Edwards E, Warde P, Matthew A, & Jones JM. (2016). The experience of patients with early-stage testicular cancer during the transition from active treatment to follow-up surveillance. Urol Oncol, 34(4) , 168.e11-20.

› Shorey S, Ng YP, Danbjørg DB, Dennis CL , & Morelius E. (2017). Effectiveness of the ‘Home-but not Alone’ mobile health application educational programme on parental outcomes: A randomized controlled trial, study protocol. J Adv Nurs, 73(1) , 253-64.

› Stacey D, Green E, Ballantyne B, Tarasuk J, Skrutkowski M, … Howell D . (2016). Implementation of symptom protocols for nurses providing telephone-based cancer symptom management: A comparative case study. Worldviews Evid Based Nurs, 13(6) , 420-31.

› Steenstra I, Cullen K, Irvin E, Van Eerd D, Alavinia M, … Yazdani A (including Puts M ). (2017). A systematic review of interventions to promote work participation in older workers. J Safety Res, 60 , 93-102.

› Stevens B , Yamada J, Ohlsson A, Haliburton S, & Shorkey A. (2016). Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database Syst Rev, 7 , CD001069.

› Stevens BJ , Yamada J, Promislow S, Barwick M, Pinard M; CIHR Team in Children’s Pain. (2016). Pain assessment and management after a knowledge translation booster intervention. Pediatr, 138(4) , pii: e20153468.

› Stinson J , Ahola Kohut S, Forgeron P, Amaria K, Bell M, … Spiegel L. (2016). The iPeer2Peer program: A pilot randomized controlled trial in adolescents with juvenile idiopathic arthritis. Pediatric Rheumatol Online J, 14(1) , 48.

› Stinson J , Connelly M, Kamper SJ, Herlin T, & Toupin April K. (2016). Models of care for addressing chronic musculoskeletal pain and health in children and adolescents. Best Pract Res Clin Rheumatol, 30(3) , 468-82.

› Sun W, Doran DM , Wodchis WP, & Peter E . (2017). Examining the relationship between therapeutic self-care and adverse events for home care clients in Ontario, Canada: A retrospective cohort study. BMC Health Serv Res, 17(1) , 206.

› Szatmari P, Henderson J, Cheung A, Cleverley K , Chaim G, & Hawk L. (2016). Transforming youth mental health services in Canada: YouthCan Impact. World Child and Adolescent Psychiatry Section’s Official Journal, 10 , 14-15.

› Thiboutot Z, Perreault MM, Williamson DR, Mehta S, Rose L , … Burry L. (2016). Antipsychotic drug use and screening for delirium in mechanically ventilated patients in Canadian intensive care units: An observational study. Can J Hosp Pharm, 69(2) , 107-13.

› Tourangeau AE , Patterson E, Saari M, Thomson H, & Cranley L . (2017). Work-related factors influencing home care nurse intent to remain employed. Health Care Manage Rev, 42(1) , 87-97.


› Tsimicalis A, Le May S, Stinson J , Rennick J, Vachon MF, … Ruland C. (2017). Linguistic validation of an interactive communication tool to help French-speaking children express their cancer symptoms. J Pediatr Oncol Nurs, 34(2) , 98-105.

› Utzet M, Navarro A, Llorens C, Muntaner C , & Moncada S. (2016). Is the worsening of psychosocial exposures associated with mental health? Comparing two population-based cross-sectional studies in Spain, 2005-2010. Am J Ind Med, 59(5) , 399-407.

› Vahid Shahidi F, Siddiqi A, & Muntaner C . (2016). Does social policy moderate the impact of unemployment on health? A multilevel analysis of 23 welfare states. Eur J Public Health, 26(6) , 1017-22.

› Vigod S, Sultana A, Fung K, Hussain-Shamsy N, & Dennis CL . (2016). A population-based study of postpartum mental health service use by immigrant women in Ontario, Canada. Can J Psychiatry, 61(11) , 705-13.

› Vigod SN, Rochon-Terry G, Fung K, Gruneir A, Dennis CL , … Seeman MV. Factors associated with postpartum psychiatric admission in a population-based cohort of women with schizophrenia. Acta Psychiatr Scand, 134(4) , 305-13.

› Villeneuve MJ, Tschudin, V, Storch J, Fowler MDM, & Peter E . (2016). A very human being: Sister Marie Simone Roach, 1922-2016. Nurs Inq, 23(4) , 283-9.

› Wasilewski MB, Webster F, Stinson JN , & Cameron JI. (2016). Adult children caregivers’ experiences with online and in-person peer support. Comput Human Behav, 65 , 14-22.

› Widger K , Davies D, Rapoport A, Vadeboncoeur C, Liben S, … Siden H. (2016). Pediatric palliative care in Canada in 2012: A cross-sectional descriptive study. CMAJ Open, 4(4) , E562-E568.

› Wiljer D, Abi-Jaoude A, Johnson A, Ferguson G, Sanches M, … Voineskos A (including Cleverley K ). (2016). Enhancing self-efficacy for help-seeking among transition-aged youth in postsecondary settings with mental health and/or substance use concerns, using crowd-sourced online and mobile technologies: The thought spot protocol. JMIR Res Protoc, 5(4) , e201.

› Xiao S, Widger K , Tourangeau A , & Berta W. (2017). Nursing process health care indicators: A scoping review of development methods. J Nurs Care Qual, 32(1) , 32-9.

› Yamada J, Squires JE, Estabrooks CA, Victor C, Stevens B ; CIHR Team in Children’s Pain. (2017). The role of organizational context in moderating the effect of research use on pain outcomes in hospitalized children: A cross sectional study. BMC Health Serv Res, 17(1) , 68.

› Zhong T, Hu J, Bagher S, Vo A, O’Neill AC, Butler K, … Metcalfe KA . (2016). A comparison of psychological response, body image, sexuality, and quality of life between immediate and delayed autologous tissue breast reconstruction: A prospective long-term outcome study. Plast Reconstr Surg, 138(4) , 772-80.

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› Muntaner C , Kim I, Vahid Shahidi F, Chung H, & Benach J. (2016). Populations at special health risk. In SR Quah (Ed.), International Encyclopedia of Public Health, 2nd Ed. London: Elsevier.

› Parry M . (2016). Consultation and collaboration competency by the nurse practitioner. In E Staples, S Ray & R Hannon (Eds.), Canadian perspectives on advanced practice nursing. Toronto: Canadian Scholars’ Press.

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Conference proceedings

Book chapters


Professor Kristin Cleverley is setting the stage for a large-scale study on how youth transition from child and adolescent mental health services to adult mental health services. Little is known about this transition, and youth rarely have a positive experience with it. Cleverley’s scoping review will identify what makes this complex transition successful and build a framework for better understanding it. BMJ Open published the study protocol.

Home care is growing, and a strong body of nurses who supply home care is key to keeping Canadians healthy. Professor Ann Tourangeau has extensively researched work environments, and in a recent issue of Health Care Management Review identified the factors that influence home care nurses to stay in the field. The factors include having meaningful work, a variety of patients, higher nurse-evaluated quality of care, better work-life balance, and satisfaction with salary and benefits. These findings give home care organizations and other groups insights into what it takes to build and keep a good home care team.

Professor Cindy-Lee Dennis has developed a rich research pro-gram in postpartum depression and anxiety. Recently, Acta Psychiatrica Scandinavica published her study on identifying women at risk for postpartum anxiety. Dennis and team found that psychosocial variables are important predictors, as is the mother’s psychiatric history. They also found that perceived stress – that is, feeling generally overwhelmed – is a stronger predictor of postpartum anxiety than specific individual stressors. Know-ing how to identify women at high risk of postpartum anxiety offers healthcare professionals and women the opportunity to take steps to reduce the likelihood of developing it.

Knowledge translation (KT) is an important element of all research. Managing pain is a vital aspect of caring for ill children. Professor Bonnie Stevens is an expert in both domains. She recently pub-lished a paper in Pediatrics that examines pain assessment and management after a KT intervention. Stevens and team conducted a randomized con-trolled trial that showed that the knowledge booster inter-vention, called Evidence-based Practice for Improving Quality (EPIQ ), improved pain assess-ment, management and inten-sity outcomes at different time points, but a booster of the intervention 12 months after EPIQ concluded did not seem to add any extra value.

RESEARCH IMPACT SPOTLIGHT


Cancer survivors who have undergone chemo-therapy often complain of “chemo-brain,” and researchers have dis-covered it’s a real phe-nomenon. Professor Samantha Mayo led a study published in Bone Marrow Transplantation that shows that among patients who underwent a stem cell transplant, those with poor neuro-cognitive functioning did not manage their medi-cations as well as those with better neurocog-nitive functioning. Her findings highlight the importance of supporting patients throughout the cancer treatment process by addressing neurocog-nitive deficits.

One issue that critically ill patients who are mechanically ventilated may face is difficulty coughing and clearing their throat, which may make it harder for them to be extubated or weaned from a ventilator. Professor Louise Rose, an expert in caring for these complex patients, recently published a paper in the Cochrane Database of Systematic Reviews that outlines ways to achieve weaning. Her paper reviewed the existing litera-ture and identified the most useful techniques, while acknowledging the lack of rigorous evidence in the field.

RESEARCH IMPACT SPOTLIGHT

Professor Carles Muntaner explores social inequities, espe-cially related to health disparities and employment, and the relationship between the two. Muntaner recently published an article in Cadernos de Saúde Pública that investigates the concept of precarious employment, its history and definition, and how it is interpreted today. Clarity in the meaning of pre-carious employment allows for comparisons across countries and different categories of employment. Muntaner’s theoretic-al analysis sets the groundwork for how precarious employ-ment can be analyzed to understand its effects on the health and health outcomes of workers in a variety of occupations.

Lawrence S. Bloomberg Faculty of Nursing

University of Toronto 155 College Street, Suite 130

Toronto, ON M5T 1P8

416.978.2392

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