Meredith Vanstone
Dados Biográficos
| ID | 150052 |
|---|---|
| NOME | Meredith Vanstone |
| PRENOMES | Meredith |
| SOBRENOME | Vanstone |
| ASSINATURA | VANSTONE M |
| AFILIAÇÕES | McMaster University |
| ORCID | 0000-0002-7347-6259 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 34 |
| TOTAL DE CITAÇÕES | 35 |
| TOTAL COMO AUTOR | 34 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
Judicious resource managers or administrative intermediaries
A policy analysis of the three-month waiting period for new and returning residents to access provincial health insurance in Ontario, Canada
Public perspectives on ethical issues in lung cancer screening policy design and implementation in Ontario, Canada
Public views on cancer screening ethical issues may contribute to policymaking. • Screening programs are being implemented to reduce lung cancer mortality. • This research examined public views on lung cancer screening ethical issues. • Participants supported high-risk screening, except for people who currently smoke. • Screening policies should more effectively mitigate smoking stigma. Public perspectives on ethical issues in cancer screening ma…
Look at You Having Fun With Your Markers in Here
Child life specialists are clinically trained and educated healthcare professionals who work in both healthcare environments and the community to address the needs of ill children and their families. However, child life specialists have previously reported potential for their role, responsibilities, and scope of practice to be misunderstood by their clinical colleagues. Using a narrative methodology, this paper presents the composite narrative of…
Attending to Power
Intimate partner violence (IPV) is associated with a wide range of mental and physical health concerns. Research suggests that many physicians lack knowledge and skills to adequately respond to patients experiencing IPV. In order to better integrate physicians' contributions into intersectoral responses to IPV, we asked stakeholders with expertise and experience related to IPV about the knowledge, skills, attitudes, and behaviors they wanted them…
“You are the only other person in the world that knows that about me”
Canadians' health outcomes are inextricably tied to social inequities. Family medicine is uniquely situated to provide care that addresses social factors through longitudinal knowledge of patients and the contexts of their lives. However, family physicians have come under increased practice demands shaped by neoliberal ideological structuring of health care, compounding difficulties in providing care for persons experiencing health needs related …
Patient partner perspectives on compensation
INTRODUCTION: There is a growing role for patients, family members and caregivers as consultants, collaborators and partners in health system settings in Canada. However, compensation for this role is not systematized. When offered, it varies in both type (e.g., one-time honorarium, salary) and amount. Further, broad-based views of patient partners on compensation are still unknown. We aimed to describe the types and frequency of compensation pat…
There's So Much More Support We Could Have Provided
A cancer diagnosis in patients who are parents of minor children is uniquely stressful for both parents and children. Children need developmentally appropriate information and support to help reduce their fears and worries. Child life specialists (CLSs) are health professionals who work in pediatric environments to support children and families with the stress and uncertainty of illnesses. Increasingly, CLSs have been called upon to support child…
How medical learners and educators decide what counts as mistreatment
No doctor is an island
In this commentary, the authors highlight the importance of intraprofessional communities of practice (CoPs) for specialists and family physicians practicing comprehensive evidence‐based care. The authors explore how power dynamics can be meaningfully incorporated into continuing medical education to reap the multi‐perspectival benefit of intraprofessional CoPs for continuing professional development and medical education. The authors highlight h…
Exploring meanings of expert and expertise in patient engagement activities
In this paper, we engage with claims of expert identities within the field of patient engagement. We do so through analysis of a subset of data collected as part of a 2020 pan-Canadian survey of patient partners. Our analysis is based on 446 qualitative responses to one target question: “Do you think the lived experience you bring to your patient partner role makes you an expert? Please explain in the box below”. Most respondents answered “yes” (…
Key Informants in Applied Qualitative Health Research
Identifying and recruiting key informants is a widely used sampling strategy in applied qualitative health research. Key informants were first conceptualized within ethnography, but there is little methodological guidance about how to use this technique outside of that research tradition. The objective of this article is to offer practical suggestions about how existing methods for data collection with key informants could be translated to method…
Optimising the educational value of indirect patient care
Thinking about social power and hierarchy in medical education
The gender earnings gap in medicine
The impact of Covid‐19 on patient engagement in the health system
INTRODUCTION: The COVID-19 pandemic has had an impact on all aspects of the health system. Little is known about how the activities and experiences of patient, family and caregiver partners, as a large group across a variety of settings within the health system, changed due to the substantial health system shifts catalysed by the pandemic. This paper reports on the results of a survey that included questions about this topic. METHODS: Canadian pa…
A Qualitative Description of Resident Physicians’ Understanding of Child Maltreatment
Child maltreatment (CM) is a public health problem with devastating effects on individuals, families, and communities. Resident physicians have varied formal education in CM, and report feeling inadequately trained in identifying and responding to CM. The purpose of this study is to explore residents' understanding of the impacts of CM, and their perceptions of their role in recognizing and responding to CM to better understand their educational …
Conceptualizing Physicians’ Roles in Addressing Intimate Partner Violence
Resources addressing intimate partner violence (IPV) play a role in shaping how physicians conceptualize and perform their roles in caring for affected patients. This study combines environmental scanning with critical discourse analysis (CDA) to parse how roles of physicians were represented in 28 education materials and policy documents about IPV, taking the Canadian training milieu as an example. We developed a cyclical model of three core phy…
Lived experiences of pregnancy and prison through a reproductive justice lens
Particularising 'experiences'
Prompted by Varpio et al.'s exploration of sex‐related experiences in medical education, Cavanagh et al. intertwine race‐based ideology to offer an intersectional lens on the problem
Why do few medical students report their experiences of mistreatment to administration
Admissions experiences of aspiring physicians from low‐income backgrounds
Social power facilitates and constrains motivation in the clinical learning environment
Ever present and ever influential, power remains implicit and covert in many interactions. Here, Vanstone argues for the importance of explicitly considering the role of social power when studying the clinical work environment
Professional expectations of perfection stymy remediation and growth
How might we improve remediation processeses? To start, we need to interrogate and improve medical education culture to endorse development, growth, and lifelong learning
Implementing Publicly Funded Noninvasive Prenatal Testing for Fetal Aneuploidy in Ontario, Canada
The last decade has experienced unprecedented uptake of noninvasive prenatal testing (NIPT), creating significant changes in the way prenatal clinicians provide services. Through the lens of social shaping of technology, we examine the effects of the introduction of this technology on the health care system in Ontario, Canada. Using a qualitative descriptive approach, we conducted a cross-sectional study investigating clinicians' perspectives of …
Key Informants in Applied Qualitative Health Research
Identifying and recruiting key informants is a widely used sampling strategy in applied qualitative health research. Key informants were first conceptualized within ethnography, but there is little methodological guidance about how to use this technique outside of that research tradition. The objective of this article is to offer practical suggestions about how existing methods for data collection with key informants could be translated to method…
Lived experiences of pregnancy and prison through a reproductive justice lens
Appraising Qualitative Research for Evidence Syntheses
As the movement toward evidence-based health policy continues to emphasize the importance of including patient and public perspectives, syntheses of qualitative health research are becoming more common. In response to the focus on independent assessments of rigor in these knowledge products, over 100 appraisal tools for assessing the quality of qualitative research have been developed. The variety of appraisal tools exhibit diverse methods and pu…
Reconciling ethical and economic conceptions of value in health policy using the capabilities approach
Women's Experiences of Publicly Funded Non-Invasive Prenatal Testing in Ontario, Canada
Non-invasive prenatal testing (NIPT) via fetal DNA in maternal blood has been publicly funded in Ontario, Canada, for high-risk women since 2014. We solicited women's experiences and values related to this new health technology to describe how this test is currently being used in Ontario and to provide information about patient priorities to inform future policy decisions about the use of NIPT. Guided by constructivist grounded theory methodology…
The International Origins and Initial Development of Probation
Journal Article The International Origins and Initial Development of Probation: An Early Example of Policy Transfer Get access Maurice Vanstone Maurice Vanstone * *Dr, Reader in Criminal Justice and Criminology, Centre for Criminal Justice and Criminology, School of Human Sciences, Swansea University, Swansea SA2 8PP, UK; [email protected]. Search for other works by this author on: Oxford Academic Google Scholar The British Journal of Crimi…
A Case Study of a Methodological Approach to Cocreating Perinatal Health Knowledge Between Western and Indigenous Communities
This article describes the methods taken to create an understanding of the perinatal health beliefs of elder Indigenous women of the Six Nations of the Grand River in Ontario, Canada. Our study paired constructivist grounded theory data collection and analysis methods with an Indigenous epistemological framework. We aimed to create knowledge that was specific to an Indigenous context, which was useful and resonant with both Indigenous and Western…
Examining the Influence of Context and Professional Culture on Clinical Reasoning Through Rhetorical-Narrative Analysis
According to the dual process model of reasoning, physicians make diagnostic decisions using two mental systems: System 1, which is rapid, unconscious, and intuitive, and System 2, which is slow, rational, and analytical. Currently, little is known about physicians' use of System 1 or intuitive reasoning in practice. In a qualitative study of clinical reasoning, physicians were asked to tell stories about times when they used intuitive reasoning …
The International Origins and Initial Development of Probation
Journal Article The International Origins and Initial Development of Probation: An Early Example of Policy Transfer Get access Maurice Vanstone Maurice Vanstone * *Dr, Reader in Criminal Justice and Criminology, Centre for Criminal Justice and Criminology, School of Human Sciences, Swansea University, Swansea SA2 8PP, UK; [email protected]. Search for other works by this author on: Oxford Academic Google Scholar The British Journal of Crimi…
Women's Experiences of Publicly Funded Non-Invasive Prenatal Testing in Ontario, Canada
Non-invasive prenatal testing (NIPT) via fetal DNA in maternal blood has been publicly funded in Ontario, Canada, for high-risk women since 2014. We solicited women's experiences and values related to this new health technology to describe how this test is currently being used in Ontario and to provide information about patient priorities to inform future policy decisions about the use of NIPT. Guided by constructivist grounded theory methodology…
Examining the Influence of Context and Professional Culture on Clinical Reasoning Through Rhetorical-Narrative Analysis
According to the dual process model of reasoning, physicians make diagnostic decisions using two mental systems: System 1, which is rapid, unconscious, and intuitive, and System 2, which is slow, rational, and analytical. Currently, little is known about physicians' use of System 1 or intuitive reasoning in practice. In a qualitative study of clinical reasoning, physicians were asked to tell stories about times when they used intuitive reasoning …
Reconciling ethical and economic conceptions of value in health policy using the capabilities approach
A Case Study of a Methodological Approach to Cocreating Perinatal Health Knowledge Between Western and Indigenous Communities
This article describes the methods taken to create an understanding of the perinatal health beliefs of elder Indigenous women of the Six Nations of the Grand River in Ontario, Canada. Our study paired constructivist grounded theory data collection and analysis methods with an Indigenous epistemological framework. We aimed to create knowledge that was specific to an Indigenous context, which was useful and resonant with both Indigenous and Western…
Patient Experiences and Opinions of a Behavioral Activation Group Intervention for Depression
Purpose: Major depressive disorder is the leading cause of disability worldwide. This study is part of a mixed methods pilot trial, exploring the effectiveness, acceptability, and feasibility of providing behavioral activation (BA) treatment in a group format. Methods: Using an applied, descriptive approach, qualitative data were collected from individual interviews (18) and focus groups (5) at multiple data points throughout the trial and feedba…
Appraising Qualitative Research for Evidence Syntheses
As the movement toward evidence-based health policy continues to emphasize the importance of including patient and public perspectives, syntheses of qualitative health research are becoming more common. In response to the focus on independent assessments of rigor in these knowledge products, over 100 appraisal tools for assessing the quality of qualitative research have been developed. The variety of appraisal tools exhibit diverse methods and pu…
Improving reporting of meta-ethnography
AIMS: The aim of this study was to provide guidance to improve the completeness and clarity of meta-ethnography reporting. BACKGROUND: Evidence-based policy and practice require robust evidence syntheses which can further understanding of people's experiences and associated social processes. Meta-ethnography is a rigorous seven-phase qualitative evidence synthesis methodology, developed by Noblit and Hare. Meta-ethnography is used widely in healt…
The governmental health policy-development process for Syrian refugees
This study suggests that use of research evidence in the policy-development process for Syrian refugees was subordinate to key political factors, resulting in limited influence of research evidence in the development of both the Lebanese and Ontarian policy
Social power facilitates and constrains motivation in the clinical learning environment
Ever present and ever influential, power remains implicit and covert in many interactions. Here, Vanstone argues for the importance of explicitly considering the role of social power when studying the clinical work environment
Professional expectations of perfection stymy remediation and growth
How might we improve remediation processeses? To start, we need to interrogate and improve medical education culture to endorse development, growth, and lifelong learning
Implementing Publicly Funded Noninvasive Prenatal Testing for Fetal Aneuploidy in Ontario, Canada
The last decade has experienced unprecedented uptake of noninvasive prenatal testing (NIPT), creating significant changes in the way prenatal clinicians provide services. Through the lens of social shaping of technology, we examine the effects of the introduction of this technology on the health care system in Ontario, Canada. Using a qualitative descriptive approach, we conducted a cross-sectional study investigating clinicians' perspectives of …
Particularising 'experiences'
Prompted by Varpio et al.'s exploration of sex‐related experiences in medical education, Cavanagh et al. intertwine race‐based ideology to offer an intersectional lens on the problem
Why do few medical students report their experiences of mistreatment to administration
Admissions experiences of aspiring physicians from low‐income backgrounds
Optimising the educational value of indirect patient care
Thinking about social power and hierarchy in medical education
The gender earnings gap in medicine
The impact of Covid‐19 on patient engagement in the health system
INTRODUCTION: The COVID-19 pandemic has had an impact on all aspects of the health system. Little is known about how the activities and experiences of patient, family and caregiver partners, as a large group across a variety of settings within the health system, changed due to the substantial health system shifts catalysed by the pandemic. This paper reports on the results of a survey that included questions about this topic. METHODS: Canadian pa…
A Qualitative Description of Resident Physicians’ Understanding of Child Maltreatment
Child maltreatment (CM) is a public health problem with devastating effects on individuals, families, and communities. Resident physicians have varied formal education in CM, and report feeling inadequately trained in identifying and responding to CM. The purpose of this study is to explore residents' understanding of the impacts of CM, and their perceptions of their role in recognizing and responding to CM to better understand their educational …
Conceptualizing Physicians’ Roles in Addressing Intimate Partner Violence
Resources addressing intimate partner violence (IPV) play a role in shaping how physicians conceptualize and perform their roles in caring for affected patients. This study combines environmental scanning with critical discourse analysis (CDA) to parse how roles of physicians were represented in 28 education materials and policy documents about IPV, taking the Canadian training milieu as an example. We developed a cyclical model of three core phy…
Lived experiences of pregnancy and prison through a reproductive justice lens
How medical learners and educators decide what counts as mistreatment
No doctor is an island
In this commentary, the authors highlight the importance of intraprofessional communities of practice (CoPs) for specialists and family physicians practicing comprehensive evidence‐based care. The authors explore how power dynamics can be meaningfully incorporated into continuing medical education to reap the multi‐perspectival benefit of intraprofessional CoPs for continuing professional development and medical education. The authors highlight h…
Exploring meanings of expert and expertise in patient engagement activities
In this paper, we engage with claims of expert identities within the field of patient engagement. We do so through analysis of a subset of data collected as part of a 2020 pan-Canadian survey of patient partners. Our analysis is based on 446 qualitative responses to one target question: “Do you think the lived experience you bring to your patient partner role makes you an expert? Please explain in the box below”. Most respondents answered “yes” (…
Psychology (25 obras) · Medicine (21 obras) · Political science (19 obras) · Sociology (15 obras) · Qualitative research (14 obras) · Medical education (11 obras) · Social science (10 obras) · Social Psychology (9 obras) · Nursing (8 obras) · Law (7 obras)