Publications by authors named "Megan Zelinsky"

Introduction: Informed decisions to enrol in the clinical investigations of Alzheimer's disease and related dementias (ADRD) require careful consideration of complex risks and uncertain benefits. Decisions regarding whether to receive information about biomarker status are complicated by lack of scientific consensus regarding biomarkers as surrogate endpoints for Alzheimer's disease and how information about individual risk should be evaluated and shared with research participants. This study aims to establish stakeholder consensus regarding ethically optimal approaches to sharing individual results with ADRD research participants.

View Article and Find Full Text PDF

The landscape of medical care has rapidly evolved with technological advancements, particularly through the widespread adoption of virtual appointments catalyzed by the COVID-19 pandemic. This shift has transcended geographical barriers, enhancing access for underserved populations and those with disabilities to specialized healthcare providers. A notable development stemming from this trend is the emergence of virtual shared medical appointments (VSMAs), which integrate group-based education with telemedicine technology.

View Article and Find Full Text PDF

The ethical recruitment of participants with neurological disorders in clinical research requires obtaining initial and ongoing informed consent. The purpose of this study is to characterize barriers faced by research personnel in obtaining informed consent from research participants with neurological disorders and to identify strategies applied by researchers to overcome those barriers. This study was designed as a web-based survey of US researchers with an optional follow-up interview.

View Article and Find Full Text PDF

Aims: To identify the personal and professional impact of the COVID-19 pandemic on clinical nurses with regard to personal and workplace safety, personal and professional relationships and perceptions of their team, organization and community, and to understand lessons learned to inform future responses to pandemics or global emergencies.

Design: Qualitative, descriptive free-text surveys, informed by appreciative inquiry.

Methods: Nurses working in adult COVID- and non-COVID cohort medical-surgical and intensive care units, outpatient cancer and general surgery centres were invited to participate.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to explore the ethical challenges nurses faced during COVID-19 in intensive care settings and how they felt they provided "good" care while navigating these issues.
  • The research involved qualitative surveys and interviews with 49 nurses from various hospitals, revealing key themes related to ethical dilemmas like patient isolation and the decision-making process.
  • Findings indicated that while nurses showed some level of moral resilience, their experiences highlighted the need for enhanced ethics training for nursing management to better support their teams.
View Article and Find Full Text PDF

As clinical trials end, little is understood about how participants exiting from clinical trials approach decisions related to the removal or post-trial use of investigational brain implants, such as deep brain stimulation (DBS) devices. This empirical bioethics study examines how research participants experience the process of exit from research at the end of clinical trials of implanted neural devices. Using a modified grounded theory study design, we conducted semi-structured, in-depth interviews with 16 former research participants from clinical trials of DBS and responsive neurostimulation (RNS).

View Article and Find Full Text PDF

Purpose: This study sought to evaluate nurses' knowledge and comfort with assessing inpatients' access to firearms and providing education on firearm safety and storage. Facilitators and barriers to such assessment, as well as best methods for educating nurses and patients on firearm safety and storage, were also explored.

Methods: Nurses from a general medical unit and a psychiatric unit at a large urban hospital were invited to complete a 22-question online survey.

View Article and Find Full Text PDF