Lauren Cadel
Biographic Data
| ID | 6578879 |
|---|---|
| NAME | Lauren Cadel |
| GIVEN NAMES | Lauren |
| FAMILY NAME | Cadel |
| SIGNATURE | CADEL L |
| AFFILIATIONS | Trillium Health Centre |
| ORCID | 0000-0001-6925-8163 |
| VERIFIED | Yes |
| TOTAL WORKS | 19 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 19 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2019 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
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…
Co-designing MedManageSCI
Background: Medications are one of the most common health-related interventions, with certain populations, such as individuals with spinal cord injury/dysfunction (SCI/D), commonly prescribed multiple medications. Consequently, adults with SCI/D often interact with multiple healthcare providers and engage in activities related to medication self-management. There are limited resources for this population that comprehensively address medication se…
Evaluation of the “High Priority Communities Strategies”; Addressing Community-identified Needs in Ontario
Background: The High Priority Communities Strategy (HPCS) is an integrated community care approach focusing on the health needs of vulnerable communities in Ontario, Canada. By collaborating with health and social service organizations, HPCS aims to create programs, services, and resources that are informed by local insights and are culturally sensitive, thus enhancing access to healthcare services for their population. HPCS was initially formed …
Exploring the routine use of patient-reported experience measures for medications in primary healthcare in Ontario, Canada
Background: Approximately 50% of the population in North America have taken a prescription medication in the past 30 days. Despite the high use of prescription medications, formal measures to capture medication-related experiences (i.e., patient-reported experience measures; PREMs) are not routinely used in clinical practice. Measuring and optimizing patient experiences are of critical importance to ensuring value-based care. The aim of this stud…
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…
The Intersection of Gender, Culture and Society for Caregivers of Older Adults Ageing in Place in Ontario, Canada
BACKGROUND: It is reported that women are more likely to be caregivers than men, experience a higher burden of care and increased emotional health sequelae as a result. Social location (a person's gender, culture, ethnicity, etc.) is known to influence caregiving experiences. However, there is limited work that draws attention to how cultural and linguistic diversity shapes the experiences and expectations of informal caregivers. OBJECTIVE: The a…
A qualitative study exploring hospital-based team dynamics in discharge planning for patients experiencing delayed care transitions in Ontario, Canada
Background: An increased focus has been placed on discharge planning, in order to reduce hospital length of stay and delayed discharges, and to improve continuity of care. Several benefits to team-based approaches for discharge planning have been noted; however, professional hierarchies remain. As such, challenges related to power dynamics are commonly experienced within teams who are dealing with care transitions for patients with delayed discha…
Identifying what matters to Canadian adults with mobility limitations regarding experiences with medications
Background: Persons with mobility limitations generally take multiple medications to manage their condition and other health complications. There are limited assessment tools measuring the experiences with medications and their impacts on everyday life. Understanding what matters to persons about experiences with medications will inform person-centred clinical care, integrated care, ongoing monitoring, and overall quality of care. Objective: The …
DevelOPment of a ToolkIt to iMprove medicAtion self-management for persons with spinaL cord injury (Optimal-SCI)
Background: Adults with spinal cord injury/dysfunction (SCI/D) are commonly prescribed multiple medications to manage secondary conditions. Significant challenges with managing medications have been highlighted. Adults with SCI/D may interact with multiple healthcare providers and receive fragmented care specific to their medications. Prior research has also emphasized the need for more support with medication self-management among the SCI/D popu…
Identifying and prioritizing recommendations to optimize transitions across the care journey for hip fractures in Canada
Background: Hip fractures are one of the most common fall-related injuries and often lead to functional decline, morbidity, and rehospitalization. After experiencing a hip fracture, patients undergo several transitions in care, both between different healthcare providers and across healthcare sectors. Care transitions can result in poor health outcomes, medication errors, readmissions, and dissatisfaction from patients and families. While a focus…
Creating a patient reported outcome measure for medication-related quality of life
Introduction: Persons with mobility limitations generally take multiple medications to manage their conditions; however, healthcare providers across different settings do not currently have a way to measure the impact that medication taking has on patients’ quality of life (QoL). Current tools are limited, narrowly focused on few QoL domains and none focus on persons with mobility limitations. Target Audience: The target audience for our study fi…
Concept mapping brainstorming results for improving care transitions for adults with hip fracture in Ontario, Canada
Introduction: Individuals who have experienced a hip fracture often undergo numerous transitions in care between providers and sectors. These transitions are a time of vulnerability with the potential for poor health outcomes and experiences, yet there are limited recommendations on how to improve this care journey for adults with hip fracture. Target Audience: The target audience for our study include decision-makers and providers with a hip fra…
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: …
Expanding our understanding of factors impacting delayed hospital discharge
INTRODUCTION: The purpose of this paper was to understand the nature of delayed hospital discharge through the lens of a policy framework (ideas, institutions and interests; 3-I framework). MATERIALS AND METHODS: One-to-one in-depth interviews were conducted with 57 participants, including 18 patients, 18 caregivers, 11 providers and 10 organizational leaders across two hospital networks in urban and rural regions of Ontario, Canada. RESULTS: Del…
Understanding medication self-management in community-dwelling adults with chronic medication experience
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Recommendations for improving care transitions for older adults with hip fracture
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
An alternate level of care plan
Our findings outline ways to meaningfully engage patients and caregivers during a delayed hospital discharge. Combining this with a minimal basket of services can potentially facilitate a better care experience and outcomes for patients, their care providers and families
Patient and caregiver experience with delayed discharge from a hospital setting
Factors related to screening for problem gambling among healthcare and social service providers in Ontario, Canada
Problem gambling is a major public health concern, especially among persons who are precariously housed, living in poverty or have complex health and social needs. Problem gambling has been connected to negative health and social outcomes; however, current healthcare services rarely screen for problem gambling. With support from community partners, the purpose of this study was to understand factors related to screening for problem gambling. Conc…
No prominent works on this page.
Patient and caregiver experience with delayed discharge from a hospital setting
Factors related to screening for problem gambling among healthcare and social service providers in Ontario, Canada
Problem gambling is a major public health concern, especially among persons who are precariously housed, living in poverty or have complex health and social needs. Problem gambling has been connected to negative health and social outcomes; however, current healthcare services rarely screen for problem gambling. With support from community partners, the purpose of this study was to understand factors related to screening for problem gambling. Conc…
An alternate level of care plan
Our findings outline ways to meaningfully engage patients and caregivers during a delayed hospital discharge. Combining this with a minimal basket of services can potentially facilitate a better care experience and outcomes for patients, their care providers and families
Expanding our understanding of factors impacting delayed hospital discharge
INTRODUCTION: The purpose of this paper was to understand the nature of delayed hospital discharge through the lens of a policy framework (ideas, institutions and interests; 3-I framework). MATERIALS AND METHODS: One-to-one in-depth interviews were conducted with 57 participants, including 18 patients, 18 caregivers, 11 providers and 10 organizational leaders across two hospital networks in urban and rural regions of Ontario, Canada. RESULTS: Del…
Understanding medication self-management in community-dwelling adults with chronic medication experience
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Recommendations for improving care transitions for older adults with hip fracture
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Creating a patient reported outcome measure for medication-related quality of life
Introduction: Persons with mobility limitations generally take multiple medications to manage their conditions; however, healthcare providers across different settings do not currently have a way to measure the impact that medication taking has on patients’ quality of life (QoL). Current tools are limited, narrowly focused on few QoL domains and none focus on persons with mobility limitations. Target Audience: The target audience for our study fi…
Concept mapping brainstorming results for improving care transitions for adults with hip fracture in Ontario, Canada
Introduction: Individuals who have experienced a hip fracture often undergo numerous transitions in care between providers and sectors. These transitions are a time of vulnerability with the potential for poor health outcomes and experiences, yet there are limited recommendations on how to improve this care journey for adults with hip fracture. Target Audience: The target audience for our study include decision-makers and providers with a hip fra…
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: …
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…
The Intersection of Gender, Culture and Society for Caregivers of Older Adults Ageing in Place in Ontario, Canada
BACKGROUND: It is reported that women are more likely to be caregivers than men, experience a higher burden of care and increased emotional health sequelae as a result. Social location (a person's gender, culture, ethnicity, etc.) is known to influence caregiving experiences. However, there is limited work that draws attention to how cultural and linguistic diversity shapes the experiences and expectations of informal caregivers. OBJECTIVE: The a…
A qualitative study exploring hospital-based team dynamics in discharge planning for patients experiencing delayed care transitions in Ontario, Canada
Background: An increased focus has been placed on discharge planning, in order to reduce hospital length of stay and delayed discharges, and to improve continuity of care. Several benefits to team-based approaches for discharge planning have been noted; however, professional hierarchies remain. As such, challenges related to power dynamics are commonly experienced within teams who are dealing with care transitions for patients with delayed discha…
Identifying what matters to Canadian adults with mobility limitations regarding experiences with medications
Background: Persons with mobility limitations generally take multiple medications to manage their condition and other health complications. There are limited assessment tools measuring the experiences with medications and their impacts on everyday life. Understanding what matters to persons about experiences with medications will inform person-centred clinical care, integrated care, ongoing monitoring, and overall quality of care. Objective: The …
DevelOPment of a ToolkIt to iMprove medicAtion self-management for persons with spinaL cord injury (Optimal-SCI)
Background: Adults with spinal cord injury/dysfunction (SCI/D) are commonly prescribed multiple medications to manage secondary conditions. Significant challenges with managing medications have been highlighted. Adults with SCI/D may interact with multiple healthcare providers and receive fragmented care specific to their medications. Prior research has also emphasized the need for more support with medication self-management among the SCI/D popu…
Identifying and prioritizing recommendations to optimize transitions across the care journey for hip fractures in Canada
Background: Hip fractures are one of the most common fall-related injuries and often lead to functional decline, morbidity, and rehospitalization. After experiencing a hip fracture, patients undergo several transitions in care, both between different healthcare providers and across healthcare sectors. Care transitions can result in poor health outcomes, medication errors, readmissions, and dissatisfaction from patients and families. While a focus…
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…
Co-designing MedManageSCI
Background: Medications are one of the most common health-related interventions, with certain populations, such as individuals with spinal cord injury/dysfunction (SCI/D), commonly prescribed multiple medications. Consequently, adults with SCI/D often interact with multiple healthcare providers and engage in activities related to medication self-management. There are limited resources for this population that comprehensively address medication se…
Evaluation of the “High Priority Communities Strategies”; Addressing Community-identified Needs in Ontario
Background: The High Priority Communities Strategy (HPCS) is an integrated community care approach focusing on the health needs of vulnerable communities in Ontario, Canada. By collaborating with health and social service organizations, HPCS aims to create programs, services, and resources that are informed by local insights and are culturally sensitive, thus enhancing access to healthcare services for their population. HPCS was initially formed …
Exploring the routine use of patient-reported experience measures for medications in primary healthcare in Ontario, Canada
Background: Approximately 50% of the population in North America have taken a prescription medication in the past 30 days. Despite the high use of prescription medications, formal measures to capture medication-related experiences (i.e., patient-reported experience measures; PREMs) are not routinely used in clinical practice. Measuring and optimizing patient experiences are of critical importance to ensuring value-based care. The aim of this stud…
Medicine (13 works) · Health care (12 works) · Psychology (11 works) · Nursing (8 works) · Political science (7 works) · Sociology (7 works) · Focus group (5 works) · Population (5 works) · Qualitative research (5 works) · Business (4 works)