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.

Recent Publications

Kryworuchko J, Hill E, Murray MA, 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 in Evidence-based Nursing.

Stacey D, Kryworuchko J, Bennett C, Murray MA, Mullen S. (Accepted). Decision coaching to prepare patients for making health decisions: A systematic review of decision coaching in trials of patient decision aids. Medical Decision Making. (Jan 2012).

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. DOI: 10.1177/1049909111414176.

Légaré, 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.

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), 401-8. 

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.

Légaré, F., Stacey, D., Pouliot, S., Gauvin, F.P., Desroches, S., Kryworuchko, J., Dunn, S., Elwyn, G., Frosch, D., Gagnon, M.P., Harrison, M., Pluye, P., & 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. DOI:10.3109/13561820.2010.490502

Légaré, F., Stacey, D., Gagnon, S., Dunn, S., Pluye, P., Frosch, D., Kryworuchko, J., Elwyn, G., Gagnon, M.P., & Graham, I.D. (2010). Validating a conceptual model for an interprofessional approach to shared decision-making: A mixed methods study. Journal of Evaluation in Clinical Practice. DOI:10.1111/j.1365-2753.2010.01515.x

Stacey, D., Légaré, 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. DOI:10.1016/j.pec.2009.10.015.

Légaré, 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 2010, 5. CD006732. DOI:10.1002/14651858.CD006732.pub2.

Clark, A.M., Haykowsky, M., Kryworuchko, J., MacClure, T., Scott, J., DesMeules, M., Liang, Y., & 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. DOI:10.1097/HJR.0b013e32833090ef.

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. DOI:10.1007/s00134-009-1612-3.

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). DOI:10.1186/1748-5908-4-49.

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. DOI:10.1177/1049909108331316.

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 Nurs Forum, 36(1), 69-77.

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.

Legare, F., Stacey, D., Graham, I.D., Elwyn, G., Pluye, P., Gagnon, M.P., Frosch, D., Harrison, M.B., Kryworuchko, J., Pouliot, S., & Desroches, S. (2008). Advancing theories, models and measurement for an interprofessional approach to shared decision making in primary care: A study protocol. BMC Health Serv Res 8(2). DOI:10.1186/1412-6963-8-2.

Légaré, 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 2007, 3. CD006732. DOI:10.1002/14651858.CD006732.

Recent Grants

Kryworuchko, J. (2012-2017). Matching funds for Graduate student support, NCE Technology Evaluation in the Elderly Network (CareNET Theme), $40,000, Office of the Vice-President Research, University of Saskatchewan.

You, J. & Heyland, DK. (Co-PI),  Albert, M., Brazil, K., Day, A., Downar, J., Fowler, R., Ilan, R., Jayaraman, D., Kryworuchko, J., Lamontagne, F., Ma, I., Palepu, A., Roberts, D.,  Shik, J., Strachan, P. (Co-Investigators). (2012-2013). DECIsion-making about goals of care for hospitalized meDical patiEnts: a multicentre, mixed-methods study. The DECIDE Study, $157,908, Canadian Institutes of Health Research Operating Grant. Role in grant: Co-Investigator.

Gifford, W., Murray, M.A., Abdullah, G., Armstrong, T., Kryworuchko, J., Davies, B. (2011-2012). Community of practice for graduate students in health sciences about best practice research, $5 000, University of Ottawa MISSION Satisfaction. Role in grant: Co-Investigator.

Kryworuchko, J. (PI), Heyland, D., Pouliot, F., & Gaeta S. (2010). Field Testing a Patient Decision Aid to Engage Families in Decision Making About Life Support in the Intensive Care Unit at MD Anderson Cancer Center in Houston, Texas, $ 10 000, Canadian Researchers at the End of Life Network (CARENET). Role in Grant: Principal Investigator.

Murray, M.A. (PI), Kryworuchko, J., Higuchi, K., & Joliceour, L. (2010-2011). 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, $60 000, Canadian Nursing Foundation; Ottawa Regional Cancer Foundation; Angels in Action Ovarian Cancer Support Group. Role in Grant: Co-Investigator.

Lawson, M. (Principal Investigator), & Kryworuchko, J, Saaramaki, A., Barnes, J. (Co-Investigators). (2010-2011). Development and Implementation of a Pediatric Decision Support Service (Renewal), $ 188,414, Ontario Academic Health Sciences Centres Alternate Funding Plan (AHSC AFP) Innovation Fund.

Heyland, D., Wilson, D. (Principal Investigators), & Kryworuchko, J. (Co-investigator). (2010-2011). A Qualitative Study to Gain Insight Into the Attitudes and Expectations of Community-Dwelling 80+ Year-Old Persons About Intensive Care Technologies and Advance Health Care Planning, Canadian Researchers at the End of Life Network (CARENET).

Stacey, D., & Kryworuchko, J. (2009-2010). The Ottawa Decision Support Framework: Update, Gaps, and Research Priorities, $15,000, CIHR Meetings, Planning and Dissemination Grant: Knowledge Translation.

Kryworuchko, J. (2008-2010). 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, $25,000 plus $5000 end of grant KT, Foundation for Informed Medical Decision Making.

Stacey, D., & Kryworuchko, J. (2008-2009). Prostate Cancer Decision Support for a Regional Diagnostic Program: Assessing Quality Tools and Implementation Needs, $12,500, Ottawa Regional Cancer Foundation.