2017 Bloomberg Nursing Research Report

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

DEAN’S MESSAGE

CONTENTS

ASSOCIATE DEAN’S MESSAGE

Meet the Research Faculty ...................... 3 Bloomberg Nursing by the Numbers......................... 4 New Faculty Appointment ........ 5 Improving Maternal and Infant Health...................... 6

HAVING A GLOBAL IMPACT

OUR PLACE IN THE WORLD

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gain 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 competitive 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 Johnston, PhD, FEANS, FAAN Dean, Bloomberg Nursing

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

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Linda McGillis Hall, RN, PhD, FAAN, FCAHS Associate Dean, Research & External Relations

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

PHOTOS: JEFF KIRK

loomberg Nursing’s new Strategic Academic Plan makes internationalization a priority and embeds it across all of our domains of activity, including research.

International research collaborations offer multiple benefits.

They allow researchers to maximize their research expertise by partnering with universities in different countries. They enhance the volume and quality of research by increasing 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.

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

PUBLISHER LINDA McGILLIS HALL EDITOR AND WRITER

SUSAN PEDWELL

DESIGN GIL MARTINEZ

for BIGGUYSTUDIO.CA ASSOCIATE EDITOR AND PHOTOGRAPHER

LINDSAY CURTIS

E DITORIAL ASSISTANT MARIAN SMITH

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

MEET THE RESEARCH FACULTY PROF. ARLENE BIERMAN

PROF. SAMANTHA MAYO

PROF. BONNIE STEVENS

Improving access, quality of care and outcomes for older adults with chronic illness

Optimizing long-term health of cancer survivors

Assessment and management of pain in infants and children

arlene.bierman@utoronto.ca

samantha.mayo@utoronto.ca

bonnie.stevens@sickkids.ca

PROF. KRISTIN CLEVERLEY

PROF. LINDA McGILLIS HALL

PROF. JENNIFER STINSON

Mental health nursing practice, research and education

Nurse workforce policy, work environments and patient safety

Pain and symptom management of children and youth with chronic pain

k.cleverley@utoronto.ca

l.mcgillishall@utoronto.ca

jennifer.stinson@sickkids.ca

PROF. LISA CRANLEY

PROF. KATHERINE McGILTON

PROF. ROBYN STREMLER

Knowledge translation supporting healthcare providers’ decision-making

Enhancing care of the older adult with cognitive impairment

Improving sleep and health outcomes in infants, children and parents

lisa.cranley@utoronto.ca

kathy.mcgilton@uhn.ca

robyn.stremler@utoronto.ca

PROF. CRAIG DALE

PROF. KELLY METCALFE

PROF. ANN TOURANGEAU

Fundamental nursing care needs of acute and critically ill adults

Prevention and treatment of hereditary breast and related cancers

Nursing-related determinants of health care outcomes

craig.dale@utoronto.ca

kelly.metcalfe@utoronto.ca

ann.tourangeau@utoronto.ca

PROF. CINDY-LEE DENNIS

PROF. CARLES MUNTANER

PROF. KIM WIDGER

Maternal and paternal health outcomes and postpartum depression

Social inequities in health, social epidemiology and health disparities

Improving paediatric palliative and end-of-life care

cindylee.dennis@utoronto.ca

carles.muntaner@utoronto.ca

kim.widger@utoronto.ca

PROF. DENISE GASTALDO

PROF. SIOBAN NELSON

Health as a social phenomenon, with focus on migration and gender

History of the nursing profession

denise.gastaldo@utoronto.ca

vp.fal@utoronto.ca PROF. MONICA PARRY

The health of women and newborns from a global perspective

Supportive care to improve health outcomes for those with chronic disease

edith.hillan@utoronto.ca

monica.parry@utoronto.ca

PROF. DORIS HOWELL

PROF. ELIZABETH PETER

Optimizing quality of cancer care and empowering patients

Ethical concerns in community nursing, especially home care

doris.howell@uhn.ca

elizabeth.peter@utoronto.ca

PROF. LIANNE JEFFS

PROF. MARTINE PUTS

Patient safety, quality improvement and knowledge translation

Geriatric frailty and oncology, and the health of older adults

jeffsl@smh.ca

martine.puts@utoronto.ca

PROF. LINDA JOHNSTON

PROF. LOUISE ROSE

Pain management and long-term outcomes in the neonatal care environment

Care and management of patients requiring mechanical ventilation

dean.nursing@utoronto.ca

louise.rose@utoronto.ca

JOURNAL ARTICLES

AWARDS AND DISTINCTIONS ICONS: SHUTTERSTOCK

PROF. EDITH HILLAN

ANNUAL RESEARCH REPORT 2016-2017

PUBLICATIONS & AWARDS SUMMARY

BOOK CHAPTERS

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#1 #6

BLOOMBERG NURSING BY THE NUMBERS in North America for most citated in nursing publications

NURSING FACULTY IN CANADA (QS RANKINGS, 2017)

Nursing Faculty in the World (QS RANKINGS, 2017)

Fellows of the Canadian Academy of Health Sciences

undergraduate students partnered with faculty researchers in Summer 2016

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Cochrane reviews

4

journal articles

published in

faculty members involved in international research collaborations

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high-impact journals

Number of countries we have research relationships with

Fellows of the American Academy of Nursing

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

NEW FACULTY APPOINTMENT Craig Dale’s research builds

the evidence base for improving the oral care of critically ill patients

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raig Dale joined the Lawrence S. Bloomberg Faculty of Nursing as an Assistant 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 engaged 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 methods, 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 pneumonia, and thus longer hospitalizations and higher mortality for patients. Poor oral care can also lead And Dale’s international profile is growing. In 2015, to significant dental complications. For adults he was appointed a member of the International without dental coverage, the dental treatments that Learning Collaborative (ILC), which was established are needed to manage these in 2008 as a joint collaboracomplications can be expenCurriculum Vitae tion between the University sive, if not out of reach.” of Adelaide in Australia and Dale is enriching his Green Templeton College of CR AIG DA LE research program with a the University of Oxford in Bloomberg Nursing variety of collaborations. For the United Kingdom. ILC’s › Postdoctorate 2014 example, his appointment goal is to unite all involved › PhD 2013 as a Scientist with the U of T in healthcare to improve the Ryerson University, Toronto Centre for the Study of Pain standard of the fundamentals › BSc 2006 allows him to focus on of care in high-technology pain related to oral health. environments. n

ANNUAL RESEARCH REPORT 2016-2017

33% Percentage of ICU patients who receive invasive ventilation

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IMPROVING MATERNAL AND INFANT HEALTH Professor Cindy-Lee Dennis is an international authority on breastfeeding and postpartum depression

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n 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 WILL BE HIGHLY improving breastfeeding outcomes, preventing and ANXIOUS DURING treating perinatal depression and anxiety, examinPREGNANCY 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 decision-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 Ministry 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 Curriculum Vitae master’s thesis, Dennis developed the Breastfeeding CINDY-LEE DENNIS Self-Efficacy Scale. Since it University of British Columbia, was published in 1999, it has Vancouver become the most widely used › Postdoctorate 2002 breastfeeding scale in the world, with researchers and Bloomberg Nursing clinicians in more than 30 › PhD 1999 countries using it to identify University of Western Ontario, mothers at high risk of disLondon continuing breastfeeding. › MScN 1995 “The scale has provided Bloomberg Nursing many international research › BScN 1991 opportunities,” says Dennis.

“It has been translated into

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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 dedicated 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 international use of her scale.

INTO THE LIGHT Funded by the Canadian Institutes of Health Research, Dennis has just completed recruiting 6,400 postpartum women and their partners across Canada to advance our understanding of the mediating and moderating effects of single (maternal or paternal) 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 parents 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 common mental health problems in the perinatal period 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

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

PHOTO: JEFF KIRK

WILL DEVELOP POSTPARTUM DEPRESSION AFTER HIS PARTNER GIVES BIRTH

postpartum. Rates were significantly higher in low- to middle-income countries. She is also conducting 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 encouragement, positive feedback and a sense of belonging,” 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.

ANNUAL RESEARCH REPORT 2016-2017

“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 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 designing, 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

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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

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n July 2016, Professor Bonnie Stevens embarked on a seven-year research program focused on preBONNIE STEVENS venting and managing procedural McGill University, Montreal pain in infants. “We’re doing a better › PhD 1993 job of assessing pain and managing certain types of infant pain, such as Bloomberg Nursing post-operative pain,” says Dr. Stevens, › MScN 1983 the director of the U of T Centre for McMaster University, the Study of Pain and co-director Hamilton of the Hospital for Sick Children’s (HSC’s) Centre for Pain Manage› BScN 1974 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 knowledge 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 physiological, emotional and social problems.”

Curriculum Vitae

SWEET SOLUTIONS The goals of this research program include generating new knowledge on the safety and effectiveness of sucrose when administered repeatedly over time to relieve pain. “While there has been over

“Children still do go through a lot of painful

procedures without the benefit of pain management.”

– Professor Bonnie Stevens

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a decade of research on sucrose and other sweet solutions, researchers have looked at its effectiveness 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 effective? 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 administered 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 developing 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 practice. “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 internationally, Stevens is developing ImPaC as a seven-step process of change for hospital units.

A unit is to designate a small group of “champions,” 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 webbased resource, learning new ideas about how to

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

generate aims and deciding on the most effective strategies for changing practice. Then the champions 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 hospitals across Canada in the coming year.

“Pain in early life can get in the way of Later, as part of a randomized conrelationships. Infants who have experienced trolled trial, Stevens will recruit paediatric units around the world. “We want to find an effective way to disseminate a lot of pain can have problems relating the knowledge as broadly as we can,” to their parents.” – Professor Bonnie Stevens she says. n

PAIN-MANAGEMENT STRATEGIES FOR INFANTS OUTLINED IN ImPaC:

Skin-to-skin contact

Breastfeeding

ANNUAL RESEARCH REPORT 2016-2017

Non-nutritive sucking

Swaddling/bundling

Facilitated tucking

Sucrose

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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

E

dith 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 availability of and access to healthcare, particularly 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 solutions, while in low- and middle-income countries basic primary healthcare is often unavailable or inaccessible.”

Dr. Hillan, who served as vice-provost, academic, of U of T for 10 years, conducts research that is highly interdisciplinary. 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 emergency 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 complications.

TEAMWORK

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n the summer, two Bloomberg Nursing students, Joanna Heathcote

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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 clinicin-a-box needed to integrate an efficient power supply, information technology (especially electronic health records), diagnostics and communication modules. 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 nonlinear 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 infrastructure, clean water and mobile health.

IC-IMPACTS involves three Canadian universities – the University of Toronto, University of British Columbia and University of Alberta – with each uni-

“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

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 engineering took on the challenge of building a proof-of-concept demonstration of an off-the-grid clinic-in-a-box with the builtin 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

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

ACCENTUATING THE POSITIVE Our Frances Bloomberg International

Distinguished Visiting Professor shared affirming leadership skills with nursing executives

I

Curriculum Vitae

GLASGOW

EDITH HILL AN University of Glasgow, Scotland › MPhil 1994 › PhD 1990

University of Strathclyde, Glasgow › MSc 1983

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 jaundice. The next steps involve optimizing the power delivery system, the user interface and the devices that can be integrated to provide a rugged easy-to-use system that can be tested in the field. n

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

ANNUAL RESEARCH REPORT 2016-2017

n March, Donna Sullivan Havens, our 20162017 Frances Bloomberg International Distinguished 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 decisions. 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 communication. “Strengthening nurse involvement in making decisions that improve the culture of the workplace is a key factor for improving nurse, patient and organizational outcomes,” she says.

Not every nurse, though, is keen to join in the decision-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 millennials, in their 20s and early 30s, want to be more involved.

Are managers willing to share

ALLENTOWN VILLANOVA

BALTIMORE PHILADELPHIA

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THE CARDIAC GENDER DIVIDE “Don’t focus on what’s wrong, but on what’s going right.”

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

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 focuses on strengths, not deficits,” she explained. “What people have been taught is to look Curriculum Vitae

DONNA SULLIVAN HAV ENS University 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

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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

This Kierans international

postdoctoral fellow’s research

promotes women’s heart health

T

he Tom Kierans International Postdoctoral 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 Foundation 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 intervention 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 being 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 Hackathon that drew together researchers from across disciplines to spark innovative ways to address

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

The average time from the onset of a woman’s cardiac symptoms to her arrival at the ER. This delay has remained constant over the last decade.

“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 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.

Not only can women experience difficulty identifying their pain as being related to their heart, many have a tendency to downplay their discomfort. “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 Curriculum Vitae

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.”

ANNUAL RESEARCH REPORT 2016-2017

BERGEN VOLDA OSLO

ANN K RIS TIN B JØRNNES University 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

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FORUM ATTRACTS EMERGING NURSE RESEARCHERS Top new nurse scientists travelled from the four corners

of the Earth to attend our Emerging Nurse Scholars Forum

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CANADA

UNITED STATES

n 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 earlycareer development of nurse scholars embarking on a research career.

The forum is deliberately small to allow the delegates to closely engage with other elite scholars at a similar stage in their career. To maximize opportunities 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 SCOTLAND their expertise. They spoke on building a research program ENGLAND and encouraged the delegates to approach people at the forum CHINA and at conferences to introduce AUSTRALIA 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 University in Kowloon, Special Administrative Region, shared his research on the use of auricular acupressure 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

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

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LAWRENCE S. BLOOMBERG FACULTY OF NURSING

Associate Dean Linda McGillis Hall outlines the two-day event

The forum hosted

23 6 nurse scholars from

countries

resources for people in the community who selftreat 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 moment.” 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.”

ANNUAL RESEARCH REPORT 2016-2017

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 “We need to understand had to take the leanest person in the group to an emergency the whole patient including room because her blood presthe patient’s genome.” sure was so high. “The absolute risk assessment algorithms introduce objectivity in – Nicole Osier, a delegate discriminating risk,” he said. n from Mount Airy, Maryland

15

OUR INTERNATIONAL REACH Bloomberg Nursing attracts

graduate students from around the world

I BARCELONA

n the 2016-17 academic year, we had five postdoctoral and six doctoral students who came from other countries to study at Bloomberg Nursing 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 GalbanyEstragués from Barcelona PAOLA GALBANY-ESTRAGUÉS did a postdoctorate at Bloomberg Nursing Bloomberg Nursing under › Postdoctorate 2016 the supervision of Professor Sioban Nelson. The forUniversity of Barcelona, Spain mer senior instructor at the › PhD in Nursing Sciences 2012 Autonomous University of Ramon Llull University, Barcelona Barcelona investigated nurs› Postgraduate degree in ing migration from Spain Critical Care 2007 between 1999 and 2014.

University of Barcelona “After the 2008 financial › Bachelor’s and master’s degrees in crisis, more and more nurses Social and Cultural Anthropology 2001 from Spain were going abroad to work,” says GalbanyEstragués. “The negative impact of the economic crisis was apparent by 2010, Spain’s RN to when the number of employed nurses per capita fell. population ratio “This problem in Spain had not been studied, and as a nursing historian I was interested in 2010 exploring it,” continues Galbany-Estragués, whose PhD dissertation charted the evolution of nursing care in Spain through a case study of a 20th century tuberculosis sanatorium.

Curriculum Vitae

3.21: 1,000 3.10: 1,000 2013

16

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 examined Spanish mobility laws and European directives.

Paola Galbany-Estragués

“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

“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 Barcelona. “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 hiring 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

F

irst-year doctoral student Ziad Alostaz from Irbid, Jordan, is investigating how to minimize the use of physical restraints in Intensive Care Units (ICUs). His research will provide clinicians

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

“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

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 program 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 mechanically 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 Ziad Alostaz

ANNUAL RESEARCH REPORT 2016-2017

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 central venous and arterial lines. The use of physical restraint, though, risks both physical and psychological harm, explains Alostaz.

Physical harm can include interrupting the blood flow to the extremities, bruising the wrists and ankles, and causing pressure ulcers. “Negative psychological 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.”

IRBID, JORDAN

AL-BAHA, SAUDI ARABIA

RESEARCH TO PRACTICE While several healthcare authorities and nursing organizations recommend minimizing physical restraint use in all hospital settings, the recommendations 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 questions Alostaz will ask is: What alternatives to physical restraint use do you think would have been effective?

Curriculum Vitae Based on patient and family member suggestions, Alostaz will ZIAD ALOSTAZ explore interventions to replace the Jordan University of Science use of physical restraints. Then, to and Technology, Irbid ensure their practicality, he’ll explore › Master’s in acute adult care the alternatives with clinicians to nursing 2011 identify the facilitators as well as the › Bachelor’s in nursing 2007 barriers to implementing the new strategies in the ICU. n

17

From left: Will Byker, Samantha Mayo, Mark Alm

BUILDING FUTURE RESEARCHERS Our summer program inspires undergraduate students to consider research

O

ver the summer months, firstyear BScN students have the opportunity to help our esteemed faculty members with their research. In the summer of 2016, 29 students were selected 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 degree, 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 treatments for cancers of the blood. In addition, Mayo is investigating the longterm outcomes of cancer treatment.

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

Lisa Cranley (left) and Melissa Heisey

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 biomarkers 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 undergraduates 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 knowledgeable 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

“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 18

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 delivery 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 understanding 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-making 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 program, 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

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

AWARDS AND DISTINCTIONS INDUCTED INTO THE AMERICAN ACADEMY OF NURSING

I

n October 2016, the American Academy of Nursing inducted Professor 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 Nursing 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 developing 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).

PHOTO: EDDIE ARROSSI

Bobbie Berkowitz (right), president of the American Academy of Nursing, welcomes Professor Kelly Metcalfe as a Fellow

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

L

inda McGillis Hall, Bloomberg Nursing’s Associate Dean, Research & 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 human resources, work environments and outcomes.

Also, McGillis Hall, RN, PhD, FAAN, FCAHS, is a Fellow of the Canadian Academy of Health Sciences, 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

I

n 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.

ANNUAL RESEARCH REPORT 2016-2017

Linda McGillis Hall with her International Nurse Researcher Hall of Fame award

Cleverley’s current research focuses on how to help youth with mental illness 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

A

ssistant 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 disseminate research knowledge.

Dale’s research aims to improve the oral health of critically ill patients in intensive care units. He applies innovative research methods, such as video ethnography, 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

P

rofessor 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 research 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 independent from but affiliated with U of T, recognizes leaders in a variety of fields through its Senior Fellows program. n

19

A snapshot of our national and international research partnerships

RESEARCH COLLABORATIONS ARLENE BIERMAN U.S.

DORIS HOWELL Canada

KRISTIN CLEVERLEY Canada

LIANNE JEFFS Australia

› Washington, D.C. › Hamilton › Montreal

LISA CRANLEY Canada

› Edmonton

› Brisbane Brazil

› Hangzhou › Hong Kong

› Adelaide

Denmark

› Roskilde U.K.

› London

CINDY-LEE DENNIS Canada

› Calgary › Hamilton › Montreal › Vancouver Singapore

› Singapore

South Africa

› Bellville › Cape Town › Johannesburg › Potchefstroom United Arab Emirates

› Dubai › Sharjah U.S.

› Seattle

DENISE GASTALDO Brazil

› Florianópolis Canada

› London, ON Spain

› Alicante › Lleida › Madrid › Palma › Santander

EDITH HILLAN India

› Bangalore › Delhi › Hyderabad › Mumbai U.K.

› Edinburgh › Glasgow › London

20

LINDA JOHNSTON Australia

U.K.

CRAIG DALE Australia

NEW ZEALAND

› Adelaide

› Florianópolis

› Leeds

Nelson

› Hamilton

U.S.

› Chapel Hill, NC

Edmonton

China

Germany

› Munich U.K.

› Belfast

SAMANTHA MAYO U.S.

› Washington, D.C.

LINDA McGILLIS HALL Belgium

› Leuven Canada

› Halifax › Edmonton › Ottawa › Quebec City U.S.

› New York, NY › Chapel Hill, NC › Pittsburgh

KATHY McGILTON Australia

› Sydney Canada

› Cutler, ON › Sudbury, ON › Fort Qu’Appelle, SK › Halifax Spain

› Lleida

KELLY METCALFE Australia

› Melbourne Austria

Surrey

Vancouver

Fort Qu’Appelle

Oshawa Ottawa Toronto Montreal Sudbury St. John’s Calgary Cutler Seattle Quebec City Waterloo Minneapolis Hamilton Halifax Boston Omaha London New York U.S. St.Chicago Philadelphia Catharines San Francisco Pittsburgh Washington Chapel Hill Los Angeles Morgantown Atlanta Nashville Duarte Tallahassee Tampa

SIOBAN NELSON Spain

› Murcia › Barcelona

MONICA PARRY Canada

› St. John’s, NL › Hamilton › St. Catharines, ON

› London, ON Norway

› Oslo U.S.

› Tallahassee, FL

ELIZABETH PETER Brazil

› Hamilton › Oshawa, ON › Waterloo, ON › Palma U.S.

› Chicago › Los Angeles › Nashville, TN › Omaha, NE › Tampa, FL

CARLES MUNTANER Spain

› Barcelona

Sao Paulo

› Minneapolis

Canada

U.S.

Jataí

Spain

› Szczecin › London

BRAZIL

Canada

MARTINE PUTS Belgium

U.K.

Acre

› Acre › Sao Paulo

› Vienna Poland

CANADA

› Leuven

› Montreal › Ottawa › Surrey, BC France

› Lyon › Paris

New Zealand

› Nelson U.S.

› Chapel Hill, NC › Duarte, CA › Philadelphia

LOUISE ROSE Australia

Florianópolis

› Melbourne › Sydney Denmark

› Copenhagen

The Netherlands

› Amsterdam › Apeldoorn Sweden

› Gothenburg U.K.

› London › Belfast › Edinburgh

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

THE NETHERLANDS Amsterdam NORWAY Utrecht Apeldoorn

Edinburgh Glasgow Belfast

BELGIUM

IRELAND

Leuven

Galway

U.K.

Leeds London

Paris

Santander Lleida Madrid

SPAIN

Lyon

Murcia

Oslo

SWEDEN

Gothenburg Copenhagen Roskilde DENMARK Szczecin

POLAND GERMANY AUSTRIA

Vienna Basel Munich Bern

SWITZERLAND

Barcelona Palma Alicante

CHINA

UNITED ARAB EMIRATES

Delhi

Sharjah Dubai

INDIA Mumbai

GHANA Kasoa

Hangzhou

Hong Kong

Hyderabad

Bangalore Accra

SINGAPORE

KENYA

Eldoret

BONNIE STEVENS Brazil

› Jataí › Sao Paulo Ghana

› Kasoa › Accra Kenya

SOUTH AFRICA Bellville

› Eldoret Johannesburg Potchefstroom

Cape Town

Switzerland

› Basel › Bern U.S.

› Boston

JENNIFER STINSON Canada

› Ottawa › Halifax › Vancouver Ireland

› Galway

The Netherlands

› Utrecht U.S.

› Seattle › Atlanta

ANNUAL RESEARCH REPORT 2016-2017

AUSTRALIA

ROBYN STREMLER Canada

› Edmonton › Halifax › Montreal › Vancouver U.S.

› Morgantown, WV › San Francisco

Brisbane Perth

Sydney

Adelaide

Melbourne

ANN TOURANGEAU Australia

› Perth

KIM WIDGER Canada

› Ottawa › Hamilton › Vancouver

21

RESEARCH FUNDING AWARDED, 2016-2017 INVESTIGATORS

TITLE OF RESEARCH PROJECT

AWARDED

D. Korczak (PI), Y. Finkelstein, Centre for Addiction Cundill Centre for M. Barwick, P. Szatmari, and Mental Health Child and Youth K. Cleverley, G. Chaim, Depression J. Henderson, S. Monga, D. Juurlink, M. Moretti

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 Planning and of Health Research Dissemination Grant (CIHR)

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), CIHR 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.

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), CIHR 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.

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

22

SPONSOR

PROGRAM

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

INVESTIGATORS H. Brown (PI), C.-L. Dennis, C. Mill, D. Telner, L. Graves

SPONSOR Women’s Xchange

PROGRAM $15K Challenge

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

Women’s Xchange

$15K Challenge

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

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

University of Toronto

Excellence Funds

Virtual psychiatric care for perinatal depression $24,000 (Virtual-PND): A pilot randomized controlled trial

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

University of Toronto

Institute of Global Health Equity and Innovation

Trans Latinas overcoming radical socioeconomic 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

Catalyst Grant: Health Services and Economics Research in Cancer Control

$100,000 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

D. Howell, L. Moody (Co-PIs), CIHR 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.

ANNUAL RESEARCH REPORT 2016-2017

TITLE OF RESEARCH PROJECT Pilot randomized controlled trial of an interconception intervention provided by public health nurses to improve reproductive and perinatal outcomes Son-based sex ratios in the South Asian Community – A dialogue and pilot education intervention to make progress on gender equity Video-feedback interaction guidance for improving interactions between depressed mothers and their infants

AWARDED $15,000

$15,000

$250,000

23

INVESTIGATORS

SPONSOR

PROGRAM

TITLE OF RESEARCH PROJECT

AWARDED

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 LongTerm 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, Ontario Institute of C. Kuziemsky, K. Linden, L. Barbera, Cancer Research A. Patry, K. Dennis, L. Jolicoeur, J. Renaud, A. Killam, J. Newton, B. Ballantyne, F. Crawley, et al.

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

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

$71,236

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

$177,735

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), CIHR 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

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

$10,000

B. Coleman (PI), A. McGeer, E. DubĂŠ, 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, CIHR 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

Planning and Dissemination Grant

Canadian Health Workforce Conference 2016: Optimizing the Canadian health workforce

$10,000

S. Moradian (PI), D. Howell

24

Canadian Association of Nurses in Oncology

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

INVESTIGATORS

SPONSOR

PROGRAM

TITLE OF RESEARCH PROJECT

AWARDED

L. McGillis Hall, M. Lalonde

Ontario Ministry of Advanced Education and Skills Development

Ontario Human Understanding the human capital impact of the $100,000 Capital Research and change to the NCLEX-RN for Canadian nurse Innovation Fund licensing

J.E. McElhaney, G. Daybutch, CIHR 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

Challenge of Dementia in Indigenous Populations

Aging in place in First Nations communities: A $500,000 community-based approach to supporting older indigenous people with dementia

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

Research Priority Setting Competition

Canadian Frailty Priority Setting Partnership

$77,360

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

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

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

National Health and Cognitive Decline Medical Research Partnership Centre Council (Australia) (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 nonCaucasian, 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 provincewide model of care for cancer prevention in women at high-risk for breast cancer. (Letter of intent)

$18,500

ANNUAL RESEARCH REPORT 2016-2017

Canadian Frailty Network

$99,992

25

INVESTIGATORS

SPONSOR

PROGRAM

TITLE OF RESEARCH PROJECT

AWARDED

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

University of Toronto

Instructional Technology Innovation Fund

Arterial blood gas interpretation: Development $1,980 of an innovative, technology-enabled assessment module for undergraduate nursing, nurse practitioner and physician assistant students

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 communitydriven 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 communitydriven 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 PreMarket 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

26

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

INVESTIGATORS

SPONSOR

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

M. Puts

Technology Evaluation in the Elderly

M. Puts

PROGRAM

TITLE OF RESEARCH PROJECT

AWARDED

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

$900,816

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

$50,000

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 Research Grant Canada

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

Frailty Competition A

C. Gelinas, D.P. Laporta (Co-PIs), CIHR 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

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, CIHR 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

Project Grant

PROSPECT: Probiotics to prevent severe pneumonia and endotracheal colonization trial

$1,272,893

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

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

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

ANNUAL RESEARCH REPORT 2016-2017

CIHR

27

INVESTIGATORS

SPONSOR

PROGRAM

TITLE OF RESEARCH PROJECT

AWARDED

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 MultiYear 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 LongTerm Care

A demonstration of pediatric project ECHOÂŽ 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

28

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

INVESTIGATORS

SPONSOR

PROGRAM

TITLE OF RESEARCH PROJECT

AWARDED

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

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

Hermès Canada | MS Society Wellness Research Innovation Grant

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

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

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

ANNUAL RESEARCH REPORT 2016-2017

CIHR

29

PUBLICATIONS April 1, 2016, to March 31, 2017

Journal articles ›› Abbass-Dick J, & D ennis CL . (2017).

Breast-feeding coparenting framework: A new framework to improve breastfeeding 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, S tinson 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, W att-Watson J , ... Leegaard M. (2016). Pain experiences of men and women after cardiac surgery. J Clin Nurs, 25(1920) , 3058-68.

30

›› Brunet J, Wurz A, O’Rielly C,

among Canada’s top-15 research universities for citations in nursing publications ›› Bjørnnes AK, Parry M , Lie I,

Fagerland MW, W att-Watson J , ...

Leegaard M. (2017). The imapct of an educational pain management booklet intervention on postoperative pain control after cardiac surgery. E ur 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,

ennis CL , & Vigod S. (2017).

D 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, D ennis 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.

owell D , Bélanger M, & Sussman H J. (2017). The effectiveness of health care provider physical activity recommendations in cancer survivors: A systematic review and metaanalysis 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. A nn Am Thorac Soc, 14(2) , 238-45.

›› Burry L, Scales D, Williamson

D, Foster J, Mehta S, … R ose 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 nonpharmacological interventions to prevent delirium in critically ill patients: A protocol for a systematic review incorporating network metaanalyses. 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.

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

›› Choi H, Chung H, Muntaner C ,

›› Dennis CL . (2017). Psychological

›› Chu CH, Ploeg J, Wong R, Blain

›› Dennis CL . (2016). ‘Time for

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.

J, & McGilton KS . (2016). An integrative review of the structures and processes related to nurse supervisory performance in longterm 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. B MJ 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 , A ngus 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, M untaner 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.

ANNUAL RESEARCH REPORT 2016-2017

treatment is one of the several important components to the effective management of postpartum depression. Evid Based Nurs, 20(1) , 9. 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 selfmanagement 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, & T ourangeau 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,

tevens B , & Zimmermann C. S (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, & S tinson J . (2016).

A systematic review of knowledge translation (KT) in pediatric pain: Focus on health care providers. Clin J Pain, 32(11) , 972-90.

31

›› Galbany-Estragués P, & N elson S .

››

››

››

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32

›› Giuliani ME, Milne RA, P uts M ,

(2016). Migration of Spanish nurses Sampson LR, Kwan JY, … Jones J 2009-2014. Underemployment and (including Howell D ). The prevalence and surplus production of Spanish nurses nature of supportive care needs in lung and mobility among Spanish registered cancer patients. Curr Oncol, 23(4) , 258-65. nurses: A case study. Int J Nurs Stud, ›› Hahn RA, Barnett WS, Knopf JA, 63 , 112-23.

Truman BI, Johnson RL, … Hunt PC Gea-Sánchez M, Alconada-Romero (including Muntaner C ); Community Á, Briones-Vozmediano E, Pastells Preventive Services Task Force. (2016).

R, G astaldo D , & Molina F. (2017).

Early childhood education to promote Undocumented immigrant women in health equity: A community guide Spain: A scoping review on access to and systematic review. J Public Health Manag utilization of health and social services. J Pract, 22(5) , E1-8.

Immigr Minor Health, 19(1) , 194-204. ›› Harrison D, Larocque C, Bueno Gea-Sánchez M, G astaldo D , MolinaM, Stokes Y, Turner L, … Stevens Luque F, & Otero-García L. (2017).

B . (2017). Sweet solutions to reduce Access and utilisation of social and procedural pain in neonates: A health services as a social determinant meta-analysis. Pediatr, 139(1) , of health: The case of undocumented pii:e20160955.

Latin American immigrant women ›› Hawker GA, Croxford R, B working in Lleida (Catalonia, Spain). ierman Health Soc Care Comm, 25(2) , 424-34.

AS , Harvey P, Ravi B, … Lipscomebe L. (2017). Osteoarthritis-related Gea-Sánchez M, Terés-Vidal L, difficulty walking and risk for diabetes Briones-Vozmediano E, Molina complications. Osteoarthr Cartilage, F, Gastaldo D , & Otero-García 25(1) , 67-75.

L. (2016). Conflictos entre la ética ›› Hayward MN, Mequanint S, Paquetteenfermera y la legislación sanitaria en España [Conflicts between nursing Warren J, Bailie R, Chirila A, … ethics and health care legislation in Harris S; FORGE AHEAD Program Spain]. Gaceta Sanitaria, 30(3) , 178-83.

Team (including P arry M ). (2017). The FORGE AHEAD clinical readiness Gehrs M, Ling S, Watson A, & consultation tool: A validated tool to Cleverley K . (2016). Capacity building assess clinical readiness for chronic through a professional development disease care mobilization in Canada’s framework for clinical nurse specialist First Nations. BMC Health Serv Res, roles: Addressing addiction population 17(1) , 233. needs in the healthcare system. Nurs ›› Henderson JL, Cheung A, C Leadersh (Tor Ont), 29(3) , 23-36. leverley K , Chaim G, Moretti ME, … Szatmari Ghodraty-Jabloo V, Alibhai SM, P. (2017). Integrated collaborative care Breunis H, & P uts MT . (2016). teams to enhance service delivery to Keep your mind off negative things: youth with mental health and substance Coping with long-term effects of use challenges: Protocol for a pragmatic acute myeloid leukemia (AML). randomised controlled trial. BMJ Open, Support Care Cancer, 24(5) , 2035-45.

7(2) , e014080.

›› Hensel JM, Shaw J, J effs 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,

ose L , Pinto RL, & Scales DC. R (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). Selfmanagement 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.

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

›› Hutton B, Burry LD, Kanji S,

›› Kassam A, Sutradhar R, Widger K ,

›› Iqbal J, Nussenzweig A, Lubinski

›› Kaufman JS, & M untaner C . (2016).

Mehta S, Guenette M, … R ose L . (2016). Comparison of sedation strategies for critically ill patients: A protocol for a systematic review incorporating network metaanalyses. Syst Rev, 5(1) , 157.

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.

ANNUAL RESEARCH REPORT 2016-2017

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

The association between intelligence and lifespan is mostly genetic. Int J Epidemiol, 45(2) , 576-7.

›› Kerlin MP, Adhikari NK, R ose 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, M untaner 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, M untaner 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 J effs L ). (2016).

Starting out: A time-lagged study of new graduate nurses’ transition to practice. Int J Nurs Stud, 57 , 82-95.

33

›› 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, P arry 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, & S tinson J .

(2016). Pediatric pain measurement, assessment, and evaluation. Semin Pediatr Neurol, 23(3) , 189-200.

›› Mayo S , Messner HA, Rourke SB,

owell D , Victor JC, … Metcalfe H 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). Technologyenabled 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.

34

›› McGillis Hall L , Lalonde M, &

›› Meyer JD, Muntaner C , O’Campo P,

›› McGilton KS , Chu CH, Naglie G, van

›› Meyer JD, O’Campo P, Warren

Kashin J. (2016). People are failing!

Something needs to be done: Canadian students’ experience with the NCLEX-RN. Nurse Educ Today, 46 , 43-9.

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,

& 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.

N, & M untaner 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, M etcalfe 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, … StewartBrown 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: S0102311X2016000600501.

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. G enet Med, 19(3) , 330-6.

›› Muntaner, C . (2016). The missing

›› Metcalfe KA , Semple J, Quan ML,

›› Naik H, H owell D , Su S, Qiu X,

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.

link in precariousness research. Cad Saúde Pública, 32(6) , pii: S0102311X2016000600506.

Brown MC, … Liu G. (2017).

EQ-5D health utility scores: Data from a comprehensive Canadian cancer centre. Patient, 10(1) , 105-15.

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

›› Naik H, Qiu X, Brown MC, Eng

L, P ringle D , … Liu G (including owell D ). (2016). Socioeconomic H 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 P arry 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, M untaner 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, S tinson 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.

ANNUAL RESEARCH REPORT 2016-2017

›› Papaconstantinou EA, Hodnett E ,

& Stremler R . (2016). A behavioraleducational 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, S tevens B , Johnston C, & CampbellYeo 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 decisionmaking 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 schoolbased health centers: A community guide systematic review. Am J Prev Med, 51(1) , 129-38.

›› Redi Labo R, P eter 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, … S tinson 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 , D ale 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.

35

›› 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, & G astaldo 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, & P uts 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

›› Stevens BJ , Yamada J, Promislow

›› Shariff A, Olson J, Santos Salas A,

›› Stinson J , Ahola Kohut S, Forgeron

C , Davis O, & Siddiqi A. (2016). Do flexicurity policies protect workers from the adverse health consequences of temporary employment? A crossnational comparative analysis. SSM Popul Health, 2(1) , 674-82.

& 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, H owell 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,

ennis CL , & Morelius E. (2017).

D 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.

36

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.

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, D oran 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,

leverley K , Chaim G, & Hawk L. C (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, R ose 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, & C ranley L . (2017). Work-related factors influencing home care nurse intent to remain employed. Health Care Manage Rev, 42(1) , 87-97.

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

›› Tsimicalis A, Le May S, S tinson 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,

untaner C , & Moncada S. (2016).

M Is the worsening of psychosocial exposures associated with mental health? Comparing two populationbased cross-sectional studies in Spain, 2005-2010. Am J Ind Med, 59(5) , 399-407.

›› Vahid Shahidi F, Siddiqi A, &

untaner C . (2016). Does social M 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, S tinson

JN , & Cameron JI. (2016). Adult children caregivers’ experiences with online and in-person peer support.

Comput Human Behav, 65 , 14-22.

ANNUAL RESEARCH REPORT 2016-2017

›› 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 transitionaged 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.

Conference proceedings ›› Gastaldo D , Mohammed S,

ale C , & Miro M. (2016).

D Conducting qualitative research in diverse nursing settings. The 2016 International Nursing Management Summit Forum, Oct. 18-19, Beijing, China, (pp.

37-45, Mandarin; pp. 46-54, English).

Book chapters

›› Xiao S, W idger K , T ourangeau 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.

›› Bierman AS , & Weissman JS.

(2016). Disparities in medical practices. In A Johnson & TA Stukel (Eds.), Medical practice variations ( pp. 407-31). New York: Springer.

›› Clark AM, Neubeck L, Strachan

PH, Currie K, & Angus JE .

(2016). The contributions of qualitative research in cardiac conditions. In K Olson, RA Young, & IZ Schultz (Eds.), Handbook of qualitative health research for evidence-based practice (pp. 107-21). London: Springer.

›› 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. T oronto: Canadian Scholars’ Press.

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RESEARCH IMPACT SPOTLIGHT Professor Cindy-Lee Dennis has developed a rich research program 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. Knowing 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.

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 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.

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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 published a paper in Pediatrics that examines pain assessment and management after a KT intervention. Stevens and team conducted a randomized controlled trial that showed that the knowledge booster intervention, called Evidence-based Practice for Improving Quality (EPIQ ), improved pain assessment, management and intensity outcomes at different time points, but a booster of the intervention 12 months after EPIQ concluded did not seem to add any extra value.

LAWRENCE S. BLOOMBERG FACULTY OF NURSING

Cancer survivors who have undergone chemotherapy often complain of “chemo-brain,” and researchers have discovered it’s a real phenomenon. 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 neurocognitive functioning did not manage their medications as well as those with better neurocognitive functioning. Her findings highlight the importance of supporting patients throughout the cancer treatment process by addressing neurocognitive deficits.

Professor Carles Muntaner explores social inequities, especially 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 precarious employment allows for comparisons across countries and different categories of employment. Muntaner’s theoretical analysis sets the groundwork for how precarious employment can be analyzed to understand its effects on the health and health outcomes of workers in a variety of occupations.

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 literature and identified the most useful techniques, while acknowledging the lack of rigorous evidence in the field.

ANNUAL RESEARCH REPORT 2016-2017

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Lawrence S. Bloomberg Faculty of Nursing University of Toronto 155 College Street, Suite 130 Toronto, ON M5T 1P8 416.978.2392