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College of Nursing

Faculty & Staff

Jennifer Kryworuchko
PhD RN CNCC(C)
Assistant Professor

Office: E4220 Health Sciences, Saskatoon
Phone: (306) 966-6308
Fax: (306) 966-6621
E-mail: jennifer.kryworuchko@usask.ca
Skype: jkryworuchko
Introduction: View Video

Biography

  • Research Interests
    • Shared decision making
    • Patient & family centered care
    • Serious / critical illness
    • Patient involvement
    • Surrogate decision making
  • Methodology
    • Mixed methods
    • Qualitative (Critical Incident technique)
    • Systematic Reviews and Meta-analysis
    • Quantitative (Patient Centered Outcomes Research)

Dr. Jennifer Kryworuchko PhD RN CNCC(C) is an Assistant Professor at the University of Saskatchewan College of Nursing. More than 15 years of clinical nursing experience, in settings like the Canadian Forces and Intensive Care Unit, is reflected in her research focused on patient and family participation in healthcare decision-making. She is particularly interested in surrogate decision making, specifically how healthcare professionals and family members collaborate to make decisions with seriously ill patients. She has been involved in the development of many patient decisions aids and in the implementation of services to support families in decision making. For example, she has developed and adapted training modules in Shared Decision Making for healthcare professionals with researchers at the Patient Decision Aids Research Group in Ottawa. Dr. Kryworuchko is an active researcher with the Canadian Researchers at End of Life Network (CARENET) and is engaged with the international research community focused on improving and evaluating healthcare practices in shared decision making.

Publications

Stacey, D., Kryworuchko, J., Belkora, J., Davison, J., Durand, M-A., Eden, K. B., ... Street Jr., R. L. (2013). Coaching and guidance with patient decision aids: A review of theoretical and empirical evidence. BMC Informatics and Decision Making, 1-32.

Fagerlin, A., Pignone, M., Abhyankar, P., Col, N., Feldman-Stewart, D., Gavaruzzi, T., ... Witteman, H. O. (2013). Clarifying and Expressing Values: An updated review. BMC Medical Informatics and Decision Making.

Coulter, A., Stilwell, D., Kryworuchko, J., Dolan Mullen, P., Ng, C. J., & van der Weijden, T. (2013). A Systematic Development Process for Patient Decision Aids. BMC Medical Informatics and Decision Making.

Murray, M. A., Bissonnette, J., Kryworuchko, J., Gifford, W., & Calverley, S. (2013, January). Whose Choice Is It? Shared Decision Making in Nephrology Care. Seminars in Dialysis, DOI: 10.1111/sdi.12056, 1-20.

Stacey, D., Belkora, J., Clay, K., Davison, J., Durand, M-A., Eden, K., Street, R. (2012). Coaching / Guidance in Deliberation and Communication. In R. Volk, & H. Llewellyn-Thomas. (Eds.), 2012 Update of the International Decision Aids Standards (IPDAS) Collaboration's Background Document (pp. 1-32). Ottawa, Canada: Ottawa Hospital Research Institute.

Fagerlin, A., Pignone, M., Abhyankar, P., Col, N., Feldman-Stewart, D., Gavaruzzi, T., ... Witteman, H. (2012). Clarifying and Expressing Values. In R. Volk, & H. Llewellyn-Thomas. (Eds.), 2012 Update of the International Decision Aids Standards (IPDAS) Collaboration's Background Document (pp. 1-35). Ottawa, Canada: Ottawa Hospital Research Institute.

Lé garé , F., Turcotte, S., Stacey, D., Ratté , S., Kryworuchko, J., & Graham, I. D. (2012). Patients' perceptions of sharing in decisions: A systematic review of interventions to enhance shared decision making in routine clinical practice. The Patient: Patient-Centered Outcomes Research, 5(1), 1-19.

Stacey, D., Kryworuchko, J., Bennett, C., Murray, M. A., Mullen, S., & Legare, F. (2012). Decision coaching to prepare patients for making health decisions: A systematic review of decision coaching in trials of patient decision aids. Medical Decision Making, 32(3), e22-33.

Kryworuchko, J., Stacey, D., Peterson, W. E., Heyland, D. K., & Graham, I. D. (2012). A qualitative study of family involvement in decisions about life support in the intensive care unit. American Journal of Hospice and Palliative Medicine, 29(1), 36-46.

Kryworuchko, J. (2011). An Intervention to Involve Family in Decisions about Life Support. Ottawa, ON: University of Ottawa, Faculty of Graduate and Postgraduate Studies. Doctoral Dissertation.

Bakitas, M. A., Kryworuchko, J., Matlock, D. D., & Volandes, A. E. (2011). Palliative medicine and decision science: The critical need for a shared agenda to foster informed patient choice in serious illness. Journal of Palliative Medicine, 14(10), 1109-1116.

Lown, B., Kryworuchko, J., Bieber, C., Lillie, D., Kelly, C., Berger, B., & Loh, A. (2011). Continuing professional development for interprofessional teams supporting patients in healthcare decision making. Journal of Interprofessional Care, 25(6), 401-408.

Kryworuchko, J., Hill, E., Murray, M. A., Stacey, D., & Fergusson, D. (2012). Systematic Review: Effectiveness of interventions intended to improve the quality of end-of-life decision making in the Intensive Care Unit. Worldviews on Evidence-based Nursing, 4(1), 1-16.

Lé garé , F., Stacey, D., Pouliot, S., Gauvin, F. P., Desroches, S., Kryworuchko, J., ... Graham, I. D. (2011). Interprofessionalism and shared decision-making in primary care: A stepwise approach towards a new model. Journal of Interprofessional Care, 25(1), 18-25.

Lé garé , F., Stacey, D., Gagnon, S., Dunn, S., Pluye, P., Frosch, D., ... Graham, I. D. (2011). Validating a conceptual model for an interprofessional approach to shared decision-making: A mixed methods study. Journal of Evaluation in Clinical Practice, 17(4), 554-564.

Lé garé , F., Ratté , S., Stacey, D., Kryworuchko, J., Gravel, K., Graham, I. D., & Turcotte, S. (2010). Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database of Systematic Reviews, 4(CD006732).

Clark, A. M., Haykowsky, M., Kryworuchko, J., MacClure, T., Scott, J., DesMeules, M., ... McAlister, F. A. (2010). A meta-analysis of randomized control trials of home-based secondary prevention programs for coronary artery disease. European Journal of Cardiovascular Prevention & Rehabilitation, 17(3), 261-270.

Stacey, D., Lé garé , F., Pouliot, S., Kryworuchko, J., & Dunn, S. (2010). Shared decision making models to inform an interprofessional perspective on decision making: A theory analysis. Patient Education and Counseling, 80(2), 164–172.

Murray, M. A., Fiset, V., Young, S., & Kryworuchko, J. (2009). Where the dying live: A systematic review of determinants of place of end-of-life cancer care. Oncology Nurse Forum, 36(1), 69-77.

Kryworuchko, J., & Heyland, D. K. (2009). Using family satisfaction data to improve the processes of care in ICU. Intensive Care Medicine, 35(12), 2015-2017.

Kryworuchko, J., Stacey, D., Bai, N., & Graham, I. D. (2009). Twelve years of clinical practice guideline development, dissemination and evaluation in Canada (1994 to 2005). Implementation Science, 4(49), 1-11.

Murray, M. A., Wilson, K. G., Kryworuchko, J., Stacey, D., & O'Connor, A. M. (2009). Nurses' perceptions of factors influencing patient decision support for place of care at the end-of-life. American Journal of Hospice and Palliative Medicine, 26(4), 254-263.

Kryworuchko, J., Stacey, D., Bennett, C., & Graham, I. D. (2008). Appraisal of the primary outcome measures used in trials of patient decision support. Patient Education and Counseling, 73(3), 497–503.

Lé garé , F., Stacey, D., Graham, I. D., Elwyn, G., Pluye, P., Gagnon, M. P., ... Desroches, S. (2008). Advancing theories, models and measurement for an interprofessional approach to shared decision making in primary care: A study protocol. BMC Health Services Research, 8(2), 1-8.

Lé garé , F., Ratté , S., Stacey, D., Kryworuchko, J., Gravel, K., Turcot, L., & Graham, I. D. (2007). Interventions for improving the adoption of shared decision making by healthcare professionals. (Protocol). Cochrane Database of Systematic Reviews, 3(CD006732).

Grants

Kryworuchko J (Principal Investigator), Goodridge D (Co-investigator), Reid J (Co-investigator), Levesque K (Co-investigator), McGrath P (Co-investigator), Lewis S (Co-investigator). Mixed Methods Study of the Web-based Life Support Decision Aid (eLSDA), Saskatchewan Health Research Foundation Establishment Grant. Total: $115,931.00 for 2013-09 to 2016-08.

Kryworuchko J (Principal Investigator), McCabe J (Co-principal Investigator). Undergraduate Summer Research Internship: Living Well? Examining Quality-of-Life and Associated Care Needs among Families of Children with Medical Complexity, USTEP Grant, University of Saskatchewan Board of Governors. Total: $4,000.00 for 2013

Fowler R (Principal Investigator), Dev S (Co-investigator), Berry S (Co-investigator), Downar J (Co-investigator), Ghandhi S (Co-investigator), La Delfa I (Co-investigator), Laupacis A (Co-investigator), Myers J (Co-investigator), Ross H (Co-investigator), Rubenfeld G (Co-investigator), Scales D (Co-investigator), Sinha S (Co-investigator), Stukel T (Co-investigator), Zimmermann C (Co-investigator), Kryworuchko J (Collaborator), Gallagher R (Collaborator), Heyland D (Collaborator), Skinner J (Collaborator), You J (Collaborator), Wunsch H (Collaborator). Shining a Light on End-of-Life Care in Canada: Investigating Barriers, Testing Interventions, and Disseminating Integrated Solutions for Patients, Families and Healthcare Professionals., University of Toronto Integrating Challenge Grant. Total: $187,900.00 for 2013 to 2015. Role: Research team member - Collaborator. Funds held at the University of Toronto

Kryworuchko J (Principal Investigator), McCabe J (Co-principal Investigator), Tisher J (Co-investigator), Bassingthwaite K (Co-investigator), Zook S (Co-investigator). Living Well? Examining Quality-of-Life and Associated Care Needs among Families of Children with Medical Complexity, Operating Grant RBC Nurses for Kids. Total: $50,000.00 for 2013 to 2015

Kryworuchko J (Principal Investigator), Gallagher R (Co-investigator), Heyland D (Co-investigator), Fowler R (Co-investigator). Evaluation of a novel cardiopulmonary resuscitation (CPR) video decision aid to promote shared decision-making with seriously ill patients and their families, Heart and Stroke Foundation of Canada. Total: $60,682.00 for 2013 to 2015

Harkness K (Principal Investigator), Buck H (Co-principal Investigator), McGillion M (Co-investigator), Strachan P (Co-investigator), Sherifali D (Co-investigator), Kaasalainen S (Co-investigator), Carroll S (Co-investigator), Cosman T (Co-investigator), Kryworuchko J (Co-investigator), O'Keefe-McCarthy S (Co-investigator). CAregiver Contribution to Heart Failure Self Care (CACHS study), Hamilton Health Sciences. Total: $50,000.00 for 2013 to 2014. Funds held at Hamilton Health Sciences.

Clark A (Principal Investigator), Harkness K (Co-investigator), Catlin B (Co-investigator), Ignaszewski A (Co-investigator), McKelvie R (Co-investigator), Virani S (Co-investigator), Banner-Lukaris D (Co-investigator), Chambers T (Co-investigator), Currie K (Co-investigator), Kryworuchko J (Co-investigator), Spiers J (Co-investigator), Thirsk L (Co-investigator). Understanding what works for whom, when and why in heart failure self-care: Mechanisms as drivers of knowledge translation, Canadian Institutes of Health Research Knowledge Synthesis Grant. Total: $99,923.00 for 2012 to 2013. Funding held at the University of Alberta

Heyland D (Principal Investigator), Gramlich L (Co-investigator), Mourtzakis M (Co-investigator), Khursheed J (Co-investigator), Graham T (Co-investigator), Mutch M (Co-investigator), Duncan A (Co-investigator), Kutsogiannis J (Co-investigator), Pichora D (Co-investigator), Bryant T (Co-investigator), Tremblay A (Co-investigator), Rockwood G (Co-investigator), Bitritz L (Co-investigator), Newhouse I (Co-investigator), Fowler R (Co-investigator), Albert M (Co-investigator), Muscedere J (Co-investigator), Sinuff T (Co-investigator), Kumar A (Co-investigator), Dodek P (Co-investigator), Cook D (Co-investigator), Skrobik Y (Co-investigator), Meade M (Co-investigator), Lamontagne F (Co-investigator), Bagshaw S (Co-investigator), Cohen R (Co-investigator), Stajduhar K (Co-investigator), Kelley M (Co-investigator), Rodney P (Co-investigator), You J (Co-investigator), Johnson A (Co-investigator), Brazil K (Co-investigator), Strachan P (Co-investigator), Kryworuchko J (Co-investigator), Kozak J (Co-investigator), Heckman G (Co-investigator), Barwich D (Co-investigator), Taylor C (Co-investigator), Jones K (Co-investigator), McKee M (Co-investigator), Yeates K (Co-investigator), Krahn M (Co-investigator), Baxter S (Co-investigator), Stockley D (Co-investigator). Technology Evaluation in the Elderly Network (TECH VALUE NET), Networks of Centres of Excellence. Total: $23,888,157.00 for 2012 to 2017 Role in grant: Nominated Investigator, Project Leader, Training Committee Member. Funding held at Queen's University.

Lawson M (Principal Investigator), Elliot-Millar P (Co-investigator), Dunn S (Co-investigator), Kryworuchko J (Co-investigator), LeBlanc A (Co-investigator). Implementation and Evaluation of a Pediatric Hospital-Based Family Decision Service, Canadian Institutes of Health Research (CIHR) Operating Grant: Knowledge to Action. Total: $197,579.00 for 2012 to 2013. Funding held at the Children's Hospital of Eastern Ontario Research Institute.

Kryworuchko J (Principal Investigator). Graduate student support (Matching funds), NCE Technology Evaluation in the Elderly Network (CareNET Theme), Office of the Vice-President Research, University of Saskatchewan. Total: $40,000.00 for 2012 to 2017. Matching funding pending funding for research through NCE received at the University of Saskatchewan.

You J (Co-principal Investigator), Heyland D (Co-principal Investigator), Albert M (Co-investigator), Brazil K (Co-investigator), Day A (Co-investigator), Downar J (Co-investigator), Fowler R (Co-investigator), Ilan R (Co-investigator), Jayaraman D (Co-investigator), Kryworuchko J (Co-investigator), Lamontagne F (Co-investigator), Ma I (Co-investigator), Palepu A (Co-investigator), Roberts D (Co-investigator), Shik J (Co-investigator), Strachan P (Co-investigator). DECIsion-making about goals of care for hospitalized meDical patiEnts: a multicentre, mixed-methods study. The DECIDE Study, Canadian Institutes of Health Research Operating Grant. Total: $157,908.00 for 2012 to 2013. Funding held at McMaster University

Gifford W (Principal Investigator), Murray M (Co-investigator), Abdallah G (Co-investigator), Armstrong T (Co-investigator), Kryworuchko J (Co-investigator), Davies B (Co-investigator). Community of practice for graduate students in health sciences about best practice research, University of Ottawa (MISSION Satisfaction). Total: $5,000.00 for 2011 to 2012. Funding held at the University of Ottawa

Murray MA (Principal Investigator), Kryworuchko J (Co-investigator), Higuchi K (Co-investigator), Joliceour L (Co-investigator). Evaluating the Effectiveness of a Patient Decision Aid for Place of End-of-Life Care, A Mixed Methods Case Study of Women with Recurrent Ovarian Cancer Canadian Nursing Foundation; Ottawa Regional Cancer Foundation; Angels in Action Ovarian Cancer Support Group. Total: $60,000.00 for 2010 to 2011

Lawson M (Principal Investigator), Kryworuchko J (Co-investigator), Saaramaki A (Co-investigator), Barnes J (Co-investigator). Development and Implementation of a Pediatric Decision Support Service, Renewal Ontario Academic Health Sciences Centres Alternate Funding Plan (AHSC AFP) Innovation Fund. Total: $188,414.00 for 2010 to 2011

Stacey D (Principal Investigator), Kryworuchko J (Co-investigator). The Ottawa Decision Support Framework: Update, Gaps, and Research Priorities, CIHR Meetings, Planning and Dissemination Grant: Knowledge Translation. Total: $15,000.00 for 2009 to 2010

Kryworuchko J (Principal Investigator), Heyland D (Co-investigator), Pouliot F (Co-investigator), Gaeta S (Co-investigator). Field Testing a Patient Decision Aid to Engage Families in Decision Making About Life Support in the Intensive Care Unit (MD Anderson Cancer Center,Houston TX), Canadian Researchers at the End of Life Network (CARENET). Total: $10,000.00 for 2009 to 2010

Kryworuchko J (Principal Investigator). Development and Evaluation of an Intervention to Engage Interprofessional Health Care Teams, Patients and Families in Shared Decision Making About the Level of Care in the Intensive Care Unit, Foundation for Informed Medical Decision Making. Total: $30,000.00 for 2008 to 2010

Stacey D (Principal Investigator), Kryworuchko J (Co-investigator). Prostate Cancer Decision Support for a Regional Diagnostic Program: Assessing Quality Tools and Implementation Needs, Ottawa Regional Cancer Foundation. Total: $12,500.00 for 2008 to 2009