Nursing Faculty

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Browsing Nursing Faculty by Author "Brown, Janine"

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    Anxiety, mental illness, learning disabilities, and learning accommodation use: A cross-sectional study
    (Elsevier, 2020) Brown, Janine; McDonald, Meghan; Besse, Cheryl; Manson, Patti; McDonald, Reid; Rohatinsky, Noelle; Singh, Madeline
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    Care considerations in a patient-and family-centered medical assistance in dying program
    (SAGE Publications, 2020) Brown, Janine; Goodridge, Donna; Harrison, Averi; Kemp, Jordan; Thorpe, Lilian; Weiler, Robert
    Medical Assistance in Dying (MAID) became legal in Canada in June 2016. As part of a project designed to improve end-of-life care for those requesting MAID, qualitative data from patients, families, and providers were used to assess opportunities to enhance patient-and family-centered care (PFCC) in this program.
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    Completion of Medical Certificates of Death after an Assisted Death: An Environmental Scan of Practices
    (Longwoods, 2018-11) Brown, Janine; Thorpe, Lilian; Goodridge, Donna
    Policies and practices have been developed to operationalize assisted dying processes in Canada. This project utilized an environmental scan to determine the spectrum of assisted death reporting practices and medical certificate of death (MCD) completion procedures both nationally and internationally. Findings suggest medically assisted dying (MAiD) is represented on the MCD inconsistently nationally and internationally. Related factors include the specifics of local assisted death legislation and variations in death-reporting legislation, variation in terminology surrounding assisted death and designated oversight agency for assisted dying reporting.
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    Factors contributing to practitioner choice when declining involvement in legally available care: A scoping protocol
    (BMJ, 2018-07-27) Brown, Janine; Goodridge, Donna; Thorpe, Lilian; Chipanshi, Mary
    As legislation addressing medical treatments continues to evolve, there are several circumstances (eg, abortion, assisted dying) in which health practitioners may choose to not provide legally available care options. It is not always clear what underlies practitioner choice, as some research has suggested non-participation in care provision is not always due to an ethical abstention but may represent other factors. This results in tension between a practitioner’s right to refrain from practices deemed morally objectionable by the practitioner, and the care recipient’s right to access legally available treatments. The aim of this systematic scoping review is to identify the current knowledge regarding all the factors influencing practitioner’s choices when declining involvement in legally available healthcare options.
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    Factors influencing practitioners’ who do not participate in ethically complex, legally available care: scoping review
    (BioMed Central (BMC), 2021-09-28) Brown, Janine; Goodridge, Donna; Thorpe, Lilian; Hodson, Alexandra; Chipanshi, Mary
    Evolving medical technology, advancing biomedical and drug research, and changing laws and legislation impact patients’ healthcare options and influence healthcare practitioners’ (HCPs’) practices. Conscientious objection policy confusion and variability can arise as it may occasionally be unclear what underpins non-participation. Our objective was to identify, analyze, and synthesize the factors that influenced HCPs who did not participate in ethically complex, legally available healthcare.
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    “I Am Okay With It, But I Am Not Going to Do It”: The Exogenous Factors Influencing Non-Participation in Medical Assistance in Dying
    (SAGE Publications, 2021-07-08) Brown, Janine; Goodridge, Donna; Thorpe, Lilian; Crizzle, Alexander
    Access to medical assistance in dying (MAID) is influenced by legislation, health care providers (HCPs), the number of patient requests, and the patients’ locations. This research explored the factors that influenced HCPs’ nonparticipation in formal MAID processes and their needs to support this emerging practice area. Using an interpretive description methodology, we interviewed 17 physicians and 18 nurse practitioners who identified as non-participators in formal MAID processes. Nonparticipation was influenced by their (a) previous personal and professional experiences, (b) comfort with death, (c) conceptualization of duty, (d) preferred end-of-life care approaches, (e) faith or spirituality beliefs, (f) self-accountability, (g) consideration of emotional labor, and (h) future emotional impact. They identified a need for clear care pathways and safe passage. Two separate yet overlapping concepts were identified, conscientious objection to and nonparticipation in MAID, and we discussed options to support the social contract of care between HCPs and patients.
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    Medical Assistance in Dying in health sciences curricula: A qualitative exploratory study
    (Canadian Medical Education Journal, 2020-09-03) Brown, Janine; Goodridge, Donna; Thorpe, Lilian
    This paper offers insight into (1) the driving and restraining forces impacting the inclusion of medical assistance in dying (MAID) in health sciences curricula, (2) the required resources for teaching MAID, and (3) the current placement of MAID in health sciences curricula in relation to end-of-life care concepts.
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    Medical Assistance in Dying: Patients', Families', and Health Care Providers' Perspectives on Access and Care Delivery
    (Mary Ann Liebert, 2020) Brown, Janine; Goodridge, Donna; Harrison, Averi; Kemp, Jordan; Thorpe, Lilian; Weiler, Robert
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    “What is right for me, is not necessarily right for you”: The endogenous factors influencing non-participation in medical assistance in dying
    (SAGE Publications, 2021-05-03) Brown, Janine; Goodridge, Donna; Thorpe, Lilian; Crizzle, Alexander
    Access to medical assistance in dying (MAID) is influenced by legislation, health care providers (HCPs), the number of patient requests, and the patients’ locations. This research explored the factors that influenced HCPs’ nonparticipation in formal MAID processes and their needs to support this emerging practice area. Using an interpretive description methodology, we interviewed 17 physicians and 18 nurse practitioners who identified as non-participators in formal MAID processes. Nonparticipation was influenced by their (a) previous personal and professional experiences, (b) comfort with death, (c) conceptualization of duty, (d) preferred end-of-life care approaches, (e) faith or spirituality beliefs, (f) self-accountability, (g) consideration of emotional labor, and (h) future emotional impact. They identified a need for clear care pathways and safe passage. Two separate yet overlapping concepts were identified, conscientious objection to and nonparticipation in MAID, and we discussed options to support the social contract of care between HCPs and patients.