Elizabeth Mccay

Elizabeth Mccay
Ryerson University · Faculty of Community Services

RN, PhD

About

74
Publications
11,748
Reads
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2,084
Citations
Additional affiliations
August 1998 - October 2015
Ryerson University
Position
  • Professor & Research Chair in Urban Health

Publications

Publications (74)
Article
Our research team implemented and evaluated a 12-week manual-based intervention focused on sustaining recovery for youth with psychosis, as they transitioned from Early Psychosis Intervention (EPI) to community-based care teams. The study employed a mixed methods prospective cohort design. Statistically significant improvement in functioning was ob...
Article
Teaching-learning approaches of university faculty increasingly include supporting their own wellbeing, as well as that of their students. Engaging in mindful practices has the potential to increase faculty capacity for reflexivity and compassion, which they can incorporate into their teaching-learning. However, few faculty have knowledge and skill...
Article
Full-text available
Background Young women may be particularly vulnerable to the negative psychosocial consequences of living with chronic kidney disease (CKD). To date, little is known about how women themselves experience and manage their illness. Objectives This study explored the experiences of young women living with CKD. Design Qualitative descriptive study....
Article
Family Connections is a peer-led education, skills, and support program for family members of individuals with borderline personality disorder. Extant literature on Family Connections is limited but consistent in regard to methodology and outcomes, allowing for meaningful cross-study comparison. Despite evidence across studies regarding the program...
Article
Aim: To examine the degree to which youth identified as ready for discharge from three Canadian early psychosis intervention (EPI) programs had achieved optimal outcomes (ie, symptom remission, quality of life, self-esteem and functioning). Methods: This cross-sectional descriptive study is part of a larger study assessing the effectiveness of a...
Article
Study background: Nursing students often have high levels of stress leading to negative consequences for academic performance and overall well-being. Novel strategies are needed to help students manage stress. Purpose: To explore students' experiences with an evidence-based intervention-Dialectical Behavior Therapy-Skills Group (DBT-SG). Method...
Article
Full-text available
Background: Although the risk factors associated with young people entering and becoming entrenched in street life have been thoroughly investigated, peer-reviewed evidence is scarce to nonexistent for rigorous interventions targeting social integration outcomes for young people who have experienced homelessness. From the limited research that has...
Preprint
BACKGROUND Although the risk factors associated with young people entering and becoming entrenched in street life have been thoroughly investigated, peer-reviewed evidence is scarce to nonexistent for rigorous interventions targeting social integration outcomes for young people who have experienced homelessness. From the limited research that has b...
Article
By engaging in regular reflective writing and dialogue, individuals puzzle through life events, while nurturing the curiosity for further learning and discovery. In research contexts, reflection that includes creative self-expression augments sense-making of study findings. In our work, we use metaphoric reflection to expand our thinking and unders...
Article
Background Nursing students can experience stress related to their academic and practice experiences, which can have deleterious effects on physical and emotional well-being. Objectives To pilot test an evidence-based intervention, Dialectical Behavior Therapy-Skills Group, designed to promote emotional well-being among nursing students. Design A...
Article
Full-text available
Objectives: The objective of this study was to provide an insider perspective on the experiences of nine formerly homeless young people as they transitioned into independent (market rent) housing and attempted to achieve meaningful social integration. Methods: The study was conducted in Toronto, Canada, and guided by the conceptual framework dev...
Article
Problem: Street-involved youth experience many barriers to accessing health and social services. There is a literature gap in the literature regarding evidence-based interventions to facilitate engagement with street-involved youth. Methods: A qualitative descriptive study of preliminary findings from a large mixed-methods study was undertaken t...
Article
Purpose The purpose of this paper is to evaluate the effectiveness of the dialectical behavior therapy (DBT) training which was provided to community agency staff (N=18) implementing DBT in the community with street-involved youth. Design/methodology/approach Staff participated in a multi-component approach to training which consisted of webinar...
Article
Background: Students in higher education are experiencing stress and anxiety, such that it impedes their academic success and personal wellbeing. Brief mindfulness meditation and lovingkindness meditation are two aspects of mindfulness practice that have the potential to decrease students' feelings of anxiety and stress, and increase their sense o...
Article
Background: Interprofessional education and practice have been gaining recognition during the past decade. However, little has been written on person-centered care (PCC) within interprofessional practice and how it could be taught to interprofessional learners. Method: A key element of PCC is therapeutic communication. Consequently, a group of i...
Article
Full-text available
The objective of this study was to assess the effectiveness of an 8-week mindfulness-based cognitive therapy (MBCT) group intervention to reduce psychological distress as well as to strengthen self-esteem, resilience, and general well-being for individuals living with a chronic illness and/or other health challenges. This pilot study employed a pre...
Article
Full-text available
The current paper discusses an approach to measuring treatment integrity of Dialectical Behavioral Therapy (DBT) when implemented within two programs providing services to street-involved youth in the community. Measuring treatment integrity is a critical component of effective implementation of evidence-based interventions in clinical practice, si...
Article
Objective: The objective of this secondary analysis was to identify factors associated with engagement of street-involved youth in a Dialectical Behavioural Therapy (DBT) intervention. Methods: This was a cross-sectional correlational study. Youth were recruited from two agencies providing services to street-involved youth in Canada. Mental heal...
Article
The current study implemented and evaluated a 12-week Dialectical Behavior Therapy (DBT) intervention across two Canadian service agencies providing drop-in, shelter and transitional housing to street-involved youth in order to alleviate mental health challenges and to strengthen resilience. A quasi-experimental mixed methods design with a wait-lis...
Article
Purpose – The purpose of this paper is to describe a partnership, the Ryerson-Centre for Addiction and Mental Health Collaborative for Client-Centred and Family Sensitive Care Collaborative, between an urban university and tertiary care mental health facility to build capacity in using research evidence to support client-centred care. A cornerstone...
Article
Faculty development that builds research capacity is a significant yet challenging expectation in academia. The School of Nursing faculty at Ryerson University established several research clusters to support research collaborations and productivity. This article explicates one cluster's development process, and specifically, its adoption of the na...
Article
Objective: Mental health system transformation toward a recovery-orientation has created a demand for education to equip providers with recovery competencies. This report describes the development of a recovery education program designed specifically for inpatient providers. Method: Part 1 of the education is a self-learning program introducing...
Article
Person-centered care (PCC) is grounded in principles of respect, autonomy, and empowerment and requires the development of interpersonal relationships. For nursing students to engage in PCC, they need to intentionally develop personal knowing, which is an essential attribute of therapeutic relationships. Developing personal knowing, as well as prof...
Article
Objectives: As nursing faculty members of Health and Illness research cluster our focus is on promoting humanistic practices, such as person-centered care, for individuals and their families living with illness and its consequences. In keeping with this holistic focus we wanted to explore a non-traditional approach to building a productive professi...
Article
Full-text available
To examine the views and current practice of SMBG among Black Caribbean and South Asian individuals with non-insulin treated Type 2 diabetes mellitus. Twelve participants completed semi-structured interviews that were guided by the Health Belief Model and analyzed using thematic network analysis. The frequency of monitoring among participants varie...
Article
Background Best practice guidelines (BPGs) in suicide risk assessment documentation support nursing care of clients at risk for suicide. Investigation regarding nurses’ adherence to BPGs for suicide risk assessment documentation is minimal. Objectives In a mixed-methods study to investigate nurses’ knowledge of suicide risk assessment documentation...
Article
Person-centred practice indubitably seems to be the antithesis of technology. The ostensible polarity of technology and person-centred practice is an easy road to travel down and in their various forms has been probably travelled for decades if not centuries. By forging ahead or enduring these dualisms, we continue to approach and recede, but never...
Article
Full-text available
Juvenile offenders are at risk for involvement in both fighting behavior and peer victimization. Understanding the potential causal mechanisms leading to these outcomes is important to address the needs of this population. The present study tested four mediator models of violent perpetration and peer victimization in a sample of 112 incarcerated yo...
Article
The tradition of inherent knowledge and power of health care providers stands in stark contrast to the principles of self-determination and patient participation in patient-centered care. At the organizational level, patient-centered care is a merging of patient education, self-care, and evidence-based models of practice and consists of 4 broad dom...
Article
Street-involved youth experience a range of mental health problems with elevated rates of psychiatric disorders compared with non-homeless youth. The overall objective of this pilot study was to evaluate the impact of a relationship-based intervention for homeless youth receiving services from agencies in downtown Toronto. The final sample included...
Article
Delivering recovery-oriented services is particularly challenging in in-patient settings. The purpose of this study was to identify the most salient recovery competencies required of in-patient providers. Established methods for the development of competencies were used. Data collection included interviews with multiple stakeholders and a literatur...
Article
Full-text available
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Article
Mental illness left untreated in adolescence and young adulthood can readily become a chronic illness in adulthood, seriously hampering the capacity of individuals to become healthy contributing members of society. Mental health challenges are of paramount importance to the health and well-being of Canadian adolescents and young adults, with 18% of...
Article
The social environments and activities of homeless youth frequently create a downward spiral, leading to drug abuse and survival sex as well as self-harm behaviours and suicidality. This study employed a mixed-methods approach to assess the mental health challenges and strengths of street-involved youth. A convenience sample of 70 homeless young pe...
Article
Full-text available
The social environments and activities of homeless youth frequently create a downward spiral, leading to drug abuse and survival sex as well as self-harm behaviours and suicidality. This study employed a mixed-methods approach to assess the mental health challenges and strengths of street-involved youth. A convenience sample of 70 homeless young pe...
Article
Although advances in the treatment of schizophrenia have been made, little is known about the process of recovery from first episode of schizophrenia (FES). To date, the study of recovery in the field of mental health has focused on long-term mental illness. This qualitative study addresses ways in which individuals with FES describe their process...
Article
Aim: This paper aims to identify the ways in which youth at ultra high risk for psychosis access mental health services and the factors that advance or delay help seeking, using the Revised Network Episode Model (REV NEM) of mental health care. Methods: A case study approach documents help-seeking pathways, encompassing two qualitative interviews w...
Article
Controlled trials have demonstrated that parents of children experiencing high levels of aggression benefit greatly from parent training programs. Several programs have shown a decrease in parental stress, an increase in parental confidence, and higher levels of prosocial behavior in children as shown by outcomes based on quantitative measures. How...
Article
This qualitative, exploratory study examined the self-management experiences of people with mild to moderate chronic kidney disease (CKD, Stages 1-3) to elicit participants' perceptions of health, kidney disease, and supports needed for self-management. Findings revealed a process of renegotiating life with chronic kidney disease, which encompassed...
Article
Full-text available
Young people coping with first episode schizophrenia may be predisposed to illness engulfment whereby the illness entirely defines self-concept. They require psychosocial intervention to preserve an identity distinct from illness, promote hopefulness, and minimise the impact of stigma, enabling them to embrace a healthy sense of self and an optimis...
Article
The article describes the development and initial psychometric evaluation of an instrument to measure patients’ perceptions of learning needs at time of discharge from hospital to home Evaluation of the Patient Learning Needs Scale was based on responses of 301 adults hospitalized with a medical or surgical illness Factor analysis isolated seven su...
Article
Although the literature suggests that loss of self is a universal concern across chronic illnesses in general, little consideration has been given to loss of self across physical and mental illnesses. The authors compare loss of self in individuals with a mental illness (early schizophrenia) and in those with a physical illness (chronic kidney dise...
Article
Although the literature suggests that loss of self is a universal concern across chronic illnesses in general, little consideration has been given to loss of self across physical and mental illnesses. The authors compare loss of self in individuals with a mental illness (early schizophrenia) and in those with a physical illness (chronic kidney dise...
Article
Full-text available
The stress associated with managing a first episode of schizophrenia and the secondary psychological sequelae may predispose young people to the phenomenon of illness engulfment, whereby personal identity is lost and replaced with a sense of self defined entirely by the illness. The overall objective of this pilot project was to provide an initial...
Article
The purpose of this study was to explore the experience of home quarantine during the severe acute respiratory syndrome (SARS) outbreak in Toronto in 2003. Qualitative descriptive design. Stratified random sampling techniques were used to generate a list of potential participants, who varied in terms of gender and closeness of exposure to someone w...
Article
To explore the experience of being on quarantine for severe acute respiratory syndrome (SARS) with a focus on the relationship between perceived risk of contracting SARS and reported compliance with the quarantine order and protocols. Descriptive, qualitative. Semi-structured interviews were conducted with people who had been quarantined during the...
Article
The experience of cancer and its treatment by bone marrow transplantation (BMT) can enhance the salience of one's status as a patient in the evolution of self-concept. Illness and the patient role can come to dominate the sense of self, resulting in feelings of hopelessness, helplessness, and distress ("engulfment"). Illness-induced lifestyle disru...
Article
(2003) Cochrane Database Syst Rev 1, CD004026. Marshall M, Crowther R, Almaraz-Serrano A, et al. . Day hospital versus admission for acute psychiatric disorders. . ; . ( . ) . : . (latest version 19 Nov 2002) . QUESTION: Is day hospital more effective and less costly than inpatient care for patients with acute psychiatric disorders? Studies were...
Article
BACKGROUND Illness-induced disruptions to lifestyles, activities, and interests (i.e., illness intrusiveness) compromise subjective well-being. The authors measured illness intrusiveness in autologous blood and bone marrow transplantation (ABMT) survivors and compared the results with survivors of solid organ transplants.METHODS Forty-four of 64 co...
Article
The purpose of this triangulated study was to understand parents' experience of help-seeking in response to their child's first episode of schizophrenia. Twenty participants completed questionnaires related to stigma, parental caregiver burden, uncertainty in illness and help-seeking. Findings indicated: (1) as stigmatized attitudes towards mental...
Article
Within psychiatric settings, many female clients report experiences of childhood sexual abuse (CSA). In this paper we explore the experience of 10 women who were hospitalized in psychiatric settings, restrained, and given forced medication (FM). All the women have histories that included CSA. Some authors have suggested that the experience of psych...
Article
Canadian psychiatric nurses (N = 1,701) participated in a survey in which they-assessed their ability to nurse clients with a history of sexual abuse when cultural differences are present. Thirty-nine percent worked at a facility having a significant number of clients from a different culture. Only 4.6% rated themselves as "very competent." Four th...
Article
The Nova Scotia Hospital Halifax, Nova Scoua Canadian psychiatric nurses (N = 1.701) participated in a survey in which theyassessed their ability to nurse clients with a history of sexual abuse when cultural differences are present Thirty-nine percent worked at a facility having a significant number of clients from a different culture. Only 4.6% ra...
Article
This study was conducted to assess the reliability and validity of the Modified Engulfment Scale (MES) which measures the impact of schizophrenia on self-concept. The concept of engulfment offers a theoretical framework for understanding how a person's self-concept incorporates the experience of mental illness. In a homogeneous sample of 100 outpat...
Article
Background: There is strong evidence that a history of sexual abuse can have serious psychologic sequelae.Objective: The purpose of the study was to assess the comfort, attitudes, identified competencies, and educational needs of psychiatric nurses who work with these clients.Study Design: Surveys were mailed to a random sample of 3542 nursing pers...
Article
BACKGROUND: There is strong evidence that a history of sexual abuse can have serious psychologic sequelae. OBJECTIVE: The purpose of the study was to assess the comfort, attitudes, identif ed competencies, and educational needs ofpsychiatric nurses who work with these clients. STUDY DESIGN: Surveys were mailed to a random sample of 3542 nursing per...
Article
The purpose of the present study was to further contribute to the psychometric evaluation of the Sexual Abuse Comfort Scale (SACS) in order to provide a standardized measure that would assess the impact of educational programmes on nurses' comfort to intervene with psychiatric clients regarding sexual abuse. This study was part of a larger multisit...
Article
Knowledge concerning the storage and retrieval of traumatic memories and so-called False Memory Syndrome has not been widely available in nursing journals. Information in the popular media, however, means that nurses are learning about aspects of the memory debate from such sources. This article reports on 1,701 nurses' views of False Memory Syndro...
Article
The purpose of this study was to examine personality differences among three different Axis I disorders-recovered patients with unipolar depression (n = 62), euthymic patients with bipolar disorder (n = 34), and patients with schizophrenia in the residual phase of their illness (n = 41) using the five-factor model of personality (FFM). The dimensio...
Article
1. Schizophrenia, and the challenge of coping with the ongoing stigma of mental illness, profoundly affects an individual's self-concept. 2. Individuals in the early phases of schizophrenia are at risk of becoming engulfed by their illness, such that all aspects of self become defined by the illness. 3. A group intervention enabled individuals to c...
Article
Violence by patients in psychiatric settings is frequently associated with the quality of staff-patient interactions. Impulsivity has been identified as a high risk factor for anger and aggression. This study was designed to test the influence of nurses' limit-setting styles on anger among psychiatric inpatients grouped by high or low levels of imp...
Article
Full-text available
Forty participants who had an open thoracotomy for primary lung cancer were interviewed to determine what information they perceived as being important and what effect selected symptoms had on usual activities prior to and after discharge. Discharge information needs were measured on the 50-item Patient Learning Need Scale (PLNS). The effect of sel...
Article
This article conceptualizes impulsivity from the perspective of psychiatric nurses in the inpatient setting. A theoretical model of the nature and the process of impulsivity is developed phenomenologically from information obtained from psychiatric nurses and patient chart reviews. The impulsive event is characterized by three elements: (1) precipi...
Article
The article describes the development and initial psychometric evaluation of an instrument to measure patients' perceptions of learning needs at time of discharge from hospital to home. Evaluation of the Patient Learning Needs Scale was based on responses of 301 adults hospitalized with a medical or surgical illness. Factor analysis isolated seven...
Article
The relationship between patients' perceived informational needs and selected sociodemographic and illness-related variables were examined in a sample of 301 adult medical and surgical patients preparing for discharge from an acute care setting. Marital status, living arrangements and chronicity of illness had no influence on the importance of info...

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Project
The overarching aim of this mixed methods study is to assess whether and how rent subsidies and mentorship influence social integration outcomes for formerly homeless young people living in market rent housing in three urban settings.