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Research & Teaching
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Dr. Doris Howell has worked in cancer and palliative care for over 30 years in diverse roles as an advanced practice nurse, nurse administrator, consultant and nurse researcher. Dr. Howell’s program of research is predominantly focused on patient-centered interventions for complex symptoms and to address psychosocial responses to cancer. Her complex symptom focus is on understanding the influence of psychosocial variables, particularly the role of cognitive-appraisal, meaning of illness and symptoms, and implicit models of illness (illness representation/beliefs) on symptom intensity and distress outcomes. Dr. Howell also has an active health service research program focused on examining nurse-led and shared care models in cancer and palliative care and their impact on patient and health care system outcomes. Other research interests include uncovering nurses’ therapeutic role in improving patient-family experience of illness and how ways of nurse knowing can be advanced through reflection. Research expertise includes qualitative and quantitative methods, with specific expertise in qualitative methods (hermeneutic phenomenology) and mixed-method study designs. | ||||
Degrees
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| 2004 - Postdoctoral Research Fellowship Training, Department of Clinical Epidemiology and Biostatistics, McMaster University 2003 - PhD, Department of Health Policy, Management and Evaluation, University of Toronto 1983 - MScN, Faculty of Nursing, University of Toronto 1979 - BScN, Nursing Department, University of Ottawa 1975 - Registered Nurse Diploma, Lambton College School of Nursing | ||||
Selected Grants
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2009-2016 Psychosocial Oncology Research Training Program: A renewal application rationale (PORT). Principal Investigator C. Loiselle. Co-Investigators: Howell, D; Bottorff, J., Hack, T., Carlson, L.; Gruenfeld, E. Training Grant 6-year Renewal. CIHR, 325,000/year for 6 years.
2006-2008 The Electronic Living Laboratory for Interdisciplinary Cancer Survivorship Research: Bridging the Gap for Chronic Cancer Care. Investigators: Catton, P. Howell, D. Canadian Foundation for Innovation ($1,200,000).
2007-2009 Lung cancer patient’s experience with continuity of care and unmet needs. Principal Investigator: Husain, A. Co-Investigators: Sussman, J., Barbara, L., Howell, D., Bezjak, A., Moineddin, R. NCIC($35,000) and Canadian Cancer Society (ON) ($7,715). | ||||
Recent Publications
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Book Chapters Howell, D., Sussman, J.(2008). “Community-Based Oncology Nurse-Led Supportive Cancer Care” (Chapter) In Fitch, M., Page, B., Porter, H. (Eds) Supportive Care in Cancer. Pembroke: Pappin Communications. Howell, D. (2009). “Dyspnea Management: A Biopsychosocial Approach” (Chapter) In Haas, M.. (ed) Contemporary Issues in Lung Cancer. 2nd Ed. Sudbury MA: Jones & Bartlett Publishers. Articles Howell, D., Sussman, J., Pyette, N., Wienekowski, J., Bainbridge, D., O’Brien, M., Whalen, T. (2008). A mixed-method evaluation of nurse-led community-based supportive cancer care. Supportive Care in Cancer, 16(12), 1343-1352. Marshall, D., Howell, D., Brazil, K., Howard, M., Taniguchi, A., Rush, B. (2008). Enhancing family physician capacity to deliver quality palliative home care: The Niagara West end of life shared-care model. Canadian Family Physician, 54(Dec), 1703-1703e7. Johnson, A.P., Abernathy, T., Howell, D., Brazil, K., Hoch, J.S., Scott, S. (2009). Resource utilisation and costs of palliative cancer care in an interdisciplinary health care model. Palliative Medicine, 23(5), 448-59. Rodin, G., Mackay, J., Zimmermann, C., Mayer, C., Howell, D., Katz, M., Sussman, J., McNair, S., Brouwers, M. (2009). Provider-Patient Communication: A report of evidence-based recommendations to guide practice in cancer. Supportive Care in Cancer. Jun 17(6), 627-44. |
