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This thesis aimed to examine cannabis use patterns by quantity in the United States, identify key characteristics of the heaviest cannabis users, and conduct an initial assessment of whether the prevention paradox may hold for cannabis use in the…

Hospice care can improve quality of life for persons nearing end of life. Little is known about hospice care practices in long-term care facilities (LTCFs) in Canada. This thesis included 185,715 residents in LTCFs in Canada in 2015 and followed…

Mental health and substance use (MH&SU) rehospitalization rates are used as indicators of treatment quality, to reduce costs, and measure efficacy. Research on this topic in rural Canadian hospitals and communities is lacking. This study used…

Inequitable access to palliative care in Canada is a pressing issue. People with life-limiting illnesses in rural and remote northern and Indigenous geographies in British Columbia (BC) face ethically problematic barriers to receiving palliative…

The purpose of this study was to better understand how multidisciplinary mental health supervision might work in rural remote settings. There is a need for supervisory approaches that address the unique contextual challenges in rural and remote…

Background/Aims. Since the early 2000s, Canada’s primary care system has undergone substantial reforms, including the incorporation of interdisciplinary teams and strategies to optimise accessibility. However, the effects of primary care…

Small molecules, including synthetic and those isolated from natural products, are important classes of compounds with broad utility, including drugs. The objectives of this dissertation were (i) to synthesize, purify, and characterize novel small…

Background: Technology has an important role in health delivery. One of the uses of technology in the healthcare field is to reduce Registered Nurses’ (RNs) workload. Reducing RNs’ workload can increase health delivery efficiency. Objective: To find…

A medication error committed by a student nurse during a clinical placement often results in the student fearing its potential impact on the patient, unit staff, and the student’s educational journey. Student nurses must navigate two parallel…

Policy makers, health industry leaders, clinicians and researchers struggle to understand how new evidence-based practices, including Clinical Practice Guidelines (CPGs), can be implemented more quickly and more consistently. This retrospective…

The Canadian population is aging, and rates of obesity are also on the rise. These demographic changes have implications for the long-term care (LTC) system in Canada that need to be better understood, yet little is known about the population with…

Hadiksm Gaax di waayu, I belong to the Ganhada (Raven Clan) and my Mother’s side of the family is from Gitxaala, we follow our Mothers. This research, writing, and data collection was done on the traditional unceded territories of the Tsimshian,…

Transport practices for seeking emergency stroke care remain largely underresearched and poorly understood, particularly for individuals living in small urban, rural, and remote regions. This multi-method study aims to address this knowledge gap and…

The COVID-19 pandemic led to substantial changes in technology use within the long-term care (LTC) sector in Canada. The purpose of this research was to describe the use of technology and its impact on the experiences of LTC staff working in…

Transcutaneous near infrared spectroscopy (NIRS) of muscle requires coupling between the device and the skin. An unfortunate by-product of this coupling is contact force artefact, where the amount of contact force between the device and the skin…