Research Topics
| Lorelei LingardSummaryAffiliation: University of Western Ontario Country: Canada Publications
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Detail Information
Publications
Understanding palliative care on the heart failure care team: an innovative research methodologyLorelei A Lingard
Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada Department of Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada Faculty of Education, University of Western Ontario, London, Ontario, Canada Electronic address
J Pain Symptom Manage 45:901-11. 2013..Research methods are urgently required to support systematic exploration of the experiences of patients with HF, family caregivers, and health care providers as they interact as a care team...- Conflicting messages: examining the dynamics of leadership on interprofessional teamsLorelei Lingard
Department of Medicine, and Director, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
Acad Med 87:1762-7. 2012..The literature emphasizes a collaborative approach of shared leadership, but this may be challenging for clinicians working within the traditionally hierarchical health care system... - Representing complexity well: a story about teamwork, with implications for how we teach collaborationLorelei Lingard
Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
Med Educ 46:869-77. 2012..We employed the theoretical lenses of activity theory to better understand the nature of collaborative complexity and its implications for current approaches to interprofessional collaboration (IPC) and interprofessional education (IPE)... - Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practiceLorelei Lingard
Centre for Education Research and Innovation, Health Sciences Addition, University of Western Ontario, London, Canada
BMJ Qual Saf 20:475-82. 2011..Based on the results, recommendations to enhance timely antibiotic therapy are provided... - An exploration of faculty perspectives on the in-training evaluation of residentsChristopher J Watling
Department of Clinical Neurological Sciences, University of Western Ontario, London, Canada
Acad Med 85:1157-62. 2010..The authors studied faculty supervisors' experiences and perceptions of the ITER process to gain insight into the factors that influence faculty engagement... 
Towards safer interprofessional communication: constructing a model of "utility" from preoperative team briefingsLorelei Lingard
Department of Paediatrics, Wilson Centre for Research in Education, University of Toronto, Toronto, Ontario, Canada
J Interprof Care 20:471-83. 2006....- To report or not to report: a descriptive study exploring ICU nurses' perceptions of error and error reportingSherry Espin
Daphne Cockwell School of Nursing, Ryerson University, 350 Victoria Street, Toronto, Ontario, Canada
Intensive Crit Care Nurs 26:1-9. 2010..To explore the emergent factors influencing nurses' error reporting preferences, scenarios were developed to probe reporting situations in the intensive care unit... - Perceptions of operating room tension across professions: building generalizable evidence and educational resourcesLorelei Lingard
Wilson Centre for Research in Education, 200 Elizabeth Street, Eaton South 1 605, Toronto, Ontario, Canada
Acad Med 80:S75-9. 2005..Replication of these naturalistic findings in a controlled, video-based format could provide a basis for formal curricula... 
The rules of the game: interprofessional collaboration on the intensive care unit teamLorelei Lingard
Department of Pediatrics and The Wilson Centre for Research in Education, University of Toronto, Ontario, Canada
Crit Care 8:R403-8. 2004..This study explored how team members in the ICU interact to achieve daily clinical goals, delineate professional boundaries and negotiate complex systems issues...- A qualitative study examining tensions in interdoctor telephone consultationsAnupma Wadhwa
Wilson Centre for Research in Education and Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada
Med Educ 40:759-67. 2006..This study sought to clarify the communication issues that can occur during interdoctor telephone consultations in order to inform future educational initiatives in this domain... - Communication channels in general internal medicine: a description of baseline patterns for improved interprofessional collaborationLesley Gotlib Conn
Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada
Qual Health Res 19:943-53. 2009.... - Understanding responses to feedback: the potential and limitations of regulatory focus theoryChristopher Watling
Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
Med Educ 46:593-603. 2012..We aimed to explore this link between regulatory focus theory and response to feedback using data collected in a naturalistic setting... - Catalyzing and sustaining communities of collaboration around interprofessional care: an evaluation of four educational programsEileen Egan-Lee
Centre for Faculty Development at St. Michael's Hospital, Toronto, Ontario, Canada
J Interprof Care 22:317-9. 2008 - The sum of the parts detracts from the intended whole: competencies and in-training assessmentsElaine M Zibrowski
Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
Med Educ 43:741-8. 2009..Using data collected during the study of ITA, we explored residents' perceptions of these competencies... - Routine and adaptive expert strategies for resolving ICT mediated communication problems in the team settingLara Varpio
Academy for Innovation in Medical Education, Faculty of Medicine, University of Ottawa, Ontario, Canada
Med Educ 43:680-7. 2009..This study explores the interprofessional communication strategies of nurses and doctors (trainees and experts) when their communications were mediated by a specific ICT: an electronic patient record (EPR)... - 'Is that normal?' Pre-clerkship students' approaches to professional dilemmasShiphra Ginsburg
Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Med Educ 45:362-71. 2011..The purpose of this study, which builds on previous research involving clinical clerks, was to explore the decision-making processes of pre-clerkship medical students in the face of standardised professional dilemmas... - Engaged at the extremes: residents' perspectives on clinical teaching assessmentKathryn Myers
Division of General Internal Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
Acad Med 87:1397-400. 2012.... - Tensions influencing operating room team function: does institutional context make a difference?Lorelei Lingard
Centre for Research in Education at the University Health Network, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Med Educ 38:691-9. 2004..To determine to what extent these findings were transferable to other institutional contexts, we conducted a validation study in 2 small, academic hospitals in a mid-size city... - Team communications in the operating room: talk patterns, sites of tension, and implications for novicesLorelei Lingard
Department of Pediatrics, University of Toronto, Ontario, Canada
Acad Med 77:232-7. 2002..This study explored the nature of communications among operating room (OR) team members from surgery, nursing, and anesthesia to identify common communicative patterns, sites of tension, and their impact on novices... - Slowing down to stay out of trouble in the operating room: remaining attentive in automaticityCarol anne Moulton
Department of Surgery, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada
Acad Med 85:1571-7. 2010..In this study, the authors identified and characterized the manifestations of the phenomenon of "slowing down when you should" to stay out of trouble in operative practice... - Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosuresLianne Jeffs
St Michael s Hospital, Toronto, Ontario, Canada
J Nurs Care Qual 26:320-7. 2011..Study findings point to multilevel strategies including cultural, structural, and educational approaches to enhancing the key roles that nurses need to play in error disclosure to patients and families... - Catching and correcting near misses: the collective vigilance and individual accountability trade-offLianne Patricia Jeffs
St Michael s Li Ka Shing Knowledge Institute, Toronto, Ontario, Canada
J Interprof Care 26:121-6. 2012..Further research is needed to explore in more depth the trade-offs between collective vigilance and individual accountability by relying on others to catch and correct the potentially harmful errors and avert negative outcomes... - Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosureSherry Espin
Donald R Wilson Centre for Research in Education, University Health Network, Toronto, Ontario, Canada
Surgery 139:6-14. 2006..In this study, we describe and compare operative team members' and patients' perceptions of error, reporting of error, and disclosure of error... - Before the white coat: perceptions of professional lapses in the pre-clerkshipShiphra Ginsburg
Department of Medicine, University of Toronto, Ontario, Canada
Med Educ 39:12-9. 2005.... - A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliabilityLorelei Lingard
Wilson Centre for Research in Education, University of Toronto, Eaton South, Toronto, Ontario, Canada
Qual Saf Health Care 15:422-6. 2006..Breakdown in communication among members of the healthcare team threatens the effective delivery of health services, and raises the risk of errors and adverse events... - Factors influencing perioperative nurses' error reporting preferencesSherry Espin
Ryerson University School of Nursing, Faculty of Community Services, Toronto, Ontario, Canada
AORN J 85:527-43. 2007..Selective error reporting and the reasons for selective reporting have negative implications for patient safety... - When surgeons face intraoperative challenges: a naturalistic model of surgical decision makingSayra M Cristancho
Department of Surgery, Department of Medical Biophysics, Centre for Education Research and Innovation, Western University, London, ON, Canada
Am J Surg 205:156-62. 2013..This feature has necessitated a shift in surgical decision-making research. The present study explores the processes by which surgeons assess and respond to nonroutine challenges in the operating room... - Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussionsMark Goldszmidt
Division of General Internal Medicine, Department of Medicine, University of Western Ontario, Schulich School of Medicine and Dentistry, London, Ontario, Canada
Acad Med 87:1382-8. 2012..However, research on the effects of the case review on patient care is limited. Informed by rhetorical genre theory, the authors explored the impact of team's communication practices on the comprehensiveness of the case review... - Being a hospice volunteer influenced medical students' comfort with dying and death: a pilot studyWill Stecho
Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, 339 Windermere Road, UH B10 123, London, Ontario, Canada N6A 5A5
J Palliat Care 28:149-56. 2012..This pilot project provides insight into the medical students' experiential learning as they participate in our hospice volunteer program... - The rhetoric of patient voice: reported talk with patients in referral and consultation lettersMarlee M Spafford
School of Optometry, University of Waterloo, Waterloo, Ontario, Canada
Commun Med 5:183-94. 2008..These letter strategies reflect professional attitudes about patients and their care... - Beyond individualism: professional culture and its influence on feedbackChristopher Watling
Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
Med Educ 47:585-94. 2013..In this study, we explored how feedback is handled within different professional cultures, and how the characteristics and values of a profession shape learners' responses to feedback... - Know when to rock the boat: how faculty rationalize students' behaviorsShiphra Ginsburg
Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
J Gen Intern Med 23:942-7. 2008..When faculty evaluate medical students' professionalism, they make judgments based on the observation of behaviors. However, we lack an understanding of why they feel certain behaviors are appropriate (or not)... - The disavowed curriculum: understanding student's reasoning in professionally challenging situationsShiphra Ginsburg
Department of Medicine, Faculty of Medicine, Center for Research in Education, University of Toronto, Toronto, Canada
J Gen Intern Med 18:1015-22. 2003..Understanding students' perceptions of and responses to lapses in professionalism is important to shaping students' professional development... - Technical skills in paediatrics: a qualitative study of acquisition, attitudes and assumptions in the neonatal intensive care unitSusan L Bannister
Department of Paediatrics, Children s Hospital of Western Ontario and University of Western Ontario, London, Canada
Med Educ 37:1082-90. 2003..This study sought to describe and theorise the variables influencing technical skills acquisition in a tertiary care neonatal intensive care unit (NICU) inpatient setting... - Junior faculty experiences with informal mentoringKaren Leslie
Wilson Centre for Research in Education, Toronto, Ontario, Canada
Med Teach 27:693-8. 2005..Junior faculty identify some relationships from which they receive guidance; however, limitations in these relationships result in a lack of mentorship on career direction and on balancing career with personal life... - What healthcare students do with what they don't know: the socializing power of 'uncertainty' in the case presentationMarlee M Spafford
University of Waterloo, School of Optometry, Waterloo, Ontario, Canada
Commun Med 3:81-92. 2006..More explicit discussions regarding uncertainty may help the novice unlock the code of contextual forces that cue the savvy member of the community to sanctioned discursive strategies... - Toward meaningful evaluation of medical trainees: the influence of participants' perceptions of the processChristopher J Watling
Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada
Adv Health Sci Educ Theory Pract 17:183-94. 2012.... - Learning from clinical work: the roles of learning cues and credibility judgementsChristopher Watling
Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
Med Educ 46:192-200. 2012..How learners interpret their clinical experiences to create meaningful learning has not been well studied. We explored experiences considered by doctors to be influential in their learning in order to better understand this process... - To be and not to be: the paradox of the emerging professional stanceShiphra Ginsburg
Mount Sinai Hospital, Toronto, Ontario, Canada
Med Educ 37:350-7. 2003..The purpose of this study was to refine an existing coding structure of rationalizations of student behaviour, and to further our understanding of students' reasoning strategies in the face of perceived professional lapses... - A qualitative study of interphysician telephone consultations: extending the opinion leader theoryAnupma Wadhwa
Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
J Contin Educ Health Prof 25:98-104. 2005..We studied the interphysician telephone consultation, a situation in medical practice in which we see opinion leaders at work, to generate a grounded theory of opinion leader activity... - A mixed-methods analysis of residents' written comments regarding their clinical supervisorsKathryn A Myers
Department of Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, St Joseph s Health Care, 268 Grosvenor Street, London, Ontario N6A 4V2
Acad Med 86:S21-4. 2011..Although written comments submitted by residents on clinical teaching assessments (CTAs) are potentially a rich source of feedback, little is known about their information quality... - Biomedical scientists' perception of the social sciences in health researchMathieu Albert
University of Toronto, Wilson Centre, Toronto General Hospital, Toronto, Ontario, Canada
Soc Sci Med 66:2520-31. 2008..Based on the biomedical scientists' limited receptiveness, we can anticipate that the growth of the social sciences will continue to meet obstacles within the health research field in the near future in Canada... - Interprofessional information work: innovations in the use of the chart on internal medicine teamsLorelei Lingard
Department of Paediatrics, Wilson Centre for Research in Education, University of Toronto, Ontario, Canada
J Interprof Care 21:657-67. 2007.... - Exploring the gap between knowledge and behavior: a qualitative study of clinician action following an educational interventionTara Kennedy
Bloorview MacMillan Children s Centre, and Department of Pediatrics, University of Toronto, Ontario, Canada
Acad Med 79:386-93. 2004..The authors exposed this knowledge-behavior gap through standardized clinical interactions, thus allowing in-depth exploration of the contributing factors... - A medical student's perspective of participation in an interprofessional education placement: an autoethnographyJennifer Gallé
Medical Student, University of Toronto, Ontario, Canada
J Interprof Care 24:722-33. 2010..e., journaling and interviewing) to enhance the students' appreciation and understanding of roles, responsibilities and professional perspectives, and to promote critical thinking and professional growth... - Grounded theory in medical education research: AMEE Guide No. 70Christopher J Watling
Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
Med Teach 34:850-61. 2012.... - Old news: why the 90-year crisis in medical elder care?Laura L Diachun
Division of Geriatric Medicine, Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
J Am Geriatr Soc 60:1357-60. 2012..This disconcerting sense of paralysis is presented as an opportunity to advance important questions aimed at stimulating a more-comprehensive research agenda for addressing the future of medical elder care...