Julia Lukewich
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View article: Pandemic planning for primary care in Southwestern Ontario: protocol for a sequential multiple-methods design
Pandemic planning for primary care in Southwestern Ontario: protocol for a sequential multiple-methods design Open
Introduction During the COVID-19 pandemic, primary care providers rapidly adapted their practice in response to emerging knowledge of infection risk, resource availability and evolving patient and system needs. Given the previous lack of g…
View article: Scope of practice of primary care nurses: a protocol for an umbrella review of international literature
Scope of practice of primary care nurses: a protocol for an umbrella review of international literature Open
Introduction Primary care nurses (PCNs) are the second largest workforce in primary care and play a critical role in facilitating access to coordinated care and reducing health disparities. There is renewed interest in team-based primary c…
View article: “You do it for the patient”: a qualitative analysis of changes to primary care nurses’ workplace demands and resources during the COVID-19 pandemic in Canada
“You do it for the patient”: a qualitative analysis of changes to primary care nurses’ workplace demands and resources during the COVID-19 pandemic in Canada Open
Introduction Primary care in Canada was an essential component of the COVID-19 pandemic response, as well as continued provision of routine care. Yet, primary care settings were inadequately supported during the pandemic, leaving clinician…
View article: Surge capacity and practice management challenges of Canadian family physicians during COVID-19: a qualitative study
Surge capacity and practice management challenges of Canadian family physicians during COVID-19: a qualitative study Open
FPs make critical contributions to surge capacity but require structured support to balance their redeployment roles with their ongoing primary care responsibilities. Ensuring adequate coverage for their practices and employing strong comm…
View article: The Implementation of Infection Prevention and Control Procedures in Primary Care During the COVID‐19 Pandemic: A Qualitative Study of Nursing Roles
The Implementation of Infection Prevention and Control Procedures in Primary Care During the COVID‐19 Pandemic: A Qualitative Study of Nursing Roles Open
Introduction: During the COVID‐19 pandemic, primary care practices felt poorly supported by existing infection prevention and control (IPAC) guidelines, which focused primarily on acute care facilities. This issue was further complicated b…
View article: Nurses’ experiences with virtual care during the COVID-19 pandemic: a qualitative study in primary care
Nurses’ experiences with virtual care during the COVID-19 pandemic: a qualitative study in primary care Open
Primary care teams are increasingly relying upon nurses to support virtual care delivery, emphasizing the need to understand nursing roles in virtual care. Primary care funding models should be leveraged to support nurses in virtual care d…
View article: Revealing administrative staff roles in primary care during the COVID-19 pandemic: a qualitative study of family physicians’ perspectives
Revealing administrative staff roles in primary care during the COVID-19 pandemic: a qualitative study of family physicians’ perspectives Open
Background Administrative staff in primary care undertake numerous tasks to support patient care delivery. Although their roles are often overlooked, administrative staff are essential to the coordination and operations of primary care cli…
View article: Nurses’ perspectives on the characteristics of high-functioning teams in primary care during the COVID-19 pandemic
Nurses’ perspectives on the characteristics of high-functioning teams in primary care during the COVID-19 pandemic Open
CONTEXT : The COVID-19 pandemic provides an opportunity to explore the qualities that enable greater team adaptability, as a team’s ability to respond effectively to disruption is a good indicator of how well it functions. Considering that…
View article: A Qualitative Analysis of the Functions of Primary Care Nurses in <scp>COVID</scp> ‐19 Vaccination
A Qualitative Analysis of the Functions of Primary Care Nurses in <span>COVID</span> ‐19 Vaccination Open
Aim To describe vaccination roles of primary care nurses during the COVID‐19 pandemic in Canada. Design This analysis was part of a larger mixed‐methods case study. Methods We conducted semi‐structured qualitative interviews from May 2022 …
View article: Co-development of a national, bilingual, post-licensure accredited educational program for registered nurses in primary care: A knowledge-to-action exemplar
Co-development of a national, bilingual, post-licensure accredited educational program for registered nurses in primary care: A knowledge-to-action exemplar Open
Registered nurses’ practice in primary care varies and is sometimes sub-optimal. To fill the gap in primary care-specific knowledge, we co-constructed a national educational program to reinforce the nursing workforce. We based our project …
View article: Community pharmacists’ roles during the closure stage of the COVID-19 pandemic in Newfoundland and Labrador, Canada: a qualitative case study
Community pharmacists’ roles during the closure stage of the COVID-19 pandemic in Newfoundland and Labrador, Canada: a qualitative case study Open
Objectives To explore the experiences and perspectives of community pharmacists regarding their roles during the closure stage (ie, March to May 2020) of the COVID-19 pandemic in Newfoundland and Labrador (NL), Canada. Design This qualitat…
View article: System-Based Interventions to Address Physician Burnout: A Qualitative Study of Canadian Family Physicians’ Experiences During the COVID-19 Pandemic
System-Based Interventions to Address Physician Burnout: A Qualitative Study of Canadian Family Physicians’ Experiences During the COVID-19 Pandemic Open
Background: Medical professionals experienced high rates of burnout and moral distress during the COVID-19 pandemic. In Canada, burnout has been linked to a growing number of family physicians (FPs) leaving the workforce, increasing the nu…
View article: Canadian Post-licensure Education for Primary Care Nurses Addressing the Patient’s Medical Home Model and Canadian Competencies for Registered Nurses in Primary Care: An Environmental Scan
Canadian Post-licensure Education for Primary Care Nurses Addressing the Patient’s Medical Home Model and Canadian Competencies for Registered Nurses in Primary Care: An Environmental Scan Open
Purpose: Nurses constitute the largest non-medical primary care workforce in Canada and play an integral role in promoting health equity and improving access, continuity of care, patient satisfaction, and clinical outcomes. In 2019, the Ca…
View article: Adapting care provision in family practice during the COVID-19 pandemic: a qualitative study exploring the impact of primary care reforms in four Canadian regions
Adapting care provision in family practice during the COVID-19 pandemic: a qualitative study exploring the impact of primary care reforms in four Canadian regions Open
Background Over the past two decades, Canadian provinces and territories have introduced a series of primary care reforms in an attempt to improve access to and quality of primary care services, resulting in diverse organizational structur…
View article: “Technology has allowed us to do a lot more but it’s not necessarily the panacea for everybody”: Family physician perspectives on virtual care during the COVID-19 pandemic and beyond
“Technology has allowed us to do a lot more but it’s not necessarily the panacea for everybody”: Family physician perspectives on virtual care during the COVID-19 pandemic and beyond Open
Introduction Early in the COVID-19 pandemic, Canadian primary care practices rapidly adapted to provide care virtually. Most family physicians lacked prior training or expertise with virtual care. In the absence of formal guidance, they ma…
View article: Redeployment Among Primary Care Nurses During the COVID-19 Pandemic: A Qualitative Study
Redeployment Among Primary Care Nurses During the COVID-19 Pandemic: A Qualitative Study Open
Introduction: Throughout the COVID-19 pandemic, primary care nurses were often redeployed to areas outside of primary care to mitigate staffing shortages. Despite this, there is a scarcity of literature describing their perceptions of and …
View article: Practice- and System-Based Interventions to Reduce COVID-19 Transmission in Primary Care Settings: A Qualitative Study
Practice- and System-Based Interventions to Reduce COVID-19 Transmission in Primary Care Settings: A Qualitative Study Open
Using qualitative interviews with 68 family physicians (FPs) in Canada, we describe practice- and system-based approaches that were used to mitigate COVID-19 exposure in primary care settings across Canada to ensure the continuation of pri…
View article: “Swamped with information”: a qualitative study of family physicians' experiences of managing and applying pandemic-related information
“Swamped with information”: a qualitative study of family physicians' experiences of managing and applying pandemic-related information Open
Introduction Providing family physicians (FPs) with the information they need is crucial for their participation in a coordinated pandemic or health emergency response, and to allow them to effectively run their practices. Most pandemic pl…
View article: Perceptions and experiences of family physicians on the roles of administrative staff during COVID-19: Findings from a cross-provincial qualitative study
Perceptions and experiences of family physicians on the roles of administrative staff during COVID-19: Findings from a cross-provincial qualitative study Open
Background Administrative staff in primary care undertake numerous tasks to support patient care delivery. Although their roles are often overlooked, administrative staff are essential to the coordination and operations of primary care cli…
View article: Family physicians’ perspectives on collaboration challenges between primary care and specialist care during the COVID-19 pandemic in Canada: A qualitative study
Family physicians’ perspectives on collaboration challenges between primary care and specialist care during the COVID-19 pandemic in Canada: A qualitative study Open
Background: Prior to the COVID-19 pandemic, Canada had longer wait-times for specialist appointments compared to other Commonwealth countries. During the pandemic, many specialist services were postponed or suspended, impacting access. The…
View article: An analysis of policies supporting the roles of family physicians in four regions in Canada during the COVID-19 pandemic
An analysis of policies supporting the roles of family physicians in four regions in Canada during the COVID-19 pandemic Open
Policy supports are needed to ensure that Family Physicians (FPs) can carry out pandemic-related roles. We conducted a document analysis in four regions in Canada to identify regulation, expenditure, and public ownership policies during th…
View article: “There’s nothing like a good crisis for innovation”: a qualitative study of family physicians’ experiences with virtual care during the COVID-19 pandemic
“There’s nothing like a good crisis for innovation”: a qualitative study of family physicians’ experiences with virtual care during the COVID-19 pandemic Open
Background Prior to the pandemic, Canada lagged behind other Organisation for Economic Cooperation and Development countries in the uptake of virtual care. The onset of COVID-19, however, resulted in a near-universal shift to virtual prima…
View article: Family physicians’ responses to personal protective equipment shortages in four regions in Canada: a qualitative study
Family physicians’ responses to personal protective equipment shortages in four regions in Canada: a qualitative study Open
Background Despite well-documented increased demands and shortages of personal protective equipment (PPE) during previous disease outbreaks, health systems in Canada were poorly prepared to meet the need for PPE during the COVID-19 pandemi…
View article: Family Physicians’ Roles in Long-Term Care Homes and Other Congregate Residential Care Settings during the COVID-19 Pandemic: A Qualitative Study
Family Physicians’ Roles in Long-Term Care Homes and Other Congregate Residential Care Settings during the COVID-19 Pandemic: A Qualitative Study Open
Context: The COVID-19 pandemic disproportionally affected long-term care (LTC) homes and other community-based congregate residential care settings. Although family physicians (FPs) play important roles in the care of residents in LTC home…
View article: Delays, Delays, Delays” – Family Physicians’ Experiences Managing Patients and Accessing Specialists During COVID-19
Delays, Delays, Delays” – Family Physicians’ Experiences Managing Patients and Accessing Specialists During COVID-19 Open
CONTEXT: Historically, Canadians experience long wait times for specialist referrals. During the COVID-19 pandemic, many specialist services were suspended to reduce virus transmission and redeploy physicians. Little has been reported on f…
View article: Strengthening the integration of primary care in pandemic response plans: a qualitative interview study of Canadian family physicians
Strengthening the integration of primary care in pandemic response plans: a qualitative interview study of Canadian family physicians Open
Background As the first point of contact in health care, primary care providers play an integral role in pandemic response. Despite this, primary care has been overlooked in previous pandemic plans, with a lack of emphasis on ways in which…