Lisa Schwartz
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View article: Better engagement, better evidence: working in partnership with patients, the public, and communities in clinical trials with involvement and good participatory practice
Better engagement, better evidence: working in partnership with patients, the public, and communities in clinical trials with involvement and good participatory practice Open
In May 2022, member states of WHO adopted the World Health Assembly WHA75.8 resolution on strengthening clinical trials to provide high-quality evidence on health interventions and to improve research quality and coordination. The resoluti…
View article: Canadian emergency physician psychological distress and burnout during the first 10 weeks of COVID‐19: A mixed‐methods study
Canadian emergency physician psychological distress and burnout during the first 10 weeks of COVID‐19: A mixed‐methods study Open
Objectives The aim of this study was to report burnout time trends and describe the psychological effects of working as a Canadian emergency physician during the first weeks of the coronavirus disease 2019 (COVID‐19) pandemic. Methods This…
View article: Canadian emergency physician psychological distress and burnout during the first 10 weeks of COVID‐19: A mixed‐methods study
Canadian emergency physician psychological distress and burnout during the first 10 weeks of COVID‐19: A mixed‐methods study Open
Objectives The aim of this study was to report burnout time trends and describe the psychological effects of working as a Canadian emergency physician during the first weeks of the coronavirus disease 2019 (COVID‐19) pandemic. Methods This…
View article: Humans not heroes: Canadian emergency physician experiences during the early COVID-19 pandemic
Humans not heroes: Canadian emergency physician experiences during the early COVID-19 pandemic Open
Background The pandemic has upended much clinical care, irrevocably changing our health systems and thrusting emergency physicians into a time of great uncertainty and change. This study is a follow-up to a survey that examined the early p…
View article: Ethical Dimensions of Population-Based Lung Cancer Screening in Canada: Key Informant Qualitative Description Study
Ethical Dimensions of Population-Based Lung Cancer Screening in Canada: Key Informant Qualitative Description Study Open
Normative issues associated with the design and implementation of population-based lung cancer screening policies are underexamined. This study was an exposition of the ethical justification for screening and potential ethical issues and t…
View article: Reducing the burden of preventable deaths from sepsis in Canada: A need for a national sepsis action plan
Reducing the burden of preventable deaths from sepsis in Canada: A need for a national sepsis action plan Open
Sepsis is a global health threat with significant morbidity and mortality. Despite clinical practice guidelines and developed health systems, sepsis is often unrecognized or misdiagnosed, leading to preventable harm. In Canada, sepsis is r…
View article: Sepsis policy, guidelines and standards in Canada: a jurisdictional scoping review protocol
Sepsis policy, guidelines and standards in Canada: a jurisdictional scoping review protocol Open
Introduction To our knowledge, this study is the first to identify and describe current sepsis policies, clinical practice guidelines, and health professional training standards in Canada to inform evidence-based policy recommendations. Me…
View article: Correction: Doing our best and doing no harm: A focused ethnography of staff moral experiences of providing palliative care at a Médecins Sans Frontières pediatric hospital in Cox’s Bazar, Bangladesh
Correction: Doing our best and doing no harm: A focused ethnography of staff moral experiences of providing palliative care at a Médecins Sans Frontières pediatric hospital in Cox’s Bazar, Bangladesh Open
[This corrects the article DOI: 10.1371/journal.pone.0288938.].
View article: Doing our best and doing no harm: A focused ethnography of staff moral experiences of providing palliative care at a Médecins Sans Frontières pediatric hospital in Cox’s Bazar, Bangladesh
Doing our best and doing no harm: A focused ethnography of staff moral experiences of providing palliative care at a Médecins Sans Frontières pediatric hospital in Cox’s Bazar, Bangladesh Open
Introduction The Médecins Sans Frontières (MSF) Goyalmara Hospital in Cox’s Bazar, Bangladesh is a referral centre offering the highest level of care available in the Rohingya camps for pediatrics and neonatology. Efforts are underway to i…
View article: The Ethics of Humanitarian Innovation: Mapping Values Statements and Engaging with Value-Sensitive Design
The Ethics of Humanitarian Innovation: Mapping Values Statements and Engaging with Value-Sensitive Design Open
The humanitarian sector continually faces organizational and operational challenges to respond to the needs of populations affected by war, disaster, displacement, and health emergencies. With the goal of improving the effectiveness and ef…
View article: A rapid review of community engagement and informed consent processes for adaptive platform trials and alternative design trials for public health emergencies
A rapid review of community engagement and informed consent processes for adaptive platform trials and alternative design trials for public health emergencies Open
Background: Public Health Emergencies (PHE) demand expeditious research responses to evaluate new or repurposed therapies and prevention strategies. Alternative Design Trials (ADTs) and Adaptive Platform Trials (APTs) have enabled efficien…
View article: “Provide Them What They Need Until the Last Minute”: Experiences of Palliative Care and Palliative Care Needs in Humanitarian Crises
“Provide Them What They Need Until the Last Minute”: Experiences of Palliative Care and Palliative Care Needs in Humanitarian Crises Open
Introduction: Access to palliative care, and more specifically the alleviation of avoidable physical and psychosocial suffering is increasingly recognized as necessary in humanitarian response. Palliative approaches to care can meet the ne…
View article: “We decide according to the protocol”: Humanitarian Healthcare Workers’ Moral Experiences of Palliative Care-Related Decision-Making in Cox’s Bazar, Bangladesh
“We decide according to the protocol”: Humanitarian Healthcare Workers’ Moral Experiences of Palliative Care-Related Decision-Making in Cox’s Bazar, Bangladesh Open
Introduction: 919,000 Rohingya refugees live in overcrowded camps in Cox’s Bazar, Bangladesh after fleeing violence in Myanmar. The Médecins Sans Frontières (MSF) Goyalmara Hospital offers the highest level of pediatric and neonatal care s…
View article: Collecting Race-Based Data in Health Research: A Critical Analysis of the Ongoing Challenges and Next Steps for Canada
Collecting Race-Based Data in Health Research: A Critical Analysis of the Ongoing Challenges and Next Steps for Canada Open
The COVID-19 pandemic has had a global effect. The disproportionate impact on Indigenous peoples and racialized groups has brought ethical challenges to the forefront in research and clinical practice. In Canada, the Tri-Council Policy Sta…
View article: Aid when ‘there is nothing left to offer’: Experiences of palliative care and palliative care needs in humanitarian crises
Aid when ‘there is nothing left to offer’: Experiences of palliative care and palliative care needs in humanitarian crises Open
Access to palliative care, and more specifically the alleviation of avoidable physical and psychosocial suffering is increasingly recognized as a necessary component of humanitarian response. Palliative approaches to care can meet the need…
View article: Ethical Considerations Regarding Financial Incentives in Plastic Surgery-Related Health Research
Ethical Considerations Regarding Financial Incentives in Plastic Surgery-Related Health Research Open
Introduction: To recruit enough patients to achieve adequate statistical power in clinical research, investigators often rely on financial incentives. The use of these incentives, however, remains controversial as they may cause patients t…
View article: Humans not heroes: Canadian emergency physician experiences during the early COVID-19 pandemic
Humans not heroes: Canadian emergency physician experiences during the early COVID-19 pandemic Open
Background The pandemic has upended much clinical care, irrevocably changing our health systems and thrusting emergency physicians into a time of great uncertainty and change. This study is a follow-up to a survey that examined the early p…
View article: Patient and provider perspectives on how migrants access prescription drugs in Ontario: Implications for health policy and practice
Patient and provider perspectives on how migrants access prescription drugs in Ontario: Implications for health policy and practice Open
Background: Migrant populations are less likely to use health services or obtain prescription drug coverage in Canada, compared to their non-migrant counterparts. This research examines factors that influence migrants' access to prescripti…
View article: “Is There Anything Else You Would Like to Add?”: The Ethics of (Not) Addressing Research Participants' Top Concerns in Public Health Emergency Health Research
“Is There Anything Else You Would Like to Add?”: The Ethics of (Not) Addressing Research Participants' Top Concerns in Public Health Emergency Health Research Open
When conducting interviews or focus groups, researchers often end with a simple question; “Is there anything else you would like to add?” This article takes responses to this question provided by participants in a study of “West Africans' …
View article: Author Correction: Convalescent plasma for hospitalized patients with COVID-19: an open-label, randomized controlled trial
Author Correction: Convalescent plasma for hospitalized patients with COVID-19: an open-label, randomized controlled trial Open
In the version of this Article initially published, a versioning error led to a mistake in the third paragraph of the Discussion.In the text now reading "In our dataset, the most extreme and sustained increase in SARS-CoV-2 cases associate…
View article: Domestic application of lessons learned by Canadian health care professionals working in international disaster settings: a qualitative research study
Domestic application of lessons learned by Canadian health care professionals working in international disaster settings: a qualitative research study Open
Canadian physicians and health care workers involved with international disaster response have already acquired essential capacities, and this experience can be vital to building efficient disaster response teams in Canada. These findings …
View article: Ethical Considerations Associated with Closing a Non-communicable Disease Program in a Humanitarian Setting
Ethical Considerations Associated with Closing a Non-communicable Disease Program in a Humanitarian Setting Open
Managing non-communicable diseases (NCDs) in crisis-affected and fragile humanitarian contexts requires special attention because primary health care systems often collapse or become compromised in such settings. As a result, addressing an…
View article: “Their suffering also plagues us”: moral experiences of MSF staff providing end-of-life care in Cox’s Bazar, Bangladesh
“Their suffering also plagues us”: moral experiences of MSF staff providing end-of-life care in Cox’s Bazar, Bangladesh Open
INTRODUCTION 855,000 Rohingya refugees live in overcrowded camps in Cox’s Bazar, Bangladesh where MSF operates Goyalmara Hospital, the only dedicated pediatric and neonatal hospital serving the camps. Palliative care services have been pri…
View article: Convalescent plasma for hospitalized patients with COVID-19: an open-label, randomized controlled trial
Convalescent plasma for hospitalized patients with COVID-19: an open-label, randomized controlled trial Open
The efficacy of convalescent plasma for coronavirus disease 2019 (COVID-19) is unclear. Although most randomized controlled trials have shown negative results, uncontrolled studies have suggested that the antibody content could influence p…
View article: Convalescent plasma for hospitalized patients with COVID-19 and the effect of plasma antibodies: a randomized controlled, open-label trial
Convalescent plasma for hospitalized patients with COVID-19 and the effect of plasma antibodies: a randomized controlled, open-label trial Open
The efficacy of convalescent plasma for COVID-19 is unclear. While most randomized controlled trials have shown negative results, uncontrolled studies have suggested that the antibody content may influence patient outcomes. We conducted an…
View article: WHO guidance on ethics in outbreaks and the COVID-19 pandemic: a critical appraisal
WHO guidance on ethics in outbreaks and the COVID-19 pandemic: a critical appraisal Open
In 2016, following pandemic influenza threats and the 2014–2016 Ebola virus disease outbreaks, the WHO developed a guidance document for managing ethical issues in infectious disease outbreaks. In this article, we analyse some ethical issu…