Canadian Pharmacists Journal / Revue des Pharmaciens du Canada
Introduction: CARD (Comfort Ask Relax Distract) is a vaccine delivery program demonstrated to red... more Introduction: CARD (Comfort Ask Relax Distract) is a vaccine delivery program demonstrated to reduce pain, fear and associated immunization stress-related responses (ISRR) in children undergoing vaccinations at school. This study evaluated CARD’s clinical impact when integrated into community pharmacy–based pediatric vaccinations. Methods: This was a before-and-after CARD implementation study in 5 independent pharmacies offering COVID-19 vaccinations to children aged 5-11 years. No changes were made to practices in the “before” phase. CARD interventions were integrated in the “after” phase (e.g., children prepared a coping plan using a checklist, distraction toolkits were placed in waiting and vaccination spaces, vaccinations were performed with privacy, needles were obscured). Children self-reported ISRR, including fear, pain and dizziness during vaccination, and both children and parents/caregivers (herein, parents) compared the child’s experience to their last needle (better, sam...
Supplemental material, HEJ-19-0242_Supplementary_file-1 for Environmental competencies for health... more Supplemental material, HEJ-19-0242_Supplementary_file-1 for Environmental competencies for healthcare educators and trainees: A scoping review by Gillian Parker, Whitney Berta, Christine Shea and Fiona Miller in Health Education Journal
Purpose Project-based experiential learning is a defining element of quality improvement (QI) edu... more Purpose Project-based experiential learning is a defining element of quality improvement (QI) education despite ongoing challenges and uncertainties. The authors examined stakeholders’ perceptions and experiences of QI project-based learning to increase understanding of factors that influence learning and project experiences. Method The authors used a case study approach to examine QI project-based learning in 3 advanced longitudinal QI programs, 2 at the University of Toronto and 1 at an academic tertiary-care hospital. From March 2016 to June 2017, they undertook 135 hours of education program observation and 58 interviews with learners, program directors, project coaches, and institutional leaders and reviewed relevant documents. They analyzed data using a conventional and directed data analysis approach. Results The findings provide insight into 5 key factors that influenced participants’ project-based learning experiences and outcomes: (1) variable emphasis on learning versus p...
BACKGROUND: Transfusion medicine lacks a standard method for the systematic collection and analys... more BACKGROUND: Transfusion medicine lacks a standard method for the systematic collection and analysis of event reports. Review of event reports from the Food and Drug Administration (FDA) showed a relative paucity of information on event causation. Thus, a causal analysis method was developed as part of a prototype Medical Event Reporting System for Transfusion Medicine (MERS‐TM). STUDY DESIGN AND METHODS: MERS‐TM functions within existing quality assurance systems and utilizes descriptive coding and causal classification schemes. The descriptive classification system, based upon current FDA coding, was modified to meet participant needs. The Eindhoven Classification Model (Medical Version) was adopted for causal classification and analysis. Inter‐rater reliability for the MERS‐TM and among participating organizations was performed with the development group in the United States and with a safety science research group in the Netherlands. The MERS‐TM was then tested with events report...
Byrom/Essential Midwifery Practice: Postnatal Care, 2009
Health, social and voluntary care services in the United Kingdom are increasingly being encourage... more Health, social and voluntary care services in the United Kingdom are increasingly being encouraged to work together across traditional agency boundaries in an attempt to make the best use of resources and to enable services to be responsive to the needs and views of the communities they ...
Canadian Pharmacists Journal / Revue des Pharmaciens du Canada
Introduction: CARD (Comfort Ask Relax Distract) is a vaccine delivery program demonstrated to red... more Introduction: CARD (Comfort Ask Relax Distract) is a vaccine delivery program demonstrated to reduce pain, fear and associated immunization stress-related responses (ISRR) in children undergoing vaccinations at school. This study evaluated CARD’s clinical impact when integrated into community pharmacy–based pediatric vaccinations. Methods: This was a before-and-after CARD implementation study in 5 independent pharmacies offering COVID-19 vaccinations to children aged 5-11 years. No changes were made to practices in the “before” phase. CARD interventions were integrated in the “after” phase (e.g., children prepared a coping plan using a checklist, distraction toolkits were placed in waiting and vaccination spaces, vaccinations were performed with privacy, needles were obscured). Children self-reported ISRR, including fear, pain and dizziness during vaccination, and both children and parents/caregivers (herein, parents) compared the child’s experience to their last needle (better, sam...
Supplemental material, HEJ-19-0242_Supplementary_file-1 for Environmental competencies for health... more Supplemental material, HEJ-19-0242_Supplementary_file-1 for Environmental competencies for healthcare educators and trainees: A scoping review by Gillian Parker, Whitney Berta, Christine Shea and Fiona Miller in Health Education Journal
Purpose Project-based experiential learning is a defining element of quality improvement (QI) edu... more Purpose Project-based experiential learning is a defining element of quality improvement (QI) education despite ongoing challenges and uncertainties. The authors examined stakeholders’ perceptions and experiences of QI project-based learning to increase understanding of factors that influence learning and project experiences. Method The authors used a case study approach to examine QI project-based learning in 3 advanced longitudinal QI programs, 2 at the University of Toronto and 1 at an academic tertiary-care hospital. From March 2016 to June 2017, they undertook 135 hours of education program observation and 58 interviews with learners, program directors, project coaches, and institutional leaders and reviewed relevant documents. They analyzed data using a conventional and directed data analysis approach. Results The findings provide insight into 5 key factors that influenced participants’ project-based learning experiences and outcomes: (1) variable emphasis on learning versus p...
BACKGROUND: Transfusion medicine lacks a standard method for the systematic collection and analys... more BACKGROUND: Transfusion medicine lacks a standard method for the systematic collection and analysis of event reports. Review of event reports from the Food and Drug Administration (FDA) showed a relative paucity of information on event causation. Thus, a causal analysis method was developed as part of a prototype Medical Event Reporting System for Transfusion Medicine (MERS‐TM). STUDY DESIGN AND METHODS: MERS‐TM functions within existing quality assurance systems and utilizes descriptive coding and causal classification schemes. The descriptive classification system, based upon current FDA coding, was modified to meet participant needs. The Eindhoven Classification Model (Medical Version) was adopted for causal classification and analysis. Inter‐rater reliability for the MERS‐TM and among participating organizations was performed with the development group in the United States and with a safety science research group in the Netherlands. The MERS‐TM was then tested with events report...
Byrom/Essential Midwifery Practice: Postnatal Care, 2009
Health, social and voluntary care services in the United Kingdom are increasingly being encourage... more Health, social and voluntary care services in the United Kingdom are increasingly being encouraged to work together across traditional agency boundaries in an attempt to make the best use of resources and to enable services to be responsive to the needs and views of the communities they ...
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Papers by Christine Shea