Health Services

Developing an effective and efficient health care delivery system for Canadians at the end-of-life

In the mid-eighties, while working as a palliative care nurse, Dr. Kelli Stajduhar cared for a young man dying from AIDS. A few years later, her mother was diagnosed with lung cancer and died. Both received less than optimal care at the end of their lives. Stajduhar was profoundly affected by those experiences, which gave her a strong desire to examine ways to improve care and support for people at the end-of-life. Stajduhar's PhD research focused on the provision of home-based care for people who are dying, and its impact on family caregivers.

Primary Investigator: 
Award Type: 
Year: 
2001

The evaluation of human telemanipulation under spatial misalignment conditions in minimally invasive surgery

Bin Zheng isn't daunted by challenge. At 16, he entered medical school. By age 27, he was a specialist in pediatric orthopedic surgery at a hospital affiliated with China Medical University. Now he is in Canada focusing his efforts on research to refine and improve the technology used in minimally invasive surgery. Because of more rapid healing and other benefits, this surgical practice is increasingly common.

Primary Investigator: 
Award Type: 
Year: 
2001

The clinical and economic outcomes of patients with lumbar disc herniation and sciatica

Lower back and leg pain from a herniated disk and sciatica (pain on the sciatic nerves) is one of the most common causes of chronic disability and workplace absenteeism. Treatment approaches are inconsistent as there is still much to learn about this condition. Dr. Jeffrey Quon hopes to address this knowledge gap by comparing the long-term outcomes for patients treated through surgery and non-surgical therapies at Vancouver Hospital and Health Sciences Centre. Quon's research aims to identify the physical, psychosocial and clinical factors that contribute to early or delayed recovery.

Primary Investigator: 
Award Type: 
Year: 
2001

Becoming a Nurse: The Micro and Macro Construction of First Nations Nursing Students' Experience in a Western Canadian School of Nursing

Canada's First Nations communities are experiencing their worst nursing shortage in 30 years. First Nations health care professionals are the most effective nursing personnel in their own communities, yet efforts to recruit and retain them in nursing schools have been largely unsuccessful. The little research done on this issue indicates there are barriers to be bridged, including a feeling among First Nations nurses that they must compromise their traditional beliefs and culture to succeed in nursing education.

Primary Investigator: 
Award Type: 
Year: 
2001

Heroin and Methadone Maintenance Treatment: Accessibility, Barriers and Quality of Life issues for Women in the Downtown Eastside, Vancouver, British Columbia

Magdalena Recsky developed her passion for epidemiology while working summers as a research assistant at the BC Centre for Excellence in HIV/AIDS. She put that passion into practice through her Masters research, which explored issues surrounding methadone dosing, satisfaction with methadone doses and associated HIV-risk behaviours. Using existing data, she investigated the barriers women face in accessing methadone maintenance programs, which led to a broader study into methadone dosing.

Primary Investigator: 
Award Type: 
Year: 
2001

Improving Therapeutic Decision-Making During Active Clinical Practice

The ultimate goal of Laura Esmail’s research is to improve the management of medication use and patient outcomes. Studies estimate that 4.3% of hospital admissions in industrialized countries are due to preventable adverse outcomes of drug therapy. To begin to address this problem, Laura developed and tested a decision-making network aimed to improve physicians’ drug therapy decision-making. The conceptual framework of this network was based on the theory of cognitive apprenticeships: the process of understanding concepts through engaging in authentic activities and actual practice.

Primary Investigator: 
Award Type: 
Year: 
2001

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