Arija Birze
Datos Biográficos
| ID | 4368993 |
|---|---|
| NOMBRE | Arija Birze |
| NOMBRES | Arija |
| APELLIDO | Birze |
| FIRMA | BIRZE A |
| AFILIACIONES | University of Toronto |
| ORCID | 0000-0002-1988-8383 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 16 |
| TOTAL DE CITAS | 15 |
| TOTAL COMO AUTOR | 16 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2013 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Moral Stressors and Command-and-Control during Healthcare Crises
Throughout the pandemic, hospitals experienced intense capacity and resource crises, driving a shift to command-and-control governance that constrained opportunities to provide person-centred care in a collaborative working environment. Patients who had completed their acute care and were awaiting transition to their next destination – known as alternate level of care (ALC) –became the target cohort for decanting and relief efforts in preparation…
Using Personas as a Tool for People-Centred Segmentation and Health Systems Planning in Ontario, Canada
Introduction: Health systems are increasingly using population segmentation for planning to organise populations into segments with similar health characteristics. However, given that these data-driven approaches rely on available data, they fail to encompass important social determinants of health, thereby making decision-making challenging. Segmentation is powerful, but little is known about how missing information could be incorporated to more…
“Doing extra work and not getting extra help”
Background: During the pandemic, a "no visitors" policy was implemented across hospitals in Ontario, Canada. Without caregivers present in-hospital to support patient care (e.g., treatment decision-making, advocacy, treatment compliance, social support), there was a perceived decline in care quality. Despite existing research on the extra work required to navigate the loss of caregiver support in-hospital, there is a paucity of understanding abou…
Moral injury and the myth of resilience
The COVID-19 pandemic profoundly altered the provision, experience, and outcomes of cancer care around the globe. With untold pressures on healthcare systems as well as unprecedented disruptions to cancer care services, those working in cancer care were exposed to new and intensified morally challenging and potentially traumatic conditions. This study qualitatively explores those experiences in two hospitals located in different regions of Ontari…
Provoking Reflection in Action in Experienced Practitioners
Stress experienced during high-risk decision-making may impair performance, but can also be a cue, provoking the move from intuitive and automatic application of expertise to reflective and deliberative approaches. This article reports an exploratory intervention designed to provoke reflection-in-action and, ultimately, to improve practice decision making in experienced clinicians. The intervention combined: classroom-based education on decision-…
What is in a space? Exploring experiences providing or receiving patient care in unique spaces for patients waiting to transition to their next point of care in Ontario, Canada
Introduction: Delayed discharge is a key challenge for health systems globally. Pandemic-related capacity pressures on hospitals have increasingly led to patients being moved to unique spaces (overflow units, hotels) while they wait to transition to their next point of care. However, it is unclear how patient care is managed and coordinated in these spaces or how patients and caregivers experience care in these environments. Rationale/Objective: …
Comparing an In-Person and Online Continuing Education Intervention to Improve Professional Decision-Making
Purpose: This paper compares two iterations (in-person and online) of a multi-stage continuing education program for improving high-risk decision-making among mental health workers. Methods: The mixed-methods study analyzed the following: (1) physiological and psychological arousal during simulated patient interviews; (2) physiological and psychological arousal recorded during real-time decision-making over four months; and (3) thoughts on the pr…
Gender in the Flesh
Gender and work are important social determinants of health, yet studies of health inequities related to the gendered and emotional intricacies of work are rare. Occupations high in emotional labour - a known job stressor - are associated with ill-health and typically dominated by women. Little is known about the mechanisms linking health with these emotional components of work. Using physiological and questionnaire data from Canadian police comm…
Traumatic residue, mediated remembering and video evidence of sexual violence
Organizational support for the potentially traumatic impact of video evidence of violent crime in the criminal justice system
As graphic video evidence becomes a standard element in the investigation and prosecution of violent crime, criminal justice organizations must consider and address exposure to and impact of this potentially traumatizing workplace material for criminal justice professionals. Using a discovery-oriented qualitative design and a long-interview method of data collection, this study explores organizational responses to the exposure of criminal justice…
Improving Professional Decision Making in Situations of Risk and Uncertainty
Social workers and other professionals providing mental health services are regularly required to make high-stakes decisions in situations characterised by conflicting demands. To better understand the factors that drive clinical decision making in situations of risk and uncertainty, we used a design-based research framework to pilot a new approach for improving professional decision making. The programme, which combined simulated interviews, a m…
Tolerating Risk
As a leading cause of death among those suffering from mental health problems, suicide is an issue that challenges policy makers, organizations, and practitioners alike. One outcome has been the implementation of standardized decision-making tools, developed through actuarial methods and aimed at limiting risks inherent in professional judgments. However, despite legislative and policy attempts to standardize the outcomes of risk assessment, prof…
Technology facilitated re-victimization
With the ubiquity of technological devices producing video and audio recordings, violent crimes are increasingly captured digitally and used as evidence in the criminal justice process. This paper presents the results of a qualitative study involving Canadian criminal justice professionals, and asks questions surrounding the treatment of video evidence and the rights of victims captured within such images. We argue that loss of control over perso…
Gendered and Sexualized Bullying and Cyber Bullying
Drawing on semistructured interviews with Canadian Grade 4 to 12 students, this article uses a feminist lens to explore gendered and sexualized bullying and cyberbullying among children and youth. Our findings indicate that while boys' roles and behaviors were frequently made invisible, girls were typically spotlighted, blamed, and criticized. Girls' experiences were often minimized and normalized by peers and linked to gender norms and stereotyp…
Suicide risk assessments
Professional judgment in complex clinical situations such as the assessment of suicide risk encompasses a multifaceted cognitive understanding of the substantive issues, technical expertise, and emotional awareness. This experimental design study investigated the degree to which the previous work-related experiences of clinicians and their preexisting emotional state influence professional judgment regarding acute risk in patients presenting with…
Predictors of physiological stress and psychological distress in police communicators
This study sought to better understand experiences of psychological distress and physiological stress in police communicators. One-hundred and thirteen police communicators from both rural and urban areas completed questionnaires that addressed psychological distress (acute anxiety, depression, and post-traumatic stress), coping strategies, social supports, and locus of control. Communicators reported high levels of post-traumatic stress disorder…
Gendered and Sexualized Bullying and Cyber Bullying
Drawing on semistructured interviews with Canadian Grade 4 to 12 students, this article uses a feminist lens to explore gendered and sexualized bullying and cyberbullying among children and youth. Our findings indicate that while boys' roles and behaviors were frequently made invisible, girls were typically spotlighted, blamed, and criticized. Girls' experiences were often minimized and normalized by peers and linked to gender norms and stereotyp…
Gender in the Flesh
Gender and work are important social determinants of health, yet studies of health inequities related to the gendered and emotional intricacies of work are rare. Occupations high in emotional labour - a known job stressor - are associated with ill-health and typically dominated by women. Little is known about the mechanisms linking health with these emotional components of work. Using physiological and questionnaire data from Canadian police comm…
Improving Professional Decision Making in Situations of Risk and Uncertainty
Social workers and other professionals providing mental health services are regularly required to make high-stakes decisions in situations characterised by conflicting demands. To better understand the factors that drive clinical decision making in situations of risk and uncertainty, we used a design-based research framework to pilot a new approach for improving professional decision making. The programme, which combined simulated interviews, a m…
Tolerating Risk
As a leading cause of death among those suffering from mental health problems, suicide is an issue that challenges policy makers, organizations, and practitioners alike. One outcome has been the implementation of standardized decision-making tools, developed through actuarial methods and aimed at limiting risks inherent in professional judgments. However, despite legislative and policy attempts to standardize the outcomes of risk assessment, prof…
Technology facilitated re-victimization
With the ubiquity of technological devices producing video and audio recordings, violent crimes are increasingly captured digitally and used as evidence in the criminal justice process. This paper presents the results of a qualitative study involving Canadian criminal justice professionals, and asks questions surrounding the treatment of video evidence and the rights of victims captured within such images. We argue that loss of control over perso…
Predictors of physiological stress and psychological distress in police communicators
This study sought to better understand experiences of psychological distress and physiological stress in police communicators. One-hundred and thirteen police communicators from both rural and urban areas completed questionnaires that addressed psychological distress (acute anxiety, depression, and post-traumatic stress), coping strategies, social supports, and locus of control. Communicators reported high levels of post-traumatic stress disorder…
Suicide risk assessments
Professional judgment in complex clinical situations such as the assessment of suicide risk encompasses a multifaceted cognitive understanding of the substantive issues, technical expertise, and emotional awareness. This experimental design study investigated the degree to which the previous work-related experiences of clinicians and their preexisting emotional state influence professional judgment regarding acute risk in patients presenting with…
Gendered and Sexualized Bullying and Cyber Bullying
Drawing on semistructured interviews with Canadian Grade 4 to 12 students, this article uses a feminist lens to explore gendered and sexualized bullying and cyberbullying among children and youth. Our findings indicate that while boys' roles and behaviors were frequently made invisible, girls were typically spotlighted, blamed, and criticized. Girls' experiences were often minimized and normalized by peers and linked to gender norms and stereotyp…
Technology facilitated re-victimization
With the ubiquity of technological devices producing video and audio recordings, violent crimes are increasingly captured digitally and used as evidence in the criminal justice process. This paper presents the results of a qualitative study involving Canadian criminal justice professionals, and asks questions surrounding the treatment of video evidence and the rights of victims captured within such images. We argue that loss of control over perso…
Traumatic residue, mediated remembering and video evidence of sexual violence
Organizational support for the potentially traumatic impact of video evidence of violent crime in the criminal justice system
As graphic video evidence becomes a standard element in the investigation and prosecution of violent crime, criminal justice organizations must consider and address exposure to and impact of this potentially traumatizing workplace material for criminal justice professionals. Using a discovery-oriented qualitative design and a long-interview method of data collection, this study explores organizational responses to the exposure of criminal justice…
Improving Professional Decision Making in Situations of Risk and Uncertainty
Social workers and other professionals providing mental health services are regularly required to make high-stakes decisions in situations characterised by conflicting demands. To better understand the factors that drive clinical decision making in situations of risk and uncertainty, we used a design-based research framework to pilot a new approach for improving professional decision making. The programme, which combined simulated interviews, a m…
Tolerating Risk
As a leading cause of death among those suffering from mental health problems, suicide is an issue that challenges policy makers, organizations, and practitioners alike. One outcome has been the implementation of standardized decision-making tools, developed through actuarial methods and aimed at limiting risks inherent in professional judgments. However, despite legislative and policy attempts to standardize the outcomes of risk assessment, prof…
What is in a space? Exploring experiences providing or receiving patient care in unique spaces for patients waiting to transition to their next point of care in Ontario, Canada
Introduction: Delayed discharge is a key challenge for health systems globally. Pandemic-related capacity pressures on hospitals have increasingly led to patients being moved to unique spaces (overflow units, hotels) while they wait to transition to their next point of care. However, it is unclear how patient care is managed and coordinated in these spaces or how patients and caregivers experience care in these environments. Rationale/Objective: …
Comparing an In-Person and Online Continuing Education Intervention to Improve Professional Decision-Making
Purpose: This paper compares two iterations (in-person and online) of a multi-stage continuing education program for improving high-risk decision-making among mental health workers. Methods: The mixed-methods study analyzed the following: (1) physiological and psychological arousal during simulated patient interviews; (2) physiological and psychological arousal recorded during real-time decision-making over four months; and (3) thoughts on the pr…
Gender in the Flesh
Gender and work are important social determinants of health, yet studies of health inequities related to the gendered and emotional intricacies of work are rare. Occupations high in emotional labour - a known job stressor - are associated with ill-health and typically dominated by women. Little is known about the mechanisms linking health with these emotional components of work. Using physiological and questionnaire data from Canadian police comm…
Provoking Reflection in Action in Experienced Practitioners
Stress experienced during high-risk decision-making may impair performance, but can also be a cue, provoking the move from intuitive and automatic application of expertise to reflective and deliberative approaches. This article reports an exploratory intervention designed to provoke reflection-in-action and, ultimately, to improve practice decision making in experienced clinicians. The intervention combined: classroom-based education on decision-…
“Doing extra work and not getting extra help”
Background: During the pandemic, a "no visitors" policy was implemented across hospitals in Ontario, Canada. Without caregivers present in-hospital to support patient care (e.g., treatment decision-making, advocacy, treatment compliance, social support), there was a perceived decline in care quality. Despite existing research on the extra work required to navigate the loss of caregiver support in-hospital, there is a paucity of understanding abou…
Moral injury and the myth of resilience
The COVID-19 pandemic profoundly altered the provision, experience, and outcomes of cancer care around the globe. With untold pressures on healthcare systems as well as unprecedented disruptions to cancer care services, those working in cancer care were exposed to new and intensified morally challenging and potentially traumatic conditions. This study qualitatively explores those experiences in two hospitals located in different regions of Ontari…
Moral Stressors and Command-and-Control during Healthcare Crises
Throughout the pandemic, hospitals experienced intense capacity and resource crises, driving a shift to command-and-control governance that constrained opportunities to provide person-centred care in a collaborative working environment. Patients who had completed their acute care and were awaiting transition to their next destination – known as alternate level of care (ALC) –became the target cohort for decanting and relief efforts in preparation…
Using Personas as a Tool for People-Centred Segmentation and Health Systems Planning in Ontario, Canada
Introduction: Health systems are increasingly using population segmentation for planning to organise populations into segments with similar health characteristics. However, given that these data-driven approaches rely on available data, they fail to encompass important social determinants of health, thereby making decision-making challenging. Segmentation is powerful, but little is known about how missing information could be incorporated to more…
Psychology (13 obras) · Medicine (9 obras) · Social Psychology (9 obras) · Political science (6 obras) · Criminology (5 obras) · Clinical Psychology (4 obras) · Poison control (4 obras) · Psychiatry (4 obras) · Social Psychology (4 obras) · Sociology (4 obras)