Publications by authors named "D Bryant-Lukosius"
Background: Oncology outpatients experience high levels of distressing cancer-related symptoms. Nurses can provide high-quality outpatient cancer symptom management following clinical practice guideline recommendations; however, these guidelines are inconsistently used in practice. Understanding contextual factors influencing implementation is necessary to develop tailored implementation strategies.
View Article and Find Full Text PDFPurpose/aims: To describe clinical nurse specialist practice in Québec, Canada, and propose a dashboard to track role dimensions and outcomes.
Design: Sequential mixed-methods study across 6 sites in Québec (June 2021 to May 2022).
Methods: Phase 1: Focus groups (n = 8) and individual interviews (n = 3) were conducted to adapt a time and motion tool.
Article Synopsis
- This study investigates the psychological impacts of the COVID-19 pandemic on Canadian cancer patients, focusing on levels of distress and post-traumatic growth (PTG).
- A survey conducted from February to December 2021 revealed that significant portions of patients reported severe depression, anxiety, and emotional distress, while 43% experienced high PTG.
- Factors such as social difficulties, gender, education level, and safety behaviors influenced levels of distress and PTG, highlighting the need for tailored post-pandemic care strategies for cancer patients.
Background: Lack of access to health care is a worldwide public health crisis. In primary care it has led to increases in the implementation of nurse practitioners and heightened interest in their patient panel capacity. The aim of this study was to examine factors influencing nurse practitioner patient panel size in team-based primary care in Ontario, Canada.
View Article and Find Full Text PDFBackground: Experience-Based Co-Design (EBCD) is a multi-stage participatory action research process which was developed originally to increase patient involvement in service improvement initiatives. This viewpoint article serves as a reflection on the researchers' experiences, focusing on the application and feasibility of participatory approaches, particularly co-design, in the specific context of early-phase clinical trials.
Methods: We reflect on the opportunities and challenges of applying EBCD in a new context of early-phase clinical trials in oncology where experimental treatments are increasingly perceived as a therapeutic option and, in certain instances, their efficacy may lead to accelerated approval facilitating a swifter integration into standard care.